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PRB Meeting Date: 4/25/2023
Request Teleconference		Teleconference Phone #:
Video Teleconference

GENERAL INFORMATION

2. Form Date:	3. Project Manager/Presenter:	4. Phone Number(s):	5. Mail Drop:
5/16/2023 2:49:13 PM	Olivier Mirza		, ,

PROJECT INFORMATION

6. Project Name/Location:			7. Type of Work:			8. CPS Id:
PLACERITAS CREEK - DATE CREEK			PAVEMENT REHABILITATION			GB1Q
9. District:	10. Route:	11. County:	12. Beg. MP:	13. TRACS #:	14. Len. (mi):	15. Fed ID#:
Kingman	93	Yavapai	156	F063801D	16

PROJECT REQUEST SUMMARY

16. Original Program Budget: $0

17. Original Program Item #: 103681

Project Budget	Project Budget	Project Budget
18. Current Approved:	18a. New Project/Change Request:	18b. Final:
$0	$669,000 (0%)	$669,000
Funding Source(s)	Funding Source(s)	20. JPA #, Signed, Adot Adv.:
19. Current Approved:	19a. New Project/Change Request:
	$ 669 Item #:79023 (State 100pct) 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 design project.

26. JUSTIFICATION

As per the completed Pavement Management performance measures, the existing pavement has experienced distress cracking and is in substandard condition. This project will rehabilitate the existing pavement as recommended in the Planning Level Pre-scoping document. Construction is in FY27 in the FY24 - FY28 Tentative Program. Staff: $100K Consultant: $505K ICAP: $64K

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.