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d <br /> 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 /> name -� abe <br /> contractor name T Bid# <br /> Contractoraddress Agreement# <br /> Project Manager e- < <` !� iL Feld Directive# <br /> t� <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 /> /4-- A - <br /> 5 e <br /> 'TP r r S <br /> t <br /> � •Z-;..�f r;// /� i� />r T�c,.��tL jjt r.� S I� n i z.z <br /> 7�i .,,, f r C tr <br /> /3 <br /> 6� <br /> (Cf. 3 <br /> r'e- t c �•��''�r s�r Tci,s T� �- <br /> Net change in Agreement price enAgrementtime <br /> t $ �L— Days <br /> This document shall become an ame ent to the Agreement. All Agreement provisions shall apply. <br /> 1pproved by: _,..,,..-�--� ate: <br /> Project Manager r4r- <br /> Accepted by: Date: <br /> Contractor <br /> [figinW-PrqjW ager tractor 4 <br />