Common use of Certificate of Completion Clause in Contracts

Certificate of Completion. Envelope Id: A8F01C886DA24C45B79A807A4F9C7F19 Status: Completed Subject: Please DocuSign: 2020 08Aug08 MOA AP Initial Placement new System clean Source Envelope: Document Pages: 20 Signatures: 2 Envelope Originator: Certificate Pages: 2 Initials: 37 Xxxxxx Xxxxx AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) 0000 XX XXXXXXXX Suite SMSU 232 PORTLAND, OR 97201-3256 xxxx@xxxxxxx.xxx IP Address: 71.193.169.218 Record Tracking Status: Original 8/10/2020 9:23:02 AM Holder: Xxxxxx Xxxxx xxxx@xxxxxxx.xxx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxx-Xxxxxx xxxxx@xxx.xxx Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 50.53.11.2 Sent: 8/10/2020 9:31:09 AM Viewed: 8/10/2020 2:14:19 PM Signed: 8/10/2020 2:16:26 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxx Xxxxxx xxxxxxx@xxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Signature Adoption: Pre-selected Style Using IP Address: 97.120.236.255 Signed using mobile Sent: 8/10/2020 2:16:27 PM Viewed: 8/10/2020 4:29:59 PM Signed: 8/10/2020 4:30:33 PM Xxxxxx Xxxxxx Sent: 8/10/2020 2:16:28 PM xxxxxxx@xxx.xxx Viewed: 8/10/2020 2:18:21 PM Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Signed: 8/10/2020 2:19:47 PM Using IP Address: 71.237.220.11 Signed using mobile Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxxxxx Xxxxxxxxxxx xxx0@xxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 8/10/2020 4:30:35 PM Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/10/2020 4:30:35 PM Certified Delivered Security Checked 8/10/2020 4:30:35 PM Signing Complete Security Checked 8/10/2020 4:30:35 PM Completed Security Checked 8/10/2020 4:30:35 PM

Appears in 1 contract

Samples: Memorandum of Agreement

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Certificate of Completion. Envelope Id: A8F01C886DA24C45B79A807A4F9C7F19 9219706E21094DE2AB1E2E563E50BB7B Status: Completed Subject: Please DocuSign: Copy of Unit/SAGE 2020 08Aug08 MOA AP Initial Placement new System clean contract Source Envelope: A1A2716AC4334D9A85B6D84DF418E085 Document Pages: 20 34 Signatures: 2 0 Envelope Originator: Certificate Pages: 2 1 Initials: 37 0 Xxxxx Xxxxxx Xxxxx AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) 0000 Xxxxxx Xx Xxxxxxxx Xxxx, XX XXXXXXXX Suite SMSU 232 PORTLAND, OR 97201-3256 xxxx@xxxxxxx.xxx 00000 xxxxx.xxxxxx@xxxxxxx.xx.xx IP Address: 71.193.169.218 213.205.194.81 Record Tracking Status: Original 8/10/2020 9:23:02 4/6/2020 6:57:59 AM Holder: Xxxxx Xxxxxx Xxxxx xxxx@xxxxxxx.xxx xxxxx.xxxxxx@xxxxxxx.xx.xx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxx-Xxxxxx xxxxx@xxx.xxx Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 50.53.11.2 Sent: 8/10/2020 9:31:09 AM Viewed: 8/10/2020 2:14:19 PM Signed: 8/10/2020 2:16:26 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxx Xxxxxx xxxxxxx@xxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Signature Adoption: Pre-selected Style Using IP Address: 97.120.236.255 Signed using mobile Sent: 8/10/2020 2:16:27 PM Viewed: 8/10/2020 4:29:59 PM Signed: 8/10/2020 4:30:33 PM Xxxxxx Xxxxxx Sent: 8/10/2020 2:16:28 PM xxxxxxx@xxx.xxx Viewed: 8/10/2020 2:18:21 PM Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Signed: 8/10/2020 2:19:47 PM Using IP Address: 71.237.220.11 Signed using mobile Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxx Xxxxxxx Xxxxxxxxxxx xxx0@xxx.xxx xxxx.xxxxxxx@xxxx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxx Xxxxxx xxxx.xxxxxx@xxxx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 8/10/2020 4:30:35 PM 4/6/2020 7:00:43 AM Viewed: 4/7/2020 1:17:15 AM Sent: 4/6/2020 7:00:43 AM Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/10/2020 4:30:35 PM 4/6/2020 7:00:43 AM Certified Delivered Security Checked 8/10/2020 4:30:35 PM 4/6/2020 7:00:43 AM Signing Complete Security Checked 8/10/2020 4:30:35 PM 4/6/2020 7:00:43 AM Completed Security Checked 8/10/2020 4:30:35 PM4/6/2020 7:00:43 AM

Appears in 1 contract

Samples: Consortium License Agreement

Certificate of Completion. Envelope Id: A8F01C886DA24C45B79A807A4F9C7F19 E11A2253932A4369A243FC4682BCB4F0 Status: Completed Subject: Please DocuSign: 2020 08Aug08 MOA AP Initial Placement new System clean DocuSign This Document Source Envelope: Document Pages: 20 26 Signatures: 2 Envelope Originator: Certificate Pages: 2 1 Initials: 37 Xxxxxx Xxxxx 0 Xxxx Xxxxxxx AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) 0000 XX XXXXXXXX Suite SMSU 232 PORTLAND0 Xxxxxxxxxx Xxxx Sandy, OR 97201-3256 xxxx@xxxxxxx.xxx UT 84092 xxxx.xxxxxxx@xxxxxxxxxxxxx.xxx IP Address: 71.193.169.218 64.207.219.9 Record Tracking Status: Original 8/10/2020 9:23:02 AM 9/30/2022 12:25:13 PM Holder: Xxxxxx Xxxxx xxxx@xxxxxxx.xxx Xxxx Xxxxxxx xxxx.xxxxxxx@xxxxxxxxxxxxx.xxx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxx-Xxxxxx xxxxx@xxx.xxx Xxxx Xxxxxxx xxxx.xxxxxxx@xxxxxxxxxxxxx.xxx CFO FamilyID, Inc Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 50.53.11.2 24.11.121.51 Sent: 8/10/2020 9:31:09 AM Viewed: 8/10/2020 2:14:19 PM Signed: 8/10/2020 2:16:26 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxx Xxxxxx xxxxxxx@xxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Signature Adoption: Pre-selected Style Using IP Address: 97.120.236.255 Signed using mobile Sent: 8/10/2020 2:16:27 9/30/2022 12:31:51 PM Viewed: 8/10/2020 4:29:59 PM 10/3/2022 7:21:57 AM Signed: 8/10/2020 4:30:33 PM Xxxxxx Xxxxxx Sent: 8/10/2020 2:16:28 PM xxxxxxx@xxx.xxx Viewed: 8/10/2020 2:18:21 PM Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Signed: 8/10/2020 2:19:47 PM Using IP Address: 71.237.220.11 Signed using mobile 10/3/2022 7:22:34 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxxxxx Xxxxxxxxxxx xxx0@xxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 8/10/2020 4:30:35 PM Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/10/2020 4:30:35 9/30/2022 12:31:51 PM Certified Delivered Security Checked 8/10/2020 4:30:35 PM 10/3/2022 7:21:57 AM Signing Complete Security Checked 8/10/2020 4:30:35 PM 10/3/2022 7:22:34 AM Completed Security Checked 8/10/2020 4:30:35 PM10/3/2022 7:22:34 AM Payment Events Status Timestamps ArbiterSports_Orleans_VendorSigned Final Audit Report 2022-10-04 "ArbiterSports_Orleans_VendorSigned" History Document created by Xxxxx Xxxxxx (xxxxxxx@xxx-xxxx.xxx) 2022-10-04 - 5:47:19 PM GMT- IP address: 98.109.87.70 Document emailed to XXXXX XXXXXX (xxxxxxx@xxxx.xxx) for signature 2022-10-04 - 5:48:00 PM GMT Email viewed by XXXXX XXXXXX (xxxxxxx@xxxx.xxx) 2022-10-04 - 5:56:03 PM GMT- IP address: 66.249.83.57 Document e-signed by XXXXX XXXXXX (xxxxxxx@xxxx.xxx) Signature Date: 2022-10-04 - 6:15:12 PM GMT - Time Source: server- IP address: 73.167.106.202 Agreement completed. 2022-10-04 - 6:15:12 PM GMT Created: 2022-10-04 By: Status: Transaction ID: Xxxxx Xxxxxx (xxxxxxx@xxx-xxxx.xxx) Signed

