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Home My WebLink About20122014.tiff RESOLUTION RE: ESTABLISH VOTE CENTERS FOR 2012 GENERAL ELECTION WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, pursuant to Section 1-5-102.7(1), C.R.S., and pursuant to the recommendation of Steve Moreno, Weld County Clerk and Recorder, the Board may approve the establishment of vote centers in Weld County, and WHEREAS,the Board has been presented with a list of vote centers in Weld County for the 2012 General Election, a copy of said list being attached hereto and incorporated herein as Exhibit A, and a map showing the location of said vote centers being incorporated herein as Exhibit B, and WHEREAS, the Board deems it advisable to establish the vote centers in Weld County for the 2012 General Election as indicated in the attached Exhibits A and B. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the vote centers in Weld County for the 2012 General Election be, and hereby are, established as indicated in the attached Exhibits A and B. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 1st day of August, A.D., 2012. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: .r • �- Sean P. Con vy hair Weld County Clerk to the Board 7 7 A ` Wil is r arcia, m BY: i \� Board i• is ♦ � '_" " Deputy CI-'. tot ; B ,� \'� ' ' La� a Kir meyer t O APPROVED AS TO FORM: seiv e .- id E. Long As Count A orney � �► . ^ 'mar / /� lt c-i Douglas Radema her Date of signature: "k—to CC, : Cd'1 r�-!a 2012-2014 S CR0027 EXHIBIT A 2012 General Elections Vote Centers Vote City/Town Center # Location Address Briggsdale VC — 6 Briggsdale RE-10J 515 Leslie Dacono VC - 33 Dacono City Hall 512 Cherry Street Eaton VC — 8 Evangelical Free Church of Eaton 1325 3`d Street Erie VC — 9 Erie Community Center 450 Powers Street Evans VC — 10 Evans Community Complex 1100 37th Street Evans VC — 31 Cave Creek Club House 3400 Sagebrush Blvd Fort Lupton EVC — 5 Fort Lupton Recreation Center * 203 S Harrison Ave Frederick VC — 11 Tri Town Baptist 420 Johnson Street Frederick VC — 7 Carbon Valley Recreation 701 5th Street Greeley EVC — 1 Training Center 1104 H Street Greeley EVC — 3 Trinity Lutheran * 3000 S. 35th Avenue, Greeley Greeley VC — 13 Greeley Ice Haus 900 8t'' Ave, Greeley Greeley VC — 14 Farr Branch Library 1939 61'' Avenue Greeley VC — 22 Bonell Good Samaritan Community 708 22nd St Greeley VC — 23 Western Hills Fire Protection 1731 Cedar Ave Greeley VC- 28 UNC UNC Center 10th Ave & 20th St Greeley VC — 29 Greeley Family Funplex 1501 65th Avenue Greeley VC — 32 Cache Bank & Trust 4601 West 20th Street Greeley VC — 12 Event Center at Island Grove 501 N. 14th Avenue Grover VC — 24 Grover Fire Hall 319 Chatoga Avenue Johnstown VC — 15 Johnstown Community/Senior Center 101 Charlotte Street Keenesburg VC — 16 Keenesburg Town Hall 140 S Main Street, Kersey VC — 17 Kersey Community Church South First Street, Kersey LaSalle VC — 27 La Salle Town Hall 128 N 2nd Street Lochbuie VC — 18 Lochbuie Senior Center 501 Willow Drive Longmont EVC —2 Southwest Weld Office (Del-Camino)* 4209 Weld County Rd 24 �/2 Mead VC — 26 Mead Middle School 620 Welker Avenue Milliken VC — 25 Milliken Town Hall 1101 Broad St New Raymer VC — 19 Prairie High School 42315 Weld County Rd 133 Nunn VC — 21 Nunn Town Hall 185 Lincoln Avenue Platteville VC — 20 Platteville Town Hall 400 Grand Avenue Windsor EVC —4 Windsor/Severance Fire Station #1* 100 7th Street Windsor VC - 30 Tozer Elementary School 501 Oak Street * Early Vote Centers 2012 Weld County Vote Centers ,. _- _ ..„ , ,,,, . ,. . .. I CONGRESSIONAL t • DISTRICT 4 . n 4016362101 *i w.. 4016382100 L _ x- 4016362102 # SENATE - I DISTRICT 1 4014862126 4016,02103 . .4014862127 S 4234862117 'J. a 4014862128 HOUSE .Y 423486213114•4 HOUSE „ ,u. 401486211 8,, DISTRICT 63 .. ^ Gl=ow. Cam L,o ,a,r,.,. a 11 +z,�:,,� I Owone VC v N. ;;>G.,`9sr.. - Etlm VC a E+.9.9,rr.p pm,,,,of Ewm 'LS rsrm 4016362104 VC 9 Eno Gann.*Con. .9u.-n.9, 59,.D1 4 k 1 T• E.... E Cc.r,..1Gammc ”.3,,,,,,, 4234J6212 D'i4.s � � .!a �} • FwLueiri Ew s,�9�rom. VC J. Crvo G`°r ak9P, E9BBN.4.Awr -- ......l� T� . 4�wwe�er vvCC r C..., rO•f 4,. ,en you Goren ' 4134862213 �� L,k ), b.w.. VC-3 T NGO,-'..� y Sroiw....Gb9, .,rw..... c.a tag m rw„ 9ro c..., *...c..,m.,,, vC-u iYr 6.rim Lmiot .l•Awue ' r n.♦- ,"r . C.mbr. VC II By.GSipoNa 5emnY.Commmfr 1pa1Y'A " ^1..r...a.m. eemhIY KOP,aala. �1>.Ca9✓�af IJ E^„.'..'^.,9�• 401636230,8 G VC-23 W I kw....�a...e 4134862224. G,..q C-2 Grc Lrcc.m..v.rc.w"s - 'C, G,os�.r `K ]6 Gw4rErMrEwe. '-',1,..),T1,.. -',1,fw, .. 44.tr 1 r"- Grwa. VC ]t �O�OBwh air. xo'wn st,aa Oce•�w.o,.oau> 464,1706 _� - e,. ve +Grr..le.w.Cor,.,.....w cars ,O,Ch..a,h. .. " 4234962229 .-"- 4134862331 .a.«. .0 vc ..fa ,,..o.9TomHo 10SM. .^ • 401486231 - ..,.ry .,. kc,,,r SOW.F.. ..�, I 3486Y[4S: Loa" a• n Hal 501 w [Inn, I`J • Lagmal :,EGG saw.ad ka PwaveY OoVeeeev 1e.M! 4236362200 HOUSE w^.Me. „.B�a, 4.,,f•rac,r,:r n^mbur Le d Now Rorn. VC 9 Prant,...on SO., 423,5 W.bf r..09 '.,,.aqua u, ^.ork 4134862201 4236362208 I ' * DISTRICT 48 4016362311 IV.n.. vc P.n..fw To.WO .o3u... 9 ;wMp,. - I MVC e-4.-WSWKBums aoleN *ia.n0.: �r..F..,«., • . 4236362237 • Cn+noreN OF PO.mcx.PAR"vES Einr vale Um., . ^ WELD COUNTY.COLORADO • ^ 362202 — _413 ' R ^ { w PM '▪142.ID I 14-b 4136362300 € .! 4;ar"•--. i 41 3fi3i 4016362310 .� .4016362312 , r Pe o 423636213$ i WkC 5 '-1 ; ' ,� FROM THE OFFICE OF swim, ,..-4..',..—t... t—---i 4 ,' iI % STEVE MORENO 236362305 a Yj""fir'""'P'^''G"""'w' WELD COUNTY CLERK AND RECORDER Snag j • 4136362304 motwo Lin and R7lerl _1401632111 •., maw.of Oa Cant of WOO .—••—rr�•••�•••'� Rood o, Ca -- EXHIBIT 36 2012 Weld County Vote Centers u n n n n n r. n n r, n •. is •• n w .^ s. V V •r m M M e1, n• •^ .n m VT .n u1 m ni VT IV .a .0 .« .O V. M w n m w a r v r r v • a • .+ n u n v •. II .• uNI u Y s n n n a n N . —{ 'w gli IN 4 ir ...6Tri , ; '41 r ; , i 'r " L IV CONGRESSION L 5 L .��_ a.. aa -I ......- m i - te\t, 14 DISTRICT .a u. 4____i_______r-----' i ` , \ 1 l'Iv, u, a .,. 4016362101; '_ .. _./"‘ eta. as ' D.•b e • i say- 1.a y •y s L I e • o... . 3 �, , aLL m m _ 4016362100 ' •• 1 '" ' I �l I w .ay I r �__C_. _ • — J.J_ Y .N 6 r ri 401212 Y • MI j . ; E ij. IL, h." 47, w r_ .s SENATE ‘h( r I y 0, I _ '�' DISTRICT 1 " Y r __ OY Ijr 5 .t ' Y a i . 1/4. ma Itsr C i_ _* _—!1 5 r 40162103i re .* - —'°`---7�.4 iii888111 Y ✓ I ):. j r e `--- /� —'r'=— �.. __ era_ r aa ' r w * 434862 — 7 '!■ _•ti C at.. - ... Y • w or m •O m w m et M m m VI w •a III .v•w m ,r 1•• m •.a IV .0 m .0 tar m ✓ 1 � • ,I _,�'� DIS ICT 63 ;; ' Yea yy ",E. • : i1 ■ r CI Tarn Cerdr1 Location Address a• a yY r•r rn �r 1 • C r Bnggsddo VC-6 Bry, te RE.10J 515 lost., r � _r - Damao VC-33 Damara Coy Hell 511 Crony Secret .[/�. v Eldon VC-8 npd of cU Fro,Church Eaton 1375 7'Stmt v Evw " . r IL :uZ � - 1' - i a c' .. �rr� i / 1V'f• - Ene VC-9 Er*Community Center 450 Pavan Street r • Ewa VC-10 Evans Community Complex 1100 31"Strad F VC Creek Cos eek Cub HMSO 1100 Sag n B'W Obr„e a ` Faun.. Fte1 Uclwl EVC-5 Fat L* ersaian Cooler• 293 S Nvnwn Ave : r t.J fYV_a ,♦y R fl ` , _, J ' frede.ck VC '1I Tr.To.sn Rapti -1Yu r�rsrn Sired yp�CanUrs I•' .1. '•'! • =r. 1 ,..•� Fredaa VC-/ Cwtnr,VSWYY Roaamon 101 5•'StrtM Y t '- ,. : } '' rr"'1 f - Greeley EVC- 1 Trolly 1101HSteel • Earyvm cos. - I 1 Gatlin EYC-9 VON Wtlra' 3003$.36"Mv1u..Gcodn v - ✓ �. U a '+ ae i, :.j 1 C :.�� A-�I_ ._ w Greeley VC-13 Greeley Ice Hasa 400 if Apt,GeDDIey •* war e.vw,wn.wj ✓ -'1 .. .�. h^ y,. nWar Chet, VC-14 Farr Bandi Library 193961^Avenue • • ,, s a -.� : u Graslsy VC-?2 BOr10a Good Samson Cannunsy /0627°9 I Plasm�ne"r" - 1 f . --t-i.II ' y�,ate. i 4016362308 VC-23 We/em H4 Fve Prtloawn 1731 cedar Ave Commands d uve t N � • 413486 4 -- a ' f•.-+•: ._ - r Greeley VC-2a Inc UNC Cantold Ave 620"St QLna.r.an.r Mold] - ? ° ■� Groaev YC-7A Goa Fames Fundo. 150165•Av - • —. r eley yY 3 adc 4Trust 4601 W120'Street ICI ca..r.anw a.wat . • ` ••• � 1 _a • Gar p Y -T4 3IWM Geode 501 N 14 Avenue - >• oval ire 319 GYbge Avenue �q7he� ,1 p JOMebwn VC-15 Jon,ban Community?Senior Corer 101 Charlotte Street . 4234962229 , 4 41348 331 Y Ko"ncsbrg VC-16 Koemeburg Torn Hall 140 S Main Stmt, 401488'316, ._. u Kersey VC-17 Kersey Cormmity Churcn Soule Fora 9mol.Kersey v jjj�� iaoa i 'a%.yT.. - -•"''V - LiSae VC-27 Le Saha Town Hsi 126N7°Sheet ' ,r 1lis 4234862245 _ - - lochbue VC-16 Lachbule Sena Cantor 501 Willow Dove' w N ! . Lonwrvti Eve-2 Saltraeol aldO, OLCannor 620YraNCountyRd24A Mend VC-76 MOW Mddb School 620 Welker Avon* " 4236362200 t-IO MnB"n vC-2s 1.4 Ikon Torn 1101 Brood St Proantl Number Legend Iua N NewRalmor VC-19 Prslro,4ah School 42915 Weld Cady Rd 133 moat-onCow•rme,Dram ,. _- it �e 41 3486 201 Num VC-71 Winn Tavel Nan 1BS laude Awnul 1M4&d Obn•SanSa DSit1 42lafi208 � ISTI I T 48 • 4016362311 u PateWW VC-70 WInaleoTon^Hair 400 Grand Al'°nue `rd fi"P n'"wum Dora WYtdaar EVC-4 WlnppAavaar:u Fm 5letian Nl' 100 i•911411 ®�s,a. n.County 1D Nv�nbw r em CNN a cann,.s•cn•D.ba ,+ _ _,'�; ,.• . e1, , ,.. Wndad VC-30 Tore Oemodary Servo! 501 Oak Seed am a tqn Daa•.County Nuaned Num n '4 ]D2237 I^� I CFWRMEN OF POLITICAL PARTIES •Early Veto Contra m110077 I �- ^ _ '.. w WELD COUNTY,CM ORADO I 413 362202 - a owl n w . — a is Debby Rich,Democrabc Party Chairman D I C. 4136362300 • t P-- _ era.. IS _ 4016362312 ,; r 23636 ,` 4136362301 40163623 _ I Karen Petra.Repuhksn Pony Cha,mwn - t" • .- _ ■`—. . _ _ n FROM THE OFFICE OF c .__ . .. . r 2305 }�� !F •" STEVE MORENO ,,.,,, , + DougAderl.American Consutubon Party Dearman WELD COUNTY CLERK AND RECORDER • 4I13 362304,. ^E��-` I rare _ owwmw t a•m•.wwN.rww mr.e_ ��.. a i 1 ._. ...ter_. �_..__._. , . 'R Stove Moreno.Clerk vend Recorder w▪ ..re+.++....TO...�.rrrr...m now r 4(w•niwlanwr"ta FNl MreW.tY use MrYa + s t. n w V va n U N ii w a a a n • n n w la w n Y Y n Y n n Tr w w n w V V n n r. alePV�nwL.yepNNIDAD .O,nr..wrea ea wyl•Inaa N NW s r I • awasecoa mamma u"•_ ,.n•1wtt_n[ty.t_u_nt—IT\ 1.T na'q!Ct.0 015 MwwYrw.eOIM•0:.ra 1 0 oaks pennon.M..Tar at,...r.HMS.•w w•1•w grin Seen P.Conway,Char •-��w...•'••r',..`"'.....:......'.'�.........�e..- Board of County Commissioners r,t Ike County of Weld �'••� STEVE MORENO WELD COUNTY CLERK & RECORDER C \ 1402 NORTH 17TH AVENUE / P.O. BOX 459 GREELEY, COLORADO 80632 VL WEBSITE: www.co.weld.co.us.0 O_!-) N T_Ye- PHONE: (970) 304-6530 FAX: (970) 353-1964 Grover Fire Hall March 12, 2012 Sherry Burnett 319 Chatoga Ave Grover, CO 80729 Dear Election Day Vote Center, The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6`h, 2012 General Election — access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6`h, 2012 from 6:00AM - 9:00PM. The equipment will be picked up on Wednesday, November 7th, 2012. THE VOTE CENTER BEING REQUESTED IS: GROVER FIRE HALL- MEETING ROOM Please complete the following information, sign below, and return. GENERAL ELECTION -- USAGE GRANTED Y " USAGE DENIED rt I (If granted, please complete the following) -d- c-cclaE� ;.. ci ` r •,M` ancH be 5 *r'^ c�wn2_ 4-O f-tod ctsett by C,re 1p pdi p+rruuti MAIN CONTACT PERSON: SVlerr^ Bttn tt WORK# 970-b'4S' 3355 HOME# 97O-k^y t)3*/ EMAIL ADDRESS �S �?✓ t-P.9 p ' 'C1"n SECOND CONTACT PERSON: _ WORK#_ HOME# _ EMAIL ADDRESS IT CONTACT PERSON: WORK# HOME# EMAIL ADDRESS FACILITY HOURS OPEN No rec ti_kra.r incurs FACILITY PHONE# 470 - YTS-ola3 T IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? YES X NO _ — Please check one: BUSINESS LINE PAY PHONE _ Also, please read and sign the Usage Agreement that is attached. If you have any questions regarding this request, please call (970) 304-6525 X 3113. Thank you for your consideration and participation. o�xcl `/- 20 /2— Signature of thorized Agent Date • WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 12th day of March. 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 17111 Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division.' and Grover Fire Hall whose address is 319 Chatoga Ave. hereinafter referred to as "Facility Provider." WITNESSETH: WHEREAS, Election Division is responsible for conducting elections in Weld County, Colorado, including the upcoming General (November 6th. 2012)Election ("Election Day"). and WHEREAS. Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located. and WHEREAS. Facility Provider owns or leases a building located at 319 Chatoga Ave. which is ADA accessible, has handicap parking, and has room, atrium. or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election, and WHEREAS. use of Available Room will include the use of tables, chairs, and bathroom facilities, Web- access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out.and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m.on Election Day.on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day for equipment pickup. according to the terms and conditions stated herein. NOW. THEREFORE. in consideration of the mutual promises. terms and conditions set forth herein. Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day. on the Friday through Monday immediately preceding Election Day for setup. cold on the Wednesday immediately following Election Day for equipment pickup. according to the following terms and conditions: TERM: This Agreement is for Election Day and the stated days before and after, only.but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. ,�' o RENT: If Applicable use of the Available Room during the term of this Agreement is 4 °_ which shall he clue and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any.on or prior to Election Day. Page I of 2 Pages r 0` d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. E Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: g. To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities, Web-access (either through an existing network or the ability for Weld County to install a TI line to the building). and access to a phone line for calling out. Use restrictions: (ihner he Hal' II C .i<<hi lc rn cr the > ne , c,I it :J1,jmc 0:: .1 .0 ntcpt CS All i i Cnry .i l .lnl1 IlL!Cj_:}.J e cup the r,,,'n r�li I, ih� it i qu iIm:of IS HI II1C Wam, Facility Provider understands that once the Vote Center is set up there will be no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement. and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF,the parties hereto have signed this Agreement this day of__ .2(112. ELECTIOND./_IIVISION: By: Printed Name: Steve Moreno Title: Weld County Clerk and Recorder FACILIT ROVIDER: By: ^� Printed Name: /kerrsy �..tfVV2 Tide: Page 2 of 2 Pages 1861 J° - STEVE MORENO WELD COUNTY CLERK & RECORDER --y�c P.O. NORTH 17T" AVENUE P.O. BOX 459 GREELEY, COLORADO 80632 WEBSITE: www.co.weld.co.us 2— C N T PHONE: (970) 304-6530 FAX: (970) 353-1964 Lochbuie Senior Center March 13, 2012 Nancy Kauffroath 501 Willow Drive Lochbuie, CO 80603 Dear Election Day Vote Center, The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY,NOVEMBER 6th, 2012 General Election —access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6°i. 2012 from 6:00AM—9:00PM. The equipment will be picked up on Wednesday. November 7'h.2012. THE VOTE CENTER BEING REQUESTED IS: LOCHBUIE SENIOR CENTER—WHOLE BUILDING Please complete the fallowing information, sign below, and return. GENERAL ELECTION-- USAGE GRANTED *USAGE DENIED (If granted,please complete the following) o MAIN CONTACT PERSON: Non C f4 Kau" &ct 7-WORK# %3-655-‘26.4.. HOME#3o3-X59—`�'% 7 EMAI(kk ADDRESS O-P-iii-riLti.LcsJ.o :klhcv) . (cm SECOND CONTACT PERSON: /f7rIAm, err�elrr e/I _ WORK# HOME#2a0-- n96-C ant> EMAIL ADDRESS IT CONTACT PERSON: AA L I(iryn p W2kb WORK# HOME#3o 3,669-/9G 7 EMAIL ADDRESS IA/0. oi-, Yti, 9-ii. T W -/2"- FACILITY HOURS OPEN S-lI Fr S-a FACILITY PHONE#_30 `3- 4. 5 4- g 2 6, IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? YES X NO Please check one: BUSINESS LINE % PAY PHONE Also, please read and sign the Usage Agreement that is attached. If you have any questions regarding this request, please call (970)304-6525 X 3113. Thank you for your consideration and participation. y Li ;7C % Si atur of Au or Agent ate WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 13'" day of March, 2012, by and between the Weld County Clerk and Recorder Election Division. whose address is 1401 N. 1711 Avenue, Greeley, CO 80631. hereinafter referred to as "Election Division." and Lochbuie Senior Center whose address is 501 Willow Dr., hereinafter referred to as "Facility Provider." WITNESSETH: WHEREAS, Election Division is responsible for conducting elections in Weld County, Colorado, including the upcoming General (November 6'h,2012)Election("Election Day"), and WHEREAS. Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located,and WHEREAS, Facility Provider owns or leases a building located at 501 Willow Dr., which is ADA accessible, has handicap parking. and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election, and WHEREAS, use of Available Room will include the use of tables, chairs, and bathroom facilities, Web- access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out, and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day,on the Friday through Monday immediately preceding Election Day for setup. and on the Wednesday immediately following Election Day for equipment pickup. according to the terms and conditions stated herein. NOW. THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein. Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day. on the Friday through Monday immediately preceding Election Day Jri setup. and on the Wednesday immediately following Election Day for equipment pickup. according to the following terms and conditions: TERM: This Agreement is for Election Day and the stated days before and after, only, but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. ®,� RENT: If Applicable use of the Available Room during the term of this Agreement is,‘9. which shall he due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any,on or prior to Election Day. Page 1 of 2 Pages d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. f. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: g To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities. Web-access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out. i. Use restrictions: Facility Provider understands that once the Vote Center is set up there will be no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF, the parties hereto have signed this Agreement this__day of , 2012. ELECTION DIVISION: 7 By: 2) Printed Name: Steve Moreno Title: Weld County Clerk and Recorder FACILITY PROVIDER: — X- `z/./a By: ,, if 5-14(26,47C2A Printed Name: Alnncs t i uff"oGcty1 Title: L00 rd;na or- Page 2 of 2 Pages STEVE MORENO WELD COUNTY CLERK & RECORDER 1402 NORTH 17T" AVENUE J P.O. BOX 459 GREELEY, COLORADO 80632 Z alb- uN T Y WEBSITE: www.co.weld.co.us PHONE: (970) 304-6530 FAX: (970) 353-1964 TRINITY LUTHERAN CHURCH March 12, 2012 Larry Whitney 3000 S 35th Ave GREELEY, CO 80634 Dear Mr. Larry Whitney, The Weld County Election Department would like to request the use of your facility as an Early Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6th, 2012 General Election —access to the facility is needed the Friday before Early Voting starts to set up and test our equipment. Early Voting is from October 22 — November 2, 2012, from 8:00AM - 5:00PM, Monday — Friday, Monday November 5, 2012 is Emergency Voting Day, also from 8:00AM - 5:00PM and on Election Day November 6, 2012, from 6:00AM - 8:00PM. The equipment will be picked up on Wednesday, November 7, 2012. THE VOTE CENTER BEING REQUESTED IS: TRINITY LUTHERAN CHURCH - GYM Please complete the following information, sign below, and return. GENERAL ELECTION -- USAGE GRANTED X • USAGE DENIED • (If granted, please complete the following) CEbi- MAIN CONTACT PERSON: XIS &LAZY W9iziK# 970-39•-kG96 HOME#%7o33r*-72ts" EMAIL ADDRESS Aocat F € Amr SECOND CONTACT PERSON: ..44-R/L.Y 1.4dErr'it[e7` _WORK#j7 -1 )0- S/ezp3 HOME# EMAIL ADDRESS 976-3440--464ly IT CONTACT PERSON: LES iatitZthe HOME#970-33O-72i≤ EMAIL ADDRESS Z6aI2JJ(e.cone9asf, nit-C FACILITY HOURS OPEN 4- V FACILITY PHONE# 970-3 3v-/,x-03 IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? YES X NO Please check one: BUSINESS LINE X PAY PHONE Also, please read and sign the Usage Agreement that is attached. If you have any questions regarding this request, please call (970) 304-6525 X 3113. Thank you for your consideration and participation. 7L� A�L, W 3--2(,,-2OI,L Signature of Authori d Agent Date WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 12th day of March, 2012, by and between the Weld County Clerk and Recorder Election Division. whose address is 1401 N. 17'h Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division." and Trinity Lutheran, whose address is 3000 S. 35th Ave., hereinafter referred to as "Facility Provider." W ITNESSETH: WHEREAS. Election Division is responsible for conducting elections in Weld County, Colorado, including the upcoming General (November 6U1)Election("Election Day"), and WHEREAS. Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located,and WHEREAS, Facility Provider owns or leases a building located at 3000 S. 35'" Ave., which is ADA accessible. has handicap parking, and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election,and WHEREAS, use of Available Room will include the use of tables, chairs, and bathroom facilities, Web- access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out,and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as an Earls Voting Center during the hours of 7:00 ant to 6:00pm October 22ia—November Si and 6:00 a.m. to 9:00 p.m. on Election Day, on the Friday immediately preceding Early Voting Day fin.setup. and on the Wednesday immediately following Election Day for equipment pickup, according to the terms and conditions stated herein. NOW. THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein, Facility Provider hereby agrees to allow Election Division to use the Available Room as a voting center, according to the following terms and conditions: I. TERM: This Agreement is for Election Day and the stated days before and after, only, but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is V/6"eo,oe, which shall be due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any,on or prior to Election Day. d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and Page 1 of 3 Pages in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. �. FACILITY PROVIDER AGREES: f. To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. g. To provide to Election Division the use of tables, chairs, and bathroom facilities, Web-access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out. h. To inform the Election Division of any changes to your Internet. Use restrictions:_ Facility Provider understands that once the Vote Center is set up there will be no one expect election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction. whether oral or written. IN WITNESS WHEREOF, the parties hereto have signed this Agreement this _day of , 2012. ELECTION )IVISION: FACILITY PROVIDER: i. By: _ _ By: 6Z—et 5 C.2/ Printed Name: Steve Moreno Printed Name: /tom Title: Weld County Clerk and Recorder Title: '7?015Th _ Page 2 of 3 Pages .r STEVE MORENO 1861 .1 WELD COUNTY CLERK & RECORDER 1402 NORTH 17TH AVENUE J„ \ P.O. BOX 459 GREELEY, COLORADO 80632 U N T Y WEBSITE: www.co.weld.co.us G _O__ z PHONE: (970) 304-6530 FAX: (970) 353-1964 Island Grove Event Center March 13, 2012 Kathy Dilbeck 501 N 14`h Ave Greeley, CO 80631 Dear Election Day Vote Center. Tile Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY,NOVEMBER 6th, 2012 General Election—access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6i°, 2012 from 6:00AM-9:00PM. The equipment will be picked up on Wednesday. November 7111,2012. THE VOTE CENTER BEING REQUESTED IS: ISLAND GROVE EVENT CENTER-MEETING ROOMS Please complete the following information, sign below, and return. GENERAL ELECTION -- USAGE GRANTED *USAGE DENIED (If granted, please complete the following) MAIN CONTACT PERSON: rlOL\,l`1^ t , k\oec- '- WORK#x=171; X500.439 HOME#q-)C t 4-6,3 -43'6 U EMAIL ADDRESS ck-t="�t r eeiigreele A( Cr u • CC! SECOND CONTACT PERSON: jeY ' Ne- OL WORK# c4 ?(^ 3 7 to 3 HOME#A't EMAIL ADDRESS v1, Ch-r\p`—,(i e..t qck) . rrf IT CONTACT PERSON: 0-AC MC �(1rvnC y Vv'ORKK Wd1C- 51D- - c\°)7 7 HOME#emu 301-37 3 EMAIL ADDRESS_c\nek* •_ L}J.vh nc' erten Ce = a-e FACILITY HOURS OPEN MAA,. -3 it 3S1 pen FACILITY PHONE# 000 • ?�C�V _Cisco IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? YES X NO Please check one: BUSINESS LINE X PAY PHONE Also,please read and sign the Usage Agreement that is attached. If you have any questions regarding this request, please call (970)304-6525 X 3113. Thank you for your consideration and participation. Si nature A uthorized Agent Date WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 12th day of March, 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 17'" Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division." and Island Grove Event Center whose address is 501 N 14th Ave., hereinafter referred to as "Facility Provider." WITNESSETH: WHEREAS, Election Division is responsible for conducting elections in Weld County. Colorado, including the upcoming General (November 6th,2012)Election ("Election Day"),and WHEREAS, Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located, and WHEREAS, Facility Provider owns or leases a building located at 501 N 14'" Ave., which is ADA accessible, has handicap parking, and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election, and WHEREAS, use of Available Room will include the use of tables, chairs, and bathroom facilities, Web- access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out, and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m.to 9:00 p.m. on Election Day, on the Friday through Monday immediately preceding Election Day for setup. and on the Wednesday immediately following Election Day for equipment pickup, according to the terms and conditions stated herein. NOW. THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein, Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day, on the Friday through Monday immediately preceding Election Day for setup. and on the Wednesday immediately following Election Day for equipment pickup. according to the following terms and conditions: TERM: This Agreement is for Election Day and the stated days before and after, only, but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. ` O - `c'v RENT: If Applicable use of the Available Room during the term of this Agreement is ft's , which shall be due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any, on or prior to Election Day. Page 1 of 2 Pages d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. f. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: g. To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities. Web-access (either through an existing network or the ability for Weld County to install a 'f I line to the building).and access to a phone line for calling out. Use restrictions: Facility Provider understands that once the Vote Center is set up there will be no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF,the parties hereto have signed this Agreement this day of , 2012. ELECTION DIVISION: By: JL�- r47.1 Printed Name: Steve Moreno Title: Weld County Clerk and Recorder FACILITY �PROVIDER: By: _� .YI l 1 _ Printed Name: A-44:0*n.4� (��, \AD-e JQ�'? Title: L�U �l �OccAko �uC Page 2 of 2 Pages q WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 12th day of March, 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 17"' Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division," and Windsor/Severance Fire Station#1, whose address is 100 7th St.,hereinafter referred to as "Facility Provider." WITNESSETH: WHEREAS, Election Division is responsible for conducting elections in Weld County, Colorado, including the upcoming Primary(June 26th)and General (November 6th)Election("Election Day"),and WHEREAS, Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located,and WHEREAS, Facility Provider owns or leases a building located at 100 71h St., which is ADA accessible, has handicap parking,and has room, atrium,or lobby space available("Available Room") for use by Election Division as a voting center in the course of conducting said election,and WHEREAS, use of Available Room will include the use of tables, chairs, and bathroom facilities, Web- access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out, and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Service Center during the hours of 7:00 am to 6:00pm on June 12rh — June 25°' and Early Voting October 22"`1 — November 5`t'. and 6:00 a.m. to 9:00 p.m. on Election Day. on the Monday immediately preceding Service Center Day and the Friday immediately preceding Early Voting Day for setup. and on the Wednesday immediately following Election Day for equipment pickup. according to the terms and conditions stated herein. NOW, THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein. Facility Provider hereby agrees to allow Election Division to use the Available Room as a voting center, according to the following terms and conditions: TERM: This Agreement is for Election Day and the stated days before and after, only, but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is$1,200($100 per day for use on 12 weekdays), which shall be due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any, on or prior to Election Day. Page 1 of 2 Pages d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. 3. FACILITY PROVIDER AGREES: f. To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. g. To provide to Election Division the use of tables, chairs, and bathroom facilities. Web-access (either through an existing network or the ability for Weld County to install a TI line to the building),and access to a phone line for calling out. h. To inform the Election Division of any changes to your Internet. Use restrictions: Facilities Provider understands that once the Service/Vote Center is set up there will be no one expects election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF,the parties hereto have signed this Agreement this la day of,/lv , 2012. ELECTION DIVISION: / FACILITY PROVI • By: /�� /'J' '/Jz�-2'�`^"� By: Printed Name: Steve Moreno Printed Name: /44--10;14,311 Title: Weld County Clerk and Recorder Title: #fC Ck/ Page 2 of 2 Pages 03/30/2012 FRI 13: 54 FAX 9706869623 2001/003 STEVE MORENO_�� 861 WELD COUNTY CLERK & RECORDER 1 r�li 1402 NORTH 17T" AVENUE ; P.O. BOX 459 r4� rj ' GREELEY, COLORADO 80632 ? O U N•¶Y . ^ WEBSITE: www.co.weld,co.us PHONE: (970) 304-6530 • FAX: (970) 353-1964 WINDSOR/SEVERANCE FIRE STATION#1 Mr. Maxfield/Mr. Rose March 6, 2012 PO BOX 506 WINDSOR, CO 80550 Dear Mr. Maxfield/Mr. Rose, The Weld County Election Department would like to request the use of your facility as an Early Vote Center for the following elections: PRIMARY ELECTION --TUESDAY, JUNE 26TH, 2012 GENERAL ELECTION -- TUESDAY, NOVEMBER 61H , 2012 Primary Election — access to the facility is needed the Monday before Service Centers open to set up and test our equipment. Service Centers are open from June 12 - June 25, 2012, from 8:00AM - 5:00PM, Monday- Friday, and on Election Day June 26th, 2012, from 6:00AM-8:00PM. The equipment will be picked up on Wednesday, June 271h, 2012. General Election -- access to the facility is needed the Friday before Early Voting starts to set up and test our equipment. Early Voting is from October 22 - November 2, 2012, from 8:00AM - 5:00PM, Monday - Friday, Monday November 5, 2012 is Emergency Voting Day, also from 8:00AM - 5:00PM and on Election Day November 6, 2012, from 6:00AM - 8:00PM. The equipment will be picked up on Wednesday, November 7, 2012. THE SERVICE/VOTE CENTER BEING REQUESTED IS:Windsor/Severance Fire Station #1 - Conference Room Please complete the following information, sign below, and return. PRIMARY ELECTION-- USAGE GRANTED ✓ • USAGE DENIED • GENERAL ELECTION --USAGE GRANTED_I •USAGE DENIED • (If granted, please complete the\following? / MAIN CONTACT PERSON: -J1)' 1--\-a4. .� WORK# Gr'�U-"V /=aU 6 HOME#(-2O."j -) I-v97-7 EMAIL-ADDRESS , t/S--.---. SECOND CONTACT PERSON: . __ WORK# �/ ---e,-..)60-6. HOME#"7 11_2e70 Y,_-1 ----EMAIL DRESS _h " -, ' Z,.Q:} Y��. __- IT CONTACT PERSON: i111-G•c1/ir// A'�__ _ WORK l _._.-��I7� z'1l �� ? HOME# — EMAIL ADDRESS u� .- 2 C-O-.Ypi FACILITY HOURS OPEN F- 5 FACILITY PHONE# �2a-_ /:)&)-6, IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? YES.--__NO ___ Please check one: BUSINESS LINE !N PAY PHONE Also, please read and sign the Usage Agreement that is attached. ti ` . If you have any questions regarding this request, please call(970) 304-6525 X 3113. o Thank you f r your co 's•'er tton d participation. i n nat �e f ized Agent--- fc Date Po 1v n 03/30/2012 FRI 13: 54 FAX 9706869623 002/003 WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 12th day of March, 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 17`" Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division,"and Windsor/Severance Fire Station#1, whose address is 100 7t"St., hereinafter referred to as "Facility Provider." WITNESS ITN: WHEREAS, Election Division is responsible for conducting elections in Weld County, Colorado, including the upcoming Primary(June 26th) and General (November 6a')Election ("Election Day"), and WHEREAS, Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located,and WHEREAS, Facility Provider owns or leases a building located at 100 7'"St., which is ADA accessible,has handicap parking, and has room,atrium,or lobby space available("Available Room") for use by Election Division as a voting center in the course of conducting said election,and WHEREAS, use of Available Room will include the use of tables, chairs, and bathroom facilities, Web- access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out,and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Service Center during the hours. of 7:00 ant to 6:00pnr on June /2i° — June 25°' and Early Voting October 22i' -- November 5"' and 6:00 a.m. to 9:00 p.m. on Election Day. on the Monday immediately preceding Service Center Day and the Friday immediately preceding Early Voting Day jor .setup, and on the Wednesday immediately following Election Day for equipment pickup, according to the terra and conditions stated herein. NOW, THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein, Facility Provider hereby agrees to allow Election Division to use the Available Room as a voting center,according to the following terms and conditions: TERM. This Agreement is for Election Day and the stated days before and after, only, but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is ( , which shall be due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any,on or prior to Election Day. Page 1 of 2 Pages 03/30/2012 FRI 13: 55 FAX 9706869623 ®003/003 d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room,if necessary. 3. FACILITY PROVIDER AGREES: f. To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. g. To provide to Election Division the use of tables, chairs, and bathroom facilities, Web-access (either through an existing network or the ability for Weld County to install a TI line to the building),and access to a phone line for calling out. h. To inform the Election Division of any changes to your Internet. Use restrictions: _ Facilities Provider understands that once the ServiceNote Center is set up there will be no one expects election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF.the parties hereto have signed this Agreement this �ay of L___\_, 2012. ELECTION ION DIVISION: FACILITY PROyIDER: By: Printed Name: Steve Moreno Printed Name: P /- ^_,�'/ • 'title: Weld County Clerk and Recorder Title: 2�≥ -` Page 2 of 2 Pages 03/21/2012 WED 9: 55 FAX (001/004 Weld County School District REI O-J 38605 CR 88.5 P. O. Box 129 Briggsdale, CO 80611 970-656-3417 Fax 970-656-3479 Fax Number: 35 3 - /9o/ To: Ned eD2e dealr /2t€ c am, Attention: jr-i4re �0ZPrc-rte Re: /1/4//z From: &/G ` nen-r of DATE: c_Val The number of pages included with this Fax: Il If you do not receive all the pages, please contact me at(970) 656-3417 Comments: 7Aaat trA. 03/21/2012 WED 9: 55 FAX 0002/004 STEVE MORENO WELD COUNTY CLERK & RECORDER ( 1402 NORTH 17TH AVENUE P.O. BOX 459 I At GREELEY, COLORADO 80632 J WEBSITE: www.co.weld.co.us _Gp T t S PHONE: (970) 304-6530 FAX: (970) 353-1964 Briggsdale RE-10J March 12, 2012 Rick Mondt 1 515 Leslie i, i,�; tv: ll' Briggsdale, CO 80611 /' Dear Election Day Vote Center, The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6th, 2012 General Election — access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6"', 2012 from 6:00AM - 9:00PM. The equipment will be picked up on Wednesday, November 7", 2012. THE VOTE CENTER BEING REQUESTED IS: BRIGGSDALE RE-10J - MUSIC ROOM Please complete the following information, sign below, and return. GENERAL ELECTION -- USAGE GRANTED 1/ ' USAGE DENIED (If granted, please complete the following) WO n� c' Lc f.F Kii 97a 6“-,34117 MAIN CONTACT PERSON:�►� '"l HOMEII EMAIL ADDRESS y'.updiki0t-t's�4x≤:c40o/. 4rr/ SECOND CONTACT PERSON: 16_1(\ kke WORM @o �>>G ^ PI/7 HOME1/ _ EMAIL ADDRESS K-14cAO.e., yay„w - Ccsen IT CONTACT PERSON: _SL.Vtinke ..._.. WORKff 61'70 6 St ' 3(07 HOMER EMAIL ADDRESS FACILITY HOURS OPEN 7,3c?Ht� 111:1,O).4O,_ FACILITY PHONE/t 17Oifi3 "jyl? IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? YES 'V NO Please check one: BUSINESS LINE _v<PAY PHONE Also, please read and sign the Usage Agreement that is attached. It you have any questions regarding this request, please call (970) 304-6525 X 3113. Thank you for your consideration and participation. c3 41 ! 2 Sig ature of Authorized Agent Date is- 03/21/2012 WED 9: 55 FAX O003/004 WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 12i° day of March, 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 17i° Avenue, Greeley, CO 80631, hereinafter referred to as 'Election Division," and Briggsdale RE-10J whose address is 515 Leslie hereinafter referred to as ''Facility Provider.`. WITNESSETH: CH: WHEREAS, Election Division is responsible for conducting elections in Weld County, Colorado. including the upcoming General (November 6th, 2012) Election ("Election Day"), and WHEREAS, Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located, and WHEREAS, Facility Provider owns or leases a building located at 515 Leslie which is ADA accessible, has handicap parking,and has room, atrium,or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election, and WHEREAS, use of Available Room will include the use of tables. chairs, and bathroom facilities, Web access (either through an existing network or the ability fix Weld County to install a line to the building). and access to a phone line for calling out, and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center dating the hours of 6:00 a.m. to 9:00 p.m. on Election Day, on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day for equipment pickup, according to the terms and conditions stated herein. NOW, THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein. Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center daring the hours of 6:00 a.m. to 9:00 p.m. on Election Day, ulr the Friday though lionday immediately preceding kle<tiara /)us for sentp, and on the Wednesday immediately ./allowing Election Bay for equipment pickup. arrnrriin,g to the following terms and conditions: TERM: This Agreement is for Election Day and the stated days before and after, only, Inn may lie renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. ""1 RENT: If Applicable use of the Available Room during the term of this Agreement is _. . which shall be due and payable on receipt of bill from Facility Provider. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used ott Iileetion )ay. b. To ensure that the Vote Center activities conducted in the Available Room during Election I)ay proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider', operations. c. To pay to Facility Provider Ilse MOM real agreed to above, If any,tin nr pour to I,leclinn 1 lay. Page I of 2 Pages 03/21/2012 WED 9: 56 FAX 11004/004 • d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. i'. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: To provide to Election Division the use of the Available Room for Election Day and the stated clays before and after without unreasonable interference. h. To provide to Election Division the use o1' tables, chairs. and bathroom facilities, Web-access (either through an existing network or the ability for Weld County 10 install a T1 line to the building),and access to a phone line for calling.out. Use restrictions: r Facility Provider understands that once the Vote Center is set up there will be no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement. and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF,the parties hereto have signed this Agreement this . day of ... 2O12. ELI{C'l'IC)N))1 V IS lON: By: Printed Name: Steve Moreno Title: Weld County Clerk and Recorder l'ACII.i'l'Y PROVIDER: By: . . .C ..•�� .1(�i-tC�'�!�.. Printed Name: f'itle: l)Uvey.lr.1 X'f?...d e.&... ............... Page 2 of 2 Pages '411/4 86 �� STEVE MORENO WELD COUNTY CLERK & RECORDER I' 1 r r 1402 NORTH 17TH AVENUE P.O. BOX 459 GREELEY, COLORADO 80632 a 0U h_T Y WEBSITE: www.co.weld.co.us Y PHONE: (970) 304-6530 FAX: (970) 353-1964 Evangelical Free Church of Eaton March 12, 2012 Doris Meeker 1325 3rd Street Eaton, CO 80615 Dear Election Day Vote Center, The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6th, 2012 General Election — access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6th, 2012 from 6:00AM - 9:00PM. The equipment will be picked up on Wednesday, November 7th, 2012. THE VOTE CENTER BEING REQUESTED IS: EVANGELICAL FREE CHURCH OF EATON- COMMUNITY ROOM Please complete the following information, sign below, and return. GENERAL ELECTION -- USAGE GRANTED V ` USAGE DENIED • (If granted, please complete the effollowing) n^ MAIN CONTACT PERSON: 1 J0C'1 `_> Meeker WORK# tiStt HOME# LiSni- 31cot EMAIL ADDRESS dor;50 ecc=ac203-0n. - 1 SECOND CONTACT PERSON: 5es-c (LV t,jec WORK# 4Stj-�4IL HOME# 454 .acr'?ia - EMAIL ADDRESS 3eCit. eE-Cc,( ex--C o IT CONTACT PERSON: 1.-a+`'L (jto0 eld! WORK# SE 1-7t 3D- H0ME# 4 S`f - 'fatal.