_GENERAL DOCUMENTS - C1981017 ‎(290)‎

• Permit No: C1981017
• IBM Index Class Name: GENERAL DOCUMENTS
• Doc Name: Bid Documents ‎(IMP)‎
• Permit Index Doc Type: General Correspondence
• Media Type: D
• Archive: No

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CHA(ff -ORDPA WHEREAS, Authority exists in the Law and Funds have COLORADO DIVISION OF
MINERALS AND GEOLOGY
been budgeted and otherwise made available and a 1313 Sherman St.RM 215
sufficient uncommitted .balance remains available for encumbering and Denver.CO 80203.2273
e ent under- [phone]
Project nameate
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Contractor name tBid#
G-c. e_ C-,—s KC/C�o� �rA
Contractor address � PO#
1 Req,Y ^'
I Protect Manager —'� /V lit
Change Order x
The following changes are hereby made to the Purchase Order:(Indude the cosVtime adjustment for each change)
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Justification
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Change to purchase order price:
Original Purchase Order Price:
Current Purchase Order Price adjusted by previous Change Orders:
.tic,c«s�o 6>
The Purchase Order Price due to this Change Order will be b r
y�
The new Purchase Order Price including this Change Order will be:
Change to purchase order time:
The Purchase Order time will be increased/decreased by:
The date for completion of all work will be
Recommended by:
MLRD Project Manager
:accepted by: -� / �
Contractor
A pproved by:
MLRD Program Supervisor