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CHANGE ORDER COLORADO DIVISION OF <br /> WHEREAS, authority exists in the.Law and Funds have MINERALS AND GEOLOGY <br /> been budgeted and otherwise made available and'a sufficient uncommitted 1313 Sherman 8t,RM215 <br /> Denver,CO 80203-2273 <br /> balance remains available for encumbering and subsequent payment under the (303)866-3567 <br /> ProjeGname I/Pi,,vioi4p 6,9_3 ✓ yyt rNrn^ G <br /> Contractorname p ate <br /> Bid# <br /> Contractoraddress Mve <br /> P0. 8ax �f 11 PO# <br /> �dCi�1r�L t-�J, /Z•/Y Req# <br /> Project Manager / <br /> Change Order# <br /> 7 Tlowingr'changes are hereby made to the Purchase Order:(Indude the cost(time adjustment for each change) <br /> qe,2 is Oc= rf�o �Po~~ his PF�7�e ,?oeo. no <br /> 2 S>�6,►�y �� T� � �s o��PPR�-o cN� '�k�3 �wA�.-C�� �-n.oR�n�O� +�y6 .��� yes <br /> OF Co-omc;r t c -4-�v+.f'7%or-,� /Aov 3 Sys + <br /> --W4L AC :114-W u= 4: <br /> Justification <br /> f 44w*C--i5,f o67vc,,-0 SA .a(, "7*7--2{6 i�' r cry Hts jtftj.virti6 0¢brN, <br /> 2 Dui ib A , -3--1 SS, ovt•CAeF'iUg GC, �oG4�o�lOs nrov,�o 4,�sT RPpee � �3',� /�,e <br /> 3 avB �,00r �lz x v '/�r —/W-4 (5no,--vz <br /> Sir�i��^' l� ,��M �,o��Gr;�'r..r(� c5,r=R/�ki9P wc�RL i}h� �•9-,orb S7�,f�s.Tfl 6�m,4r�� / <br /> Change to purchase order price: <br /> Original Purchase Order Price: <br /> G� 83s ov <br /> Current Purchase Order Price adjusted by previous Change Orders: <br /> The Purchase Order Price due to this Change Order will be increased/decreased by: <br /> The new Purchase Order Price including this Change Order will be: <br /> Change to purchase order time: <br /> The Purchase Order time will b increase decreased by: 3 -D Aye <br /> The date for completion of all work will be: <br /> Recommended by: <br /> P <br /> MLRD Project Manager <br /> Accepted by: <br /> Contractor <br /> Approved by: <br /> MLRD Program Supervisor <br />• III f„< o,-1 <br />