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Islam, Mohammed ISLAM, Mohammed This page is intentionally left blank MIAMI BEACH CITYCOMMISSIONGROUPIVrt^RMGrAPPLICATION prn lI44 n^- fThis applicationformisrequiredaspartoftheCityCommissionGroupIV2lc9frQpthiatl&Vubmittal. ThecompletedapplicationMUSTaccompanyyourletterofinterest, currentresume„phxtggraph,:andCityof MiamiBeachoath. Youmayattachadditionalsheets, ifnecessary, toprovidetherequiredinformation. See theNoticeofCommissionVacancyforadditionalinformation. Is1-. n4- 1 Mo14,q-r-IHf-17 RAFl© 1— LastName FirstNameMiddleInitial 1004-1 r ARRIT2 Dt21vE #3 MI/r(4I 13goctt St.eP4tw5314I Home Address City State ZipCode tt- 30"3 - 340} molcww,rme4.161.owr, lei([cD . cww-tam) .l • CellularTelephoneEmailAddress1 t124,---esSlASLR.+Y ( ElII) Business Name 1 2 Occupakon Sal{ R2,60e Businessddress City State ZipCode Have youbeen aresident of MiamiBeachfor aa,minimumofone year? I1d” Yes No Are youaregisteredvoterinMiamiBeach? L7Yes No Florida VoterRegistrationNumber(located onyour voterinformation card): IO, 1124A1tLt Are youpresently aregisteredlobbyist withtheCity of MiamiBeac ? YesL1YNo Have youeverbeen convictedofa felony? Yes Haveyoubeenisedaviolation(s) oftheCityofMiamiBeachCodethatremainsopenorpending? YesNo If yes, pleaseexplainindetail: N1• A- • Do you currently owetheCity of MiamiBeach anymoney? YesL7No If yes, please explainindetail: f,1 • A Page1 of3 Inwhatorganization(s) inMiamiBeachdoyoucurrentlyholdmembership? DewAecyeA)C- 15C-671to cll b - Neu': ; '- OrganizationName Position e'n10EC20PM1: 06 OrganizationName Position ListallpropertiesownedorinwhichyouhaveanownershipinterestinMiamiBeach: 10o41 f1/21`aYn}3 .Drive / µ aw ., i'-,tact. ft_ -7,3141 - 4) £siMItcc..c,k. fL-3314j How long have you livedinMiamiBeach? 21 25 Have youservedon anyCity ofMiamiBeachBoard(s)orCommittee(s)? 1L`( 1 Yeess _] No 1 If yes, whichBoard(s)orCommittee(s)? S(ii$' n LtdlTt- y,L1La-Srf- C6•+f4 fVV What wereyourcontributionstotheBoard(s)or'Committee(s)?_' AS be-t n tott.n/thl W S c-tty iW1 4,sta OtM LAA-;-irte, coo 1 WhyareyouinterestedinservingontheCityCommission?1AMA_ 5,1-raide.A-c-1: 2-n"- kaDA Wall , AyA.LILLAA4-n6/ otrs9-ti.aj >`9 i x tcoxc Howdoesyoureducationand/orexperiencecomplementthepowersanddutiesoftheCity Commission? trd CIVI S VJhr. l trW Q CcL( 4 - • 4t& Page2 of 3 Will yourunfor a City Commission seatin2019? L`fYes No Undecided IHEREBY ATTTHEACCURACYANDTRUTHFULNESSO'fl-RrA GLIP{'A1iIGi 11 i f o I_ Applicant's SignatureDate NOTE: ThecompletedapplicationMUSTaccompanyyourletterofinterest, currentresume, photograph, and CityofMiamiBeachoath. Youmayattachadditionalsheetstoprovidetherequiredinformation. Thecompletedapplicationalongwithallaccompanyingmaterialsmaybesubmittedvia: EmailtoRafaelGranadomiamibeachfl.qov HanddeliverytotheOfficeoftheCityClerk, 1700ConventionCenterDrive, FirstFloor PostalmailtoCityofMiamiBeach, OfficeoftheCityClerk, Attention: RafaelE. Granado, 1700 ConventionCenterDrive, MiamiBeach, FL33139 PUBLICRECORD: PursuanttoChapter119, FloridaStatutes, thisapplicationandeverythingattachedtoitisapublic record. ThematerialsyouprovidewillbepostedontheOfficeoftheCityClerk'sElectionwebpageand willbeavailableforinspection. IfyouareanindividuallistedinSection119.071, F.S., whosehome addressisexemptfromdisclosure, theCityClerkwillmaintainthatconfidentialityifyousubmitawritten request. F:\CLER\$ALL\REG\ELECTIONFORMS\VACANCYAPPLICATIONREGFINALDRAFT.rO Page3 of3 CITYOFMIAMIBEACHdkri- n-r20pm1: 05 STATEOFFLORIDA COUNTYOFMIAMI-DADE Beforeme, anofficerauthorizedtoadministeroaths, personallyappeared 4kCAM".tomewellknownwho, beingsworn, saysthathe/sheisseekin111559 appointmenttotheOfficeofCityCommissioner (GroupNo. IV) fortheCityofMiamiBeach, Florida; thathe/sheisaqualifiedelectorofsaidCityresidingwithintheCityatleastoneyear beforeapplyingforthisoffice; thathis/herlegalresidenceis: 1004 Yh?grnl4jy,r;ve -4;h_3WAALoai4P1 -31,141 . MiamiBeach, Miami-DadeCounty, Florida; thathe/sheisqualifiedundertheordinances includingMiamiBeachCityCodeChapter38governing "Elections") andCharterofsaidCityto holdsuchoffice. 1 tc----------- SignatureofCandidate Swornto (oraffirmedandsubscribedbefore methis 2.a f day of 1%)e.C.c Ant '. , 2018, byfof+lt4Med1/AF-if-Jut. 'rstI\M . NOTARYSEAL) 0-+y-/-' v SignaturefNotary lic-StateofFlorida i. MYCOMM1951QY*GC 051808S.OrtiGl`l ,tri11,EXPIRES:Ag113,2021 OF sandedn,,,Warr Pubk036• 14, NameofNotaryyped, Printed, orStamped Personally Known OR ProducedIdentification 77 I f Type ofIdentificationProduced F(-o R,_Aa `) lit kf e(L15 Lt Ce,) 52 1/. s-... . N(40 1i'lb I t i1 . i VS'4 1 1 0 Irillir.- Iii LeFi ss Cr- 611fRY n r 11 { 1C3+ LIS r"tOl At+mcC l 1StCtw1 I. 1°"+' 11'., Q D Af2 1 T V\GVL 11114 Yu-In is ( sin -W&Ity e ` 'GYM--jKit ) JC LJ 'VacemikCrv% Savvy-el3rd 20 tat . s S7v4-1, Y2btSvwe l7ixitn—. bc44<v " I . P7A,Y1Cfi 1GlenCAV: 3 1.04 14AA-x 02- 4/LCA AAP)Lne4 Vitt (nal Voetr4 gcel-am • Frnve.4, 4' — ff ceyl Ca-wayvti }e . P c. tk 1 h 20 I3 YuvI C IYi iti 1 k C`5 th11-2M 6 hCS Szc.efl AYo..` V w h, e clti • P .yz v..14-1,3 UYCSivw` aN` aOCvtMn VU Ki`1 9 TO-Its-v. • iti lis • St Drli2ott.• ice"6 CC 3441 . rnCq•; 711BC20P" 12: 29 RESUME MohammedRafiquiIslam 1004BiarritzDriveAPT #3 — owneroftheproperty MiamiBeach, FL— 33141 Phone786-303-3407; Emil: Objective: Toobtainachallengingandrewardingpositionin whichmyskillsandexperiencecanbeutilizedtocontributeto thegoalsofanorganizationwhichoffersgrowthand advancementopportunities. Education: B:S, incivilengineering (Bangladesh) passingyear 1985. Professionalexperience: Iworkedasprofessionalengineerand builtalotofbuildings, roads, bridges, andculvertbackhomein Bangladesh. Iwasinvolvedinabigproject (Damconstruction) anditwasunderSaudiMinistryofwaterandirrigationandgot agoodreputationandcertificate. Iwassiteengineerin differentsite, suchascofferdamslurrywall, pouring, concrete, rockexcavation, consolidationgrouting. Overalleverysitegain hugeknowledgewithpracticalexperienceitwasaverybig Mik project 200 