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CHANGE ORDER COLORADO DIVISION GF <br /> MINERALS AND GEOLOGY <br /> WHEREAS,authority exists in the Law and Funds have been budgeted,aocropnated and othermse 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 30203-2273 <br /> Encumbrance Number in Fund Number Apr ,and GBL (203)366-3567 <br /> Project name Date <br /> Contractor name Bid x <br /> Contractoraddresa Agreement# <br /> - r �; > IVendcrlD# <br /> �U � <br /> Project Manager Change Order# <br /> ST" c �2 <br /> The following changes are hereby made to the Agreement:(include the cost/time adjustment for each change) <br /> ytc � c•-� � ram,...� c ir- � /� <br /> le <br /> 72 <br /> i <br /> 5e/J. Cc Le r e—/L .L. /--,� <br /> Sx t rz s Le r a/1 4-7 Z Z 3 0,,e o <br /> Justification <br /> 7LO e-- <br /> e L r e. i r% s Z <br /> Change to Agreement price: <br /> Original Agreement Price: <br /> Current Agreement Price adjusted by previous Change Orders: <br /> The Agreement Price due to this Change Order will b increased/ by: <br /> s` Zr 7 79. go <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 /> O <br /> The date for completion of all work will be: <br /> Recommended by: <br /> DMG Project Manager Pnnciole Representanve <br /> Accepted by: <br /> ` '' C ,for the Division of Purchasing, <br /> .(e J �i 'G Contractor <br /> State 9uildina Programs <br /> Approv�: <br />