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CHANGE O Q D E R COLORADO DIV!SION 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 215 <br /> sufficient uncommitted balance thereof remains available for encumbering and subsequent payment of this contract under Denver,CO 80203-2273 <br /> Encumbrance Number e-- 3?Lin Fund Number Af/ Apr IcP,,2 and GBL (303)866-3567 <br /> Project name - /+ % , Date J-- _1--, C2 C) <br /> Contractor name <br /> Contractoraddress G Agreement; <br /> l v (y� Vendor$# / d�� O <br /> d � <br /> Project Manager (3 S Change Order;# <br /> The following changes are hereby made to the Agreement:(Include the cost/time adjustment for each change) <br /> rr � 1� �vU G` <br /> rod at of f ' i <br /> r <br /> c� o� 1000,oo 3. �e .t 3 la <br /> Justification <br /> o 9 CA✓m l c.i cGc s -rnv—J3. . <br /> OO dci, o z <br /> Change to Agreement pric : <br /> Original Agreement Price: <br /> Current Agreement Price adjusted by previous Change Orders: �/y 7 <br /> od C <br /> The Agreement Price due to this Change Order will be increas d/decreased 7 f 9.Z 5, . <br /> The new Agreement Price including this Change Order will be: <br /> Change to Agreement time: <br /> The Agreement time will be increased/decreased by: p Q S <br /> The date for completion of all work will be: S-00 <br /> Reco mended by: <br /> DMG Project Manager Principle Representative <br /> Accepted b <br /> r for the Division of Purchasing; <br /> Contractor J State Building Programs <br /> Approvr <br /> D;_ � Mri Prnnram_Gn r,anricnr - -- --- -- _�__- p......,,ram_..-_."_. i ac— <br />