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2025 ROV Vote-By-Mail Site - Nov 4 Statewide Special Election LQ City HallART TI NOCO REGISTRAR OF VOTERS MATTHEW CEBALLOS ASSISTANT REGISTRAR OF VOTERS 2724 GATEWAY DRIVE RIVERSIDE, CA 92507-0918 MAIN (951) 486-7200 FAX (951) 486-7335 CA RELAY SERVICE (DIAL 711) VOTEINFO.NET .0 4 R*1VC0 VOTE Registrar of Voters Your Voice Every Vote Our Future QF1 ECTED: VBM DROP OFF LOCATION La Quinta City Hall Monika Radeva 78495 Calle Tampico La Quinta, CA 92253 Dear Monika Radeva, September 24, 2025 This is to confirm that your facility, identified above, has been selected as a Vote -by -Mail (VBM) Drop Off Location for the November 4, 2025, Statewide Special Election. By agreeing to let us use your facility as a Vote -by -Mail Drop Off Location, you ascribe to the Oath of Allegiance on the back of this form. Please take a moment to confirm that we have the correct address for this facility. The address as it appears below will be published in the County of Riverside Voter Information Guide mailed to all registered voters in your area, and made available to voters over the phone and on our website. Please advise us immediately of any inaccuracies. If you requested a "Certificate of Insurance," the County's Risk Management Department will forward a copy to you prior to Election Day for your records. On Monday, October 6th the VBM team assigned to your location will arrive by 9:30 AM to set up the Vote -by -Mail Drop Off box and their station. Please refer to your Availability Letter for details & additional important dates and times. Our offices will contact you a week before the election. If you are not contacted or if you have any questions, please call the Registrar of Voters office Election Officers and Polls at (951) 486-7341 or (877) 663-9906 (toll free). In the meantime, thank you for providing a Vote -by-Mail Drop Off Location for your community. Your assistance ensures the citizens in your area the opportunity to exercise their fundamental right to vote. PLEASE CONFIRM YOUR ADDRESS La Quinta City Hall Sincerely, 78495 Calle Tampico County of Riverside Registrar of Voters La Quinta, CA 92253 (Election Officers and Polls) Address confirmed as listed - September 30, 205 Monika Radeva, City Clerk, City of La Quinta 0 OATH OF ALLEGIANCE I do solemnly swear (or affirm) that I will support and defend the Constitution of the United States and the Constitution of the State of California against all enemies, foreign and domestic; that I will bear true faith and allegiance to the Constitution of the United States and the Constitution of the State of California; that I will faithfully defend the integrity of the electoral process through the conscientious execution of the duties entrusted to me; that I take this obligation freely, without any mental reservations or purpose of evasion; and that I will well and faithfully discharge the duties upon which I am about to enter. REGISTRAR OF VOTERS COUNTY OF RIVERSIDE Vote -by -Mail (VBM) Drop -Off Location Availability Request Agreement Form November 4, 2025, Statewide Special Election After carefully reading the outlined information and dates below, please provide your response back to us by Friday, August 29, 2025 D #: 5926 ❑ My facility is not available to serve as a Vote -by -Mail Drop -Off Location for this election. Initial Here: Please skip #1-6. Proceed to the next page for signature/date and return this document by the requested date. 1. 