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Richard T. Hall Application PackageCITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM HallRichardT NAME: First Name Last Name Middle Initial FL33139 HOME ADDRESS : 1127 Euclid AveMiami Beach Home No./StreetState Apt No.City Zip Code rhall@accbrokers.com 30596871703055774270 PHONE : WorkEmail Address Home Commercial Ins Business Name: ACC Hall International Position: 200 SE 1st St Suite 200 MiamiFL33131 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 Yes Yes circle one): I am now a resident of: South Beach Commercial, Business, Boating, Insurance has operational manage 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:Design Review Board Choice 2:Miami Beach Sister Cities Program Choice 3: Marine and Waterfront Protection Authority 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:Male Race/Ethnic Categories What is your race? Mark one or more races to indicate what you consider yourself t White 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 Richard Hall agreed to the following terms on 6/17/2016 11:58: Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date RICHARD T. HALL, CPCU President, ACC Hall International, Inc CURRENT POSITION: President of ACC HALL INTERNATIONAL, INC. since 1992 st ACC Hall International is an insurance brokerage firm located at 200 SE 1 Street, Miami Florida specializing in corporate insurance. Business units include: BioInsure –insurance and risk management for life science firms, TechologyinsuranceHQ –insurance for technology companies, QuickNSure –insurance for “micropreneurs” and Geothermal Insurance –investment in alternative energy. BUSINESS EXPERIENCE: January, 1978 to April, 1993: Various positions at international brokerage firms analyzing risk and placing insurance coverage fo multinational clients. EDUCATION: University of Michigan, Bachelor of Business Administration, 1978. Received Chartered Property and Casualty Underwriter (CPCU) desi 1980. Licensed in Property & Casualty, Surplus Lines, Life and Variabl PROFESSIONAL AND COMMUNITY ACTIVITIES PAST AND PRESENT: Bio-Florida, Director Biscayne Bay Yacht Racing Association, Director Miami Yacht Club,Treasurer,Race Chairman st 200 SE 1Street Suite 601, Miami, FL 33131-3143 Telephone 305-968-7170-Email rhall@accbrokers.com