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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 /> )jectname 6- Data <br /> Contractorname Bid# <br /> Contractoraddress Agreement# <br /> Project Manager Field Directive# <br /> -57 <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 /> j z l e r-,e- i/ ) <br /> /t—D w' s 7- v F U 0 /z e F"� e v" iz <br /> �/2 ► c <br /> f 1 Pj, e 517A.:Ce � �-rL (er�7.v <br /> �t its /%,/Lr ° <br /> Net change in Agreement price 7777,ange in Agreement time <br /> $ j , Z `7! u 7 -- Days <br /> This document shall become an amendment to the Agreement. All Agreement provisions shall apply. <br /> ipproved by: ate: <br /> Project Manager <br /> Accepted by: + f r Date: <br /> , Contractor <br /> ngi rgect Manager Copy-Contractor 4 <br />