2024 ROV Vote Center (11-Day) - November 5 General ElectionREGISTRAR OF VOTERS
COUNTY OF RIVERSIDE
Vote Center Availability Request Agreement Form
November 5, 2024 Presidential General Election
La Quinta City Hall April 22, 2024
Monika Radeva - City Clerk
78495 Calle Tampico
La Quinta, CA 92253 ID#: 1675
After carefully reading the outlined information and dates below, please provide your
response back to us by Friday, May 10, 2024.
My facility is not available to serve as a Vote Center for this election. Initial Here:
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:
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 7 - Thursday, October 17, 2024
• Voting equipment delivery (time and date arranged with you and
transport company) will occur on one of the following days:
Monday, October 21 — Thursday, October 24, 2024
• Vote Center room setup (time arranged with you and ROV) will
be on Friday, November 1, 2024
• Vote Centers open for operation (weekends/holidays included) from:
Saturday, October 26, 2024 - Monday, November 4, 2024 (8:OOAM — 6:OOPM)
Election Day, November 5, 2024 (6:OOAM — approx 9:30PM)
• Post -Election voting equipment and supply pick-up (time and date
arranged with you and transport company) will occur during
Wednesday, November 6 — Friday, November 8, 2024 /
2. My facility is available, including weekends and holidays. Initial here:'4^
3. My facility is available for intended purposes without incurring any charges
Initial here:. -""—
or fees. (Elections Code § 12283)
4A. Facility Name: La Quti r c, C_41 4a�`i
Facility Mailing Address: 7i 'Lig5 Cc,�te, TcavY,g� Lc, C�,,,,,�c„ CA 22 53
Facility Phone Number:(iCPD)-n-7 -,?DUC) Facility Fax Number:
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. J C 1 -t1
'l.� (� �, � �s, ov, 2 rx vim.
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.
_7'5 95 C_G,14 Taw1D1'C0 LG a,�,�-��,, C-A C12253
CONTINUE TO NEXT PAGE
REGISTRAR OF VOTERS
COUNTY OF RIVERSIDE
DOCUMENT CONTINUED
4C. Facility Point of Contact (POC) Name: M Ovl i �4 Q iG LV a I CA.
Facility POC Phone#.(-7(.Pc)) Tn .-7035 Facility POC Email: rnQGdeyc,(�)LGQv1,A _A.gav
4D. Emergency Contact Name (must be different than #4A and #4C):
Emergency Contact/After Hours Phone # (must be different than #4A and #4C):
(-7Lj 'z-s35-9-IlP9
"The Registrar of Voters will use this contact in an emergency, after-hours access, etc.
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:^
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:
them to be available on Vote Center room setup day. If not, ROV will be notified for
an alternative arrangement.
8. 1 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
schedule times and dates with various contacts as mentioned (ROV, RCIT, and Initial here:
Transport Company)
Please return this completed form by:
Friday, May 10, 2024
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): LCW►rc c YhCC'1y1Ve„t,' IeQJ,C�+-u C�e„rV
Signature (Person completing this document): r'
Date: 5I21262L1
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
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Rj4r9Sglb
REGISTRAR OF VOTERS
COUNTY OF RIVERSIDE
MATTHEW CEBALLOS
Assistant Registrar of Voters
La Quinta City Hall April 22, 2024
Monika Radeva - City Clerk
78495 Calle Tampico
La Quinta, CA 92253 ID #: 1675
Vote Center Availability Request Letter
In preparation for the upcoming November 5, 2024 Presidential General Election, the County of
Riverside Registrar of !Voters has identified your site for an Eleven -day Vote Center location
as it meets our needs for public access and visibility.
With your permission, the Registrar of Voters would use your facility as an Eleven -day Vote
Center from:
Saturday, October 26, 2024 - Monday, November 4, 2024 (8:OOAM — 6:OOPM)
Election Day, November 6, 2024 (6:OOAM — approx. 9:30PM)
*The above dates include all weekends and holidays
Additional important dates: (RETAIN FOR YOUR RECORDS)
• 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 7 - Thursday, October 17, 2024
• Voting equipment delivery will occur on one of the following days (time and date arranged
with you and transport company):
Monday, October 21 — Thursday, October 24, 2024
• Vote Center room setup will be on (time arranged with you and ROV):
Friday, October 26, 2024
• Post -Election voting equipment and supply pick-up will occur on one of the following days
(time and date arranged with you and transport company):
Wednesday, November 6 — Friday, November 8, 2024
Please acknowledge your facility's availability by completing and returning the attached "Vote
Center Availability Request Agreement Form" by Friday, May 10, 2024. We greatly
appreciate your support and your consideration of partnership for the upcoming November
5, 2024 Presidential General 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