twenty ninev6e. R. projecttheconsultantcompany wasAL-FaisolandAuxoninternational [ Americanconsulting firm]. Duration of this projectfrom 1987to 1992. ThenIwasbacktomyhomecountrystartworkingwiththe consultantcompany (Pmaxconsultant). AsanengineerIwas involveinaruralinfrastructureepically360' longbridgefunded bytheU.S. Aid, laicaandotherforeigncompany. Alsoinvolve withalotofsmallbridgeculvertandroadconstruction. Most projectbasicallyforfloodprotectiontosavethecoastalarea fromtheflood. So, Igainalotofexperienceaboutflood protection. Businessexperience: Startedagrocerystorebusinessin1997 at71St, StreetMiamiBeacharea, thenthesecondbusiness openedin2001at71St, StreetMiamiBeacharea. Thethird businessopenedin2003, named "STOPNSAVE" locatedat 1245- 71St, streetMiamiBeachFL33141. Usedtobe711, closed thatbusinessin2010. OpenedfarmstoreinHialeahuntil2012. Finally, IopenedagasstationinKeyMarathonFL. Languagesskill: English, Bangla, Spanish, Arabic, Hindu, and Urdu. NotaryPublic : Since1999workingasnotarypublicand notarizedlotofdocumentssuchasimmigrationdocument, personalpapers. SometimesIworkedasaU.S. notarypublicto helpthemobileembassyofBangladesh. Since2001inMiami DADEcountyFL. HomeOwner: Ownsomerentalpropertymaintaintheproperty in a nice manner. V Maritalstatus: Married. Childrenonedaughterandtwosons Reference MR. BruceSchinberg (Attorneyatlaw) Address: 800WestAvenueSuiteC-1MiamiBeach, Florida 33139 Contactnumber: 305-538-7575 AdmilsonPetersonex-employeesince1997-2010 Contactnumber: 786-769-9345 KamrulHassanKhan: Businessowner Contactnumber: 786-380-7817 AtpresentboardmemberCityofMiamiBeachsustainability andresiliencycommittee. Article: MiamiBeachisacitylocatedinMIAMI-DADECounty Florida. OneofthelargestpopulationsintheCounty87,779. MiamiBeachhasbeenhometoseveralresidentsfromvarious nationalitiesgenderssocialandeconomicsclasseswith hundredsandthousandsofvisitorsfromaroundtheworld travellingeveryyeartotourthefamouscity. CityofMiami BeachhasbeenacommunitytomanyoftheUS. Everyonehere hasgoodrelationswiththeirneighborsandbecomefriends. We can help to keep our community safe and clean place. HowIcanimprovethecity IntherainyseasonresidentsofMiamiBeachfacingbigproblem withthedrainagesystemduetofloodingwhichismajorissue. Asaprofessional, IcansaythatIwillproposeaplantoaddress theissueandwillensurethatthisplanisexecuted. Iwilldomy best to ensure that ourneeds aremet. r ThefollowingistheauthorisedEnglishtranslationoftheoriginalcertificateandisvalid onlywiththeoriginalBanglaiertIcate. MONOGRAM Bangladesh University of Engineering & Technology, Dhaka CERT!FLCAF1. inaccordancewiththestatutesoftheUniversity flohammebRattqu13igtam havingsatisfactorilyfulfilledalltheacademicrequirementsand havingreceivedtheapprovaloftheSyndicateisherebyawarded, withalltherightsandprivilegespertainingthereto, thedegreeof RACFHF.LOROFSCIENCEINCIVILENGINEERING nal academic session Dateofpassing, 1953-54 flardj1955 Heisplacedinthe APeconbetas SIGNATURES SEAL OFTHE Vice-Chancellor UNIVERSiT" Registrar Date 