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

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CHANGE ORDER COLORADO DIVISION OF
MINERALS AND GEOLOGY
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 balance they emains available for encumbering and subsequent payment of this contract under Denver,CO 80203-2273
Encumbrance Number G I SS'3� / in Fund Number ]U ,Apr 13-3 and GBL [phone]
ect name Date
C r ry vG� t�n�ti�
Contractor name Bid# p�' 3
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Contractor address Agreement#
VendorlD#2�/1iGvU rJ �
Project Manager Change Order# �.
The following changes are hereby made to the Agreement:(Include the cost/time adjustment for each change)
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Justification
C e�t C .S'j r- / 6-
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Change to Agreement price:
Original Agreement Price: O
7 q 2-99
Current Agreement Price adjusted by previous Change Orders:
Z
The Agreement Price due to this Change Order will be /decreased by:
9,So i
The new Agreement Price including this Change Order will be: y �,
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
ccep d by:
for the Division of Purchasing,
Contractor : - wilding Programs
A proved by: i
DMG Pro ram Su ervisor for the Controller
2