AGR-6937 - ORANGE COUNTY REGISTRAR OF VOTERS - VOTE CENTER FACILITY USE AGREEMENT - KILLEFER PARK BUIILDING AORANGE COUNTY A R-`i37
REGI TRAR OF VOTERS Vote Center Facility Use Agreement
NealKelley,RegislrarofVoters March 3, 2020 Presidential Primary Election
Facility Name: Killefer Park Building/Room: Community Room, Building A
Facility Address: 615A N Lemon St City/Zip:Orange,92867
Mailing Address: 230 E. Chapman Ave.City/Zip:Orange, 92866
Primary Contact: Lisa Tamburelli Primary Phone:714-744-7294
E-mail Address: Itamburelli@cityoforange.org Fax: 714-744-7251
Facility Contact: Lisa Tamburelli - Recrealion Supervisor Facility Phone:714-981-5629
Emergency Contact: Paul Miller-Parks Supervisor Emergency Phone: 714-504-9012
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 Elections Code requires Vote Ceniers to be open from 8am-8pm from Saturday, 02/29/2020 to Monday, 03/02/2020
and 6om lam-Bpm 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 Required Acknowledge&Confirm(initialJ
Saturday,02/29/20 7am-9pm 7am-9pm
Sunday,03/01/20 7am-9pm 7am-9pm
Monday,03/02/20 7am-9pm 7am-9pm
Tuesday,03/03/20 6am-9pm 6am-9pm
2.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)
0 Two six-foot tables and six chairs. (Optionaq
3. Facility Requirements:(Please review and confirm all required items.)
Restroom access for Vote Center staff. p Air conditioning and/or heating in the voting area.
X Parking for voters and Vote Center staff. x Functioning electrical outlets in the voting area.
O Sufficient inside and outside lighting. 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.)
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 Fadlity Use Agreement Phone:(714)9547 901 Fax:p14)567-7316 ocvote.com Page 1 of 3
ORANGE COUNTY
REGISTRAR OF VOY RS Vote Center Facility Use Agreement
NealRelley,RegistrerofVaters March 3,2020 Presidential Primary Election
Facility Name:Killefer Park Building/Room: Community Room, Building A
5. Facility Use Payment: (Please review and select only one check box below.)
X FaciliTy agrees to waive pay 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:
b. Additional Information: (Please review and initial.)
p No cancellations or room changes, only in the event of a natural disaster or unforeseen building structural damage. The
voting room and secured stor e lo tion should remain the same throughout the dates requested and voting period.
Authorized agent initial here.
0 At any time and without reason e ROV 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 by ail 3 weeks before the first date requested to confirm details.
Authorized agent initial here.
7. Certificate of Self-Insurance:
The County of Orange will provide a Certificate of Self-Insurance.
x 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,
agenu, and employees, or any of them from and against any1udgment, loss, damage, liability, cost, charge, expense or
attomey's fees arising out of the designation and utiliza[ion 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 limited by the types and amounts of insurence or self-insurance maintained by the
Counry 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 coverege.
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.
l have read and understand theterms 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 eventof a natural disaster or unforeseen building stmctural
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
spec ed above during the March 3,2020 Presidential Primary Election.
nni R A%A.VI NSSiS it UMnI'.(/ I
PRINTED NA E AND TITLE OF AUTH RIZED SIGNAT RE AUTHORIZED AGENT DATE
1300 S Grand Ave, Bldg C, Sanfa Ana, CA 92705
a-Day VC Faciliry Use Agreement Phone: p14)954-1901 Fax:p14)567-7316 ocvote.com Page 2 of 3
ORANGE COUNTY
REGISTRAR QF !l46T'ERS Vote Center Facility Use Agreement
NealKelley,RegistraroiVaters March 3,2020 Presidential Primary Election
Facility Name:Killefer Park Building/Room: Community Room, Building A
Addendum A- EquipmentDelivery and Pickup Infortnation
Vote Center equipment will be delivered up to three days prior to;he date requested, and picked up within three days
after the last date requested. Please complete the information below.
FacilityPrimary Contad 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: 714-Al2-9281 Email Address: agallegos @cityoforange.org
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.
Wednesda , 02/26/20 betweeri Bam and 2pm
Thursday, 02/27/20 behveen 8am and 2pm
Friday, 02/28/20 between Bam and Zpm
X 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 selec[only one check box below.)
Vote Center e9uipment 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 Bam and 2pm
Thursda , 03/05/20 between Bam and 2pm
Friday, 03/06/20 between eam and 2pm
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 Eledion Day. All equipment must be moved and
stored in the following location:
Special Instru c[ions:
Please note any special instructions regarding Vote Center equipment delivery and pickup.
City staff do not work oui of the designated voting center,so delivery and pick-up of the polling equiptment needs to be coordinated 6eforehand.
One week prior to use, please provide the City with on-site contact informations for the voting center during each day of use.A signature from
the ROV office 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 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 secured location. I understand Vote Center equipment will be
picked up within three days after the last date requested.
hnl Ghn/1',t'M_.
PRINTED NAME AND TtiLE OF AUTH6RIZED AGENT SIGNA URE AUTHORIZED AGENT DFITE
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
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CITY OF ORANGE
COMMUNITY SERVICES DEPARTMENT tMrvw.e'yofa2nge.org PHONE: (714)744-7274 • FAX:(714)744-7251
January 23, 2020
Orange County
Registrar of Voters
1300 S. 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, ftem 7), the City of Orange
Community Services Department is requesting the I<illefer Park facility located at 615 N. Lemon
St., Orenge, 92867, be added as additionally insured to your Certificate of Self-Insurance.
Thank you,
CK
C`
GtiGG4 .
Lisa Tamburelli, Recreation Services Supervisor
Lta m b u re I I i@citvofo ra nee.orQ
714) 744-7294
COMMUNITY SERVICES DEPARTMENT•230 E.CHAPMAN AVENUE •ORANGE,CA 92866