1 give permission for the use of my facility to serve as a Vote -by -Mail Drop -Off Location from: Monday, October 6, 2025 - Monday, November 3, 2025 (9:30AM-3:30PM) Election Day, Tuesday, November 4, 2025 (6:30AM-8:30PM) * Closed for weekends and holidays 2A. City Clerk Only- Please Provide Information Below: Days Open: Mon - Fri Hours Open: 8 am - 5 pm Public Phone #: 760-777-7000 2B. My facility is available for intended purposes without incurring any charges or fees. 3A. Facility Name: City of La Quinta City Hall Facility Mailing Address: 78495 Calle Tampico, La Quinta, CA 92253 Facility Physical Address: 78495 Calle Tampico, La Quinta, CA 92253 Facility Phone Number: (760) 777 - 7162 Facility Fax Number: 3B. Facility Point of Contact (POC) Name: Monika Radeva, City Clerk Facility POC Phone #: (760) 777 - 7035 N/A Initial here: MR Initial here: MR Facility POC Email: mradeva@laquintaca.gov 3C. Emergency Contact Name (must be different than #3A and #3B): Alfred Berumen, Facilities Superintendent Emergency Contact/After Hours Phone # (must be different than #3A and #3B): '760) 834 - 1332 or (760) 567 - 6605 *The Registrar of Voters will use this contact in an emergency, after-hours access, etc. CONTINUE TO NEXT PAGE 2720 Gateway Drive, Riverside, CA 92507-0918 - (951) 486-7200 - FAX (951) 486-7320 California Relay Service - DIAL (711) Mailing Address: 2724 Gateway Drive, Riverside, CA 92507-0918 www.voteinfo.net REGISTRAR OF VOTERS COUNTY OF RIVERSIDE ID #:5926 DOCUMENT CONTINUED 4. My facility can provide limited space for a ballot box approximately 2'x3' and Initial here: MR three to four ROV staff members assisting voters wishing to drop off ballot envelopes. MR 5. 1 understand my facility may not be selected as a Vote -by -Mail Drop Off Initial here: location. MR 6. 1 understand, if selected, it will require my attention and coordination with Initial here: ROV contacts. Please return this completed form by: Friday, August 29, 2025 Rovpolls@rivco.org Should you have any questions please contact our office at (951) 486-7341 or (877) 663-9906 (toll free). By signing below, you are acknowledging that you have thoroughly read and understood all details outlined in this document. Print Name (Person completing this document): MOnika Radeva, City Clerk Signature (Person completing this document): v NOLL;-11 Date: August 24, 2025 Reset Form Submit 2720 Gateway Drive, Riverside, CA 92507-0918 • (951) 486-7200 • FAX (951) 486-7320 California Relay Service - DIAL (711) Mailing Address: 2724 Gateway Drive, Riverside, CA 92507-0918 www.voteinfo.net Art Tinoco Registrar of Voters La Quinta City Hall 78495 Calle Tampico La Quinta, CA 92253 . RiviCo,e," VOTE Registrar of Voters Your Voice Every Vote Our Future Matthew Ceballos Assistant Registrar of Voters August 23, 2025 D #: 5926 Vote -by -Mail (VBM) Drop -Off Location Availability Request Letter In preparation for the upcoming November 4, 2025, Statewide Special Election the County of Riverside Registrar of Voters (ROV) would like to invite you to partner with us as a Vote -by - Mail Drop -Off Location. Your site has been identified to closely meet our needs for public access, accessibility, and visibility while servicing County of Riverside voters to be able to drop off their mail ballot at your location. With your agreement, the Registrar of Voters will staff and use a small area within your facility as a Vote -by -Mail Drop -Off Location from: Monday, October 6, 2025 - Monday, November 3, 2025 (9:30AM — 3:30PM) Election Day, Tuesday, November 4, 2025 (6:30AM — 8:30PM) *The above dates DO NOT include weekends and holidays Please acknowledge your facility's availability by completing and returning the attached "Vote -by- Mail Drop -Off Location Availability Request Agreement Form" by Friday, August 29, 2025. We greatly appreciate your support and your consideration of partnership for the upcoming November 4, 2025, Statewide Special Election. Sincerely, County of Riverside Registrar of Voters 2720 Gateway Drive, Riverside, CA 92507-0918 • (951) 486-7200 • FAX (951) 486-7320 California Relay Service - DIAL (711) Mailing Address: 2724 Gateway Drive, Riverside, CA 92507-0918 www.voteinfo.net