HomeMy WebLinkAboutCounty of San Mateo Vote Center Use Agreement Form,<4 OF SAN
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OFFICE OF
ASSESSOR -COUNTY CLERK -
RECORDER & ELECTIONS
COUNTY OF SAN MATEO
MARK CHURCH
CHIEF ELECTIONS OFFICER &
ASSESSOR—COUNTY CLERK—RECORDER
Vote Center Use Agreement Form
Monday, March 3, 2020 — Presidential Primary Election
South San Francisco Main Library, 840 West Orange Avenue, South San Francisco, CA 94080
Primary Contact
Shawnte Santos
Primary Phone
650-829-3879
E -Mail
[email protected]
Fax
650-829-3866
Emergency Contact
Shawnte Santos
Emergency Phone
408- 373-6119
The facility described above ("Facility") agrees to host a Vote Center on March 3, 2020 ("Election Day") and for the
twenty-nine days prior to Election Day.
The Vote Center at the Facility will remain open to the public for no less than eight (8) hours per day, including
weekends and holidays, but not including February 8-9 and February 15-16. The schedule of hours for the voting
public shall be from 9 a.m. to 5 p.m. on February 3 through March 2, and from 7 a.m. to 8 p.m. on March 3. The Vote
Center at the Facility shall be accessible to persons with disabilities.
Access to the Facility will be granted to Vote Center personnel from 8 a.m. to 5:30 p.m. on Monday, February 3, 2020.
From February 4 to March 2, 2020, Vote Center workers will be granted access to the facility from 8:30 a.m. to 5:30
p.m. On March 3, 2020, Vote Center workers will be granted access to the facility from 6:30 a.m. to 11:30 p.m.
Vote Center workers, or other employees of the Registration & Elections Division ("Division"), will be granted 4 hours
on January 31 for the set-up of equipment in Facility, and 4 hours on March 4 for removal of equipment from Facility.
The Facility will be contacted with a finalized 1 -hour delivery window one (1) week prior to the delivery date.
Payment for the use of Facility shall be as indicated below:
❑ The County shall pay the City of South San Francisco for the use as a Vote Center. Payment for the use of
the facility and associated costs shall be indicated on Exhibit A pursuant to the agreement. The City will
invoice the County at the close of 30 Day Vote Center use.
(Facility must provide W-9)
The Facility agrees to indemnify, defend, and hold harmless the County of San Mateo, and its agents, representatives,
servants, contractors, employees, volunteers, successors, and assigns from and against any and all liability, claims,
damages, and causes of action of any kind whatsoever, caused by the Facility and/or its agents, representatives,
servants, contractors, employees, successors, and assigns involving the Facility or Vote Center.
The County of San Mateo agrees to indemnify, defend and hold harmless the City of South San Francisco and its
agents, representatives, servants, contractors, employees, volunteers, successors, and assigns from and against any
and all liability, claims, damages, and causes of action of any kind whatsoever, caused or alleged to be caused by the
County of San Mateo, the Vote Center equipment and related materials or equipment brought into the Facility, and/or
the County's agents, representatives, servants, contractors, employees, volunteers, successors and assigns involving
the use of the Facility for conducting voting as a Vote Center.
The County of San Mateo shall submit to the City of South San Francisco evidence of Commercial General Liability
Insurance, naming the City of South San Francisco, 400 Grand Avenue, South San Francisco 94080, as the
certificate holder.
40 Tower Road, San Mateo, CA 94402
P 650.312.5222 F 650.312.5348 email [email protected] web www.smcacre.org
�l OF SAN
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RECORDER & ELECTIONS
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MARK CHURCH
CHIEF ELECTIONS OFFICER &
ASSESSOR -COUNTY CLERK -RECORDER
Insurance. Prior to beginning the Work and continuing throughout the term of this Agreement, County (and any
subcontractors) shall, at the County's (or subcontractor's) sole cost and expense, furnish the City with certificates of
insurance evidencing that Consultant has obtained and maintains insurance in the following amounts:
A. Workers' Compensation that satisfies the minimum statutory limits.
B. Commercial General Liability and Property Damage Insurance in an amount not less than ONE MILLION
DOLLARS ($1,000,000) combined single limit per occurrence, TWO MILLION DOLLARS ($2,000,000) annual
aggregate, for bodily injury, property damage, products, completed operations and contractual liability
coverage. The policy shall also include coverage for liability arising out of the use and operation of any City -
owned or City -furnished equipment used or operated by the County, its personnel, agents or subcontractors.
C. Comprehensive automobile insurance in an amount not less than ONE MILLION DOLLARS ($1,000,000)
per occurrence for bodily injury and property damage including coverage for owned and non -owned vehicles.
All insurance policies shall be written on an occurrence basis and shall name the City Indemnitees as
additional insureds with any City insurance shall be secondary and in excess to Consultant's insurance. If the
County's insurance policy includes a self-insured retention that must be paid by a named insured as a precondition of
the insurer's liability, or which has the effect of providing that payments of the self-insured retention by others,
including additional insureds or insurers do not serve to satisfy the self-insured retention, such provisions must be
modified by special endorsement so as to not apply to the additional insured coverage required by this agreement so
as to not prevent any of the parties to this agreement from satisfying or paying the self-insured retention required to
be paid as a precondition to the insurer's liability. Additionally, the certificates of insurance must note whether the
policy does or does not include any self-insured retention and also must disclose the deductible. The certificates shall
contain a statement of obligation on the part of the carrier to notify City of any material change, cancellation,
termination or non -renewal of the coverage at least thirty (30) days in advance of the effective date of any such
material change, cancellation, termination or non -renewal. The City's Risk Manager may waive or modify any of the
insurance requirements of this section.
I, THE UNDERSIGNED, ACKNOWLEDGE THAT I HAVE AUTHORITY TO ACT ON BEHALF OF THE FACILITY. I
HAVE READ AND UNDERSTAND THE ABOVE TERMS OF THIS AGREEMENT AND, BY SIGNING BELOW,
AGREE THAT THE FACILITY WILL COMPLY WITH SUCH TERMS.
Signature
_ � S,
Print Name
l L-A ( L -a 0
Date
Title
I, THE UNDERSIGNED, ACKNOWLEDGE THAT I HAVE AUTHORITY TO ACT ON BEHALF OF THE COUNTY OF
SAN MATEO. I HAVE READ AND UNDERSTAND THE ABOVE TERMS OF THIS AGREEMENT AND, BY
SIGNING BELOW, AGREE THAT THE FACILITY WILL COMPLY WITH SUCH TERMS.
J3� (2,02,-0
Signature Date
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Print Name Title
40 Tower Road, San Mateo, CA 94402
P 650.312.5222 F 650.312.5348 email [email protected] web www.smcacre.org
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