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WHEREAS, Authority exists in the Law and Funds have COLORADO DIVISION OF <br /> CHANGE ORDER been budgeted and otherwise made available and a MINERALS ANDGEOLOG? <br /> 1313 Sherman St.,RM 215 <br /> ufficient uncommitted balance remains available for encumbering and Denver,CO80203-2273 <br /> lubsequent payment under the Agreeme (303)866-3567 ' <br /> Projectname ate <br /> Contractorname Bid# <br /> .�-7�IF,/t— C-,c, 5 772 v c-Tla� <br /> Contractor address <br /> PO# I� <br /> G(�/rvti- cc, /d �� 5-�v Req# <br /> Project Manager Change Order# <br /> The following changes are hereby made to the Purchase Order:(Include the costitime adjustment for each change) <br /> i e t- <br /> 2v— <br /> Sz �t q D D2v l D <br /> Justification <br /> .S i L /J o tL v o <br /> S--cc � SS <br /> Change to purchase order price: <br /> Original Purchase Order Price: , <br /> s <br /> � Fl 10 0 <br /> Current Purchase Order Price adjusted by previous Change Orders: <br /> � ls`, 4 ?a <br /> The Purchase Order Price due to this Change Order will be imcmasuWdecreased 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/decreased by: <br /> The date for completion of all work will be: <br /> Recommended by: <br /> MLRD Project Manager <br /> Accepted by: <br /> Contractor <br /> Approved by: <br /> MLRD Program Supervisor <br />