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CHANGE ORDER COLORAGO CIVISION OF <br /> MINERALS AND GEOLOGY <br /> WHEREAS,authority exists in the Law and Funds have been budgeted,aocroonated and otherNise 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 8C203-2273 <br /> Encumbrance Number in Fund Number Apr_,and G13L (203)866-3567 <br /> Project name Date <br /> Contractor name Bid x <br /> Contractor address Agreement# <br /> Ao <br /> Vendcr I D# <br /> Projec;Manager Change Order# <br /> S��c �•v.t�f 2 � <br /> The following crianges are hereby made to the Agreement:(include the cosvtime adjustment for each cnange) <br /> {RCS van �lI/mac �/ v9 �)3c —s,A- <br /> Justification <br /> v C R S t ✓ e✓'e-.. 5, e-17 e L <br /> SL c' <br /> �riL ti Gc- L tc l r r2 <br /> Change to Agreement price: <br /> Original Agreement Price: <br /> Current Agreement Price adjusted by previous Change Orders: J` <br /> 7� y`7 <br /> The Agreement Price due to this Change Order will be increased/deeFeeeed by: <br /> > 79. 9'o <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 /> D <br /> The date for completion of all work will be: <br /> Recommended by: <br /> DMG Project Manacer Pnnciple Representative <br /> Acceeppt7ed by: <br /> .j / for the Division of Purchasing, <br /> Contractor State Building Programs <br /> Approv d b <br /> �• � n I <br />