HomeMy WebLinkAboutCounty of Santa Clara ROV (2)County of Santa Clara
Registrar of Voters
1555 Berger Drive, Bldg. 2
San Jose, CA 95112
Mailing Address: PO Box 611360, San Jose, CA 95161-1$60
(408) 299 -VOTE (8683) (866) 430 -VOTE (8683) FAX: (408) 998-7314
www.sccvote.org V_
Vote Center Facility Use Agreement AMENDMENT
I` Election Name i November 3, 2020 Presidential General
Facility Name Town of Los Altos Hills
Facility Owner Name Town of Los Altos Hills
Council Chambers
GO 1 VT
VOTER'S CHOICE
Registrar of Voters
Santa Clara County
Physical Address - =
`
26379 Fremont Rd.
City/Zip =
Los Altos Hills, CA 94022
Marling Address
26379 Fremont Rd.
X City/Zip ;
Los Altos Hills, CA 94022
Primary Contact Name
Deborah Padovan - MMC City clerk
I 2auffi0tm650)947-2513/
7Q7)479-4040 Cell
`Email Address
dpadovan@IOsaltoshills.ca.gov
Fax #
650-941-3160
r
Secondary Contact.Name
Phone #
650-941-7222
Deborah Padovan
707-479-4040
This amendment revises and updates the Vote Center Facility Use Agreement dated : (the "Original
Agreement") that allows The County of Santa Clara, through its Registrar of Voters ("R gistrar of Voters"), to access
and use the above named Facility as a Vote Center. All other terms and conditions of the Original Agreement
continue in full force.
1. Facility Use and Hours. Facility Owner acknowledges and agrees to the dates and times in the revised Addendum A
attached to this amendment as a substitute to the dates and times in the Original Agreement with respect to the
November 3, 2020 election. The equipment delivery and setup dates in the revised Addendum B attached to this
amendment supercede and replace the dates in the Original Agreement with respect to the November 3, 2020 election.
2. Facility Use Payment. The following shall supercede and replace Paragraph 3 of the Original Agreement with respect
to the November 3, 2020 election:
"3. The Registrar of Voters shall pay Facility Owner for use of the Facility in accordance with the below:
❑ Facility agrees to waive the payment.
Facility Owner initial here
❑ $_0 in total for the use of the Facility as set forth in this agreement."
Board of Supervisors: Mike Wasserman, Clndy Chavez, Dave Cortese, Susan Ellenberg, S. Joseph Simitian
County Executive: Jeffrey V. Smith
Page 1 of 5
3. Contract Execution: This amendment may be executed in counterparts, each of which will be considered an original,
but all of which together will constitute the same instrument. Without limiting the foregoing, a copy of this amendment
sent via facsimile or electronic mail in a portable document format ("PDF") will be considered an original. Unless
otherwise prohibited by law or County policy, the parties agree that an electronic copy of this amendment, or an
electronically signed amendment, has the same force and legal effect as the amendment executed with an original ink
signature. The term "electronic copy of this amendment" refers to a transmission by facsimile, electronic mail, or,other
electronic means of a copy of the original signed amendment in a portable document format. The term "electronically
signed amendment" means the amendment that is executed by applying an electronic signature using technology
approved by the County.
The undersigned have executed this amendment as of the dates set forth below.
FACILITY OWNER SIGNATURE:
Carl Cahill, City Manager
PRINTED NAME AND TITLE SIGNATURE OF AUTHORIZED AGENT DA E
OF AUTHORIZED AGENT OF FACILITY OWNER
REGISTRAR OF VOTERS SIGNATURE:
COUNTY OF SANTA CLARA, APPROVED AS TO FORM AND LEGALITY:
a political subdivision of the State of California
By:
By: Name:
Name: Title: Deputy County Counsel
Title:
Date:
For ROV Use:
ROV vote Center Contact: Smita Shah Contact information: 408-282-3199
Page 2 of 5
Addendum A
Vote Center Facility Use Agreement
Vote Center Hours
The tables below indicate what hours the Facility will be open to the public as a Vote Center as well as hours for which
the Facility is reserved for Vote Center staff to have access. California Election code requires Vote Centers to be open a
minimum of 8 hours per day for three (3) or ten (10) consecutive days prior to Election Day and on Election Day from
7a.m. to 8p.m., inclusive. Vote Center staff need access a minimum of an hour before and after voting hours, and on
Election Day will need access for a minimum of two hours after voting concludes.
Important: Please ensure the accuracy of the information as these dates and hours will be published and made public by
the Santa Clara County Registrar of Voters'.
