REP14132

1. COLORADO MI I
�± p NED LAND
j�Vr��GE vr�i✓aR RECLAMATION DI`lISICN I
1313 Sherman St., RM 215
Denver, CO 80203 -2273
I
(303) 866 -3567
Project name OqC.7Z..� G J � `L c
b I
Date 9 � P Z
Contractor name
�.0 CQJJ �
Bid # ,� �— 29z
Contractor address CC) 12-4-0 , `
Tv
PO # C -46
3
Req # ?Ccle&
Project Manager (2 • �Z
U
Change Order #
1
Th following changes are hereby made to the Purchase Order: ( Gude the costtime adjustment for each change)
• std A cNc� FEe- O�R�zT�r 90`f.
• AAp - 41 350 kT ,,c- ►C. M�N� °� + (5:;Z&5 - G " 3,317.00
•!lop 5HAr # 3S I -r !floccc� K. M.N� t —A206 9e 2 3SS) -00
Cam?i ioesiweb CLOS • s Zt] 1 ! J 0 Al 4rXrk 1 47,0/J
CF A'11k« K. M�Nr 'a* p � ScOP2=oF c sut_TS „J LcwL-RAdywn .;75
Justification
• A Gc w � Aaot ,,cj ` C Tn�G s ��a. 7
" Nrr
` w
.l , � A
of SroP Jt(l( y/Ill r� CtJ $C r / � $S
F _ sS0 W V1QeJG7
5tt('M" --Q 7 - 8 6 4mP �TZD W A sd °/bKRT P rz
//
70 �MIDa.)nLXL` �C - plllt` 7N /S / /AS Al CH.'W6c4— Uw0 Wrtr�rl5 La t�
-11
QXV C-72c16 TruSytA&
F 5 dpa -il "sry �in/./1AGr - r- A , 10 , 0 - r- A , 10 , 0 DQN(CA'runl oF� - rIt7'4M
Change to purchase order price:
Original Purchase Order Price:
/ 64 22'
Current Purchase Order Price adjusted by previous Change Orders:
1=
62, 3 61
The Purchase Order Price due to this Change Order will b Increas ecreased by:
t 40
The new Purchase Order Price including this Change Order will be: *4
73, ooJ.50 ch
Change to purchase order time: Co tc"o --J ($ NJ&Jka1 F
-
The Purchase Order time will be increased /decreased by: + SO Z AY 5
The date for completion of all work will be: Oct. 3 0, 199 L
Recommended b
MLRD Project Manager
Accepledby:
Contractor
Approved by:
- .� MLRD Program Supervisor