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PRB Meeting Date: 12/2/2025
Request Teleconference		Teleconference Phone #:
Video Teleconference

GENERAL INFORMATION

2. Form Date:	3. Project Manager/Presenter:	4. Phone Number(s):	5. Mail Drop:
12/5/2025 9:06:16 AM	Chris Rodriguez	(602) 712-4642	205 S 17TH AVE, ,

PROJECT INFORMATION

6. Project Name/Location:			7. Type of Work:			8. CPS Id:
ASH CREEK BRIDGE			BRIDGE REHABILITATION			TZ1O
9. District:	10. Route:	11. County:	12. Beg. MP:	13. TRACS #:	14. Len. (mi):	15. Fed ID#:
Kingman	169	Yavapai	7.0	F090601D	1.0	STBG

PROJECT REQUEST SUMMARY

16. Original Program Budget: $650,000

17. Original Program Item #: 100218

Project Budget	Project Budget	Project Budget
18. Current Approved:	18a. New Project/Change Request:	18b. Final:
$650,000	$0 (0%)	$650,000
Funding Source(s)	Funding Source(s)	20. JPA #, Signed, Adot Adv.:
19. Current Approved:	19a. New Project/Change Request:
$ 37 Item #:100218. (State 5.7pct Match $37050) FY:0 FundSRC: Desc:	$ 650 Item #:72726 (100pct State Funds) FY:0 FundSRC: Desc:

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Current Approved		New Project/Change Request
21. Fiscal Year:	29	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

Bridge rehabilitation for the Ash Creek Bridge #1825 on SR169 MP 7 to MP 8. Staff $512k Consultant $100k ICAP $38k

27. CONCERNS OF THE PROJECT TEAM REGARDING THE REQUEST

28. OTHER ALTERNATIVES CONSIDERED

REQUESTED ACTIONS	APPROVED/RECOMMENDED ACTIONS
	Item(s) Approved.