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CHANGE ORDER �s.7 �� �✓' ���F �'�' G�, i� COLORADO DIVISION OF <br /> � G R �IOCC -�; MINERALS AND GEOLOGY <br /> WHEREAS,authority exists in the Law and Funds have been budgeted,appropriated and otherwise made available and a 1313 Sherman St,RM 215 <br /> sufficient uncommitted balance thereof remains available for encumbering and subsequent payment of this contract under Denver,CO 80203-2273 <br /> Encumbrance Number / f ,?/© in Fund Number ,2 Z/ Apr A .�and GBL ,O C Gr S (303)866-3567 <br /> ject name Date <br /> Contractor name Bidfi <br /> # <br /> Contractor address x Agreement#, <br /> l 7 <br /> Vendor ID# <br /> Project Manager t Change Order# <br /> The following changes are hereby made to the Agreement:(Include th cost/time adjustment for each change) <br /> r Z, t f J�e u` /4'e7_-e'.L <br /> w <br /> 36' <br /> r ry _ r l /r✓ cJ <br /> tier & N J V t e5i !/� ��.v/`t <br /> 1'rL i S z i c e 7*o <br /> Justification( <br /> r,n, o TS r' z C cA-h C Lr.g.�,n,c <br /> 7-R C- rz1 <br /> L� r �> <br /> Change to Agreement price: <br /> Original Agreement Price: <br /> 7 5'o/ -7 <br /> s <br /> Current Agreement Price adjusted by previous Change Orders: r <br /> The Agreement Price due to this Change Order will be increased/deeFefrset#by: L <br /> The new Agreement Price including this Change Order will be: <br /> Change to Agreement time: <br /> The Agreement time will be increased/decreased by: <br /> The date for completion of all work will be: <br /> Recommended by: <br /> DMG Project Manager Principle Representative <br /> ccepted by: <br /> / for the Division of Purchasing, <br /> Contractor ' <br /> j State Building Programs <br /> Ap roved <br /> DMG Pro ram Su rvisor <br /> 2 for the Controller !� <br />