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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 /> ject name C v,9'� I'�- --/Z/ �s ?'%� ate _ Z¢ -G'41 <br /> Contractor na Bid# <br /> me T _ �- �`c - <br /> Contractor address 4 7 Agreement# <br /> Project Manager YC 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 /> /I� r"d/le- <br /> l TG' S3 S i < c <br /> e <br /> slc--� T <br /> $. 47 <br /> Net change in Agreement price Net change in Agreement time <br /> Days <br /> This document shall become an ay the Agreement. All Agreement provisions shall apply. <br /> Date: <br /> approved by: <br /> Project Manager <br /> Accepted by: Date: <br /> Contractor `7 <br /> ngo rojea ManW copy-Contractor 4 <br />