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-., .h .. <br />• Ali ~. ~. <br />CHANGE ORDER <br /> <br />WHEREAS, authority wrists in the Law end Funds have been budgemd appropriamd and otherwise made available and a <br />cuffident uncommitledbafance thereat remautsavaila6letorenwmberirg and subsequent paymentot tltis oontrad under <br />EncumbranceNtmber infvrdNumber .Apr ,ardGBL CO1-ORADOD11"~'ON0 <br />MMERAIS AND GEOLO <br />1313 Shemtan SL, RM 21: <br />lknver,C080203-72T3 <br />(3x)3)8663567 <br />Pmjectnwne Qj~p G~~- U'7.2 Dam ~L-uv1ST 5 I ~ <br />corttractortwna ,,~ ~~.~ Cr~(ZQ &d°p•KF1 • 6 • 37 <br />x.^,ontradoraddress <br />MFrcN ~ <br />~. Agreements <br />1 <br />NN17~ON ~ gj ~2-icJ VendorlDs <br />Project Manager ~ ~~~~ Change Orders <br />Th follavirg charges are hereby made to the Agreement: (Indude the cosVturt adjustment for each change) <br />(. 111~.1AL t4 K-e t crib ~~slt~ 0 CCt fspr.s~ cnJA'°~ tCoUNcrf(C-{~ pu(1ir <br />'CNZ ~t~lU Zes] aF tt(z 0''l~ 1U V~~1 ~n~ ft's CuJ'xlf~ Uireidtl/((r(~ r~ST 3 <br />•Z ~ lrlLt`~At_ ~LFNO~ToR "11 MAE 1~JA5 N~Oe "tD Q11 c~2P21. !~>2`.5 i'6~ Ps7TAi, <br />Co~19 ~'C1~o$ cr> Cl1 ({ l--t/~0~ rD 2~. wn; ~auQ t*(~ du~R i'?~cYt~R--CtaRJ (2 itio' <br />o~ <br />G ~ 120 ~- I, q ~ ~ o Ao v~~ 2 ~ ~5 Tb (,nr~'t7I-ti"C~( '(1 WL-C`. - <br />Justification <br />c~~dCu~=CYNIC F7~fJ S LAC-u~Ze~i 'CH-f'LdL16H C".vV~{PC'TlT( 1- 1'~pOlti~ i~O (`- <br />6 • : - U2Q1~~.u;-cl~ti t^~ -Cl~ Pn~Pe~~ ;~~ (~~~rnt< IL ~(u(~(an, <br />2(x21, F~r19 ~~L a tJ~R.~i~ ~~ - <br /> <br /> <br />Change to Agreement price: <br />Original Agreement Price: ~' (`~ , 4 o e : o <br />Current Agreement Price adjusted by previous Change Orders: <br />The Agreement Price due to this Change Order will be increaserad by: I t '7~j7j ~~ <br />The new Agreement Price including this Change Order will be: ~, ~ 6 t ` ~ 3 , S C <br />Change to Agreement time: <br />The Agreement time will be increasedby: 2 ~ ~,~ ~ <br />The date far completion of all work will be: (,ATE ;EPT ~ oc~ <br />Recommended by: /// <br />I ~ r ~ /1 a ,DMG Project Manager <br />,Principle Representative <br />Ac y: ' <br /> <br />ontractor <br />. for the Division of Purcha <br />Stam Bulding Programs <br />owed b . <br />.DMG Pro ram Su rvisor <br />.for the Controller <br />