Bonaguidi, Robert JosephCITY OF MIAMI BEACH
REQUEST FOR APPROVAL OF OUTSIDE EMPLOYMENT
Page 1 of 2
I. TO BE COMPLETED BY EMPLOYEE -This Form must be completed &
beginning any other employment
A. INFORMATION REGARDING CITY OF MIAMI BEACH (CMB) EMPLOYMENT
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ID # DEPARTMENT /DIVISION ~ _
EMPLOYEE NAME: LAST NAME, FIRST NAME, MIDDLE NAME 18931 NEIGHBORHOOD SERVICES /CODE COMPLIANCE DIGISION
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BONAGUIDI, ROBERT, JOSEPH ,
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WORK PHONE # HOME PHONE #
JOB TITLE - CODE COMPLIANCE OFFICER 305-673-7000 305-573-5429
Ext. # 6876
WORK PHONE # EMPLOYEES OTHER PHONE #S (BEEPER, CELL)
SUPERVISOR -JOSE ALBERTO 305-673-7000
CODE COMPLIANCE ADMINISTRATOR Ext. # 6854 CELL - 786-402-6615
TO BE COMPLETED BY SUPERVISOR: DO YOU AGREE WITH THE
NORMAL WORK DAYS AND TIMES INFORMATION IN THIS SECTION? ~
YES NO
MONDAY-FRIDAY 8:OOAM - 4:30PM -
B. INFORMATION REGARDING OUTSIDE EMPLOYMENT
NAME OF BUSINESS OR INDIVIDUAL HIRING CMB EMPLOYEE EMPLOYEE ID # DEPARTMENT /DIVISION
PARKWEST PARKING, LLC. N/A N/A
WORK PHONE # TYPE OF BUSINESS
JOB TITLE -MANAGER 305-347-3262 PARKING
WORK PHONE #
SUPERVISOR ANDREW MIRMILLI 305-803-3369
DATE OF HIRE
NORMAL WORK DAYS AND TIMES AWAITING
APPROVAL FROM
CMB
ADDRESS OF BUSINESS: STREET
100 SE 2nd Ave. CITY MIAMI STATE FL. ZIP 33131
DESCRIPTION of DUTIES -Set up and close out of parking lots, (including staffing, posting prices,) Setting up the cash collectors with banks for the night,
collection of money taken in. Customer relations (handle complaints). (Parkwest does not do business on CMB)
WHAT DUTIESjVIIGHT BE CONSIDERED TO BE A CONFLICT OF INTEREST - None
I nis Corm has 2 pages - be sure to complete both pages
CITY OF MIAMI BEACH
REQUEST FOR APPROVAL OF OUTSIDE EMPLOYMENT -CONTINUED
PAGE 2 of 2
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By signing below, I certify that all of the information given on page one (1) of this document is true, accurate, and
complete to the best of my knowledge. I understand that all information is subject to investigation and that falsification,
omission, or misrepresentation is sufficient cause for disciplinary action, up to and including termination. I also understand
that I am responsible for informing my supervisor in writing if any information about my outside employment changes,
especially if there arises any possible conflict of interest. Failure to do so may lead to disciplinary action, including termination
of employment with the City of Miami Beach. This request for approval will be made on a yearly basis.
Employee Name Employee ID Number Employee signature & Date
Robert J Bonaguidi 18931 / ,r
D.
By signing below, I certify that I have read this form completely and that I do not have any other employment. I understand
that before I start any other employment, I must request and obtain the above approvals, I further understand that failure to
comply with Outside Employment procedures could lead to disciplinary action up to and including termination of my
employment with the City Of Miami Beach.
EMPLOYEE SIGNAT RE 7 DATE --7 WITNESS SIG URE
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EMPLOYEE NAME ID NUMBER
II. TO BE COMPLETED BY EMPLOYEE'S CITY OF MIAMI BEACH DEPARTMENT
PLEASE CIRCLE ONE PPROVE SUPERVISOR SIGNATURE & DATE
NAME OF SUPERVISOR
JOSE ALBERTO DISAPPROVED ~' / ~. ~`, -~
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NAME OF DIVISION HEAD PLEASE CIRCLE ON PPROVE
DISAPPROVED DIV SIO HEAD SIGNATURE & DAT t,
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JIMMY MCMILLION ,
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PLEASE CIRCLE ONEfAPPROYEfl DEPARTMENT H AD SIGNATURE & DATE
NAME OF DEPARTMENT DIRECTOR DISAPPROVED
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VIV IA N GUZMAN „_ `
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PLEASE CIRCLE O APPROVED CITY M A ER IGNATU E & DATE
CITY MANAGER DISAPPROVE
This form has Zpages - be sure to complete both pages ~-/
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