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COLORADO MINED LAND <br /> FIELD DIRECTIVE RECLAMATION DIVISION <br /> 1313 Sherman St.,RM 215 <br /> Denver,CO 80203-2273 <br /> (303)866-3567 <br /> Project name L _ Date O t <br /> Contractor name �C ` y ' Bid# <br /> Contractor address 1—7 G -5 2 PO# <br /> S (LT C ® 1 lc S Req# <br /> Project Manager K 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 14 days. <br /> The following changes are authorized at the direction of the PROJECT MANAGER: <br /> ITEM No. DESCRIPTION OF CHANGES $ Increase/Decrease <br /> Net change in Contract price � r Net change in Contract time <br /> $ 1"�-' Days <br /> This document shall become an amendment to the Contract. All Contract provisions shall apply. <br /> Approved by Date: <br /> Project Manager NW l(,D- <br /> Accepted Date: 1/ i <br /> Contractor <br /> Origional- roJect Manager Copy-Contractor 4 <br />