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❑ i� S,ry
<br />/V- 9 OFFICE OF
<br />ASSESSOR -COUNTY CLERK-
<br />- - RECORDER & ELECTIONS
<br />c ` e COUNTY OF SAN MATEO
<br />9�j.}�N
<br />Payment for the use of Facility shall be as indicated below:
<br />FFacility agrees to waive payment.
<br />❑Full payment required. $
<br />(Facility must provide W-9)
<br />❑Full payment required. $
<br />(Facility must provide W-9)
<br />Partial payment. $ _
<br />171
<br />(Facility must provide W-9)
<br />MARK CHURCH
<br />CHIEF ELECTIONS OFFICER &
<br />ASSESSOR -COUNTY CLERK -RECORDER
<br />per day that the Facility is used by the Division -
<br />total for all days that the Facility is used by the Division.
<br />per day for the following days:
<br />If payment is not waived, the Facility shall provide an invoice to the Division no later than November
<br />29tH 2022, or five business days following the execution of this Agreement, whichever is later.
<br />No amendment to this Agreement will be effective unless it is agreed to by Authorized Staff.
<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 Vote Center.
<br />The County of San Mateo agrees to indemnify, defend and hold harmless
<br />City of Redwood City 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 or
<br />alleged to be caused by the County of San Mateo, the Vote Center equipment and related materials
<br />or equipment brought into the Facility, and/or the County's agents, representatives, servants,
<br />contractors, employees, volunteers, successors, and assigns involving the use of the Facility for
<br />conducting voting as a Vote Center.
<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 />Melissa Stevenson Diaz
<br />Print Name
<br />2/10/22
<br />Date
<br />40 Tower Road, San Mateo, CA 94402
<br />P 650.312.5222 F 650.312.5348 email registrar@smcacre.org web www.smcacre.org
<br />REV: 02-03-22 RL
<br />ATTY/AGR.2022.029/San Mateo County Office of Elections (Vote Center at CAB - November 2022 Election) (Page 2 of 2)
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