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` "�P., 4`•a.: '+,w;B"N' - _ r, yyrynr• ter <br /> ,; <br /> ,, s <br /> OOLORADObIVISIONrOF <br /> FIELD-DIRECTIVE MINERALsAND-d <br /> 1313 Sherman St„' M 21 } <br /> Denver,CO 60203-2273 <br /> (303)866-3567 <br /> name <br /> contractor name / r- _ /\j _ G PrA_ 70 <br /> Contractoraddress All, Agreement# <br /> S i �/� <br /> Projecttulanager �e.rvrt,e 2 Field Directive# Z, <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 /> C� c � � �c C—e,?r L— ,,.-tea---,? C <br /> l�*^- • ) ��L r (� /nee r! <br /> I <br /> G-e <br /> 5 7-P t.L i /} r-c-�^9^4-ft�, <br /> �.►.� t.- r�L it�c J71�r 17,/' � c" /� /`;J/I/� c- t`'� /L <br /> Net change in Agreement price Net change in Agreement time <br /> $ t- Days <br /> This document shall become an amendment to the Agreement.All Agreement provisions shall apply. <br /> Pproved by: Data: <br /> Project Manager ,y" - � <br /> Accepted by: Date: <br /> Contractor <br /> 9� rgecr or tractor 4 <br />