21-199 Encroachment Agreement, GTE Mobilnet of California Limited Partnership, dba Verizon Wireless, R.O.W, 10029 Judy AvenueThis Encroachment Agreement (“Encroachment Agreement”), made as of the last date signed
below (“Effective Date”) between the City of Cupertino, a political subdivision of the State of
California, hereinafter designated “Licensor” and GTE Mobilnet of California Limited
Partnership, d/b/a Verizon Wireless, with its principal offices at c/o Verizon Wireless, 180
Washington Valley Road, Bedminster, New Jersey 07921, hereinafter designated “Licensee”:
1.Encroachment Agreement. This is an Encroachment Agreement as referenced in that
certain Small Cell License Agreement between Licensor and Licensee dated May 16, 2017
("Agreement"). This Encroachment Agreement shall serve as an encroachment license. All of the
terms and conditions of the Agreement are incorporated hereby by reference and made a part hereof
without the necessity of repeating or attaching the Agreement. In the event of a contradiction,
modification or inconsistency between the terms of the Agreement and this Encroachment
Agreement, the terms of the Encroachment Agreement shall govern. Capitalized terms used in this
Encroachment Agreement shall have the same meaning described for them in the Agreement unless
otherwise indicated herein.
2.Project Description and Locations. Licensee shall have the right to use the ROW for a
Small Cell at the designated areas in the ROW as further described in Attachment 1 attached hereto
(the “Licensed Area”).
3. Equipment. The Small Cell to be installed at the Licensed Area is described in Attachment
1 attached hereto.
4.Term. The term of this Encroachment Agreement shall be as set forth in Section 2 of the
Agreement.
5.Fees. The initial annual Rent for the term of this Encroachment Agreement shall be Three
Hundred Dollars ($300) and paid in accordance with Paragraph 5.1 of the Agreement, as amended
by Section 4, to that certain Settlement Agreement and Mutual Release entered into between
Licensor and Licensee dated October 4, 2017, and as adjusted by Paragraph 5.2 of the Agreement.
6.Commencement Date. The first day of the month following the date Licensee has
Commenced Installation of its Equipment at the Licensed Area.
7. Approvals/Fiber. It is understood and agreed that Licensee's ability to use the Licensed
Area is contingent upon its obtaining all of the certificates, permits and other approvals
(collectively the "Governmental Approvals") that may be required by any Federal, State or Local
authorities, as well as a satisfactory fiber and electrical connection which will permit Licensee use
of the Licensed Area as set forth above. In the event that (i) any of such applications for such
Governmental Approvals should be finally rejected; (ii) any Governmental Approval issued to
Licensee is canceled, expires, lapses, or is otherwise withdrawn or terminated by governmental
authority; (iii) Licensee determines that such Governmental Approvals may not be obtained in a
CA_SJ_CUPERTINO_340
10029 Judy Ave, Cupertino, CA 95014
ENCROACHMENT AGREEMENT
545541DocuSign Envelope ID: 4A936BFF-4B7C-4FB7-A8BE-3A110AD406EADocuSign Envelope ID: 810C3B3C-CF6A-47F1-8B8B-10E198F3F46A
timely manner; (iv) Licensee determines that it will be unable to obtain in a satisfactory manner,
or maintain any fiber or power connection; or (v) Licensee determines that the Licensed Area is no
longer technically compatible for its use, Licensee shall have the right to terminate this
Encroachment Agreement. Notice of Licensee's exercise of its right to terminate shall be given to
Licensee in writing by certified mail, return receipt requested, and shall be effective upon the
mailing of such notice by Licensee, or upon such later date as designated by Licensee. All rentals
paid to said termination date shall be retained by Licensor. Upon such termination, this
Encroachment Agreement shall be of no further force or effect except to the extent of the
representations, warranties and indemnities made by each party to the other hereunder. Otherwise,
Licensee shall have no further obligations for the payment of Rent to Licensor.
8.Miscellaneous. N/A
[Signature page follows]
DocuSign Envelope ID: 4A936BFF-4B7C-4FB7-A8BE-3A110AD406EADocuSign Envelope ID: 810C3B3C-CF6A-47F1-8B8B-10E198F3F46A
EXECUTED to be effective as of the last date shown below.
