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11 VU:)IL <br /> t;INAiVGE ORDER WHEREAS, Authority exists in the Law and Funds have COLORADO DIVISION OF <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,CO 80203-2273 <br /> Project name (303)866-3567 <br /> ate /U — 3 —7� <br /> Contractor name Bid# <br /> C�ti c Tr G�✓ �lA — s - 3 S-� <br /> Contractor address PO# n <br /> o � riD <br /> L <br /> /57J1I <br /> Project Manager Req#�- Change Order# <br /> The following changes are hereby made to the Purchase Order:(Include the cost/time adjustment for each change) <br /> cT- ..,-rcAcc /U e",-C4 � Y_c <br /> C— i f <br /> Justification <br /> 112 e T4 ��✓ <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 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 />