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COLORADO DIVISION OF <br />FIELD DIRECTIVE MINERALS AND GEOLOGY <br />1313 Sherman St., RM 215 <br />Denver, CO 80203-2273 <br />(303)866-3567 <br />Project name A 1,, per., - ~ a0a 2 ~,yT <br />C <br />~' <br />Contractorname N ~ Bid# <br />~ <br />,1.Y-.~ <br />`~~ <br />Contractoraddress A ~ tp ®p~ Agreement# <br />Lac ~ ~~~ <br />Project Manager ~ /L~~ ~ FieldDirective# <br />Use this form to authorize work changes due to changed conditions within the scope of the Agreement. Field directives resulting <br />in increased Agreement price or Completion time must be approved by a formal Change Order wthin 14 days. <br />The following changes are authorized at the direction of the PROJECT MANAGER: <br />ITEM No. DESCRIPTION OF CHANGES $ Increase/Decrease <br />r. -~rE-~~ t~~ ~ ~U~s c~ ~ as o~ ~--r' <br /> ~' R.~C~~`~1a~1 U~c,~ N~C~-G1~ 'fa ~ <br /> ~~ Wp~,h'l n1l t ~T -t'~(Z ~N~ ~ ul, <br /> <br /> iN flv c.tD ~C L01-t 5~ C-~D QS- Z, % ~ l~ C. <br /> ~ t,1 Q(~C~ t ('~Cr ~ I 2~2'l`-C~G~i.1~p <br /> i'o ~ ~ c ~ ~ G-~,rz,AcO ~ . ~ ` ` G`~~ sTic ~' <br /> <br /> ~,~cDC.cJT) -r-~ ~a~~- ar-- ~=t~C. sC..a~P~ ~ <br /> s ~ ~~S `~ ~f.F~ ~1J~ ~ Z ~(~ ~l ~ u-~/ ~I~~ <br /> <br /> ~~ g cam( ~~~ 3~ C-~2~'~ ~ ~ ~- 3 ~ ~ _ <br /> <br /> WT ~ ~~~ of ~-L~~ S~aP~ ~ <br /> ~, ~ -~Y <br />Netchange in Agreement price <br />$ ©~ Netchange in Agreement 6me <br />~ Q-- Days <br />Thls document shall beCOm an amendment to the Agreement. All Agreement provlslons shall apply. <br />Approved by: <br />P <br />t M ate;, <br />~ <br />~ ~b <br />rojec <br />anager , <br />Accepted by: i Da <br />Contractor ~ ~{ ~~ <br />onginal-Nrolect manager copy-convacror~ <br />