Laserfiche WebLink
rItLU Uil'iCl,11YL ,_:~.:;.~.:r,_.c_~;:~.~~. <br />~3135herman St., aM ~l~ ~ <br />~ienVer, GU CUZU3-[L/o 1 <br />(303; 3^oc"-x567 ' <br />Project name . ice, _ ~ ~ ~~,~ _ cC I _ Date ~ <br />~ <br />Contractor name - <br />'~I L!'--r;1CC,.C t UUt- ~~ Eid # - <br />~ _ <br />. ~~ „9.x.,.1__; <br />Contractor address i~ ._ ! ~ t \ .~ -t ~ PO # <br /> <br />Project Manager .~ ~ ,,~ -, <br />{s-(- <br />Cat <br />r~- <br />`~ <br />r <br />Field Directive # <br />l <br />-° <br />? <br />~ <br />r <br />.. _. - ..,,._._._~-. - - - .. ..... <br />_.- ._... <br />Use this form to authorize work changes due to changed conditions within the scope of the Purchase Order Contract. Field <br />directives resuRing in increased Contrail price or Completion time must be approved by a formal Change Order within 14 days. <br />The following changes are authorized at the direction of the PROJECT MANAGER: <br />ITEM No. DESCRIPTION OF CHANGES $ Increase/Decrease <br />~. -fl~l~C:fLl2~ -f~'i~Qi~S[~r`7-L G~'~~I;c:~t(4~ T"fc~u,Lj <br /> ~~ <br />~n5~_ f~~: ~~~i~ <br />1Na.~yr t~L L~~ ~f ~C~ <br /> / <br />Iv`-C,cGir~ t.~:~ ~{-j t I~~_---/~h ~->? ~~ try -' <br />`' <br /> ~1-~~~:`~q~°~tZ-'CZ~.,LS P'"<• F1 L. .-iLj 1'C'1 C'-i~ti'<-LlL <br /> ' <br />c <br />- e <br />' J~1~ <br /> rr <br />es-Tt <br />~ ~,: ra <br />(`r/ClGi~~ C_9~cr.,(/ c{ t~ll.'Ot~t_•~ ~T~' <br /> <br /> <br /> <br /> <br />Net change in Contract price Net change in Contract time <br />"` <br />- Days <br />$ i <br />This document shall become an amendment to the Contract. All Contract provisions shall apply. <br />Approved by:i '~ ~ i Date: <br />~ ,Project Manager ~~~ 4 '•t~ t~ <br />Accepted by: ~ / ~ / <br />- ~<- Date: <br />/ <br />r ~ <br />'- -` -' ./~~/% -' ,Contractor >>!~ '~ iC,'C%~,~i <br />~ ~ ' ' / <br />Ongronai-Prgec[ Manager opy- onvacror <br />