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AGREEMENT FOR USE AS A POLLING PLACE
This agreement is entered into this 10th day of May, 2022, by and between Lori Scott . in her official
capacity as Supervisor of Elections for the Office of the Supervisor of Elections, Brevard County,
Florida, hereafter referred to as (the "Supervisor"), and City of Cape Canaveral Community Center
hereafter referred to as("Owner/Manager/Organization").
WHEREAS the Supervisor desires to obtain the use of the premises and facilities known as
Precinct(s) 204/220/225/226, City of Cape Canaveral Community Center, located at 7920 Orange
Avenue, Cape Canaveral, FL 32920,(the"premises")for use as a polling place for elections in calendar
year 2022; and WHEREAS Owner/Manager/Organization is agreeable to allowing the premises to be
used as a polling place under the terms and conditions set forth below.
ACCORDINGLY,the parties agree as follows:
1. OWNER/MANAGER/ORGANIZATION CONTACT:The Supervisor must ensure we have the correct
contact information for your facility for access to the polling place. The Supervisor requires a
minimum of two contacts and two phone numbers per contact for each polling location.
Pre-election day contact person(needed to coordinate election equipment and supply
requirements):
Mojh Thomas Director of Parks,Recreation+Community Affairs
Name Title
321-868-1220 x220
Daytime phone
321-503-5235
After hours phone(where the person can be reached at 5:30 a.m.on Election Day)
Election Day contact(if different from above)or secondary contact:
Byron Prevost Deputy Director of Parks,Recreation+Community Affairs
Name Title
(321)783-6197
Daytime phone
(321)307-0042
After hours phone(where the person can be reached at 5:30 a.m.on Election Day)
Additional contact person(if applicable):
Name Title
Daytime phone
After hours phone(where the person can be reached at 5:30 a.m.on Election Day)
2. SUPERVISOR OF ELECTIONS CONTACT: Owner/Manager/Organization certifies the individuals
listed above are responsible for the following activities, and agrees to provide Donna Griffin,
Precincts & Procedures Manager at 321-428-4968 or by email to Dgrifn@VoteBrevard.gov
with updates to this information as needed:
• Access to the facility for delivery and pickup of election equipment and supplies before/after
each election.
• Access to the facility for pre-election set up and equipment testing on the Monday before
each election.
• Access to the facility no later than 5:30 a.m.on Election Day(unless a key is provided beforehand).
• Securing the facility after the election workers have departed(unless a key is provided beforehand).
3. POLLING PLACE AREAS(Polling Place Layout attached):Owner/Manager/Organization agrees
to allow the following described area(s), including available parking areas and directly connecting
passageways,to be used as a polling place on the dates listed below:
Polling Room(if applicable):. Gy_m
Date: Tuesday,August 23,2022 Primary Election
Tuesday, November 8,2022 General Election
Additional facility needs:(check if available)
Restroom Facilities x Available 0 Not Available
Kitchen or Break Area with Running Water 0 Available x Not Available
Adequate Lighting x Available 0 Not Available
Heat/Air Conditioning x Available 0 Not Available
4. PREMISES AVAILABILITY:The premises must be open and available to the Supervisor on Election
Day no later than 5:30 a.m.and until the election workers have completed all closing procedures and
departed the facility. Florida law prohibits access to the polling room by anyone other than the Poll
Workers or voters on Election Day. Access by anyone other than the Poll Workers or voters will be
denied.
If the polling location is located inside a gated community, Owner/Manager/Organization agrees to
open the gate(s)no later than 5:30 a.m.on election morning until the election workers have completed
all closing procedures and departed the facility. Gate(s)shall be open for full access to the public
during voting hours. Gate Attendant must not ID voting patrons.
Voting hours at the premises are 7:00 a.m.to 7:00 p.m.
Every voter in line by 7:00 p.m.is eligible to vote.
PLEASE NOTE: Voting hours may be extended due to Court or Executive Order.If extended,
all election workers are required to stay until the final closing.
x Owner/Manager/Organization will be present to open and close the facility.
