2022-09-08_GENERAL DOCUMENTS - M1996053

• Permit No: M1996053
• IBM Index Class Name: General Documents
• Doc Date: 9/8/2022
• Doc Name Note: J and S Farms Project
• Doc Name: IMP Closeout Files
• From: DRMS
• To: DRMS
• Media Type: D
• Archive: No

Change Order#1
Will the modified services described in this Change Order begin prior to the execution of a formal
contract amendment? Yes
If"Yes" explain the justification:
The situation is an immediate threat to public health,safety,and/or property,and the process time of
the corresponding contract amendment will result in unacceptable delays and/or significant cost
increases to the Project.
Bid or Description of and Fair& Reasonable Cost Determination for each Cost
New Change Adjustment
Item#
Type of
Modification: Increasing current quantity
Item Name/
Description
Additional high wall reduction.
During construction it was discovered that
additional areas of high wall around the
4.0 perimeter of the pond had to be graded to
eradicate tamarisk.Tamarisk is a noxious weed.
Reduce Reason for $3,500
Highwall Modification: Approximately 350 Lf of additional shoreline will
be graded.The cost for shoreline grading per
the bid is approx. $10 per CY. ($27,300 for 2,650
Lf. of shoreline)
Basis for Fair&
Reasonable cost Quantity adjustment based on a previously
established rate
determination:
Authorization Page
The Parties hereto agree to the description of the modifications to the Project detailed in this Change
Order Form. Persons signing on behalf of the Contractor hereby swear and affirm that they are duly
authorized to act on the Contractor's behalf and acknowledge that the State is relying on their
representations to that effect. In accordance with §24-30-202 C.R.S., the State can make no payments
for the modified services described in this Change Order until the execution of an amendment to the
contract that is signed and dated by the State Controller or an authorized delegate.
CONTRACTOR— STATE—
Project Manager/ Rep sentative Project Manager/ Representative
DigitallysignedbyJulieAnnear
Julie DN:cn=Julie Annear,o=Division
of Reclamation,Mining and
Safaty,ni-DNR
Sture Signature email=[e-mail],
us
c=o h n Vi"a I I e j'6s Annear Date:2022.09.08 06:13:56
Printed Name Printed Name
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