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Christina Cuervo 12/31/2009f € ~ ~' ~ ~` '°"~` lam. ~ ~ , Cih- of Miami d~ach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk TEL: (3051673-7411, FAX: (3051673-7254 05-22-2008 Christina Cuervo 4325 N. Meridian Ave Miami Beach, Florida 33140 SUBJECT: Capital Improvements Projects Oversight Committee Congratulations! You have been appointed by the City Commission 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, Robert Parcher City Clerk cc: Saul Frances, Parking Director Jorge Chartrand 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 We are committed to providing excellent public service and safety to all who live, work, and play in our vibront, tropicof, historic community ''~ , Cifr of Miami Bach, 1700 Convention Center Drive, Miami Beach, Fbrida 33139, www.miamibeachA.gov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk TEL: (305) 673-7411, FAX: (305) 673-7254 TO Christina Cuervo RE: Capital Improvements Projects Oversight 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 ~ce~s 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. Chri tina Cuervo Sworn to and subscribed before me this ~ day of , 200 ~ ~~ e ~~%a ~~c~t4n+ 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 commined to providing excellent public service and safey to all who live, work, and play in our vibrant, tropical, historic community. ~~ ~f ~ f ~:r ~i ~4~: < V~ ~ / - ~JA" ~Y NAME: ()~~f - 1 t ~1I Last Name First Name Middle Initial HOME ADDRESS: -t ~ ~-~ ~~!~- i ~(AQ~1 ~ (~11~7,Q .Q,{ r. `~" ~ ~ ~~-1 No. PHONE ~~'~a~~ ~U~~ Street U~' "`~~3~U ~ ~` City ~~~~ ~`~~ ~f` " State Zip Code STl~+A-~~ -t'i. 'tf : l~ t .~ ~ 1 G c, I t (~i ~ Home Work Fax Email address ~~ ~ [ ~~~ ~~ ~~~ ~ ', c~ Business Name: ~ Position: : ~ Address: 1 ~ ~5~ ~f l(j{,~ ~. ~ ~~ ~ r~ (,Q.~ ~7P,~ ~~ L= l :~ ~ , -~C .~ ~ I ~ ~ No. Professional License (describe) ~ T~ /' Street ~ i G 1~Af_~ _~ ~ 'ty Q~C11~.ih~1-Cf ~;~~ State xpires: ~ "~ Zip Code 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; orb) an individual shall demonstrate ownership/interest for a minimum of six months in a 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 r or No ^ • Are you a registered voter in Miami Beach: Yes``,r~ or No C. • (Please circle one): I am now a resident of: North Beach South Beach Middle Beach . I am applying for an appointment because I have special abilities, knowledge, experience. Please list below: 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) ^ Art in Public Places Committee ^ His anic Affairs Committee ^ Beach Preservation Board ^ Historic Preservation Board* ^ Beautification Committee ^ Housin Authorit * ^ Board of Ad'ustment* ^ Loan Review Committee* ^ Bud et Adviso Committee ^ Marine Authorit '~Ca ital Im rovements Oversi ht ^ Miami Beach Commission for Women ^ Committee on Homeless ^ Miami Beach Cultural Arts Council ^ Committee for Qualit Education in MB ^ Miami Beach Florida Sister Cities ^ Communi Develo ment Adviso * ^ Normand Shores Local Gov't Nei h. Im rovement ^ Communit Relations Board ^ Parks and Recreation Facilities Board D Convention Center Adviso Board D Personnel Board* D Cultural Arts Nei hborhood District Overla CANDO D Plannin Board ^ Debarment Committee D Police Citizens Relations Committee ^ Desi n Review Board* ^ Production Indust Council ^ Disabilit Access Committee D Public Safet Adviso Committee ^ Fine Arts Board ^ Safet Committee ^ Ga Business Develo ment Ad Hoc ^ Trans arenc Reliabilit & Accountabilit Committee "TRAC ^ Golf Adviso Committee ^ Trans ortation and Parkin Committee ^ Green Ad Hoc Committee D Visitor and Convention Authorit D Health Adviso Committee ^ Youth Center Adviso Board ^ Health Facilities Authorit Board i3oara 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 Yeses No ~~. If yes, please list the names of your children, their ages, and which programs. List below: Child's name: Age: Program: Child's name: Age: Program: .Have you ever been convicted of a felony: Yes - or N3~`' If yes, please explain in detail: • Do you currently have a violation(s) of City of Miami Beach codes: Yes _ or No~ If yes, please explain in detail: • Do you currently owe the City of Miami Beach any money: Yes C~ or Nom If yes, explain in detail . Are you currently serving on any City Boards or Committees: Yes or No ~~~.. If yes; which board? . Wha g nizations in the City of Miami Beach do you currently hold membership in? Name: Title: ~st~,~.~1 Name: Title: • List all properties owned or have an interest in, which are located within the City of Miami Beach: ~~~~ yy (~ ~~ `1r~ • I am now employed by the City of Miami Beach: Yes ~ or No~Which department? • Pursuant to City Code Section 2-25 (b): Do you have a parent C, spouse -, child ~~, brother G, or sister ~~ who is employed by the City of Miami Beach? Check all that apply. Identify the department(s): A t This section is "not required" but desired: Age: ~ years old Gender: Male ^ Femal~ Ethnic Origin (Check one) White ^Afvican-American/Black ^ Hispanic:~~0,sian or Pacific Islander ^ American Indian or Alaskan Native ^ "1 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." Appli ant's Si nature at ~ Name of Applicant (PLEASE PRINT) Please attach a copy of your resume to this application NOTE: Applications will remain on file for a period of one (1) calendar year. Employment Status: Employed ^ Retired ^ Home-maker ^ Other ^ Received in City Clerk's Office by ~ Date Name of Deputy Clerk - Document Control Number (Assigned by the City Clerk's Office) Entered By ate Revised 04/18/08 LH DBPR - CUERVO, CHRISTINA ivIAR1A, Real Estate Broker or Sales Page 1 of 1 f B u 51 ~1 ~ 5~° f'~', ~~ ~~SSIC~t~~~ ~~ ~ `b ~P~UI~~~IC~~~ DBPR ©NLit~E SERVICES ~`? Log tan Home I Help I Site Map _~ Public Services Search for a Licensee Apply for a License View Application Status Apply to Retake Exam Find Exam Information File a Complaint AB&T Delinquent Invoice & Activity List Search User Services Renew a License Change License Status Maintain Account Change My Address View Messages Change My PIN View Continuing Ed (~> Term Glossary Online Help (FAQs) Licensee Details Licensee Information 7.59:08 AM 5/f 9/2008 ;' Name: CUERVO, CHRISTINA MARIA (Primary Name) (DBA Name) Main Address: 4325 N MERIDIAN AVENUE MIAMI BEACH Florida 33140 County: DADE License Mailing: LicenseLocation: License Information License Type: Real Estate Broker or Sales Rank: Sates Associate License SL456505 Number: Status: Current,Active Licensure 08/26/1985 Date: Expires: 03/31/2009 Special Qualification Effective Qualifications View Related License Information View License Complaint I Terms of Use ~ i Privacy Statement ~ https://www.myfloridalicense.com/LicenseDetail.asp?SID=&id=5 3 5010154128289221 OB... 5/ 19/2008