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PRB Meeting Date: 7/25/2023
Request Teleconference		Teleconference Phone #:
Video Teleconference

GENERAL INFORMATION

2. Form Date:	3. Project Manager/Presenter:	4. Phone Number(s):	5. Mail Drop:
7/28/2023 1:50:20 PM	Angela Galietti		, ,

PROJECT INFORMATION

6. Project Name/Location:			7. Type of Work:			8. CPS Id:
COUNTRY CLUB TI - NM STATE LINE			BROADBAND INFRASTRUCTURE			HK1Q
9. District:	10. Route:	11. County:	12. Beg. MP:	13. TRACS #:	14. Len. (mi):	15. Fed ID#:
Flagstaff	40	Navajo	195.0	F061701D	164.0

PROJECT REQUEST SUMMARY

16. Original Program Budget: $0

17. Original Program Item #: 104080

Project Budget	Project Budget	Project Budget
18. Current Approved:	18a. New Project/Change Request:	18b. Final:
$0	$2,465,000 (0%)	$2,465,000
Funding Source(s)	Funding Source(s)	20. JPA #, Signed, Adot Adv.:
19. Current Approved:	19a. New Project/Change Request:
	$ 2465 Item #:OTHR24 (State Fiscal Recovery Funds (SFRF)) 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

This project will design Broadband backbone infrastructure on I-40 from I-40/Country Club TI in Flagstaff to the New Mexico State Line. Staff = $211k Consultant = $2,015k ICAP = $239k

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.