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CHANGE ORDER Y COLORADODIVISIONOF <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 St.,RM 215 <br /> balance remains available for encumberingand subsequent payment under the Denver,CO 80203-2273 <br /> q P Y (303)866-3567 <br /> Project name <br /> 1 /fr�o�o W 12l rp^ (�- ate <br /> Contractorname <br /> /�G�!'L,p� /Q/�C/ti,.¢au.i¢Tlo•'�/Contractoraddress Bid# M V d <br /> Project Manager <br /> oGf�✓ /�/✓L�OoV Change Order# <br /> T follo_w_ing changes are he made to the Purchase Order:(Include the cost/time adjustment for each change) <br /> t <br /> e&n 0ACn1;0 VD A1-6 /J <br /> yd/S <br /> 3 I p�& 4,0 O l XTrv.S'jiSaa,= 'el i Till a „,e�siTr a A1W,#R z,,e:r oi✓ ;76'i..A r.-6�ixP <br /> Justification <br /> $6s 20 <br /> t 4,1;%X o--y^r•f t c.r,43 l�rs },k,.�.;�yr, C#�a• <br /> rb A �'o►«.,��` sue. ovtc�71�� C�,,� �c�-71©�►/do�ts .�ou� r�rr 1�PPp�,o�r� �sPr s1�a <br /> �✓ � F��"�IZ ,�`X '/ I&r c 11¢l2 �� G�✓oSi�h�ftQ �! p�lorr <br /> S�c�v"� `/-Z> JeOWA77- v,�,a��Pcao;zi.► car 91IJ94P 4)W& i-4j5- CXAo17 3r0vi�,*,s7D 6Pa;,4F�7A, � <br /> Change to purchase order price: <br /> Original Purchase Order Price: <br /> • G� 83� av <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 S <br /> y <br /> The date for completion of all work will be: <br /> Recommended by: <br /> MLRD Project Manager <br /> Accepted by: g <br /> t Contractor <br /> Approved by: <br /> MLRD Program Supervisor <br /> (over) <br />