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PRB Meeting Date: 4/26/2022
Request Teleconference		Teleconference Phone #:
Video Teleconference

GENERAL INFORMATION

2. Form Date:	3. Project Manager/Presenter:	4. Phone Number(s):	5. Mail Drop:
4/28/2022 2:10:13 PM	Lina Bearat	(602) 538-5124	205 S 17th Ave, ,

PROJECT INFORMATION

6. Project Name/Location:			7. Type of Work:			8. CPS Id:
MP 339 - I-40			CENTERLINE RUMBLE STRIPS			MS1P
9. District:	10. Route:	11. County:	12. Beg. MP:	13. TRACS #:	14. Len. (mi):	15. Fed ID#:
Kingman	89	Yavapai	339.0	F051901D	24.0	HSIP089-B(220)T

PROJECT REQUEST SUMMARY

16. Original Program Budget: $129,000

17. Original Program Item #: 101699

Project Budget	Project Budget	Project Budget
18. Current Approved:	18a. New Project/Change Request:	18b. Final:
$129,000	$88,000 (0%)	$217,000
Funding Source(s)	Funding Source(s)	20. JPA #, Signed, Adot Adv.:
19. Current Approved:	19a. New Project/Change Request:
$ 129 Item #:101699 ( ) FY:0 FundSRC: Desc:	$ -129 Item #:70123 (HSIP design) FY:2023 FundSRC:. Desc:MODERNIZATION

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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 a new project

26. JUSTIFICATION

This is a 100pct HSIP project to install centerline rumble strips. Project name/Location should be MP339 - I-40. Staff: $138K Consultant: $58K ICAP: $21K

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.