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PRB Meeting Date: 7/26/2022
Request Teleconference		Teleconference Phone #:
Video Teleconference

GENERAL INFORMATION

2. Form Date:	3. Project Manager/Presenter:	4. Phone Number(s):	5. Mail Drop:
7/28/2022 9:05:48 AM	Angela Galietti		, ,

PROJECT INFORMATION

6. Project Name/Location:			7. Type of Work:			8. CPS Id:
KINGMAN CROSSING TI			CONSTRUCT TI			YA1H
9. District:	10. Route:	11. County:	12. Beg. MP:	13. TRACS #:	14. Len. (mi):	15. Fed ID#:
Kingman	40	Mohave	54.0	H714701D	1.0

PROJECT REQUEST SUMMARY

16. Original Program Budget: $0

17. Original Program Item #: 103413

Project Budget	Project Budget	Project Budget
18. Current Approved:	18a. New Project/Change Request:	18b. Final:
$0	$136,000 (0%)	$136,000
Funding Source(s)	Funding Source(s)	20. JPA #, Signed, Adot Adv.:
19. Current Approved:	19a. New Project/Change Request:	19-0007431-I
	$ 136 Item #:OTHR23 (Kingman Funded PDA) 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

This project will construct a new traffic interchange on I-40 over Kingman Crossing Boulevard. Work will include bridge and ramp design, retaining wall design, drainage improvements and right-of-way acquisition. This is a Private Developer Funded Traffic Interchange. Staff: $136k

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. Subject to PPAC Approval.