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South 4th Street - Reimbursement Agreement - Preliminary Engineering 06-10-2021DocuSign Envelope ID: BEBF4945-CA29-4CCA-BAF9-051051E55317 6/10/2021 2 DocuSign Envelope ID: BEBF4945-CA29-4CCA-BAF9-051051E55317 Tiecy Cotton Exhibit A Project Description and Location Project Description City of Salina, KS proposes to remove the existing 470 ft. crossing surface and install new 470 ft. crossing surface at the crossing referred to below. Location Sid Ind. Ld. DOT 814181G Crossing Type Public Milepost Street Name 550.86 South 4th Street DocuSign Envelope ID: BEBF4945-CA29-4CCA-BAF9-051051E55317 Exhibit B Scope of Project Services DocuSign Envelope ID: BEBF4945-CA29-4CCA-BAF9-051051E55317 Exhibit C Billing Contact Information Name Title Address Work Phone Cell Phone Email Agency Project No. DocuSign Envelope ID: BEBF4945-CA29-4CCA-BAF9-051051E55317 Certificate Of Completion Envelope Id: BEBF4945CA294CCABAF9051051E55317 Status: Completed Subject: Please Review & Execute: PE > KS > SALINA > S 4TH STREET > DOT 814181G Source Envelope: Document Pages: 5 Signatures: 1 Envelope Originator: Certificate Pages: 5 Initials: 0 Alex Campbell AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central America acampbe@upcontractor.up.com IP Address: 198.47.204.197 Record Tracking Status: Original 6/2/2021 1:34:50 PM Holder: Alex Campbell acampbe@upcontractor.up.com Location: DocuSign Signer Events Signature Timestamp Tiecy Cotton TMCOTTON@UP.COM Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 198.47.204.138 Sent: 6/2/2021 1:38:03 PM Viewed: 6/10/2021 12:37:37 PM Signed: 6/10/2021 12:54:26 PM Electronic Record and Signature Disclosure: Accepted: 6/10/2021 12:37:37 PM ID: 3566bf97-8b5b-4163-81ef-d413e533932e 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 Dan Stack Dan.stack@salina.org Security Level: Email, Account Authentication (None) Sent: 6/10/2021 12:54:27 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Ryan Wright rwright@upcontractor.up.com Security Level: Email, Account Authentication (None) Sent: 6/10/2021 12:54:28 PM Electronic Record and Signature Disclosure: Accepted: 5/25/2021 9:33:39 PM ID: e179c2c4-a41d-4c3f-8dd8-b507e385d1da Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 6/2/2021 1:38:03 PM Certified Delivered Security Checked 6/10/2021 12:37:37 PM Signing Complete Security Checked 6/10/2021 12:54:26 PM Completed Security Checked 6/10/2021 12:54:28 PM Payment Events Status Timestamps Electronic Record and Signature Disclosure ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Union Pacific Corporation (we, us or Company) may be required by law to provide to you certain written notices or disclosures. 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All notices and disclosures will be sent to you electronically Electronic Record and Signature Disclosure created on: 10/10/2019 12:19:52 PM Parties agreed to: Tiecy Cotton, Ryan Wright 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. 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