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Certificate Of Completion <br />Envelope Id: ED47EDB6D5FB447E840F3678525A6505 Status: Completed <br />Subject: Please DocuSign: NCE CSA Amendment 1 for Annual Street Overlay/Rehabilitation 19-21 <br />Source Envelope: <br />Document Pages: 68 Signatures: 6 Envelope Originator: <br />Certificate Pages: 6 Initials: 0 Estela Ramirez <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 />eramirez@sanleandro.org <br />IP Address: 192.83.149.200 <br />Record Tracking <br />Status: Original <br /> 4/21/2021 5:12:41 PM <br />Holder: Estela Ramirez <br /> eramirez@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 />J. Ryan Shafer <br />rshafer@ncenet.com <br />Principal <br />Security Level: Email, Account Authentication <br />(None), Access Code Signature Adoption: Pre-selected Style <br />Using IP Address: 73.93.238.33 <br />Sent: 4/21/2021 5:28:50 PM <br />Viewed: 4/27/2021 1:14:42 PM <br />Signed: 4/27/2021 1:19:25 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 4/27/2021 1:14:42 PM <br /> ID: 6e6fbdfd-96c6-41ab-8a6c-bdd624d76b6e <br />Kurry Foley <br />kfoley@sanleandro.org <br />Administrative Services Manager <br />City of San Leandro <br />Security Level: Email, Account Authentication <br />(None) <br />Completed <br />Using IP Address: 73.162.132.90 <br />Sent: 4/27/2021 1:19:30 PM <br />Viewed: 5/3/2021 11:13:27 AM <br />Signed: 5/3/2021 11:21:49 AM <br />Electronic Record and Signature Disclosure: <br /> Not Offered via DocuSign <br />Keith R. Cooke <br />kcooke@sanleandro.org <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Drawn on Device <br />Using IP Address: 158.51.81.83 <br />Sent: 5/3/2021 11:21:56 AM <br />Viewed: 5/3/2021 12:24:44 PM <br />Signed: 5/3/2021 12:25:56 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 4/30/2020 1:28:36 PM <br /> ID: 8fea5336-b2ef-4410-b5fa-e81dc5124363 <br />Richard Pio Roda <br />rpioroda@meyersnave.com <br />Signing Group: City Attorney <br />Security Level: Email, Account Authentication <br />(None)Signature Adoption: Pre-selected Style <br />Using IP Address: 206.169.145.130 <br />Sent: 5/3/2021 12:26:02 PM <br />Viewed: 5/3/2021 8:26:14 PM <br />Signed: 5/3/2021 8:27:13 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 5/3/2021 8:26:14 PM <br /> ID: a05b2458-9a7f-4eaa-8756-ecfc4ca68bc1