296jfebntarp 19SSControllerofExaminations Compared and Verified cv CONCORDENGINEERS8CONSTRUCTIONCCONCORD! ENGINEERSaBUILD Date : 10-08-86 TOWHOMITMAYCONCERN ThisistocertifythatEngineerMd. RafiqulIslam, 8/0Mr. Abdulaamio Sheiyenof27/2KabiJashimuddinRoad , Kamalapur , Dhaka,Servedinthiscompanyforabouttwoyearssince1985asEngineer . Duringthisperiodhesupervisedthehih-nvr .: ,n, aJunior Building thantwentystoried) atMotijheel , JnanatagBanksHeaduOfficeworks, withentireresponsibilityandgatheredthearacti„a1experienceofmodernbuildingconstructsHe wasfound dependable ontechnology, kindinestimatingtheCivilworksofdifferent er' drovedtobesincerehardworkingintel7ronC,trustworthy.g activeand wishfilmeverysuccessinhomeandabroad. rTh MitSawkatHossain director (Engg . )Dhaka. AL-QAt(HEE4 CORP. & CO. en.000.07 t}rtiot 11814* DAMPROJECT J./4'A:,,4*— HEAD OFFICE—MADINAH AL.6n:NACARAH t.{JR - 4}—yr P.OSOX 331—CABLE:AGDA EE. tA5 .:.. frJ i'+ Y••,e TELEX SWI: AL-DASHEEF. S.3.—CAL OM A 011I. J—,, L AIr •. TEL. 6349 —FAX- £1261:6Z5 DATE _li._June1989 SERVICECERTIFICATE TOWHOMITMAYCONCERN : ThisistocertifythatMOHORAFIQOLISLAMs/oAbdulHamid8huiya NationalityBangladeshibybirth , hasbeenservinginthiscompanysi 2. 11. 87asaSiteEngineerattheBISHADAMPROJECT. Duringthisperiodhesuccessfullysupervisedthecompletionoft slurry cut-offto the cofferdam , ( done by sub-contractor ) , & thecc creteworkinvolved-, donebyourownlabour. HewasalsoworkinginC ingandblastingforrockexcavation. During this period hehas proved tobe sincere , active & hardwol aswellastrustworthy_ Heisstillworkingwiththecompanyonthisproject. Iwishhimeverysuccessinthefuture. Engr. MalekGhazal 7, 1 Executive Pro). Eng A. OMANMONo] RiA ROADNO. 4s.MANA. NOLApE 880anettOHnKA ProjectManagementAnd TELSX • PHONE Consultancy ServicesLtd 550405208527 TOWHOMITMAYCONCERN Thusistocertify' thatMr .Md .RafiqulIslam, 6/0Mr.AbdulHamid Bhuiyanof27/2 , r.abiJashimuddinroad, Kamlapur, Dhaka, hasbeen servingassiteengineer ( civil ) inthiscompanysinceDecember-90. Duringthisperiodassiteengineerheusedtosupervisethe constructionofruralroads, bridges , culverts , buildingsetc. at differentssitesorlocations. At present he is supervising a36Dft. Long R.C.C. Balanced CantileverbridgeonboredpilesatDemraunderNarayangonj district. ItisaspecialProjectinLocalGovernmentEngineering oepartment ( LOCO) . He is active, sincere, deligentandamiableinnature. Heis obedientandtrustworthy . Iwishhimeverysuccessinlife. 4 , •6. 9, • Engr.Md .GolamMostafa TeamLeader PMAC£ Ltd. FRP/LGED, Dhaka. LAWOFFICES KROOP & SCHEINBERC, P.A. SOWNBAYCLUB.sumC-1 800WESTAVENUE NIANLIbeacu, FLORIDA33139 RICHARDI.KROOP ARE ALSOADMITTEDIN COLORADO 53 BRUCE3.SCNEINBERO MIMEDFAMILYMEDIATORif COUNTY CIVILCOURTMEDIATOR AREA March28, 2012 s PersonnelDepartment PowerlinkSettlementServices, LP 345RouserRoad — Building5 Coraopolis, PA15108 Re: MohammedRafiqulIslam PositionSought: Notary /ClosingAgent DearSirorMadam: Irecentlyhadtheopportunitytoworkoveraconsiderableperiodoftimewithmembers