Claire Warren 12/31/2009
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305) 673-7411, Fax: (305) 673-7254
01-07-2008
Claire Warren
3050 Prairie Ave
Miami Beach, Florida 33140
SUBJECT: Beautification Committee
Congratulations! You have been appointed by Commissioner Ed Tobin
to the agency, board or committee named above for a term ending: 12/31/2009.
Pursuant to Ordinance No. 2006-3543, commencing with terms beginning on or after
January 1st, 2007, the term of board members who are directly appointed by a member of
the City Commission shall automatically expire on December 31 of the year the appointing
elected official leaves office.
If you are unable to accept this appointment or have any questions, please call the City
Clerk's Office at 305-673-7411. Please read the enclosed materials carefully.
Congratulations again and good luck.
Sincerely,
~'~ ~' ''~qJ f }
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
John Oldenberg
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 Employee
1Ne are committed to providing excellent public service and safety to al/ who Jive, work and play in our vibrant, tropical, historic community.
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City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.aov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305) 673-7411, Fax: (305) 673-7254
TO Claire Warren
RE: Beautification Committee
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: 12/31/2009.
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 thef/orida Commission on Ethics Guide to the Sunshine
Amendment and Code of Ethics for Public Officers and Employees, and understand that as a member
of a City of Miami Beach Board and/or Committee, I must comply with the financial disclosure* require-
ments 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.
,~ ~'' j
Claire Warren
Sworn to and subscribed before me this ~ day of , 200
Silvia Prieto
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.
m MIAMIBEACH
BOARDS AND COMMITTEE APPLICATION FORM
City
Fax
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 sha
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 sha
demonstrate ownership/interest for a minimum of six months in o business established in the city.
Resident of Miami Beach for a minimum of six (6) months: Yes [~ or No [ ]
Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes [) or No [ )
I am applying for a Board appointment because I have special abilities, knowledge, experience: Yes [ J
My special abilities, knowledge, or experience is:
Are you a registered voter in Miami Beach: Yes or No ^
NAME: Gt~fl-,~~F~ ~/~~ D~
Last N
Home ~Q~(1 ~/~ ~ ~
Address: No. Street
Phone: ~ ~ .~~
Home Work
rst Name Middle Initial
~ ~~il~l~~
/ ~U
State Zip Code
~~iVa~ly~ L, ~i~---~.c~ , l(l
Email address
(Please check one): I am now a resident of:
Business Name:
North Beach ^ South Beach ^ Middle Beach
Applicant's Position:
Address:
No. Street Cit
y State Zip Code
^ Owner ^ Stockholder/Shareholder ^ Corporate Officer ^ Other Explain:
Professional License (describe):
Attach a copy of the license listed above. Expires:
1. Have you ever been convicted of o felony: Yes ^ or No f yes, please explain in detail:
2. Do you currently have a violation(s) of City of Miami Beach codes: Yes ^ or No If yes, please explain in detail:
__ ~.---
3. Do you currently owe the i of Miami B
If yes, explain in detail:
Ye
__
__
4. Are you currently se ~n any City Board or Committees: Yes
If yes; which board? ~--1 ~ _ ~C ~ ,Uj
___
_.
or No ^.
What organizatigps in the City of Miami Beach do you currently hold membership in?
~) ~
Name: ~~CL~~-~~, {___'~_~~~ .
Y` Title:
Name:
Title:
List all pr perties owned or hove an interest in, whit ar locoted with'n th Cit of Miami Beach:
C:\DOCUMENTS AND SETTINGS\CLERGIBE\LOCAL SETTINGS\TEMPORARY INTERNET FILES\OLK14\BC APPLICATION NOV 20051.DOC
I am now employed by the City of Miami Beach: Yes ^ or No yes', which department?
Pursuant to City Code Section 2-25 (b): Do you have a parent ^j, spouse ^j, child ^], brot er ], or sister ^] who is
employed by the City of Miami Beach? Check all that apply. Identify the department(s): ,~
Please list your preferences in order of ranking (1 ]first choice [2j second choice, and (3j third choice. Please note that only
three (3) choices will be observed by the City Clerk's Office.
(Regular Boards of City)
--
Art in Public Ploces Committee --
^Housin Authorit
Barrier Free Environment Committee ^Loan Review Committee*
^ Beach Preservation Board ^Marine Authority *
Beautification Committee ^Miami Beach Cultural Arts Council
Board of Adjustment (Flood Management * ^Miami Beach Commission on Status of Women
^ Bud et Adviso Committee ^Miami Beach Florida Sister Cities
^ Committee on the Homeless ^Normand Shores-Locol Gov. Nei hborhood -m rovement
^ Committee for Qualit of Education in Miami Beach ^North Beach Youth Center Oversi ht Committee
^ Community Development Advisory Committee* ^Oversight Committee for General Obligation Bond
^ Communit Relations Board ^Parks & Recreational Facilities Board
^ Convention Center Advisory Board ^ Personnel Board
^ Debarment Committee Planning Board *
^ Design Review Board * Police Citizens Relations Committee
^ Fine Arts Board ^ Production Indust Council
^ Golf Adviso Committee ^ Public Safet Adviso Committee
^ Health Adviso Committee ^ Sofe Committee
^ Health Facilities Authorit ^ Trans ortation & Parkin Committee
^Hispanic Affairs Committee ^ Visitor & Convention Authority *
^Historic Preservation Board * ^ Youth Center Advisory Board
*Board Required to File State Disclosure form
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: Yes ^ No ^ Years of Service ^
2. Present participation in Youth Center activities by your children Yes ^ No ^. If yes, please list the names of your children,
their ages, and which programs. List below:
Child's name:
Child's name:
This section is "not required" but desired: Age: ^
Ethnic Origin (Check one)
Age: Program:
Age: Program:
White African-American/Black ^ Hispanic: ^
Asian_or_Pacifc Islander ^ American Indian. or Alaskan Native ^
Employment Status: Employed ^ Retired ^ Home-maker ^ Other ^ _
"I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by
Cha ter 2, Article VII - of the City Code "Standards of Conduct for City Officers, Employees nd Agency
tiers."
Applicant's Signature Date Name of Applicant (PLEASE PRINT)
Attachment: Please attach a of your resume to your application.
NOTE: Appvlic tions will remai on ile a p i d of one (1) calendar year.
~d in City Clerk's Office ~ ~ O by Deputy Clerk
` Control Number (Assi ned b the City Clerk's O ~ce Revised 1 1 /15/05
Gender: Male or emale
,v1ENTS AND SETTINGS\CLERGIBE\LOCAL SETTINGS\TEMPORARY INTERNET FILES\OLKI 4\BC APPLICATION NOV 20051.DOC