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Certificate Of Completion <br />Envelope Id: 05A7AFBFA5424AFE809039DE6FFE38EA Status: Completed <br />Subject: Non-Professional Services Agreement Between City of San Leandro and John Karlotski <br />Source Envelope: <br />Document Pages: 18 Signatures: 6 Envelope Originator: <br />Certificate Pages: 6 Initials: 0 City of SL Public Works <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 />slpublicworks@sanleandro.org <br />IP Address: 192.83.149.200 <br />Record Tracking <br />Status: Original <br /> 6/30/2022 10:48:58 AM <br />Holder: City of SL Public Works <br /> slpublicworks@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 />JOHN KARLOTSKI <br />karlotski@comcast.net <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 24.5.120.123 <br />Sent: 6/30/2022 10:59:29 AM <br />Viewed: 7/2/2022 7:20:22 PM <br />Signed: 7/2/2022 7:20:36 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 7/2/2022 7:20:22 PM <br /> ID: 2a5da0a4-5abe-45a4-9d56-bfc9e700974d <br />Debbie Pollart <br />DPollart@sanleandro.org <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 73.162.45.139 <br />Signed using mobile <br />Sent: 7/2/2022 7:20:38 PM <br />Viewed: 7/2/2022 9:07:11 PM <br />Signed: 7/2/2022 9:07:31 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 7/2/2022 9:07:11 PM <br /> ID: 3ca7e547-de23-43b9-86a6-e1a20ec6e867 <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: 7/2/2022 9:07:33 PM <br />Viewed: 7/5/2022 4:30:40 PM <br />Signed: 7/5/2022 4:32:43 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 7/5/2022 4:30:40 PM <br /> ID: 652c158b-0d61-47e5-b1bd-5a2335f1cff8 <br />Susan Hsieh <br />shsieh@sanleandro.org <br />Finance Director <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: 7/5/2022 4:32:47 PM <br />Viewed: 7/11/2022 1:17:14 PM <br />Signed: 7/11/2022 1:18:20 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 7/11/2022 1:17:14 PM <br /> ID: 9152dfd6-b209-4eb0-bece-f71f21b501f5