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Certificate Of Completion <br />Envelope Id: 4A06C1C3-A19D-4E9B-B1BE-397344D2E31C Status: Completed <br />Subject: Program Supplement / Administering Agency-State Agreement for Federal-Aid Projects # HSIPL-504(053) <br />Source Envelope: <br />Document Pages: 8 Signatures: 2 Envelope Originator: <br />Certificate Pages: 5 Initials: 0 ET Admin <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 />et-aa@sanleandro.org <br />IP Address: 2001:5a8:4c67:6 <br />Record Tracking <br />Status: Original <br /> 2/6/2026 11:38:24 AM <br />Holder: ET Admin <br /> et-aa@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 />Sheila Marquises <br />smarquises@sanleandro.org <br />Public Works Director <br />Security Level: Email, Account Authentication <br />(None) <br />Completed <br />Using IP Address: <br />2600:382:b191:9e3e:cc78:8835:9534:b928 <br />Sent: 2/6/2026 11:48:49 AM <br />Viewed: 2/7/2026 5:39:06 PM <br />Signed: 2/7/2026 5:39:26 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 2/7/2026 5:39:06 PM <br /> ID: cc08c076-80a9-44b4-ba77-3abd41b6ca2b <br />Janelle Cameron <br />JCameron@sanleandro.org <br />City Manager <br />Signing Group: City Manager <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 50.145.118.43 <br />Sent: 2/7/2026 5:39:28 PM <br />Resent: 2/13/2026 9:32:03 AM <br />Resent: 2/13/2026 9:33:11 AM <br />Resent: 2/13/2026 9:33:18 AM <br />Resent: 2/13/2026 9:34:17 AM <br />Viewed: 2/13/2026 10:30:43 AM <br />Signed: 2/13/2026 10:30:54 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 9/29/2021 11:01:32 AM <br /> ID: bc538a8f-ac57-4fad-908c-dcff75433699 <br />Sarah K. Bunting <br />sbunting@sanleandro.org <br />Acting City Clerk <br />City of San Leandro <br />Signing Group: City Clerk <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Drawn on Device <br />Using IP Address: 192.83.149.200 <br />Sent: 2/13/2026 10:30:57 AM <br />Viewed: 2/13/2026 10:49:55 AM <br />Signed: 2/13/2026 10:50:05 AM <br />Electronic Record and Signature Disclosure: <br /> Not Offered via Docusign <br />In Person Signer Events Signature Timestamp <br />Editor Delivery Events Status Timestamp <br />Agent Delivery Events Status Timestamp <br />Intermediary Delivery Events Status Timestamp