- EMAIL ADDRESS C sleIQJen. V 1 � ,Cc)+AA. FACILITY HOURS OPEN SC -S FACILITY PHONE# S7{-3'1 I I IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? YES 4, NO Please check one: BUSINESS LINE PAY PHONE Also, please read and sign the Usage Agreement that is attached. If you have any questions regarding this request, please call (970) 304-6525 X 3113. Thank ou for your consideration and participation. Signature of Authorized Agent Date per o O r ( kW). S f'≤; ,�ucA a5'ree,�v e�-� -}Sep- t fuP w��l jA.o b nd4_� he.cri e r Gku r`c1 Br. S U` L 1 At `l WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 12"' day of March, 2012, by and between the Weld County Clerk and Recorder Election Division. whose address is 1401 N. I7" Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division." and Evangelical Free Church whose address is 1325 3rd Street hereinafter referred to as "Facility Provider." WITNESSETH: WHEREAS. Election Division is responsible for conducting elections in Weld County. Colorado. including the upcoming General (November 6°i. 2012)Election ("Election Day'). and WHEREAS. Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located,and WHEREAS. Facility Provider owns or leases a building located at 1325 3r°Street which is ADA accessible. has handicap parking, and has room, atrium, or lobby space available ('Available Room") for use by Election Division as a voting center in the course of conducting said election, and WHEREAS, use of Available Room will include the use of tables. chairs. and bathroom facilities. Web- access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out, and WHEREAS. by and through this Agreement. Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:O0 p.m. on Election Day,on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day for equipment pickup. according to the terms and conditions stated herein. NOW. THEREFORE, in consideration of the mutual promises. terms and conditions set forth herein. Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 amt. to 9:00 pin. on Election Daft on the Friday tltrnugh Monday immediately preceding Election Day far settp. and on the Wednesday immediately fallowing Election Day for equipment pickup. according to the following terms and conditions: TERM: This Agreement is for Election Day and the stated days before and after, only. but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections. if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is which shall be due and payable on receipt of hill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any,on or prior to Election Day. Page 1 of 2 Pages • d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. f. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: g. To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities. Web-access (either through an existing network or the ability for Weld County to install a TI line to the building),and access to a phone line for calling out. Use restrictions: Facility Provider understands that once the Vote Center is set up there will be no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF,the parties hereto have signed this Agreement this_ day of _,2012. ELECTION DIVISION: By: , t-' G� Printed Name: Steve Moreno Title: Weld County Clerk and Recorder FACIL 'Y PROVIDER: By: Itkiefib2r. Printed Name:_I)nr; ?e-&-er Title: 'ca_ u-CiJ��;i �- '� Page 2 of 2 Pages X861 �, STEVE MORENO WELD COUNTY CLERK & RECORDER 1402 NORTH 17TH AVENUE P.O. BOX 459 ,/ V j V GREELEY, COLORADO 80632 V��"`- - N_ WEBSITE: www.co.weld.co.us G O T Y PHONE: (970) 304-6530 FAX: (970) 353-1964 Greeley Ice Haus March 12, 2012 Dale Elder 900 8`h Ave Greeley, CO 80631 Dear Election Day Vote Center, The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6th, 2012 General Election — access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6'h, 2012 from 6:00AM - 9:00PM. The equipment will be picked up on Wednesday, November 7'h, 2012. THE VOTE CENTER BEING REQUESTED IS: GREELEY ICE HAUS - UPSTAIRS Please complete the following information, sign below, and return. GENERAL ELECTION -- USAGE GRANTED " USAGE DENIED (If granted, please complete the following) J' MAIN CONTACT PERSON: DAV- WORK# 33ii -Nano HOME# EMAIL ADDRESS dtnlz. 2Id r( 1L,LLI 0'In-w-k SECOND CONTACT PERSON: �I ScYI W1) WORK# 3'510- 11251 HOME# EMAIL ADDRESS AIiscri•vJ.tif-( 1/ At-N knr\ IT CONTACT PERSON: WORK#_ 0l - M i I HOME# EMAIL ADDRESS • L k-e S a e t . FACILITY HOURS OPEN M" 504 £J rA 2 'pr. FACILITY PHONE# 350- `I Lit 2_ IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? YES NO ✓ Please check one: BUSINESS LINE PAY PHONE Also, please read and sign the Usage Agreement that is attached. If you have any questions regarding this request, please call (970) 304-6525 X 3113. Thank you for your consideration and participation. Signature of Authorized Agent Date WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 12`" day of March, 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 1711 Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division," and Greeley Ice Haus whose address is 900 8'" Ave., hereinafter referred to as "Facility Provider." WITNESSETH: SETH: WHEREAS, Election Division is responsible for conducting elections in Weld County, Colorado, including the upcoming General (November 6th,2012)Election("Election Day"), and WHEREAS, Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located, and WHEREAS. Facility Provider owns or leases a building located at 900 81h Ave., which is ADA accessible, has handicap parking, and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election, and WHEREAS, use of Available Room will include the use of tables, chairs, and bathroom facilities, Web- access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out, and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m.on Election Day,on the Friday through Monday immediately preceding Election Day for setup. and on the Wednesday immediately following Election Day for equipment pickup,according to the terms and conditions stated herein. NOW. THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein, Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 0.m. to 9:00 pan. on Election Day, on the Friday through Monday immediately preceding Election Day for setup. and on the Wednesday inunediately following Election Day for equipment pickup. according to the following terms and conditions: TERM: This Agreement is for Election Day and the stated days before and after, only, but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is_ which shall be due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any, on or prior to Election Day. Page 1 of 2 Pages d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. f. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: g. To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities, Web-access (either through an existing network or the ability for Weld County to install a TI line to the building),and access to a phone line for calling out. Use restrictions: Facility Provider understands that once the Vote Center is set up there will be no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement. and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. h. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF, the parties hereto have signed this Agreement this ,2 0 day of i11ft4h, 2012. ELECTION DIVISION: Printed Name: Steve Moreno Title: Weld County Clerk and Recorder FACILITY PROVIDER: By: Printed Name: DA(,a1�tt� Title: T7(.Q-_l—LG1A4_L flThn0 ),( Page 2 of 2 Pages V STEVE MORENO WELD COUNTY CLERK & RECORDER 1402 NORTH 17TH AVENUE P.O. BOX 459 GREELEY, COLORADO 80632 vL G O 'J N-T Y WEBSITE: www.co.weld.co.us PHONE: (970) 304-6530 FAX: (970) 353-1964 Kersey Community Church March 12, 2012 Attn: Patrick South First St Kersey, CO 80644 Dear Election Day Vote Center, The Weld County Eiection Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6tH, 2012 General Election — access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6th, 2012 from 6:00AM — 9:00PM. The equipment will be picked up on Wednesday, November 7'h, 2012. THE VOTE CENTER BEING REQUESTED IS: KERSEY COMMUNITY CHURCH - GYM Please complete the following information,n,sign below, and return. GENERAL ELECTION -- USAGE GRANTED /� ' USAGE DENIED (If granted, please complete the following) MAIN CONTACT PERSON: Cr Sdh WORK# HOME# 4To 36 ',/YP' /MAIL ADDRESS (� SECOND CONTACT PERSON: "alvi S <c ((31(317(#1q5 WORK# q 9 3S 3 3 96 HOME# 4, 3Y/ 91; 2- EMAIL ADDRESS IT CONTACT PERSON: !/zz - .-1 /*r,-? WORK# HOME# 997e, 5Y2J f. EMAIL ADDRESS FACILITY HOURS OPEN f 0CW''1 pnn FACILITY PHONE# q 7r) » fr -3 969 IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM R QUESTED? YES K NO Please check one: BUSINESS LINE X PAY PHONE Also, please read and sign the Usage Agreement that is attached. If you have any questions regarding this request, please call (970) 304-6525 X 3113. ti ►t'1 r Thank you for your consideration and participation. a. O C", N � ‘271/4' /L7%242 Signature of Authoriz Agent Date v ry Ro O m J C) WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this I2th day of March, 2012, by and between the Weld County Clerk and Recorder Election Division. whose address is 1401 N. 17111 Avenue, Greeley, CO 80631, hereinafter referred to as Election Division," and Kersey Community Church whose address is South First St., hereinafter referred to as "Facility Provider." WITNESSETH: WHEREAS. Election Division is responsible for conducting elections in Weld County, Colorado, including the upcoming General (November 6". 2012) Election("Election Day''). and WHEREAS. Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located, and WHEREAS, Facility Provider owns or leases a building located at South First St., which is ADA accessible, has handicap parking, and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election, and WHEREAS, use of Available Room will include the use of tables. chairs, and bathroom facilities. Web- access (either through an existing network or the ability for Weld County to install a TI line to the building). and access to a phone line for calling out, and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day,on the Friday through Monday immediately preceding Election Day for setup. and on the Wednesday immediately following Election Day for equipment pickup, according to the terms and conditions stated herein. NOW. THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein. Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 pate on Election Day. on the Friday through Monday immediately preceding Election Dar for setup. and on the Wednesday immediately following Election Day for equipment pickup. according to the /mowing terms and conditions: TERM: This Agreement is for Election Day and the stated days before and after, only, but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections. if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is , which shall be due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any, on or prior to Election Day. Page 1 of 2 Pages d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. f. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities. Web-access (either through an existing network or the ability for Weld County to install a TI line to the building). and access to a phone line for calling out. Use restriction : ( 071 , 71/yattlatiC-C Facility Provider understands that once the Vote Center is set up there will he no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement. and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF, the parties hereto have signed this Agreement this9-7day of 2012. ELECTION DDIVISION: �j7 By: Printed Name: Steve Moreno Title: Weld County Clerk and Recorder FACILITY PROVIDER: By: c• Printed Name _2 Xtike:I 7-3J nqS Title: 5 eno/err/ Page 2 of 2 Pages . w 4ks X86) STEVE MORENO WELD COUNTY CLERK & RECORDER �' 1402 NORTH 17T" AVENUE �/ I P.O. BOX 459 GREELEY, COLORADO 80632 O1a _ U N T Y WEBSITE: www.co.weld.co.us G _O__ PHONE: (970) 304-6530 FAX: (970) 353-1964 Cache Bank and Trust March 13, 2012 Bill Weber 4601 W 20th St. Greeley, CO 80634 Dear Election Day Vote Center, The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6th, 2012 General Election —access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6", 2012 from 6:00AM-9:00PM. The equipment will be picked up on Wednesday. November 7th, 2012. THE VOTE CENTER BEING REQUESTED IS: CACHE BANK AND TRUST—DOWNSTAIRS MEETING ROOM Please complete the.following information, sign below, and return. GENERAL ELECTION -- USAGE GRANTED X * USAGE DENIED _* (If granted, please complete the following) MAIN CONTACT PERSON: _ �� 061)-6 _WORK# q70 HOME# R 1E,MAIL ADDRESS S �/7 SECOND CONTACT PERSON: 8)// h V"4 Le 1.-- 504 -7 WORK# 170 )3 HOME# EMAIL ADDRESS IT CONTACT PERSON: WORK#__ HOME# _EMAIL ADDRESS 661 FACILITY HOURS OPEN '1. - S. I FACILITY PHONE# cr10 151 %4 IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? YES_A NO Please check one: BUSINESS LINE PAY PHONE Also,please read and sign the Usage Agreement that is attached. If you have any questions regarding this request.please call (970)304-6525 X 3113. Thank you for your consideration and participation. 161117.-- Signature o d Agent Date WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this I2°i day of March. 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 17'" Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division," and Cache Bank& Trust whose address is 4601 W 20'"Si, hereinafter referred to as "Facility Provider." W ITNESSETH: WHEREAS, Election Division is responsible for conducting elections in Weld County, Colorado. including the upcoming General (November 6th, 2012)Election("Election Day"),and WHEREAS. Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located. and WHEREAS. Facility Provider owns or leases a building located at 4601 W 20th St., which is ADA accessible, has handicap parking, and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election, and WHEREAS, use of Available Room will include the use of tables, chairs, and bathroom facilities. Web- access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out, and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day,on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day for equipment pickup.according to the terms and conditions stated herein. NOW. THEREFORE, in consideration of the mutual promises. terms and conditions set forth herein, Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.,n. to 9:00 pin. on Election Day. on the Friday through Monday immediately preceding Election Day for setup. and on the Wednesday immediately following Election Day for equipment pickup. according to the fallowing terms and conditions: TERM: This Agreement is for Election Day and the stated days before and after, only, but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is _ , which shall he due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any,on or prior to Election Day. Page 1 of 2 Pages d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. f. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: g. To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities. Web-access (either through an existing network or the ability for Weld County to install a TI line to the building).and access to a phone line for calling out. Use restrictions: Facility Provider understands that once the Vote Center is set up there will be no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement. and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF, the parties hereto have signed this Agreement this day of .2012. ELECTION DIVISION: By: Printed Name: Steve Moreno Title: Weld County Clerk and Recorder FA ILITY PROVIDER: By. C�p Printed Name: ireg;iry l Title: l,Q)cca Page 2 of 2 Pages PRAIRIE SCHOOL P.O. BOX 68 42315 WCR 133 FAX SHEET NEW RAYM� CO 80742 970437-5351ORII FAX 970-437-5732 TO: l > 5-Ls FAX#: Li - 6 5-g 6 FROM: RE: . MESSAGE tbilet. 1 of WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 6th day of June, 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 17th Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division," and Prairie High School whose address is 42315 County Road 133,, hereinafter referred to as "Facility Provider." WITNESSETH: WHEREAS, Election Division is responsible for conducting elections in Weld County, Colorado, vicludinc the upcoming General (November 6",2012)Election("Election Day"), and WHEREAS, Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located, and WHEREAS, Facility Provider owns or leases a building located at J231_5 County Road 133 which is ADA accessible, has handicap parking, and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election, and WHEREAS, use of Available Room will include the use of tables, chairs, and bathroom facilities, Web- access (either through an existing network or the ability for Weld Comity to install a TI line to the building), and access to a phone line for calling out, and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m.to 9:00 p.m. on Election Day, on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day for equipment pickup, according to the terms and conditions stated herein. • • NOW, THEREFORE, in consideration of the mutual promises, twos and conditions set forth herein, • Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of6.00 a.m. to 9:00 p.m. on Election Day, on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day for equipment pickup, according to the following terms and conditions: 1. TERM: This Agreement is for Election Day and the stated days before and after, only,but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. 1kNT: If Applicable use of the Available Room during the term of this Agreement is t 0 , which • shall be dug and payable on receipt of bill from Facility Provider. 2. )YLbCTION DIVISION AGREES: a_ To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any, on or prior to Election Day. Page 1 of 2 Pages d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. • f. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDERAGREES: g. To provide to Election Division the use of the Available Room for Election Day and the stated clays before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities, Web-access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out. Use restrictions: 44\c" j• Dv � n walgl KJ �� • �flc Aec e .4.O1 K less ncYaK eY 5 1 /�5 to Tog 51) 4 r c 5 P 141 a.-V. t • ocurs. Facility Provider understan s that once t e Vote Center is set u there will be no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF, the parties hereto have signed this Agreement this day of ,2012. ELECTION DIVISION: By: Printed Name: Steve Moreno Title: Weld County Clerk and Recorder • FACILITY'P VIDE : 13y. R, Printed Name: (R• tV oe XI rfivt&( Title: 5 • Page 2 of 2 Pages prairie High School June 6, 2012 Joe Kimmel 42315 CR 133 New Raymer CO 30742 Dear Election Day Vote Center. The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6th, 2012 General Election—access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6th,2012 from 6:00AM 9:00PM. The equipment will be picked up on Wednesday,November 7`",2012. THE VOTE CENTER BEING REQUESTED IS: LOBBY .Please complete the following information, sign below, and return. GENERAL ELECTION -- USAGE GRANTED X_` USAGE DENIED (If granted, please complete the following) MAIN CONTACT PERSON: 4 e.Z trn v11 WORK# 3,C( 4t HOME/47 5- fp( EMAILADDRESS - - SECOND CONTACT PERSON: 4 - Ku4I Q.1- WORK# tea) M 3 L HOME# ;$(1- / 7�;},f E LADDRESS IT CONTACT PERSON: C�1/ . CJ( C S WORIC# If 3 '2` S 3 S-[ HOME# EMAIL ADDRESS FACILITY HOURS OPEN 3 a /lam FACILITY PHONE/4 Ile 55- S 3 TL pin IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? YES X NO Please check one: BUSINESS LINE PAY PHONE Also, please read and sign the Usage Agreement that is attached. If you have any questions regarding this request, please call (970)304-6525 X 3113. Thank you for your consideration and p rticipation. Sig atur f Au ' r zed Agent Date • STEVE MORENO 1861 WELD COUNTY CLERK & RECORDER 1,11 r 1402 NORTH 17TH AVENUE P.O. BOX 459 VEI \ GREELEY, COLORADO 80632 G O U t J T Y WEBSITE: www.co.weld.co.us PHONE: (970) 304-6530 FAX: (970) 353-1964 Island Grove Event Center March 13, 2012 Kathy Dilbeck 501 N 14th Ave Greeley, CO 80631 Dear Election Day Vote Center, The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6tH, 2012 General Election - access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6th, 2012 from 6:00AM—9:00PM. The equipment will be picked up on Wednesday, November 7`", 2012. THE VOTE CENTER BEING REQUESTED IS: ISLAND GROVE EVENT CENTER-MEETING ROOMS Please complete the following information, sign below, and return. GENERAL ELECTION-- USAGE GRANTED *USAGE DENIED (If granted, please complete the following) 2 /' MAIN CONTACT PERSON: YKllOt-'\Fly T % 1\3e L WORK# 0OD 66. 0 4 v 7 '. HOME# q)0 7(-65 -43AD EMAIL ADDRESS tSct_AAA'j c\1 \\op ck-Q.Dri retie cis SECOND CONTACT PERSON: b T-tYIP-'( 0L WORK# 01.70 ' �-1 I -3 7 G HOME# Sio 311-37(e} EMAIL ADDRESS ) Yl Gan ajp gftfLaUe Clew' t-cn) IT CONTACT PERSON: IO 0-14C fn c. l n A C WORK# qic- 3e o - of 57 7 HOME#exit 3ct-37 3 EMAIL ADDRESS (lnknan • n-v •I‘rsinr je(\rnl2,' qc') = C FACILITY HOURS OPEN fltsy .. 