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DocuSign Envelope ID: BD3E6679-36D5-4BB2-B821-397A3DOBAE85 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Play-Well TEKnologies Party/Vendor Contact Person: Alex Pearce Contact Phone: 919-518- <br /> 7474 Party/Vendor Address: 224 Greenfield Ave, Ste B City San Anselmo State: CA Zip: 94960 Department: <br /> DEAPR-Recreation Amount: $3,600.00 Purpose: Lego Engineering Summer Camp Budget Code(s): 10511020 <br /> 630000 Vendor#63101 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No[] Contract Type: (Check <br /> one)New® Renewal ❑ Amendment ❑ Effective Date 06/01/16 Approved by Board Yes❑ No[] Agenda <br /> Date: <br /> This agreement is approved as to to 8 �ntent: <br /> 5/6/2016 <br /> Department Director's Signature 611CFA,D5o7A495___ Date: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficienc y#�Vai:standards, specifications, and requirements: <br /> gusa, rbvv�cal6 5/6/2016 <br /> Office of the Risk Management Officer 7FDCFg176a .. Date: <br /> Financial Services <br /> This instrument has been pre-audited i t (LPYffiMM V6quired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer <br /> igFS�1a1A14o on s Date: 5/6/2016 <br /> Legal Services <br /> This agreement is approved as t /I luftrity smd sufficiency: <br /> �i LVt, r6UfS 5/6/2016 <br /> Office of the County Attorne Date: <br /> EAA3D33EB8k846... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydL&oranaecountync.Qov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 1/16 4 ff <br />