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DocuSign Envelope ID: 11985370-14E9-4050-AAD1-89O1A5D5DO16 <br />EXHIBIT 4 <br />AUTHORIZATION OF CHANCE IN SERVICE <br />CONTRACT NOJ CONTRACT NAME. <br />CITY REPRESENTATIVE: <br />CONTRACTOR: <br />CONTRACT EFFECTIVE DATE: <br />TMS AUTHORIZATION DATE'. AUTHORIZAMON N.O.: <br />DESCRIPTION OF WORK TO BE ADDED TO OR. DELETED FRONI SCOPE OF SERVICES: <br />Original Contract Amount: <br />NTE <br />S <br />Previous Increases Decreases in Contact Amount: <br />NTE <br />$ <br />This Increase/Decrease in Cojitract A-n-ioujit:_ <br />NTE <br />S <br />Revised Contract Amount: <br />NTE <br />$ <br />CONTR-XCTOR: <br />S i miature <br />..................................... ............ . .... . .... . . . <br />Print Full Name / Title (if not in individual capacity) <br />Crry: <br />Signature <br />Print Name <br />Title <br />r7hy 1)PnrPHT;-jPnt i'kvp nnIv Rpinvo 'Thiv I-ima (PU- <br />Account Number(s): <br /># Date l f Am-ountl <br /># Date I Amountl, <br /># jDatel <br />Rev. 01/28/19 <br />