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DocuSign Envelope ID: 1649E257-9F5E-4C77-9FF3-A4563FB252C7 <br />EXHIBIT "B" <br />AUTHORIZATION OF CHANGE IN SERVICE <br />AGREEMENT/ SERVICES NAME: {Contract #} {Contract Name} <br />CITY REPRESENTATIVE: <br />CONTRACTOR: <br />CONTRACT EFFECTIVE DATE: <br />THIS AUTHORIZATION DATE: AUTHORIZATION NO.: <br />DESCRIPTION OF WORK TO BE ADDED TO OR DELETED FROM SCOPE OF SERVICES: <br />Original Contract Amount: <br />NTE <br />$ <br />Previous Increases/Decreases in Contact Amount: <br />NTE <br />$ <br />This Increase/Decrease in Contract Amount: <br />NTE <br />$ <br />Revised Contract Amount: <br />NTE <br />$ <br />CONTRACTOR: <br />Signature <br />Print Full Name / Title (if not in individual capacity) <br />CITY: <br />Signature <br />Print Name <br />Title <br />Date <br />uare <br />City Department Use Only Below This Line (PM, etc.). <br />Account Number(s): Date: Amount <br />Rev 04/02/19 Page 5 of <br />