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Certificate Of Completion <br />Envelope Id: 4AAB77D09044421FAE0EF1A79244E204 Status: Completed <br />Subject: NPSA Between City of San Leandro and David Sams for Management of City's Agreement with AGC <br />Source Envelope: <br />Document Pages: 15 Signatures: 6 Envelope Originator: <br />Supplemental Document Pages: 1 Initials: 0 City of SL Public Works <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 />slpublicworks@sanleandro.org <br />IP Address: 192.83.149.200 <br />Record Tracking <br />Status: Original <br /> 6/27/2022 3:37:19 PM <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 />David Sams <br />sams4munigolf@comcast.net <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Signed by link sent to sams4munigolf@comcast.net <br />Using IP Address: 192.83.149.200 <br />Sent: 6/27/2022 3:49:45 PM <br />Viewed: 6/27/2022 3:52:34 PM <br />Signed: 6/27/2022 3:52:55 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 6/27/2022 3:52:34 PM <br /> ID: 5368abda-eeed-4f63-a5b4-ca2ae2c4de85 <br />Debbie Pollart <br />DPollart@sanleandro.org <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Signed by link sent to DPollart@sanleandro.org <br />Using IP Address: 192.83.149.200 <br />Sent: 6/27/2022 3:52:58 PM <br />Viewed: 6/28/2022 6:27:58 AM <br />Signed: 6/28/2022 6:28:23 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 6/28/2022 6:27:58 AM <br /> ID: 0a168cdb-db80-4de0-8afc-6fb1817f1baa <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: 6/28/2022 6:28:25 AM <br />Viewed: 6/28/2022 11:56:32 AM <br />Signed: 6/28/2022 11:59:19 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 6/28/2022 11:56:32 AM <br /> ID: 06d0e629-a7ca-4573-88c5-974e16378e53