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DocuSign Envelope ID:2AF721DO-B34B-415A-B3BB-405D28975DDE <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Play-Well Teknologies Party/Vendor Contact Person: Paul Deans Contact Phone: (206)484- <br /> 1043 Party/Vendor Address: 224 Greenfield Avenue, Ste. B City San Anselmo State: CA Zip: 94960 Department: <br /> DEAPR-Recreation Amount: $1,820.00 Purpose: Lego Engineering Winter classes Budget Code(s): 10511020- <br /> 630000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check <br /> one) New ® Renewal ® Amendment ❑ Effective Date 1/5/2017 Approved by Board Yes No Agenda <br /> Date: <br /> This agreement is approved as to to aF , n 1%1 fid content: <br /> VA tl SfatA,(1, 1/6/2017 <br /> Department Director's Signature <br /> 611G 0507A495 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 sufficient is :standards, specifications,and requirements: <br /> a&tSA. Cort&c,ffb 1/6/2017 <br /> Office of the Risk Management Office Date: <br /> 7r.cre4z48e0498 <br /> Financial Services <br /> This instrument has been pre-audited i e°flidVi f pt:quired by the Local Government Budget and Fiscal Control Act: <br /> 7 <br /> Office of the Chief Financial Officer �o .l 7 Date:1/6/2017 <br /> (1AF51R1A(1 C1d00 <br /> Legal Services <br /> This agreement is approved as to Ia+ t M d sufficiency: <br /> ,,b rbtt,V'LS 1/6/2017 <br /> Office of the County Attorney Date: <br /> CAA3893ED8A8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <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 6/16 5 <br /> DS <br />