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Certificate Of Completion <br />Envelope Id: FBD9DCA73B3D4307943ED963CBEC6B63 Status: Completed <br />Subject: Please DocuSign: CSA Amendment TEMPLATE 2020-2021 FINAL-DS.docx <br />Source Envelope: <br />Document Pages: 20 Signatures: 6 Envelope Originator: <br />Certificate Pages: 6 Initials: 0 Lars Halle <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 />lhalle@sanleandro.org <br />IP Address: 192.83.149.200 <br />Record Tracking <br />Status: Original <br /> 4/13/2022 8:12:46 AM <br />Holder: Lars Halle <br /> lhalle@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 />Steve Noack <br />snoack@placeworks.com <br />Principal <br />PlaceWorks <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Signed by link sent to snoack@placeworks.com <br />Using IP Address: 38.140.108.106 <br />Sent: 4/13/2022 8:17:32 AM <br />Viewed: 4/13/2022 8:43:08 AM <br />Signed: 4/13/2022 8:43:31 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 4/13/2022 8:43:08 AM <br /> ID: c7f753fb-69cd-4686-836d-4e42aea39a1b <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 />Signed by link sent to rpioroda@meyersnave.com <br />Using IP Address: 206.169.145.130 <br />Sent: 4/13/2022 8:43:34 AM <br />Viewed: 4/14/2022 11:32:13 AM <br />Signed: 4/14/2022 11:32:50 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 4/14/2022 11:32:13 AM <br /> ID: cc846745-2359-4165-8ed7-0e273f405eb1 <br />Karen Chang <br />KChang@sanleandro.org <br />Assistant Finance Director <br />Signing Group: Budget and Compliance Manager <br />Security Level: Email, Account Authentication <br />(None) <br />Completed <br />Signed by link sent to KChang@sanleandro.org <br />Using IP Address: 192.83.149.200 <br />Sent: 4/14/2022 11:32:53 AM <br />Viewed: 4/14/2022 2:09:41 PM <br />Signed: 4/25/2022 4:13:05 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 10/26/2021 10:47:23 AM <br /> ID: 1c7db64c-9355-4ab4-bffa-a09ed009d69f