Facility Name I Town of Los Altos Hills
Building/Room Reserved I Council Chambers
Physical Address 26379 Fremont Rd Los Altos Hills, CA 94022
Thursday
10/22/20
Friday
10/23/20
Saturday
10/24/20
Sunday
10/25/20
Monday
10/26/20
Tuesday
10/27/20
Wednesday
10/28/20
Thursday
10/29/20
Equipment Delivery
8:00 a.m. - 5:00 p.m.
Friday
10/30/20
Vote Center Set Up
8:00 a.m. - 5:00 p.m.
Saturday
10/31/20
9:00 a.m. - 5:00 p.m.
8:00 a.m. - 6:00 p.m.
Sunday
11/1/20
9:00 a.m. - 5:00 p.m.
8:00 a.m. - 6:00 p.m.
Monday
11/2/20
9:00 a.m. - 5:00 p.m.
8:00 a.m. - 6:00 p.m.
Tuesday
11/3/20
7:00 a.m. — 8:00 p.m.
6:00 a.m. —10:00 p.m.
Wednesday
11/4/20
Equipment Pick Up
8:00 a.m. - 5:00 p.m.
Page 3 of 5
Thursday 11/5/20 Equipment Pick Up 8:00 a.m. - 5:00 p.m.
Page 4 of 5
Addendum B
Schedule for Equipment Delivery and Pick -Up
A deployment schedule for Vote Center equipment delivery and pick-up will be created based on the information you
provide below. You will receive an email 2-3 weeks before the Vote Center opens to dpadovan@losaltoshills.ca.eov [
insert email address for receipt of Deployment Schedule] confirming the details of equipment coming to your facility.
Please provide the name, phone number, and email information for the person, if different than the Primary Contact on
page 1, who will be accepting delivery of the Vote Center equipment.
Name: Phone: Email:
If you would like others in your organization copied with the Vote Center Equipment Confirmation email, please list their
email addresses here:
Delivery of Equipment:
Equipment delivery and setup of Vote Center will be scheduled on October 29, 2020 and October 30, 2020 between
8:00 a.m. and 5:00 p.m.
Other Arrangements:
❑ Equipment can be set up at this time. There are no other events occurring in this room.
Pick-up of Equipment:
Equipment delivery and setup of Vote Center will be scheduled on November 4, 2020 and November 5, 2020
between 8:00 a.m. and 5:00 p.m.
Other Arrangements:
❑ Equipment can remain set up in the room on Election Day until pick-up occurs.
❑ Equipment cannot be left out on Election Night. All equipment must be packed up and stored until Election Staff
arrive to remove it. The equipment will be securely stored in this location (name of room/building) until Vote Center
staff arrive to pick it up:
Page 5 of 5
Board of Supervisors: Mike Wasserman, Cindy Chavez, Dave Cortese, Susan Ellenberg, S. Joseph Simitian
County Executive: Jeffrey V. Smith
Ins. Cert. No. FY21-090
CERTIFICATE OF COVERAGE
ISSUED BY
COUNTY OF SANTA CLARA
This is to Certify to: All Vote Centers, Training Sites, Outreach and Presentation Sites
And Election Related Activity Sites in County of Santa Clara
County of Santa Clara Registrar Voters
That the following described coverages are in force on this date as set forth below:
Assured: County of Santa Clara
70 W. Hedding Street
San Jose, CA 95110
Insurer Expiration
1. Self-Funded Retention Continuous
2. Self-Funded Retention Continuous
3. Self-Funded Retention Continuous
Type of Coverage Limits
1. Comprehensive General
& Automobile Liability $2,000,000 Per Occurrence
2. Workers’ Compensation $4,000,000 Per Occurrence
3. Physical Damage $ 50,000
This certificate of coverage is provided by the County of Santa Clara to the above named certificate holder.
The coverage specified herein will not be cancelled or reduced without thirty (30) days written notice from
County of Santa Clara to the certificate holder. This certificate pertains to the County of Santa Clara,
Registrar of Voters for November 2020 Election, Election Officer Training, delivery, set -up and retrieval
equipment. This certificate expires June 30, 2021.
Hank Ford
Insurance Contracts & Claims Manager
July 29, 2020
HF:td
FY21-090November2020ElectionROV
County of Santa Clara
Office of the County Executive
Department of Risk Management
Liability/Property Insurance Division
2310 North First Street, Suite 203
San Jose, California 95131
Tel. No. (408) 441-4340 FAX (408) 441-4341
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