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COLORADO DIVISION CF <br />FIELD DIRECTIVE MINERALS AND GEOLOGY ' <br />1313 Sherman St., RM 215 <br />Denver, CO 80203 -2273 <br />(303)866 -3567 <br />Project name <br />a - 9—ZxO <br />Contractor name <br />Bid # e ` ' ^ - <br />Contractoraddress <br />Agreement# <br />Project Manager <br />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. <br />DESCRIPTION OF CHANGES <br />$ Increase /Decrease <br />-f f�V0 A�5 P(DP t <br />b- <br />p� O\tz r (L4c6� <br />Net change in Agreement price <br />$ .C- <br />Net change in Agreement time <br />Days <br />This document shall become an amendment to the Agreement. All Agreement provisions shall apply. <br />Approved b <br />Date: � <br />5 et7 <br />Project Manager <br />Accept d by: <br />Date: <br />Contractor <br />Unginal- Hroject manager copy- contractor <br />