R 2016-499-E DEAPR - Play-Well TEKnologies for lego engineering fall classes

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DocuSign Envelope ID: BBFFAACF-2FDE-4E35-A735-49B96CD5E9C2 ORANGE COUNTY—DEPARTMENT USE ONLY Department 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: $1560.00 Purpose: Lego Engineering-Fall classes 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 9/15/16 Approved by Board Yes❑ No[] Agenda Date: This agreement is approved as to tc9haiaW.fqrwa g?d content: Department Director's Signature Vaw� SfaA&6L Date:8/31/2016 611CFA1 D507A495... Information Technolosies (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 }g&Wj e„o.tandards, specifications,and requirements: Q�SA. r,Orin,c,�16 Office of the Risk Management Officer Date: 8/31/2016 Financial Services This instrument has been pre-audited i Dwm 6�.quired by the Local Government Budget and Fiscal Control Act: s�°nz Office of the Chief Financial Officer Date: 8/31/2016 7D4E 181ACC1409... Legal Services This agreement is approved as to leggy„Ed sufficiency: Office of the County Attorne 0EAA3D33ED8A8465... 66, �� Date: 8/31/2016 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.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 6/16 4 EDS