Laserfiche WebLink
EMERGENCY CHANGE ORDER COLORADO DIVISION OF <br />nPLECLAMATION RECLAMATION, MINING <br />&SAFETY <br />1313 Sherman St. Rm. 215 <br />Den ver, CO 80203 2273 <br />(303) 866 -3567 <br />Project Name: Date: <br />y <br />R Contract r a e: 3 11-5 Bid P <br />r� o3 l <br />Pk <br />Contractor pddre�s " <br />tt111'1, TlfY> o I i i n I Agreement #: <br />Project Manager. Change Order #: <br />Et , t <br />Use this form to authorize work changed duet changed conditions within the scope of the Agreement. Emergency Change Orders resulting in increased <br />Agreement price or Completion time must be approved by a formal Change Order WITHIN 14 days. The following changes are authorized at the direction of the <br />DRMS PROJECT MANArFR <br />Item No. AC <br />DESCRIPTION u j ad( ov ca .11 ISTIFICATION OF CHANGES T$In creasel Decrease <br />(� T`' I l Lt c..�: S -eSS �Cd' ;) Pc t�: dceyw z �e lOu� fi.a v � w � C;�a,� a13 s r�PCI � pbv <br />JA <br />I Net Chanae in <br />This document sha ll become an amendment to the <br />in <br />All Agreement <br />shall appiv. <br />Approved by: W, , DRMS Project Date: <br />Manager <br />Accepted by: 1<�� 4� �- , Contractor Date: <br />AS of 01/08/09 <br />