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Miguel Brizuela 12.31.2017 MIAMIBE : City of Miami Beach,1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov OFFICE OF THE CITY CLERK, Rafael Granado,City Clerk Tel:(305)673-7411,Fax:(305)673-7254 January 07, 2016 Miguel Brizuela 6365 Collins Ave. # 1601 Miami Beach, Florida 33141 SUBJECT: Hispanic Affairs Committee Dear Miguel Brizuela: Congratulations!You have been appointed by Commissioner Micky Steinberg to the agency, board or committee named above fora term ending: 12/31/2017. Pursuant to City of Miami Beach Code Section 2-22 (5)a,"Notwithstanding any other provision of the City Code or of any resolution, commencing with terms beginning on or after January 1, 2007, the term of every board member who is directly appointed by a member of the City Commission shall automatically expire upon the latter of: December 31 of the year the appointing City Commissioner leaves office or upon the appointment/election of the successor City Commission member." If you are unable to accept this appointment, or have any questions, please call the Office of the City Clerk at 305.673.7411. Please read the enclosed materials carefully. Congratulations again and good luck. Regard_ • Rafael Granado City Clerk cc: Saul Frances, Parking Director Nannette Rodriguez, City 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, 2-458 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 City Wide Permit Application - (Parking Department Form) Booklet- Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees 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,1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.aov OFFICE OF THE CITY CLERK,Rafael Granado,City Clerk Tel:(305)673-7411,Fax:(305)673-7254 TO: Miguel Brizuela RE: Hispanic Affairs 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: 12/31/2017. 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 Florida Commission on Ethics Guide to the Sunshine Amendment and Code of Ethics for Public Officers 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 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. ■ Miguel Brizuela Sworn to and subscribed before me this � day of 2016. Deputy Clerk eavv70 vJ c/v€7.f/'4.. *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 to providing excellent public service and safety to all who live, work and play in our vibrant,tropical,historic community. MIA MIDADE CD SOURCE OF INCOME STATEMENT Disclosure for Tax Year Ending Last Name First Name n Middle Name/Initial 201.4 2..)) z v g / Mailing Address—Street Number,Street Name,or P.O.Box 6(8(a S- T xrG #Z3 City,State,Zip ID Number • , , P Vt'<<a 41 F I- If your home address is your mailing address, and your home address is exempt from public records pursuant to Fla.Stat.§119.07,read instructions on the following page and check here.❑ Filing a�an FrnpTnyee E County Employee L Municipal Employee, Name of Municipality: Position held or sought Department where employed Work address Work telephone Term began on Filing as a Board Member County Board Member [ R+lunicipai Board Member, Name of Municipality: re1-.rcLt Board where serving /—// 4 ep g , </kv Work address Work telephone !Term began on List below every source of income you received,along with the address and the principal activity of each source. Include your public salary.Place the sources of income in descending order,with the largest source first.Also, include any source of income received by another person for your benefit. However,the income of your spouse or any business partner need not be disclosed. If continued on a separate sheet,check here.— Name of Source of Income Address I Description of the Principal Business Activity S VlAta I. F - 911'73 i tt0,2 t 2 Z CIc l.( /au. In/_1 Olt -4 4 I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT: ❑ Hardcopy ❑ Electronic Copy Sign t re of person disclosing ~VIA - c111/ Print n • e Date signed OFFICE USE ONLY Accepted: Y r N Deficiency: processed Detellniiials: Scanned Date/Initials: 13s sP-7 G 2/13 CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM BrizuelaMiguelA NAME: First Name Last Name Middle Initial Florida33141 HOME ADDRESS : 6365 Collins Ave. # 1601Miami Beach Home No./StreetState Apt No.City Zip Code mab@mbrizuela.com 305-985-6195 PHONE : WorkEmail Address Home Attorney Business Name: Miguel A. Brizuela, P.A. Position: 2665 S. Bayshore Dr. Ste. 220 MiamiFlorida33133 Address: State CityZip Code Street Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards, and committees shall be affiliated requirement shall be fulfilled in the following ways: a) an indi   months; or b) an individual shall demonstrate ownership/interest Yes No No circle one): I am now a resident of: North Beach No 123Please note that only three (3) Please list your preferences in order of ranking [] first choice [] second choice, and [] third choice. choices will be observed by the City Clerk’s Office. (Regular