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COLORADO DIVISION OF <br /> FIELD DIRECTIVE MINERALS AND GEOLOGY <br /> 1313 Sherman St,RM 21S <br /> " Denver,CO 80203-2273 <br /> (303)866-3S67 <br /> ieaname 7—,A A e.L ate if _tI4-fC <br /> Contractorname Bid#/or r '3 7 vZ <br /> Contractoraddress greement# <br /> Project Manager Field Directive# �'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/ <br /> r( eeP /?/Re�77-e /L-a J1 � �� 3 !�-Ca�//ecT�> <br /> i—De C ,,-/-C S q' /../L C le 9-:F c,'& <br /> 12ue5 ^-vT � at, e ry <br /> Ccw/47a7x /Zt N?7 M <br /> (n—C/Llq�eS 74 T>e 4rif7C/J <br /> e.v GTL, a F J/7 /I <br /> jti SrA�( -e f�►cciFr c 4P-T7c <br /> S/ F/,� S17 e c c� <br /> p e.►- T N /1 Sf <br /> Net change in Agreement price o� Netchange in Agreement time <br /> --r— $ 7 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 /> L�� , <br /> Contractor <br /> riginal-Proj6d Manager Copy-Contractor 4 <br />