HomeMy WebLinkAboutCounty of Santa Clara ROV (4)County of Santa Clara
Registrar of Voters
1555 Berger Drive, Bldg. 2
San Jose, CA 95112
Mailing Address: PO Box 611360, San Jose, CA 95161-1360
(408) 299 -VOTE (8683) (866) 430 -VOTE (8683) FAX: (408) 998-7314
W W W.sccvote.org
Vote Center Facility Use Agreement
VOTER'S CHOICE
Registrar of Voters
Santa Clara County
I-Election Name September 14, 2021— California Gubernatorial Recall Election
Facinty,Name ; Town of Los Altos Hills
Facility Owner Name Town of Los Altos Hills
Building/Room Reserved Council Chambers
PhysicarAddress 26379 Fremont Rd. city/zip 1 Los Altos Hills, CA 94022
nnailmg address
26379 Fremont Rd..City/Zip
Los Altos Hills, CA 94022
Primary Contact'Name'
Deborah PadOVan - Clty Clerk
Phone #
Deborah Padovan - City Clerk
Email Address
dpadovan@losaltoshills.ca.gov;
Fax#
650-941-3160
Secondary Contact Name
Keren Brunner
�'Phone #.
650-941-7222
Email Address
kbrunner@losaltoshills.ca.gov
FaX#
650 -941-3160
After Hours Emergency Contact `Hector
NamP
HUefta
Phone #
650-504-4496
hhuerta@losaltoshills.ca.gov
This agreement allows The County of Santa Clara, through its Registrar of Voters ("Registrar of Voters"), to access and
use of the above named Facility subject to the following terms and conditions:
1. Facility Use and Hours. Facility Owner agrees that the Registrar of Voters shall be allowed to use the Facility and the
Facility will be open to voters for the days before and including Election Day as set forth on Addendum A. Facility Owner
acknowledges and agrees that the dates and times on Addendum A will be printed in publications by the Santa Clara
County Registrar of Voters. Facility Owner agrees that there shall be no cancellations or room changes outside of an
event of a natural disaster or unforeseen structural damage to the Facility. The Registrar of Voters shall be responsible
for staffing all vote related activities and is responsible for the security of the ballots and vote casting activities.
2. Facility Requirements. Facility Owner agrees to the specifications regarding the Facility use set forth on Addendum B.
Board of Supervisors: Mike Wasserman, Cindy Chavez, Susan Ellenberg, S. Joseph Simitian, Otto Lee
County Fxecutive: Jeffrey V. Smith 0
Page 1 of 6
3. Facility Use Payment. The Registrar of Voters shall pay Facility Owner for use of the Facility in accordance with the
below:
0 Facility agrees to waive the payment.
Facility Owner initial here Cc
❑ $ for the use of the Facility as set forth in this agreement.
❑ $ any additional amounts for Facility Owner's standard fees or deposits. List amounts and
reason for additional amounts:
September 14th 2021 California Gubernatorial Recall Election for 15 days
4. Registrar of Voters Insurance and Indemnity.
The County of Santa Clara ("County") shall indemnify, defend, and hold harmless the Facility Owner, its officers, agents,
and employees (collectively "owner") from and against any judgment, loss, damage, liability, cost, charge, or expense
(including reasonable attorney's fees) arising out of the designation and utilization of the Facility as a polling place or
election site, except to the extent such claims arise through the negligent act(s) or omission(s) or willful misconduct of the
owner. The foregoing indemnity obligation, shall not be limited by the types and amounts of insurance or self insurance
maintained by County or owner. Please see Addendum C for the Santa Clara County certificate of Self Insurance.
5. General Conditions:
No alteration or variation of the terms of this agreement 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 the County unless authorized by the County in writing.
Nothing in this agreement 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. At any time and without reason, The Santa Clara County
Registrar of Voters' may revoke this request and not use the above named facility.
The undersigned have executed this agreement as of the dates set forth below.
FACILITY OWNER SIGNATURE':
Carl Cahill, City Manager 74
Z-1
PRINTED NAME AND TITLE SIGNATURE OF AUTHORIZED AGENT DATE
OF AUTHORIZED AGENT OF FACILITY OWNER
REGISTRAR OF VOTERS SIGNATURE:
COUNTY OF SANTA CLARA,
a political subdivision of the State of California APPROVED AS TO FORM AND LEGALITY:
By:
By:
Name:
Name:
Title:
Title: Deputy County Counsel
Date:
For ROV use:
ROVVote Center Contact Smlta Shah _ Contact►nforrnation: 408-282-3199
Board of Supervisors: Mike Wasserman, Cindy Chavez, Susan Ellenberg, S. Joseph Simitian, Otto Lee
County Executive: Jeffrey V. Smith
Page 2 of 6
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.
Thursday
Friday
Saturday
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
9/2/21
9/3/21
9/4/21
9/5/21
9/6/21
9/7/21
9/8/21
9/9/21
9/10/21
9/11/21
9/12/21
9/13/21
9/14/21
9/15/21
9/16/21
9/17/21
Equipment Delivery
Equipment DeliveryNote Center Set Up
9:00 a.m. - 5:00 p.m.
9:00 a.m. - 5:00 p.m.
9:00 a.m. - 5:00 p.m.
9:00 a.m. - 5:00 p.m.
9:00 a.m. - 5:00 p.m.