7)t 3 t7 p m FACILITY PHONE# 'fl© - 2,60 -9 39 IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? YES X NO Please check one: BUSINESS LINE PAY PHONE Also,please read and sign the Usage Agreement that is attached. If you have any questions regarding this request,please call (970)304-6525 X 3113. Thank you for your consideration and participation. Si nature uthorized Agent Date WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this l2'" day of March, 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 17" Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division," and Island Grove Event Center whose address is 501 N 14'" Ave., hereinafter referred to as "Facility Provider." WITNESSETH: WHEREAS, Election Division is responsible for conducting elections in Weld County, Colorado, including the upcoming General (November 6i°,2012)Election("Election Day"),and WHEREAS, Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located,and WHEREAS, Facility Provider owns or leases a building located at 501 N 14th Ave., which is ADA accessible, has handicap parking, and has room. atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election,and WHEREAS, use of Available Room will include the use of tables, chairs, and bathroom facilities, Web- access (either through an existing network or the ability for Weld County to install a T1 line to the building), and access to a phone line for calling out,and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day,on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day for equipment pickup, according to the terms and conditions stated herein. NOW, THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein, Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day, on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day for equipment pickup, according to the following terms and conditions: I. TERM: This Agreement is for Election Day and the stated days before and after, only, but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. �� tjD u' 0-Pk- RENT: If Applicable use of the Available Room during the term of this Agreement is4"I tt,, ", °which shall be due and payable on receipt of bill from Facility Provider. 2. • ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any,on or prior to Election Day. Page 1 of 2 Pages d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. f. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: g. To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities, Web-access (either through an existing network or the ability for Weld County to install a TI line to the building),and access to a phone line for calling out. Use restrictions: Facility Provider understands that once the Vote Center is set up there will be no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF,the parties hereto have signed this Agreement this day of ,2012. ELECTION DIVISION: By: '/ - — - `2.¢iwr/� Printed Name: Steve Moreno Title: Weld County Clerk and Recorder FACILITY PROVIDER: LL,, By: LN Printed Nam �^ \\_e: Y�nvl �� ' t Title: CA( ODD DDCCA\— (-1..17O\ Page 2 of 2 Pages la X861 STEVE MORENO WELD COUNTY CLERK & RECORDER i1 1402 NORTH 17TH AVENUE T-F: I P.O. BOX 459 VI_ 1 GREELEY, COLORADO 80632 _ G O U N T Y \ WEBSITE: www.co.weld.co.us PHONE: (970) 304-6530 FAX: (970) 353-1964 TRINITY LUTHERAN CHURCH March 12, 2012 Larry Whitney 3000 S 35th Ave GREELEY, CO 80634 Dear Mr. Larry Whitney, The Weld County Election Department would like to request the use of your facility as an Early Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6th, 2012 General Election —access to the facility is needed the Friday before Early Voting starts to set up and test our equipment. Early Voting is from October 22 — November 2, 2012, from 8:00AM — 5:00PM, Monday— Friday, Monday November 5, 2012 is Emergency Voting Day, also from 8:00AM — 5:00PM and on Election Day November 6, 2012, from 6:00AM — 8:00PM. The equipment will be picked up on Wednesday, November 7, 2012. THE VOTE CENTER BEING REQUESTED IS: TRINITY LUTHERAN CHURCH - GYM Please complete the following information, sign below, and return. GENERAL ELECTION -- USAGE GRANTED /X * USAGE DENIED (If granted, please complete the following) c MAIN CONTACT PERSON: /ZS 6u,Thirli won K# 7 qPo 39&-%GtC HOME#eno-331,--2a.c EMAIL ADDRESS X iStaMY Comeneg -.Affir SECOND CONTACT PERSON: 1,4-R.e.Y W ez-rA[t7` WORK# 17O-3 lc-0,/ao HOME# EMAIL ADDRESS uuS IT CONTACT PERSON: !ZS ,�fifG4Y Md # r33B 4rd4G HOME#97v-13a4z/c EMAIL ADDRESS Z d afd Y co cnsr /1C1-7- FACILITY HOURS OPEN 4'- `/ FACILITY PHONE# 920-3 3o-1.3.x3 IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? YES 'C NO Please check one: BUSINESS LINE X PAY PHONE Also, please read and sign the Usage Agreement that is attached. If you have any questions regarding this request, please call (970) 304-6525 X 3113. Thank you for your consideration and participation. Signature of Authori d Agent Date WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 12th day of March, 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 17th Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division," and Trinity Lutheran, whose address is 3000 S. 351h Ave., hereinafter referred to as "Facility Provider." WITNESSETH: WHEREAS, Election Division is responsible for conducting elections in Weld County, Colorado, including the upcoming General (November 6i°)Election("Election Day"),and WHEREAS, Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located, and WHEREAS, Facility Provider owns or leases a building located at 3000 S. 35`h Ave., which is ADA accessible, has handicap parking, and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election,and WHEREAS, use of Available Room will include the use of tables, chairs, and bathroom facilities, Web- access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out,and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as an Early Voting Center during the hours of 7:00 am to 6:00pm October 22'"—November 5`h. and 6:00 a.m. to 9:00 p.m. on Election Day, on the Friday immediately preceding Early Voting Day for setup, and on the Wednesday immediately following Election Day for equipment pickup, according to the terms and conditions stated herein. NOW, THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein, Facility Provider hereby agrees to allow Election Division to use the Available Room as a voting center, according to the following terms and conditions: I. TERM: This Agreement is for Election Day and the stated days before and after, only, but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is 11715-00.00, which shall be due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any,on or prior to Election Day. d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and Page 1 of 3 Pages in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room,if necessary. 3. FACILITY PROVIDER AGREES: f. To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. g. To provide to Election Division the use of tables, chairs, and bathroom facilities, Web-access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out. h. To inform the Election Division of any changes to your Internet. Use restrictions: Facility Provider understands that once the Vote Center is set up there will be no one expect election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF,the parties hereto have signed this Agreement this day of , 2012. ELECTION IVISION: FACILITY PROVIDER: By: By: OV...-e4 f Lam(! Printed Name: Steve Moreno Printed Name: /_ SL (t_,ce72j.11 Title: Weld County Clerk and Recorder Title: TYZGIS r/- Page 2 of 3 Pages �� X861 STEVE MORENO WELD COUNTY CLERK & RECORDER V� TYNORTH 17TH AVENUE P.O.P.O.P.O. BOX 1402 1 GREELEY, COLORADO 80632 WEBSITE: www.co.weld.co.us�_�U N T Y PHONE: (970) 304-6530 FAX: (970) 353-1964 Lochbuie Senior Center March 13, 2012 Nancy Kauffroath 501 Willow Drive Lochbuie, CO 80603 Dear Election Day Vote Center, The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6th, 2012 General Election—access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6`", 2012 from 6:00AM-9:00PM. The equipment will be picked up on Wednesday, November 7th,2012. THE VOTE CENTER BEING REQUESTED IS: LOCHBUIE SENIOR CENTER-WHOLE BUILDING Please complete the following information, sign below, and return. GENERAL ELECTION--USAGE GRANTED *USAGE DENIED (If granted,please complete the following) n MAIN CONTACT PERSON: Nan 'y+� R o-M-Oa411 WORK# 964-6g7 1.16-t- HOME# 343-6Sf-x/979 EMAIL ADDRESS n. 'H-75/or-,sso7e,5k)rlect.n,. corn SECOND CONTACT PERSON: ikeirtki, PJracl-Rea WORK# relic, I/ HOME#Zan- 6r35-C2at9 EMAIL ADDRESS IT CONTACT PERSON: Vt/i II iarn p Wehb WORK# HOME#3O54,69-9966, 7 EMAIL ADDRESS WITty`aa.?6Avl-., Lnrrt Ytt. v-tA 7 S- a- W y-/2 FACILITY HOURS OPEN Th,b 1--II Fri 8-1 FACILITY PHONE# 36,3- 6 5 1.- 9 �ro IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? YES X NO Please check one: BUSINESS LINE X PAY PHONE Also, please read and sign the Usage Agreement that is attached. If you have any questions regarding this request,please call (970)304-6525 X 3113. Thank you for your consideration and participation. Si atur of Au or' Agent ate WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 13th day of March, 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 17'h Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division," and Lochbuie Senior Center whose address is 501 Willow Dr., hereinafter referred to as "Facility Provider." WITNESSETH: WHEREAS.Election Division is responsible for conducting elections in Weld County, Colorado, including the upcoming General (November 6i°,2012)Election ("Election Day"), and WHEREAS, Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located,and WHEREAS, Facility Provider owns or leases a building located at 501 Willow Dr., which is ADA accessible, has handicap parking, and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election, and WHEREAS, use of Available Room will include the use of tables, chairs, and bathroom facilities, Web- access (either through an existing network or the ability for Weld County to install a T1 line to the building), and access to a phone line for calling out,and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day,on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day for equipment pickup,according to the terms and conditions stated herein. NOW, THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein, Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day, on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day for equipment pickup, according to the following terms and conditions: 1. TERM: This Agreement is for Election Day and the stated days before and after, only, but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. a,., 11O RENT: If Applicable use of the Available Room during the term of this Agreement is t . which shall be due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any,on or prior to Election Day. Page 1 of 2 Pages d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. f. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: g. To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities, Web-access (either through an existing network or the ability for Weld County to install a TI line to the building),and access to a phone line for calling out. Use restrictions: SQX2L t Facility Provider understands that once the Vote Center is set up there will be no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF,the parties hereto have signed this Agreement this day of ,20I2. ELECTIONN DIVISION: By: /C' '-� -C Printed Name: Steve Moreno Title: Weld County Clerk and Recorder FACILITY PROVIDER: ,- 3- �mZ By: r!/IZrrt /, KCtrçtI Printed ame: -th Title: Lootdina cr- Page 2 of 2 Pages STEVE MORENO WELD COUNTY CLERK & RECORDER 1 _ 1402 NORTH 17TH AVENUE P.O. BOX 459 '/ i■LJ/�'I GREELEY, COLORADO 80632 - WEBSITE: www.co.weld.co.us G 0 U_N T Y PHONE: (970) 304-6530 FAX: (970) 353-1964 Grover Fire Hall March 12, 2012 Sherry Burnett 319 Chatoga Ave Grover, CO 80729 Dear Election Day Vote Center, The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6th, 2012 General Election — access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6th, 2012 from 6:00AM — 9:00PM. The equipment will be picked up on Wednesday, November 7'h, 2012. THE VOTE CENTER BEING REQUESTED IS: GROVER FIRE HALL-MEETING ROOM Please complete the following information, sign below, and return. GENERAL ELECTION -- USAGE GRANTED Y *USAGE DENIED Arta /yl ,J� (If granted, please complete the following) c p L/�{ b rt Wu r W,. DU a 5 dw2_ 4-0 h0J( b-e t r 9 tcszot by F<c=e TfQp ,tr >tt' MAIN CONTACT PERSON: Lifteni Burwdt �WORK# 970^its.3355 HOME# ,Z31%-/ EMAIL ADDRESS ` Ls bra. - 4.V isuns4e i t C-Rll SECOND CONTACT PERSON: WORK# HOME# EMAIL ADDRESS IT CONTACT PERSON: WORK# HOME# EMAIL ADDRESS FACILITY HOURS OPEN No ec LJa c hours FACILITY PHONE# 47O ' P`l5-'raj 7 IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? YES X NO Please check one: BUSINESS LINE PAY PHONE Also, please read and sign the Usage Agreement that is attached. If you have any questions regarding this request, please call (970) 304-6525 X 3113. Thank you for your consideration and participation. Lettbk Signature of q;tthorized Agent Date WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 12th day of March, 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 17th Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division," and Grover Fire Hall whose address is 319 Chatoga Ave. hereinafter referred to as "Facility Provider." WITNESSETH: WHEREAS, Election Division is responsible for conducting elections in Weld County, Colorado, including the upcoming General (November 6'", 2012)Election("Election Day"),and WHEREAS, Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located,and WHEREAS, Facility Provider owns or leases a building located at 319 Chatoga Ave. which is ADA accessible, has handicap parking, and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election, and WHEREAS, use of Available Room will include the use of tables, chairs, and bathroom facilities, Web- access (either through an existing network or the ability for Weld County to install a Tl line to the building), and access to a phone line for calling out, and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day,on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day for equipment pickup,according to the terms and conditions stated herein. NOW, THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein, Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day, on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day for equipment pickup, according to the following terms and conditions: TERM: This Agreement is for Election Day and the stated days before and after, only, but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. +6' o° RENT: If Applicable use of the Available Room during the term of this Agreement is_2V 0' , which shall be due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above,if any,on or prior to Election Day. Page 1 of 2 Pages d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. f. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: g. To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities, Web-access (either through an existing network or the ability for Weld County to install a TI line to the building),and access to a phone line for calling out. i. Use restrictions: Grover Fire Hall reserves the right to enter the voline area if incase the tire department receives an emergencv call and the need arises to enter the room while the voting equipment is in the room. Facility Provider understands that once the Vote Center is set up there will be no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF,the parties hereto have signed this Agreement this day of ,2012. ELECTION IVISION: By: Printed Name: Steve Moreno Title: Weld County Clerk and Recorder FACILI ROVIDER: By: Printed Name: Title: c!. Page 2 of 2 Pages • STEVE MORENO WELD COUNTY CLERK & RECORDER 1402 NORTH 17TH AVENUE „ea. I '� P.O. BOX 459 GREELEY, COLORADO 80632 V��G N T Y -J WEBSITE: www.co.weld.co.us — — PHONE: (970) 304-6530 FAX: (970) 353-1964 Farr Branch Library March 12, 2012 Charlene Parker 1939 61st Ave Greeley, CO 80634 Dear Election Day Vote Center, The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 61h, 2012 General Election — access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6th, 2012 from 6:00AM — 9:00PM. The equipment will be picked up on Wednesday, November 7th, 2012. THE VOTE CENTER BEING REQUESTED IS: FARR BRANCH LIBRARY- MEETING ROOM Please complete the following information, sign below, and return. GENERAL ELECTION -- USAGE GRANTED / * USAGE DENIED (If granted, please complete the following) MAIN CONTACT PERS N:27 Q, Y'�4� WORK# t3 v,- 5 Olo - ,m HOMEf i`�a -1S EMAIL ADDRESS pia+' OS SECOND CONTACT PE�R�SON l OC 7 KSp� WORK# q-J - * HOME# - !v-(c E-t 3z EMAIL ADDRESS IT CONTACT PERSON: 11 WORK#qics ' XO4 �S8(p HOME# -U1- EMAIL ADDRESS_ SS 1�0 M-Ti1 q&04.-y `r IOe.m-$ .m FACILITY HOURS OPEN SA - kTh-b S 1_n FACILITY PHONE# - J(n- i5C) IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM �tEOUESTED? YES x NO Please check one: BUSINESS LINE X PAY PHONE Also, please read and sign the Usage Agreement that is attached. If you have any questions regarding this request, please call (970) 304-6525 X 3113. Thank you for your consideration and participation. X41 Z gnature of Autho gent Date WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 12th day of March. 2012. by and between the Weld County Clerk and Recorder Election Division. whose address is 1401 N. 17°i Avenue. Greeley, CO 80631, hereinafter referred to as "Election Division." and Farr Branch Library whose address is 1939 61" Ave., hereinafter referred to as "Facility Provider." WITNESSETH: WHEREAS, Election Division is responsible for conducting elections in Weld County, Colorado. including the upcoming General (November 6a',2012)Election ("Election Day"). and WHEREAS. Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located, and WHEREAS. Facility Provider owns or leases a building located at 1939 6P' Ave., which is ADA accessible. has handicap parking, and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election,and WHEREAS. use of Available Room will include the use of tables, chairs, and bathroom facilities, Web- access (either through an existing network or the ability for Weld County to install a TI line to the building). and access to a phone line for calling out. and WHEREAS, by and through this Agreement. Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day,on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day Ior equipment pickup. according to the terms and conditions stated herein. NOW. THEREFORE. in consideration of the mutual promises, terms and conditions set forth herein. Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day. on the Friday through Monday inanediatety preceding Election Day for setup. and on the Wednesday inu nediate/v fallowing Election Day for equipment pickup. according to the follouing terms and conditions: TERM: This Agreement is for Election Day and the stated days before and after, only, but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections. if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is which shall be due and payable on receipt of bill from Facility Provider. 3. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. h. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above. if any. on or prior to Election Day. Page 1 of 2 Pages d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. f. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs. and bathroom facilities. Web-access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out. Use restrictions: �A1eb deeess �tll -I4icah�tskcjc}-'s Q tit is �_t i Facility Provider understands that once the Vote Center is set up there will be no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement. and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF, the parties hereto have signed this Agreement this day of , 2(112. ELECTION DIVISION: By:By: / / Printed Name: Steve Moreno Title: Weld County Clerk and Recorder FACILITY AC IILLI(T�Y,PROO PROVIDER: By: TWA alit. ✓ • Printed Name: Noir Title: LI&S t,' it blitti Page 2 of 2 Pages STEVE MORENO WELD COUNTY CLERK & RECORDER 1402 NORTH 17TH AVENUE P.O. BOX 459 V I GREELEY, COLORADO 80632 V� G OU N t Y WEBSITE: www.co.weld.co.us PHONE: (970) 304-6530 FAX: (970) 353-1964 Evans Community Complex March 12, 2012 Jen Baiamonte 1100 37th Street Evans, CO 80620 Dear Election Day Vote Center, The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6th, 2012 General Election — access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6'h, 2012 from 6:00AM — 9:00PM. The equipment will be picked up on Wednesday, November 7'h, 2012. THE VOTE CENTER BEING REQUESTED IS: EVANS COMMUNITY COMPLEX- MEETING ROOM Please complete the following information, sign below, and return. GENERAL ELECTION -- USAGE GRANTED / * USAGE DENIED • (If granted, please complete the following)) MAIN CONTACT PERSON: `F�t IQ-Y\ Vi6��p1 t WORK# 01-V4-c-) - I I /153 HOME# 52,9r $ t EMAIL ADDRESS hSm-e® 1-CVonS.c0 US SECOND CONTACT PERSON: -- CV` ?DWoam.6rn"kk WORK# _I\2 HOME# Ab`5- 5(09 EMAIL ADDRESS irJaaoms ?_ d c6 � IT CONTACT PERSON: WORK# HOME# EMAIL ADDRESS FACILITY HOURS OPEN M'7N 5'30a 5i30a. FACILITY PHONE# -5' 1125 IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM,F%EOUESTED? YES �C NO Please check one: BUSINESS LINE./ PAY PHONE Also, please read and sign the Usage Agreement that is attached. If you have any questions regarding this request, please call (970) 304-6525 X 3113. Thank you for your cons eration and participation. 