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Monica Harvey 12/31/2014 r 1 h 17- i City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfi.gov OFFICE OF THE CITY CLERK, Rafael Granada,City Clerk Tel: (305)673-7411, Fax: (305)673-7254 Email CityClerk @miamibeach.gov 02-06-2013 Monica Harvey 9 Island Ave #603 Miami Beach, Florida 33139 SUBJECT- „y; Miami Beach Human Rights Committee Congratulations! You have been appointed by the City Commission to the agency, board or committee named above for a term endin 12/31/2014. Pursuant to Ordinance No. 2006-3543, commencing with terms beginning on or after January 1, 2007, the term of board members who are directly appointed by a member of the City Commission shall automatically expire on December 31 of the year the appointing elected official leaves. If you are unable to accept this appointment or have any questions, please call the City Clerk's Office at 305-673-7411. Please read the enclosed materials carefully. Congratulations again and good luck. Sincerely, Rafael E. Granado City Clerk cc: Saul Frances, Parking Director Ralph Granado 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, 2-458 and 2-459 Ordinance No.2006-3543-Amendment to City Code Section 2-22 Miami-Dade County Code Section 2-11.1 -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 Employee We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov OFFICE OF THE CITY CLERK, Rafael Granada,City Clerk Tel: (305)673-741 1, Fax: (305)673-7254 Email CityClerk @miamibeach.gov TO Monica Harvey RE: Miami Beach Human Rights Committee 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: 12/31/2014. 1 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 the Florida Commission on Ethics Guide to the Sunshine Amend- ment and Code of Ethics for Public Officers 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*requirements of Miami-Dade County or ithe State of Florida (depending on the board or committee on which I serve)on July 1, following the closing of the calendar year on which I have served. Monica Ha ey Sworn to and subscribed before me this day of 013. Y Silvia Prieto Deputy Clerk *Please visit the City of Miami Beach website at www.miamibeachfi.gov under City Clerk/Board and Comm for additional information regarding the Financial Disclosure Requirement We are committed to providing excellent public service and safety to all who live, work and play in our vibrant,tropical, historic community. MIAMI BEACH CITY OF MIAMI BEACH PA BOARD AND COMMITTEE APPLICATION FORM NAME: st Na First ame iddle Initial HOME ADDRESS: ouse No./Street d y to Z e .P-1 -3 PHONE: )3 Home Work ' Fax Email address Ae v Business Name: Position: Address: Ap i No. Peofsonal Licnse(descre) � tat Zip Code Expes: Attach a copy of the license 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: 65 an individual shall have been a resident of the city for a minimum of six months;or b)an Individual shall demonstrate ownersh4)finterest for minimum of sic months in'a business established in the city. •Resident of Miami Beach for a minimum of six(6)months:Y or No ❑ •Demonstrate an ownersho interest in a business'r iami Beach for a minimum of six(6)months:Yes 11 or No •Are you a registered voter in Miami Beach:Yes orb No ❑ •(Please gee one):I am now a resident of: North Beach Be Middle Itch •I am applying for an appointment because I have sp ial abilities,k 16i Please list below: •Are you presently a registered lobbyist with the City of Miami Beach?Y99 # Please list your preferences in order of ranking[t]first voice[2]second choice,and(3]third choice. PlgM pgk that only see 3 choISM MdII be observed by the City Clerks Offlce.