HomeMy WebLinkAboutR 2015-203-E DEAPR - Play-Well TEKnologies for Lego Engineering summer camp DocuSign Envelope ID: E6A6285D-D2F9-4138-ACE5-43038033B4EE
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Plat/-Well TEKnologies Party/Vendor Contact Person: Alex Pearce Contact Phone: 919-518-
7474 Party/Vendor Address: 224 Greenfield Ave, Ste. B City San Anselmo State: CA Zip: 94960 Department:
DEAPR-Recreation Amount: $2,700.00 Purpose: Lego Engineering Summer Camp Budget Code(s): 10511020
630000 Vendor 4 N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check
one)New ® Renewal ❑ Amendment ❑ Effective Date 06/01/15 Approved by Board Yes❑ No® Agenda
Date:
This agreement is approved a to to Va4uf&m�d content:
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Department Director's Signature Date: 5/6/2015
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Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency, 6usaaymeystandards,specifications,and requirements:
QuSA. rbvvt,e,tt0 5/6/2015
Office of the Risk Management Officer FBeF947-6860 Date:
Financial Services
This instrument has been pre-audited int4eammitmwquired by the Local Government Budget and Fiscal Control Act:
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Office of the Chief Financial Officer [A D".�bin,� Date: 5/8/2015
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Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecou go v
The following signature block is f lh � i�only and is not required for Docusign contracts:
,�, 1°b�t.t�S 5/11/2015
Office of the Clerk to the Board ,�bIAer Date:
Revised 10/14 4 ff