LICENSOR:
City of Cupertino, a political subdivision
of the State of California
By: ___________________________
Name: _________________________
Title: __________________________
Date: ___________________________
ATTEST:
Date: ___________________________
APPROVED AS TO FORM CITY
ATTORNEY’S OFFICE
BY: __________________________
Print Name: _____________________
Date: __________________________
City Attorney
LICENSEE:
GTE MOBILNET OF CALIFORNIA
LIMITED PARTNERSHIP, D/B/A
VERIZON WIRELESS
by Cellco Partnership, its
General Partner
By:
Date: ______________________________
Name: Alba Barber
Title: Senior Real Estate Manager
Exhibits:
Attachment 1
, Clerk
DocuSign Envelope ID: 4A936BFF-4B7C-4FB7-A8BE-3A110AD406EADocuSign Envelope ID: 810C3B3C-CF6A-47F1-8B8B-10E198F3F46A
Aug 25, 2021
Christopher D. Jensen
Aug 25, 2021
City Engineer
Chad Mosley
Aug 27, 2021
Aug 27, 2021
Attachment 1
Licensed Area
See attached.
DocuSign Envelope ID: 4A936BFF-4B7C-4FB7-A8BE-3A110AD406EADocuSign Envelope ID: 810C3B3C-CF6A-47F1-8B8B-10E198F3F46A
T-1
TITLE SHEET
DRAWN BY:
CHECKED BY:BM
APE
IT IS A VIOLATION OF THE LAW FOR ANY PERSON, UNLESS
THEY ARE ACTING UNDER THE DIRECTION OF A LICENSED
PROFESSIONAL ENGINEER, TO ALTER THIS DOCUMENT
0 05/07/21 100% CD
REV DATE DESCRIPTION
MODUS, LLC
240 STOCKTON ST., 3RD FLOOR
SAN FRANCISCO, CA
94108
APPROVED BY:LJB
CA_SJ_CUPERTINO_340
VERIZON WIRELESS
2785 MITCHELL DRIVE, SUITE 9
WALNUT CREEK, CA
94598
(NEAR) 10029 JUDY AVE
CUPERTINO, CA 95014
1 05/27/21 100% CD PLAN CHECK
SITE INFORMATION
SITE ADDRESS:
OWNER:
APPLICANT:
LATITUDE:
LONGITUDE:
COUNTY:
ASSESSORS PARCEL NUMBER:
ZONING:
ELEVATION:
CITY OF CUPERTINO
10300 TORRE AVE
CUPERTINO, CA 95014
VERIZON WIRELESS
2785 MITCHELL DRIVE, SUITE 9
WALNUT CREEK, CA 94598
37° 19' 20.179" N NAD83
122° 00' 19.872" W NAD83
SANTA CLARA
PUBLIC RIGHT OF WAY
NEAR 37507045
CITY OF CUPERTINO
188.74' AMSL
VICINITY MAPPROPOSED POLE PHOTO
N
DRAWING INDEX
T-1
SHEET NO.
TITLE SHEET
T-2 GENERAL NOTES
A-1 SITE PLAN & ENLARGED SITE PLAN
A-2
A-4
ELEVATIONS
CIRCUIT DIAGRAM
D-1 DETAILS
CODE COMPLIANCE
ALL WORK AND MATERIALS SHALL BE PERFORMED AND INSTALLED IN ACCORDANCE WITH THE CURRENT
EDITIONS OF THE FOLLOWING CODES AS ADOPTED BY THE LOCAL GOVERNING AUTHORITIES. NOTHING
IN THESE PLANS IS TO BE CONSTRUCTED TO PERMIT WORK NOT CONFORMING TO THESE CODES.
·2019 CALIFORNIA CODE
·2019 CALIFORNIA BUILDING CODE (CBC), BASED ON THE 2018 IBC
·2019 CALIFORNIA RESIDENTIAL CODE (CRC), BASED ON THE 2018 IRC
·2019 CALIFORNIA ELECTRICAL CODE (CEC), BASED ON THE 2017 NEC
·2019 CALIFORNIA MECHANICAL CODE (CMC), BASED ON THE 2018 UMC
·2019 CALIFORNIA PLUMBING CODE (CPC), BASED ON THE 2018 UPC
·2019 CALIFORNIA GREEN BUILDINGS STANDARDS CODE (CALGREEN)
·2019 CALIFORNIA FIRE CODES WITH ALL LOCAL AMENDMENTS
·ANY LOCAL BUILDING CODE AMENDMENTS TO THE ABOVE
·CITY / COUNTY ORDINANCES
SHEET TITLE
E-1 ELECTRICAL GENERAL NOTES
E-2 ONE-LINE DIAGRAM & GROUNDING SCHEMATIC
E-3 ELECTRICAL DETAILS
ACCESSIBILITY REQUIREMENTS FOR PERSONS WITH DISABILITIES:
FACILITY IS UNMANNED AND NOT FOR HUMAN HABITATION. ACCESSIBILITY IS
NOT REQUIRED IN ACCORDANCE WITH CALIFORNIA ADMINISTRATIVE STATE
CODE PART 2, TITLE 24, CHAPTER 11B, SECTION 1103B.
