Ricardo Barboza 12.31.24BOAR D AND COM MITTEE CHECKLIST
P D P ]N[T EE ; DATE OF APPOINTMENr. 2//4[23
Personnel Board Commissioners
BOARD/COMMITTEE: Appointed by.
Ricardo Barboza
FOR SCANNER
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RECEIVED
4AR 21 2023
FOR CLERK STAFF
o Letter of Appointment )
o Letter of Reappointment " P\8\$3" o Arom otmoenv earomom ent e-mated to
o Board and Committee Application (Completed on_[/[2O
o R~sum6/curriculum Vitae al][,3
o Diversity Statistics Repor ti ng (Completed on Bf 'Q. _)
o Oath
;
Committee Liaison on
IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK
City Code Ordinance Section applicable to the agency, board or committee
City Code Sections 2-21, 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 and 2-459
County Code Section 2-11.1 -- Conflict of Interest and Code of Ethics Ordinance (as
amended through December 2010)
Amendments to the Code of Ethics Ordinance (September 2009 through July 2012)
Highlights of the Miami-Dade County Ethics Code
t S unsh ine Law and Public Records -- Frequently Asked Q uestio ns
Memorandum - Solicitation by City Board and Committee Members cry or A M1 BE9Ag,,
OF F ICE OF THE CI TY C l-' "~ citywide Permit Application (Parking Department Form)
Scanned on :
O Booklet - Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees
O Source of Income Statement
O Acknowledgment of Financial Disclosure Requirement
O Board and Committees Liaison Responsibilities
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O DIVERSITY STATISTICS REPO RT ING Keep gQPy in file and ORIGINAL for Annual Report.
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Date
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CONCLUDED & RESIGNATION LETTERS
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Resignation Letter Date Processed Initials Scan O
Rem oval Letter due to abs enc es Date processed Initials Scan O
F:\CLER\BOARD AND COMMIT TIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx
12/31/24 12/31/26
M IA M IB
City of Miam i Beach , ZOO Convonlion Cantor Drive, Miami Bea ch , Florida 33 139 yyw._miamibaachllgo
OFFICE OF THE CITY CLERK, Ra~al E. Granado, Cay Clerk
Tel: 305.673.7411, Fax 305.673.7254
Emai l: Cit/Cl erk@m iam i booch fl.g ov
February 23, 2023
Mr. Ricardo Barboza
1500 Bay Road
Miami Beach, FL 33139
SUBJECT: Personnel Board
Dear Mr. Ricardo Barboza:
Congratulations! You have been reappointed by the City Commission to the above referenced board or
committee, for a term ending: 12/31/2024.
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.
Respectfully,
Rafa~Lad
City Clerk
cc: Monica Beltran, Parking Director
Marla Alpizar, 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 - Am endmen t 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 - (Pa rking Department Form)
Booklet - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees
MIAMIB
City of Miami Beach, 1/OO Convention Canter Drive, Muomi Boach, Florida 33 139 yyy_miamibgachll_gov
OFFICE OF THE CITY CLERK, Rofaol E. Granado, Cy Cled
Tel 305.673.7411, Fox. 305.673.7254
Email: CiyCl erk@mi amibeachfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Mr. Ricardo Barboza
RE: Personnel Board
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: 12/31/2024.
To my colleagues and to all of those I represent and serve, I pledge fairness, integrity and civility, in all
actions taken and all communications made by me as a public servant.
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.
Mr. Ricardo Barboza
Sworn to an d subscribed before me this z1 day of March 2023
.its
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.
IA IBE H
Ci ty of Miami Beach
1700 Convention Center Drive
Mi am i Bea ch, Florida 33139
RECE IVED
4AR 21 2023
E MIAMI BE ACH or! 9Fr ie cifvcnK OF FICE
OFFICE OF THE CITY CLERK
Emalt: BC@miamibeachf.gov
Telephone: 305.673.7411
AF FI D AVI T OF AFFILIA TI O N WIT H THE C IT Y OF MIAMI BEA CH
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
l am in com plian ce wi th th e affiliation requirem ent of Miam i Beach City Code Sections 2-22 (4), as (check
(/) all that apply):
t lam a resident of the City of Miami Beach for six months or longer.
1500 Bay Rd. Apt. 1018 Miaimi Beach FL 33139
pt)ff% J(][Fe,a«coo-oooro-
[] I have an ownership interest (for a minimum of six months) in a business establish ed in the City of
Miami Beach (for a minimum of six mon ths).
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I lam a full-time employee of a business (for a minimum of six months) and l am based in an office or
other location of the business that is physically located in Miami Beach (for a minimum of six months).
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"Ownership Interest" means the ownership of ten percent (10%) or more (including the ownership of
10% or more of the outstanding capital stock) in a business.
"Business" means any sole proprietorship, sponsorship, corporation, limited liability company, or other
entity or business association .
Under penalties of perjury, I declare that I have read the foregoing document and that the facts stated in it «·t ee wa
Si gn a ture " T Date
Ricardo Barboza
Printed Name
NOTARY
Sworn ~or affirmed) and subscribed before me, by means of /physical presence or a online notarization,
w e 5_'ey ot._t\BK CH ,a02 by 1L. aa)ho
(City of Miami Beach Board/Committee Member).
