R 2015-203-E DEAPR - Play-Well TEKnologies for Lego Engineering summer camp

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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: �M� �faju� Department Director's Signature Date: 5/6/2015 69-'fEFAc1-B507kc49... 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: A U� Office of the Chief Financial Officer [A D".�bin,� Date: 5/8/2015 oF�Faacr ... 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