AGR-6936 - ORANGE COUNTY REGISTRAR OF VOTERS - VOTE CENTER FACILITY USE AGREEMENT - STEVE AMBRIZ MEMORIAL PARK COMMUNITY ROOMA R-b93b
ORANGE COUNTY
REGISTRAR OF VOT RS VoteCenterFacilityUseAgreement
NealKelley,Reyisnarofvo[ers March 3,2020 Presidential Primary Eledian
Facility Name:Steve Ambriz Memorial Park Building/Room: Community Room
FacilityAddress: 611 RiverbendPkwy City2ip: Orange 92865
Malling Address: 230 E.Chapman Ave. City/Zip: Orange,92866
Primary Contact Lisa Tamburelli Primary Phone: (714)744-7294
E-mail Address: Ltamburelli@cilyotorange.org Fax: 714-744-7251
Facility Contact: Lisa Tamburelli Facility Phone:714-981-5629
Emergency Contact Paul Miller- Parks Supervisor Emergency Phone: 774-504-9012
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:
Califomia Elec[ions Code requires Vote Centers to be open from 8am-Bpm from Saturday, 02/29/2020 to Mo day, 03/02/2020
and from 7am-8pm on Election Day, Tuesday, 03/03/2020. Vote Center s[aff needs access to tFe facility one hour prior and up [o one
hour aker voting hours. Please complete and indicate the Vo[e Center hours approved below.
Vote Center Dates Vote Center Hours Requested Vote Center Hours Approved
Saturday,02/29/20 7am-9pm ' 7 am-9 pm
Sunday,03/O7/20 7am-9pm 7-g pm
Monday,03/02/20 7am-9pm 7 am-9 pm
Tuesday,03/03/20 6am-9pm 6 am-9 pm
2.Equipmentand Supplies:(See Addendum A.)
x Facility shall provide a secured storege 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)
x Two six-foot tables and six chairs. (OpUonalJ
3. Fadlity Requirements:(Please review and confirm all required items.)
Ox ResVoom access for Vote Center staff. x Air conditioning and/or heating in the voting area.
Parking forvoters and Vote Center staH. x Fundioning electrical outlets in the voting area.
x Sufficient inside and outside lighting. 0 Early access at pre-arranged dates/times for site visits.
p Vote Center staff access one hour before and one hour after voting hours.
x No other events or activities scheduled in the voting room area during the dates reserved.
4. FacilityAccess:(Please review and select all that apply.)
x 'Key or Badge access required.
Pa icing passes required.
Alarm Code access required.
Faciliry will provide key/badge access,parking passes and alarm code to Vote Center staH.
1300 S Grand Ave, 81dg C,Santa Ana,CA 92705
4-Day VC Fadliry Use Agreement Phone: (714)954-7901 Fax:(774)567-7316 ocvote.com Page 1 of 3
R G STRAR OF o4ees Vote Center Facility Use Agreement
ruealKelley,RegistarofVaters March 3,2020 Presidential Primary Election
Faciliry Name:Steve Ambriz Memonal Park Building/Room: Community Building
5. Facility Use Payment (Please review and select only one check box below.)
x Facility agrees to waive pay an 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:
6. Additional Information: (Please review and initial.)
No 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.
x At any time and without reaso V may revoke this request and not use the above-named facility.
Authorized agent initial here.
x A contracted transportation company will coordinate the equipment delivery and pick-up directly with your facility. ROV
staff will contact the facility b i il - weeks before the first date requested to confirm details.
Authorized agent initial here.
7.Certifinte of Self-Insurance:
The County of Orange will provide a Certificate of Self-Insurance.
O 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 oHicers,
agents, and employees, or any of them from and against any udgment, loss, damage, liabifity,cost, charge,expense or
attomey's fees arising out of the designation and utilization o the Facility as a Vote Center, exceptto the eMent such
claims arise through the sole negligent act or omission of the owner of said Facility. Orange County Registrar of Voters is
responsible for staHing all vote-related activities at the Vote Center and for the security of the ballots.
This Indemnity obligation shall not be limited by the types and amounts of insurence or self-insurance maintained by the
County of Orange or owner. Nothin 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 othenvise,to any third party.This Indemnity
obligation shall not be consvued so as to relieve any insurer of its obligation to pay any insurence proceeds in
accordance with the terms and conditions of valid and collectible insurance policies.This indemnification is secondary to
any available primary insurance or toverage.
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 contrect 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,
altematives, 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 Facil"ity Use Agreement I am authorized to approve usage of the
a6ove named facility.I understand that there are no cancellations,only in the event of a natural disaster or u rforeseen building sUuctural
damage.I approve access and usage for the facility to be used as a Vote Center location and open to the public for the dates and times
specified above during the March 3,2020 Presidential Primary Election.
l1nnI S 0.—li/17.fIJT-l C:.i., [v a J 1 ZO
PRINTEDNQMEANDTRLEOFA ORIZEDAGENT SIGNATUREAUTHORIZEDAGENT DA E
1300 S Grand Ave, Bldg C,Santa Ana,CA 92705
4Day VC Facility Use Agreement Phone:(714)954-1901 Faz:p74J 567-7316 ocvote.com Page 2 of 3
ORANGE COUNTY
REGI$TRAR OF VOTERS Vote Center Facility Use Agreement
xeattcelley,eeginrarofvacers March 3,2020 Presidential Primary Election
Facility Name:Sleve Am6riz Memonal Park Building/Room: Cammunity Room
Addendum A-EquipmentDelivery 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
delive of the Vote Center e ui ment(if different than age 1).
Contact Name: Tony Gallegos Phone Number: 714412-9281 Email Address: agallegos@cityoforange.org
Equipment Del'rvery Info: (Please review and select only one check box below.)
Vote Center equipment deliveries will begin Wednesday,02/26/20 and continue through Friday, 02128/20. Please provide
all available delivery hours for each day.
Wednesda ,02/26/20 between 8 am a d 2 pm
Thursday,02/27/20 between e am and 2 pm
Friday,02/28/20 between Sam and zpm
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 siaff arrives on the first date requested:
Equipment Pick Up Info: (Please review and select only one check box below.J
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.
Wednesda , 03/04/20 between 8 am and 2 pm
Thursda , 03/OS/20 beriveen 8 am and 2 pm
Friday,03/06/20 between e am and 2 pm
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 instruc[ions regarding Vote Center equipment delivery and pickup.
City staff do not work out of the designated voting center,so the delivery and pick-up of polling equipment needs to be coordinated 6eforehand.
One week prior to use,please provide the City with on-si[e contact info.for the voting cen er during each day of use.
A signature from an ROV oflice representative will be required at the time the facility key is issued.
I have read and understand the terms and conditions of this Vote Center Faciliry Use Agreement. I am authorized to approve usage of
the a6ove 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 secured location.I understand Vote Center equipment will be
picked up within three days after the last date requested.
Pnntf F-a n TJ i(-A.,"r , {'ti'lsn't0.r 2 Ler
PRINTEDNAMEANDTITLEOFA ORIZEDAG T S REAUTHORIZEDAGENT DATE
1300 S Grand Ave, Bldg C,Santa Ana,CA 92705
4-Day VC Faciliry Use Agreement Phone:(714)954-1901 Fax:(714)567-7316 ocvote.com Page 3 of 3
o+
o
CITY OF ORANGE
e'
ro,
COMMUNITY SERVICES OEPARTMENT w wa.clWoforange.org PHONE; (714)744-7274 • FAX:(714)744-7251
January 22, 2020
Orange County
Registrar of Voters
13005. Grand Ave., Bldng. C
Santa Ana, CA 92705
714) 954-1901
To whom it may concern,
Per the enclosed Vote Center Facility Use Agreement (page 2, Item 7), the City of Orange
Community Services Department is requesting the Steve Ambriz Memorial Park facility located
at 611 Riverbend Pkwy, Orenge, 92865, be added as additionally insured to your Certificate of
Self-Insurance.
Thankyou,
t_.Gea
Lisa Tamburelli, Recreation Services Supervisor
Lt a m b u re I I i(c c i tv o fo ra n a e.o r
714) 744-7294
COMMUNITY SERVICES EPARTMENT.230 E.CHAPMAN AVENUE •OR4NGE,CA 92866