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Certificate Of Completion <br />Envelope Id: B16ECB49B03A47249CCF59EB56448DCA Status: Completed <br />Subject: Complete with DocuSign: EBAC_CSA_CAP Grant FY23-25_07012023 <br />Source Envelope: <br />Document Pages: 23 Signatures: 6 Envelope Originator: <br />Supplemental Document Pages: 1 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 /> 8/23/2023 2:33:57 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 />Josh Leonard <br />josh.leonard@ebac.org <br />CEO <br />East Bay Agency for Children <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 23.93.93.85 <br />Sent: 8/23/2023 2:40:29 PM <br />Viewed: 8/23/2023 2:43:55 PM <br />Signed: 8/23/2023 4:51:21 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 8/23/2023 2:43:55 PM <br /> ID: e4b7d028-7a6f-4e24-b329-7fa66a014e57 <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: 8/23/2023 4:51:23 PM <br />Viewed: 8/30/2023 12:04:23 PM <br />Signed: 8/30/2023 12:04:40 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 8/30/2023 12:04:23 PM <br /> ID: 298bf77c-6f8d-4c6d-801f-4e1a7e254423 <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: 8/30/2023 12:04:42 PM <br />Viewed: 8/30/2023 1:18:03 PM <br />Signed: 8/30/2023 1:20:21 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 8/30/2023 1:18:03 PM <br /> ID: ac062de9-c0aa-4bf6-a6eb-80f885fe7135 <br />Mayette Bailey <br />mbailey@sanleandro.org <br />Signing Group: Finance Available Funds Check <br />Security Level: Email, Account Authentication <br />(None) <br />Completed <br />Using IP Address: 192.83.149.200 <br />Sent: 8/30/2023 1:20:23 PM <br />Viewed: 8/31/2023 12:58:10 PM <br />Signed: 9/13/2023 3:19:57 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 11/1/2022 9:01:21 AM <br /> ID: 3f00e764-6354-490c-8670-e07332d02d45