Isabel Ivette Borrello 06/30/2010i •
m MIAMIBEACH
City of Miami Beach, 1700 Convenfion Center Drive, MiamiBeach; Florida 33139, www.miamibeachfl.aov
OFFICE OF THE CITY CLERK, Robert Parcher, Ciy Clerk
Tel: (305) 673-7411, Fax: (305) 673-7254
October 6, 2009
Zvette Isabel Borrello
2045 North Bay Road
Miami Beach, FL 33140
SUBJECT: COMMITTEE FOR QUALITY EDUCAT101V IN MIAMI BEACH
Dear Ms. Borrello:
Congratulations! You have been re-appointed as a Representative for the North Beach Elementary
School to the above-referenced agency, board or committee for a term ending, 6/30/2010.
If you are unable to accept this appointment, please notify the City Clerk's Office at (305)
673-7411.
Sincerely,
~~~~.~~jsl°
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Leslie Rosenfeld, Liaison
ATTACHMENTS:
Letter of Appointment
Oath
City Code Ordinance section, applicable to agency, board or committee
City Code Section 2-22, 2-23, 2-24, 2-25, 2-26, 2-2458, 2-459
Ordinance 2006-3543 -Amendment to City Code Section 2-22
Miami-Dade County Code Section 2-1 1.1 -Conflict of Interest and Code of Ethics Ordinance
City Wide Permit Application - (Parking Department -Form)
Booklet -Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees
We are ~ommit-ed to~~ovidin~ excellent publibc service and saf~ty to cell whq live, work and play in our vibrant, tr~pical, historic community.
b1„ ore cemmiM, io pro din4 excellent ou lic 5°wice oral so ety tc o I ,n~l;o ;ive, work, and pray r^ cup vibran~; troprcc, historic comma^i~~.
•
m MIAMIBEACH
•
City of Miami Beach, 1700 Convention Center Drive, Miami Bedch; Florida 33139, vrww.miomibeochfl.aov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305 673-7411, Fax: (305 673-7254
TO ~vette Isabel Borrello
RE: Committee for Quality Education in Miami Beach
I do solemnly swear or affirm to bear true faith, loyalty and allegiance to the Government of the
United States, the State of Florida, and the City of Miami Beach, and to perform all the duties of
a member of the above-mentioned board or committee of the City of Miami Beach to which I have
been appointed for a term ending: 6/30/2010.
I have been issued a copy of Section 2-11.1 of the Miami-Dade County Code (Conflict of Interest
and Code of Ethics Ordinance), as well as theF/orida Commission on Ethia Guide to the Sunshine
Amendment and Code of Ethics for Public t~cers and Employees, and understand that as a member
of a City of Miami Beach Board and/or Committee, I must comply with the financial disclosure* require-
ments of Miami-Dade County or the State of Florida (depending on the board or committee on which
I serve) on July 1st, following the closing of the calendar year on which I have served.
r
'~vet>~ sabel orr~ello,
Sworn to and subscribed before me thi~! day of /a J'`~_/_ , 200
Silvia Prieto
Deputy Clerk
*Please visit the City of Miami Beach website at www.miamibeachfl.gov under City Clerk/Board and Committees
for additional information regarding the Financial Disclosure Requirements.
We are committed ro providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community.
Business Name: Position:
Address:
No. Street City State Zip Code
Professional License (describe)
Expires: ~lftarh r'J cnpy of tl~~ t€cerrs~
Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards, and committees shall be affiliated with the city; this
requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six
months; or b) an individual shall demonstrate ownership~nterest fora minimum of six months in a business established in the city.
