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PRB Meeting Date: 11/18/2025
Request Teleconference Teleconference Phone #:
Video Teleconference

GENERAL INFORMATION
2. Form Date: 3. Project Manager/Presenter: 4. Phone Number(s): 5. Mail Drop:
11/20/2025 9:18:19 AM Michelle Medina (602) 712-6530 205 S 17TH AVE, ,
PROJECT INFORMATION
6. Project Name/Location: 7. Type of Work: 8. CPS Id:
CEMETERY WASH EB & JACKRABBIT TI OP EB & WB REHABILITATE BRIDGE IO1Q
9. District: 10. Route: 11. County: 12. Beg. MP: 13. TRACS #: 14. Len. (mi): 15. Fed ID#:
Holbrook 40 Navajo 253.0 F068901D 17.0 040-D(205)T
PROJECT REQUEST SUMMARY
16. Original Program Budget: $421,000 17. Original Program Item #: 103672
Project Budget Project Budget Project Budget
18. Current Approved: 18a. New Project/Change Request: 18b. Final:
$421,000 $55,000 (0%) $476,000

Funding Source(s) Funding Source(s) 20. JPA #, Signed, Adot Adv.:
19. Current Approved: 19a. New Project/Change Request:
$ 421 Item #:103672 ( ) FY:0 FundSRC: Desc: $ 55 Item #:76226 ( ) FY:0 FundSRC: Desc:  

Current Approved New Project/Change Request  
21. Fiscal Year: 26 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: 12/24/2025 23a. Bid Adv Date:

25. DESCRIPTION OF REQUEST
Increase Budget.
26. JUSTIFICATION
It was not anticipated at the time of project establishment that additional time would be needed for added pavement and roadway work for 0.7 miles of shoulder and added drainage work for a pipe that was needed at the detour crossover. Staff: $51k Consultant: $0 ICAP: $4k
27. CONCERNS OF THE PROJECT TEAM REGARDING THE REQUEST

28. OTHER ALTERNATIVES CONSIDERED


REQUESTED ACTIONS APPROVED/RECOMMENDED ACTIONS
Change in Scope. Item(s) Approved.


PRB Meeting Date: 9/30/2025
Request Teleconference Teleconference Phone #:
Video Teleconference

GENERAL INFORMATION
2. Form Date: 3. Project Manager/Presenter: 4. Phone Number(s): 5. Mail Drop:
10/2/2025 10:56:01 AM Michelle Medina (602) 712-6530 205 S 17th Ave, ,
PROJECT INFORMATION
6. Project Name/Location: 7. Type of Work: 8. CPS Id:
CEMETERY WASH EB & JACKRABBIT TI OP EB & WB REHABILITATE BRIDGE IO1Q
9. District: 10. Route: 11. County: 12. Beg. MP: 13. TRACS #: 14. Len. (mi): 15. Fed ID#:
Holbrook 40 Navajo 253.0 F068901C 17.0 040-D(205)T
PROJECT REQUEST SUMMARY
16. Original Program Budget: $6,307,000 17. Original Program Item #: 103672
Project Budget Project Budget Project Budget
18. Current Approved: 18a. New Project/Change Request: 18b. Final:
$6,307,000 $1,500,000 (0%) $7,807,000

Funding Source(s) Funding Source(s) 20. JPA #, Signed, Adot Adv.:
19. Current Approved: 19a. New Project/Change Request:
$ 6307 Item #:103672 ( $6,307,196) FY:0 FundSRC: Desc: $ 1500 Item #:76226 ( ) FY:0 FundSRC: Desc:  

Current Approved New Project/Change Request  
21. Fiscal Year: 26 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: 11/12/2025 23a. Bid Adv Date:

25. DESCRIPTION OF REQUEST
Increase budget.
26. JUSTIFICATION
Additional construction funding is needed per the following items: - Pavement work was added to 0.7 mile of shoulder to detour traffic during construction. - Temporary pipe (760 LF) was added to the detour crossover for drainage purposes. - Crossover removal work (0.75 mile) was underestimated at Stage III as Lump Sum. Stage IV calculations quantified properly as SY. - Additional funds are needed due to unit prices being underestimated at Stage III for other bid items. ICAP is included in this request.
27. CONCERNS OF THE PROJECT TEAM REGARDING THE REQUEST

28. OTHER ALTERNATIVES CONSIDERED


REQUESTED ACTIONS APPROVED/RECOMMENDED ACTIONS
Change in Scope. Item(s) Approved. Subject to PPAC Approval.


PRB Meeting Date: 9/12/2023
Request Teleconference Teleconference Phone #:
Video Teleconference

GENERAL INFORMATION
2. Form Date: 3. Project Manager/Presenter: 4. Phone Number(s): 5. Mail Drop:
9/19/2023 10:45:01 AM Michelle Medina (602) 712-6530 205 S 17th Ave, ,
PROJECT INFORMATION
6. Project Name/Location: 7. Type of Work: 8. CPS Id:
CEMETERY WASH EB & JACKRABBIT TI OP EB & WB REHABILITATE BRIDGE IO1Q
9. District: 10. Route: 11. County: 12. Beg. MP: 13. TRACS #: 14. Len. (mi): 15. Fed ID#:
Holbrook 40 Navajo 253.0 F068901D 17.0 040-D(205)T
PROJECT REQUEST SUMMARY
16. Original Program Budget: $500,000 17. Original Program Item #: 103672
Project Budget Project Budget Project Budget
18. Current Approved: 18a. New Project/Change Request: 18b. Final:
$500,000 ($79,000) (0%) $421,000

Funding Source(s) Funding Source(s) 20. JPA #, Signed, Adot Adv.:
19. Current Approved: 19a. New Project/Change Request:
$ 500 Item #:103672 ( ) FY:0 FundSRC: Desc: $ -79 Item #: 76224 (.) FY:0 FundSRC: Desc:  

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:

25. DESCRIPTION OF REQUEST
Establish Design Project
26. JUSTIFICATION
This is a request to establish a bridge rehabilitation project. Staff $316K Consultant $65K ICAP $40K
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.


For Project Resource Office information or questions: PRO Mailbox

Arizona Department of Transportation