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Certificate Of Completion <br />Envelope Id: 67CC204E2AF2480DB72AC10E07FFFAE0 Status: Completed <br />Subject: Agency License for Entry onto SLUSD Property for Hass Bridge Repair <br />Source Envelope: <br />Document Pages: 4 Signatures: 4 Envelope Originator: <br />Certificate Pages: 5 Initials: 0 City of SL Public Works <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 />slpublicworks@sanleandro.org <br />IP Address: 192.83.149.200 <br />Record Tracking <br />Status: Original <br /> 7/27/2023 10:53:28 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 />Kevin Collins <br />kcollins@slusd.us <br />Assistant Superintendent <br />Kcollins@slusd.us <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 206.110.108.3 <br />Sent: 7/27/2023 10:55:46 AM <br />Viewed: 7/28/2023 4:50:23 PM <br />Signed: 8/9/2023 10:32:59 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 7/28/2023 4:50:23 PM <br /> ID: 937aa112-2e59-4c6f-bae3-9edee1bbcef2 <br />Richard Pio Roda <br />rpioroda@meyersnave.com <br />Principal <br />Security Level: Email, Account Authentication <br />(None)Signature Adoption: Pre-selected Style <br />Using IP Address: 75.104.64.129 <br />Signed using mobile <br />Sent: 8/9/2023 10:33:00 AM <br />Viewed: 8/9/2023 10:42:43 AM <br />Signed: 8/9/2023 10:43:40 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 8/9/2023 10:42:43 AM <br /> ID: da5ce380-6fe7-4c20-b138-d3a974632bb5 <br />Frances Robustelli <br />frobustelli@sanleandro.org <br />City Manager <br />Security Level: Email, Account Authentication <br />(None)Signature Adoption: Pre-selected Style <br />Using IP Address: 192.83.149.200 <br />Sent: 8/9/2023 10:43:42 AM <br />Viewed: 8/28/2023 1:30:25 PM <br />Signed: 8/28/2023 1:31:02 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 8/28/2023 1:30:25 PM <br /> ID: c3eeaff2-7234-43b6-a773-d5e58361b66c <br />Kelly B. Clancy <br />kclancy@sanleandro.org <br />City Clerk <br />City of San Leandro <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Drawn on Device <br />Using IP Address: 192.83.149.200 <br />Sent: 8/28/2023 1:31:03 PM <br />Viewed: 8/28/2023 2:49:07 PM <br />Signed: 8/28/2023 2:49:23 PM <br />Electronic Record and Signature Disclosure: <br /> Not Offered via DocuSign