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I • GL'LJHA UU MIIVtU LArvU i <br />i ~:eri n r~lnr.-r+-ri~+- acc)_nuerior+rnviciou t <br />1 : L. L:J ...: i a. v ) ) / r <br />1373 Sherr^an St., .qM 2'5 <br /> <br />(303) 8663567 <br />Project name ~ ~ 4.) _ `, ~ _ ~~ <br />~I,u_~~wir <br />- Date o <br />II (7 9~- <br />_ <br />Contracrorname Cn~ tv - \ .?~,~1 <br />. &d# ~~vl IU~J~C~ ~L'S<% <br />2 ~; <br />Contractor address `~ i~ ~ PO# ,~! 7~ r <br /> <br />' ?: olaa Ivanager .i ;/ ,. L ~,~ ~ ~~, ~ Field Directive # ~~ <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 74 days. <br />The following changes are authorized at the direction of the PROJECT MANAGER: <br />ITEM No. DESCRIPTION OF CHANGES $ Increase/Decrease <br />t / <br />i (~`rrQ~>'Ct ~ 1C.dt~7rC;~1 C/L~.~.U ~M~~IJ~ S -f~, ~~tY t~'L~'~ C_'p2 <br />[ <br /> -rl-(~ -r„v`J 7orr~5. ~e ti.;~r~ ~Dt -~-opr~ise~n -~ ~O o0 <br /> <br /> L 11~t 3J+1J:~~Ni~ <br />I <br />Net change in Contract price n ~: <br />I' <br />~n ' Net change in Contract time <br />$ - <br />i Days <br />This document shall become an amendment to the Contract. All Contract provisions shall apply. <br />Approved by: ! I / <br />~ <br />~ <br />f~ <br />~ Date: ~ I <br />j i ' ~ <br />~~/ <br />~ <br />,Project Manager <br />i> <br />l <br />~ l <br />Accepted by; -- ,/ ! ~/ <br />// Date: <br />' <br />%, <br />Ji <br />. f. ~ '~/`7.~7' ~ ,Contractor r/ <br />1 ~ ~ [ / ~. <br />v,ywna-rmlw)mm,aye) wVY <br />