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Certificate Of Completion <br />Envelope Id: 17C611C198B14C68B5E48BCE574A21EE Status: Completed <br />Subject: Complete with DocuSign: MIG CSA Amendment #1_TL.pdf <br />Source Envelope: <br />Document Pages: 5 Signatures: 6 Envelope Originator: <br />Certificate Pages: 6 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 /> 3/22/2024 11:07:25 AM <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 />Carolyn Verheyen <br />carolynv@migcom.com <br />Secretary <br />Security Level: Email, Account Authentication <br />(None)Signature Adoption: Pre-selected Style <br />Using IP Address: 73.15.41.114 <br />Sent: 3/22/2024 11:20:57 AM <br />Viewed: 3/25/2024 8:46:28 AM <br />Signed: 3/25/2024 9:32:25 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 3/25/2024 8:46:28 AM <br /> ID: ed96a28a-fbdd-4140-947b-ac53c646a2ac <br />Tom Liao <br />tliao@sanleandro.org <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 73.202.43.184 <br />Sent: 3/25/2024 9:32:26 AM <br />Viewed: 3/25/2024 11:16:34 PM <br />Signed: 3/25/2024 11:16:59 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 6/24/2020 7:37:06 PM <br /> ID: 66451328-d8e3-4b00-801f-2b5d10faf4e3 <br />Richard D. Pio Roda <br />richard@redwoodpubliclaw.com <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Uploaded Signature Image <br />Using IP Address: 73.202.29.59 <br />Sent: 3/25/2024 11:17:00 PM <br />Viewed: 3/26/2024 3:23:31 PM <br />Signed: 3/26/2024 3:26:02 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 3/26/2024 3:23:31 PM <br /> ID: f43853a7-bd97-4946-b47d-7e62308d4395 <br />Michael Yuen <br />myuen@sanleandro.org <br />Finance Director <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: 3/26/2024 3:26:04 PM <br />Resent: 3/28/2024 9:59:03 AM <br />Resent: 4/3/2024 2:09:27 PM <br />Viewed: 4/4/2024 9:41:38 AM <br />Signed: 4/4/2024 9:41:44 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 8/31/2022 12:14:37 PM <br /> ID: f6c69ffb-fe18-4f82-a915-02cfaf87aeaf