• Resident of Miami Beach for a minimum of six (ti) months: Yes ~ or No ^
• Demonstrate an ownership/interest in a business in mi Beach for a minimum of six (6) months: Yes ^ or No C~~
• Are you a registered voter in Miami Beach: Yes or No ^
• (Please circle one): I am now a resident of: North Beach South Beach Middle Beach
• I am applying for an appointment because 1 have special abilities, knowledge and experi/ence. Please list below:
• Are you presently a registered lobbyist with the City of Miami Beach? Yes ^ or No cY
Please list your preferences in order of ranking [7] first choice [2] second choice, and [3] third choice. Please note that only three t3)
choices will be observed by the City Clerk's Office. (Regular Boards of City)
^ Affordable Housin Adviso Committee ^Housin Authorit
^ Art in Public Places Committee ^ Loan Review Committee
^ Beautification Committee ^ Marine Authori
^ Board of Ad'ustment* ^ Miami Beach Commission for Women
^ Bud et Adviso Committee ^ Miami Beach Cultural Arts Council
B'Ca ital Im rovements Pro'ects Oversi ht Committee ^ Miami Beach Sister Cities Pro ram
^ Committee on the Homeless ^ Normand Shores Local Government Nei h. Im rovement
C~YCommittee for Qualit Education in MB ^ Parks and Recreation Facilities Board
^ Communi Develo ment Adviso ^ Personnel Board
^ Communi Relations Board.. ^ Plannin Board*
^ Convention Center Adviso Board ^ Police Citizens Relations Committee
^ Debarment Committee ~ ^ Production Indust Council
^ Desi n Review Board* ^ Public Safe Adviso Committee
^ Disabili Access Committee, ^ Safet Committee
^ Fine Arts Board ^ Sin le Famil Residential Review Panel
^ Ga ,Lesbian, Bisexual and Trans ender GLB ^ Sustainabili Committee
^ Golf Adviso Committee ^ Trans arenc Reliabilit & Accountabili Committee "TRAC"
^ Health Adviso Committee : ^ Trans ortation and Parkin Committee
^ Health Facilities Authorit Board ^ Visito and Convention Authorit
^ His anic Affairs Committee ~ ^ Waterfront Protection Committee
^ Historic Preservation Board Mouth Center Adviso Board
*Board Required to File State Disclosure Form
Note: If applying for Youth Advisory Board, lease indicate your affiliation with the Scott R~kow Youth Center:r
IU ~ , T Q~u. G G '~u~u-2r 'i~'t~1- pr_~e--(x-e~.fr ou-cl '~ C~wi~ (~-~ ct~f~~
Q Scr-r~e- ~ ,p r~~'r'a-~ c~
1. Past service on the Youth Center Adviisory Board: Yes ^ No mar f Service:
2. Present participation in Youth Center activities by your children~S~No yes, Please list the names of your children, their
ages, and which prog{'ams. Li t below: r
Child's name: ~"0 ~-V\. ~ O lY'~ Vw Age: ~ ~ Program: ' ~ f "~ ~ i ~
Child's name: ~c'~O ~ ~ ~ ~ 2 ~ ~ ~ Age: ~ Program: ~ 11'u i f~JYY~+`~-~ ~ ~ f ~t._
lt:i.EkV`f„'i(,E.~c~~f~~f:)~if~~tS\t3OAR(7+R~NI? C.C?Mfv1E~1~~(~r~~!:S\(3C; r1(:>~;~fi<::cFti~>r~~)fi26t)Y NE~:4V.~9oc^
.Have you ever been convicted of•lony: Yes ^ or N yes, please expla~detail:
• Do you currently have a violation(s) of City of Miami Beach codes: Yes ^ or No ~y. (f yes, please explain in detail:
. Do you currently owe the City of Miami Beach any moriey: Yes ^'or No If yes, explain in detail
. Are you currently serving on any City Boards or Committees: Yes ^ or No ^. If yes; which board?
• What organizations in the: City of Miami Beach do you currently hold membership in? ~ ~~y.__~___
Name:
Title:
Name: Title:
• List all properties owned or have an interest in, which are
. I am now employed
lam.
33~~a
The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. It is
being asked to comply with federal equa pportunity reporting requirements.
Gender: ^ Male emale
Ethnic Origin: Check one only (1)
^ White (Not of Hispanic Origin): All persons having origins in ~anyof the original peoples of Europe, North Africa or the Middle East.
^ A~can-American/Black (Not of Hispanic Origin): All persons having origins in any of the Black racial groups of Africa.
.-l~ Hispanic: All persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race.
^ Asian or Pacific Islander: All persons having origins in any of the original peoples of the Far East, Southeast Asia, the Indian Subcontinent, on
the Pacific Islands. This area includes, for example, China, India, Japan, Korea, the Philippine Islands and Somoa.
^ American Indian or Alaskan Native: All persons baying origins in any of the original peoples of North America, and who maintain
Cultural identification through tribal affiliation or community recognition.
Yes ^ or No^
Employment Status: Employed 0 Retired ^ Homemaker.~~ Other f~' ~-'°~` ~~ U~~-~
NOTE: If appointed, you will be required to follow certain laws which apply to city board/committee members.
These taws include, but are not limited to, the following:
o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).
o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.1).
o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami
Beach City Code section 2-26).
o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-11.1).
(re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office,
from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself ,
or those with whom you have business or immediate family ties (CFR 570.611).
Upon request, copies of these laws may be obtained from the City Clerk,
"I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2,
Article II -~ the City ode "Sta dards of Conduct for City Officers, Employees and Agency embers."
ASS is t' ignature Date Name of Applicant (PLEASE PRINT)
Please attach a copy of your resume to this application
NOTE: Applications wlll remain on file for a period of one (7) calendar year. R
Received in the City Clerk's Office by : /~~ Date: _/ /2009 Control No~SO~ Date:~~/ 009 /
Name of De uty Clerk
• Pursuant to City Code Section 2-25 (b): Do you have a parent ^, spouse ^, child ^, brother ^, or sister ^ who is employed by the
City of Miami Beach? Check all that apply. Identify the department(s): N~