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PRB Meeting Date: 11/4/2025
Request Teleconference		Teleconference Phone #:
Video Teleconference

GENERAL INFORMATION

2. Form Date:	3. Project Manager/Presenter:	4. Phone Number(s):	5. Mail Drop:
11/6/2025 10:35:29 AM	Sal Salahuddin	(602) 712-7156	205 S 17th Ave, Phoenix, AZ 85007

PROJECT INFORMATION

6. Project Name/Location:			7. Type of Work:			8. CPS Id:
Ramp E-N Overpass #2450			Bridge Rehabilitation			RW1Q
9. District:	10. Route:	11. County:	12. Beg. MP:	13. TRACS #:	14. Len. (mi):	15. Fed ID#:
Flagstaff	17	Coconino	340.01	F089001D	0.01

PROJECT REQUEST SUMMARY

16. Original Program Budget: $600,000

17. Original Program Item #: 104377

Project Budget	Project Budget	Project Budget
18. Current Approved:	18a. New Project/Change Request:	18b. Final:
$600,000	$0 (0%)	$600,000
Funding Source(s)	Funding Source(s)	20. JPA #, Signed, Adot Adv.:
19. Current Approved:	19a. New Project/Change Request:
$ 600 Item #:104377 ( NHPP 566K and State match 34K) FY:0 FundSRC: Desc:	$ -600 Item #:76226 (.) 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 request is to establish a design project for Bridge Rehabilitation on I-17, from Milepost 340.01 to Milepost 340.02. Consultant: $500K Staff: $65K ICAP: $35K

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.