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SIGNATURE PAGE <br /> THE PARTIES HERETO HAVE EXECUTED THIS CONTRACT/PO CHANGE ORDER <br /> Persons signing for Contractor hereby swear and affirm that they are authorized to act on Contractor's behalf and <br /> acknowledge that the State is relying on their representations to that effect- <br /> FOR POs and To Authorize Field Changes for Contracts: PO#:12019-0259 <br /> This document shall become an amendment to the Purchase Order (PO). All work is to be performed under <br /> the established terms and conditions specified in the original purchase order. <br /> By signing below, we hereby agree and accept the changes) specified herein: <br /> CONTRACTOR -Project Manager/Representative: STATE - Project Manager/Representative: <br /> Name: Name: Kirstin Brown <br /> /,ALE f}✓�-!S 1G>� <br /> Title: J Title: EPS 2 <br /> Signature: Signature: <br /> Date: Sep 10, 20 9 Date: Sep 10, 2019 <br /> "Scanned Signatures are acceptable <br /> FOR CONTRACTS: Routing: CMS#: CT#: <br /> Jared S. Polis, Governor <br /> CONTRACTOR Department Natural Resources, <br /> Dan Gibbs, Executive Director <br /> Contractor Name Agency <br /> By: By: <br /> Title: Title: <br /> Signature Signature <br /> Date: Date: <br /> In accordance with 524-30-202 C.R.S., this Contract is not valid until signed and dated below by the State Controller or an <br /> authorized delegate. <br /> STATE CONTROLLER <br /> Robert Jaros, CPA, MBA, JD <br /> By: <br /> Controller Delegate <br /> Change Order Effective Date: <br /> Page 3 of 3 <br />