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COLORADO DIVISION OF <br /> FiELC DIRECTIVE MINERALS AND GEOLOGY <br /> 1313 Sherman St.,RM 215 <br /> Denver,CO 80203-2273 <br /> (303)866-3567 <br /> Project name ate <br /> Contractor name �l ,p � \ � ` Bid# <br /> Contractor address V TJ , Agree <br /> ment# <br /> Project Manager P� 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 /> ��L) �'� P ���� 2AJ�A <br /> tN � 19 <br /> Cub <br /> Net change in Agreement price Net change in Agreement time <br /> $ �- s Days <br /> This document shall become amendment to the Agreement. All Agreement provisions shall apply. <br /> Approved y: Date: w <br /> Project Manager ('9,v\ <br /> ZGe- <br /> Accepted by: ` Date: <br /> C <br /> Contractor 5 <br /> ng,na• rojectManager' opy- ontractcr 1 <br />