1996-11-20_GENERAL DOCUMENTS - C1981017

• Permit No: C1981017
• IBM Index Class Name: GENERAL DOCUMENTS
• Doc Date: 11/20/1996
• Doc Name: Bid Documents ‎(IMP)‎
• Media Type: D
• Archive: No

-CEiANGE ORDER COLORADODIViSIONOF
MINERALS AND GEOLCGuY
WHEREAS,authority exists in the Law and Funds have been budgeted,appropriated and otherwise made available and a 1313 Sherman St.,RM 215
sufficient uncommitted balan h �eqf remains available for encumbering and subsequent payment of this contract under
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Encumbrance Number If�IJ 1 in Fund Number Apr / 3 ?L,and GBL [phone]
jest name Date 9- _/ 6
Contractor name Jfin/ Bid#
Contractor address Agreement# n /�
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Project Manager Change Order#
The following changes are hereby made to the Agreement:(Include the cosVtime adjustment for each change)
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Justification
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Change to Agreement price:
Original Agreement Price.-
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Current Agreement Price adjusted by previous Change Orders: }-
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The Agreement Price due to this Change Order will increased by: s< ,.
The new Agreement Price including this Change Order will be: C
Change to Agreement time:
The Agreement time will be increased/decreased by:
The date for completion of all work will be:
Recommended by:
DMG Project Manager Principle Representative
,ccept by:
z the Division of Purchasing,
Contractor i j St wilding Programs
App ed by: '
i
MG Program Supervisor "��for the Controller
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