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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 /> "Parkme <br /> —v�ViliC�i L ate <br /> Contractor name t 2 o G le Bid#;PrA_6' <br /> Contractoraddress Agreement# <br /> c./, �� , tee- , , r � a-d 6 <br /> e QNkvav , ( .rL e- Cc- lc) c-/! l <br /> Project Manager �--- 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 /> ti/n,l— ^-,/L7� '-- &n-?7L/ e� <br /> 7�i s c G�I2 G //- //e e X/ 73 %z- 6.9-e /t-G/// C-1-�5 <br /> OF 46v�J'll/ T7-ez 7-4 'av7Zj <br /> o <br /> 7z A-C G <br /> t /TG/ /2 T <br /> 7 Vie .✓ <br /> cam► s T o w 4-a--19 <br /> D G 2 ,-,--fl". / l�S 7-/1-7ce-lJ <br /> 1S S a ,F7-. <br /> 3 771. fie- w /ti7' <br /> 577Z It—/ -5;p /^i <br /> Net change in Agreement price , Net change in Agreement time <br /> — $ 9 SD Days <br /> This document shall become an amendment to the t. All Agreement provisions shall apply. <br /> Approved by: Date: <br /> Project Manager ~ <br /> Accep y: Date: <br /> Contractor 7^ �� <br /> ng 4 <br />