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Change Order#Choose an item. <br /> Authorization page <br /> The Parties hereto agree to the description of the modifications to the Project detailed in this Change <br /> Order Form. Persons signing on behalf of the Contractor hereby swear and affirm that they are duly <br /> authorized to act on the Contractor's behalf and acknowledge that the State is relying on their <br /> representations to that effect. In accordance with §24-30-202 C.R.S.,the State can make no payments <br /> for the modified services described In this Change Order until the execution of an amendment to the <br /> contract that is signed and dated by the State Controller or an authorized delegate. <br /> CONTRACTOR— STATE— <br /> Project Manager/Representative Project Manager/ Representative <br /> DOWY Worod br liar Arrow <br /> wc� .p•o*Ag.of <br /> Julie Annear" <br /> Signature SignaDare <br /> glee G Me�'o <br /> Printed Name Printed Name <br /> Title of Signatory Title of Signatory <br /> Date: �" Z�' Z� Date; <br /> A separate formal amendment to the Contract or Purchase Order corresponding to this Change Order to <br /> follow. <br /> Page 3 of 3 <br />