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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 AND GEOLOGY <br /> sufficient uncommitted balance remains available for encumbering and 1313 Sherman St.,RM 215 <br /> Denvesubsequent payment under the Agreement. (303)8303)8,CO66-3567 2273 <br /> Project name ate <br /> Contractor name Bid# <br /> IKA <br /> Contractoraddress <br /> c _ � C'clo Po# <br /> Req# <br /> Project Manager Change Order# qq <br /> The following changes are hereby made to the Purchase Order:(Include the cost/time adjustment for each change) <br /> Z 4.- - 2 U2 f Le t.,n/ A-- .e e Ile <br /> /2 <br /> 3 /+ / <br /> to T .- F-r a -e.e A)-e / /5 <br /> t; F4 i tt►,( 144 t <br /> Justification <br /> ` e e- ti ;7 <br /> Change to purchase order price: <br /> Original Purchase Order Price: <br /> Current Purchase Order Price adjusted by previous Change Ordel` <br /> The Purchase Order Price due to this Change Order will be iRefeasecMdecreased by: <br /> The new Purchase Order Price including this Change Order will be: r a c' ypo <br /> J <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 /> Z�2 I MLRD Program Supervisor <br />