Appears in 1 contract

Samples: Student Data Privacy Agreement

Certificate of Completion. Envelope Id: A8F01C886DA24C45B79A807A4F9C7F19 655E5D030D224937B60C5CC79A394025 Status: Completed Sent Subject: Please DocuSignDocuSign NOTIFICATION: 2020 08Aug08 MOA AP Initial Placement new System clean Contract K4949-01 with North Sounds BH ASO Source Envelope: Document Pages: 20 18 Signatures: 2 1 Envelope Originator: Certificate Pages: 2 5 Initials: 37 Xxxxxx 0 Xxxxx Xxxxxxx AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) 0000 000 0xx Xxx XX XXXXXXXX Suite SMSU 232 PORTLANDXxxxxxx, OR 97201-3256 xxxx@xxxxxxx.xxx XX 00000 xxxxx.xxxxxxx@xxx.xx.xxx IP Address: 71.193.169.218 198.239.14.194 Record Tracking Status: Original 8/10/2020 9:23:02 AM 5/11/2021 12:48:10 PM Holder: Xxxxxx Xxxxx xxxx@xxxxxxx.xxx Xxxxxxx xxxxx.xxxxxxx@xxx.xx.xxx Location: DocuSign Signer Events Signature Timestamp Xxxxx XxxxXxxxxxxx Xxxxxxx xxxxxxxx.xxxxxxx@xxx.xx.xxx Contracts Administrator CloudPWR OBO Washington State Health Care Authority-Xxxxxx xxxxx@xxx.xxx Security Level: Email, Sub Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 50.53.11.2 Sent: 8/10/2020 9:31:09 AM Viewed: 8/10/2020 2:14:19 PM Signed: 8/10/2020 2:16:26 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxx Xxxxxx xxxxxxx@xxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxxxxxx Xxxxx Xxxxxxxx_xxxxx@xxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 5/14/2021 7:51:15 AM ID: 44df5835-b7fb-41f4-bd93-f8946f40316e Signature Adoption: Pre-selected Style Using IP Address: 97.120.236.255 Signed using mobile 198.239.14.112 Sent: 8/10/2020 2:16:27 5/11/2021 1:22:05 PM Viewed: 8/10/2020 4:29:59 PM 5/14/2021 6:27:38 AM Signed: 8/10/2020 4:30:33 PM Xxxxxx Xxxxxx 5/14/2021 6:29:22 AM Sent: 8/10/2020 2:16:28 PM xxxxxxx@xxx.xxx 5/14/2021 6:29:24 AM Viewed: 8/10/2020 2:18:21 PM Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Signed: 8/10/2020 2:19:47 PM Using IP Address: 71.237.220.11 Signed using mobile Electronic Record and Signature Disclosure: Not Offered via DocuSign 5/14/2021 7:51:15 AM In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxxxxx Xxxxxxxxxxx xxx0@xxx.xxx Lyuda Kozlova xxxxxxxx.xxxxxxx@xxx.xx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 7/22/2020 11:03:07 AM ID: 0954ece9-17d0-42ee-8ba5-b81ac734d6e1 Ruth Leonard xxxx.xxxxxxx@xxx.xx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Sent: 5/11/2021 1:22:05 PM Sent: 5/11/2021 1:22:05 PM Viewed: 5/11/2021 1:23:54 PM Carbon Copy Events Status Timestamp Not Offered via DocuSign HCA ASO Programs XXXXXXXX@xxx.xx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign SentXxx Xxxxxxxxx xxx_xxxxxxxxx@xxxxxxx.xxx Security Level: 8/10/2020 4:30:35 Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 10/14/2020 12:00:36 PM ID: 7e94b923-cfe8-424c-9638-bcd7d6ec9888 HCA Financial Services XXXXXXXXXXXX@XXX.XX.XXX Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/10/2020 4:30:35 5/11/2021 1:22:05 PM Certified Delivered Security Checked 8/10/2020 4:30:35 PM Signing Complete Security Checked 8/10/2020 4:30:35 PM Completed Security Checked 8/10/2020 4:30:35 PM5/14/2021 7:51:15 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: 5/22/2019 6:49:33 AM Parties agreed to: Xxxxxxxx Xxxxx, Xxxxx Xxxxxxx, Xxx Xxxxxxxxx ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, CloudPWR OBO Washington State Health Care Authority-Sub Account (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact CloudPWR OBO Washington State Health Care Authority-Sub Account: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: xxxx.xxxxx@xxx.xx.xxx To advise CloudPWR OBO Washington State Health Care Authority-Sub Account of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at xxxx.xxxxx@xxx.xx.xxx and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences.

Appears in 1 contract

Samples: www.nsbhaso.org

Certificate of Completion. Envelope Id: A8F01C886DA24C45B79A807A4F9C7F19 5CD11B4331DE4A15B176F9B19C91B179 Status: Completed Subject: Please DocuSign: 2020 08Aug08 MOA AP Initial Placement new System clean Complete ACADIA Academy Renewal Contract Source Envelope: Document Pages: 20 19 Signatures: 2 0 Envelope Originator: Certificate Pages: 2 1 Initials: 37 Xxxxxx 0 Xxx Xxxxx AutoNav: Enabled Disabled EnvelopeId Stamping: Enabled Disabled Time Zone: (UTC-08:00UTC-05:00) Pacific Eastern Time (US & Canada) 0000 XX XXXXXXXX Suite SMSU 232 PORTLAND, OR 97201-3256 xxxx@xxxxxxx.xxx Xxx.X.Xxxxx@xxxxx.xxx IP Address: 71.193.169.218 24.198.167.239 Record Tracking Status: Original 8/10/2020 9:23:02 6/16/2021 8:02:40 AM Holder: Xxxxxx Xxx Xxxxx xxxx@xxxxxxx.xxx Xxx.X.Xxxxx@xxxxx.xxx Location: DocuSign Security Appliance Status: Connected Pool: StateLocal Storage Appliance Status: Connected Pool: Maine Department of Education Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxx-Xxxxxx xxxxx@xxx.xxx Xxx.X.Xxxxx@maine.govCarahsoft OBO Maine Department of Education Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 50.53.11.2 Sent: 8/10/2020 9:31:09 AM 24.198.167.239 Viewed: 8/10/2020 2:14:19 PM 6/16/2021 8:03:20 AM Signed: 8/10/2020 2:16:26 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxx Xxxxxx xxxxxxx@xxx.xxx Security Level: Email, Account Authentication 6/16/2021 8:04:53 AM Freeform Signing (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Signature Adoption: Pre-selected Style Using IP Address: 97.120.236.255 Signed using mobile Sent: 8/10/2020 2:16:27 PM Viewed: 8/10/2020 4:29:59 PM Signed: 8/10/2020 4:30:33 PM Xxxxxx Xxxxxx Sent: 8/10/2020 2:16:28 PM xxxxxxx@xxx.xxx Viewed: 8/10/2020 2:18:21 PM Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Signed: 8/10/2020 2:19:47 PM Using IP Address: 71.237.220.11 Signed using mobile Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxxxxx Xxxxxxxxxxx xxx0@xxx.xxx Xxx Xxxxx Sent: 6/16/2021 8:04:55 AM xxx.x.xxxxx@xxxxx.xxx Resent: 6/16/2021 8:04:55 AM Carahsoft OBO Maine Department of Education Viewed: 6/16/2021 8:05:24 AM Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 8/10/2020 4:30:35 PM Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/10/2020 4:30:35 PM 6/16/2021 8:03:11 AM Certified Delivered Security Checked 8/10/2020 4:30:35 PM 6/16/2021 8:03:20 AM Signing Complete Security Checked 8/10/2020 4:30:35 PM 6/16/2021 8:04:53 AM Completed Security Checked 8/10/2020 4:30:35 PM6/16/2021 8:04:55 AM Payment Events Status Timestamps Xxx Xxxxx Completed

Appears in 1 contract

Samples: Charter Contract

Certificate of Completion. Envelope Id: A8F01C886DA24C45B79A807A4F9C7F19 974542629E0F481EB49290C593EB7E94 Status: Completed Subject: Please DocuSign: 2020 08Aug08 MOA AP Initial Placement new System clean Signature request on Contract Diamond Xxxxx-Paint & Related Products Source Envelope: Document Pages: 20 15 Signatures: 2 Envelope Originator: Certificate Pages: 2 5 Initials: 37 Xxxxxx Xxxxx 0 University of Nebraska Contracts Service Account AutoNav: Enabled EnvelopeId Stamping: Enabled Disabled Time Zone: (UTC-08:00UTC-06:00) Pacific Central Time (US & Canada) 0000 XX XXXXXXXX Suite SMSU 232 PORTLANDX Xx. Lincoln, OR 97201-3256 xxxx@xxxxxxx.xxx NE 68588 xxxxxxxxx@xxxxxxxx.xxx IP Address: 71.193.169.218 35.170.89.44 Record Tracking Status: Original 8/10/2020 9:23:02 AM 6/1/2023 5:49:58 PM Holder: Xxxxxx Xxxxx xxxx@xxxxxxx.xxx University of Nebraska Contracts Service Account xxxxxxxxx@xxxxxxxx.xxx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxx-Xxxxxx xxxxx@xxx.xxx Xxx Xxxxxxx xxx.xxxxxxx@xxxxxxxxxxxx.xxx Regional Sales Manager Security Level: Email, Account Authentication (NoneOptional) Signature Adoption: Pre-selected Style Using IP Address: 50.53.11.2 98.188.143.49 Sent: 8/10/2020 9:31:09 6/2/2023 10:07:51 AM Viewed: 8/10/2020 2:14:19 PM 6/5/2023 10:14:34 AM Signed: 8/10/2020 2:16:26 PM 6/5/2023 10:15:44 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxx Xxxxxx xxxxxxx@xxx.xxx Accepted: 6/5/2023 10:14:34 AM ID: f655ebac-99e2-4fd0-9182-17d956847d4c Xxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxx.xxx Senior VP | CFO University of Nebraska Security Level: Email, Account Authentication (NoneOptional) Electronic Record and Signature Disclosure: Not Offered via DocuSign Signature Adoption: Pre-selected Style Using IP Address: 97.120.236.255 Signed using mobile 129.93.161.221 Sent: 8/10/2020 2:16:27 PM 6/5/2023 10:15:46 AM Viewed: 8/10/2020 4:29:59 6/6/2023 1:32:03 PM Signed: 8/10/2020 4:30:33 6/6/2023 1:32:45 PM Xxxxxx Xxxxxx Sent: 8/10/2020 2:16:28 PM xxxxxxx@xxx.xxx Viewed: 8/10/2020 2:18:21 PM Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Signed: 8/10/2020 2:19:47 PM Using IP Address: 71.237.220.11 Signed using mobile Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxxxxx Xxxxxxxxxxx xxx0@xxx.xxx Xxxxxx Xxxxx xxxxxx.xxxxx@xxxxxxxx.xxx Senior Sourcing Agent University of Nebraska Security Level: Email, Account Authentication (NoneOptional) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 8/10/2020 4:30:35 6/2/2023 10:07:50 AM Viewed: 6/2/2023 10:13:50 AM Carbon Copy Events Status Timestamp Xxxx Xxxxx xxxxxx0@xxx.xxx Security Level: Email, Account Authentication (Optional) Electronic Record and Signature Disclosure: Accepted: 5/16/2023 11:59:28 AM ID: 056bdc2f-ac8f-4e05-913b-2c5d37ffe4bb Xxx Xxxxxxx xxx.xxxxxxx@xxxxxxxxxxxxx.xxx Security Level: Email, Account Authentication (Optional) Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxxx Xxxxxxxxx XXXXXXXXXX@XXXXXXX.XXX University of Nebraska Security Level: Email, Account Authentication (Optional) Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxxxxxxx Xxxxxx xxxxxxxx@xxx.xxx Security Level: Email, Account Authentication (Optional) Electronic Record and Signature Disclosure: Accepted: 5/16/2023 10:56:17 AM ID: 74f3786c-b446-46e6-90a6-588b70405dff Xxxx Xxxxx xxxxxx0@xxx.xxx Security Level: Email, Account Authentication (Optional) Electronic Record and Signature Disclosure: Accepted: 5/23/2023 3:07:38 PM ID: 9eb84c2e-6f51-4dcc-a4bc-8b7ef931ceda Xxxxxxx Xxxxx xxxxxx0@xxx.xxx Security Level: Email, Account Authentication (Optional) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 6/6/2023 1:32:47 PM Sent: 6/6/2023 1:32:46 PM Sent: 6/6/2023 1:32:47 PM Sent: 6/6/2023 1:32:47 PM Sent: 6/6/2023 1:32:47 PM Sent: 6/6/2023 1:32:47 PM Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/10/2020 4:30:35 PM 6/2/2023 10:07:51 AM Certified Delivered Security Checked 8/10/2020 4:30:35 6/6/2023 1:32:03 PM Signing Complete Security Checked 8/10/2020 4:30:35 6/6/2023 1:32:45 PM Completed Security Checked 8/10/2020 4:30:35 PM6/6/2023 1:32:47 PM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: 1/22/2021 10:26:07 AM Parties agreed to: Xxx Xxxxxxx, Xxxx Xxxxx, Xxxxxxxxx Xxxxxx, Xxxx Xxxxx ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Internet 2 OBO University of Nebraska - Lincoln (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact Internet 2 OBO University of Nebraska - Lincoln: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: xxxxxxxxxx@xxxxxxxx.xxx To advise Internet 2 OBO University of Nebraska - Lincoln of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at xxxxxxxxxx@xxxxxxxx.xxx and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from Internet 2 OBO University of Nebraska - Lincoln To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to xxxxxxxxxx@xxxxxxxx.xxx and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with Internet 2 OBO University of Nebraska - Lincoln To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:

