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' t <br /> WHEREAS, Authority exists in the Law and Funds have COLORADODIVISIONOF <br /> CHANGE ORDER w, <br /> been budgeted and otherwise made available and a MINERALS AND GEOLOGY , <br /> sufficient uncommitted balance remains available for encumbering and 1313 Sherman St.,RM 215 <br /> subsequent payment under the Agreement. Denver,CO80203-2273 <br /> Project name (303)866-3567 <br /> s�vq �� Date <br /> Contractorname - L ti 3 - <br /> Bid# <br /> Contractor address �' { 11 C `ti S �C � r A-- t-rA - <br /> 33 Of C) P�%°/Ta <br /> Req# <br /> Project Manager <br /> Change Order# <br /> The following changes are hereby made to the Purchase Order:(Include the cost/time adjustment for each change) <br /> tie 17- <br /> t � <br /> .., aA — 5 <br /> Justification <br /> C _L e <br /> l r T a <br /> G/— C G/l/L eil C 6, L -e /2 /N G— <br /> e �e S 131,e � T <br /> Change to purchase order price: <br /> Original Purchase Order Price: <br /> r/ b'� Z ad <br /> Current Purchase Order Price adjusted by previous Change Orders: <br /> The Purchase Order Price due to this Change Order will be increased/6ee+:a00e4 by: <br /> The new Purchase Order Price including this Change Order will be: / <br /> Change to purchase order time: <br /> The Purchase Order time will be increased/decrea"+by: <br /> The date for completion of all work will be: <br /> Recommended by: -� <br /> MLRD Project Manager <br /> Accepted by: <br /> Contractor <br /> '•oproved by: , <br /> r MLRD Program Supervisor <br /> 9 P <br />