2009-03-20_GENERAL DOCUMENTS - C1981015 ‎(2)‎

• Permit No: C1981015
• IBM Index Class Name: General Documents
• Doc Date: 3/20/2009
• Doc Name: PKA-9-1149 Change Orders
• Permit Index Doc Type: Reclamation Projects
• Media Type: D
• Archive: No

EMERGENCY CHANGE ORDER
COLORADO DIVISION OF
COLORADO RECLAMATION, MINING
DIVISf ON OE &SAFETY
RECLAMATION 1313 Sherman St. Rm. 215
MINING Denver, CO 80203 2273
SAFETY (303) 866 -3567
Project Na :
Date:
Contractor Name:
Bid #:
9
Contractor Address: ra J - 4 -
Agreement #:
Project Manager:
Change Order #:
Use this form to authorize work changed due to qhasiged conditions within the scope of the Agreement Emergency Change Orders resulting in increased
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
DRMS PROJECT MANAGER.
Item No.
DESCRIPTION AND JUSTIFICATION OF CHANGES
$ Increase /Decrease
C
Net Change in Agreement Price: Net Change in Agreement Time:
This documen all become an amendment to the Agreement. All Agree ent rovisions shall apply.
Approved by: , DRMS Project
Date:
Manager
Accepted by: , Contractor
Date: h ZC21 -1
As of 01/08/09 �/