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COLORADO DIVISION OF <br /> CHANGE ORDER MINERALS AND GEOLOGY <br /> and otherwise made available and a 1313 Sherman St.,RM 21 S <br /> WHEREAS,authority exists in the Law and Funds have been budgeted,appropriatedDenver,CO 80203-2273 <br /> sufficient uncommitted balance thereof remains available for encumbering and subsequent payment of this contract under 303 866 3567 <br /> Encumbrance Number in Fund Number /DO_,Apr fX/- and GBL�/2��h ) <br /> Date Z 7 <br /> Projectname <br /> Bid# <br /> Contractor name <br /> Agreement# <br /> Contractor address <br /> VendorlD# <br /> Project Manager Change Order# l <br /> f�i9.2r i2�y� y .7-,�-yam S �!� ,�D L <br /> The following changes are hereby made to the Agreement:(Incluce the cosUtime adjustmentfor each change) <br /> CD _77�o 5-et-7- •c <br /> Justification <br /> pL iD l2O�� Loc-le>ED .�Goav T <br /> !il/A /(JO 9 TE 725' a&-0 vG <br /> /l/O 7- <br /> Change to Agreement price: <br /> Original Agreement Price: '? <br /> Orders: o a <br /> Current Agreement Price adjusted by previous Change G9, <br /> The Agreement Price due to this Change Order will be increased/decreased by: o p, <br /> ©O <br /> l <br /> The new Agreement Price including this Change Order will be: 7 9 9 9 po <br /> Change to Agreement time: <br /> The Agreement time will be increased/decreased by: �o 4---7 <br /> The date for completion of all work will be: y0 e,4'9'��f <br /> Recommended by: <br /> DMG Project Manager Principle Representative <br /> Accepted by: for the Division of Purchasing, <br /> Contractor State Building Programs <br /> Approved by: <br /> DMG Proaram Su ervisor for the Controller <br /> 2 � <br />