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Joshua Levy 12/31/2018MIAMIBEACH 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) 673-741 1, Fax: (305) 673-7254 Email CityClerk@miamibeach.gov November 15, 2016 Mr. Joshua Levy 5033 N. Bay Road Miami Beach, Florida 33140 SUBJECT: Committee for Quality Education in Miami Beach Congratulations! You have been reappointed by Commissioner Ricky Arriola to the above referenced, board or committee named above, for a term ending: 12/31/2018. 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 and good luck. Regards Rafael Granado City Clerk cc: Saul Frances, Parking Director Dr. Leslie Rosenfeld, 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 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 committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic commun 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) 673-7411, Fax: (305) 673-7254 Email CityClerk@miamibeach.gov TO: Mr. Joshua Levy 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: 12/31/2018. 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 thclosing of the calendar year on which I have served. Mr. Jos ua Levy Sworn to and subscribed before me this day of DC -e- , 2016. Ramon Quezada 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 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.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) Board Member's Name: —1 (*U l -LO R 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" 2. A "Statement of Financial Interests (Form 1)" 3. A Copy of your latest 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. Updated: Monday, April 20, 2015 Page 4 of 4 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06022014.docx I Ch Date MIAM BEACH Name: DIVERSITY STATISTICS REPORTING boa Board / Committee: a (J got% vcChcc7r) ,so /LPA 4 Appointment Date: P t / 6 / {� Pursuant to City of Miami each rdinance 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 Female Race/Ethnic Categories Wha is your race? African-American/Black Caucasian/White 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 Span h, Hispanic, Latino/a. No LD Yes Do yo - consider yourself Physically Disabled? 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 MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM Lew y Last Namel First Name Middle Initial 5D3) nI gA.7 r2 d /''(,'f*r7 Bc_u.cA 3 3 t `-I o Home Address City State Zip Code $Gs- Sof? 3o5-3rts- too( 3oS - -1'' b5R( Home Telephone Work Telephone Cellular Telephone Email address Business Name Occupation :cid 5 t 4 t- 70o /tit 4tAtt' Business Address Fc City State 3311,43 Zip Code Professional License (describe): Expires: Please attach a copy of currently effective professional license. Pursuant to City Code section 2-22(4)a & b: Members of agencies, boards and committees shall be affiliated with the City. This requirement shall be fulfilled in the following ways: a. An individual shall have been a resident of the City for a minimum of six months; or b. An individual shall demonstrate ownership/interest for a minimum of six months in a business established in the City for a minimum of six months. • Resident of Miami Beach for a minimum of six (6) months: Yes Lor No • Demonstrates ownership/interest in a business in�ami Beach for a minimum of six months: Yes or No I. • Are you a registered voter in Miami Beach: Yes LJ or No • I am now a resident of: North Beach South Beach I .. Middle Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: 114v. M t ,H: DA -dc pig >F.t.40 Pyr -.c,✓ n- c.io 4-0 t h-&% p o i I i c S c 4 fr-e L$ v kR F{ -etc l 1, rr. /1-8 • Are you presently a registered lobbyist with the City of Miami Beach? Yes or No I� Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed by the Office of the City Clerk. ❑ Affordable Housing Advisory Committee ❑ Health Advisory Committee ❑parks and Recreation Facilities Board °o ❑ Art in Public Places Committee ❑ Health Facilities Authority Board ❑ Personnel Board ❑ Audit Committee ❑ Hispanic Affairs Committee ❑ Planning Board** ❑ Board of Adjustment** ❑ Historic Preservation Board * E Police Citizens Relations Committee Bud Advisory Committee 0 Housing Authority ❑ Production Industry Council 0 mmittee on the Homeless 0 Human Rights Committee 0 Sister Cities Program Committee for Quality Education in MB 0 LGBT Advisory Committee ❑ Sustainability Committee 0 Convention Center Advisory Board 0 Marine & Waterfront Protection Authority 0 Transportation, Parking, & Bicycle -Pedestrian Facilities Committee 0 Cultural Arts Council 0 Miami Beach Commission for Women 0 Visitor and Convention Authority 0 Design Review Board * 0 Normandy Shores Local Government Neighborhood Improvement ❑ Youth Commission 0 Disability Access Committee * Board members are required to file Form 1 - "Statement of Financial Interest" with the State. *If you seek appointment to a professional seat (e.g., lawyer, architect, etc.) on the Board of Adjustment, Design Review Board, Historic Preservation Board or Planning Board, attach a copy of your currently -effectively license, and furnish the following information: Type of Professional License License Number License Issuance Date License Expiration Date Page 1 of4 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06142016.docx °O Note: If applying for the Youth Center positions of the Parks and Recreations Facilities Board, please indicate your affiliation with the Scott Rakow Youth Center and/or the North Shore Parks Youth Center: • Please describe your past service with the City's Youth Centers (include dates of service): • Present participation in Youth Center activities by your children: Yes I No [:-.1 If yes, please list below the names of your children, their ages and the programs in which they participate: Child's name: Age: Program: Child's name: ge: Program: • Have you ever been convicted of a felony? Yes Li or No I-.. If yes, please explain in detail: • Do you currently have a violation(s) of City of Miami Beach Code? Yes EZ3 or No If yes, please explain in detail: • Do you currently owe the City of Miami Beach any money? Yes or No L. If yes, explain in detail: • Are you currently serving on any City Board or Committee? Yes IZi or No LA If yes, which board/committee? S itcle A14,41 a ca ch. C- t,* '1'- o'P- Co,— e. -co -CC.. o .