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COLORADO DIVISION OF <br /> IEL D DIRECTIVE MINERALS AND GEOLOGY <br /> 1313 Sherman St..RM 215 <br /> Denver,CO 80203-2273 <br /> (303)866-3567 <br /> Projectname Date l <br /> t <br /> Contractor name t Bid# :F, ov <br /> Contractor,address Agreement <br /> Project Manager Field Directive# <br /> Ali" i <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 /> boo <br /> Pl��� 10y�54b <br /> 15 <br /> Vke <br /> Sj <br /> 11J�C � '0 1 <br /> Net change in Agreement price Net change in Agreement time <br /> $ �, � � Days <br /> This document shall become an amen ent to the Agreement. All Agreement provisions shall apply. <br /> Approved by: Date: .,,�� <br /> Project Manager �'-�'i k t?n�y <br /> Accepted by: Date: <br /> ` Contractor <br /> ngtna- rolect ManagerCopy-Gontractor <br />