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5963 AMENDMENT LOGAPPROVED BY CITY OF DENTON - CHANGE ORDER 1 DocuSign Envelope ID: 464C938B-3896-4771-B17B-428B1C405398 Karen E. Smith Assistant Purchasing Manager 7/22/2016 DocuSign Envelope ID: 464C938B-3896-4771-B17B-428B1C405398 Certificate Of Completion Envelope Id: 464C938B38964771B17B428B1C405398 Status: Completed Subject: Please DocuSign: RFP 5963 Contract Modification request #1.pdf Source Envelope: Document Pages: 2 Signatures: 1 Envelope Originator: Certificate Pages: 2 Initials: 0 Karen E. Smith AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) karen.smith@cityofdenton.com IP Address: 129.120.6.150 Record Tracking Status: Original 7/22/2016 4:56:14 PM Holder: Karen E. Smith karen.smith@cityofdenton.com Location: DocuSign Signer Events Signature Timestamp Karen E. Smith karen.smith@cityofdenton.com Assistant Purchasing Manager City of Denton Security Level: Email, Account Authentication (Optional) Using IP Address: 129.120.6.150 Sent: 7/22/2016 4:57:51 PM Viewed: 7/22/2016 4:58:00 PM Signed: 7/22/2016 4:58:09 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: 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 Chris Lutrick chris.lutrick@cityofdenton.com Engineer IV City of Denton (DME) Security Level: Email, Account Authentication (Optional) Sent: 7/22/2016 4:57:51 PM Viewed: 7/22/2016 4:58:47 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: David Scibek estimating@hawkprecast.com Security Level: Email, Account Authentication (Optional) Sent: 7/22/2016 4:57:51 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Carbon Copy Events Status Timestamp John Walsh john.walsh@hawkprecast.com Security Level: Email, Account Authentication (Optional) Sent: 7/22/2016 4:57:51 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Notary Events Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 7/22/2016 4:57:52 PM Certified Delivered Security Checked 7/22/2016 4:58:00 PM Signing Complete Security Checked 7/22/2016 4:58:09 PM Completed Security Checked 7/22/2016 4:58:09 PM