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<br /> <br />COLORADO MWED LAND <br />FIELD DIRECTIVE REC~nuAtlorronnstoN <br />1313 Sherman SL, AM 215 <br />Darner. CO 802032273 <br />(903) 83567 <br />~`"~ ~ Get-~P~i °~G-/Y-.9~ _ <br />cooaaaor name ~(~~~ - , ~ ~'-S'/'/~i eie e <br />Contrac9or address PO • <br /> Req • <br />Project Matuger .,S_~ FleM D'vectiwf ~~ <br />Use this form to authorize work changes due to changed conditions within the scope of the Purchase Order Contract. Field <br />redives resuRing in increased Contract price or Completion time must be approved by a formal Change Order within 14 days. <br />e folbwing changes are authored at the direction of the PROJECT MANAGER: <br />ITEM No. DESCRIPTION OF C <br />HANGES $ IncreaselDecrease <br />1 D <br />c p ~j <br />`~/l C'~/1//((f/C~l'i~o'/ %!t/~ y\r/w/~%C%~ CD~vGiri"ic <br /> Gl~~ ~,~-;~, ~„ucTuRl~S S/r~~~ cry/1=~~ <br /> \ <br /> Y /~ <br />VIY~N~ rS U/-J/~T I//~ii,~t ~-S ~~.cJN l/ <br /> ~ ~Dwi v(~ O!/~G ~P~ <br /> <br /> /~ <br /> Y~ <br /> <br /> <br /> i-- -i <br />Net change in Contract price <br />$ ~ Net dwge in Contras time <br />~ Days <br />This dceument shall become an amendment to the Contract. All Contract provisions shall apply. <br />Approved by: ~_ ~„ / ~~~ <br />~ ~'~~ ? ,Project Manager Date: <br />~~~ ~~~`` <br />Acceplnd by: Date: /y~ <br />`~ F <br />,Contractor <br />~aw~Fygee Maruoer ccovrartvacwi <br />