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PRB Meeting Date: 8/16/2022
Request Teleconference Teleconference Phone #:
Video Teleconference

GENERAL INFORMATION
2. Form Date: 3. Project Manager/Presenter: 4. Phone Number(s): 5. Mail Drop:
8/18/2022 2:16:31 PM Shantala Ramaiah
PROJECT INFORMATION
6. Project Name/Location: 7. Type of Work: 8. CPS Id:
OLD HWY 66 & FT ROCK RD INSTALL LT & RT LANES WY1P
9. District: 10. Route: 11. County: 12. Beg. MP: 13. TRACS #: 14. Len. (mi): 15. Fed ID#:
Kingman 0000 Yavapai YYV T035501D 0.5 HSIPYYV-0(211)T
PROJECT REQUEST SUMMARY
16. Original Program Budget: $30,000 17. Original Program Item #: 101654
Project Budget Project Budget Project Budget
18. Current Approved: 18a. New Project/Change Request: 18b. Final:
$30,000 $0 (0%) $30,000

Funding Source(s) Funding Source(s) 20. JPA #, Signed, Adot Adv.:
19. Current Approved: 19a. New Project/Change Request: 22-0008573
$ 2 Item #:OTHR23 (Yavapai county 5.7pct local match) FY:0 FundSRC: Desc:  

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:

25. DESCRIPTION OF REQUEST
Establish new project.
26. JUSTIFICATION
This project will install left and right turn lanes at Old Highway 66 and Fort Rock Road as a safety improvement to address intersection related crashes. NACOG TIP No. NAC 23-002D. This is an HSIP project. This sub-phase will be used to cover the staff charges only. Staff: $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.


PRB Meeting Date: 8/16/2022
Request Teleconference Teleconference Phone #:
Video Teleconference

GENERAL INFORMATION
2. Form Date: 3. Project Manager/Presenter: 4. Phone Number(s): 5. Mail Drop:
8/18/2022 2:17:50 PM Shantala Ramaiah
PROJECT INFORMATION
6. Project Name/Location: 7. Type of Work: 8. CPS Id:
OLD HWY 66 & FT ROCK RD INSTALL LT & RT LANES WY1P
9. District: 10. Route: 11. County: 12. Beg. MP: 13. TRACS #: 14. Len. (mi): 15. Fed ID#:
Kingman 0000 Yavapai YYV T035503D 0.5 HSIPYYV-0(211)T
PROJECT REQUEST SUMMARY
16. Original Program Budget: $290,000 17. Original Program Item #: 101654
Project Budget Project Budget Project Budget
18. Current Approved: 18a. New Project/Change Request: 18b. Final:
$290,000 $0 (0%) $290,000

Funding Source(s) Funding Source(s) 20. JPA #, Signed, Adot Adv.:
19. Current Approved: 19a. New Project/Change Request: 22-0008573
$ 17 Item #:OTHR23 (Yavapai county 5.7pct local match) FY:0 FundSRC: Desc:  

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:

25. DESCRIPTION OF REQUEST
Establish new project.
26. JUSTIFICATION
This project will install left and right turn lanes at Old Highway 66 and Fort Rock Road as a safety improvement to address intersection related crashes. NACOG TIP No. NAC 23-002D. This is an HSIP project. This sub-phase will be used to cover the consultant charges only. Consultant: $290k
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.


For Project Resource Office information or questions: PRO Mailbox

Arizona Department of Transportation