Orange County NC Website
Browse       Search
DocuSign Envelope ID: FDAC29C7-97CE-4431-B604-71A57DODD37D <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <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: $2730.00 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. 9, <br /> 2019 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 on <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signature Pawl goLa Date:8/28/2019 <br /> 811CFA1D507A495.. <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---riiocusignedby: "-ds,specifications,and requirements: <br /> aUSX (,b 6 8/28/2019 <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 /> Office of the Chief Financial Officer Date:8/30/2019 <br /> 7NE5181ACC1409. <br /> Legal Services <br /> This agreement is approved as tc Dncusigned by, iciency: <br /> Office of the County Attorney �b� K6�� Date: 9/3/2019 <br /> EAA=ED8MA65.. <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 />