CHANGE ORDER

							CHANGE ORDER                  Number Enter Change Order Number                                                   Date Enter Date


To:
                                                                       Project Number Enter Project Number Fund Number 71
Enter Contracting Firm Name
Contractor                                                             Enter Project Title
                                                                       Project Title
Enter Contracting Firm Address
Address                                                                University of Colorado at Boulder
                                                                       Institution or Agency
Enter City, State, & Zip
City, State, and Zip


Your proposals #      through #         dated various (attached) are hereby being designated for approval of the following work:
Enter COB Descriptions/Cost


This change order was originated by the Contractor and I/We do hereby recommend acceptance and approval of the change to the contract
with an increase of $Enter Amount of Increase/Decrease.

      Contract completion date is not extended.



       Enter Architect/Engineer Firm Name Here              ______________________________________             ________________
          Architect/Engineer Firm                                    Signature                                  Date

       Enter Contractor Firm Name Here____________          ______________________________________             ________________
          Contractor (Name of Firm)                                  Signature                                  Date

       Enter project Manager Name Here, UCB                 ______________________________________             ________________
          Institution or Agency                                     Authorized Signature                        Date



                                                                                        APPROVAL BY STATE OFFICIALS
                      CONTRACT STATUS

                                                                        _____________________________________            _____________
ORIGINAL CONTRACT VALUE                  $                              Steven C. Thweatt                                     Date
                                                                        Director, Planning, Design & Construction
   Previous Increases by C.O.            $___________                   State Buildings and Real Estate Programs

   Previous Decreases by C.O.            $___________
                                                                        ______________________________________            _____________
   VALUE AFTER PRIOR C.O.’s              $______                        Judson Hurd                                           Date
                                                                        Assistant Vice Chancellor & Controller
This C.O. Increase     Decrease          $_________                     State Controller
                                                                                            _____________________
CURRENT CONTRACT VALUE                   $_______                                                   (Verification)




State Form SC-6.31 under $300K
Rev. 2/2000