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Certificate Of Completion <br />Envelope Id: FEE476892EFE4EE4BAD76185FD2187CD Status: Completed <br />Subject: Complete with DocuSign: Revised_La Pinata - Forgivable Loan and Grant Agreement.pdf <br />Source Envelope: <br />Document Pages: 26 Signatures: 6 Envelope Originator: <br />Certificate Pages: 5 Initials: 0 Lucie Johnova <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 />ljohnova@sanleandro.org <br />IP Address: 192.83.149.200 <br />Record Tracking <br />Status: Original <br /> 9/29/2023 2:41:43 PM <br />Holder: Lucie Johnova <br /> ljohnova@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 />Alfonso Guzman <br />alfonso@lapinata6.com <br />Sahreholder <br />Security Level: Email, Account Authentication <br />(None)Signature Adoption: Pre-selected Style <br />Using IP Address: 76.246.7.134 <br />Sent: 10/3/2023 2:04:24 PM <br />Resent: 10/10/2023 8:45:03 AM <br />Viewed: 10/10/2023 9:29:57 AM <br />Signed: 10/10/2023 9:30:06 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 9/26/2023 12:07:37 PM <br /> ID: 0af02bb1-3c37-4fe6-8e0d-a53221b24a7b <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: 10/10/2023 9:30:08 AM <br />Viewed: 10/10/2023 9:37:12 AM <br />Signed: 10/10/2023 9:38:43 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 10/10/2023 9:37:12 AM <br /> ID: 707a12b4-c24b-48d4-a270-1554d5893b7c <br />Mayette Bailey <br />mbailey@sanleandro.org <br />Signing Group: Finance Director <br />Security Level: Email, Account Authentication <br />(None)Signature Adoption: Pre-selected Style <br />Using IP Address: 69.181.101.16 <br />Sent: 10/10/2023 9:38:45 AM <br />Viewed: 10/14/2023 9:59:03 AM <br />Signed: 10/14/2023 9:59:40 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 11/1/2022 9:01:21 AM <br /> ID: 3f00e764-6354-490c-8670-e07332d02d45 <br />Fran Robustelli <br />frobustelli@sanleandro.org <br />City Manager <br />Signing Group: City Manager <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Drawn on Device <br />Using IP Address: 76.14.58.14 <br />Signed using mobile <br />Sent: 10/14/2023 9:59:42 AM <br />Resent: 10/19/2023 3:00:20 PM <br />Viewed: 10/19/2023 4:02:51 PM <br />Signed: 10/19/2023 4:03:04 PM <br />Electronic Record and Signature Disclosure: