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DocuSign Envelope ID: D3A8BC3A-D002-4FCE-97B0-93AA91 DB711 F <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: 7,940 Purpose: LEGO STEM camps and classes Budget Code(s): 10511020-630000 <br /> Vendor# 63101 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) <br /> New® Renewal ❑ Amendment ❑ Effective Date 7/1/2017 Approved by Board Yes❑No Agenda Date: <br /> This agreement is approved as to to .c°8?`i°^ 'Hid content: <br /> AV-t, Sf L 6/28/2017 <br /> Department Director's Signature 611CFA4D597M95... 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 'I t 'standards, specifications,and requirements: <br /> ((UA COVI/ut t 6/29/2017 <br /> Office of the Risk Management Officer 7RDCF917fiR00498_ Date: <br /> Financial Services <br /> This instrument has been pre-audited in e°rnanifer required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 7D4E51 81ACC14o9... Date: 6/30/2017 <br /> Legal Services <br /> This agreement is approved as t egb , <br /> i`rorm and Sufficiency: <br /> (lln 6/30/2017 <br /> Office of the County Attorney EAA3D33ED8A8465... Date: <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 2/17 5 °s <br /> Cs <br />