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Home My WebLink AboutAGMT - Orange County/ROV (Vote Center Facility Use Agmt for SB Sr Ctr 707 Electric Ave)ORANGE COUNTY Cr REGISTRAR OF VOTERS Neal Kelley, Registrarof Voters j Vote Center Facility Use Agreement March 3, 2020 Presidential Primary Election Facility Name: Seal Beach Senior Center Building/Room: Saturday, 02/29/20 Facility Address: 707 Electric Avenue City/Zip: Seal Beach Mailing Address: 2 -It g City/Zip: I Primary Contact: �. Primary Phone: 5249-q3„Z-0,�7 X 13W E-mail Address: Fax: Facility Contact: ( I/ -n k- Ll Facility Phone: 5W _ 43tirP 134 Emergency Contact: , riq K gP Emergency Phone: This agreement allows Orange County Registrar of Voters, herein after referred to as the ROV, access and usage of the above- named facility with the following terms and conditions: 1. Facility Dates/Hours: California Elections Code requires Vote Centers to be open from 8am-8pm from Saturday, 02/29/2020 to Monday, 03/02/2020 and from 7am-8pm on Election Day, Tuesday, 03/03/2020. Vote Center staff needs access to the facility one hour prior and up to one hour after voting hours. Please complete and indicate the Vote Center hours approved below. Vote Center Dates Vote Center Hours Requested Vote Center Hours Approved Saturday, 02/29/20 7am-9pm keroved. Sunday, 03/01/20 7am-9pm A iplproveA Monday, 03/02/20 7am-9pm AeellbVeA Tuesday, 03/03/20 6am-9pm A roJed Equipment and Supplies: (See Addendum A.) (� Facility shall provide a secured storage area for voting equipment and supplies up to three days prior to the date requested, for the duration of the dates requested, and up to three days after the last date requested. (Required) ❑ Two six-foot tables and six chairs. (Optional) 3. Facility Requirements: (Please review and confirm all required items.) 9 Restroom access for Vote Center staff. [Sr Air conditioning and/or heating in the voting area. G( Parking for voters and Vote Center staff. E^ Functioning electrical outlets in the voting area. Er Sufficient inside and outside lighting. &r Early access at pre -arranged dates/times for site visits. if Vote Center staff access one hour before and one hour after voting hours. Q'No other events or activities scheduled in the voting room area during the dates reserved. 4. Facility Access: (Please review and select all that apply.) [?(*Key or Badge access required. ❑ *Parking passes required. ❑ *Alarm Code access required. *Facility will provide key/badge access, parking passes and alarm code to Vote Center staff. 1300 S Grand Ave, Bldg C, Santa Ana, CA 92705 4 -Day VC Facility Use Agreement Phone: (714) 954-1901 Fax: (714) 567-7316 ocvote.com Page 1 of 3 NGE COUNTY RE01 TRAR OF VOTER Vote Cen er Facility Agreement reement 9 Neal Kelley, Registrarof Voters March 3, 2020 Presidential Primary Election Facility Name: of B 5e_ni r cev&e-rj Building/Room: 5. Fa ' ity Use Payment: (Please review and select only one check box below.) Facility agrees to waive pay t d donate the facility usage as a service to the community. Authorized agent initial here- ❑ The ROV agrees to pay the above-named facility $ per day for days. The payment includes 4 days for use as a Vote Center and 2 additional days for setup and take down. Payee name: Payee address: Additional Information: (Please review and initial.) dNo cancellations or room changes, only in the event of a natural disaster or unforeseen building structural damage. The voting room and secured stor ation should remain the same throughout the dates requested and voting period. Authorized agent initial here. �At any time and without reasOV may revoke this request and not use the above-named facility. Authorized agent initial here. �A contracted transportation c mpany will coordinate the equipment delivery and pick-up directly with your facility. ROV staff will contact the facility 2-3 weeks before the first date requested to confirm details. Authorized agent initial her 7. Certificate of Self -Insurance: The County of Orange will provide a Certificate of Self -Insurance. 2� Please check if you are requesting to be added as additional insured. If so please provide the request in writing on your organization's letterhead and submit with this form. 8. Indemnity Agreement: The County of Orange shall indemnify, defend, save, and hold harmless the owners of said property, their officers, agents, and employees, or any of them from and against any Judgment, loss, damage, liability, cost, charge, expense or attorney's fees arising out of the designation and utilization of the Facility as a Vote Center, except to the extent such claims arise through the sole negligent act or omission of the owner of said Facility. Orange County Registrar of Voters is responsible for staffing all vote -related activities at the Vote Center and for the security of the ballots. This Indemnity obligation shall not be limitedb the types and amounts of insurance or self-insurance maintained by the County of Orange or owner. Nothing in this Indemnity obligation shall be construed to create any duty to, any standard of care with reference to, or any liability or obligation, contractual or otherwise, to any third party. This Indemnity obligation shall not be construed so as to relieve any insurer of its obligation to pay any insurance proceeds in accordance with the terms and conditions of valid and collectible insurance policies. This indemnification is secondary to any available primary insurance or coverage. THE ABOVE SITE INDEMNITY AGREEMENT APPLIES TO ELECTIONS CONDUCTED BY ORANGE COUNTY REGISTRAR OF VOTERS. 