HomeMy WebLinkAboutR 2019-523 DEAPR - MechLabs summer camp DocuSign Envelope ID: BDCAF790-ODB7-4B24-89C9-007783OD8DFA
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Mechlabs,LLC Party/Vendor Contact Person: Jana Chellaperumal Contact Phone: 784.491.7692
Party/Vendor Address: 1009 Chessway Drive City Morrisville State: NC Zip: 27560 Department: DEAPR-
Recreation Amount: $3,600.00 Purpose: Instruct LEGO STEM Jr. and Sr. Summer Camps Budget Code(s): 10511020
630000 Vendor#63981 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check
one) New ® Renewal ❑ Amendment ❑ Effective Date August 19, 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:
Ep
DocuSigned by:
a�� ����� 7/31/2019
Department Director's Signature611CFA1D507A495.. Date:
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 sufficienc f6ocusigned by:' ..ds,specifications,and requirements:
US66 (, 6 7/31/2019
Office of the Risk Management Officer[, Date:
7FDCF9178800498.
Financial Services
This instrument has been pre-audited i Docusigned by: the Local Government Budget and Fiscal Control Act:
Er
q 8/2/2019
Office of the Chief Financial OfficeroaE51siacc,4os. Date:
Legal Services LE
This agreement is approved as t DocuSigned by: iciency:
Office of the County Attorney �6� K6 EAAM33ED8AM65.. Date: 8/2/2019
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 4