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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 /> (303)866-3567 <br /> Project name ate 9 <br /> Contractor name a <br /> Bid# <br /> Contractor address X Agreement# <br /> /7C ti C-c /t: 2 0 <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 /> t/� <br /> TzO <br /> 3 e <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: ate: <br /> Project Manager <br /> Accepted by: Date: <br /> Contractor <br /> ngina- roject Manager Copy-Contractor <br /> 4 <br />