2025 ROV Vote Center & Hold Harmless Agrmt (11 days) - Nov 4 Statewide Special Election LQ City HallART TINOCO
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
R*IvCo 4VOTE
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Registrar of Voters Your Voice Every Vote Our Future
REGISTRAR OF VOTERS
HOLD HARMLESS AGREEMENT
Sponsoring Agent
La Quinta City Hall
Monika Radeva
78495 Calle Tampico
La Quinta, CA 92253
September 19, 2025
This agreement applies to the County of Riverside Registrar of Voters and for the use of
La Quinta City Hall for the November 4, 2025, Statewide Special Election.
The County of Riverside shall indemnify and hold harmless from any liability
whatsoever, based or asserted, upon any act or omission of the County, its officers,
agents and employees, for damage of any kind or nature, relating to or in any way
connected with or arising from its use of the premises, and the County shall defend, at
its expense, including attorneys' fees, its officers, agents and employees in any legal
action based upon such alleged acts or omissions.
The Authority for the Registrar of Voters to execute this use permit is contained in
Resolution No. 86-183 heretofore approved by the County's Board of Supervisors on
May 6, 1986.
Dated: September 30, 2025
Dated: September 19, 2025
Monika Radeva
*Agency Representative
Title: City Clerk, City of La Quinta
COUNTY OF RIVERSIDE
By:A,&�e ��
Alice Kim
Chief Deputy Registrar
*Please complete and return a copy signed by an authorized agent via fax
(951) 486-7320, regular mail, or scanned copy attached to an e-mail to
Rovpolls(c_rivco.org prior to Election Day.
ART TINOCO
REGI STRAR 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
R*VC074
VOTE
.0
Registrar of Voters Your Voice Every Vote Our Future
SELECTED: 11-DAY VOTE CENTER
La Quinta City Hall
Monika Radeva
78495 Calle Tampico
La Quinta, CA 92253
Dear Monika Radeva,
September 19, 2025
This is to confirm that your facility, identified above, has been selected as a vote center for
the November 4, 2025, Statewide Special Election. By agreeing to let us use your facility
as a vote center, 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.
A Lead Election Officer for your site will contact you to arrange for access to the facility
prior to the beginning of the voting period for set up to guarantee access to the facility.
Equipment will be delivered by the Registrar of Voters no later than Thursday, October 23,
2025 and must be set up by our Election Officers no later than Friday, October 24, 2025.
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 center 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
Study Session Room
78495 Calle Tampico
La Quinta, CA 92253
Sincerely,
County of Riverside Registrar of Voters
(Election Officers and Polls)
Please forward a copy of this to the contact person responsible for coordinating
Election related facility use.
NOTE: If anyone requests access to the voting equipment prior to the Election timeframe,
contact the Registrar of Voters office at (877) 663-9906 (toll free) to get approval prior to
permitting access to the equipment.
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 Center 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
❑ My facility is not available to serve as a Vote Center for this election. Initial Here: MR
D #: 1675
If checked, please skip #1-9. 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 an Eleven -Day Vote Center, Initial here: MR
which include the following details:
• Vote Center router connectivity testing will occur on one of the following
days (time and date arranged with you and Riverside County IT — RCIT):
Monday, October 6 - Thursday, October 16, 2025
• Voting equipment delivery will occur on one of the following days
(time and date arranged with you and transfer company):
Monday, October 20 — Thursday, October 23, 2025
• Vote Center room setup will be on (time arranged with you and
ROV): Friday, October 24, 2025
• Vote Centers open for operation (weekends/holidays included) from:
Saturday, October 25, 2025 - Monday, November 3, 2025 (8:OOAM — 6:OOPM)
Election Day, November 4, 2025 (6:OOAM — approx. 9:30PM)
• Post -Election voting equipment and supply pick-up will occur during
(time and date arranged with you and transfer company):
Wednesday, November 5 —Friday, November 7, 2025
2. My facility is available, including weekends and holidays. Initial here: MR
3. My facility is available for intended purposes without incurring any charges Initial here: MR
or fees. (Elections Code § 12283)
4A. Facility Name: La Quinta City Hall
Facility Mailing Address: 78495 Calle Tampico, La Quinta, CA 92253
Facility Phone Number: (760) 777 - 7162 Facility Fax Number: N/A
4B. Facility Room Name (Authorized to serve as Vote Center):
*Please ensure accuracy of the Room Name. Changing this name once this document is submitted may be
difficult.
Study Session Room
Facility Room Address (Directly associated with Facility Room authorized to serve as a Vote Center):
*Please ensure accuracy of the Room Address. Changing this address once this document is submitted may be
difficult.
78495 Calle Tampico, La Quinta, CA 92253
4C. Facility Point of Contact (POC) Name: Monika Radeva, City Clerk
Facility POC Phone #: (760) 777 - 7035 Facility POC Email: mradeva@laquintaca.gov
4D. Emergency Contact Name (must be different than #4A and #4C):
Alfred Berumen, Facilities Superintendent
Emergency Contact/After Hours Phone # (must be different than #4A and #4C):
(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
REGISTRAR OF VOTERS
COUNTY OF RIVERSIDE
ID
DOCUMENT CONTINUED
MR
5. If needed, my facility will be available to allow ROV to schedule a day for
Initial here:
on -site accessibility survey. (time and date arranged with you and ROV)
6. My facility will do our best to provide a secure area away from public access for
Initial here: MR
voting equipment storage upon delivery of Vote Center supplies and equipment. If
not, ROV will be notified for an alternative arrangement.
7. My facility can provide at least 4 tables and 11 chairs and will arrange
Initial here: MR
them to be available on Vote Center room setup day. If not, ROV will be notified for
an alternative arrangement.
MR
8. I understand my facility may not be selected as a Vote Center.
Initial here:
9. 1 understand, if selected, it will require my attention and coordination to MR
schedule times and dates with various contacts as mentioned (ROV, RCIT, and Initial here:
for equipment delivery).
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
lw�'_Signature (Person completing this document):
Date: August 24, 2025
Reset Form
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
Study Session Room
78495 Calle Tampico
La Quinta. CA 92253
0 Rivcop"
VOTE
Registrar of Voters Your Voice Every Vote Our Future
C
Matthew Ceballos
Assistant Registrar of Voters
August 23, 2025
D #:1675
Vote Center Availability Request Letter
In preparation for the upcoming November 4, 2025, Statewide Special Election the County of
Riverside Registrar of Voters (ROV) has identified your site for an Eleven -Day Vote Center
location as it meets our needs for public access and visibility.
With your agreement, the Registrar of Voters will staff and use your facility as an
Eleven -Day Vote Center from:
Saturday, October 25, 2025 - Monday, November 3, 2025 (8:OOAM — 6:OOPM)
Election Day, November 4, 2025 (6:OOAM — approx. 9:30PM)
*The above dates include all weekends and holidays
(RETAIN FOR YOUR RECORDS)
Additional important dates:
• Vote Center router connectivity testing will occur on one of the following days (time and
date arranged with you and Riverside County IT — RCIT):
Monday, October 6 - Thursday, October 16, 2025
• Voting equipment delivery will occur on one of the following days (time and date arranged
with you and transfer company):
Monday, October 20 — Thursday, October 23, 2025
• Vote Center room setup will be on (time arranged with you and ROV):
Friday, October 24, 2025
• Post -Election voting equipment and supply pick-up will occur on one of the following days
(time and date arranged with you and transfer company): please notify your ROV contact if
you have a preference.
Wednesday, November 5 — Friday, November 7, 2025
Please acknowledge your facility's availability by completing and returning the attached
"Vote Center 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