10029 JUDY AVE
SURVEY
PROJECT TEAM PROJECT DESCRIPTION
D-2 DETAILS
THE UTILITIES SHOWN HEREIN ARE FOR THE CONTRACTORS CONVENIENCE
ONLY. THERE MAY BE OTHER UTILITIES NOT SHOWN ON THESE PLANS. THE
ENGINEER/SURVEYOR ASSUMES NO RESPONSIBILITY FOR THE LOCATIONS
SHOWN AND IT SHALL BE THE CONTRACTOR'S RESPONSIBILITY TO VERIFY
ALL THE UTILITIES WITHIN THE LIMITS OF THE WORK. ALL DAMAGE MADE TO
THE (E) UTILITIES BY THE CONTRACTOR SHALL BE THE SOLE RESPONSIBILITY
OF THE CONTRACTOR.
CALL 811 BEFORE YOU DIG
IT'S THE LAW
MODUS PROJECT MANAGER:
MODUS, LLC
240 STOCKTON ST., 3RD FLOOR
SAN FRANCISCO, CA 94108
PHONE: (415) 989.1102
EMAIL: VERIZONPOLYGONTEAM@MODUS-CORP.COM
CONSTRUCTION/IMPLEMENTATION MANAGER:
MODUS, LLC
240 STOCKTON ST., 3RD FLOOR
SAN FRANCISCO, CA 94108
PHONE: (415) 989.1102
EMAIL: VERIZONPOLYGONTEAM@MODUS-CORP.COM
A&E PROJECT MANAGER:
MODUS, LLC
240 STOCKTON ST., 3RD FLOOR
SAN FRANCISCO, CA 94108
PHONE: (415) 989.1102
EMAIL: VERIZONPOLYGONTEAM@MODUS-CORP.COM
APPLICANT:
VERIZON WIRELESS
2785 MITCHELL DRIVE, SUITE 9
WALNUT CREEK, CA 94598
CONTACT: CHRIS MOLLER
PHONE: (925) 339.2778
EMAIL: CHRIS.MOLLER@VERIZONWIRELESS.COM
LAND USE PLANNER:
MODUS, LLC
240 STOCKTON ST., 3RD FLOOR
SAN FRANCISCO, CA 94108
PHONE: (415) 989.1102
EMAIL: VERIZONPOLYGONTEAM@MODUS-CORP.COM
SITE ACQUISITION:
MODUS, LLC
240 STOCKTON ST., 3RD FLOOR
SAN FRANCISCO, CA 94108
PHONE: (415) 989.1102
EMAIL: VERIZONPOLYGONTEAM@MODUS-CORP.COM
SITE
C-1
A-3 ELEVATIONS
VERIZON WIRELESS PROPOSES TO INSTALL A NEW WIRELESS COMMUNICATION SITE ON A LIGHT POLE IN THE PUBLIC RIGHT-OF-WAY.
