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COLORADO DIVISION OF <br /> FIELD DIRECTIVE MINERALS AND GEOLOGY <br /> 1313 Sherman St.,RM 215 <br /> Denver,CO 80203-2273 <br /> (30 )8T-3567 <br /> Project name S � ate I <br /> Contractorname a Bid# _Q Ie 3(7 <br /> Contractor address A ment# v�Olo cc <br /> -P�-� I. <br /> Project Manager n Field Directive# <br /> Use this form to.authorize work changes due to changed conditions within the scope of the Agreement. Field directives resulting <br /> in increased Agreement 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 /> -"M IZ 1 J . F.S I t105 ► <br /> 6(5; l Kit:5.J00 <br /> W 2 <br /> Net change in Agreement price Z Ot7 Net change in Agreement time <br /> $ J Days <br /> This document shall become an amendment to the Agreement. All Agreement provisions shall apply. <br /> Approved by: Date: <br /> Project Manager l� '--> <br /> b�- <br /> Accepted by: Date: <br /> Contractor <br /> ngin - rolect Manager Copy-Contractor <br /> 4 <br />