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CHANGE ORDER COLORADODtVISIONOF <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 tft f remains available forencum and subse t payment of this contract under Dew.CO 80203-2273 <br /> Encumbrance Number in Fund Number Apr_f�� and GBL (303)866-3567 <br /> fact name G � Date ? <br /> Contractor name J V O c e�h✓ Bid# � 7 <br /> Contractoraddress ;Lot/" Agreement# <br /> C 4// VendorlD# � % /o 7 /�b <br /> e e�vwa v � J `7 <br /> Project Manager Change Order# <br /> /L- <br /> The following changes are hereby made to the Agreement:(Include the cost/time adjustment for each change) <br /> e sv C4 1- <br /> Justification <br /> C eilSt .S l i G c, e L,e 1,2 ! !-- <br /> PA <br /> A7 ti.9 s:t� c L T 2 e w eST Le e- <br /> Change to Agreement price: <br /> Original Agreement Price: SL <br /> 7 y z99 <br /> Current Agreement Price adjusted by previous Change Orders: Sr ,L <br /> 2- <br /> The Agreement Price due to this Change Order will be /decreased by: <br /> l 9 so <br /> The new Agreement Price including this Change Order will be: 54 <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 /> .cce tad by: <br /> for the Division of Purchasing, <br /> Contractor �� State Building Programs <br /> Approved - <br /> DMG Program Supervisor for the Controller <br />