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PRB Meeting Date: 10/17/2023
Request Teleconference		Teleconference Phone #:
Video Teleconference

GENERAL INFORMATION

2. Form Date:	3. Project Manager/Presenter:	4. Phone Number(s):	5. Mail Drop:
10/18/2023 3:35:08 PM	Lina Bearat	(602) 538-5124	205 S 17th Ave, ,

PROJECT INFORMATION

6. Project Name/Location:			7. Type of Work:			8. CPS Id:
E HOLBROOK TI OP EB #1399 / WB #1370			REHABILITATE BRIDGE			IQ1Q
9. District:	10. Route:	11. County:	12. Beg. MP:	13. TRACS #:	14. Len. (mi):	15. Fed ID#:
Holbrook	40	Navajo	289.0	F071301D	1.0	040-D(251)T

PROJECT REQUEST SUMMARY

16. Original Program Budget: $800,000

17. Original Program Item #: 103673

Project Budget	Project Budget	Project Budget
18. Current Approved:	18a. New Project/Change Request:	18b. Final:
$800,000	$0 (0%)	$800,000
Funding Source(s)	Funding Source(s)	20. JPA #, Signed, Adot Adv.:
19. Current Approved:	19a. New Project/Change Request:
$ 800 Item #:103673 (.) 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 is a bridge rehabilitation project on I-40 at MP 289.8 in Holbrook. Staff: $622K Consultant: $100K ICAP: $78K

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.