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Certificate Of Completion <br />Envelope Id: 4E86CA73-138D-4603-A820-184DA9B9AEAA Status: Completed <br />Subject: Complete with Docusign: Building Futures_CSA Amnd 1-HHAP Funded Services_01262026.pdf <br />Source Envelope: <br />Document Pages: 3 Signatures: 6 Envelope Originator: <br />Certificate Pages: 5 Initials: 0 Alicia Peterson <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 />apeterson@sanleandro.org <br />IP Address: 192.83.149.200 <br />Record Tracking <br />Status: Original <br /> 1/27/2026 11:43:58 AM <br />Holder: Alicia Peterson <br /> apeterson@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 />Liz Varela <br />lvarela@bfwc.org <br />Executive Director <br />Cornerstone Community Development <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: <br />2600:1700:6977:1c10:4081:c9dd:ed9:47e5 <br />Signed using mobile <br />Sent: 1/27/2026 11:49:28 AM <br />Viewed: 1/27/2026 11:51:35 AM <br />Signed: 1/27/2026 11:51:39 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 1/27/2026 11:51:35 AM <br /> ID: 1e09f86d-d80e-44a7-9dda-d6e1b5ba482d <br />Jessica Lobedan <br />jlobedan@sanleandro.org <br />Human Services Director <br />Signing Group: Human Services <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 192.83.149.205 <br />Sent: 1/27/2026 11:51:40 AM <br />Viewed: 1/27/2026 11:54:34 AM <br />Signed: 1/27/2026 11:55:06 AM <br />Electronic Record and Signature Disclosure: <br /> Not Offered via Docusign <br />Richard D. Pio Roda <br />richard@redwoodpubliclaw.com <br />Signing Group: City Attorney <br />Security Level: Email, Account Authentication <br />(None)Signature Adoption: Uploaded Signature Image <br />Using IP Address: 192.83.149.200 <br />Sent: 1/27/2026 11:55:08 AM <br />Viewed: 1/27/2026 4:29:32 PM <br />Signed: 1/27/2026 4:30:46 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 7/28/2025 11:32:15 AM <br /> ID: 41b0567f-6869-4a6b-a58b-e4423c8eedd9 <br />Nicole Gonzales <br />ngonzales@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: 1/27/2026 4:30:47 PM <br />Viewed: 1/27/2026 5:03:35 PM <br />Signed: 1/28/2026 11:50:14 AM <br />Electronic Record and Signature Disclosure: <br /> Not Offered via Docusign