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CHANGE ORDER COLORADO DIVISION OF <br /> 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 forencumbering and subsequent payment of this contract under Denver,CO 80203-2273 <br /> Encumbrance Number in Fund Number_Apr .andGBL (303)866-3567 <br /> jectname <br /> C'� t .e C G?�y��row Date lG _ 3 _27 <br /> Contractorname Bid# <br /> CVM 9 TP,vc- loMsI-- 7 —3 4 <br /> Contractoraddress IAgreement# <br /> 3c't <br /> VendorlD# <br /> Project Manager Change Order# <br /> S -L ve— <br /> The following changes are hereby made to the Agreement:(Include the cost/time adjustment for each change) <br /> 41r5 C cr'; o ik2 6 A,Cr, Aasr5, -re, o c i 5 <br /> t C 111ItzGPr cif •� a ✓�St <br /> 11 04- <br /> �00 M7/ / <br /> atc ntc "L,< �30 AecirS75,"71 �P-Ae CeS73; <br /> c xeso yr L C ti Cc P s <br /> Justification S 1G n.�.i c yc (/ �•, etc Svr L- C C /?',o <br /> re e 2 4, S' /Iec [ AoytfloN S"ct- 5 <br /> ie&Tci. Tr.yL -rrc ro 9lRer rl e3 d-6 n c c c55-?-a " ,1�r ce <br /> G �- <br /> ✓-en Jcb s ilr5S iT vcrcvCS 3 6 n cc A- 4) /�rlAin� �+ 9t <br /> C asT. <br /> Change to Agreement price: <br /> Original Agreement Price: �- <br /> �rq3 <br /> Current Agreement Price adjusted by previous Change Orders: <br /> The Agreement Price due to this Change Orderiwill be increased by: 54 S C*- <br /> 07 <br /> The new Agreement Price including this Change Order will be: <br /> Change to Agreement time: �J <br /> The Agreement time will be increased/ -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 State Building Programs <br /> Appr by <br /> DMG Program Supervisor for the Controller <br /> 2 <br />