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COL <br /> DO <br /> FIELD DIRECTIVE MINERALS <br /> DIVISIONOF <br /> MINERALS AND GEOLOGY <br /> 1313 Sherman St.,RM 215 <br /> Denver,CO 80203-2273 <br /> (303)866-3567 <br /> Project name Date <br /> Contractor name Bid# <br /> . Ali � � ,�ice,-S�✓ � ��... �- <br /> Contractor address �, Agreement# <br /> Project Manager - 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 /> 1 p_ t � /±[ .=r-r7 >t..t-r�!�c c ,� �•c /'lrsc [ i= r-z,c <br /> ( 3. c(e X'[rL ?z,c Sc . iz+ /t.i - 1Li.z 3 !' F/ / `i <br /> C l.,a,. A, y 7Z;- f/✓n--e xC f 4 <br /> 7-4 <br /> 7z.G <br /> —5t <br /> + r �rrer <br /> /27 <br /> rr,�-r /y <br /> r <br /> t3 •� t< n�•� <br /> r ti r; <br /> fi e t S <br /> j lCl, j ` 1—z7`C iV <br /> Net change in Agreement price / Net change in Agreement time <br /> $ —� Days <br /> This document shall become an amendment to the Agreement. All Agreement provisions shall apply. <br /> Approved by: Date: <br /> Project Manager {c, --Z.:' V-/K <br /> Accepted by: � Date: <br /> Contractor <br /> riginaProject manager opy- ontractor <br /> 4 <br />