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<br /> <br />- ~ - _ -C::LJNAUIJ .NINbU U1NU al <br />O:]I"1 6lldTl(lN 111 VIC a1N 1 <br />t i iY~~ Li. I. v i 1 I L <br />1313 Sherman S:, .R`.1 2!5 <br />_ ~ona_~_»., ! <br />(303) d66-3567 <br />Project name -~ ~ ~ ~, ; , _ ' Date ~ <br /> <br />Contractor name I <br />1-/-~ !f ~ ~;~- <br />Contractoraddress ;\ ~ LZ C~(t Jn~- PO# - ~~,7~ <br />SC (. ~~ /~C'' I <br />` Rsq? <br />~ <br />Roiirit NICI.agar ~ ''// ~~ ~1 ~Q }~ Field Girectlve tf <br />Use this form to authorize work changes due to changed conditions within the scope of the Purchase Order Contract. Field <br />directives resulting in increased Contract 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 /> <br />1 (l w+ri ~i~~/~~/ n^ S ' <br />C V ~~ \ ~~i ~ ICL {riV`J>V JJNIrZi~/CS ~~, \C C.~ \Y1.t V ~II~I.+ <br />( <br /> -~" ~ -r-~~YJ 7a r\~~c> , -rkes~ ,,.; ~ ~ ~ ~ ~ aw pay ~S~r; -F ~O o0 <br /> I id -+('~,-~ ~ !17 l~l~(.lJ~l+.Yl~1 ~l/~°~; C,, Zlh7~'`~ ~~ ~ L (~~f~.=% <br /> Z .u S(Vl~iriLN ~y <br />I <br />Ne[ change in Contract price /~~ ~: <br />i- ~ Net change in Contract time <br />D <br />$ - <br />ILLI ays <br />This document shall become an amendment to the Contract. All Contract provisions shall apply. <br />Approved by: /'~ r I^ / / <br />~ <br />~~ Date: <br />~ (I ~ ~ ~ ~~:/ <br />j~ <br />% <br />,Project Manager <br />Accepted by: -~/ / Li~ ~ <br />// Date: ' <br />. '1 ~ ~/`~l.~Z/L/ .Contractor <br />~: ~ ~ ~ 7 (~. <br />' vnyiolwl-rrul~i munagel wpy-Lanuei:mr - / 4 <br />