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,�:`t OF SAN <br />J� A/9'A <br />o m <br />U O <br />c9��FOR�`P <br />OFFICE OF <br />ASSESSOR -COUNTY CLERK - <br />RECORDER & ELECTIONS <br />COUNTY OF SAN MATEO <br />MARK CHURCH <br />CHIEF ELECTIONS OFFICER & <br />ASSESSOR -COUNTY CLERK -RECORDER <br />Attended Drop Box Use Agreement Form <br />Tuesday, November 3, 2020 — Presidential General Election <br />Redwood City Community Activities Building (CAB) <br />1400 Roosevelt Avenue, Redwood City, CA 94061 <br />(650) 780-7253 work <br />Primary Contact <br />Chris Beth, PRCS Director <br />Primary Phone <br />650 333-8803 cell <br />E -Mail <br />cbeth redwoodcit .or <br />Fax <br />(650) 368-5087 <br />Emergency <br />Joanna Barrett, PRCS <br />Emergency <br />(650) 780-7252 work <br />Contact <br />Management Analyst <br />Phone <br />650 580-3424 cell <br />The facility described above ("Facility") agrees to host the Curbside Voting Services on Saturday, <br />October 31, 2020 through Tuesday, November 3, 2020. <br />The Curbside Voting Service at the Facility will operate from 9 a.m. — 5 p.m. on Saturday, October 31, <br />2020 through Monday, November 2, 2020, and from 7 a.m. — 8 p.m. on Tuesday, November 3, 2020. <br />The Curbside Voting Service at the Facility shall be accessible to persons with disabilities. <br />Access to the Facility will be granted to Curbside Voting Service personnel for one hour prior to opening <br />of the Curbside Voting Service each day. Curbside Voting Service workers, or other employees of the <br />Registration & Elections Division ("Division"), will arrive onsite on Friday, October 30, 2020 to setup <br />and remain onsite. Equipment will be retrieved by Wednesday, November 4, 2020. <br />Payment for the use of Facility shall be as indicated below: <br />X Facility agrees to waive payment. <br />❑ Full payment required. $ per day that the Curbside Voting Service is open to the <br />public. <br />(Facility must provide W-9) <br />❑ Partial payment. $ per day that the Curbside Voting Service is open to the public. <br />(Facility must provide W-9) <br />Can your facility provide three (3) tables for our use? <br />Yes X No ❑ <br />Can your facility provide six (6) chairs for our use? Yes X No ❑ <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: 10-20-2020 VR <br />ATTY/AGR.2020.243/San Mateo County Elections Division (Page 1 of 3) <br />