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PRB Meeting Date: 4/13/2021
Request Teleconference		Teleconference Phone #:
Video Teleconference

GENERAL INFORMATION

2. Form Date:	3. Project Manager/Presenter:	4. Phone Number(s):	5. Mail Drop:
6/4/2021 8:53:34 AM	Bharat Kandel	(602) 712-8736	205 S 17th Ave, , EM01

PROJECT INFORMATION

6. Project Name/Location:			7. Type of Work:			8. CPS Id:
JOSEPH CITY - PERKINS VALLEY			PAVEMENT REHABILITATION			MN1P
9. District:	10. Route:	11. County:	12. Beg. MP:	13. TRACS #:	14. Len. (mi):	15. Fed ID#:
Holbrook	40	Navajo	277.6	F038401D	5.2	040-D(244)T

PROJECT REQUEST SUMMARY

16. Original Program Budget: $360,000

17. Original Program Item #: 101685

Project Budget	Project Budget	Project Budget
18. Current Approved:	18a. New Project/Change Request:	18b. Final:
$360,000	($12,000) (0%)	$348,000
Funding Source(s)	Funding Source(s)	20. JPA #, Signed, Adot Adv.:
19. Current Approved:	19a. New Project/Change Request:
$ 360 Item #:101685 ( ) FY:0 FundSRC: Desc:	$ -12 Item #:72521 ( ) FY:2021 FundSRC:. Desc:PRESERVATION

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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 Project

26. JUSTIFICATION

As per the Pavement Management performance measure completed in 2019, the existing pavement has experienced distress cracking and is in substandard condition. The project will rehabilitate the existing pavement as recommended in the Planning Level Pre-scoping document. The design of this ADOT in-house project is programmed in FY21 with construction programmed in FY23. Consultant - $35k Staff - $281k ICAP - $32k

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.