3f1kPI (2, ature o tho ed Agent Date WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 12th day of March, 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 17`" Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division," and Evans Community Complex whose address is 1100 37`" St., hereinafter referred to as "Facility Provider." WITNESSETH: WHEREAS. Election Division is responsible for conducting elections in Weld County. Colorado, including the upcoming General (November 6th, 2012)Election ("Election Day"),and WHEREAS, Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located, and WHEREAS, Facility Provider owns or leases a building located at 1100 37th St., which is ADA accessible. has handicap parking, and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election, and WHEREAS, use of Available Room will include the use of tables, chairs, and bathroom facilities, Web- access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out, and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day,on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day for equipment pickup. according to the terms and conditions stated herein. NOW, THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein, Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day. on the Friday through Monday imntediateiv preceding Election Day fir setup. and on the Wednesday itmnediate/v following Election Day for equipment pickup. according to the following terms and conditions: TERM: This Agreement is for Election Day and the stated days before and after, only, but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is , which shall he due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any,on or prior to Election Day. Page 1 of 2 Pages V d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. f. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: g. To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities, Web-access (either through an existing network or the ability for Weld County to install a TI line to the building),and access to a phone line for calling out. Use restrictions: Facility Provider understands that once the Vote Center is set up there will be no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement. shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF, the parties hereto have signed this Agreement thisJ4 day of_Nall,2012. ELECTION DIVISION: By: / Printed Name: Steve Moreno Title: Weld County Clerk and Recorder FACILIT PROVIDER: AA By: 'VVl Printe Name: 'JCR'._�, �'¢4XAe 11 _. Title:Vetr__eAti & Jit Page 2 of 2 Pages STEVE MORENO 186111 �:_t WELD COUNTY CLERK & RECORDER �1 . ,) r r - 1 1402 NORTH 17TH AVENUE / �� P.O. BOX 459 `-,l/ 1 GREELEY, COLORADO 80632 t a O '� N T Y WEBSITE: www.co.weld.co.us c- PHONE: (970) 304-6530 FAX: (970) 353-1964 Milliken Town Hall March 13, 2012 Cheryl Powell 1101 Broad St Milliken, CO 80543 Dear Election Day Vote Center, The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6th, 2012 General Election— access to the facility is needed the Friday and Monday before Election Day starts to set up and lest our equipment. Election Day is November 6w, 2012 from 6:00AM-9:00PM. The equipment will he picked up on Wednesday. November 7"', 2012. THE VOTE CENTER BEING REQUESTED IS: MILLIKEN TOWN HALL.—MEETING ROOM Please complete the,following information. siiipi below, and return. GENERAL ELECTION -- USAGE GRANTED r *USAGE DENIED * (If granted, please complete the /following) �/J cT q MAIN CONTACT PERSON: l .�L%%-- l- / '"/"Ci/ WORK#T/JO- 660-X oK HOME# 7,0.33/ %1Y7EMAIL ADDRESS ClQu�lf e �4'!i✓ �� 'v ea SECOND CONTACT PERSON: '"'�r' 4- - - ,_ V9- / WORK# '17i2' 6(00,Lrpjc3 HOME# EMAIL ADDRESS c) it tiref e "U, i/; A Co. C IT CONTACT PERSON: Czt-/ 2./4“....e7/ WORK# ii-i-e- 413 .460-e__ HOME# _ EMAIL ADDRESS_ �/ FACILITY HOURS OPEN—(tir"Ls '' 3�"5 "fit--' FACILITY PHONE# 97! O ' a7-3/43./ IS A TELEPHONE AVAILABLE FOR U E BY THE JUDGES IN THE ROOM REQUESTED? YES _ NO=__ � Please check one: BUSINESS LINE PAY PHONE_ 1 4_," e t' -�-e 30/ CAA (jJ t e4.e' Also, please read and sign the Usage Agreement that is attached. If you have any questions regarding this request,please call (970) 304-6525 X 3113. Thank you for your consideration and participation. 72 3- •r-'/CC1- Thael, Sign. re of Autho zed Agent Date WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 12'" day of March. 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 171h Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division," and Milliken Town Hall whose address is 1191 Broad St., hereinafter referred to as "Facility Provider.' WITNESSETH: WHEREAS, Election Division is responsible for conducting elections in Weld County. Colorado, including the upcoming General (November 61h.2012) Election("Election Day").and WHEREAS. Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located, and WHEREAS, Facility Provider owns or leases a building located at 1101 Broad St., which is ADA accessible, has handicap parking. and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election,and WHEREAS. use of Available Room will include the use of tables, chairs. and bathroom facilities, Web- access (either through an existing network or the ability for Weld County to install a TI line to the building). and access to a phone line for calling out.and WHEREAS. by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day,on the Friday through Monday immediately preceding Election Day for setup. and on the Wednesday immediately following Election Day Mr equipment pickup, according to the terms and conditions stated herein. NOW, THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein, Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the howl of 6:00 a.m. to 9:00 p.m. on Election Day, on the Friday through Monday immediately preceding Election Day for setup. and on the Wednesday immediately following Election Day for equipment pickup. according to the following terms and ennditiorts: TERM: This Agreement is for Election Day and the stated days before and after, only, but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is which shall be due and payable on receipt of bill from Facility Provider. 7, ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. h. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any.on or prior to Election Day. Page I of 2 Pages d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room. if necessary. f. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables. chairs, and bathroom facilities. Web-access (either through an existing network or the ability for Weld County to install a TI line to the building). and access to a phone line for calling out. Use restrictions: 2e,� L We. elwwdc. MzatJ o �Seu. e�J in) ticM ofv 00 Fr:d • J 2s-)d mo.ud,ayd . Se.trop toc E ► ee f %off ✓ W r1 t A4 tit -}-o -frx P/�+ee /4-7619-1_ '-!-err NcnW mew o�A1c,� Facility Provider understands that once the Vote Center is set up there will be no one except staff members having access to the room until the polls open. �' 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF, the parties hereto have signed this Agreement this day of .20I2. ELECTION DIVISION: By: Printed Name: Steve Moreno Title: Weld County Clerk and Recorder FACILIT O I.7: By: _ Printed Name: . � 1� , .rO 4 Page 2 of 2 Pages AP` STEVE MORENO WELD COUNTY CLERK & RECORDER IX 1T r 1402 NORTH 17TH AVENUE P.O. BOX 459 GREELEY, COLORADO 80632 vG O • T Y WEBSITE: www.co.weld.co.us PHONE: (970) 304-6530 FAX: (970) 353-1964 Platteville Town Hall March 12, 2012 Leah Heneger 400 Grand Ave Platteville, CO 80651 Dear Election Day Vote Center, The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6th, 2012 General Election — access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6th, 2012 from 6:00AM - 9:00PM. The equipment will be picked up on Wednesday, November 7th, 2012. THE VOTE CENTER BEING REQUESTED IS: PLATTEVILLE TOWN HALL- MEETING ROOM Please complete the following information, sign below, and return. GENERAL ELECTION -- USAGE GRANTED X * USAGE DENIED (If granted, please complete the following) MAIN CONTACT PERSON: 11111ThdQ /l WORK# 6I/C' HOME#ct7t, ?'G2 'fair EMAIL ADDRESS kM a rr•.“.i41) e• /1cf 11(),,:l ho e/) SECOND CONTACT PERSON:14/A.eAkr/1 WORK# ?i7J -��" HOME#_ EMAIL ADDRESS fK' n A '/'1 C �JIU I/s rtc .74, 19' IT CONTACT PERSON: L ' 1'-'/n f 1-f n WORK# I- ?el- 7y1/- 315?) HOME#1 Via',-13i -8351 EMAIL ADDRESS C 14 ri 1(c/.11_ FACILITY HOURS OPEN J '/ JO /1r"l FACILITY PHONE# (AG tom j ;`//S IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? YES )( NO Please check one: BUSINESS LINE X PAY PHONE Also, please read and sign the Usage Agreement that is attached. If you have any questions regarding this request, please call (970) 304-6525 X 3113. Thank you for your consideration and participation. Signature of Authorized Agent Date WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 12th day of March, 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 17th Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division," and Platteville Town Hall whose address is 400 Grand Ave, hereinafter referred to as "Facility Provider." WITNESSETH: WHEREAS, Election Division is responsible for conducting elections in Weld County, Colorado, including the upcoming General (November e, 2012)Election ("Election Day'),and WHEREAS, Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located, and WHEREAS, Facility Provider owns or leases a building located at 400 Grand Ave, which is ADA accessible, has handicap parking, and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election, and WHEREAS, use of Available Room will include the use of tables, chairs, and bathroom facilities, Web- access (either through an existing network or the ability for Weld County to install a T1 line to the building), and access to a phone line for calling out,and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day,on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day for equipment pickup. according to the terms and conditions stated herein. NOW, THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein, Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day, on the Friday through Monday inunediately preceding Election Day for setup. and on the Wednesday immediately following Election Day for equipment pickup. according to the fallowing terms and conditions: TERM: This Agreement is for Election Day and the stated days before and after, only, but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is _ which shall be due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any,on or prior to Election Day. Page 1 of 2 Pages d. 'Co provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. f Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: g. To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities, Web-access (either through an existing network or the ability for Weld County to install a TI line to the building). and access to a phone line for calling out. Use restrictions: Facility Provider understands that once the Vote Center is set up there will be no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF,the parties hereto have signed this Agreement thisLlt day of� y 2012. ELECTION DIVISION: rto Printed Name: Steve Moreno Title: Weld County Clerk and Recorder FACILITY PROVIDER: L.- By: i4(J\ li(t (\Lt,I, {Q t(Printed Name: l4t..a1 a Title: /Owi-n. J (t( l,ii ( K Page 2 of 2 Pages { ♦. STEVE MORENO X861 <' WELD COUNTY CLERK & RECORDER r \ 1402 NORTH 17TH AVENUE P.O. 59 GREELEYBOX4 , COLORADO 80632 Xt _ - IN T WEBSITE. www.co.weld.co.us 1 ?_ PHONE: (970) 304-6530 FAX: (970) 353-1964 Carbon Valley Recreation Center March 12, 2012 Devona Gooras 701 5th Street Frederick, CO 80530 Dear Election Day Vote Center, The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6th, 2012 General Election — access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6`h, 2012 from 6:00AM - 9:00PM. The equipment will be picked up on Wednesday, November 7'h, 2012. THE VOTE CENTER BEING REQUESTED IS: CARBON VALLEY REC CENTER - MEETING ROOM Please complete the following information, sign below, and return. GENERAL ELECTION -- USAGE GRANTED y, * USAGE DENIED (If granted, please complete the following) MAIN CONTACT PERSON:I\)NC\' G l c 4S —WORK#3t3 �33. 344o HOME# EMAIL ADDRESS dealvrYiereecLe- tck''�CO't- _ SECOND CONTACT PERSON: f f tit I fit N tl WORK# 363-4 3J -36'4 EMAIL rtn1 €(eem„,,,e -- OME# ADDRESS CI i '' ■ IT CONTACT PERSON:� / il t WORK#3M-6 33"f40� HOME# EMAIL ADDRESS OtiDryialat p yynuil FACILITY HOURS OPEN n Ci(11 c 1,'tb Po? FACILITY PHONE# 363`6133- l' - Mcnday ( l da IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED YES NO Please check one: BUSINESS LINE PAY PHONE Also, please read and sign the Usage Agreement that is attached. If you have any questions regarding this request, please call (970) 304-6525 X 3113. Than for your consideration and participation. 34 5/P— gnature of Authorize gent Date • WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 1216 day of March. 2012. by and between the Weld County Clerk and Recorder Election Division. whose address is 1401 N. 17'" Avenue. Greeley. CO 80631. hereinafter referred to as "Election Division." and Carbon Valley Recreation Center whose address is 701 5th Street hereinafter referred to as Hay Provider." WITNESSETH: WHEREAS. Election Division is responsible for conducting elections in Weld County. Colorado. including the upcoming General (November 6th.2012) Election ("Election Day-).and WHEREAS. Election Division is in need of a facility to use as a voting center in the course of conducting ,aid election in the area where Facility Provider', building is located. and WHEREAS. Facility Provider owns or leases a building located at 701 51h Street which is ADA accessible. has handicap parking, and has room. atrium. or lobby space available ("Available Room`) for use by Election Division as a voting center in the course of conducting said election.and WHEREAS. use of Available Room will include the use of tables. chairs. and bathroom facilities. Web- access (either through an existing network or the ability for Weld County to install a TI line to the building). and access to a phone line for calling out.and WHEREAS_ by and through this Agreement. Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day.on the Friday through Monday immediately preceding Election Day fitr setup. and on the Wednesday immediately following Election Day for equipment pickup. according to the terms and conditions stated herein. NOW. THEREFORE. in consideration of the mutual promises, terms and conditions set forth herein. Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 min. to 9:00 p.m. on Election Dar. on the Friday through Monday immediately preceding Election Day for sentp. and on the Wednesday immediately following Election Day for equipment pickup. according to the follnuing teats and conditions: TERM: This Agreement is for Election Day and the stated days before and after, only. but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections. it desired. RENT: If Applicable use of the Available Room during the term of this Agreement is which shall he due and payable on receipt of bill from Facility Provider, 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. h. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any. on or prior to Election Day. Page I of 2 Pages d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room. if necessary. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: g. To provide to Election Division the use of the Available Room for Election Day and the stated days before and alter without unreasonable interference. h. To provide to Election Division the use of tables. chairs. and bathroom facilities. Web-access (either through an existing network or the ability for Weld County to install a TI line to the building). and access to a phone line for calling out. Use restrictions: -� 1-ACA ith_PociA\rtloV u� kW •6641) Ro elu-I lex e_ "' Facility Provider understands that once the Vote Center is set up there will be no one except election staff members having access to the room until the polls open. T. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement. and all rights of action relating to such enforcement. shall he strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention or the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction. whether oral or written. IN WITNESS WHEREOF. the parties hereto have signed this Agreement this day of . 2012. ELECTION DIVISION: J By: Printed Name: Steve Moreno Title: Weld County Clerk and Recorder I'AC I1 Y PROVIDER: CARBON VALLEY PARK AND / RECREATION DISTRICT B 701 STHSTREET Printed Name_ Q_4__!P_._m FREDERICIC K,CO.80530 g�� f TiIle5Itt .-fur . Page 2 of 2 Pages X861 STEVE MORENO WELD COUNTY CLERK & RECORDER 1402 NORTH 17TH AVENUE P.O. BOX 459 �f �IfY GREELEY, COLORADO 80632 G O UN Tt WEBSITE: www.co.weld.co.us PHONE: (970) 304-6530 FAX: (970)353-1964 Western Hills Fire Protection June 14, 2012 Janice Perekrestenko PO BOX Greeley, CO 80632 Dear Election Day Vote Center, The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION-TUESDAY,NOVEMBER 6th,2012 General Election—access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6is,2012 from 6:00AM-9:00PM. The equipment will be picked up on Wednesday,November 7t°,2012. THE VOTE CENTER BEING REQUESTED IS: WESTERN HILLS FIRE PROTECTION—MEETING ROOM Please complete the following information, sign below, and return. GENERAL ELECTION--USAGE GRANTED X *USAGE DENIED (If granted,please complete the following) �, �L MAIN CONTACT PERSONN� (ICtR -S Q WOI,Ic# 35D-9*t�'T HOME,# 4-0555 EMAIL ADDREnnS1Sa (J�tw. 'JeIP�Y�S�en(�� GleeLe W. C SECOND CONTACT PERSON:On-Vl n4LIITtitiDY\ Q-Ellef WORK# 550--9504 HOME# EMAIL ADDRESS IT CONTACT PERSON: WORK# HOME# EMAIL ADDRESS 2 FACILITY HOURS OPEN 5.-5-c) FACILITY PHONE# 3 5(9-1&I Li IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? YES )( NO Please check one: BUSINESS LINE X PAY PHONE Also,please read and sign the Usage Agreement that is attached. If you have any questions regarding this request,please call(970)304.6525 X 3113. Thank you for your consideration and participation. 1 ,1 1-titC-7w oeM/ z Signature of Authorized Agent Date WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 1st day of May, 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 17'h Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division,"and Western Hills Fire Protection whose address is 1731 Cedar Ave., hereinafter referred to as"Facility Provider." WITNESSETH: WHEREAS, Election Division is responsible for conducting elections in Weld County, Colorado, including the upcoming General(November 6h,2012)Election("Election Day"),and WHEREAS, Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located, and WHEREAS, Facility Provider owns or leases a building located at 1731 Cedar Ave., which is ADA accessible, has handicap parking, and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election,and WHEREAS, use of Available Room will include the use of tables, chairs, and bathroom facilities, Web- access (either through an existing network or the ability for Weld County to install a Tl line to the building), and access to a phone line for calling out,and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m,to 9:00 p.m.on Election Day,on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day for equipment pickup,according to the terms and conditions stated herein. NOW, THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein, Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day, on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day for equipment pickup, according to the following terms and conditions: 1, TERM: This Agreement is for Election Day and the stated days before and after, only,but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is , which shall be due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any,on or prior to Election Day. Page 1 of 2 Pages d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room,if necessary. f. Election Division will not deliver after 4 p.m.the Monday before Election Day. 3. FACILITY PROVIDER AGREES: g. To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities, Web-access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out. i. Use restrictions: Facility Provider understands that once the Vote Center is set up there will be no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction,whether oral or written. N WITNESS WHEREOF,the parties hereto have signed this Agreement this 14 day of Jt 2012. ELECTION D;VISION: By: /�� p2-Cri Printed Name: Steve Moreno Title: Weld County Clerk and Recorder FACILITY PROVIDER: BY: S -0(.2 Printed Name: t c#c .J IM.CO Ort.il (/) Title: Fiala: C44t El-- Page 2 of 2 Pages , w STEVE MORENO ,.. �. I86) 6?.: •�- < WELD COUNTY CLERK & RECORDER T 1402 NORTH 171ti AVENUE P.O. BOX 459 tGREEL.EY, COLORADO 80632 , - -� WEBSITF: www.co.weld.co.us PHONE: (970) 304-6530 FAX: (9/0)353-1964 UNC March 13, 2012 Jay Dingqes 2045 10["Ave. GreOtey. CO 80631 I-.IL•.1,:X11 ()'iv von-(',:nter. I ep,li linen) W(111k iil r tt It'tt: .'ai IiiC •.,t:..1. .::111 �a(:it .h.I \',i:�(.Clitei t°t1' ..IP GENERAL ELECTION -- TUESDAY.NOVEMBER 61f1. 2012 General Electi in .:.:;.t-s R. the tz: iliiy is needed the Eliday :,r.(i Monday before I•.IeeI on Day ;tarts to ;et up :ur.l It' I , t:r((11:It1(nt+n: I'.:- :itln Day t; ? ,ve llhcr(I h. 2012 trot:r):(1(Ii\Nk I.JOPM. 1 he equipment 'Rill he p,::ict:t, up il:;iines,d `o', 2012 I.1'II: \•t)I L.i.'I N fF 1: kit-IN(.'r RkiQUIS'l EU IS: (}NC:- RA1.1.R( )MS frlc'1r.1c complete t :e.tollr►tvtl7g information, Si;;" helt'o• rilflr ten-I171. ER.11. El.l-:C FLON-- USAGE GRANTED USAGE DENIED•..._--_-... ` IF granted,please complete the following) \I \IN ('ONT.