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Gregg Chislett Application Package (2)Chislett Gregg NAME: Last Name First Name Middle Initial 1658 Bay Road Apt#702 Miami BeachHOME ADDRESS: Apt No.Home No./Street City Florida 33139 State Zip Code 210-862-7202PHONE: Home Work gnchislett@me.com Email Address Street Same as home City State Zip Code Address: Position:Business Name:Retired/Part-time Consultant 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/interest for a minimum of six months in a business established in the city. YesƔ5HVLGHQWRI0LDPL%HDFKIRUDPLQLPXPRIVL[  PRQWKV Ɣ'HPRQVWUDWHDQRZQHUVKLSLQWHUHVWLQDEXVLQHVVLQ0LDPL%HDFKIRUDPLQLPXPRIVL[  PRQWKV Ɣ$UH\RXDUHJLVWHUHGYRWHULQ0LDPL%HDFK Ɣ 3OHDVHcircle one): I am now a resident of: Ɣ,DPDSSO\LQJIRUDQDSSRLQWPHQWEHFDXVH,KDYHVSHFLDODELOLWLHVNQRZOHGJHDQGH[SHULHQFH3OHDVHOLVWEHORZ Ɣ$UH\RXSUHVHQWO\DUHJLVWHUHGOREE\LVWZLWKWKH&LW\RI0LDPL%HDFK" No Yes South Beach No Previously served on a city board for 10 years in Texas 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 City Clerk’s Office. (Regular Boards of City) Choice 1: Choice 2: Choice 3: Sustainability Committee Transportation, Parking, Bicycle-Pedestrian Facilities Committee Board of Adjustment No2. Present participation in Youth Center activities by your children Note: If applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: No Years of Service: ages, and which programs. List below: if yes, please list the names of your children, their CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM * 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 _______________________ Name Title Miami Design Preservation League Member NoƔHave you ever been convicted of a felony:If yes, please explain in detail: ƔDo you currently have a violation(s) of City of Miami Beach codes:No If yes, please explain in detail: ƔDo you currently owe the City of Miami Beach any money:No If yes, please explain in detail: ƔAre you currently serving on any City Boards or Committees:No If yes, which board? ƔWhat organizations in the City of Miami Beach do you currently hold membership in? ƔList all properties owned or have an interest in, which are located within the City of Miami Beach: Property 1658 Bay Road APT 702 ƔI am now employed by the city of Miami Beach:No Which department? 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 equal opportunity reporting requirements. MaleGender: Physically Challenged:No White Race/Ethnic Categories What is your race? Mark one or more races to indicate what you consider yourself to be. Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino.No NOTE: If appointed, you will be required to follow certain laws which apply to city board/committee members. These laws 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 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 VII – of the City Code “Standards of Conduct for City Officers, Employees and Agency Members.” I Gregg Chislett agreed to the following terms on 12/17/2017 9:00:03 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date Gregg Chislett Summary of qualifications A senior leader and veteran with over 30 years of experience working in the Public Works, Architecture, Engineering and Construction industries, managing facilities, projects, budgets and environmental impacts across the United States and overseas. Professional experience Deputy Director of Logistics and Facilities/Director of Public Works; US Army Installation Management Command, 2010 to 2016 • Served as a key leader in a US Army HQs responsible for providing Command and Control for US Army Installations worldwide. • Directly managed and supervised a team of facilities and public works professionals in the execution of a $15 billion annual budget in support of infrastructure repairs, capital improvements, master planning and environmental activities. Director of Facilities; US Army Medical Command, 2007 to 2010 • The advisor to the US Army Surgeon General on all medical facility, engineering and installation management issues. Military Officer; US Army, 1982 to 2003 • Served as an Engineer Officer in various leadership and staff positions of increasingly greater responsibility throughout the United States and overseas, to include US Army Corps of Engineers and City level Director of Public Works Community Involvement • City of Alamo Heights, Texas: Planning and Zoning Commission and Board of Adjustments, 2006 to 2016 Education Masters Degree: Civil Engineering 1990 Georgia Institute of Technology Bachelors Degree: Architecture 1982 University of Miami 1658 Bay Road Apt 702 Miami Beach, FL 33139 Phone (210) 862-7202 E-mail: gnchislett@me.com