9. Terms and Conditions: No alteration or variation of the terms of this contract shall be valid unless made in writing and signed by the parties; no oral understanding or agreement not incorporated herein shall be binding on either of the parties; and no exceptions, alternatives, substitutes or revisions are valid or binding on county unless authorized by county in writing. I have read and understand the terms and conditions of this Vote Center Facility Use Agreement. I am authorized to approve usage of the above named facility. I understand that there are no cancellations, only in the event of a natural disaster or unforeseen building structural damage. I approve access and usage for the facility to be used as a Vole Center to ation and open to the public for the; dates and times specified above during the March 3, 2020 Presidential Primary Electio . 11 Iw Y/8 PRINTED NAME AND TITLE OF AUf HORIZED AGENT SIGNATURBMJTHORIZED AGENT DAT 1300 S Grand Ave, Bldg C, Santa Ana, CA 92705 4 -Day VC Facility Use Agreement Phone: (714) 954-1901 Fax: (714) 567-7316 ocvote.com Page 2 of 3 ORANGETCOUNTY Vote Cen er Facility Use Agreement REG BTRAR OF VOTERS y 9 Neal Kelley, Registrar of Voters March 3, 2020 Presidential Primary Election Facility Name: eon eoace w Ce4e v- I Building/Room: Addendum A - Equipment Delivery and Pickup Information Vote Center equipment will be delivered up to three days prior to the date requested, and picked up within three days after the last date requested. Please complete the information below. Facility Primary Contact Info: Please provide the name, phone number and email address of the primary facility contact person who will be accepting delivery of the Vote Center equipment (if different than page 1). Contact Name: DAX -ri— Phone Number: %7.-1431-252`1 Email Address: F-0-1339 0c 149-993,2_4915 Equipment Delivery Info: (Please review and select only one check box below.) Vote Center equipment deliveries will begin Wednesday, 02/26/20 and continue through Friday, 02/28/20. Please provide all available delivery hours for each day. Wednesday, 02/26/20 between q:00AM and :0 pM Thursday, 02/27/20 between q:00Afj and q:00 t1 1 Friday, 02/28/20 between q:ODAM and 4:0 H r Facility will allow equipment to be set up at the time of delivery. There are no other events occurring in the reserved voting room. The room will be cleared of any and all other items besides pre -arranged tables and chairs, if applicable. ❑ Facility will not allow equipment to be set up until the date the Vote Center opens. The equipment will be securely stored in the following location until Vote Center staff arrives on the first date requested: Equipment Pick Up Info: (Please review and select only one check box below.) Vote Center equipment will be scheduled to be picked up from Wednesday, 03/04/20 through Friday, 03/06/20. Please provide all available pick up hours for each day. Wednesday, 03/04/20 between 9:00 t1 and 4:0o M Thursday, 03/05/20 between 9:00/ktj and :do M Friday, 03/06/20 between 9:90p tj and q:00 f'?4 Equipment can remain in the reserved voting room at the end of Election Day until pickup occurs. ❑ Equipment cannot be left in the reserved voting room at the end of Election Day. All equipment must be moved and stored in the following location: Special Instructions: Please note any special instructions regarding Vote Center equipment delivery and pickup. T,� equt erte*l COu(d 6e- �aKeh Ac)Wj j °lAd a04 in Car yleh of fooH A,f6r voting cbncl�des -F�a� tn)bv��, b� �dea1, I have read and understand the terms and conditions of this Vote Center Facility Use Agreement. I am authorized to approve usage of the above name facility. During the March 3, 2020 Presidential Primary Election, I understand Vote Center equipment will be delivered up to three days prior to the first date requested and must be stored in a s c red location. I understand Vote Center equipment will be picked up within three days after the last date requested. f CdOrl 1a � k* PRINTED NAME AND TITLE OF AUTH RIZED AGENT *G- UT RIZED AGENT DATE 1300 S Grand Ave, Bldg C, Santa Ana, CA 92705 4 -Day VC Facility Use Agreement Phone: (714) 954-1901 Fax: (714) 567-7316 ocvote.com Page 3 of 3 The City of Seal Beach is requesting to be listed as additionally insured on the County of Orange insurance policy. Please view below: City of Seal Beach 707 Electric Avenue Seal Beach, CA 90740 DATED this 24th day of October 2019