\Uf PERSON: ....................._.. WORK# . ._..._._ _. .. HON.' , 34 . IN Ail :11)I)RI:>ti SEC 011) (:()NT ACT PERSON: (1-4.,k- e--'of V4/O1(K# .351 ../3Z,3 ...... II ?\II n. I:\IA11. ,\Ill)RI:ti` Lt&k•... u"Go.,..74dirt 1 I (.'ONT tt 1. PERSON: WORKI► ._........... Alil1kt1•N'. FACILITY HOt:RS OPEN 7q1Lei /lL. fJ1 -. I A(.'II.1'['Y PHONE# IS A 'TEI,EPIIONI•: AVAII.ABLIti FOR USE BY THE JUDGES IN THE ROOM R1;QUES1'li ')) _ ! YES ... ..._. NO ._ Jt4/ ` • ne lit.S111'.SS LINE TAY PHONEPHONE .. (Jf D(4/Y cif QiJ4CIl1 .\Iso, ''tez.sL '.'.(I old 11LIi the t:s ce !\i.',!celtient that is,ittfi.hed !ii! (i.ie.rl:trl• ;Col'L!UUg tkii: Ieituest, i11e.:1\C C:111;tl;(11 !).1-65.1“; X 3113. I 'I! h•>.:Ik1r1 and tlart!cip;itUt31. i .._14/5'12 . :\ge:11 J)ati: � ELD COUNTY CLERK AN1) RECORI)ER Elections Division Facility I:sage Agreement ftil� AGREEMENT N7 i, made this 12'" day t'1 March, .'t)I', by and between the Weld Courtly Clerk and Rce ':s e: hlectiu!: Division, whose address is 1401 N. I '" f\venue. Greeley, CO 80631, hereinafter referred to as . !'!C..!ii!!i I)ly i,i'!n.' ad t.:N(' .,,,host.:address is 2045 1It'r. .lye., lirr,:inailt:r referred to ii."Fai ilnv I'I•ln itkcl \`..Iirls;1IiI \\'I II t' •\.s. l:ke:tion Division i, twit .ublc tor'_:!1!tlati'sm elections in Weld County. Colorado. inl:lndine the !,Ia'itrrl!tie (iiwer;ii f Ni'vi niht:t 0'".t0!2) Election t"i leciion t!av"i.and WI Election Division i, in need of a facility to use a, a voting center in the talurse cii con(itittine' .:;:!1 CIC'.(t'M it! the ate. where Facility Provider's building is lo,'atcd.and WI II:1E'.AS.ha:it!!V Provider owns or leases a buildinv located at 2045 10'1'Ave.. which is Al)t1 i!c cc"Ihir, l ,t. ii.l!!tli,ari a1 F:i:1), ;,ra1 has worn. atrium. Or lobo, spata: av,t11ah!e t'•Ava:lahle Room") tor ust' by i'Iet-ion I)1'.i' e:i :i, .! .[',iait',t:;tllt'r in the course of ta!ntltii':'n:•_' said'jct.-Hill. :Ind \'E!!'RF ;\ti. .!•C t't :\i;l!):ieie R''orn yteil trti:lt!iIC ltii: i:5e 't! (antes, chairs. and 1lilthli'.mi ' T•ui:e Pin es!••ttinl: netweil'k lit the ability ft': Weld County a, install a 1 I line to the building). �I1it1 'il,•:ee lira' . . .,.lilt out.and WIJE'.k(I:AS. ley and through this Agreerneut. !'it iiu)' 1'iovitler agrees to allow Election Division to use the Ar.railithir Room as.t Voting ting Center during the hours t,I flat;%;!,11'). to 9:l)0 pill.on Election I)a\', 1'1'Fi. I /1(Ia.1 tflt�:..t'ti Mond:,) unmedialciy preceding i:lcl.Lion L)ay for setup,told t.,t iT weunesaay_immediately tollow;tir i;ic tiotl I:).,. r(line it:the terms and conditions s ,tat L41 herein Ni)\.\. Iill'.R!':IoRF. in cur.sideration c:f the !n!rual Iliim1iNes. terms and conditions ,et !t;rttt hc•t'in I...!t:!•: I'::i•; ii. lie ".L ;il:rt'e' to allow 1TIe,tioll E1'.'•!,:'!r1 t ' ii c the Available Reli1111 as a 1;'ritiny renter thoi'ic :!1,' .:. + 1'�'l. .•r. Ei rirr,n Din'. On ilk' f'-r/./.. r u+wa.+t i%.I„r,!,iv mu,:,ri;,ttt'i i'rue,rrli,r: )_I:.1< '1. fins .'\'!ceinwtit is for Election I)a and the stifled d,,vS b tine and atter. only, hut may he tener.kttt: i !err 1 is ! •} o signed ! ti'•tt .I. it:: it.. ,. 'C !ern:, dtlltl l.l'1 i{:Iti`r set tt't(e het l iCltel ;i„`:ecrine111 It!neu by both ( I the j1. I. . •tth.e.k!tl'tir Clt:Ciiill!i, it desired. RENT. L' Applicable use of the Available Rolm during the term of.this Agreement k Y Mitch ,Ildtl be clue anti payable on receipt of bill from I'.ic ililyt't,widet. 1:1 I-C 'HON DIVISION AGRE.ES: heel!!he A'.itllable Room clean.tnd heat as used t'n Election Das. I: I,. en:.ule that the. Vote Center acti';1•ie. .a'n hi it'd in the .\yarlable. Room during feet all; Day Iat�t t'e:a in an iri k..rly fashion and ,tors not ;nlrettsonahly interfere with Facility Provider's •:. .iii ',.. to":!.:!:, Fat'1:ily t'ovidel illy 1'('.•111 rent .ivier:LI to ;chose, !l •tity,c-it i)i prim to Elet'thc'i nay d "i( p:':ts ide Facility Provider with proof r:f iitlet:uate insurance to cover liability incurred dining and Page I of 2 Pages ir.the.t)urse of Vote('enter actit:itre5 condo;:ted in the Available Room during Election Day. e I le::tinn Division may add more seem ily to Available Room. if netessar-. Iilcc.tinn Division will not deliver alter 4 p.:r.the Monday belorc. Election Day. [ PROVIDER A(;RE S: t o pFovide to Election Division the u:ie Itt the Available Room for EletIion Day and the slated chi heto;e.ii i aster without!nireiiu(tnahlt: into I,rence To pinvidc to Election Division the use of tahlcs, chairs. and bathr(!om facilities. Web-access r'ithel Iliiniigt' an existing tletwn:n in the ilhility for Weld County to install a It line to the and access in it phone lint'tor t:'illtnst tint. t.se restrictions, all ir , .... /1 .._l✓or! Oa a•s-e ate:1 - t•al.11it r Pi()Oki 1111dC'i11JI1dJ !bile ono; the \clrt.' Centel !1 Sea UP that: Will be no one t't:t'Itl to stall members having access to Ilie room not 1 the lions open. 4 MIS(*El I.AlNEUUS PROVISIONS. Ii is expressly understood anti agreed Ii)at :he enforcem nt of the term., anti conditions of 'his Agreement. and all rights tit action relating to slid) enforcement. shall be strictly reSCIA:Cii to the atG isiL't:cd panics and nothilig. ti! this At'.teelllent shall give or allow au claim or rig:11 o ak..tion :.lt.ilitt'\�r`r h any other period not !ti lode:: in !!!k Ai'ICcmcnt. It 1S the express intention o! the ;tit: isigned parties that any entity either thin the ander signed parties receiving services : i heights under this Agreetnent shall be an Iti ide rtal belie'i 1ai'y 1!''s :\git'enient t.oriiau►s the.going Agicenient find uiidei'.talidin betssecn the parties to this Ac Il'C'ment alit �Il r 'cries any Aim-agreements concerning the sniff i!ct matter sit this transaction: whether(CO or writtent,,1.1 tiLSS WII[:RIiOi'.the parties hereto hive signal this Agreement thiiot %tiay ui.,fir/.201 Ei,[X.'Tk)N IV[SION: 7J I)1;nti d Name' Steve Mitten:: rifle: Weld(:'ounty CIii' and Recorder 1•:U.:11.1'J't'.1.1.0 ll)l:l .. .(;: 2/7 •-• • ['tinted Nana: . _ . I''llr ' Page 2 III 2 Pages • STEVE MORENO '41". 18 tBU WELD COUNTY CLERK & RECORDER 1402 NORTH 17TH AVENUE P.O. BOX 459 • GREELEY, COLORADO 80632 WEBSITE: www.co.weld.co.us Y ul T PHONE: (970)304-6530 ''. =AX: (970) 353-1964 KEY POINTS OF USAGE ACRE1 MENT ELECTION DAY VOTE CENTER (Please keep) Location: UN(.. 10,h iul_;.rt, tetiuueniellti(tI your facihty: 1 :1%'>'."., In in the I'ilday beil)!e the cleotiin to the \ tdi:i„Idv Ate! tl7ti electiit:'. i•1itl.:\ 'lau Monday for delivery and+et up. with Ira! I:il.ty to ii7\k up elluipr,•:em and ballot,. lOrae :':r iCrtli T f-set ui}.0..y election staff )lied:kris t.:!ti ha,•c x:cl'»tli`.uI the poll,open) \,',:c•>•. rt I {et'tii n I)a'; loin 6 am to yi pm \V_doe cla.. pickup of ecl!tipment. {th• 1!,C uI t:a?le.,chairs anti bathroom facilities. \.•:� ,al the Wi,t(rl W',le Wet'either tltit:ugh tin ex bun network ctr the ability for Weld County to imlafl l l tiny the building ;1i,'t'„to.1 phunc line in the room to call out. A r,',>tit fire enough to accommodate IOO t(% .t(i(i(1 t'r,lci':tlept:•.uling iin location. i. \i to buihii t tnuat::untply will the :\meriCata tslth t.}r;:,'alllieti r\;.l (:11)A) P.;,; :7:' I... ."!Lir- till,parking tiad handlt.itl ihe bttd::7g i?!;c!t%°"•t' is It:l�,t. •� !t,?hc• I7;I,re Ietllllr'CrlleniS lot Villir 1'lt.'ai?\ I., 1,C tiSed;IS.1 vote center. A contpietc 'ttxc` • .;! •.i::ti t11:177he1' ,ti the montH cle,t. :li ;,the tlt I N')i ... .,olio' 1?I1:.. I'.il'...t.mc tl I);t`. ..•ulct impact their ili:Cc'' to your iiiLllit). oc,aiice 7i the I I' >ull...€�?,. vole, General Election: November 6, 2012 awcess from Nov 2i"1 through Nov7'" '` X867 j�� STEVE MORENO � F' WELD COUNTY CLERK & RECORDER 1T, 1402 NORTH 17TH AVENUE `,I - T P.O. BOX 459 ;�`.1/ IlaNtj . GREELEY, COLORADO 80632 VL - O,J N T WEBSITE: www.co.weld.co.us PHONE: (970) 304-6530 FAX: (970) 353-1964 Mead Middle School March 13, 2012 Christie Foster 395 S Pratt Parkway Longmont, CO 80501 Dear Election Day Vote Center, The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6th, 2012 General Election—access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6111, 2012 front 6:00AM-9:00PM. The equipment will be picked up on Wednesday. November 7t°, 2012. "[HE VOTE CENTER BEING REQUESTED IS: MEAD MIDDLE SCHOOL-GYM Please complete the following information, sign below, and return. GENERAL ELECTION --USAGE GRANTED X * USAGE DENIED * (If granted, please complete the following) MAIN CONTACT PERSON: 1Ctc1 MCI iOncl _WORK# l X' X35:- YVY' HOME# EMAIL ADDRESS MCr)4n —dcio'.*51a_S 3-i'VJ- Ur3 SECOND CONTACT PERSON: SC 5)l SCui el f 1k _WORK# 970 -5 35-- 41 Sr6 HOME# EMAIL ADDRESS basnyi't,)051)tu ELL svvcc1, cry IT CONTACT PERSON:_ h afr 1 P 1 a I-1- WORK# 970 •SlJs-- yv'i/ HOME# EMAIL ADDRESS plat-. SIIes ) s VVS . 4)11_ FACILITY HOURS OPEN 7:00 a.,1( - 3'Y5 Am, FACILITY PHONE# Q'7U'-.r5=VyVe - IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? YES _NO X. Pleasecheck one: BUSINESS LINE PAY PHONE Also,please read and sign the Usage Agreement that is attached. If you have any questions regarding this request,please call (970)304-6525 X 3113. ' ank you for your consideration and 'rticipation. I i 49'LL I-7-c;h-I,'21 Signature of Authorized Agent Date WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 121h day of March, 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 17th Avenue, Greeley, CO 80631, hereinafter referred to as -'Election Division," and Mead Middle School whose address is 620 Welker Ave., hereinafter referred to as ''Facility Provider." WITNESSEfH: WHEREAS, Election Division is responsible for conducting elections in Weld County. Colorado. including the upcoming General (November 6°i, 2012)Election("Election Day"), and WHEREAS, Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located,and WHEREAS, Facility Provider owns or leases a building located at 620 Welker Ave., which is ADA accessible, has handicap parking, and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election, and WHEREAS, use of Available Room will include the use of tables, chairs, and bathroom facilities, Web- access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out, and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day,on the Friday through Monday immediately preceding Election Day for setup. and on the Wednesday immediately following Election Day for equipment pickup. according to the terms and conditions stated herein. NOW. THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein, Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day, on the Friday through Monday immediately preceding Election Day /irr setup. and on the Wednesday immediately "' Miming Election Day for equipment pickup. according to the /Mowing terns and conditions: TERM: This Agreement is for Election Day and the stated days before and after, only, but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is , which shall be due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any,on or prior to Election Day. Page 1 of 2 Pages • d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. f. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities, Web-access (either through an existing network or the ability for Weld County to install a TI line to the building),and access to a phone line for calling out. Use restrictions: cy __ *-r n Sep )14r- 5103 � vv. gam__ �^l E oo -- Facility Provider understands that once the Vote Center is set up there will he no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF, the parties hereto have signed this Agreement this day of . 2012. ELECTION DIVISION: By: Printed Name: Steve Moreno Title: Weld County Clerk and Recorder FAC,ILi-1, VIDE By J ved � �/l Printed Name: IMO O r to- Title: Fran' C I ��c'a�•.�',�t'S Page 2 of 2 Pages J STEVE MORENO S WELD COUNTY CLERK & RECORDER 1402 NORTH 17TH AVENUE P.O. BOX 459 GREELEY, COLORADO 80632 WEBSITE: www.co.weld.co.us PHONE: (970) 304-6530 FAX: (970) 353-1964 Cave Creek Club House March 13, 2012 Julie Lowe 3400 Sagebursh Blvd Evans, CO 80620 Dear Election Day Vote Center. The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6th, 2012 General Election - access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6",2012 from 6:00AM-9:00PM. The equipment will he picked up on Wednesday. November 7" 2012. THE VOTE CENTER BEING REQUESTED IS: CAVE CREEK CLUB HOUSE-COMMUNITY ROOM Please complete the,following information, sign low, and return. GENERAL ELECTION -- USAGE GRANTED * USAGE DENIED (If granted, please complete the following) MAIN CONTACT PERSON: -'- )v WORK#(1)7G -330 i R U C' HOME#g70;3g02 -NOSIEMAILADDRESS �t� e E 5 CC-C•n'- y e .. ov n SECOND CONTACT PERSONr`* LA'S. WORK# C70 S30 110 HOME#970 - 3T2 .CS EMAIL ADDRESS w5tScti C.-e- IT CONTACT PERSON: -4-r'‘-`41 WORK# - .2l�.rf_ - 5-r1.3 HOME# r EMAIL ADDRESS }j`Cxak'twa cs FACILITY HOURS OPENM-F 5`"i FACILITY PHONE# q 70 -330 - (70 0 IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED'.' YES NO Y/ Please check one: BUSINESS LINE PAY PHONE _ (. ph/cc—x.6 Also, please read and sign the Usage Agreement that is attached. ,-t pets If you have any questions regarding this request. please call (970)304-6525 X 3113. Jtrizett u for your consideration and participation. y///O/rL- D'ee WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 12" day of March, 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. I7°i Avenue, Greeley, CO 80631. hereinafter referred to as "Election Division." and Cave Creek Club House whose address is 3400 Sagehouse Blvd., hereinafter referred to as "Facility Provider." WITNESSETH: WHEREAS, Election Division is responsible for conducting elections in Weld County, Colorado. including the upcoming General (November 6th, 2012) Election ("Election Day"),and WHEREAS. Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located, and WHEREAS. Facility Provider owns or leases a building located at 3400 Sagebursh Blvd., which is ADA accessible, has handicap parking, and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election, and WHEREAS, use of Available Room will include the use of tables, chairs, and bathroom facilities. Web- access (either through an existing network or the ability for Weld County to install a TI line to the building). and access to a phone line for calling out.and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day,on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day for equipment pickup. according to the terms and conditions stated herein. NOW. THEREFORE, in consideration of the mutual promises. terms and conditions set forth herein, Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day. on the Friday through Monday immediately preceding Election Day for setup. and on the Wednesday immediately following Election Day or equipment pickup. according to the following terms and conditions: TERM: This Agreement is for Election Day and the stated days before and after, only. but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is �G' which shall be due and payable on receipt of bill from Facility Provider. 2. ELEC'T'ION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. h. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any,on or prior to Election Day. Page 1 of 2 Pages d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. f. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: g To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities. Web-access (either through an existing network or the ability for Weld County to install a TI line to the building). and access to a phone line for calling out. Use restrictions: Facility Provider understands that once the Vote Center is set up there will he no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF, the parties hereto have signed this Agreement this day of _. 2t)12. ELECTION DIVISION: By: Printed Name: Steve Moreno Title: Weld County Clerk and Recorder FACILIT ()VI R: By: Pri ed N• e: '� tle: 4C.e. (C ay4 Page 2 of 2 Pages X861 STEVE MORENO WELD COUNTY CLERK & RECORDER ` r 1402 NORTH 17TH AVENUE 11 1 �, P.O. BOX 459 t�E \ GREELEY, COLORADO 80632 —l` G p U N T Y WEBSITE: www.co.weid.co.us PHONE: (970) 304-6530 FAX: (970) 353-1964 Keenesburg Town Hall March 12, 2012 Danny Kipp I(IA S . Ma 9. 104ChashttcStic t Johnstewrr CO 80534— Kevxesburc, 004.043 Dear Election Day Vote Center, The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6th, 2012 General Election — access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6th, 2012 from 6:00AM — 9:00PM. The equipment will be picked up on Wednesday, November 7'h, 2012. THE VOTE CENTER BEING REQUESTED IS: KEENESBURG TOWN HALL- MEETING ROOM Please complete the following information, sign below, and return. GENERAL ELECTION -- USAGE GRANTED X * USAGE DENIED • (If granted, please complete the followin/g�)� q� [l �j MAIN CONTACT PERSON: C.�um1Pf WORKl(# 303-J32 /ZOO HOME#1zO-S3`4.3ic 9 EMAIL ADDRESS Keev\eSbufiGH"K r4ebn.ner- SECOND CONTACT PERSON: Inny Kt pp WORK# 303 -qQ1/-0q/z Cr2) HOME# EMAIL ADDRESS MCiy0(1\;ppEI hie•eotn "� q tc�k�cF nhrve �j}hpr IT CONTACT PERSON: /0'n peba La d r (fanny WORK# HOME# EMAIL ADDRESS 1 FACILITY HOURS OPEN �' 3m- ({1J0pm M-e- FACILITY PHONE# 303- /32-92S/ IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM\REQUESTED? J YES X NO Please check one: BUSINESS LINE - PAY PHONE Also, please read and sign the Usage Agreement that is attached. If you have any questions regarding this request, please call (970) 304-6525 X 3113. Thank you for your consideration' and participation. Pan`-"`-'r ✓ T r-72-- Signature of Authorized Agent Date WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 12`" day of March, 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 17'" Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division," and Keenesburg Town Hall whose address is 140 S. Main St., hereinafter referred to as "Facility Provider." WITNESSETH: WHEREAS, Election Division is responsible for conducting elections in Weld County, Colorado, including the upcoming General (November 6'", 2012)Election ("Election Day"). and WHEREAS, Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located, and WHEREAS, Facility Provider owns or leases a building located at 140 S. Main St., which is ADA accessible, has handicap parking, and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election, and WHEREAS, use of Available Room will include the use of tables, chairs, and bathroom facilities, Web- access (either through an existing network or the ability for Weld County to install a T1 line to the building), and access to a phone line for calling out, and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day,on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day for equipment pickup, according to the terms and conditions stated herein. NOW, THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein, Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day. on the Friday through Monday immediately preceding Election Day for setup. and on the Wednesday immediately following Election Day for equipment pickup, according to the following terms and conditions: I. TERM: This Agreement is for Election Day and the stated days before and after, only, but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections,if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is , which shall be due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any,on or prior to Election Day Page 1 of 2 Pages d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. f. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: g. To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities, Web-access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out. i. Use restrictions: Facility Provider understands that once the Vote Center is set up there will be no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF,the parties hereto have signed this Agreement this day of ,2012. ELECTION DIVISION: By: Printed Name: Steve Moreno Title: Weld County Clerk and Recorder FACILITY PROVIDER: By: otjG"v'^,yr'a'-h7 Printed Name: barmy Kipp Title: Mar Page 2 of 2 Pages STEVE MORENO WELD COUNTY CLERK & RECORDER' `� 1402 NORTH 17T" AVENUE ✓' P.O. BOX 459 GREELEY, COLORADO 80632 N T Y WEBSITE: www.co.weld.co.us PHONE: (970) 304-6530 FAX: (970) 353-1964 Greeley Family Funplex March 13, 2012 Amanda Gustafson 1501 65th Ave Greeley, CO 80634 Dear Election Day Vote Center. The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6th, 2012 General Election—access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6"',2012 from 6:00AM—9:00PM. The equipment will be picked up on Wednesday, November 7th, 2012. THE VOTE CENTER BEING REQUESTED IS: GREELEY FAMILY FUNPLEX- MEETING ROOM Please complete the following information, sign below, and return. GENERAL ELECTION --USAGE GRANTED V_*USAGE DENIED (If granted, please complete the following) ti MAIN CONTACT PERSON: Affati t )ta-,-.