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<br />V�,9� OFFICE OF
<br />ASSESSOR -COUNTY CLERK -
<br />RECORDER & ELECTIONS
<br />`P COUNTY OF SAN MATEO
<br />9LIFOR�
<br />MARK CHURCH
<br />CHIEF ELECTIONS OFFICER &
<br />ASSESSOR -COUNTY CLERK -RECORDER
<br />In case of an emergency, we require the contact information of someone other than your primary
<br />contact to get in touch with. Please list their name(s) and number(s) below:
<br />Emergency Contact Name: Joanna Barrett, PRCS Management Analyst
<br />Emergency Contact Cell Phone: (650) 580-3424
<br />2nd Emergency Contact Name: Erin Niemeyer, PRCS Supervisor
<br />2nd Emergency Contact Phone: (650) 444-5301
<br />The Facility agrees to indemnify, defend, and hold harmless the County of San Mateo, and its agents,
<br />representatives, servants, contractors, employees, volunteers, successors, and assigns from and
<br />against any and all liability, claims, damages, and causes of action of any kind whatsoever, caused by
<br />the Facility and/or its agents, representatives, servants, contractors, employees, successors, and
<br />assigns involving the Facility or Curbside Voting Service.
<br />The County of San Mateo agrees to indemnify, defend and hold harmless City of Redwood City and
<br />its agents, representatives, servants, contractors, employees, volunteers, successors, and assigns
<br />from and against any and all liability, claims, damages, and causes of action of any kind whatsoever,
<br />caused or alleged to be caused by the County of San Mateo, the Curbside Voting Service equipment
<br />and related materials or equipment brought into the Facility, and/or the County's agents,
<br />representatives, servants, contractors, employees, volunteers, successors and assigns involving the
<br />use of the Facility for conducting voting as a Curbside Voting Service.
<br />I, THE UNDERSIGNED, ACKNOWLEDGE THAT I HAVE AUTHORITY TO ACT ON BEHALF OF
<br />THE FACILITY. I HAVE READ AND UNDERSTAND THE ABOVE TERMS OF THIS AGREEMENT
<br />AND, BY SIGNING BELOW, AGREE THAT THE FACILITY WILL COMPLY WITH SUCH TERMS.
<br />Signature
<br />10-20-20
<br />Date
<br />Melissa Stevenson Diaz, City Manager TT T:
<br />Print Name
<br />Pamela Aguilar, City Clerk
<br />40 Tower Road, San Mateo, CA 94402
<br />REV: 10-20-20
<br />V
<br />0 20 20V A0.312.5222 F 650.312.5348 email registrar@smcacre.org web www.smcacre.org
<br />ATTY/AGR.2020.243/San Mateo County Elections Division (Page 3 of 3)
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