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PRB Meeting Date: 8/21/2018
Request Teleconference		Teleconference Phone #:
Video Teleconference

GENERAL INFORMATION

2. Form Date:	3. Project Manager/Presenter:	4. Phone Number(s):	5. Mail Drop:
12/3/2021 9:32:47 AM	Bharat Kandel	(602) 712-8736	205 S 17th Ave, , EM01

PROJECT INFORMATION

6. Project Name/Location:			7. Type of Work:			8. CPS Id:
JCT I-17 - Washington Street			Pavement Rehabilitation			OC1O
9. District:	10. Route:	11. County:	12. Beg. MP:	13. TRACS #:	14. Len. (mi):	15. Fed ID#:
Phoenix	10	Maricopa	143	F021501D	5

PROJECT REQUEST SUMMARY

16. Original Program Budget: $320,000

17. Original Program Item #: 100236

Project Budget	Project Budget	Project Budget
18. Current Approved:	18a. New Project/Change Request:	18b. Final:
$320,000	$0 (0%)	$320,000
Funding Source(s)	Funding Source(s)	20. JPA #, Signed, Adot Adv.:
19. Current Approved:	19a. New Project/Change Request:
$ 320 Item #:100236 ( ) 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 Design Project

26. JUSTIFICATION

Staff is ready to begin design to deliver construction in FY21. Staff - $256k Consultant (Compliance and Environmental Planning) - $34k ICAP - $30k

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.