% rt)r' WORK# 33(P 1Q HOME# EMAIL ADDRESS QMnrokq.Oy i7 c ) ),C 7 CDni SECOND CONTACT PERSON: Dlfrla Ya WORK# 250 ic-1:3g HOME# EMAIL ADDRESS frA r y'/. ?r' IT CONTACT PERSON: !I' 1' i i - _ _ WORK# 350. (1),OO HOME# EMAIL ADDRESS�iaM ri' n na -¢`)%]^ �/ /�0'/ CAS"h's FACILITY HOURS OPEN NI art FACILITY PHONE# I79 `964DI IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? YES NO V Please check one: BUSINESS LINE 7 PAY PHONE Also,please read and sign the Usage Agreement that is attached. If you have any questions regarding this request, please call (970)304-6525 X 3113. Thank you for your consid. -ation and participation. nature of Authorized Agent Date WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 12111 day of March, 2012. by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 17"' Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division:' and Greeley Family Funplex whose address is 1501 65th Ave., hereinafter referred to as "Facility Provider." WITNESSECH: WHEREAS. Election Division is responsible for conducting elections in Weld County, Colorado, including the upcoming General (November 6th,2012)Election ("Election Day"), and WHEREAS, Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located, and WHEREAS, Facility Provider owns or leases a building located at 1501 65th Ave.,which is ADA accessible, has handicap parking, and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election,and WHEREAS, use of Available Room will include the use of tables, chairs, and bathroom facilities, Web- access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out,and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day.on the Friday through Monday immediately preceding Election Day for setup. and on the Wednesday immediately following Election Day for equipment pickup. according to the terms and conditions stated herein. NOW. "I"HEREFORE, in consideration of the mutual promises, terms and conditions set forth herein, Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 pan. on Election Day, on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day for equipment pickup, according to the following terms and conditions: TERM: This Agreement is for Election Day and the stated days before and after, only, but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is U WO which shall he due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any, on or prior to Election Day. Page I of 2 Pages d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. f. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: g. To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities, Web-access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out. i. Use restrictions: FIt (\HUY 1 r!` `JL 1v "' P) r orT.ra _ t hrrvt 6v NDtorr4-Ch- S1c4DiA (end tin d r ii of , ra'v-. P ✓. i,, ' r (('r 1f,Uti'4Vcd hi i,zl, Nov? :Pe:- 1 aon .2u .9.-H 0fk P")l (I)ti IvLir+, Facility Provider understands that once the Vote Center is set up there will be no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF, the parties hereto have signed this Agreement this day of ,2012. ELECTION D VISION: By: Printed Name: Steve Moreno Title: Weld County Clerk and Recorder FACILITY PROVIDER: By: TO Al : t (d l!I-'I CJ _ qq it Printed Name:�11b1riif0(.(r,. ':`1))`,-4 2I Title: fPCr. 7 . , _.17f ..;-.-) .Ici '.! I. , Page 2 of 2 Pages �� X861 STEVE MORENO WELD COUNTY CLERK & RECORDER 1402 NORTH 17TH AVENUE + - P.O. BOX 459 GREELEY, COLORADO 80632 VG N T Y WEBSITE: www.co.weld.co.us T PHONE: (970) 304-6530 FAX: (970) 353-1964 Dacono Town Hall March 13, 2012 Valerie Taylor 512 Cherry Street Dacono, CO 80514 Dear Election Day Vote Center. The Weld County Election Department would like to request the use of your facility as a Vote Center or the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6th, 2012 General Election—access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6°i.2012 from 6:00AM—9:00PM. The equipment will be picked up on Wednesday. November T",2012. THE VOTE CENTER BEING REQUESTED IS: DACONO TOWN HALL—MEETING ROOM Please complete the fbllowing information, sign below, and return. GENERAL ELECTION --USAGE GRANTED_/ *USAGE DENIED (If granted, please complete the following) G MAIN CONTACT PERSON: \l�`eII'eTry �,0Y — ORK# -303033-3317 yid- 3 HON 4E# 303- 77S-- '9)'3 EMAY, ADDRESS V�-Tt 4or SECOND CONTACT PERSON: 1\(0-4")C-i-Ai C Gl WORK# 3O3$33 (:)3l7 x /02 0 HOME#3o fS334 to EMAII.ADDRESS n @ C if() o l-c�2(ono . (p'n IT CONTACT PERSON: r-S' G l�jrc L1A C- WORK#_rLJ HOME# EMAIL ADDRESS � PP(`rt _ 0.(o K,O , CO✓t1 a FACILITY HOURS OPEN SO-M ,`prY1_ - FACILITY PHONE# 03-S'3 -ail_ IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? YES V NO Please check one: BUSINESS LINE ✓ PAY PHONE Also, please read and sign the Usage Agreement that is attached. If you have any questions regarding this request, please call (970)304-6525 X 3113. Thank you for your consideration and participation. Signature of thorized Agent Dat WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 12'" day of March, 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 17th Avenue, Greeley. CO 80631, hereinafter referred to as "Election Division." and Dacono Town Hall whose address is 512 Cherry St., hereinafter referred to as "Facility Provider." WITNESSETH: WHEREAS, Election Division is responsible for conducting elections in Weld County, Colorado, including the upcoming General (November 6r°, 2012)Election ("Election Day"). and WHEREAS, Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located, and WHEREAS. Facility Provider owns or leases a building located at 512 Cherry St., which is ADA accessible. has handicap parking, and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election,and WHEREAS. use of Available Room will include the use of tables, chairs, and bathroom facilities. Web- access (either through an existing network or the ability for Weld County to install a TI line to the building). and access to a phone line for calling out. and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day,on the Friday through Monday immediately preceding Election Day for setup. and on the Wednesday immediately following Election Day for equipment pickup. according to the terms and conditions stated herein. NOW. THEREFORE, in consideration of the mutual promises. terms and conditions set forth herein. Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.to. to 9:00 p.m. on Election Day. on the Friday through Monday immediately preceding Election Day for setup. and on the Wednesday immediately following Election Day for equipment pickup. acco,ling to the following terms and conditions: TERM: This Agreement is for Election Day and the stated days before and after, only, but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is which shall he due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any.on or prior to Election Day. Page 1 of 2 Pages d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. f. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: g. To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities. Web-access (either through an existing network or the ability for Weld County to install a TI line to the building).and access to a phone line for calling out. Use restrictions: Facility Provider understands that once the Vote Center is set up there will be no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. h. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF. the parties hereto have signed this Agreement this —day of , ?(1I?. ELECTION DIVISION: By: Printed Name: Steve Moreno Title: Weld County Clerk and Recorder FACILITY OVIDER: By: Printed Name: /� �� (IbLin e (cu._ TOY Title: fit IXX K Page 2 of 2 Pages STEVE MORENO - �8 WELD COUNTY CLERK & RECORDER 1402 NORTH 17TH AVENUE j P.O. BOX 459 �� ./; GREELEY, COLORADO 80632 3 --U NT Y WEBSITE: www.co.weld.co.us O PHONE: (970) 304-6530 FAX: (970) 353-1964 Tri Town Baptist March 12, 2012 Pastor Don Veazey 420 Johnson Street Frederick, CO 80530 Dear Election Day Vote Center, The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6th, 2012 General Election — access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6th, 2012 from 6:00AM - 9:00PM. The equipment will be picked up on Wednesday, November 7th, 2012. THE VOTE CENTER BEING REQUESTED IS: TRI TOWN BAPTIST - GYM Please complete the following information, sign below, and return./GENERAL ELECTION -- USAGE GRANTED " USAGE DENIED (If granted, please complete the following) MAIN CONTACT PERSON: CO,71 1 czt WORK#,3O13 . 8;33,2326 HOME# 3O3 7 72 ./8 99 EMFfIL ADDRESS pnc rorch.7 E&7oAAoo-Ca.--n SECOND CONTACT PERSON: eare,r1 Fu/Tor WORK# 303. g'33,210 HOME#}oi 833 ,1,513-) EMAIL ADDRESS IT CONTACT PERSON: _ WORK# HOME# EMAIL ADDRESS FACILITY HOURS OPEN FACILITY PHONE# 3d3, Q'3 3. 2 62 G IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? YES t/NO Please check one: BUSINESS LINE ✓PAY PHONE Also, please read and sign the Usage Agreement that is attached. If you have any questions regarding this request, please call (970) 304-6525 X 3113. Than ou for your consideration and participation. gnature of uthori A Date WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 12th day of March. 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 171' Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division," and Tri Town Baptist whose address is 420 Johnson St., hereinafter referred to as "Facility Provider." WITNESSETH: WHEREAS, Election Division is responsible for conducting elections in Weld County, Colorado, including the upcoming General (November 6r", 2012)Election ("Election Day"), and WHEREAS, Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located, and WHEREAS. Facility Provider owns or leases a building located at 420 Johnson St., which is ADA accessible, has handicap parking, and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election, and WHEREAS, use of Available Room will include the use of tables, chairs, and bathroom facilities, Web- access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out, and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day,on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day Mr equipment pickup, according to the terms and conditions stated herein. NOW, THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein, Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day, on the Friday through Monday immediately preceding Election Day far setup, and on the Wednesday immediately following Election Day for equipment pickup. according to the following terms and conditions: I. TERM: This Agreement is for Election Day and the stated days before and after, only, but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is , which shall he due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. h. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any,on or prior to Election Day. Page 1 of 2 Pages d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. f. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: g. To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities, Web-access (either through an existing network or the ability for Weld County to install a Ti line to the building), and access to a phone line for calling out. Use restrictions: Facility Provider understands that once the Vote Center is set up there will be no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. h. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF, the parties hereto have signed this Agreement this_3 day of Aieeit 2012. ELECTION DIVISION: By: �' / `'"�~ / `2�- Printed Name: Steve Moreno "Title: Weld County Clerk and Recorder FACILIT ROVIDER: By: l� Printed Name: JOen vrG Title: Se no,/ /7asre Page 2 of 2 Pages • 1 From: 03/30/2012 15 : 16 #183 P.001 /004 �� zS6i STEVE MORENO WELD COUNTY CLERK & RECORDER l�n rJ r�� 1402 NORTH 17TH AVENUE 459 GREELEY, COLORADO 80632 U_N T Y j WEBSITE: www.co.weld.co.us PHONE: (970) 304-6530 FAX: (970) 353-1964 LaSalle Town Hall March 13, 2012 Linda Blackston 128 N 2nd St. LaSalle, CO 80645 Dear Election Day Vote Center, The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY,NOVEMBER 6th,2012 General Election —access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6`11, 2012 from 6:00AM-- 9:00PM. The equipment will be picked up on Wednesday,November 7'u1, 2012. THE VOTE CENTER BEING REQUESTED IS: LASALLE TOWN HALL- MEETING ROOM Please complete the following information, sign below, and return. GENERAL ELECTION-- USAGE GRANTED x j USAGE DENIED (If granted, please complete the following) MAIN CONTACT PERSON: lam! LC �/�C—ir-$tea! WORK# q70- %ro&� HOME# 3-&8�'�t�Y EMAIL ADDRESS /b1GCP.5{-u 14.sat`1c.Aau-1. SECOND CONTACT PERSON: WORK# _ HOME# EMAIL ADDRESS IT CONTACT PERSON: 11/41/4" WORK# HOME# EMAIL ADDRESS FACILITY HOURS OPEN F.-3D - 5. FACILITY PHONE# (?711) -a8v Co fat' IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? am YES NO rn ('lease check one: BUSINESS LINE _PAY PHONE ti Cl O Also,please read and sign the Usage Agreement that is attached. tN n r If you have any questions regarding this request, please call (970) 304-6525 X 3113. Thank you for your consideration and participation. rn tv rn n.. `r (-3/.3(. 41-t,/ Signature of Authorized Agent Date From: 03/30/2012 15 : 16 #183 P.002/004 WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 121° day of March, 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 17th Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division," and LaSalle Town Hall whose address is 128 N 2"d St., hereinafter referred to as "Facility Provider." WITNESSETH: WHEREAS, Election Division is responsible for conducting elections in Weld County, Colorado. including the upcoming General (November 6'", 2012) Election ("Election Day"), and WHEREAS, Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located, and WHEREAS, Facility Provider owns or leases a building located at 128 N 2"d St., which is ADA accessible, has handicap parking, and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election, and WHEREAS, use of Available Room will include the use of tables, chairs, and bathroom facilities, Web- access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out. and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day, on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day fur equipment pickup, according to the terms and conditions stated herein. NOW, THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein. Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day, on the Friday through Monday immediately preceding Election Day for setup. and on the Wednesday immediately following Election Day for equipment pickup, according to the following terms and conditions: 1. TERM: This Agreement is for Election Day and the staled days before and after, only, but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is _ , which shall be due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any,on or prior to Election Day. Page 1 of 2 Pages From: 03/30/2012 15 : 17 #183 P.003/004 d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. f. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: g. To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities. Web-access (either through an existing network or the ability for Weld County to install a TI line to the building),and access to a phone line for calling out. Use restrictions. J2 4&,.T" t.v - N C't� "- oJ.( n. 7 So 7.704 k--c -4 Pin�.cr— t �,c ,� A...‘640'°ee a 409-1-1.11 Facility Provider understands that once the Vote Center is set up there will he no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF,the parties hereto have signed this Agreement this day of ,2012. ELECTION DIVISION: i By: t7— Printed Name: Steve Moreno Title: Weld County Clerk and Recorder FACILITY PROVIDER: B : Printed ame: 1-(4O9- Title: ( D t-�a►s � Page 2 of 2 Pages 4- STEVE MORENO WELD COUNTY CLERK & RECORDER 1402 NORTH 17TH AVENUE P.O. BOX 459 GREELEY, COLORADO 80632 V2-d Q4 N T-( WEBSITE: www.co.weid.co.us PHONE: (970) 304-6530 FAX: (970) 353-1964 Erie Recreation Center March 12, 2012 Ian Ferguson 450 Powers Street Erie, CO 80516 Dear Election Day Vote Center, The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6th, 2012 General Election — access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6th, 2012 from 6:00AM - 9:00PM. The equipment will be picked up on Wednesday, November 7th, 2012. THE VOTE CENTER BEING REQUESTED IS: ERIE RECREATION CENTER- LARGE MEETING ROOMS Please complete the following information, sign below, and return. GENERAL ELECTION -- USAGE GRANTED / " USAGE DENIED ' (If granted, please complete the following) MAIN CONTACT PERSON: /an F .9af`Y1 _ _WORK# _3a'.3 - 124' -27Y2. HOME# 309 'SW *373 EMAIL ADDRESS i4.rytten8 8r/etc:pike SECOND CONTACT PERSON: Kris 1"7' /5)" WORK# AD3-126'255/ HOME#303-- 591. 1ff EMAIL ADDRESS Kwi/Smee,eteiolsv IT CONTACT PERSON: RP hit) J7id rde1 WORK# 303-12d-Z74 / HOME# -1*-7&Ia EMAIL ADDRESS- r it rdef 44-7eca•joy M-rh 53cnh - 9P FACILITY HOURS OPEN F i 530 em - 7 Pm FACILITY PHONE# 303 .4/1.b '15-3-1) sa. '7Am- 7PM n• r - &oM IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? YES V NO ` g Please check one: BUSINESS LINE / PAY PHONE 's' a O Also, please read and sign the Usage Agreement that is attached. ,p Cs, If you have any questions regarding this request, please call (970) 304-6525 X 3113. st PG Thank you for your consideration and articipation. rti ki 14C2GMAil a012— Signature of Authorized Agent Date WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 12th day of March, 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 17th Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division," and Erie Recreation Center whose address is 450 Powers St., hereinafter referred to as "Facility Provider." WITNESSETH: WHEREAS, Election Division is responsible for conducting elections in Weld County,Colorado, including the upcoming General (November 6th,2012) Election ("Election Day").and WHEREAS. Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located, and WHEREAS, Facility Provider owns or leases a building located at 450 Powers St., which is ADA accessible, has handicap parking, and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election, and WHEREAS, use of Available Room will include the use of tables, chairs, and bathroom facilities, Web- access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out.and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m.on Election Day,on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day for equipment pickup. according to the terms and conditions stated herein. NOW, THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein, Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day. on the Friday through Monday immediately preceding Election Day for setup. and on the Wednesday immediately following Election Day for equipment pickup, according to the following terms and conditions: I. TERM: This Agreement is for Election Day and the stated days before and after, only, but may he renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is which shall be due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any,on or prior to Election Day. Page 1 of 2 Pages d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room. if necessary. f. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: g. To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities, Web-access (either through an existing network or the ability for Weld County to install a TI line to the building),and access to a phone line for calling out. Use restrictions: fvlslh.o;t e;e rocmc(Gloydlir/ S, p?ifthell) have bur, re/trv'A ovt ii Is It (Pj am/ ('/7. we. moist that • CW,vcr e se cri Mind j. NIS, Wt hat seven/ tinting* /P4cl1/ r+mla/c 4h iiWte r1 e{ II/z - UAL Facility Provider understands that once the Vote Carter is set up there will be no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall he an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. IN WITNESS WHEREOF,the parties hereto have signed this Agreement this_ day of . 2(112. ELECTION DIVISION: By: ,/l_/C,k-✓- - �`2-�-v�f— Printed Name: Steve Moreno Title: Weld County Clerk and Recorder FACILITY PROVIDER: _ By: VPS Printed Name: tS vnf QAD Title: $ C-2[Aevo%) JAS x J /tA ( AC '( Page 2 of 2 Pages Via, X861 a- STEVE MORENO WELD COUNTY CLERK & RECORDER 1402 NORTH 17TH AVENUE P.O. BOX 459 li�I` GREELEY, COLORADO 80632 t- U N T Y WEBSITE: www.co.weld.co.us `-�.._G � - PHONE: (970) 304-6530 FAX: (970) 353-1964 Ft. Lupton Recreation Center March 12, 2012 Monty Schuman 203 S. Harrison Ave FT. LUPTON, CO 80621 Dear Mr. Monty Schuman, The Weld County Election Department would like to request the use of your facility as an Early Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6th, 2012 General Election — access to the facility is needed the Friday before Early Voting starts to set up and test our equipment. Early Voting is from October 22 — November 2, 2012, from 8:00AM - 5:00PM, Monday — Friday, Monday November 5. 2012 is Emergency Voting Day,also from 8:00AM-5:00PM and on Election Day November 6. 