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COLORADO DIVISION OF <br /> MINERALS AND GEOLOGY <br /> EMERGENCY CHANGE ORDER 1313 Sherman St. Rm.215 <br /> Denver,CO 80203 2273 <br /> 303 866-3567 <br /> Project Name Date <br /> Contractor Name Bid# <br /> Contractor Address 57 L.-4 5-1— L Agree P tr"A _S. S <br /> C' a It �,4 llcS !`I <br /> Project Manager Change Omer# <br /> Use this form to authorize work changes due to changed conditions within the scope of the Agreement. Emergency Change <br /> Orders resulting in increased Agreement price or Completion time must be approved by a formal Change Order within 14 days. <br /> The following changes are authorized at the direction of the PROJECT MANAGER: <br /> ITEM No. DESCRIPTION OF CHANGES $ Increased <br /> ��f17irt� c' ,?Z S A �-Jcf, r!r✓x^- <br /> c r c P <br /> tr6 pgpe vve <br /> ati �d�/7I <br /> in t Ae i�l/1Z c rC <br /> Net change in Agreement rice$ / Net change in Agreement time ¢ �-- DAYS <br /> This document shall become anaaWdment to the Agreement. All Agreement provisions shall apply. <br /> Approved by: _ Date: <br /> er�.................... <br /> Project Manager <' ` <br /> Accepted by: Date: <br /> Contractor <br /> Original:Project Manager Copy:Contractor <br /> Revised 7/02 <br />