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PRB Meeting Date: 10/21/2025
Request Teleconference		Teleconference Phone #:
Video Teleconference

GENERAL INFORMATION

2. Form Date:	3. Project Manager/Presenter:	4. Phone Number(s):	5. Mail Drop:
10/24/2025 11:02:55 AM	Steve Boschen	602-320-7148	, ,

PROJECT INFORMATION

6. Project Name/Location:			7. Type of Work:			8. CPS Id:
NB I-17 Ramp to NB SR 69			Reconstruct Bridge Approach Slab			DE1R
9. District:	10. Route:	11. County:	12. Beg. MP:	13. TRACS #:	14. Len. (mi):	15. Fed ID#:
Prescott	17	Yavapai	262	F088701D	0.1	017-A(265)T

PROJECT REQUEST SUMMARY

16. Original Program Budget: $0

17. Original Program Item #:

Project Budget	Project Budget	Project Budget
18. Current Approved:	18a. New Project/Change Request:	18b. Final:
$0	$250,000 (0%)	$250,000
Funding Source(s)	Funding Source(s)	20. JPA #, Signed, Adot Adv.:
19. Current Approved:	19a. New Project/Change Request:
	$ 250 Item #:73326 ( ) FY:0 FundSRC: Desc:

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Current Approved		New Project/Change Request
21. Fiscal Year:		21a. Fiscal Year:
22. Bid Pkg Rdy Date:		22a. Bid Pkg Rdy Date:		24. Verified all of the new funding sources
23. Bid Adv Date:		23a. Bid Adv Date:

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25. DESCRIPTION OF REQUEST

Establish New Project.

26. JUSTIFICATION

Bridge approach slabs have settled and rotated creating significant bumps for vehicles. Staff $205k Consultant (Env) $30k ICAP $15k

27. CONCERNS OF THE PROJECT TEAM REGARDING THE REQUEST

28. OTHER ALTERNATIVES CONSIDERED

REQUESTED ACTIONS	APPROVED/RECOMMENDED ACTIONS
Establish a New Project.	Item(s) Approved. Subject to PPAC Approval.