Boards of City) Choice 1:Hispanic Affairs Committee Choice 2:Affordable Housing Advisory Committee Choice 3: Note: If applying for Youth Advisory Board, please indicate your aff 1. Past service on the Youth Center Advisory Board: No Years of Service: if yes, please list the names of your children, their No 2. Present participation in Youth Center activities by your chil ages, and which programs. List below: No Have you ever been convicted of a felony:If yes, please explain in detail: Do you currently have a violation(s) of City of Miami Beach code No If yes, please explain in detail: Do you currently owe the City of Miami Beach any money:No If yes, please explain in detail: No Are you currently serving on any City Boards or Committees:If yes, which board? What organizations in the City of Miami Beach do you currently h List all properties owned or have an interest in, which are loca I am now employed by the city of Miami Beach:No Which department? The following information is voluntary and is neither part of yo being asked to comply with federal equal opportunity reporting r Gender:none Race/Ethnic Categories What is your race? Mark one or more races to indicate what you consider yourself t none Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spani No No Physically Challenged: NOTEIf appointed, you will be required to follow certain laws which :   These laws include, but are not limited to, the following:    Prohibition from directly or indirectly lobbying city personnel o    Prohibition from contracting with the city (Miami-Dade County Co o    Prohibition from lobbying before board/committee you have served o Beach Code section 2-26).    Requirement to disclose certain financial interests and gifts (M o (re: CMB Community Development Advisory Committee):  prohibiti from having   any interest in or receiving any benefit from Co or those with whom you have business or immediate family ties Upon request, copies of these laws may be obtained from the “I hereby attest to the accuracy and truthfulness of the applica VII – of the City Code “Standards of Conduct for City Officers, I Miguel Brizuela agreed to the following terms on 1/6/2016 10:0 Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date Miguel A. Brizuela 6619 S. Dixie Hwy. # 237, Miami, Florida 33143 305-985-6195 mab@mbrizuela.com Education: University of Michigan Law School Ann Arbor, Michigan Juris Doctor, 2005 Associate Editor, Michigan Journal of International Law Officer (Secretary), Latino Law Student Association Member, Latino Law Student Association Study Abroad, Beijing, China Intramural Sports Bowdoin College Brunswick, Maine Bachelor of Arts, 2001 President, Latin American Student Organization Member, Student Judiciary Committee Representative, Student Assembly Intern, United States Senator, State of Florida, Bob Graham Intern, Maine Study Abroad, London, United Kingdom Bowdoin College Squash Team Technician, Bowdoin College Audio Visual Department Outing/Outdoorsman Club Intramural Sports Awards: Selected for inclusion as Super Lawyer, Rising Star for publication year 2013 Selected for inclusion as Super Lawyer, Rising Star for publication year 2014 Selected for inclusion as Super Lawyer, Rising Star for publication year 2015 Selected for inclusion as Super Lawyer, Rising Star for publication year 2016 Board Certification by the Florida Bar: Construction Law Experience: Miguel A. Brizuela, P.A. Miami, Florida Attorney 2015 - Present Represent companies in a variety of business disputes. Perform all phases of motion practice, discovery, trial preparat Petition Department of Homeland Security for immigrant and non-immigrant visas on behalf of employers and individuals. Lydecker|Diaz Miami, Florida Associate 2013 2015 Engaged in all aspects of business litigation, from inception of the lawsuit to conclusion. Experience includes drafting correspondence, pleadings, motions to dismiss, production requests, interrogatories, requests for admission, responding to written discovery requests, taking and defending fact and expert witness depositions, motions for summary judgment, motions in limine, preparing proposed orders and judgments, expert and fact witness lists, exhibits lists, jury instructions, pretrial memoranda, settlement agreements, releases, stipulations, presenting oral ainteracting with clients and opposing counsel,. Conducting complex factual and legal analysis associated with litigation. Assisting in the coordination and conduct of litigation cases. 