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e ' <br /> CHANGE ORDER COLORADO DIVISION OF _ <br /> MINERALS AND GEOLBGY <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 thereof remains available for encumbering and subsequent payment of this contract under Denver,CO 80203-2273 <br /> Encumbrance Number C t T$1 S'7 in Fund Number -Z 7 a 'Apr 133 and GBL (303)866-3567 <br /> Project name �J d4 Date <br /> Contractor name d� Coll Bid# <br /> Contractor address Agreement# <br /> 5,11 <br /> VendorlD# <br /> S/67- Coen„-.oAa / oYV <br /> Project Manager Change Order# J <br /> The following changes are hereby made to the Agreement:(Include the cost/time adjustment for each change) <br /> Justification <br /> �Q <br /> iC�iCelscJ <br /> Change to Agreement price: <br /> Original Agreement Price: <br /> Current Agreement Price adjusted by previous Change Orders: <br /> The Agreement Price due to this Change Order the increased/decreased by: <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 /> e <br /> NDMG Project Manager ___ _ Pnnciple Representative <br /> Accepted by: <br /> --he Division of Purchasing. <br /> / Contractor e Building Programs <br /> Approved by:/ <br /> f dct� ro ram Supervisor f"the Controller <br /> 2 <br />