Orange County NC Website
DocuSign Envelope ID:9669FC04-4C68-4A3F-A99C-6A7A82F7F294 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Mechlabs, LLC Party/Vendor Contact Person: Jana ChellMerumal Contact Phone: <br /> 784.491.7692 Party/Vendor Address: 1009 Chessway Drive City Morrisville State: NC Zip: 27560 Department: <br /> DEAPR-Recreation Amount: $2,400.00 Purpose: LEGO Challenge and GaliLEGO Spring Break Camps Budget <br /> Code(s): 10511020 630000 Vendor# 63981 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date April 1, 2019 Approved by Board <br /> Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> 1P.1 <br /> DocuSigned by: <br /> a l gg�,a 3/4/2019 <br /> Department Director's SignaturecFA,Dso7A4s5.. Date: <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that was <br /> addressed: <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 -oocusianed_by: <br /> . ..ds,specifications,and requirements: <br /> 1�sa .��b 3/5/2019 <br /> Office of the Risk Management Officer 7FDCFe176800498. Date: <br /> Financial Services <br /> This instrument has been pre-audited i DocuSigned by: the Local Government Budget and Fiscal Control Act: <br /> Er <br /> q 3/5/2019 <br /> Office of the Chief Financial OfficeroaE51s,acc,4os. Date: <br /> Legal Services <br /> This agreement is approved as t DocuSigned by: ciency: <br /> �6LW Pk� 3/5/2019 <br /> Office of the County Attorney EAA3D33ED&AM65.. Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 12/18 4 <br /> Ds <br /> GS <br />