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<br />~ ~I~ II~II~~I~~~~~II~ <br />~- <br />x- <br />CHANGE ORDER oeS:,29~/-~ ~ COLORADO DIVISION OF <br /> MINERALS AND GEOLOGY <br />WHEREAS, authority exists in the Law and Funds have been budgeted, appropriated and otherwise made available and a 1313 Sherman St., RM 275 <br />sufficientuncammittedbalance[hereof remains available forencumbering and subsequentpaymentol this convaa under Denver,C0 B0203~2273 <br />Encumbrance Number in Fund Number 27p .Apr /e20 ,and GBL -~ (303)866-3507 <br />Project name Dara <br />Convacmr name i3idx <br />~ <br />Convactoraddress ~ Agreementx <br />r c ~ /( <br /> Vendor IDn <br />Project Manager Change OrderN <br /> <br />The following changes are herby atle to the Agreement:(InUUde the cosvhme adjustment for each change) <br />' C rC LLN[/1C re n.S /1 O^~ /1 f"r'O p.~. rthr/ L j..~31/1///}j~C.(/ <br />/i~00 " cif/.r/c r~-,~~~ /1e-i,.sr+// 3.'„ ~.ti .,s/n// <br />r/ Set 7w Si ~// rcr+D •~..-r'n-: /t <br /> <br />Justification <br />scc -.r~,> 7in«rr~c ,V~~-./sr~~ nrr~-~:~o <br /> <br /> <br /> <br /> <br />Change to Agreement price: <br />Original Agreement Price: s <br /> ' ~ S 0 <br />Current Agreement Price adjusted by previous Change Orders: r <br /> s /3 577 <br /> <br />The Agreement Price due to this Change Order will be increased/decreased by: <br />,. <br /> $ / ov <br />The new Agreement Price including this Change Order will be: S ~= <br />' <br /> r~yg~o <br />Change to Agreement time: <br />The Agreement time will be increasedfdecreased by'. <br />;~. d a d s <br />The date for completion of all work will be: <br /> o - ]-u - Yy <br />Recommended by: <br />DMG Project Manager ,Principle Representative <br />Accep d by: ~ <br /> <br />" for the Division of Purchasing. <br />1 nvactor <br />~l2 State 9uildir,o Programs <br />Approved by <br />~ <br />Y <br />nnnr. o.,.,..,m c,,..e...~,.. <br />~ ._..~. ~ ..... <br />