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� -NG E 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 Shemtan SL,RM 215 <br /> su6ficientunoommitted f remains available forencumbering and subsequent payment of this contract under Denver.CO 80203.2273 <br /> Encumbrance Number in Fund Number 210 Apr_ /,3�and GBL (303)866.3567 <br /> jean[ e, G r �/ Data <br /> Contractorname <br /> Bid# <br /> ContracLoraddress Agreement# <br /> e en�cva&,J9L C a O� VendorlD#Project cc�/I /O�j <br /> Manager Change Order# <br /> �-.- <br /> The following changes are hereby made to the Agreement(Include the cost/bme adjustment for each change) <br /> O ve2 De /f v e <br /> n< <e r �P� <br /> .4 A•v <br /> Justification �LTc <br /> D!7!77vti G _ ,e t SS e L <br /> A Av i e-5 !fie S c 12i R.- <br /> ni �L.c73c , J7�C �rr-t c-... Z 47,�Lc <br /> Change to Agreement price: <br /> Original Agreement Price: r <br /> 7 2,91' <br /> Current Agreement Price adjusted by previous Change Orders: <br /> The Agreement Price due to this Change Order will increased by: <br /> 70 <br /> The new Agreement Price including this Change Order will be: <br /> Change to Agreement time: <br /> The Agreement time will be increased/decreased by: <br /> The date for completion of all work will be: <br /> Recommended by: <br /> DMG Project Manager Principle Representative <br /> ccept by: <br /> c the Division of Purchasing. <br /> Contractor uldng Programs <br /> App ed by: <br />