Appears in 1 contract

Samples: www.lancaster.ne.gov

Certificate of Completion. Envelope Id: A8F01C886DA24C45B79A807A4F9C7F19 0ED5FCFE490F448592DA100E3FA07213 Status: Completed Subject: Please DocuSign: 2020 08Aug08 MOA AP Initial Placement new System clean Contract with PD & J Envirocon Source Envelope: Document Pages: 20 7 Signatures: 2 4 Envelope Originator: Certificate Pages: 2 6 Initials: 37 0 Xxxxxx Xxxxx AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00UTC-05:00) Pacific Eastern Time (US & Canada) 0000 XX XXXXXXXX Suite SMSU 232 PORTLAND, OR 97201-3256 xxxx@xxxxxxx.xxx xxxxxx@xxxxxxxxxxx.xx IP Address: 71.193.169.218 139.60.228.178 Record Tracking Status: Original 8/10/2020 9:23:02 AM 8/27/2020 | 04:07 PM Holder: Xxxxxx Xxxxx xxxx@xxxxxxx.xxx xxxxxx@xxxxxxxxxxx.xx Location: DocuSign Signer Events Signature Timestamp Xxxxxxx Xxxxx Xxxxxxxx@xxxxxxxxxx.xxx Legal Counsel County of Xxxxxxxxx Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Using IP Address: 96.253.104.118 Sent: 8/27/2020 | 04:15 PM Viewed: 8/31/2020 | 10:30 AM Signed: 8/31/2020 | 10:31 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign W. Xxxxx Xxxxxxxxxx xxxxxxxxxxx@xxxxxxxxxxx.xx County Administrator Xxxxxxxxx County Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 4/17/2020 | 03:04 PM ID: 42c6e72a-b34f-45d6-988d-e9d30e610ed4 Company Name: Xxxxxxxxx County Xx. Xxxx Xxxxxx xxxxx@xxx.xxx xxxxxxx@xxxxxxx.xxx Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 50.53.11.2 71.63.95.190 Signed using mobile Signature Adoption: Pre-selected Style Using IP Address: 216.205.219.42 Sent: 8/10/2020 9:31:09 8/31/2020 | 10:31 AM Viewed: 8/10/2020 2:14:19 8/31/2020 | 08:47 PM Signed: 8/10/2020 2:16:26 8/31/2020 | 08:48 PM Sent: 8/31/2020 | 08:48 PM Resent: 9/1/2020 | 01:59 PM Resent: 9/1/2020 | 03:05 PM Viewed: 9/1/2020 | 03:20 PM Signed: 9/1/2020 | 03:20 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxx Accepted: 9/1/2020 | 03:20 PM ID: c967f2ae-3424-40b8-ad1a-6fc5f6a4858d Company Name: Xxxxxxxxx County Xxxxxxx Xxxxx xxxxxxxxxxxx@xxxxxxx.xxx Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 174.226.8.69 Sent: 9/1/2020 | 03:20 PM Viewed: 9/3/2020 | 02:33 PM Signed: 9/3/2020 | 02:38 PM Electronic Record and Signature Disclosure: Accepted: 9/3/2020 | 02:33 PM ID: e8a9a85e-0c42-4e7f-929a-7e030c515d02 Company Name: Xxxxxxxxx County Signer Events Signature Timestamp Xxxxxx xxxxxxx@xxx.xxx Xxxxx xxxxxx@xxxxxxxxxxx.xx Procurement Technician Xxxxxxxxx County Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Signature Adoption: Pre-selected Style Completed Using IP Address: 97.120.236.255 Signed using mobile 139.60.228.178 Sent: 8/10/2020 2:16:27 9/3/2020 | 02:38 PM Viewed: 8/10/2020 4:29:59 9/3/2020 | 03:02 PM Signed: 8/10/2020 4:30:33 9/3/2020 | 03:03 PM Xxxxxx Xxxxxx Sent: 8/10/2020 2:16:28 PM xxxxxxx@xxx.xxx Viewed: 8/10/2020 2:18:21 PM Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Signed: 8/10/2020 2:19:47 PM Using IP Address: 71.237.220.11 Signed using mobile Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxxxx Xxxxxxx Xxxxxxxxxxx xxx0@xxx.xxx xxxxxxxx@xxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxx Xxxxx xxxxxx@xxxxxxxxxxx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxxx Xxxxx xxxxxx@xxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxxxx Xxxxxx xxxxxxx@xxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 8/10/2020 4:30:35 8/31/2020 | 08:48 PM Viewed: 9/1/2020 | 07:45 AM Sent: 9/3/2020 | 03:03 PM Sent: 9/3/2020 | 03:03 PM Sent: 9/3/2020 | 03:03 PM Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/10/2020 4:30:35 9/3/2020 | 03:03 PM Certified Delivered Security Checked 8/10/2020 4:30:35 9/3/2020 | 03:03 PM Signing Complete Security Checked 8/10/2020 4:30:35 9/3/2020 | 03:03 PM Completed Security Checked 8/10/2020 4:30:35 PM9/3/2020 | 03:03 PM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: 4/17/2020 | 10:39 AM Parties agreed to: W. Xxxxx Xxxxxxxxxx, Xx. Xxxx Xxxxxx, Xxxxxxx Xxxxx ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Xxxxxxxxx County (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact Xxxxxxxxx County: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: xxxxxx@xxxxxxxxxxx.xx To advise Xxxxxxxxx County of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at xxxxxx@xxxxxxxxxxx.xx and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from Xxxxxxxxx County To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to xxxxxx@xxxxxxxxxxx.xx and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will xxxx you for any fees at that time, if any. To withdraw your consent with Xxxxxxxxx County To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:

