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PRB Meeting Date: 1/31/2023
Request Teleconference		Teleconference Phone #:
Video Teleconference

GENERAL INFORMATION

2. Form Date:	3. Project Manager/Presenter:	4. Phone Number(s):	5. Mail Drop:
2/2/2023 1:12:34 PM	Thomas Oreilly	(602) 712-2587	205 S 17th Ave, 293, 614E

PROJECT INFORMATION

6. Project Name/Location:			7. Type of Work:			8. CPS Id:
TWO GUNS - DENNISON			PAVEMENT REHABILITATION			ZS1P
9. District:	10. Route:	11. County:	12. Beg. MP:	13. TRACS #:	14. Len. (mi):	15. Fed ID#:
Flagstaff	I-40	Coconino	230	F057901D	9.3	040-D(247)T

PROJECT REQUEST SUMMARY

16. Original Program Budget: $450,000

17. Original Program Item #: 103132

Project Budget	Project Budget	Project Budget
18. Current Approved:	18a. New Project/Change Request:	18b. Final:
$450,000	($35,000) (0%)	$415,000
Funding Source(s)	Funding Source(s)	20. JPA #, Signed, Adot Adv.:
19. Current Approved:	19a. New Project/Change Request:
$ 450 Item #:103132 (100pct State) FY:0 FundSRC: Desc:	$ -35 Item #:70023 (100pct State) FY:2023 FundSRC:. Desc:ENGINEERING SUPPORT

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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 design for a pavement rehabilitation project. Staff = $316K Consultant = $60K ICAP = $39K

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.