9:00 a.m. - 5:00 p.m.
9:00 a.m. - 5:00 p.m.
9:00 a.m. - 5:00 p.m.
9:00 a.m. - 5:00 p.m.
9:00 a.m. - 5:00 p.m.
7:00 a.m. — 8:00 p.m.
Vote Center Cleanup
Equipment Pick Up
-. 8:00 a.m. - 5:00 p.m.
-. 8:00 a.m. - 5:00 p.m.
8:00 a.m. -6:00 p.m.
8:00 a.m. -6:00 p.m.
8:00 a.m. -6:00 p.m.
8:00 a.m. -6:00 p.m.
8:00 a.m. -6:00 p.m.
8:00 a.m. -6:00 p.m.
8:00 a.m. -6:00 p.m.
8:00 a.m. -6:00 p.m.
8:00 a.m. -6:00 p.m.
8:00 a.m. -6:00 p.m.
6:00 a.m. —10:00 p.m.
-. 8:00 a.m. - 5:00 p.m.
-. 8:00 a.m. - 5:00 p.m.
Board of Supervisors: Mike Wasserman, Cindy Chavez, Susan Ellenberg, S. Joseph Simitian, Otto Lee O
County Executive: Jeffrey V. Smith
Page 3 of 6
Addendum B
Vote Center Facility Use Agreement
Checklist of Needs and Equipment
Facility Requirements. Please check each box acknowledging you are able to allow or provide:
0 Facility access for Vote Center Staff one hour before and one hour after voting hours. On Election Day, Vote
Center Staff will have access for one hour before voting hours and two hours after voting concludes.
❑ Accessibility survey conducted by Santa Clara County Election Officials; additional visits to facility may be
required to test equipment or obtain additional information for vote center layout.
❑� Acceptance and secured storage of voting equipment delivered up to 2 day(s) prior to the opening of the
Vote Center, for duration that the Vote Center is open, and up to 2 day(s) following Election Day.
0 Reserved room for Vote Center will be cleared of any unused tables, chairs, and equipment prior to Vote
Center equipment delivery.
0 Functioning grounded electrical outlets in designated voting area.
0 Designated Building/Room for voting is free of any activities during the days.
0 Restroom access for Vote Center Staff.
❑ Gender neutral restroom available? ❑ Disability accessible restroom available?
❑■ Sufficient inside/outside lighting.
ffi� Air Conditioning/Heating available each day in the voting area.
Free parking for voters and Vote Center Staff.
F No plans to remodel facility or changes to path of travel or parking area.
Optional items you can provide. Check any of the following:
FN� (4) 8 ft. tables or ❑ (6) 6 ft. tables
❑O 15 Chairs
❑N *Key access for Vote Center Staff
❑ *Badge access for Vote Center Staff
❑ *Alarm code access for Vote Center Staff
❑ *Parking passes for free Vote Center Staff Parking
*The assigned Vote Center Lead will contact the facility up to 2 weeks prior to the opening of the Vote Center and
arrange a time to pickup these items.
Board of Supervisors: Mike Wasserman, Cindy Chavez, Susan Ellenberg, S. Joseph Simitian, Otto Lee
County Executive: Jeffrey V. Smith 0
Page 4 of 6
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 Centeropens to dpadovan@tosaiioshiiis.ca.g.ov_ [insert
email address for receipt of Deployment Schedule] confirming the details of equipment coming to yourfacility.
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 Sep• 2nd 2021
Sep. 3rd 2021
Other Arrangements:
between $' 00 a' m' and 5.00 p.m.
0 Equipment can be set up at this time. There are no other events occurring in this room.
Pick-up of Equipment:
Equipment pick up at the Vote Center will be scheduled on September 15th, 2021
September 16th, 2021 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.
nd
and
❑ 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:
Board of Supervisors: Mike Wasserman, Cindy Chavez, Susan Ellenberg, S. Joseph Simitian, Otto Lee
County Executive: Jeffrey V. Smith
Page 5 of 6
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.
CERTIFICATE OF COVERAGE
ISSUED BY
COUNTY OF SANTA CLARA
Ins. Cert. No. FY22-004
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, Hed in Street
San Jose CA 95110
Insurer.
1. Self -Funded Retention
2. Self -Funded Retention
3. Self -Funded Retention
4. Self -Funded Retention
5. PRISM, Excess Insurance
Type of Coverage
1. Comprehensive General
& Automobile Liability
2. Workers' Compensation
3. Physical Damage
4. Pollution Liability
5. Pollution Liability
x iration
Continuous
Continuous
Continuous
Continuous
06/30/2021
imits,
$2,000,000 Per Occurrence
$4,000,000 Per Occurrence
$ 50,000 Per Occurrence
$ 250,000 Per Occurrence
$1,000,000 Per Occurrence
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) day written notice from
County of Santa Clara to the certificate holder. This certificate pertains to the Co ty of Santa Clara,
Registrar of Voters for 2021 and 2022 elections, Election Officer Training, delivery, -up and retrieval of
equipment. This certificate expires June 30, 2022.
Hank Ford
Insurance Contracts & Claims Manager
June 3, 2021
HF:td
FY22-004November2020ElectionROV
Board of Supervisors: Milce Wasserman, Cindy Chavez, Otto Lee, Susan Ellenberg, S. Joseph Simitian
County Executive: Jeffrey V. Smith