Produced ID
,/ Form of Identification
V_ P ey onally w
dyidol.lie«no w oo ,o
Sign
" SR/A/2E st2
M IA IBE
City of Miami Bea ch
1700 Convention Center Drive
Mi ami Beach, Florida 33139
www,miamibeachfl.gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachf.gov
Telephone: 305.673.7411
DIVERSITY STATISTICS REPORT
Barboza Ricardo d
Last Name First Name Mi ddl e Initial
The follo wi ng information is voluntary and has no bearing on your consi dera tion for app ointm en t. It is being
asked to comply wi th City div ersity repor ting requi rement s.
Gender:
[z] Male
[l Fem al e El oner
D I prefe r not to answ er.
Race/Ethnic Categories:
What is your race?
[]Af rican Am erican/Bla ck
[] Asian or P acific Isl an der
El Caucasian/white
El Native American/American Indian
[] other • Print Race:
l prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latin o/a?
l ves
J o
El1 prefer not to answer.
Do you consider yourself Physically Disabled?
v a go
Lh pref er not to answer this question.
Page 6 of 6
FACLER SALLIR EGBOARD AND COMMITT EE AP PLICATIONS FINAL DRAFTS\BOARD AND COMMITT EE APPLICATION REG FINAL .d0cx
Updated: June 2020
Ml 1B H
City o f M ia m i B ea ch
1700 C onven tion C en ter Drive
Miami Beach, Florida 33139
www.migmibeachfl, gov
OFFICE OF THE CITY CLERK
Em ail: BC @m iamib eachfl.go
Telephone: 305.673.7 411
BOAR D & COMM ITTEE FINANCI AL ACKNOWL EDGE ME NT STATE ME NT
Acknowledgement of fines/suspension for B o ard /C o m mi tt ee Members for failure to comply with M iam i -
D a d e C o un t y F in an cial D isc lo su re C o d e Pro v isio n C o d e Section 2-11.1(i) (2)
Barboza Ricardo J
Last Name First Name Middle Initial
l 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 purel y advisory nature, are required to comply with Miam i -Da de County Financial
Disclosure Requiremen ts.
One of the following forms mu st be filed wi th the City Cl er k of Miami Beach, 1700 Conv ention Center Drive,
Miami Beach, Florida, no later than 12:00 noon of July 1, of each year:
1. A "Source of Income Statement;" or
2. A "Statement of Financial Interests (Form 1)1" or
3. A C op y of your latest Federal Income Tax Return.
Fa ilu re to fi le 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. [pl? March 3rd 2023
ooooooooooooooooooooooooe Signature Date
' Members of the Pl an n in g Board and Board of Adjustment wi ll be notified directly by the State of Fl or id a,
pursuant to F.S. $112.3145(1)(a), to file a Statement of Financial Interests (Form 1) with the Miami-Dade County
Supervisor of Elections by 12:00 noon, July 1. Planning Board and Board of Adjustment members who file their
Form 1 with the County Supervisor of El e ctions automatically satisfy the C oun ty's finan ci al dis cl osure
requirement as a Miami Beach City Board/Committee member and need not file an additional form with the Office
of the City Clerk. However, compliance with the County disclosure requirement does not satisfy the State
requirement.
Page 5 of 6
FACLER\SALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAF TS\BOARD AND COMMIT TEE APPLICATION REG FINAL.docx
Updated: June 2020
/\l , «[BE, cIw DE (CW4 8OARD & COMMITTEES
cmy st terr sea±, Arimo EPRritNr PARKING APPLICATION
1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139/Ph: (305) 673-7505 or (305) 673-7000 ext. 6200
A citywide [CW } parking permi t is honored at metered parking spaces and restricted residential zones
parking spaces. A CW parking permit IS NOT honored in prohibited areas. An Access Card will be
provided to you for City Hall Garage [G7) access.
IMPORTANT NOTE: Your vehicle license plate serves as your "parking permit". In order to avoid
any unnecessary enforcement actions, it is important that our records reflect the most current and
accurate information regarding your veh icle license plate. Inaccurate and/or outdated vehicle
information may lead to the issuance of parking citation(s) and/or the towing of your vehicle.
Please note that this new access card CANNOT be hole-punched or perforated in any manner. To use
the new card please hold the card at close proximity to the reader until the gate opens. You may need
to try the other side of the card. Please ensure you hold the entire surface of the card against the reader
until the gate opens.
ACKNOWLEDGEMENT: I acknowledge that should my access card be lost, stolen or
damage, I will be responsible to pay a $10.00 replacement fee.
Board Member Information
Date of Application: 02/24/2023
Applicant Name: Ricardo Barboza
Board/Committee Name: Personnel Board
Address: 1500 Bay Road apt 1018 Miami Beach FL 33139
E-Mail Address: rjbarboza@gmail.com
W ork Phone: (305) 968 4660 Hom e Phone
Cell Phone: (305) 968 4660 Preferred Contact Method: Cell Phon e
Vehicle information
Tag: JLI F65 Color: Black
State: FL Year: 2020
Make: AUDI Model: A4
Applicant saalore• \p(
Please provide signed form to the Parking Department located at 1755 Meridian Avenue, 2° floor. Working
hours are 8:30 to 5:00 p.m. or email to: ParkingReception@miamibeachfl.gov
e-mail subject: BOARD & COMMITTEE PARKING APPLICATION - APPLICANT NAME
Expiration Date: ID Card Serial #:
lssued By Print Name: Print Name:
Signa ture: i Signature: e hi naag. ti ca,lag.