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DocuSign Envelope ID: DD3913A1-2D44-4D99-8FAE-68F345A1B5DB <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Play-Well TEKnologies Party/Vendor Contact Person: Paul Deans Contact Phone: <br /> 206.484.1043 Party/Vendor Address: 224 Greenfield Ave. Ste. B City San Anselmo State: CA Zip: 94960 <br /> Department: DEAPR-Recreation Amount: $6,100.00 Purpose: STEM Fundamentals Summer Camps Instruction <br /> Budget Code(s): 10511020 630000 Vendor# 63101 (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date July 15, 2019 <br /> Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Sig, <br /> Agreements �� a Date:7/2/2019 <br /> 11J611r_FA1D507A495__ <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 <br /> was 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 sufficiency oo�usignea_by:- ds,specifications,and requirements: <br /> QuSa (,DV1n.��b 7/2/2019 <br /> Office of the Risk Management Officer_ 7FDCF9170800L08. Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> s�arx.wra 7/2/2019 <br /> Office of the Chief Financial Officer 7 S1ACCAN Date: <br /> Legal Services <br /> This agreement is approved as tc DocuSigned by: iciency: <br /> �6�, K6�ufs 7/3/2019 <br /> Office of the County Attorney Date: <br /> El+A3n33En8AE4S5.. <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 r[DS <br /> 8 V�] <br />