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PRB Meeting Date: 4/1/2025
Request Teleconference		Teleconference Phone #:
Video Teleconference

GENERAL INFORMATION

2. Form Date:	3. Project Manager/Presenter:	4. Phone Number(s):	5. Mail Drop:
4/3/2025 8:56:48 AM	Larry Talley	(602) 712-7709	1615 W JACKSON ST, , 065R

PROJECT INFORMATION

6. Project Name/Location:			7. Type of Work:			8. CPS Id:
MP 23.2 - MP 24.2			Scoping			XK1Q
9. District:	10. Route:	11. County:	12. Beg. MP:	13. TRACS #:	14. Len. (mi):	15. Fed ID#:
Holbrook	377	Navajo	23.2	F080401L	1.0	HSIP-377-A(205)T

PROJECT REQUEST SUMMARY

16. Original Program Budget: $0

17. Original Program Item #: 104891

Project Budget	Project Budget	Project Budget
18. Current Approved:	18a. New Project/Change Request:	18b. Final:
$0	$40,000 (0%)	$40,000
Funding Source(s)	Funding Source(s)	20. JPA #, Signed, Adot Adv.:
19. Current Approved:	19a. New Project/Change Request:
	$ 40 Item #:70125 ( $37,720 HSIP 94.3 & $2,280 State Match 5.7) 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

Scoping of NE District`s HSIP application to install SB passing lane Consultant $37K ICAP $3K

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.