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CHANGE ORDER COLORADO DIVISION , <br /> O I13J:o�3 // MINERALS AND GEOLOGY <br /> WHEREAS,authority exists in the Law and Funds have b94 in budgeted,appropriated and otherwise made available and a 1313 Sherman St.,RM 215 <br /> sufficient uncommitted bal r ns available f encumbering and subsequent payment of this contract under Denver,CO 80203-227,3 <br /> it <br /> Encumbrance Number � in Fund Num 'r f7d ,Apr J R.:J _,and GBL (303)866-3567 <br /> ject name C L Date _ 3 <br /> Contractor name <br /> Contractor address C Agreement# <br /> 3a/ 7 r 4 � <br /> /� _ 5 VendorlD# <br /> Project Manager Change Order# <br /> e -L--/L,e , <br /> The following changes are hereby made to the Agreement:(In 511bde the cost/time adjustment for each change) <br /> /5 r G! -e/i ,jn-c, P 5 1--re t 7 .e e rr tee) <br /> C F f e- L r t T 11A,cIte Xi, <br /> tt5o. RC2f �` b e / Sf t n ✓/��-3� r!7 c. : L /) 7rc�4j <br /> Justification <br /> 7rt,e 1 Z elt / � c f• r� r.L S�ce .-sJ <br /> [• r//r , c e tP /)e e /7 C,e J , L- e [ e 5 S'IM.7 c <br /> /z 4-1/ T,/S e SJ 10?et rr c j 3 / ti L /t ✓ /��/�rrlc� <br /> s > rz I-CT , <br /> Change to Agreement price: <br /> Original Agreement Price: - <br /> tl <br /> Current Agreement Price adjusted by previous Change Orders: <br /> The Agreement Price due to this Change Order will a increased y: <br /> 7 <br /> The new Agreement Price including this Change'Order will be: <br /> Change to Agreement time: <br /> The Agreement time will be increased/ by: <br /> The date for completion of all work will be: <br /> Recommendedby: , <br /> �!���DM�GPoject Manager Principle Representative <br /> ccepted <br /> .b,Yf e- rthe Division o+Purchasing, <br /> emb <br /> tate Building Programs <br /> Approved by: / <br /> r <br /> �+� D - for the Controller <br /> 2 <br />