PLEASE NOTE: If your facility fails to open the doors at 5:30 a.m.,a locksmith will be
dispatched and your facility will be billed for any charges incurred.
Staff Member Name:Bron Prevost Cell Phone:(321)783-6197
❑ Owner/Manager/Organization will provide a key and security code(if applicable)to the
Precinct Clerk upon request.
❑ Other arrangement:
5. POLLING PLACE EQUIPMENT:Owner/Manager/Organization agrees to provide the following
equipment:
Tables and Chairs for use in the polling room x Available 0 Not Available
Tables: 8 Chairs: 16
A minimum of three electrical outlets in the polling
room. Outlets shall be in good working condition. x Available 0 Not Available
6. ELECT/ON EQUIPMENT AND SUPPLY DELIVERY: Owner/Manager/Organization will permit
Supervisor of Elections badged representatives to gain access to the premises,in addition to Election
Day,for purposes of delivering and storage of election equipment and supplies. Deliverof election
equipment and supplies must be accepted prior to the Monday before each election.
The Supervisor of Elections badged representative will contact Owner/Manager/Organization directly
to arrange access to the premises,with regard to a convenient time for delivery of election equipment
and supplies.Delivery of election equipment and supplies shall be by mutual agreement between the
Supervisor and the Owner/Manager/Organization.
The following dates have been established for equipment and supply delivery:
• Primary Election-Monday,August 15 through Friday,August 19,2022
• General Election-Monday,October 31 through Friday,November 4,2022
Equipment should be delivered to(specify storage area): East vestibule beneath stairs
Days/Hours facility is open for equipment delivery: Monday—Friday 8:00 a.m.to 8:00 P.m,
2 Polling Place Agreement 2022-Brevard County
b. The following utility companies provide service to this facility:
Electricity FPL
Water Cocoa _
Phone FL Highspeed_
11. INDEMNITY: The Supervisor, to the extent permitted by law, shall indemnify and hold harmless
Owner/Manager/Organization and its officers, agents, and employees from and against all claims,
changes,losses,and expenses, including attorney's fees arising out of or resulting from any actions
or omissions taken under this arrangement,where such claim,damage, loss,or expense is caused,
solely by the act or omission of the Supervisor, or anyone directly or indirectly employed by the
Supervisor. In sovereign immunity to which it may be entitled under Section 768.26,Florida Statutes
or otherwise provided by law and that the indemnification provided herein,inclusive of attorney's fees,
is limited to the extent specifically enumerated in Section 768.28, F.S. The parties acknowledge that
specific consideration has been exchanged for this provision.
12. ADDITIONAL CONDITIONS: Owner/Manager/Organization and the Supervisor agree to the
following additional conditions(if any):
a. Smoking restrictions: No smoking in the facility
b. Access to upstairs will be prohibited during election hours
13. NOTIFICATION OF CHANGES: Owner/Manager/Organization acknowledges that written notice of
any requested change to the terms of this agreement must be received by the Supervisor no later
than 60 days prior to any election to ensure any resulting change may be accomplished within the
requirements of Florida law.
The party authorized to execute this agreement on behalf of City of Cape Canaveral Community Center
is:
Name Molly Thomas Title PRCA Director
Phone(321)868-1220x220 E-mail m.thomast-bcityofcapecanaveral.org
All correspondence related to the execution of the terms of this agreement should be addressed to:
Name Molly Thomas Title PRCA Director
L321)868-1220x220_ E-mail m.thomas( cityofca.ecanaveral.orq
Mailing Address: PO Box 326
Cape Canaveral, Florida 32920
IN WITNESS WHEREOF,the undersigned have executed this Agreement as of the day and year first
written above.
