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Certificate Of Completion <br />Envelope Id: A57A38EOE3C24ED6A4A2FA5956F5404D <br />Subject: Complete with DocuSign: 439064-2-62-01 - Shortfall LFA - Southcot Dr.pdf <br />Contract Number (ex. C9Al2, optional): <br />Document Contains Confidential Information?: No <br />Fin Proj Num (ex. 123456-1-32-01, Optional): 439064-2-62-01 <br />Office (contact Procurement if add is needed): <br />Local Programs <br />HR Action?: No <br />Source Envelope: <br />Document Pages: 11 Signatures: 3 <br />Certificate Pages: 2 Initials: 0 <br />AutoNav: Enabled <br />Envelopeld Stamping: Enabled <br />Time Zone: (UTC -05:00) Eastern Time (US & Canada) <br />Record Tracking <br />Status: Original <br />6/8/2023 5:15:14 PM <br />Signer Events <br />Daniel McDermott <br />daniel.mcdermott@dot.state.fl.us <br />District Chief Counsel <br />FL DOT <br />Signing Group: D5 Legal Signing Group <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure: <br />Not Offered via DocuSign <br />C. Jack Adkins <br />jack.adkins@dot.state.fl.us <br />Director of Transportation Development <br />FDOT <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure: <br />Not Offered via DocuSign <br />Omayra Wallace <br />Omayra.Wallace@dot.state.fl.us <br />Administrative Assistant II <br />FDOT <br />Signing Group: D5 Executive Assistants <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure: <br />Not Offered via DocuSign <br />In Person Signer Events <br />Holder: Sarah McNamara <br />Sarah. McNamara@dot.state.fl.us <br />Signature <br />DocuSigned by: <br />Daniel McDermott <br />505EM E26DDA45C... <br />Signature Adoption: Pre -selected Style <br />Using IP Address: 156.75.252.6 <br />[D11US1111d by; <br />1752524F -C337405... <br />Signature Adoption: Pre -selected Style <br />Using IP Address: 156.75.252.6 <br />CD Signed by: <br />FDr.Rynk W <br />F400974AD8374A7... <br />Signature Adoption: Pre -selected Style <br />Using IP Address: 156.75.252.6 <br />Signature <br />Docusign° <br />Status: Completed <br />Envelope Originator: <br />Sarah McNamara <br />605 Suwannee Street <br />MS 20 <br />Tallahassee, FL 32399-0450 <br />Sarah. McNamara@dot.state.fl.us <br />IP Address: 156.75.252.6 <br />Location: DocuSign <br />Timestamp <br />Sent: 6/8/2023 5:19:28 PM <br />Viewed: 6/9/2023 11:28:59 AM <br />Signed: 6/9/2023 11:29:27 AM <br />Sent: 6/9/2023 11:29:28 AM <br />Viewed: 6/9/2023 12:04:56 PM <br />Signed: 6/9/2023 12:05:00 PM <br />Sent: 6/9/2023 12:05:02 PM <br />Viewed: 6/9/2023 12:05:35 PM <br />Signed: 6/9/2023 12:05:52 PM <br />Timestamp <br />Editor Delivery Events Status Timestamp <br />