Appears in 1 contract

Samples: Contract Dinwiddie County

Certificate of Completion. Envelope Id: A8F01C886DA24C45B79A807A4F9C7F19 2F900815FED24078A6FF621B4C09F01B Status: Completed Subject: Please DocuSign: 2020 08Aug08 MOA AP Initial Placement new System clean File 6298 - Professional Services Agreement for Xxxxxx Lift Station Flood Study Source Envelope: Document Pages: 20 25 Signatures: 2 Envelope Originator: Certificate Pages: 2 Initials: 37 Xxxxxx 0 Xxxxx Xxxxxxx AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) 0000 XX XXXXXXXX Suite SMSU 232 PORTLAND, OR 97201-3256 xxxx@xxxxxxx.xxx xxxxx.xxxxxxx@xxxxxxxxxxxx.xxx IP Address: 71.193.169.218 129.120.6.150 Record Tracking Status: Original 8/10/2020 9:23:02 AM 11/28/2016 12:02:35 PM Holder: Xxxxxx Xxxxx xxxx@xxxxxxx.xxx Xxxxxxx xxxxx.xxxxxxx@xxxxxxxxxxxx.xxx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxx-Xxxxxxx xxxxx.xxxxxxx@xxxxxxxxxxxx.xxx Buyer Sent: 11/28/2016 12:06:42 PM Viewed: 11/28/2016 12:06:51 PM Signed: 11/28/2016 12:07:35 PM City of Xxxxxx xxxxx@xxx.xxx Security Level: Email, Account Authentication (NoneOptional) Electronic Record and Signature AdoptionDisclosure: Pre-selected Style Not Offered via DocuSign ID: Using IP Address: 50.53.11.2 129.120.6.150 Xxxx Xxxxxxxx x.xxxxxx@xxxxxxx.xxx Security Level: Email, Account Authentication (Optional) Using IP Address: 72.16.225.18 Sent: 8/10/2020 9:31:09 AM 11/28/2016 12:07:37 PM Viewed: 8/10/2020 2:14:19 11/28/2016 12:31:53 PM Signed: 8/10/2020 2:16:26 11/28/2016 12:50:12 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxx ID: Xxxxx Xxxxxxx xxxxx.xxxxxxx@xxxxxxxxxxxx.xxx Buyer City of Xxxxxx xxxxxxx@xxx.xxx Security Level: Email, Account Authentication (NoneOptional) Electronic Record and Signature Disclosure: Not Offered via DocuSign Signature AdoptionID: Pre-selected Style Completed Using IP Address: 97.120.236.255 Signed using mobile 129.120.6.150 Sent: 8/10/2020 2:16:27 11/28/2016 12:50:13 PM Viewed: 8/10/2020 4:29:59 11/28/2016 2:56:04 PM Signed: 8/10/2020 4:30:33 11/28/2016 2:56:56 PM Xxxxxx Xxxxxx Sent: 8/10/2020 2:16:28 PM xxxxxxx@xxx.xxx Viewed: 8/10/2020 2:18:21 PM Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Signed: 8/10/2020 2:19:47 PM Using IP Address: 71.237.220.11 Signed using mobile Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxxxxx Xxxxxxxxxxx xxx0@xxx.xxx Carbon Copy Events Status Timestamp PS ARORA X.X.Xxxxx@xxxxxxxxxxxx.xxx Security Level: Email, Account Authentication (NoneOptional) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxxxx Xxxxxxx xxxxxxxx.xxxxxxx@xxxxxxxxxxxx.xxx Procurement Assistant City of Xxxxxx Security Level: Email, Account Authentication (Optional) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Sent: 8/10/2020 4:30:35 11/28/2016 2:56:57 PM Witness Events Signature Timestamp Sent: 11/28/2016 2:56:57 PM Viewed: 12/2/2016 11:05:21 AM Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/10/2020 4:30:35 11/28/2016 2:56:57 PM Certified Delivered Security Checked 8/10/2020 4:30:35 11/28/2016 2:56:57 PM Signing Complete Security Checked 8/10/2020 4:30:35 PM Completed Security Checked 8/10/2020 4:30:35 11/28/2016 2:56:57 PM

Appears in 1 contract

Samples: Professional Services Agreement

Certificate of Completion. Envelope Id: A8F01C886DA24C45B79A807A4F9C7F19 63BA407990324C3D8B2FCB1F86F61879 Status: Completed Subject: Please DocuSign: 2020 08Aug08 MOA AP Initial Placement new System clean Grant No. 20-1806-153383-CJ (Xxxxx County, Ohio) Source Envelope: Document Pages: 20 34 Signatures: 2 1 Envelope Originator: Certificate Pages: 2 5 Initials: 37 Xxxxxx Xxxxx 0 MacArthur Foundation AutoNav: Enabled EnvelopeId Stamping: Enabled Disabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) 0000 XX XXXXXXXX 000 X. Xxxxxxxx Street Suite SMSU 232 PORTLAND1200 Chicago, OR 97201-3256 xxxx@xxxxxxx.xxx IL 60603 xxxxxxx@xxxxxxxx.xxx IP Address: 71.193.169.218 108.197.229.159 Record Tracking Status: Original 8/10/2020 9:23:02 AM 3/3/2021 8:45:46 PM Holder: Xxxxxx Xxxxx xxxx@xxxxxxx.xxx MacArthur Foundation xxxxxxx@xxxxxxxx.xxx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxx-Xxxxxx xxxxx@xxx.xxx Xxxx Xxxxxxx xxxxxxxx@xx.xxxxx.xx.us Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Uploaded Signature Image Using IP Address: 50.53.11.2 24.52.111.226 Sent: 8/10/2020 9:31:09 AM 3/3/2021 8:53:17 PM Viewed: 8/10/2020 2:14:19 PM 3/4/2021 6:45:53 AM Signed: 8/10/2020 2:16:26 PM 3/4/2021 6:46:58 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxx Xxxxxx xxxxxxx@xxx.xxx Security LevelAccepted: Email, Account Authentication (None) Electronic Record and Signature Disclosure3/4/2021 6:45:53 AM ID: Not Offered via DocuSign Signature Adoption: Pre83736e8b-4e66-selected Style Using IP Address: 97.120.236.255 Signed using mobile Sent: 8/10/2020 2:16:27 PM Viewed: 8/10/2020 4:29:59 PM Signed: 8/10/2020 4:30:33 PM Xxxxxx Xxxxxx Sent: 8/10/2020 2:16:28 PM xxxxxxx@xxx.xxx Viewed: 8/10/2020 2:18:21 PM Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Signed: 8/10/2020 2:19:47 PM Using IP Address: 71.237.220.11 Signed using mobile Electronic Record and Signature Disclosure: Not Offered via DocuSign 4e01-b90c-2f13a498e6f8 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxxxxx Xxxxxxxxxxx xxx0@xxx.xxx Xxxxxxxx Xxxxxx xxxxxxx@xxxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 8/10/2020 4:30:35 3/3/2021 8:53:17 PM Sent: 3/3/2021 8:53:17 PM Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/10/2020 4:30:35 3/3/2021 8:53:17 PM Certified Delivered Security Checked 8/10/2020 4:30:35 PM 3/4/2021 6:45:53 AM Signing Complete Security Checked 8/10/2020 4:30:35 PM 3/4/2021 6:46:58 AM Completed Security Checked 8/10/2020 4:30:35 PM3/4/2021 6:46:58 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: 3/29/2018 8:49:47 AM Parties agreed to: Xxxx Xxxxxxx CONSUMER DISCLOSURE From time to time, MacArthur Foundation (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign, Inc. (DocuSign) electronic signing system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to these terms and conditions, please confirm your agreement by clicking the ‘I agree’ button at the bottom of this document. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after signing session and, if you elect to create a DocuSign signer account, you may access them for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. To indicate to us that you are changing your mind, you must withdraw your consent using the DocuSign ‘Withdraw Consent’ form on the signing page of a DocuSign envelope instead of signing it. This will indicate to us that you have withdrawn your consent to receive required notices and disclosures electronically from us and you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact MacArthur Foundation: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: xxxxxx@xxxxxxxx.xxx To advise MacArthur Foundation of your new e-mail address To let us know of a change in your e-mail address where we should send notices and disclosures electronically to you, you must send an email message to us at xxxxxx@xxxxxxxx.xxx and in the body of such request you must state: your previous e-mail address, your new e-mail address. We do not require any other information from you to change your email address.. In addition, you must notify DocuSign, Inc. to arrange for your new email address to be reflected in your DocuSign account by following the process for changing e-mail in the DocuSign system. To request paper copies from MacArthur Foundation To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an e-mail to xxxxxx@xxxxxxxx.xxx and in the body of such request you must state your e-mail address, full name, US Postal address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with MacArthur Foundation To inform us that you no longer want to receive future notices and disclosures in electronic format you may:

Appears in 1 contract

Samples: Agreement

Certificate of Completion. Envelope Id: A8F01C886DA24C45B79A807A4F9C7F19 5CD11B4331DE4A15B176F9B19C91B179 Status: Completed Subject: Please DocuSign: 2020 08Aug08 MOA AP Initial Placement new System clean Complete ACADIA Academy Renewal Contract Source Envelope: Document Pages: 20 19 Signatures: 2 0 Envelope Originator: Certificate Pages: 2 1 Initials: 37 Xxxxxx 0 Xxx Xxxxx AutoNav: Enabled Disabled EnvelopeId Stamping: Enabled Disabled Time Zone: (UTC-08:00UTC-05:00) Pacific Eastern Time (US & Canada) 0000 XX XXXXXXXX Suite SMSU 232 PORTLAND, OR 97201-3256 xxxx@xxxxxxx.xxx Xxx.X.Xxxxx@xxxxx.xxx IP Address: 71.193.169.218 24.198.167.239 Record Tracking Status: Original 8/10/2020 9:23:02 6/16/2021 8:02:40 AM Holder: Xxxxxx Xxx Xxxxx xxxx@xxxxxxx.xxx Xxx.X.Xxxxx@xxxxx.xxx Location: DocuSign Security Appliance Status: Connected Pool: StateLocal Storage Appliance Status: Connected Pool: Maine Department of Education Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxx-Xxxxxx xxxxx@xxx.xxx Security Xxx.X.Xxxxx@maine.govCarahsoft OBO Maine Department of EducationSecurity Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 50.53.11.2 Sent: 8/10/2020 9:31:09 AM 24.198.167.239 Viewed: 8/10/2020 2:14:19 PM 6/16/2021 8:03:20 AM Signed: 8/10/2020 2:16:26 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxx Xxxxxx xxxxxxx@xxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Signature Adoption: Pre-selected Style Using IP Address: 97.120.236.255 Signed using mobile Sent: 8/10/2020 2:16:27 PM Viewed: 8/10/2020 4:29:59 PM Signed: 8/10/2020 4:30:33 PM Xxxxxx Xxxxxx Sent: 8/10/2020 2:16:28 PM xxxxxxx@xxx.xxx Viewed: 8/10/2020 2:18:21 PM Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Signed: 8/10/2020 2:19:47 PM Using IP Address: 71.237.220.11 Signed using mobile 6/16/2021 8:04:53 AM Freeform Signing Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxxxxx Xxxxxxxxxxx xxx0@xxx.xxx Xxx Xxxxx Sent: 6/16/2021 8:04:55 AM xxx.x.xxxxx@xxxxx.xxx Resent: 6/16/2021 8:04:55 AM Carahsoft OBO Maine Department of Education Viewed: 6/16/2021 8:05:24 AM Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 8/10/2020 4:30:35 PM Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/10/2020 4:30:35 PM 6/16/2021 8:03:11 AM Certified Delivered Security Checked 8/10/2020 4:30:35 PM 6/16/2021 8:03:20 AM Signing Complete Security Checked 8/10/2020 4:30:35 PM 6/16/2021 8:04:53 AM Completed Security Checked 8/10/2020 4:30:35 PM6/16/2021 8:04:55 AM Payment Events Status Timestamps Xxx Xxxxx Completed

