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Certificate Of Completion <br />Envelope Id: 3B298AD41AE44459AFC6172FCDC1C0F0 Status: Completed <br />Subject: Complete with DocuSign: Premier World Discovery_CSA_Amendment No. 3_ 10012023 <br />Source Envelope: <br />Document Pages: 2 Signatures: 6 Envelope Originator: <br />Supplemental Document Pages: 27 Initials: 0 Pauline Tabilang <br />Certificate Pages: 6 <br />AutoNav: Enabled <br />EnvelopeId Stamping: Enabled <br />Time Zone: (UTC-08:00) Pacific Time (US & Canada) <br />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 /> 8/25/2023 4:28:56 PM <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 />Jay Coury <br />jcoury@premierworlddiscovery.com <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 166.199.151.119 <br />Signed using mobile <br />Sent: 8/25/2023 4:33:40 PM <br />Viewed: 8/26/2023 3:28:12 PM <br />Signed: 8/26/2023 3:28:51 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 8/26/2023 3:28:12 PM <br /> ID: d1bdb081-48dd-4a78-b831-9aa0980a2737 <br />Jessica Lobedan <br />JLobedan@sanleandro.org <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 192.83.149.200 <br />Sent: 8/26/2023 3:28:53 PM <br />Viewed: 9/5/2023 9:12:20 AM <br />Signed: 9/5/2023 9:13:48 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 9/5/2023 9:12:20 AM <br /> ID: 9e3f77b4-5251-4760-ad7c-8f6a4122d2eb <br />Supplemental Documents: Premier World Discovery_CSA_ Amdmt <br />#2_04012022.pdf <br />Viewed: 9/5/2023 9:13:27 AM <br />Read: Not Required <br />Accepted: Not Required <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: 9/5/2023 9:13:51 AM <br />Viewed: 9/5/2023 5:38:56 PM <br />Signed: 9/5/2023 5:39:31 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 9/5/2023 5:38:56 PM <br /> ID: 744d39fe-0f03-45c8-bfb6-686ecb80269b