2012,from 6:00AM-8:00PM.The equipment will be picked up on Wednesday, November 7, 2012. THE VOTE CENTER BEING REQUESTED IS: FT. LUPTON RECREATION CENTER-MEETING HALLS Please complete the following information, sign below, and return. GENERAL ELECTION-- USAGE GRANTED ✓ * USAGE DENIED (If granted, please complete the following) MAIN CONTACT PERSON: /0 .cX h1 e,A WORK# c 7- ti(oU HOME#-__ EMAIL ADDRESS 641 SECOND CONTACT PERSON: 90 W0RK# 7- S(aev HOME# EMAIL DDRESSIXQk0031 IT CONTACT PERSON: _ WORK# HOME# EMAIL ADDRESS FACILITY HOURS OPEN S .4rsT ,ki_FACILITY PHONE#_3o3-b'c7 - %ea U IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? YES NO ' r Please check one: BUSINESS LINE_ PAY PHONE O n Also,please read and sign the Usage Agreement that is attached. CO 0 If you have any questions regarding this request, please call (970)304-6525 X 3113. U JC Q° Thank you for your consideration and participation. J n Sig azure of Authorized Agent ate WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 12th day of March, 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. I7°i Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division." and Fort Lupton Recreation Center, whose address is 203 S. Harrison Ave., hereinafter referred to as"Facility Provider." W ITNESSETH: WHEREAS, Election Division is responsible for conducting elections in Weld County, Colorado, including the upcoming General (November 6'")Election ("Election Day"). and WHEREAS, Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located,and WHEREAS, Facility Provider owns or leases a building located at 203 S. Harrison Ave., which is ADA accessible, has handicap parking, and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election, and WHEREAS, use of Available Room will include the use of tables, chairs, and bathroom facilities, Web- access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out, and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as an Early Voting Center during the hours of 7:00 am to 6:00pm October 22"'t—November 54'. and 6:00 a.m. to 9.:00 p.m. on Election Day, on the Friday immediately preceding Early Voting Day for setup. and on the Wednesday immediately following Election Day for equipment pickup. according to the terms and conditions stated herein. NOW. THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein, Facility Provider hereby agrees to allow Election Division to use the Available Room as a voting center,according to the following terms and conditions: I. TERM: This Agreement is for Election Day and the stated days before and after, only, but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections. if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is , which shall be due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above. if any,on or prior to Election Day. d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and Page 1 of 3 Pages in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room. if necessary. 3. FACILITY PROVIDER AGREES: f. To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. g. .1'o provide to Election Division the use of tables, chairs, and bathroom facilities, Web-access (either through an existing network or the ability for Weld County to install a TI line to the building). and access to a phone line for calling out. h. To inform the Election Division of any changes to your Internet. Use restrictions: Facility Provider understands that once the Vote Center is set up there will be no one expect election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction. whether oral or written. IN WITNESS WHEREOF,the parties hereto have signed this Agreement this 4day of 41.611,2012. ELECTION DIVISION: FACILITY y� PROVIDER: By: ,/ �-� -t3tp—war By: L17-1 Printed Name: Steve Moreno Printed Name: /110 Title: Weld County Clerk and Recorder Title: j" 4i RS / t C�^C / f1"`eC�((!� Page 2 of 3 Pages STEVE MORENO �� 1 WELD COUNTY CLERK & RECORDER 1402 NORTH 17TH AVENUE al-EA � P.O. BOX 459 GREELEY, COLORADO 80632 v j�[� _ N. WEBSITE: www.co.weld.co.us �' _G_O_'� I T —J PHONE: (970) 304-6530 FAX: (970) 353-1964 NUNN TOWN HALL Mayor Tom Bender March 2, 2012 185 Lincoln Ave NUNN, CO 80634 Dear Mr. Tom Bender, TI ie Weld County Election Department would like to request the use of your facility as an Early Vote Center for the following elections: PRIMARY ELECTION -- TUESDAY, JUNE 26TH, 2012 GENERAL ELECTION -- TUESDAY, NOVEMBER 6111 2012 Primary Election — access to the facility is needed the Monday before Service Centers open to set up and test our equipment. Service Centers are open from June 12 — June 25, 2012, from 8:00AM - 5:00PM, Monday — Friday, and on Election Day June 26th, 2012, from 6:00AM - 8:00PM. The equipment will be picked up on Wednesday, June 27`h, 2012. General Election — access to the facility is needed the Friday before Election Day starts to set up and test our equipment. On Election Day November 6, 2012, from 6:00AM - 8:00PM. The equipment will be picked up on Wednesday, November 7, 2012. THE SERVICE/VOTE CENTER BEING REQUESTED IS: NUNN TOWN HALL-GYM(P)/BOARD ROOM(G) Please complete the following information, sign below, and return. / PRIMARY ELECTION USAGE GRANTED JUSAGE DENIED GENERAL ELECTION -- USAGE GRANTED (/' " USAGE DENIED * (If granted, please complete the following) MAIN CONTACT PERSON: J�J WORK#920—n7- ',•1� HOME#97D-se7-•2 AIL ADDRESSfOLJHd Minn. C/ei*&ez/ilri eta SECOND CONTACT P RSON: v}�ORK# 97d-e97 a.38b HOME# 10 -191-791�EMAIL ADD SS ii))7 7u/VZ Zj�r -/ ` & p,�(,(/ WORK# IT CONTACT PERSON: d/. t 7O .431 -5-7Gs HOME#910- . 'i/ in/ EMAIL ADDRESS of no✓1✓f . eftez- !/ .Czrw FACILITY H URS OPEN/r.OD4M'?'op ,,m(H?�FACI ITY PHONE# grly-X97-0).3 et-- -Ike- 4 9: OD4M- 4' iw ue-P-4) IS A TELEPHONE AVAILABLE FOR USE BY'TH JUDGES IN THE ROOM REQUESTED? tiS m NO r' Please check one: BUSINESS LINE PAY PHONE a O O N Also, please read and sign the Usage Agreement that is attached. a, n r-- If you have any questions regarding this request, please call (970) 304-6525 X 3113. D a. tv Pi Thank you for your consideration and participation. p rn X) / apiektelleed4atab0 o.54710/72--. Signat e of A orize Agent Date WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 12th day of March. 2012. by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 1T" Avenue. Greeley. CO 80631. hereinafter referred to as "Election Division." and Nunn Town Hall, whose address is 185 Lincoln Ave., hereinafter referred to as "Facility Provider.- W ITNESSETH: WHEREAS. Election Division is responsible for conducting elections in Weld County, Colorado. including the upcoming Primary (June 26th) and General (November 6°i) Election ("Election Day"), and WHEREAS. Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located, and WHEREAS, Facility Provider owns or leases a building located at 185 Lincoln Ave., which is ADA accessible. has handicap parking. and has room. atrium. or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election. and WHEREAS, use of Available Room will include the use of tables. chairs. and bathroom facilities. Web- access (either through an existing network or the ability for Weld County to install a TI line to the building). and access to a phone line for calling out. and WHEREAS. by and through this Agreement. Facility Provider agrees to allow Election Division to use the Available Room as a Service Center during the homy of 7:00 ant to 6:00pm on June 121h—June 2.5t1 and on Election Dar, on the Momlat immediately preceding Service Center Day (Jane ll't') and the Friday (Nov. 2"`t) immediately preceding Ele<vion Day/or setup, and on the Wednesday(June 27`h and Nov. 7`u') immediately following Election Day for equipment pickup. according to the terns and conditions slated herein. NOW. THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein. Facility Provider hereby agrees to allow Election Division to use the Available Room as a voting center, according to the following terms and conditions: I. TERM: "[his Agreement is for Election Day and the stated days before and after, only. but may he renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections, if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is , which shall be due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the voting center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any,on or prior to Election Day. d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of voting center activities conducted in the Available Room during Election Day. Page I of 2 Pages e. Election Division may add more security to Available Room, if necessary. f. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables. chairs. and bathroom facilities. Web-access (either through an existing network or the ability for Weld County to install a TI line to the building).and access to a phone line for calling out. To inform the Election Division of any changes to your Internet. Use restrictions: Facility Provider understands that once the Service/Vote Center is set up there will he no one expect election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement. and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall he an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction. whether oral or written. IN WITNESS WHEREOF, the parties hereto have signed this Agreement this/o? day of 42.2012. ELECTION DIVISION: FACILITY PROV R: VA ,/ 13y: �rC/�Q-�"-Z.. f `e-"The—"-cr- B . Printed Name: Steve Moreno Printed Na e: Title: Weld County Clerk and Recorder Title: Page 2 of 2 Pages * X861 y STEVE MORENO WELD COUNTY CLERK & RECORDER �' * P r 1402 NORTH 17TH AVENUE - . P.O. BOX 459 / l✓ 11 r GREELEY, COLORADO 80632 W �L WEBSITE: www.co.weld.co.us v G 0 U_ N T Y PHONE: (970) 304-6530 I FAX: (970) 353-1964 Tozer Elementary School March 13, 2012 Shelly Prenger 501 Oak St Windsor, CO 80550 Dear Election Day Vote Center, The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY,NOVEMBER 6th, 2012 General Election—access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6th,2012 from 6:00AM-9:00PM. The equipment will be picked up on Wednesday, November 7'", 2012. THE VOTE CENTER BEING REQUESTED IS: TOZER ELEMENTARY SCHOOL- GYM Please complete the following information, sign below- and return. GENERAL ELECTION -- USAGE GRANTED_17 *USAGE DENIED * (If granted, please complete the following) l /1 MAIN CONTACT PERSON: J Y d \y Frtn m(0' WORKS 10)bgb- 11100 HOME# (pgh-159 �EMAIL DRESSgh PrenpeY@Ulticlresikle2.e. cts J SECOND CONTACT PERSON: K0 rest He 1 n. WORK#(910)b g to—84.00 HOME# EMAIL ADDRESS IT CONTACT PERSON: WORK#__ HOME# EMAIL ADDRESS__ -_ FACILITY HOURS OPEN 7 3d Q• 61- • FACILITY PHONE#(9_7(44216 - C40a IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? YES _ NO Please check one: BUSINESS LINE V PAY PHONE Also,please read and sign the Usage Agreement that is attached. If you have any questions regarding this request,please call (970)304-6525 X 3113. Thank you for your consideration and participation. Signature f Authorized Ag n D to d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. f. Election Division will not deliver after 4 p.m. the Monday before Election Day. ;. FACILITY PROVIDER AGREES: g. To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities, Web-access (either through an existing network or the ability for Weld County to install a TI line to the building). and access to a phone line for calling out. Use restrictions: Facility Provider understands that once the Vote Center is set up there will be no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement. and all rights of action relating to such enforcement, shall he strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. ke IN WITNESS WHEREOF. the parties hereto have signed this Agreement this 2I day of M4r� )12. ELECTION DIVISION: eczR By: 1 7L—✓--e— �43r1 Printed Name: Steve Moreno Title: Weld County Clerk and Recorder FACILITY PROVIDER: [3y: Printed Name: s r Viser Title: itYleIpGL / Page 2 of 2 Pages R ��ig6 STEVE MORENO 2, WELD COUNTY CLERK & RECORDER 1402 NORTH 17TH AVENUE P.O. BOX 459 L1 j GREELEY, COLORADO 80632 UWEBSITE: www.co.weld.co.us GOUN T Y PHONE: (970) 304-6530 FAX: (970) 353-1964 Johnstown Town Hall March 12, 2012 Diana Seele 101 Charlotte Street Johnstown, CO 80534 Dear Election Day Vote Center, The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6th, 2012 General Election — access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6`h, 2012 from 6:00AM - 9:00PM. The equipment will be picked up on Wednesday, November 7th, 2012. THE VOTE CENTER BEING REQUESTED IS: JOHNSTOWN SENIOR CENTER - MEETING ROOM Please complete the following information, sign below, and return. GENERAL ELECTION -- USAGE GRANTED `-- ' USAGE DENIED (If granted, please complete the following) �7 5{C/746:"(01, MAIN CONTACT PERSON: 1k & WORK#97 - u HOME# ''I'lO '5O0)-3M5EMAIL ADDRESS ±See)e ( `-i-OGJI7O o1Vn5 SECOND CONTACT PERSON: WORK# HOME# EMAIL ADDRESS IT CONTACT PERSON: WORK# HOME# EMAIL ADDRESS FACILITY HOURS OPEN 25',On -�' (D FACILITY PHONE# IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUES,TIED? YES NO /N Please check one: BUSINESS LINE PAY PHONE Also, please read and sign the Usage Agreement that is attached. If you have any questions regarding this request, please call (970) 304-6525 X 3113. Thank you for your consideration and participation. p,Aa_Signa'u 1• of Authorized Agent D to a R WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 12th day of March, 2012, by and between the Weld County Clerk and Recorder Election Division, whose address is 1401 N. 17th Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division," and Johnstown Senior Center whose address is 101 Charlotte St., hereinafter referred to as "Facility Provider." W ITNESSETH: WHEREAS, Election Division is responsible for conducting elections in Weld County, Colorado, including the upcoming General (November 61h,2012)Election ("Election Day"), and WHEREAS, Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located,and WHEREAS, Facility Provider owns or leases a building located at 101 Charlotte St., which is ADA accessible, has handicap parking, and has room, atrium, or lobby space available ("Available Room") for use by Election Division as a voting center in the course of conducting said election, and WHEREAS. use of Available Room will include the use of tables, chairs, and bathroom facilities, Web- access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out,and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m.on Election Day.on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day for equipment pickup, according to the terms and conditions stated herein. NOW, THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein. Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day. on the Friday through Monday immediately preceding Election Day jitr setup. and on the Wednesday immediately following Election Day for equipment pickup. according to the folio .ing tertus and conditions: I. TERM: This Agreement is for Election Day and the stated days before and after, only, but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections. if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is _ , which shall be due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any,on or prior to Election Day. Page 1 of 2 Pages d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room. if necessary. f. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: g. To provide to Election Division the use of the Available Room for Election Day and the stated days before and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities, Web-access (either through an existing network or the ability for Weld County to install a TI line to the building),and access to a phone line for calling out. Use restrictions: Facility Provider understands that once the Vote Center is set up there will be no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. h. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction. whether oral or written. IN WITNESS WHEREOF. the parties hereto have signed this Agreement this day of . 2012. ELECTION DIVISION: By: /`�ON7LE -__ Printed Name: Steve Moreno Title: Weld County Clerk and Recorder PAC LEIN LJ t PROVIDER: By: ft-a_ Printed Name: Ii aallS `e� Title:` L- Page 2 of 2 Pages STEVE MORENO �° � b WELD COUNTY CLERK & RECORDER Il�v r . � \ 1402 NORTH 17T" AVENUE I \ P.O. BOX 459 , GREELEY, COLORADO 80632 ul WG a u ti T 2� WEBSITE: www.co.weld.co.us PHONE: (970) 304-6530 FAX: (970) 353-1964 Bonell March 12, 2012 Diana Goodman 708 22nd Street Greeley, CO 80641 Dear Election Day Vote Center, The Weld County Election Department would like to request the use of your facility as a Vote Center for the following elections: GENERAL ELECTION -- TUESDAY, NOVEMBER 6th, 2012 General Election — access to the facility is needed the Friday and Monday before Election Day starts to set up and test our equipment. Election Day is November 6th, 2012 from 6:00AM - 9:00PM. The equipment will be picked up on Wednesday, November 7th, 2012. THE VOTE CENTER BEING REQUESTED IS: BONELL - MEETING ROOM Please complete the following information, sign below, and return. GENERAL ELECTION -- USAGE GRANTED Y * USAGE DENIED * (If granted, please complete the following) f �( �J t}- (irc, . 55'e17`/O333 MAIN CONTACT PERSON: 1 1QI4�Gc�C /� rr1-rVlaa WORK# J�,p5 6o2 ex t HOME#9'Z�-)- ? a-L//R EMAIL ADDRESS 1706, M(P ? )OQcZ Yt.ectn SECOND CONTACT PERSON: WORK# 6/7L: b3K (i' I HOME# EMAIL ADDRESS_['-J bic l l{"6 i?1,(74 `;Rn IT CONTACT PERSON: tri4 V rQ re-fL .__ WORK# Jr) b 3 `f. 273 HOME# yy EMAIL ADDRESS FACILITY HOURS OPEN (C's arrl - iD in FACILITY PHONE# 97z) IS A TELEPHONE AVAILABLE FOR USE BY THE JUDGES IN THE ROOM REQUESTED? / YES V NO Please check one: BUSINESS LINE �( PAY PHONE Also, please read and sign the Usage Agreement that is attached. If you have any questions regarding this request, please call (970) 304-6525 X 3113. Thank you for yourconsideration and participation. IV�v 5-sq-I a-- ignat e of Authorized Agent Date WELD COUNTY CLERK AND RECORDER Elections Division Facility Usage Agreement THIS AGREEMENT is made this 12th day of March, 2012, by and between the Weld County Clerk and Recorder Election Division. whose address is 1401 N. 171h Avenue, Greeley, CO 80631, hereinafter referred to as "Election Division.' and Bonell Good Samaritan Community whose address is 708 22" St„ hereinafter referred to as "Facility Provider." WITNESSETH: WHEREAS. Election Division is responsible for conducting elections in Weld County, Colorado, including the upcoming General (November 6'", 2012)Election ("Election Day"), and WHEREAS. Election Division is in need of a facility to use as a voting center in the course of conducting said election in the area where Facility Provider's building is located, and WHEREAS, Facility Provider owns or leases a building located at 708 22" St., which is ADA accessible. has handicap parking, and has room, atrium, or lobby space available ("Available Room') for use by Election Division as a voting center in the course of conducting said election.and WHEREAS, use of Available Room will include the use of tables. chairs, and bathroom facilities. Web- access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out.and WHEREAS, by and through this Agreement, Facility Provider agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. to 9:00 p.m. on Election Day,on the Friday through Monday immediately preceding Election Day for setup, and on the Wednesday immediately following Election Day for equipment pickup. according to the terms and conditions stated herein. NOW. THEREFORE, in consideration of the mutual promises, terms and conditions set forth herein. Facility Provider hereby agrees to allow Election Division to use the Available Room as a Voting Center during the hours of 6:00 a.m. w 9:00 p.m. on Election Day. on the Friday through Monday immediately preceding Election Day for setup. and an the Wednesday immediately Jbllouing Election Day Jar equipment pickup. according to the /allowing terms and conditions: TERM: This Agreement is for Election Day and the stated days before and after, only. but may be renewed under the same terms and conditions set forth herein by letter agreement signed by both of the parties for subsequent elections. if desired. RENT: If Applicable use of the Available Room during the term of this Agreement is which shall he due and payable on receipt of bill from Facility Provider. 2. ELECTION DIVISION AGREES: a. To keep the Available Room clean and neat as used on Election Day. b. To ensure that the Vote Center activities conducted in the Available Room during Election Day proceeds in an orderly fashion and does not unreasonably interfere with Facility Provider's operations. c. To pay to Facility Provider the room rent agreed to above, if any,on or prior to Election Day. Page 1 of 2 Pages d. To provide Facility Provider with proof of adequate insurance to cover liability incurred during and in the course of Vote Center activities conducted in the Available Room during Election Day. e. Election Division may add more security to Available Room, if necessary. Election Division will not deliver after 4 p.m. the Monday before Election Day. 3. FACILITY PROVIDER AGREES: g. To provide to Election Division the use of the Available Room for Election Day and the stated days bclbre and after without unreasonable interference. h. To provide to Election Division the use of tables, chairs, and bathroom facilities, Web-access (either through an existing network or the ability for Weld County to install a TI line to the building), and access to a phone line for calling out. Use restrictions: Facility Provider understands that once the Vote Center is set up there will be no one except election staff members having access to the room until the polls open. 4. MISCELLANEOUS PROVISIONS. a. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. b. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction. whether oral or written. IN WITNESS WHEREOF. the parties hereto have signed this Agreement this_ day of . 2012. ELECTION DIVISION: By: t> 1 p✓ r>— Printed Name: Steve Moreno Title: Weld County Clerk and Recorder FACILITY PROVIDER: By: Printed Na : Cresie I Ybrve$ Title: 1lgrvuth5T(a Page 2 of 2 Pages Hello