Appears in 1 contract

Samples: Charter Contract

Certificate of Completion. Envelope Id: A8F01C886DA24C45B79A807A4F9C7F19 A4F83FB560B04EDEA5F3BE379B6DB5FE Status: Completed Subject: Please DocuSign: 2020 08Aug08 MOA AP Initial Placement new System clean E-Sign This Interlocal Agreement for LIHEAP Assistance - CARES Act (2020-CPU-CV01) Source Envelope: Document Pages: 20 44 Signatures: 2 4 Envelope Originator: Certificate Pages: 2 6 Initials: 37 Xxxxxx Xxxxx 0 Xxxx Xxxxxxx AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) 0000 Xxxxxxxx Xx Xxxxxxxxx, XX XXXXXXXX Suite SMSU 232 PORTLAND, OR 97201-3256 xxxx@xxxxxxx.xxx 00000 xxxx.xxxxxxx@xxxxx.xx.xxx IP Address: 71.193.169.218 64.4.181.102 Record Tracking Status: Original 8/10/2020 9:23:02 6/17/2020 9:47:11 AM Holder: Xxxxxx Xxxxx xxxx@xxxxxxx.xxx Xxxx Xxxxxxx xxxx.xxxxxxx@xxxxx.xx.xxx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxx-Xxxxxx xxxxx@xxx.xxx Xxxxxxxxxxxx xxxxxx.xxxxxxxxxxxx@xxxxx.xx.xxx Deputy Prosecuting Attorney Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 50.53.11.2 97.120.202.200 Sent: 8/10/2020 9:31:09 6/17/2020 10:01:00 AM Viewed: 8/10/2020 2:14:19 PM 6/17/2020 10:09:40 AM Signed: 8/10/2020 2:16:26 PM 6/17/2020 10:09:49 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Accepted: 6/17/2020 10:09:40 AM ID: bb3151dc-46d0-4814-a0f5-7328c02e5f30 Xxxx Xxxxxx xxxxxxx@xxx.xxx Redline xxxx.xxxxxxx@xxxxx.xx.xxx Office Supervisor Xxxxx County, WA Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxxxxxx Xxxx Xxxxxxxx.Xxxx@xxxxx.xx.xxx Director Internal Services/Deputy County Mngr Xxxxx County Security Level: Email, Account Authentication (None) Completed Using IP Address: 64.4.181.42 Signature Adoption: Pre-selected Style Using IP Address: 97.120.236.255 Signed using mobile 64.4.181.42 Sent: 8/10/2020 2:16:27 PM 6/17/2020 10:09:52 AM Viewed: 8/10/2020 4:29:59 6/17/2020 10:30:35 AM Signed: 6/17/2020 10:30:42 AM Sent: 6/17/2020 10:30:47 AM Viewed: 6/17/2020 3:09:12 PM Signed: 8/10/2020 4:30:33 6/17/2020 3:09:24 PM Xxxxxx Xxxxxx SentElectronic Record and Signature Disclosure: 8/10/2020 2:16:28 Accepted: 6/17/2020 3:09:12 PM xxxxxxx@xxx.xxx ViewedID: 8/10/2020 2:18:21 PM 96a444fa-9ef5-4173-8eb6-4d56cc1bb620 Xxxx Xxxxxxxx xxxxxxxxx@xxxxxxxx.xxx General Counsel Xxxxx Public Utilities Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Signed: 8/10/2020 2:19:47 PM Pre-selected Style Using IP Address: 71.237.220.11 Signed using mobile 216.64.170.18 Sent: 6/17/2020 3:09:28 PM Viewed: 6/18/2020 8:37:25 AM Signed: 6/18/2020 8:37:50 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Accepted: 6/15/2020 9:53:40 AM ID: 4bef8444-c87a-417a-a782-f37a179ef809 Signer Events Signature Timestamp Xxxx Xxxxxxx xxxxxxxx@xxxxxxxx.xxx CEO/General Manager Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 73.67.225.56 Signed using mobile Sent: 6/18/2020 8:37:54 AM Viewed: 6/18/2020 9:03:21 AM Signed: 6/18/2020 9:28:34 AM Electronic Record and Signature Disclosure: Accepted: 6/18/2020 9:03:21 AM ID: 872213df-4ff8-4aff-8c3e-aadbe21c8856 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxxxxxx Xxxxxxxxx xxxxxxxx@xxxxxxxx.xxx Community Care Manager Xxxxx Public Utilities Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxxxxx Xxxxxxxxxxx xxx0@xxx.xxx Xxxxxx xxxxxxx@xxxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxxx Xxxxx xxxxx.xxxxx@xxxxx.xx.xxx testing dcs Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 8/10/2020 4:30:35 6/17/2020 3:09:28 PM Sent: 6/17/2020 3:09:28 PM Sent: 6/18/2020 9:28:38 AM Viewed: 6/18/2020 9:37:52 AM Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/10/2020 4:30:35 PM 6/18/2020 9:28:38 AM Certified Delivered Security Checked 8/10/2020 4:30:35 PM 6/18/2020 9:28:38 AM Signing Complete Security Checked 8/10/2020 4:30:35 PM 6/18/2020 9:28:38 AM Completed Security Checked 8/10/2020 4:30:35 PM6/18/2020 9:28:38 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: 8/18/2016 4:40:21 PM Parties agreed to: Xxxxxx Xxxxxxxxxxxx, Xxxxxxxx Xxxx, Xxxx Xxxxxxxx, Xxxx Xxxxxxx CONSUMER DISCLOSURE From time to time, Xxxxx County, WA (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign, Inc. (DocuSign) electronic signing system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to these terms and conditions, please confirm your agreement by clicking the ‘I agree’ button at the bottom of this document. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after signing session and, if you elect to create a DocuSign signer account, you may access them for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. To indicate to us that you are changing your mind, you must withdraw your consent using the DocuSign ‘Withdraw Consent’ form on the signing page of a DocuSign envelope instead of signing it. This will indicate to us that you have withdrawn your consent to receive required notices and disclosures electronically from us and you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact Xxxxx County, WA: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: xxxxx.xxx@xxxxx.xx.xxx To advise Xxxxx County, WA of your new e-mail address To let us know of a change in your e-mail address where we should send notices and disclosures electronically to you, you must send an email message to us at xxxxx.xxx@xxxxx.xx.xxx and in the body of such request you must state: your previous e-mail address, your new e-mail address. We do not require any other information from you to change your email address.. In addition, you must notify DocuSign, Inc. to arrange for your new email address to be reflected in your DocuSign account by following the process for changing e-mail in the DocuSign system. To request paper copies from Xxxxx County, WA To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an e-mail to xxxxx.xxx@xxxxx.xx.xxx and in the body of such request you must state your e-mail address, full name, US Postal address, and telephone number. We will xxxx you for any fees at that time, if any. To withdraw your consent with Xxxxx County, WA To inform us that you no longer want to receive future notices and disclosures in electronic format you may:

Appears in 1 contract

Samples: Interlocal Agreement

Certificate of Completion. Envelope Id: A8F01C886DA24C45B79A807A4F9C7F19 E3699832E6C44C7AA949BBA1B5C612DE Status: Completed Subject: Please DocuSign: 2020 08Aug08 MOA AP Initial Placement new System clean Completed MeAA Renewal Contract Source Envelope: Document Pages: 20 19 Signatures: 2 0 Envelope Originator: Certificate Pages: 2 1 Initials: 37 Xxxxxx 0 Xxx Xxxxx AutoNav: Enabled Disabled EnvelopeId Stamping: Enabled Disabled Time Zone: (UTC-08:00UTC-05:00) Pacific Eastern Time (US & Canada) 0000 XX XXXXXXXX Suite SMSU 232 PORTLAND, OR 97201-3256 xxxx@xxxxxxx.xxx Xxx.X.Xxxxx@xxxxx.xxx IP Address: 71.193.169.218 24.198.167.239 Record Tracking Status: Original 8/10/2020 9:23:02 AM 6/16/2021 1:53:05 PM Holder: Xxxxxx Xxx Xxxxx xxxx@xxxxxxx.xxx Xxx.X.Xxxxx@xxxxx.xxx Location: DocuSign Security Appliance Status: Connected Pool: StateLocal Storage Appliance Status: Connected Pool: Maine Department of Education Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxx-Xxxxxx xxxxx@xxx.xxx Xxx.X.Xxxxx@maine.govCarahsoft OBO Maine Department of Education Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 50.53.11.2 Sent: 8/10/2020 9:31:09 AM 24.198.167.239 Viewed: 8/10/2020 2:14:19 6/16/2021 1:53:28 PM Signed: 8/10/2020 2:16:26 6/16/2021 1:54:28 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxx Xxxxxx xxxxxxx@xxx.xxx Security Level: Email, Account Authentication Freeform Signing (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Signature Adoption: Pre-selected Style Using IP Address: 97.120.236.255 Signed using mobile Sent: 8/10/2020 2:16:27 PM Viewed: 8/10/2020 4:29:59 PM Signed: 8/10/2020 4:30:33 PM Xxxxxx Xxxxxx Sent: 8/10/2020 2:16:28 PM xxxxxxx@xxx.xxx Viewed: 8/10/2020 2:18:21 PM Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Signed: 8/10/2020 2:19:47 PM Using IP Address: 71.237.220.11 Signed using mobile Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxxxxx Xxxxxxxxxxx xxx0@xxx.xxx Xxx Xxxxx Sent: 6/16/2021 1:54:30 PM xxx.x.xxxxx@xxxxx.xxx Resent: 6/16/2021 1:54:30 PM Carahsoft OBO Maine Department of Education Viewed: 6/16/2021 1:54:48 PM Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 8/10/2020 4:30:35 PM Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/10/2020 4:30:35 6/16/2021 1:53:21 PM Certified Delivered Security Checked 8/10/2020 4:30:35 6/16/2021 1:53:28 PM Signing Complete Security Checked 8/10/2020 4:30:35 6/16/2021 1:54:28 PM Completed Security Checked 8/10/2020 4:30:35 PM6/16/2021 1:54:30 PM Payment Events Status Timestamps Xxx Xxxxx Completed

