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CHANGE ORDER oe P1 COLORADO DIVISION 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 encumbenng and subsequent_payment of this contract under Denver,CO 80203-2273 <br /> Encumbrance Number in Fund Numbers Apr ;and GBL (303)866-3567 <br /> Project name Date 1 J-/ <br /> Contractorname .�� . \ Bid# fl 3�0 <br /> Contractor address N • A reement# <br /> $� l � P w000aoo <br /> LW AM- CU tS � '° o$442 <br /> Project Manager l . Change Order# <br /> The following changes are hereby made to the Agreement:(Include the cost/time adjustment for each change) <br /> l�(t.rR� T(� �c 6.1E,icD�D Ta (N�c S�U�fLA-C. Dlts(s 'Q�l�ES W�f�E <br /> our�c� � N $�o�cN(a ears iE-ZZ tY�eW� 3S 43 <br /> t,•5�RL NB 4�"C A� Ct>S-C a;F *-26,8-0 3 TO TdTAL. C)38450 . <br /> Justification <br /> -TrW Cod tV.11f-tZiL P15 �CNP�r1�D��_T�} 7 �1bEt �t(-tN� $IODIOJCs <br /> r ALeouaes , wh5 ( >N -s tE t was C-Ae �k ax ?ew&M(" ttie <br /> Change to Agreement price: <br /> Original Agreement Price: Tj <br /> Current Agreement Price adjusted by previous Change Orders: _ <br /> The Agreement Price due to this Change Order will be increased/deefease6by: 9-58,oa <br /> The new Agreement Price including this Change Order will be: / 4� <br /> Change to Agreement time: <br /> The Agreement time will be increased/decreased by: Nt>7- 1k�Fflc ' E50 <br /> The date for completion of all work will be: <br /> Recommended by: <br /> �Vn ) I <br /> DMG Project Manager � / Principle Representative <br /> ed by: / <br /> ,for the Division of Purchasing, <br /> Contractor Wv� State Building Programs <br /> Approved by: <br /> I <br /> L- i G Prooram Supervisor for the Controller <br /> 2 <br />