BY THE SUPERVISOR:
Signature: cx..i ' Date: 5/10/22
C.Q
Lori Scott, revard County Supervisor of Elections
BY OWNER/MANAGER/ORGANIZATION:
Signature: —„ ..____.___'-(,__A_''
, .._� A_, —..— Date: 07/07/2022
Molly Thomas '� PRCA Director
Print Name Print Title
WITNESS: 1.''4' . C , , --cy A. 1 A;L. I
Signafiir� Print Name
4 Polling Place Agreement 2022-Brevard County
7. ELECTION EQUIPMENT SETUP: Access to the facility is required on the Monday before each
election, for the purpose of setting up and testing election equipment. Owner/Manager/
Organization will permit Supervisor of Elections badged representatives to gain access to the
premises on this date, in addition to Election Day, for purposes of setting up and testing election
equipment and supplies.
The Precinct Clerk will contact Owner/Manager/Organization directly to arrange access to the
premises,with regard to a convenient time to set up election equipment and supplies.
B. ELECTION EQUIPMENT AND SUPPLY REMOVAL: Access to the facility is required following
each election for the purpose of removing election equipment and supplies. Owner/Manager/
Organization will permit Supervisor of Elections badged representatives to gain access to the
premises, in addition to the above-mentioned dates and times, for purposes of removing election
equipment and supplies.
The Supervisor of Elections badged representative will contact Owner/Manager/Organization directly
to arrange access to the premises, with regard to a convenient time for the removal of election
equipment and supplies. Removal of election equipment and supplies shall be by mutual agreement
between the Supervisor and the Owner/Manager/Organization.
Days/Hours facility is open for equipment removal: Monday—Friday 8:00 a.m.to 8:00 p.m.
9. POLLING PLACE POLICIES(Section 102.031 and 150'Solicitation Map attached):
a. Owner/Manager/Organization agrees to notify their staff and other interested parties that access
to the polling room on Election Day,except for voters eligible to vote in that precinct,is prohibited.
No one may enter or pass through the room for any reason except for the purposes of voting.
[F.S. 102.031(3)(a)]
b. Owner/Manager/Organization acknowledges that no other events shall be planned that will affect
or limit the amount of available parking for voters.
c. Owner/Manager/Organization acknowledges that Florida law does not allow for photography
or video in a polling room(other than a voter's ballot selfie). [F.S. 102.031(5)]
Are there security cameras located within the polling room? x Yes 0 No
If yes, Owner/Manager/Organization consents to disabling audio/video and the Supervisor of
Elections to physically place covers over the security camera(s) on Election Day, no later than
5:30 a.m.and until all election procedures have been completed and Poll Workers have departed
the facility.
Please indicate the number of security cameras within the polling room: 5
d. Owner/Manager/Organization acknowledges that solicitation for campaigns, candidates, and
issues,including placement of temporary signs,may occur on the referenced property in the area
outside 150'from the entrance to the polling place during polling hours.
e. Owner/Manager/Organization acknowledges that the polling place is to be used exclusively for
the purpose of election activities.The distribution or placement of printed material of any kind,or
items such as food or beverages,is not permitted on Election Day within the 150'radius from the
polling place entrance.
f. Owner/Manager/Organization acknowledges that smoking is prohibited in the polling/designated
area and any other indoor area of access to the polling room.
g. Owner/Manager/Organization acknowledges that the parking lot or parking area at the premises
shall be clear of any obstruction that could impede voter access on Election Day.
h. Owner/Manager/Organization agrees that all indoor, outdoor, and parking area lights are
operational and in good working condition on Election Day.
i. Owner/Manager/Organization shall provide the premises to the Supervisor in a clean and usable
condition. The Supervisor shall return the premises to Owner/Manager/Organization in the same
condition.
10. EMERGENCY PLAN:In the event your facility becomes damaged and not accessible for voting due
to an emergency or natural disaster, Owner/Manager/Organization will immediately advise Donna
Griffin, Precincts & Procedures Manager at 321-428-4968 or by email at
Dgriffin@VoteBrevard.gov.
Owner/Manager/Organization certifies that:
a. The following person has authority to make decisions on behalf of the facility:
Name Molly Thomas
Phone(321)868-1220x220 Alternate Phone(321) 503-5235
3 Polling Place Agreement 2022-Brevard County