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Certificate Of Completion <br />Envelope Id: OAC4FC197B3741848E57CB34C958FC81 <br />Subject: Please DocuSign: 439064-1-58-01 - LAP SA#1 - Southcot Dr.pdf <br />Contract Number (ex. C9Al2, optional): G2M10 <br />Document Contains Confidential Information?: No <br />Fin Proj Num (ex. 123456-1-32-01, Optional): 439064-1-58-01 <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 />12/12/2023 10:09:01 AM <br />Signer Events <br />Precious L. Lewis <br />Precious. Lewis@dot.state.fl.us <br />District Local Program Administrator <br />Florida Department of Transportation <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure: <br />Not Offered via DocuSign <br />Daniel McDermott <br />Daniel. McDermott@dot.state.fl.us <br />District Chief Counsel <br />FL DOT <br />Signing Group: D5 General Law Legal 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 />In Person Signer Events <br />Holder: Kristen Webb <br />Kristen. Webb@dot.state.fl. us <br />Signature <br />ED. -SI "*d by: <br />738E143F5C974E3... <br />Signature Adoption: Pre -selected Style <br />Using IP Address: 156.75.252.6 <br />IDocuSlgned by: <br />Daniel McDermott <br />585EB1 E26BBA45C_. <br />Signature Adoption: Pre -selected Style <br />Using IP Address: 156.75.252.6 <br />E.1"S11"Id by: <br />1752524FC337485... <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 />Kristen Webb <br />605 Suwannee Street <br />MS 20 <br />Tallahassee, FL 32399-0450 <br />Kristen. Webb@dot. state. fl. us <br />IP Address: 156.75.252.6 <br />Location: DocuSign <br />Timestamp <br />Sent: 12/12/2023 10:12:58 AM <br />Viewed: 12/12/2023 10:44:15 AM <br />Signed: 12/12/2023 10:53:10 AM <br />Sent: 12/12/2023 10:53:11 AM <br />Viewed: 12/13/2023 8:14:15 AM <br />Signed: 12/13/2023 8:16:24 AM <br />Sent: 12/13/2023 8:16:25 AM <br />Viewed: 12/13/2023 12:47:53 PM <br />Signed: 12/13/2023 12:47:59 PM <br />Timestamp <br />Editor Delivery Events Status Timestamp <br />