Appears in 1 contract

Samples: Charter Contract

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Certificate of Completion. Envelope Id: A8F01C886DA24C45B79A807A4F9C7F19 D4AB17E384CB43B588B5118C10E60DDF Status: Completed Subject: Please DocuSign: 2020 08Aug08 MOA AP Initial Placement new System clean MPA 0000 Xxxxxxx XXX xxx Xxxxxxxx 0 - XX FINAL.pdf Source Envelope: Document Pages: 20 17 Signatures: 2 Envelope Originator: Certificate Pages: 2 5 Initials: 37 Xxxxxx Xxxxx 0 Xxxx XxXxxx AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) 0000 Xxxxx Xxx Xxxxx 0000 Xxxxxxx, XX XXXXXXXX Suite SMSU 232 PORTLAND, OR 97201-3256 xxxx@xxxxxxx.xxx 00000 xxxx.xxxxxx@xxxxxx.xxx IP Address: 71.193.169.218 24.16.218.197 Record Tracking Status: Original 8/10/2020 9:23:02 6/9/2020 9:47:16 AM Holder: Xxxxxx Xxxxx xxxx@xxxxxxx.xxx Xxxx XxXxxx xxxx.xxxxxx@xxxxxx.xxx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxx-Xxxxxx xxxxx@xxx.xxx X. Belanger xxx@xxxxxxxx0.xxx Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 50.53.11.2 24.233.123.94 Sent: 8/10/2020 9:31:09 6/9/2020 9:50:12 AM Viewed: 8/10/2020 2:14:19 PM 6/10/2020 11:20:10 AM Signed: 8/10/2020 2:16:26 6/10/2020 12:23:45 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Accepted: 6/10/2020 11:20:10 AM ID: ce182459-def3-45d2-b608-f3772728367f Xxxx Xxxxxx xxxxxxx@xxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Signature Adoption: Pre-selected Style Using IP Address: 97.120.236.255 Signed using mobile Sent: 8/10/2020 2:16:27 PM Viewed: 8/10/2020 4:29:59 PM Signed: 8/10/2020 4:30:33 PM Xxxxxx Xxxxxx Sent: 8/10/2020 2:16:28 PM xxxxxxx@xxx.xxx Viewed: 8/10/2020 2:18:21 PM Xxxxx xxxxxx@xxxxxxxx.xxx Executive Director Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Signed: 8/10/2020 2:19:47 PM Using IP Address: 71.237.220.11 Signed using mobile 71.63.237.219 Sent: 6/10/2020 12:23:48 PM Viewed: 6/10/2020 2:02:46 PM Signed: 6/10/2020 2:02:58 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Accepted: 6/10/2020 2:02:46 PM ID: 830bba25-b5cb-4b4f-9cb7-9d48913aa339 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxxxxx Xxxxxxxxxxx xxx0@xxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 8/10/2020 4:30:35 PM Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/10/2020 4:30:35 6/10/2020 12:23:48 PM Certified Delivered Security Checked 8/10/2020 4:30:35 6/10/2020 2:02:46 PM Signing Complete Security Checked 8/10/2020 4:30:35 6/10/2020 2:02:58 PM Completed Security Checked 8/10/2020 4:30:35 PM6/10/2020 2:02:58 PM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: 3/10/2016 2:06:46 PM Parties agreed to: Xxxxx X. Xxxxxxxx, Xxxx Xxxxx ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, National Purchasing Partners (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through your DocuSign, Inc. (DocuSign) Express user account. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to these terms and conditions, please confirm your agreement by clicking the 'I agree' button at the bottom of this document. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. For such copies, as long as you are an authorized user of the DocuSign system you will have the ability to download and print any documents we send to you through your DocuSign user account for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. To indicate to us that you are changing your mind, you must withdraw your consent using the DocuSign 'Withdraw Consent' form on the signing page of your DocuSign account. This will indicate to us that you have withdrawn your consent to receive required notices and disclosures electronically from us and you will no longer be able to use your DocuSign Express user account to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through your DocuSign user account all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact National Purchasing Partners: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: xxxxx.xxxxx@xxxxx.xxx To advise National Purchasing Partners of your new e-mail address To let us know of a change in your e-mail address where we should send notices and disclosures electronically to you, you must send an email message to us at xxxxx.xxxxx@xxxxx.xxx and in the body of such request you must state: your previous e-mail address, your new e-mail address. We do not require any other information from you to change your email address.. In addition, you must notify DocuSign, Inc to arrange for your new email address to be reflected in your DocuSign account by following the process for changing e-mail in DocuSign. To request paper copies from National Purchasing Partners To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an e-mail to xxxxx.xxxxx@xxxxx.xxx and in the body of such request you must state your e-mail address, full name, US Postal address, and telephone number. We will xxxx you for any fees at that time, if any. To withdraw your consent with National Purchasing Partners To inform us that you no longer want to receive future notices and disclosures in electronic format you may:

Appears in 1 contract

Samples: Master Price Agreement

Certificate of Completion. Envelope Id: A8F01C886DA24C45B79A807A4F9C7F19 C09ECA7B9563494CBFF7B05F6C0A21DC Status: Completed Subject: Please DocuSign: 2020 08Aug08 MOA AP Initial Placement ICMA-RC Township of Cranberry 303527, 106645, 106644, new System clean 000 xxxx 000000-XXX 3170 Old School: Source Envelope: Document Pages: 20 12 Signatures: 2 1 Envelope Originator: Certificate Pages: 2 5 Initials: 37 Xxxxxx Xxxxx 0 ICMA-RC Client Contracts Administration AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00UTC-05:00) Pacific Eastern Time (US & Canada) 0000 000 Xxxxx Xxxxxxx Xx. XX XXXXXXXX Suite SMSU 232 PORTLANDxxxxxxxxxx XX, OR 97201-3256 xxxx@xxxxxxx.xxx XX 00000 xxxxxxxxxxxxxxx_xxxx-xx@xxxxxx.xxx IP Address: 71.193.169.218 208.87.234.202 Record Tracking Status: Original 8/10/2020 9:23:02 AM Holder: Xxxxxx Xxxxx xxxx@xxxxxxx.xxx ICMA-RC Client Contracts Administration Location: DocuSign 12/14/2020 5:49:32 PM xxxxxxxxxxxxxxx_xxxx-xx@xxxxxx.xxx Signer Events Signature Timestamp Xxxxx Xxxx-Xxxxxx xxxxx@xxx.xxx Sent: 12/14/2020 5:57:44 PM Xxxxx.Xxxxxx@xxxxxxxxxxxxxxxxx.xxx Resent: 12/21/2020 2:48:43 PM Security Level: Email, Account Authentication (None) Viewed: 12/23/2020 9:09:35 AM Signed: 12/28/2020 8:31:36 AM Signature Adoption: Pre-selected Style Using IP Address: 50.53.11.2 Sent: 8/10/2020 9:31:09 AM Viewed: 8/10/2020 2:14:19 PM Signed: 8/10/2020 2:16:26 PM 24.101.24.226 Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxx Xxxxxx xxxxxxx@xxx.xxx Security LevelAccepted: Email, Account Authentication (None) Electronic Record and Signature Disclosure12/23/2020 9:09:35 AM ID: Not Offered via DocuSign Signature Adoption: Preb3fee34e-selected Style Using IP Address: 97.120.236.255 Signed using mobile Sent: 8/10/2020 2:16:27 PM Viewed: 8/10/2020 4:29:59 PM Signed: 8/10/2020 4:30:33 PM Xxxxxx Xxxxxx Sent: 8/10/2020 2:16:28 PM xxxxxxx@xxx.xxx Viewed: 8/10/2020 2:18:21 PM Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Signed: 8/10/2020 2:19:47 PM Using IP Address: 71.237.220.11 Signed using mobile Electronic Record and Signature Disclosure: Not Offered via DocuSign ad78-4c3a-8751-d578c9f58800 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp ASA Administration XXX_Xxxxxxxxxxxxxx@xxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxx Xxxxxxx Xxxxxxxxxxx xxx0@xxx.xxx XXXXXXXX@XXXXXX.XXX ICMA-RC Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 8/10/2020 4:30:35 12/14/2020 5:57:43 PM Sent: 12/14/2020 5:57:43 PM Carbon Copy Events Status Timestamp Xxxxxxx Xxxxx XXXXXX@XXXXXX.XXX Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Plan Adoption Services XxxxXxxxxxxxXxxxxxxx@xxxxxx.xxx ICMA-RC - Client Services Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 12/14/2020 5:57:44 PM Sent: 12/14/2020 5:57:43 PM Viewed: 12/15/2020 1:14:21 PM Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/10/2020 4:30:35 12/14/2020 5:57:44 PM Certified Delivered Security Checked 8/10/2020 4:30:35 PM 12/23/2020 9:09:35 AM Signing Complete Security Checked 8/10/2020 4:30:35 PM 12/28/2020 8:31:36 AM Completed Security Checked 8/10/2020 4:30:35 PM12/28/2020 8:31:36 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: 8/13/2020 9:12:16 PM Parties agreed to: Xxxxx Xxxxxx ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, ICMA-RC- Client Contracts (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact ICMA-RC- Client Contracts: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: xxxxxxxxxxxxxxx_xxxx-xx@xxxxxx.xxx To advise ICMA-RC- Client Contracts of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at clientcontracts_icma- xx@xxxxxx.xxx and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from ICMA-RC- Client Contracts To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to clientcontracts_icma- xx@xxxxxx.xxx and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will xxxx you for any fees at that time, if any. To withdraw your consent with ICMA-RC- Client Contracts To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:

Appears in 1 contract

Samples: Administrative Services Agreement

Certificate of Completion. Envelope Id: A8F01C886DA24C45B79A807A4F9C7F19 2B6EC6FA88D3465192B9EAE678EF60A4 Status: Completed Sent Subject: Please DocuSign: 2020 08Aug08 MOA AP Initial Placement new System clean MSQ City of Dayton - New 401 - 100290 - SSC 1487 Source Envelope: Document Pages: 20 13 Signatures: 2 0 Envelope Originator: Certificate Pages: 2 Initials: 37 Xxxxxx Xxxxx 0 MissionSquare Retirement Client Contracts Administ AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00UTC-05:00) Pacific Eastern Time (US & Canada) 0000 000 Xxxxx Xxxxxxx Xx. XX XXXXXXXX Suite SMSU 232 PORTLANDxxxxxxxxxx XX, OR 97201-3256 xxxx@xxxxxxx.xxx XX 00000 xxxxxxxxxxxxxxx_xxxx-xx@xxxxxx.xxx IP Address: 71.193.169.218 199.91.140.12 Record Tracking Status: Original 8/10/2020 9:23:02 AM 1/5/2022 4:02:04 PM Holder: Xxxxxx Xxxxx xxxx@xxxxxxx.xxx MissionSquare Retirement Client Contracts Administ xxxxxxxxxxxxxxx_xxxx-xx@xxxxxx.xxx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxx-Xxxxxx xxxxx@xxx.xxx Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 50.53.11.2 Sent: 8/10/2020 9:31:09 AM Viewed: 8/10/2020 2:14:19 PM Signed: 8/10/2020 2:16:26 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxx Xxxxxx xxxxxxx@xxx.xxx Xxxxxxxx Xxxxxxx xxxxxxxx@xxxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Signature Adoption: Pre-selected Style Using IP Address: 97.120.236.255 Signed using mobile Sent: 8/10/2020 2:16:27 1/5/2022 4:04:26 PM Viewed: 8/10/2020 4:29:59 PM Signed: 8/10/2020 4:30:33 PM Xxxxxx Xxxxxx Sent: 8/10/2020 2:16:28 PM xxxxxxx@xxx.xxx Viewed: 8/10/2020 2:18:21 PM Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Signed: 8/10/2020 2:19:47 PM Using IP Address: 71.237.220.11 Signed using mobile Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxxxxx Plan Adoption Services XxxxXxxxxxxxXxxxxxxx@xxxxxxxxxxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxxxxxxxxx xxx0@xxx.xxx O'Banner XXXxxxxx@xxxxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxxxxxx Xxxxxxxx xxxxxxxxx@xxxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 8/10/2020 4:30:35 1/5/2022 4:04:26 PM Sent: 1/5/2022 4:04:26 PM Sent: 1/5/2022 4:04:27 PM Viewed: 1/5/2022 8:11:36 PM Carbon Copy Events Status Timestamp Onboarding - xxxxxxxxxx@xxxxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ASA Administration XXX_Xxxxxxxxxxxxxx@xxxxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 1/5/2022 4:04:27 PM Viewed: 1/6/2022 11:39:23 AM Sent: 1/5/2022 4:04:27 PM Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/10/2020 4:30:35 PM Certified Delivered Security Checked 8/10/2020 4:30:35 PM Signing Complete Security Checked 8/10/2020 4:30:35 PM Completed Security Checked 8/10/2020 4:30:35 1/5/2022 4:04:27 PM

Appears in 1 contract

Samples: Administrative Services Agreement

Certificate of Completion. Envelope Id: A8F01C886DA24C45B79A807A4F9C7F19 655E5D030D224937B60C5CC79A394025 Status: Completed Sent Subject: Please DocuSignDocuSign NOTIFICATION: 2020 08Aug08 MOA AP Initial Placement new System clean Contract K4949-01 with North Sounds BH ASO Source Envelope: Document Pages: 20 18 Signatures: 2 1 Envelope Originator: Certificate Pages: 2 5 Initials: 37 Xxxxxx 0 Xxxxx Xxxxxxx AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) 0000 000 0xx Xxx XX XXXXXXXX Suite SMSU 232 PORTLANDXxxxxxx, OR 97201-3256 xxxx@xxxxxxx.xxx XX 00000 xxxxx.xxxxxxx@xxx.xx.xxx IP Address: 71.193.169.218 198.239.14.194 Record Tracking Status: Original 8/10/2020 9:23:02 AM 5/11/2021 12:48:10 PM Holder: Xxxxxx Xxxxx xxxx@xxxxxxx.xxx Xxxxxxx xxxxx.xxxxxxx@xxx.xx.xxx Location: DocuSign Signer Events Signature Timestamp Xxxxx XxxxXxxxxxxx Xxxxxxx xxxxxxxx.xxxxxxx@xxx.xx.xxx Contracts Administrator CloudPWR OBO Washington State Health Care Authority-Xxxxxx xxxxx@xxx.xxx Security Level: Email, Sub Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 50.53.11.2 Sent: 8/10/2020 9:31:09 AM Viewed: 8/10/2020 2:14:19 PM Signed: 8/10/2020 2:16:26 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxx Xxxxxx xxxxxxx@xxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxxxxxx Xxxxx Xxxxxxxx_xxxxx@xxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 5/14/2021 7:51:15 AM ID: 44df5835-b7fb-41f4-bd93-f8946f40316e Signature Adoption: Pre-selected Style Using IP Address: 97.120.236.255 Signed using mobile 198.239.14.112 Sent: 8/10/2020 2:16:27 5/11/2021 1:22:05 PM Viewed: 8/10/2020 4:29:59 PM 5/14/2021 6:27:38 AM Signed: 8/10/2020 4:30:33 PM Xxxxxx Xxxxxx 5/14/2021 6:29:22 AM Sent: 8/10/2020 2:16:28 PM xxxxxxx@xxx.xxx 5/14/2021 6:29:24 AM Viewed: 8/10/2020 2:18:21 PM Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Signed: 8/10/2020 2:19:47 PM Using IP Address: 71.237.220.11 Signed using mobile Electronic Record and Signature Disclosure: Not Offered via DocuSign 5/14/2021 7:51:15 AM In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxxx Xxxxxxx Xxxxxxxxxxx xxx0@xxx.xxx xxxxxxxx.xxxxxxx@xxx.xx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 7/22/2020 11:03:07 AM ID: 0954ece9-17d0-42ee-8ba5-b81ac734d6e1 Xxxx Xxxxxxx xxxx.xxxxxxx@xxx.xx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Sent: 5/11/2021 1:22:05 PM Sent: 5/11/2021 1:22:05 PM Viewed: 5/11/2021 1:23:54 PM Carbon Copy Events Status Timestamp Not Offered via DocuSign HCA ASO Programs XXXXXXXX@xxx.xx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign SentXxx Xxxxxxxxx xxx_xxxxxxxxx@xxxxxxx.xxx Security Level: 8/10/2020 4:30:35 Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 10/14/2020 12:00:36 PM ID: 7e94b923-cfe8-424c-9638-bcd7d6ec9888 HCA Financial Services XXXXXXXXXXXX@XXX.XX.XXX Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/10/2020 4:30:35 5/11/2021 1:22:05 PM Certified Delivered Security Checked 8/10/2020 4:30:35 PM Signing Complete Security Checked 8/10/2020 4:30:35 PM Completed Security Checked 8/10/2020 4:30:35 PM5/14/2021 7:51:15 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: 5/22/2019 6:49:33 AM Parties agreed to: Xxxxxxxx Xxxxx, Xxxxx Xxxxxxx, Xxx Xxxxxxxxx ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, CloudPWR OBO Washington State Health Care Authority-Sub Account (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact CloudPWR OBO Washington State Health Care Authority-Sub Account: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: xxxx.xxxxx@xxx.xx.xxx To advise CloudPWR OBO Washington State Health Care Authority-Sub Account of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at xxxx.xxxxx@xxx.xx.xxx and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences.

