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11(0031�)-- <br /> �� /' WHEREAS, Authority exists in the Law and Funds have COLORADO DIVISION OF <br /> CriANGE 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 /> Denver,CO 80203-2273 <br /> subsequent payment under the Agreement. (303)866-3567 <br /> Projectname G� Date <br /> Contractor name Bid# <br /> 7 �-C T/G^� flA -S' - -3 <br /> Contractor address <br /> G G OV GG PO# � <br /> Req# lJ / <br /> Project Manager _ Change Order# <br /> The following changes are hereby made to the Purchase Order:(Include the cost/time adjustment for each change) <br /> i-c/L e[ 2 -e�-G �r ! 7'--G A-f-'_ S� %� P <br /> C- / f <br /> Justification <br /> SGv c /s L .. G- sT- 7-/7t. c4 <br /> 12e Tg, <br /> �x <br /> -ti � � <br /> c <br /> Change to purchase order price: <br /> Original Purchase Order Price: <br /> Current Purchase Order Price adjusted by previous Change Orders: <br /> The Purchase Order Price due to this Change Order will be increased -e by: ,� • o_ <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: r <br /> Recommended by: <br /> MLRD Project Manager <br /> Accepted by: <br /> -- -- Contractor <br /> Approved by: <br /> MLRD Program Supervisor <br />