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WHEREAS, Authority exists in the Law and Funds have COLORADO DIVISION OF. <br /> CHANGE ORDERbeen 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,CO 80203-2273 <br /> Project name <br /> (303)866-3567 <br /> Contractor name UB ate <br /> C - 9- <br /> Bid# <br /> v 'cf- - 5- - 3e0 <br /> Contractor address 3 0 I o PO# G" <br /> ) <br /> Req# I V <br /> Project Manager Change Order# <br /> tin-ell- <br /> The following changes are hereby made to the Purchase Order:(Include the cost/time adjustment for each change) <br /> S S '4 t t 3/H:/ I/ s 4 P-/ /3 t <br /> . on a s--e—e 12 t o n 1- vIe- <br /> h <br /> Justification <br /> S t 79 C <br /> D C aSri/T 77- <br /> 74S <br /> s-c sly s 4 . s 2 <br /> /41-0 /S/l c, S-e— 0 vn.z Fu/Li`T / t�A, L/ K� / <br /> Change to purchase order price: <br /> Original Purchase Order Price: <br /> T-A S 1-r -7 Y <br /> Current Purchase Order Price adjusted by previous Change Orders: <br /> The Purchases Order Price due to this Change Order will be increased/de=feftse by. <br /> Zhis <br /> aa oThe new Purchas Order Price inc udiChang�®rdeir!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 /> '��L—C MLRD Program Supervisor <br />