HomeMy WebLinkAboutR 2019-404 DEAPR - Play-well TEKnologies summer camp DocuSign Envelope ID: DD3913A1-2D44-4D99-8FAE-68F345A1B5DB
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Play-Well TEKnologies Party/Vendor Contact Person: Paul Deans Contact Phone:
206.484.1043 Party/Vendor Address: 224 Greenfield Ave. Ste. B City San Anselmo State: CA Zip: 94960
Department: DEAPR-Recreation Amount: $6,100.00 Purpose: STEM Fundamentals Summer Camps Instruction
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 July 15, 2019
Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work
on this project has not been initiated prior to execution of the agreement:
DocuSigned by:
Department Director's Sig,
Agreements �� a Date:7/2/2019
11J611r_FA1D507A495__
Agreements for emergency services or repair are not subject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that
was addressed:
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 oo�usignea_by:- ds,specifications,and requirements:
QuSa (,DV1n.��b 7/2/2019
Office of the Risk Management Officer_ 7FDCF9170800L08. Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
s�arx.wra 7/2/2019
Office of the Chief Financial Officer 7 S1ACCAN Date:
Legal Services
This agreement is approved as tc DocuSigned by: iciency:
�6�, K6�ufs 7/3/2019
Office of the County Attorney Date:
El+A3n33En8AE4S5..
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov
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 12/18 r[DS
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