(kegular Boards of City) ❑Affordable Housing Adviso Committee I O Marine Authority 0 Art in Public Places Committee I _.Jglami Bead Commission for Women ❑Beautification Committee VAJami Beach Cultural Arts Council O Board of Ad ustment' I Miami Beach Human Rights Committee 0 Bu et Advisory Committee I 0 Miami Beach Sister Cities Program 0 Capital Improvements Projects Oversight Committee 0 Normandy Shores Local Government Neigh. Improvement ❑Committee on the Homeless 0 Parks and Recreation Facilities Board 0 Committee for Qua] Education in MB I 0 Personnel Board 0 Community Development Advisory 0 Planning Board' 0 Commun&Relations Board I 0 Police Citizens Relations Committee O Convention Center Advisory Board I 0 Production Induft Council O Debarment Committee I 0 Public Sg&Advisory Committee O Design Review Board* I 0 Safety Committee ❑Disability Access Committee I 0 Single Family Residential Review Panel ❑Fine Arts Board I 0 Sustainabdily Committee O Gay,Lesbian Bisexual and Tran ender(GWT) O Transportation and Parking Committee O Golf Adviso Committee 1 0 Visitor and Convention Authority 0 Health Advisory Committee I ❑Waterfront Protection Committee 0 Health Facilities Authority Board I 0 Youth Center Advisory Board O Hispanic Affairs Committee O Historic Preservation Board 0 Housing Authority 0 Loan Review Committee I "Board ulred to File State Disclosure Forms Note:If applying for Youth Advisory Board,please indicate your affiliation with the Scott Rakow Youth Center 9.Past service on the Youth Center Advisory Board:Yes]No❑ Years of Service: 2. Present participation in Youth Center activities by your children Yes❑ No❑. If yes, please list the names of your children, their ages,and which programs.Ust below. Child's name: Age: Program: Child's name: Age: Program: FACLER\$ALL\oFORMS\BOARD AND COMMITTEES\BC Appli lation.doc . I •Have you ever been convicted of a felony:Yea 0 or No If yes,please'explain in detail: • Do you currently have a violation(s)of City of Miami Beach codes:Yes 0 or No .if yes,please explain in detail: I •Do you currently owe the City of Miami Beach any money:Yes 0 or No Kif yes,explain in detail • l Are you currently serving on any City Boards nor Committees:Yes or No 0. if es;which r_nkR1CY1f)P rrz. �_0 lv% •What organizations in the City of Miami Beach do you currently hold membership in? Name. A I Title. Name: Title: •List all pro roes owned or have an interest in,which are located within the City of Miami Beach: AMA- I •I am now employed by the City of Miami Beach:Yea 0 or Which department? •Pumuant to C Code Section 226(b):Do you have a rent ❑ spouse❑ child❑ hY ( ) Y , pa po ,brother o,or sister o who is employed by the City of Miami Beach?Check all that apply.identify the d'partment(s): The following Information to voluntary and Is neither part of your application nor has any bearing on your consideration for appolntment. it is baling asked to eomply with federal equal opportunity ng requirements. Gender: ❑ Male emale Ethnic Origin: Check one only(1) ❑White (Not of Hispanic Orion):All persons having origins in any of the original peoples of Europe,North Africa or the Middle . un>pe East ❑Afrisan4mericardBi wit (Not of Hispanic Origin):All persons having origins In any of the Black racial groups of Africa. Hispanic: All persons of Mextc an,Puerto Rican,Cuban,Central or South American,or other Spanish cu1jure or In, D Asian or Pacific Nlander.AD �9 regardless of race. persons having origins in any of the original peoples of the Far East,Southeast Asia,the Indian Subcontinent,on the Pacific Ise ands. This area includes,for example,China,India,Japan,Korea,the Philippine Islands and Somoa. ❑Aneerltaan Indian or Alasfcan Native: All persons having iorigins in any of the original peoples of North America,and who maintain Cultural identification through tribal affiliation or community recognition. ' i Physically Challenged: Yes o or N � Employment Status: Employed❑ Retired❑ I Homemaker❑ Other❑ i NOTE: If appointed,you will be required to follow certain laws which apply to city board/eommittee rnernbenL These laws include,but are not limited to,the following: o Prohibition from directly or indirectly lobbying lcity personnel(Miami Beach City Code section 2459). • Prohibition from contracting witi the city(Miami-Dade County Code section 2-11.1). ' • 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). 