ofyourcompanyinarathercomplexmatterwhichaftermucheffortoneveryone'spart resultedinasuccessfulclosing. Youprovidedtheservicesofatravelingnotarypublicwhocametomyofficeto completethetransaction. Thatpromptedmetowritethisletter. IhavebeenanattorneyinSouthFloridaforover40yearswhosepracticehasan emphasisonbothcommercialandresidentialrealestatematters. Myofficeislocated onthatpartofMiamiBeach, knownasSouthBeachwhichisuniqueinmanyways especiallyintheareaofrealestatebecauseitattractsalargenumberofforeign investorswhoformanyofthemEnglishisnottheirprimarylanguage. Inmyopinion, throughpastexperiencetherearetimeswhenalthoughsomeoneata closingwhoisobviouslyfromanothercountry, mayspeakandapparentlyunderstand Englishtherecanheaquestionofwhetherthatpersonunderstandsthenuisancesofthe languageneededtofullyunderstandthetextcontainedincertainclosingdocuments. IhaveformanyyearsknownMr. MohammedRaiPqufIsiantwhoadvisesthatfora considerableperiodoftimehasactedasanotaryandclosingsupervisoryagentintheSouth Floridaarea. HisabilitytospeakEnglish, Spanish, Bangla, Arabic, HindiandUrdulanguagestaken togetherwithhiswillingnesstotravelthroughoutFloridatvouldbeasignificantasset toassistyourcompanyinclosingtransactionsingeneralandspecificallywhenthe abilitytoconverseintheselanguageswouldmaketheclosingprocessmore understandablefor the parties involved. 2 y} r P WithMr. Islam'slanguageskills, IbelievethatsituationswhereinnonprimaryEnglish speakingpartiesmightlaterclaimthattheydidnotunderstandwhattheyweresigning ataclosingcouldbesignificantlyminimizedifnoteliminated. AlsoMr. Islam'slanguageskillswouldbebeneficialincreatingacomfortableand moreconfidentatmosphereforthepersonsattendingaclosingwhomightfeelthatthey areatadisadvantagewhenallthedocumentsareinEnglishandthatisnottheir primarylanguage. IthereforewouldaskthatyouconsiderusingMr. MohammedRafiqulIslamtoactasa notaryIclosingagentintransactionsthroughouttheStateofFlorida. AnyarrangementsyouwishtomakeshouldbemadedirectlywithMr. Islam. Sincerely, KROOP& INBE jr% nxp emberg% I A1gTIGL-EAt3o01. A E W A4-L- ?r_nc SU 3.ntuur, 20P'•Ii2: 29 1);--111-nG5hltnnSze wc-ll - SecaIA6..,tlIis nr m r-- fi co-wy:c.) rz. ad,,,caC.ert.R4--rLitt4-c ta re --!,„ co e_. c,,,z1abs ssnc..e...re. cerr- a„c f C..Q-csts Zmpac"}- eii ¢t+ ,- 1 Crr -'r"i..St 1-°r` er-kr ms o- Coni&1- • ' T!,.aAw 1,( C " tr-c, Sa. wb-liis - YO;-ec. r ay.o_ts #.4_ unQh kelp',-rc..44 ? CeL ceirfJah L esAtAi'a G z.1,-;;*".i as - j-rw.. - 1:1G-ci-i cn•, 4-tca-S 1.Jc.c32Scsss" - LA.ncin' S • T1. - Il(Ihq yJANg- . pDYg- -4pbwft tt.e.- Sec. 1/;.:; c41 2n3122cone i- Sv:v - i LPsffNba; P1 S 1 2 • SoilTes4- 3 . So-c.- 1 -{1,_a wno‘e,,( wat -' 4 . 51. vIyr - Wwl'i s . c.c. L...).....l i „ In.a ..iT,4.1- • a- , t 1/2Q4- ", - 1/4-r--s--1/4-r--s- S¢ 1,21(.4.1) ti J.1 5--^,s SOrn/Q-Al cy.vcrwv4 - tys- r_er+,v7'1--4an'n_.c_ .-thrate.-TC.art.- o tt...n- ou+.-cn..,. on-t-‘-111Era. 9....4-•0;Q°"r.am oak;/LtY," -- - T 11/4-1;°Qv:, l3e.u.c,L. L. r.re.c.. . -t-+.wtl./ . 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