✓ C� G C. ✓V Ifo N 4,1r't.� 4 1 d:: • In what organization(s)ioin the City of Miami�Beach do you currently hold membership? Bvd Ad. -I M' &ca� C. K4-µ i a.Jl o� rr oMM a Le i c •c. �- KIF-T� NamePosition /4 t...• b -caw I't?A 8f-4cri `� a6Aa asstC AT do4t 4. Name Position • List all properties owned or in which you have an interest within the City of Miami Beach: a 3 3 1`r "L", 2� M b,Ft 3 3l `"° • Are you now employed by the City of Miami Beach? Yes I._. or No Which department and title? • Pursuant to City Code Section 2-25 (b): Do you hay a parent , spouse , child I_i brother or sister who is employed by the City of Miami Beach? Yes or No If "Yes," identify person(s) and department(s): The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. It is beipg asked to comply with City diversity reporting requirements. Gender: Male Female Li Race/Ethnic Categories What is your race? rican-American/Black Caucasian/VVhite Asian or Pacific Islander Native-American/American Indian Page 2of4 F \CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06142016.docx D. Other — Print Race: Do yo 'consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No" box if not Spanish, Hispanic, Latino/a. INo Yes Do y9G consider yourself Physically Disabled? No Yes NOTE: IF APPOINTED, YOU WILL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT APPLY TO CITY BOARD/COMMITTEE MEMBERS. THESE LAWS INCLUDE, BUT ARE NOT LIMITED TO: 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 the 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). o 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). o Sunshine Law - Florida's Government -in -the -Sunshine Law was enacted in 1967. Today, the Sunshine Law regarding open government can be found in Chapter 286 of the Florida Statutes. These statutes establish a basic right of access to most meetings of boards, commissions and other governing bodies of state and local governmental agencies or authorities. o Voting conflict — Form 8B is for use by any person serving at the county, city or other local level of government on an appointed or elected board, council, commission, authority or committee. It applies equally to members of advisory and non -advisory bodies who are presented with a voting conflict of interest under Section 112.3143, Florida Statutes. 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 I HAVE RECEIVED, READ AND WILL ABIDE BY CHAPTER 2, ARTICLE VH, OF THE MIAMI BEACH CITY CODE, ENTITLED "STANDARDS OF CONDUCT FOR CITY OFF CERS, EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND/OR STATE LAWS AND STATUT:d• ACC. -DINGLY." App cant's Signature Received in the Office of the City Clerk by: D to 104)401 1761444-6 Name of Deputy Cler oL Name of Applicant (PLEASE PRINT) 71/0/6 Control No. VV/7;( ATTACH A CURRENT RESUME, PHOTOGRAPH AND A COPY OF ANY APPLICABLE PROFESSIONAL LICENSE. ATTACH ADDITIONAL SHEETS, IF NECESSARY, TO PROVIDE REQUIRED INFORMATION. Page 3 of 4 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06142016.docx MIAMI BEACH City of Miami Beach 1700 Convention Center Drive, Miami Beach, Horida 33139, www.miamibeachfl.gov OFFICE OF THE CITY CLERK 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) Board Member's Name: 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" 2. A "Statement of Financial Interests (Form 1)" 3. A Copy of your latest Federal Inconte 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. Signatur) Updated: Tuesday, October 04, 2016 Page 4 of 4 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06142016.docx Date Profile: Joshua M. Levy 5033 North Bay Road Miami Beach, Florida 33140 305-799-0991 JLevypglaw@gmail.com o Substantial Experience in Representing Clients on Insurance Litigation, Construction Litigation, Labor, Employment (FMLA, ADA, FLSA, EEOC), and Workplace Safety o Significant Jury Trial Experience in State and Federal Court o Prolific Deposition and Discovery Experience o Seven Years as Managing Partner of Law Firm's Miami Office o Drafting and Negotiating Contracts o Frequent Lecturer on Legal Issues Professional Experience: Pardo Gainsburg, PL Attorney January 2009 - Present Partner, Practice Areas: Insurance Litigation, Construction Litigation Fair Labor Standards Act, Employment Litigation, Complex Business Litigation, General Liability, Workers' Compensation, Premises Liability, Silver, Levy, Feldman, Bass and Brahams, P.A. (Began as Davis, Silver and Levy, P.A.) Attorney June 1996 - December 2008 Founding Partner, Managing Partner Miami Office Practice Areas: General Liability, Insurance Defense, Workers' Compensation, Premises Liability, Auto Liability, Construction Litigation, Fair Labor Standard Act, Employment Litigation, Complex Business Litigation Education: University of Miami School of Law Juris Doctorate 1993 University of Wisconsin, Madison Bachelor of Arts Degree 1989 Ealing College, London September 1987 - May 1988 Leadership Positions and Community Memberships: o Board Member of Miami Beach Bar Association o Member of the Quality for Education Committee for the City of Miami Beach o Representative of Miami Beach Chamber of Commerce on the Advisory Board for the Miami Beach Convention Center o Member of the Executive Board of Governors of the Miami Beach Chamber of Commerce o Recently revived Upper North Bay Road Homeowners' Association Sample Trial and Appellate Cases: Sandra Chapman v. Nations Bank Tuck v Bank of America -40p. -11:116 - -41:1110 -10•• "lalW '40111W 10". IP,. .1> App. •