1 i • Requirement to disclose certain financial interests and gifts(Miami-Dade County Code section 2-11.1). i (re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office, i 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#11986 laws may be ob�lned from the City Clerk. i hereby:fft�M to the ac curacy and truthfulness Iof the application and have received,mad and will abide by Chapter 2, Cie VII he t ty "Standards of Co ct r City Officere,Employees and Agency M tubers." I N lcanre Bi natur® 1 _Ucry g Date N rre of Applicant(PLEASE PRINT) • Pleasi atteeB+.e . your resume to on NOTE:... . ..... one wlll.re In on file for s.p®alod of one(1) r r year: LA V Received In the City Clerk's Office by: Date: /( Control No. Date: Name of De Clerk . I r 4 Monica Harvey 9 Island Avenue,#503 Miami Beach,FL 33139 305.790.1234 tnonica @monicaharvey.com I am very interested in serving on the Human Rights Commission for which I am submitting this resume. I am a graduate from Miami Dade College and have been a resident of Miami Beach since 1980. Work History: 1982-1992-Manager of a Plastic Surgery Center in Miami 1992—1993--Self-employed/Catering Company 1993-Present—Realtor at Esslinger Wooten Maxwell International Realty. Activities: I was an activist is Chile in tht early 1970s. I vas appointed to the Miami Beach Community Relations Board and served from 2002-2006. I volunteered at the Children's Home Society for several years.(1998- 2004) I am currently a member of the ACLU Police Practices Committee.Our main purpose is to monitior police practices in regards to minorities, particularly during Memorial Day weekend in Miami Beach. I am currently serving in the Miami Beach Commission for Women. I volunteer and partic ipate in other events in an unofficial capacity. Actrivism is in my heart. M I A M I•DADE ® SOURCE OF INCOME STATEMENT Please Print or Type First Name Middle Name/Initial Last Name Disclosure ��� r �r�� For Tax Year Name: -- �` l� Ending: Z f)l Mailing Address: c`7 City/State/Zip: e l r• Filing as a: ® County Employee: ® Municipal Employee of: Position held or sought: Board where serving: tfLI�� s Term or Employm nt Began on. ( / Department where employed: Work Address: If your home address is exempt from public records pursuant to Florida Statutes§119.07 please check here(read instructions): ® Work Telephone: Home Address: Street Address City State Zip Code Please list below in descending order with the largest source first, the name, address and principal business activity of every source of your income including public salary you received or any person received for your benefit or use during the disclosure period. The income of your spouse or any business partner need not be disclosed. If continued on a separate sheet,check here: caption of the Principal' Name-of.Source of ome Addr ss' s'AdiVltv Active I hereby swear (or affirm)that the aforesaid information is a true and correct statement. Signature of person disclosing Date signed 10 1 ail BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach,Florida 33139, www.miamibeochfl.pov CITY CLERK Office CityClerk @miamibeachfl..gov Tel: 305.673.741 1 , Fax: 305.673.7254 Acknowledgement of fines/suspension for Board Members for.failure to comply with Miami-Dade County Financial-Disclosure Code Provision Code .Section 2-11 .l.M -.(2} Board Member.name: �e I understand that no .-later-than July 1, of each year all members of.Boards and Committees of the .City of Miami Beach, including those of a purely advisory nature, are required to comply with Miami-Dade County Disclosure Requirements. This means that-the -members of-City Advisory:Boards, whose.soie -or primary responsibiiity -is to recommend iegislation or give advice to-the City Commission,-must-ftle,:even-though you mayhave..been recently appointed. you must file One of-the-following with the City Clerk of Miami Baach,-1700 Convention Center.Drive, Miami Beach, Florida, by.July 1 -each:year. -1. A"Source of..Income Statement' (attached)or 2. A"Financial Statement' (attached(or] 3. A Copy'of the person's current'Federal Income Tax'Return Failure to file, according:to-the NiialirI-Dade:County Go.de Chapter I General Provision, Section I Z.-nay subject the person-or firm to a f ne not to exceed .$500.00 or by imprisonment'in the county.}ail fora period not to exceed sixty days, or both. .Signature: .Date: