Table of Contents
Section No.	Section Name	Description
Section 1	Project Information	Overarching Project Information
Section 2	Scope Description	Overview of Scope of work explaining the intended deliverables
Section 3	List Of Applicable Work Submittals	Indicate the relevant submittals associated with the scope
Section 4	List Of Work Plans	Indicate the relevant work plans (WP) associated with the scope
Section 1 - Project Information
Scope Plan (SP) Name:	Project Name:	MX Contract No.:
Contractor:	Project No.:	Date of submission:	16-Jul-2025
MX SP No.:	MX Project Management Contact Email:	MX Construction Manager Contact Email:
MX Revision No.:	Subdivision:	Corridor:

Section 2 - Scope Description
(Brief overview of construction sequencing and phased listing of work plan packages required to complete the scope)

Section 3 - List of Applicable Work Submittals
Type of Submittal	Submittal Name	Submittal No.	Revision No.	Status	Submittal Date (Provide Submittal or Anticipated Submittal Date)
16-Jul-2025
07-Jul-2025
16-Jul-2025
16-Jul-2025
16-Jul-2025

Section 3.1 - List of Required Permits
(Indicate any relevant permits required to complete the scope)
Type of Permit	Permit Name	Permit No.	Revision No.	Status

Section 4 - List of Work Plans
Item No.	MX Work Plan No.	MX Work Plan Name	Work Plan Brief Description

Section 4.1 - Work Plan Details
Item No.	MX Work Plan No.	Work Plan Name	Work Plan Brief Description
Section 4.2 - Proposed Rail Access Information
Access Category:	ON/OFF Corridor?
Corridor:	Subdivision:
Anticipated Start Date:	18-Jul-2025	Anticipated Finish Date:	04-Jul-2025
Start and End Mileage:	Time of work:
Has Hierarchy of Controls Assessments submitted?	Yes ☐ No ☐	Is Environmental Programs and Assessment (EPA) Required?	Yes ☐ No ☐
Protection Type(s):	Green Zone ☐ MTC – Major Track Closure ☐ CWZ - Continuous Work Zone ☐ TOP – Track Occupancy Permit ☐ CROR 842 WITH Prescriptive Routing Arrangements ☐ Separated Working With a Visual Temporary Delineation Barrier	Red Zone ☐ Safety Watch ☐ R842 Without Routing	Other ☐ Foreman Oversight ☐ R841	Access Points:
Section 4.3 - Operational Impacts (Indicate whether operational impacts to MX service are anticipated)
Is TSO/PSO required? (Temporary/Permanent Slow Order)	Yes ☐ No ☐	Are Rail Traffic Control (RTC) resources required to support?	Yes ☐ No ☐
Is Local Control required?	Yes ☐ No ☐	Is Test Train required?	Yes ☐ No ☐
Is Signal Support required?	Yes ☐ No ☐
Section 4.4 - Asset & Infrastructure Changes Information (Please provide explanation for each field below)
Asset Type: What Assets are being impacted? (i.e. Tracks, Signals, Platforms, etc.)
Business Unit (BU):	(Please specify all Business Units below)
Infrastructure Changes?	Yes ☐ No ☐
Section 4.5 - Asset Owner Permits
Permit Name	Permit No.	Status	Required By Date
23-Jul-2025
16-Jul-2025
16-Jul-2025
16-Jul-2025