Orange County NC Website
DocuSign Envelope ID: 8BAA36CA -1050- 4212- BA93- F1CF3F6CA986 <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Play -well TEKnologies Party/Vendor Contact Person: Paul Deans Contact Phone: 20( 6•)484- <br />1043 Party/Vendor Address: 224 Greenfield Avenue, Ste. B City San Anselmo State: CA Zip: 94960 Department: <br />DEAPR- Recreation Amount: $3,640.00 Purpose: STEM Fundamentals and STEM Challenge with LEGO Materials <br />Instruction Budget Code(s): 10511020- 630000 Vendor # 63101 (N /A if new vendor) Vendor is a BOCC <br />consultant? Yes ❑ No[] Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date Sept. 3, <br />2018 Approved by Board Yes❑ No® Agenda Date: <br />This agreement is approved as to to DocuSigned by: -.nt: <br />P�J �f C 8/24/2018 <br />Department Director's Signature 811 CFA165C7A495... 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 "DocuSigned by: <br />USX Cb�6 <br />Office of the Risk Management Officer <br />7F6CF817E804498... <br />-ds, specifications, and requirements: <br />Financial Services <br />This instrument has been pre- audited i DocuSigned by; <br />Office of the Chief Financial Officer <br />�r7NE5181ACC14H <br />This agreement is approved as LtDecuSigned by: <br />a�,rn. <br />Office of the County Attorne <br />EAA9033E08A84o"5... <br />Date: 8/25/2018 <br />the Local Government Budget and Fiscal Control Act: <br />Legal Services <br />Eiciency: <br />Clerk to the Board <br />Date: 8/27/2018 <br />Date: 8/27/2018 <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion: sign ersollgoran eg countync.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 10/17 (Mgr appry 5k 6/18) <br />2 <br />Ds!! <br />l� <br />