HomeMy WebLinkAboutR 2016-245-E DEAPR - Play-Well TEKnologies for lego engineering summer camp DocuSign Envelope ID: BD3E6679-36D5-4BB2-B821-397A3DOBAE85
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Play-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: $3,600.00 Purpose: Lego Engineering Summer Camp Budget Code(s): 10511020
630000 Vendor#63101 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No[] Contract Type: (Check
one)New® Renewal ❑ Amendment ❑ Effective Date 06/01/16 Approved by Board Yes❑ No[] Agenda
Date:
This agreement is approved as to to 8 �ntent:
5/6/2016
Department Director's Signature 611CFA,D5o7A495___ Date:
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 sufficienc y#�Vai:standards, specifications, and requirements:
gusa, rbvv�cal6 5/6/2016
Office of the Risk Management Officer 7FDCFg176a .. Date:
Financial Services
This instrument has been pre-audited i t (LPYffiMM V6quired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer
igFS�1a1A14o on s Date: 5/6/2016
Legal Services
This agreement is approved as t /I luftrity smd sufficiency:
�i LVt, r6UfS 5/6/2016
Office of the County Attorne Date:
EAA3D33EB8k846...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydL&oranaecountync.Qov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 1/16 4 ff