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CHANGE ORDER COLORADO DIVISION OF <br /> O BJ:aZ 3 // MINERALS AND GEOLOGY <br /> WHEREAS,authority exists in the Law and Funds have b"n budgeted,appropriated and otherwise made available and a 1313 Sherman SL.RM 215 <br /> sufficient unt omtnitted balance thereof remains avail,-Me tar encumbering and subsequent payment of this contract under Denver,CO 80203-2273 <br /> Encumbrance Number in Fund Number ,1 TO .Apr ( B. and GBL f1 L.> (303)86'S-3567 <br /> name Oct v L kS ••v t "St l/'�— C c /iss y�-T/c�� Dace <br /> Contractorname' L <br /> Contractor address Agreement# <br /> lc - S CC (c ��G' $ / 3 3 VendorID*G�I� <br /> Project Manager Change Order# <br /> The following changes are hereby made to the Agreement:(In6lude the cosUUme adjustment for each change) <br /> y/ G,.►.. t/ A- - cs c ecrc��f <br /> vn.dun .c —?t F _ /< q u < <� w/rnP�c.Sc <br /> C /t /S /C /ir/ e-e �. E .� <br /> crl 74 a i L C cti/7:T/c�a f <br /> Justification <br /> rt[ t. o //r a r r/ .e S / Z es-,- 4 c o e/t / r- S• c c -s <br /> lac. n.r(- , e e v !7 i z c n c.e J �— G c c ss yn t <br /> /! a</ /Ae c rr rc S -3 i <br /> s 7' ry c c rno-c —. <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 increased y: v. <br /> / 7 �t r <br /> The new Agreement Pricoincluding this Change Order will be: <br /> Change to Agreement time: <br /> The Agreement time will be increased/deeFeeM&by: <br /> 7; -) f <br /> The date for completion of all work will be: <br /> Recommended by: /G•_ Z y <br /> DMG Project Manager Principle Representative <br /> ccepted <br /> r the Division of Purchasing, <br /> tate Budding Programs <br /> LAV,,,pravedby: <br /> D /or the Controller <br /> 2 G <br />