Orange County NC Website
DocuSign Envelope ID: BDCAF790-ODB7-4B24-89C9-007783OD8DFA <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Mechlabs,LLC Party/Vendor Contact Person: Jana Chellaperumal Contact Phone: 784.491.7692 <br /> Party/Vendor Address: 1009 Chessway Drive City Morrisville State: NC Zip: 27560 Department: DEAPR- <br /> Recreation Amount: $3,600.00 Purpose: Instruct LEGO STEM Jr. and Sr. Summer Camps Budget Code(s): 10511020 <br /> 630000 Vendor#63981 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check <br /> one) New ® Renewal ❑ Amendment ❑ Effective Date August 19, 2019 Approved by Board Yes❑ No® <br /> 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 /> Ep <br /> DocuSigned by: <br /> a�� ����� 7/31/2019 <br /> Department Director's Signature611CFA1D507A495.. 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 f6ocusigned by:' ..ds,specifications,and requirements: <br /> US66 (, 6 7/31/2019 <br /> Office of the Risk Management Officer[, Date: <br /> 7FDCF9178800498. <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 8/2/2019 <br /> Office of the Chief Financial OfficeroaE51siacc,4os. Date: <br /> Legal Services LE <br /> This agreement is approved as t DocuSigned by: iciency: <br /> Office of the County Attorney �6� K6 EAAM33ED8AM65.. Date: 8/2/2019 <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 />