1 Taylor Vega, P.A./ Vezina, Lawrence & Piscitelli, P.A. Coral Gables, Florida Associate 2011 2013 Responsible for all aspects of business litigation and constructg being second chair in trials and evidentiary hearings. Actions primarily revolved around breaches of contract, unjust ement, construction lien foreclosure, construction defect litigation, municipal authority under the Fl equitable subrogation, insurance coverage, and defense and prose bond claims. Experience included drafting correspondence, pleadings, motions to dismiss, motions for more definite statement, production requests, interrogatories, requests for admission, motions for summary judgment, motions for judgment on the pleadings, motions for sanctions, pre and post trial memorandum for submission to court, exhibits lists, fact and expert witness lisappellate initial, answer, and reply briefs, motions for new trial, revising contracts, interacting with clients and opposing counsel, deposing and defending fact and ex argument before tribunals. Fullerton George, LLP Coral Gables, Florida Associate 2008 2011 Significant responsibilities in connection with handling large c commercial litigation matters, including shareholder disputes, bFair Labor Standards Act litigation, business torts, construction litigation, employment litigation, creditors rights, and insurance coverage. Duties included drafting pleadings, legal research and writing, preparing dispos hearings, drafting and responding to discovery, depositions, motion practice, appellate advocac interacting with clients and opposing counsel, mediation, and ar Miguel A. Brizuela, P.L. Miami, Florida Managing Member 2007 2008 As solo practitioner, completely responsible for handling large litigation matters, including breach of contract actions, busineors rights. Entirely responsible for drafting pleadings, legal research and attending hearings, discovery, motion practice, appellate advoca opposing counsel. 1 The law firm Taylor Vega, P.A. is the former Miami office of Vezina, Lawrence & Piscitelli, P.A. 2 Shutts & Bowen, L.L.P. Miami, Florida Associate/Summer Associate 2005, 2006 2007 Drafted pleadings, motions to dismiss, motions for summary judgment, and dispositiv propounded and responded to written discovery; researched legal issues, prepared legal memoranda, and communicated with clients. Bar Admissions: Florida Supreme Court (2006) United States Court of Appeals, Eleventh Circuit (2010) United States District Court, Southern District of Florida (2006) United States District Court, Middle District of Florida (2010) United States District Court, Northern District of Florida (2010 Bankruptcy, United States District Court, Southern District of F Languages Spanish (fluent at reading, writing and speaking) 3 A yj rva3, �.an `3 k i / X1 3 •�. . j i �`�, k ra City of Miami Beach 1 700 Convention Center Drive, Miami Beach, Florida 33139, w'ww.m lam ibeachfl.gov CITY CLERK'S OFFICE CityClerk @miamibeachfl.gov Telephone: 305.673.7411 Fax: 305.673.7254 • Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami- Dade County Financial Disclosure Code Provision Code Section 2-11.1(i) (2) tieP /6 iv Board Member's Name: z e4 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 Financial Disclosure Requirements. This means that the members of City Advisory Boards, whose sole or primary responsibility is to recommend legislation or give advice to the City Commission, must file, even though they may have been recently appointed. One of the following forms must be filed with the City Clerk of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida, no later than 12:00 noon of July 1, of each year. 1. A "Source of Income Statement" For your convenience, the form is attached. The form can also be downloaded at: http://www.miamidade.gov/elections/Library/source of income statement.pdf 2. A "Statement of Financial Interests (Form 1)" For your convenience, the form is attached. The form can also be downloaded at: http://www.ethics.state.fl.us/ethics/forms.html 3. A Copy of your 2013 Federal Income Tax Return - Failure to file one of these forms, pursuant to the Miami-Dade County Code, may subject the person to a fine of no more than$500, 60 days in jail or both. l / ( r Sign.:t re Date Updated:Wednesday,April 09,2014 Page 4 of 4 F:\CLER\SALL\aFORMS\BOARD AND COMfviITTEES\BC APPLICATION REVISED.docx MIAMI ot I . DIVERSITY STATISTICS REPORTING Name: H.( q u4 6 r I z v of a Board / Co mmittee: �// "1--t.c7 / rs a �� Appointment Date: f /( Pursuant to City of Miami Beach Ordinance 2009-3632, the City is required to annually prepare and present a report to the City Commission identifying the City's diversity statistics. This form allows board and committee applicants and members to voluntarily self-identify their race, ethnicity, disabled status and gender. Please check the appropriate box for each category: • Gender: Male E Female L_li Race/Ethnic Categories What is your race? African-American/Black �.-.�-'�. Caucasian/White Ca Asian or Pacific Islander Native-American/American Indian Other— Print Race: Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No"box if not Spanish, Hispanic, Latino/a. LD No Yes Do you consider yourself Physically Disabled? in No Yes C:\Users\CENTFraN\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\NP4J9CNX\BC minority information form 05-20-13 FINAL.doc Updated: Monday,January 26,2015