SCOPE:
·INSTALL (2) 5G ANTENNA/RADIOS INSIDE NEW FRP CONCEALMENT SHROUD ON TOP OF POLE
·INSTALL (1) NEW DISCONNECT / SMART METER ON SIDE OF POLE
·INSTALL NEW POLE AND FOUNDATION
D-3 POLE SPECS
(NEAR) 10029 JUDY AVE
CUPERTINO, CA 95014
(NEAR) 10029 JUDY AVE
CUPERTINO, CA 95014
CA_SJ_CUPERTINO_340
SITE ID:
SITE TYPE:
POLE #:
COUNTY:
PSLC:
CA_SJ_CUPERTINO_340
LIGHT POLE
TBD
SANTA CLARA
545541
D-4 CITY STANDARD DETAILS
DocuSign Envelope ID: 4A936BFF-4B7C-4FB7-A8BE-3A110AD406EADocuSign Envelope ID: 810C3B3C-CF6A-47F1-8B8B-10E198F3F46A
S/L S/L
FI
B
E
R
FI
B
E
R
FI
B
E
R
FI
B
E
R
FI
B
E
R
FI
B
E
R
FI
B
E
R
S/L S/L S/L S/L S/L S/L S/L
S/L S/L S/L
DRAWN BY:
CHECKED BY:BM
APE
IT IS A VIOLATION OF THE LAW FOR ANY PERSON, UNLESS
THEY ARE ACTING UNDER THE DIRECTION OF A LICENSED
PROFESSIONAL ENGINEER, TO ALTER THIS DOCUMENT
0 05/07/21 100% CD
REV DATE DESCRIPTION
MODUS, LLC
240 STOCKTON ST., 3RD FLOOR
SAN FRANCISCO, CA
94108
APPROVED BY:LJB
CA_SJ_CUPERTINO_340
VERIZON WIRELESS
2785 MITCHELL DRIVE, SUITE 9
WALNUT CREEK, CA
94598
(NEAR) 10029 JUDY AVE
CUPERTINO, CA 95014
1 05/27/21 100% CD PLAN CHECK
A-1
SITE PLAN
1ENLARGED SITE PLAN
N
SITE PLAN3
N
3
A-1
ENLARGED
SITE PLAN
1&2
A-3
1&2
A-2
1/16"=1'-0"
SCALE
1/2"=1'-0"
SCALE
(N) LIGHT POLE & FOUNDATION
(N) LOCATION OF VERIZON
WIRELESS ANTENNA IN FRP SHROUD
MOUNTED ON LIGHT POLE
9'-0"± BACK OF POLE
TO ROW LINE
(N) LOCATION OF
VERIZON WIRELESS
ANTENNA AND
EQUIPMENT
JU
D
Y
A
V
E
ELECTRICAL LINE
STREET LIGHT LINE
E
S/L
FIBER LINE(S)FIBER
LEGEND
N
C
1
(N) STEEL MAST ARM
RELOCATED (E) LUMINAIRE
N1
N
C
2
NC
3
(E
)
LA
N
D
S
C
A
P
E
PR
O
P
E
R
T
Y
L
I
N
E
9'-0"± BACK OF PROPOSED POLE
TO ROW LINE
NC4
10052
JUDY AVE
CUPERTINO,
CA 95014
SE
C
T
O
R
AZ
I
M
U
T
H
1
8
0
5G
B
SE
C
T
O
R
AZ
I
M
U
T
H
0
5G
A
N2
NOTE:
1. FIBER PULLBOX EXACT LOCATION TO BE VERIFIED IN FIELD
2. CITY SERVICE PULLBOX AT POC TO BE LOCATED WITHIN 10'
FROM PG&E VAULT
3. UPON COMPLETION OF CONSTRUCTION, RESTORE
LANDSCAPE AND IRRIGATION TO LIKE OR BETTER
CONDITION, TEST IRRIGATION.
4. UPON COMPLETION OF CONSTRUCTION, NOTIFY THE CITY
OF NEW STREETLIGHT INSTALLATION SO THAT NEW BADGE
ID NUMBER CAN BE PLACED BY THE CITY ONTO THE NEW
STREETLIGHT POLE
2ENLARGED POWER POC PLAN NTS
SCALE
(E) WOOD UTILITY POLE.
RELOCATED (E) LUMINAIRE TO (N)
STREET LIGHT POLE
(N) 2'-6" x 4'-0" x 6" THICK CONCRETE
CAP PER CITY STANDARDS
6"
M
I
N
.
NOTE:
CARRIER GROUND WIRE TO BE LABELED
VERIZON IN CITY ELECTRIC PULLBOX
A.P.N.:
37507045
10029
JUDY AVE
CUPERTINO,
CA 95014
10053
JUDY AVE
CUPERTINO,
CA 95014
10038
JUDY AVE
CUPERTINO,
CA 95014
(E
)
CO
N
C
R
E
T
E
S
I
D
E
W
A
L
K
(E) DRIVEWAY
(E) FACE OF
THE CURB
(E) TREE, TYP.
PR
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P
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R
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L
I
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E
(E
)
CO
N
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S
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(E
)
LA
N
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S
C
A
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E
(E
)
DR
I
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W
A
Y
(E) DRIVEWAY
JU
D
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A
V
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(E
)
LA
N
D
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C
A
P
E
PR
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P
E
R
T
Y
L
I
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(E
)
CO
N
C
R
E
T
E
S
I
D
E
W
A
L
K
(E) FACE OF THE CURB
(E
)
DR
I
V
E
W
A
Y
10053
JUDY AVE
CUPERTINO,
CA 95014
(E) ROAD SIGN TO BE
RELOCATED TO (N)
STREET LIGHT POLE
(E
)
DR
I
V
E
W
A
Y
5
6
'
-
1
1
"
±
P
O
L
E
T
O
#
1
0
0
3
9
W
I
N
D
O
W
S
1'-4"± FOC TO CENTER
OF PROPOSED POLE
1'-4"± FOC TO CENTER
OF PROPOSED POLE
(E) PARKING LOT
(E) WATER VAULT
JU
D
Y
A
V
E
PR
O
P
E
R
T
Y
L
I
N
E
(E
)
CO
N
C
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E
T
E
S
I
D
E
W
A
L
K
(E
)
LA
N
D
S
C
A
P
E
(N) PG&E TRENCH SEE DETAIL
8/E-3
(N) PG&E VAULT
(N) CITY SERVICE PULL BOX
2
A-1
ENLARGED POWER
POC PLAN
NC
4
NC4
(N) CONDUIT TRENCH SEE DETAIL
1/D-4
(E) FACE OF THE CURB
Submit photos of removed foundation to City.
Photos must include background features
specific to this location.
Contact Jerry Anderson of City for streetlight ID labels;
Take photos of site before and after installation, and provide to City
DocuSign Envelope ID: 4A936BFF-4B7C-4FB7-A8BE-3A110AD406EADocuSign Envelope ID: 810C3B3C-CF6A-47F1-8B8B-10E198F3F46A
SHUTDOWN
DRAWN BY:
CHECKED BY:BM
APE
IT IS A VIOLATION OF THE LAW FOR ANY PERSON, UNLESS
THEY ARE ACTING UNDER THE DIRECTION OF A LICENSED
PROFESSIONAL ENGINEER, TO ALTER THIS DOCUMENT
0 05/07/21 100% CD
REV DATE DESCRIPTION
MODUS, LLC
240 STOCKTON ST., 3RD FLOOR
SAN FRANCISCO, CA
94108
APPROVED BY:LJB
CA_SJ_CUPERTINO_340
VERIZON WIRELESS
2785 MITCHELL DRIVE, SUITE 9
WALNUT CREEK, CA
94598
(NEAR) 10029 JUDY AVE
CUPERTINO, CA 95014
1 05/27/21 100% CD PLAN CHECK
A-2
EXISTING & PROPOSED
ELEVATIONS
12PROPOSED ELEVATIONNOT USED 1/2"=1'-0"
SCALE
1/2"=1'-0"
SCALE
EXISTING SURFACE
0'-0" AGL
9'-0" BACK OF POLE TO ROW LINE
4
D-2
(N) FOUNDATION
(N) 6'-0" MAST ARM
NOTES:
1. ALL NEW ANTENNAS, BRACKETS, AND OTHER EQUIPMENT WILL BE PAINTED TO MATCH LIGHT POLE.
2. ALL EXISTING SIGNAGE TO BE RELOCATED SHALL BE FASTENED USING 1/2" STEEL BANDING
B.O. (E) RELOCATED SIGN
6'-6" AGL
(N) LIGHT POLE
(N) (2) 5G ANTENNAS
IN FRP SHROUD
6
D-1
(N) FRP CONCEALMENT
SHROUD
1
D-1
T.O. (N) STEEL LIGHT POLE
30'-0" AGL
RAD CENTER OF (N) 5G ANTENNA
31'-7" AGL
T.O. (N) CONCEALMENT SHROUD
35'-6" AGL
8
D-1
3
E-3
B.O. (N) DISCONNECT
7'-0" AGL
T.O. (N) DISCONNECT
8'-9" AGL
(N) SMART METER / DISCONNECT
w/ SHUTDOWN SIGNAGE
4
D-1
5
D-1
PORT HOLE LOCATION
FOR DISCONNECT
1
D-2
(E) RELOCATED ROAD SIGN
(E) LUMINAIRE
1
D-3
7
E-3
T.O. (E) LIGHT SENSOR
31'-8" AGL
(N) NOTICE SIGNAGE, TYP. OF (1)
FACING STREETSIDE
9
D-1
T.O. (N) NOTICE SIGNAGE
25'-2" AGL
T.O. (E) RELOCATED SIGN
9'-0" AGL
DocuSign Envelope ID: 4A936BFF-4B7C-4FB7-A8BE-3A110AD406EADocuSign Envelope ID: 810C3B3C-CF6A-47F1-8B8B-10E198F3F46A
Certificate Of Completion
Envelope Id: 4A936BFF4B7C4FB7A8BE3A110AD406EA Status: Completed
Subject: Please DocuSign: CA_SJ_CUPERTINO_340_Encroachment Agreement
Source Envelope:
Document Pages: 7 Signatures: 0 Envelope Originator:
Certificate Pages: 5 Initials: 14 BRYAN MCCAFFERY
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
92 Bay Street
Glens Falls, NY 12801
modusdocusign@modusllc.com
IP Address: 73.222.6.202
Record Tracking
Status: Original
7/21/2021 8:30:24 AM
Holder: BRYAN MCCAFFERY
modusdocusign@modusllc.com
Location: DocuSign
Signer Events Signature Timestamp
Chad Mosley
chadm@cupertino.org
Security Level: Email, Account Authentication
(None)
Signature Adoption: Drawn on Device
Using IP Address: 67.164.60.110
Sent: 7/21/2021 8:33:32 AM
Viewed: 7/27/2021 1:03:55 PM
Signed: 7/27/2021 1:04:14 PM
Electronic Record and Signature Disclosure:
Accepted: 1/8/2021 11:03:58 AM
ID: cf965389-d53e-4e7e-9e57-3e9c6593663d
Marlene Dehlinger
Dehlinger@smwlaw.com
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 52.39.49.65
Sent: 7/27/2021 1:04:15 PM
Viewed: 7/30/2021 2:46:03 PM
Signed: 7/30/2021 2:50:40 PM
Electronic Record and Signature Disclosure:
Accepted: 7/30/2021 2:46:03 PM
ID: af09efcf-47ae-47e3-9ac4-71b1e2465a56
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
Steve Pagan
stevep@cupertino.org
Security Level: Email, Account Authentication
(None)
Sent: 7/21/2021 8:33:33 AM
Viewed: 7/27/2021 11:55:33 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Witness Events Signature Timestamp
DocuSign Envelope ID: 810C3B3C-CF6A-47F1-8B8B-10E198F3F46A
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 7/21/2021 8:33:33 AM
Certified Delivered Security Checked 7/30/2021 2:46:03 PM
Signing Complete Security Checked 7/30/2021 2:50:40 PM
Completed Security Checked 7/30/2021 2:50:40 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
DocuSign Envelope ID: 810C3B3C-CF6A-47F1-8B8B-10E198F3F46A
Certificate Of Completion
Envelope Id: 810C3B3CCF6A47F18B8B10E198F3F46A Status: Completed
Subject: CA_SJ_CUPERTINO_340/E4555539/Felipe Martinez Territory Approved 8-24-2021/VZ Manager to sign.
Source Envelope:
Document Pages: 9 Signatures: 4 Envelope Originator:
Certificate Pages: 5 Initials: 0 felipe
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
felipe.martinez@verizonwireless.com
IP Address: 69.78.1.236
Record Tracking
Status: Original
8/24/2021 3:18:20 PM
Holder: felipe
felipe.martinez@verizonwireless.com
Location: DocuSign
Signer Events Signature Timestamp
Alba Barber
alba.barber@verizonwireless.com
Senior Real Estate Manager
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 69.78.100.101
Sent: 8/24/2021 3:19:53 PM
Viewed: 8/25/2021 7:41:11 AM
Signed: 8/25/2021 7:41:30 AM
Electronic Record and Signature Disclosure:
Accepted: 12/30/2020 2:52:40 PM
ID: e293a4bd-9212-4030-bf70-0115b4008976
Christopher D. Jensen
ChrisJ@cupertino.org
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 136.24.42.212
Sent: 8/25/2021 7:41:31 AM
Resent: 8/25/2021 8:01:38 AM
Viewed: 8/25/2021 8:05:22 AM
Signed: 8/25/2021 8:05:37 AM
Electronic Record and Signature Disclosure:
Accepted: 8/25/2021 8:05:22 AM
ID: a10990af-70b6-420d-8f5f-4e4257b3b859
Chad Mosley
ChadM@cupertino.org
City Engineer
Security Level: Email, Account Authentication
(None)Signature Adoption: Drawn on Device
Using IP Address: 67.164.60.110
Sent: 8/25/2021 8:05:39 AM
Viewed: 8/27/2021 7:37:05 AM
Signed: 8/27/2021 7:37:10 AM
Electronic Record and Signature Disclosure:
Accepted: 8/27/2021 7:37:05 AM
ID: 796fc91a-3bd5-449c-bfb8-3f521b9a1348
Kirsten Squarcia
KirstenS@cupertino.org
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 162.245.22.179
Signed using mobile
Sent: 8/27/2021 7:37:11 AM
Viewed: 8/27/2021 8:24:14 AM
Signed: 8/27/2021 8:32:08 AM
Electronic Record and Signature Disclosure:
Accepted: 4/5/2021 1:36:36 PM
ID: 7f043bd1-e00d-4922-961c-f3b1260d7968
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
Alissa Ludtke
alissa.ludtke@verizonwireless.com
Security Level: Email, Account Authentication
(None)
Sent: 8/24/2021 3:19:53 PM
Electronic Record and Signature Disclosure:
Accepted: 7/12/2021 8:03:52 AM
ID: f69dbc24-8f60-4799-a466-8d00afda6a00
Araceli Alejandre
Aracelia@cupertino.org
Security Level: Email, Account Authentication
(None)
Sent: 8/25/2021 7:41:31 AM
Viewed: 8/25/2021 7:55:09 AM
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 8/24/2021 3:19:53 PM
Certified Delivered Security Checked 8/27/2021 8:24:14 AM
Signing Complete Security Checked 8/27/2021 8:32:08 AM
Completed Security Checked 8/27/2021 8:32:08 AM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, VBG Network Real Estate (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
Electronic Record and Signature Disclosure created on: 9/23/2020 1:45:36 PM
Parties agreed to: Alba Barber, Christopher D. Jensen, Chad Mosley, Kirsten Squarcia, Alissa Ludtke
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 VBG Network Real Estate:
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: tricsha.fatakia@verizonwireless.com
To advise VBG Network Real Estate 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 tricsha.fatakia@verizonwireless.com 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 VBG Network Real Estate
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 tricsha.fatakia@verizonwireless.com 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 VBG Network Real Estate
To inform us that you no longer wish to receive future notices and disclosures in electronic
format you may:
i. decline to sign a document from within your signing session, and on the subsequent page,
select the check-box indicating you wish to withdraw your consent, or you may;
ii. send us an email to tricsha.fatakia@verizonwireless.com and in the body of such request you
must state your email, full name, mailing address, and telephone number. We do not need any
other information from you to withdraw consent.. The consequences of your withdrawing
consent for online documents will be that transactions may take a longer time to process..
Required hardware and software
The minimum system requirements for using the DocuSign system may change over time. The
current system requirements are found here: https://support.docusign.com/guides/signer-guide-
signing-system-requirements.
Acknowledging your access and consent to receive and sign documents elect ronically
To confirm to us that you can access this information electronically, which will be similar to
other electronic notices and disclosures that we will provide to you, please confirm that you have
read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for
your future reference and access; or (ii) that you are able to email this ERSD to an email address
where you will be able to print on paper or save it for your future reference and access. Further,
if you consent to receiving notices and disclosures exclusively in electronic format as described
herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before
clicking ‘CONTINUE’ within the DocuSign system.
By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm
that:
You can access and read this Electronic Record and Signature Disclosure; and
You can print on paper this Electronic Record and Signature Disclosure, or save or send
this Electronic Record and Disclosure to a location where you can print it, for future
reference and access; and
Until or unless you notify VBG Network Real Estate as described above, you consent to
receive exclusively through electronic means all notices, disclosures, authorizations,
acknowledgements, and other documents that are required to be provided or made
available to you by VBG Network Real Estate during the course of your relationship with
VBG Network Real Estate.