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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:
4/27/2023 11:20:20 AM	Patrick O`Leske	(480)-416-8367	205 S 17th Ave

PROJECT INFORMATION

6. Project Name/Location:			7. Type of Work:			8. CPS Id:
PERKINS VALLEY TI UP STR 1776			BRIDGE DECK REPLACEMENT			GK1Q
9. District:	10. Route:	11. County:	12. Beg. MP:	13. TRACS #:	14. Len. (mi):	15. Fed ID#:
Holbrook	40	Navajo	283.4	F064501D	0.1

PROJECT REQUEST SUMMARY

16. Original Program Budget: $0

17. Original Program Item #: 103722

Project Budget	Project Budget	Project Budget
18. Current Approved:	18a. New Project/Change Request:	18b. Final:
$0	$800,000 (0%)	$800,000
Funding Source(s)	Funding Source(s)	20. JPA #, Signed, Adot Adv.:
19. Current Approved:	19a. New Project/Change Request:
	$ 800 Item #:76223 ( ) FY:2023 FundSRC:. Desc:BRIDGE REPLACEMENT & REHABILITATION

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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

This project is a full-depth replacement at the Perkins Valley Rd TI STR# 1776. Staff - $694k Consultant - $30k ICAP - $76k

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.