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Certificate Of Completion <br />Envelope ld: FFEC154C2F474B70B6053832F524E688 <br />Subject: Please DocuSign: Wayward Artist 04162021 ACORD 0025.pdf <br />Source Envelope: <br />Document Pages: 1 Signatures: 1 <br />Certificate Pages: 1 Initials: 0 <br />AutoNav: Enabled <br />Envelopeld Stamping: Enabled <br />Time Zone: (UTC-08:00) Pacific Time (US & Canada) <br />Record Tracking <br />Status: Original <br />4/16/2021 1:14:26 PM <br />Signer Events <br />Christopher Escueta <br />chris@escueta-ins.com <br />Commercial Lines Manager <br />Escueta Insurance Services <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 />Editor Delivery Events <br />Agent Delivery Events <br />Intermediary Delivery Events <br />Certified Delivery Events <br />Carbon Copy Events <br />Witness Events <br />Notary Events <br />Envelope Summary Events <br />Envelope Sent <br />Certified Delivered <br />Signing Complete <br />Completed <br />Payment Events <br />Holder: Christopher Escueta <br />chrls@escueta-[ns.com <br />Signature <br />CCBDocuSigned by <br />BXIIIWME1 . <br />Signature Adoption: Uploaded Signature Image <br />Using IP Address: 47.37.178.196 <br />Signature <br />Status <br />Status <br />Status <br />Status <br />Status <br />Signature <br />Signature <br />Status <br />Hashed/Encrypted <br />Security Checked <br />Security Checked <br />Security Checked <br />Status <br />Docu: <br />0 sli 4Rm9 <br />Status: Completed <br />Envelope Originator: <br />Christopher Escueta <br />ch ris @escueta-ins, corn <br />IP Address: 47.37.178.196 <br />Location: DocuSign <br />Timestamp <br />Sent: 4/16/2021 1:14:41 PM <br />Viewed: 4/16/2021 1:14:45 PM <br />Signed: 4/16/2021 1:15:20 PM <br />Freeform Signing <br />Timestamp <br />Timestamp <br />Timestamp <br />Timestamp <br />Timestamp <br />Timestamp <br />Timestamp <br />Timestamp <br />Timestamps <br />4/16/2021 1:14:41 PM <br />4/16/2021 1:14:45 PM <br />4/16/2021 1:15:20 PM <br />4/16/2021 1:15:20 PM <br />Timestamps <br />�IY,GREVIEWED &�AjPPR OtVDiD By. <br />WI.IFr. d r ythtY.�AC h, �+�dKP4f� <br />�-WgRi Risk Management Analyst <br />