Appears in 1 contract

Samples: nsbhaso.org

Certificate of Completion. Envelope Id: A8F01C886DA24C45B79A807A4F9C7F19 32DECAA1624A4FB8A5585B53F397D69E Status: Completed Subject: Please DocuSign: 2020 08Aug08 MOA AP Initial Placement new System clean MWCC_BPU Fall2017 Agreement.pdf Source Envelope: Document Pages: 20 5 Signatures: 2 5 Envelope Originator: Supplemental Document Pages: 0 Initials: 0 Xxxxx Xxxxx Certificate Pages: 2 Initials: 37 Xxxxxx Xxxxx AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00UTC-05:00) Pacific Eastern Time (US & Canada) 0000 XX XXXXXXXX Suite SMSU 232 PORTLANDPayments: 0 000 Xxxxxxxxxx Xx Longmeadow, OR 97201-3256 xxxx@xxxxxxx.xxx MA 01106 xxxxxxx@xxxxxxx.xxx IP Address: 71.193.169.218 8.20.190.70 Record Tracking Status: Original 8/10/2020 9:23:02 AM 6/13/2017 2:42:57 PM Holder: Xxxxxx Xxxxx xxxx@xxxxxxx.xxx Xxxxx xxxxxxx@xxxxxxx.xxx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxx-Xxxxxx xxxxx@xxx.xxx Xxxxxxx xxxxxxxx@xxxxxxx.xxx Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 50.53.11.2 8.20.190.70 Sent: 8/10/2020 9:31:09 AM 6/13/2017 2:57:24 PM Viewed: 8/10/2020 2:14:19 6/13/2017 2:58:00 PM Signed: 8/10/2020 2:16:26 6/13/2017 2:58:10 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxx Xxxxxx xxxxxxx@xxx.xxx xxxxxxx@xxxxxxx.xxx Security Level: Email, Account Authentication (None) Using IP Address: 198.7.239.28 Sent: 6/13/2017 2:58:11 PM Viewed: 6/13/2017 3:08:16 PM Signed: 6/13/2017 3:08:43 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxxxxx Xxxxxxxxxx xxxxxxxxxxx@xxxxxxx.xxx CFO Bay Path University Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Signature Adoption: PreXxxxxxx Xxxxxxx-selected Style Using IP Address: 97.120.236.255 Signed using mobile Sent: 8/10/2020 2:16:27 PM Viewed: 8/10/2020 4:29:59 PM Signed: 8/10/2020 4:30:33 PM Xxxxxx Xxxxxx Sent: 8/10/2020 2:16:28 PM xxxxxxx@xxx.xxx Viewed: 8/10/2020 2:18:21 PM Xxxxx xxxxxxx@xxxxxxx.xxx Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Signed: 8/10/2020 2:19:47 PM Using IP Address: 71.237.220.11 Signed using mobile 198.7.239.28 Using IP Address: 32.213.223.8 Sent: 6/13/2017 3:08:44 PM Viewed: 6/14/2017 11:22:31 AM Signed: 6/14/2017 11:23:25 AM Sent: 6/14/2017 11:23:26 AM Viewed: 6/14/2017 9:33:26 PM Signed: 6/14/2017 9:33:41 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Carol Leary xxxxxx@xxxxxxx.xxx Security Level: Email, Account Authentication (None) Using IP Address: 73.100.95.92 Sent: 6/14/2017 9:33:43 PM Viewed: 6/18/2017 10:56:07 PM Signed: 6/18/2017 10:56:28 PM Signer Events Signature Timestamp Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxxxxx Xxxxxxxxxxx xxx0@xxx.xxx Xxxx Xxxxxx Sent: 6/18/2017 10:56:30 PM xxxxxxx@xxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 8/10/2020 4:30:35 PM Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/10/2020 4:30:35 6/18/2017 10:56:30 PM Certified Delivered Security Checked 8/10/2020 4:30:35 6/18/2017 10:56:30 PM Signing Complete Security Checked 8/10/2020 4:30:35 6/18/2017 10:56:30 PM Completed Security Checked 8/10/2020 4:30:35 6/18/2017 10:56:30 PM

Appears in 1 contract

Samples: Transfer Articulation Agreement

Certificate of Completion. Envelope Id: A8F01C886DA24C45B79A807A4F9C7F19 E3CCD6F414764655A9F5DAEAFAA1544F Status: Completed Subject: Please DocuSign: 2020 08Aug08 MOA AP Initial Placement new System clean FINAL - Lombard District 44 - NDPA - 27 May 21.pdf Source Envelope: Document Pages: 20 23 Signatures: 2 Envelope Originator: Certificate Pages: 2 5 Initials: 37 0 Xxxxxxx Xxxxxx Xxxxx AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00UTC-05:00) Pacific Eastern Time (US & Canada) 0000 XX XXXXXXXX Suite SMSU 232 PORTLANDXxxxxxxx Xxxx Ave. Toronto, OR 97201-3256 xxxx@xxxxxxx.xxx ON M2K 3M6 xxxxxxx.xxxxxx@xxx.xxx IP Address: 71.193.169.218 174.88.111.29 Record Tracking Status: Original 8/10/2020 9:23:02 AM 6/1/2021 4:29:17 PM Holder: Xxxxxxx Xxxxxx Xxxxx xxxx@xxxxxxx.xxx xxxxxxx.xxxxxx@xxx.xxx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxx-Xxxx Xxxxxx xxxxx@xxx.xxx xxxx.xxxxxx@XXX.xxx CRO Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 50.53.11.2 184.94.19.66 Sent: 8/10/2020 9:31:09 AM 6/1/2021 4:33:14 PM Viewed: 8/10/2020 2:14:19 6/1/2021 4:58:37 PM Signed: 8/10/2020 2:16:26 6/1/2021 4:59:05 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxx Xxxxxx xxxxxxx@xxx.xxx Security LevelAccepted: Email, Account Authentication (None) Electronic Record and Signature Disclosure6/1/2021 4:58:37 PM ID: Not Offered via DocuSign Signature Adoption: Pre363febe3-selected Style Using IP Address: 97.120.236.255 Signed using mobile Sent: 8/10/2020 2:16:27 PM Viewed: 8/10/2020 4:29:59 PM Signed: 8/10/2020 4:30:33 PM Xxxxxx Xxxxxx Sent: 8/10/2020 2:16:28 PM xxxxxxx@xxx.xxx Viewed: 8/10/2020 2:18:21 PM Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Signed: 8/10/2020 2:19:47 PM Using IP Address: 71.237.220.11 Signed using mobile Electronic Record and Signature Disclosure: Not Offered via DocuSign 4e7a-4c10-abf3-b26c48ecd888 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxxxxx Xxxxxxxxxxx xxx0@xxx.xxx Xxxxx Xxxx Sent: 6/1/2021 4:59:08 PM xxxxx@xx00.xxx Viewed: 6/2/2021 9:39:18 AM Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 8/10/2020 4:30:35 PM Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/10/2020 4:30:35 6/1/2021 4:33:14 PM Certified Delivered Security Checked 8/10/2020 4:30:35 6/1/2021 4:58:37 PM Signing Complete Security Checked 8/10/2020 4:30:35 6/1/2021 4:59:05 PM Completed Security Checked 8/10/2020 4:30:35 PM6/1/2021 4:59:08 PM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Dicclocure created on: 2/8/2019 12:05:43 PM Partiec agreed to: Xxxx Xxxxxx ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Multi-Health Systems Inc (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact Multi-Health Systems Inc: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by phone call: 000 000-0000 EXT 241 To contact us by email send messages to: xxxx.xxxxxx@xxx.xxx To advise Multi-Health Systems Inc of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at xxxx.xxxxxx@xxx.xxx and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from Multi-Health Systems Inc To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to xxxx.xxxxxx@xxx.xxx and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will xxxx you for any fees at that time, if any. To withdraw your consent with Multi-Health Systems Inc To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:

Appears in 1 contract

Samples: Privacy Agreement

Certificate of Completion. Envelope Id: A8F01C886DA24C45B79A807A4F9C7F19 FA7F34B27ABD4361B4FF46DBDA0E842B Status: Completed Subject: Please DocuSign: 2020 08Aug08 MOA AP Initial Placement new System clean final-amend2-madera chowchilla_4600012717_master.pdf Source Envelope: Document Pages: 20 38 Signatures: 2 3 Envelope Originator: Certificate Pages: 2 5 Initials: 37 Xxxxxx Xxxxx 1 Xxxxxx, Xxxx AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) 0000 0xx Xxxxxx Xxxxxxxxxx, XX XXXXXXXX Suite SMSU 232 PORTLAND, OR 97201-3256 xxxx@xxxxxxx.xxx 00000 Xxxx.Xxxxxx@xxxxx.xx.xxx IP Address: 71.193.169.218 136.200.53.17 Record Tracking Status: Original 8/10/2020 9:23:02 AM 5/5/2020 5:00:49 PM Holder: Xxxxxx Xxxxx xxxx@xxxxxxx.xxx Graber, Lana Xxxx.Xxxxxx@xxxxx.xx.xxx Location: DocuSign Security Appliance Status: Connected Pool: StateLocal Storage Appliance Status: Connected Pool: Department of Water Resources Location: DocuSign Signer Events Signature Timestamp Xxxxxx Xxxxx Xxxx-Xxxxxx xxxxx@xxx.xxx Xxxxxx.Xxxxx@xxxxx.xx.xxx Financial Assistance Branch Chief/Program Manager Department of Water Resources Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxxxxxxx Xxxxxxxxx Xxxxxxxxx.Xxxxxxxxx@xxxxxxxxxxxx.xxx Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 50.53.11.2 Sent: 8/10/2020 9:31:09 AM Viewed: 8/10/2020 2:14:19 PM Signed: 8/10/2020 2:16:26 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxx Xxxxxx xxxxxxx@xxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign 136.200.53.23 Signature Adoption: Pre-selected Style Using IP Address: 97.120.236.255 Signed using mobile 63.192.182.126 Sent: 8/10/2020 2:16:27 PM 5/6/2020 9:36:21 AM Viewed: 8/10/2020 4:29:59 PM 5/6/2020 9:40:51 AM Signed: 8/10/2020 4:30:33 PM Xxxxxx Xxxxxx 5/6/2020 9:41:30 AM Sent: 8/10/2020 2:16:28 PM xxxxxxx@xxx.xxx 5/6/2020 9:41:35 AM Viewed: 8/10/2020 2:18:21 PM 5/6/2020 9:56:49 AM Signed: 5/6/2020 9:58:25 AM Electronic Record and Signature Disclosure: Accepted: 5/6/2020 9:56:49 AM ID: 8d53c987-0668-4c1d-8daf-e91c04e93bbd Xxxxx Xxxxxx Xxxxx.Xxxxxx@xxxxx.xx.xxx Attorney III Department of Water Resources Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Signed: 8/10/2020 2:19:47 PM Pre-selected Style Using IP Address: 71.237.220.11 Signed using mobile 73.151.159.27 Sent: 5/6/2020 9:58:30 AM Viewed: 5/6/2020 9:59:44 AM Signed: 5/6/2020 10:01:00 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxxxxx Xxxxxxxxxxx xxx0@xxx.xxx Xxxxxx Xxxxxxxx Xxxxxx.Xxxxxxxx@xxxxx.xx.xxx Chief, Division of Regional Assistance Department of Water Resources Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 8/10/2020 4:30:35 PM Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/10/2020 4:30:35 PM Certified Delivered Security Checked 8/10/2020 4:30:35 PM Signing Complete Security Checked 8/10/2020 4:30:35 PM Completed Security Checked 8/10/2020 4:30:35 PM)

Appears in 1 contract

Samples: Grant Agreement

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