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Certificate Of Completion <br />Envelope Id: 0CCF76C9B50F493381D06D64AE0BFB03 Status: Completed <br />Subject: Please DocuSign: CSA Amendment No. 2 with Alice Associates for Flex Rides <br />Source Envelope: <br />Document Pages: 2 Signatures: 6 Envelope Originator: <br />Supplemental Document Pages: 20 Initials: 0 Pauline Tabilang <br />Certificate Pages: 6 <br />AutoNav: Enabled <br />EnvelopeId Stamping: Enabled <br />Time Zone: (UTC-08:00) Pacific Time (US & <br />Canada) <br />Stamps: 1 835 E 14th St <br />San Leandro, CA 94577 <br />ptabilang@sanleandro.org <br />IP Address: 192.83.149.200 <br />Record Tracking <br />Status: Original <br /> 6/17/2022 10:41:28 AM <br />Holder: Pauline Tabilang <br /> ptabilang@sanleandro.org <br />Location: DocuSign <br />Security Appliance Status: Connected Pool: StateLocal <br />Storage Appliance Status: Connected Pool: City of San Leandro Location: DocuSign <br />Signer Events Signature Timestamp <br />Alice Lai-Bitker <br />alice@alicehomecare.com <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Drawn on Device <br />Using IP Address: 73.93.255.205 <br />Signed using mobile <br />Sent: 6/17/2022 10:56:09 AM <br />Viewed: 6/18/2022 10:01:39 AM <br />Signed: 6/18/2022 10:02:00 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 6/18/2022 10:01:39 AM <br /> ID: 67cd065a-2de1-44f2-9e83-213c8a1a67a7 <br />Janelle Cameron <br />JCameron@sanleandro.org <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 192.83.149.205 <br />Sent: 6/18/2022 10:02:02 AM <br />Viewed: 6/27/2022 9:27:58 AM <br />Signed: 6/27/2022 9:28:06 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 9/29/2021 11:01:32 AM <br /> ID: bc538a8f-ac57-4fad-908c-dcff75433699 <br />Richard Pio Roda <br />rpioroda@meyersnave.com <br />Principal <br />Signing Group: City Attorney <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 206.169.145.130 <br />Sent: 6/27/2022 9:28:09 AM <br />Viewed: 6/28/2022 8:23:55 PM <br />Signed: 6/28/2022 8:27:43 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 6/28/2022 8:23:55 PM <br /> ID: a3e5eb98-bf74-4ca0-a641-43695ca17b41 <br />Susan Hsieh <br />shsieh@sanleandro.org <br />Signing Group: Budget and Compliance Manager <br />Security Level: Email, Account Authentication <br />(None) <br />Completed <br />Using IP Address: 192.83.149.200 <br />Sent: 6/28/2022 8:27:47 PM <br />Viewed: 7/2/2022 5:32:23 PM <br />Signed: 7/2/2022 5:35:20 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 7/2/2022 5:32:23 PM <br /> ID: 1ecbeabf-43e5-48d8-8b04-033fd4806fde