Rafael E. Andrade - Southern Waste Systems, LLC r
1
N eA'l
�!:,M I AM I B EAC H
City of Miami Beach Office of the City Clerk �� •
1700 Convention Center Drive, Miami Beach, FL 33139 I�0 ��-
r
LOBBYIST REGISTRATION FORM "
Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the passage, defeat or
modification of any ordinance, resolution, action or decision of any commissioner; any action, decision, recommendation of the City
Manager or any city board or committee; or any action, decision or recommendation of any city personnel during the time period of the
entire decision-making process on such action, decision or recommendation that foreseeably will be heard or reviewed by the city
commission, or a city board or committee. The term specifically includes the principal as well as any employee engaged in lobbying
activities. The term"Lobbyists"has specific exclusions. Please refer to Ordinance 2004-3435.
Andrade Rafael E.
NAME OF LOBBYIST: (Last) (First) (M.I)
Law Offices of Rafael E. Andrade, P.A., 1111 Lincoln Road, Suite 400,Miami Beach, Florida 33139 _
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) -
(305) 5319511 (305) 673-5734 _ _ ral2h@ranctradelaw.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL: -
Please notify this office if your contact Information changes:address,phone, or e-mail address.
I. LOBBYIST RETAINED BY:
Southern Waste Systems, LLC
NAME OF PRINCIPAUCLIENT:
2380 College Avenue, Davie, Florida 33317
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(888) 800-7732
TELEPHONE NUMBER: FAX NUMBER:(Optional) EMAIL:(Optional)
Fill out this section If principal is a Corporation,Partnership or Trust(Section 2-482(c)]
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY: Charlie Gusmano President,CEO
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH C400RATION,
PARTNERSHIP OR TRUST:Anthony 1,gWRuRjno Chadjo Gugmano
ILSPECIFiC LOBBY ISSUE: �1 w °s
r4\ Tyr
Application for a Franchise Waste Contractors License(RFQ)
Issue to be lobbied(Describe in detail):
ul.CITY AGENCIES/IN DIVIDUALS TO BE LOBBIED: N
Pursuant to City Code Section 2-482(a)(4)Include the commissioner or personnel sought to be lobbied,and whether theflobbylWhas entered
Into any contractual relationship (paid or unpaid) with said city commissioner or personnel from 12 months preceding such person's
commencement of service with the city to the present date,stating the eneral nature of the subject contractual relationship.
Sec 2482(a)(4)Full Name of Individual and Contractual Relationship(Explain) YES NO
title of person to be lobbied
Mayor&City Commission,City Manager and Staff,City Attorney X
and Staff,Procurement Director and Staff,and Public Works X
Director and Staff x
Pursuant to City Code Section 2-482(g)Every registrant shall be required to state the extent of any business,financial,familial or professional
relationship,or other relationship giving rise to an appearance of an Impropriety,with any current city commissioner or city personnel who Is
sought to be lobbied as identified on the lobbyist registration form filed.
Sec 2482 Any Financial, Familial or Professional Relationship
None
C:\Userslclerhati\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook183LGQDDH\Lobbyist Registration
Formrevised 5-30-2012.doc 2
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required)
$2,500 per month
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $2,500 per month
The following Information must be answered:
1) Pursuant to Miami Beach City Code Section 2488 Entitled"Prohibited Campaign Contributions By Lobbyists On Procurement
Issues":
X Yes—No: Are you lobbying on a present or pending bid for goods equipment or services,or on a present or bending
award for-goods,equipment or service?
2) Pursuant to Miami Beach City Code Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
—Yes X No: Are you lobbyin-a on a pending application for a Development Agreement with the City or application for
change of zoning map deslanation or change to the City's Future Land Use Map?
3) Pursuant to Miami Beach City Code Section 2482(h)Any person(except those exempt from the definition of"lobbyist"as set
forth in Section 2-481 above) who only appears as a representative of a not-for-profit corporation or entity without special
compensation or reimbursement for the appearance, whether direct, or indirect, to express support of or opposition to any
item,shall register with the clerk as required by this section but,shall not be required to pay any registration fees.
YesXNo: Are you representing a not-for-profit corporation or entity.without special compensation or reimbursement
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28 OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER
OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD.
Signature of Lobbyist
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the provisions contained
In Section 2-482 of the Miami Beach City Code an equirements. OF
Signature of Lobbyist:
Signature of Principal/Cllent)C
V1. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
Produced ID Produced ID
Form of Identification Form of Identification
L. ersonally known(Lobbyist) Personally known(Principal) N
VII. SIGNATURE AND STAMP OF NOTARY: y o t
�
0
State of Florida, County of Miami-Dade State of Florida,County of Miami-Dade CC e
Sworn to a id subscrf ,before me SwornaZd subscribed bef fie me
This day o 20%7 This f day 8
ure of Public No ary–S to of FI aa..y....,, ture of Pub*Notary–State 6f Florida
ti� LaW R.HATHELD
Notarization of Lobbyists gnature N ization of Principal's signature
..- MY COMMISSION#EE 844885'
EXPIRES:February l8 2017
CQMRL7rvT@MMiR 'S STAFF ONLY
Annual Registration fee: [ ]Yes[ ]N Date Paid
Lobbyist Registration Form received and'verified by:
C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook183LGQDDH\Lobbyist Registration
Formrevised 5-30-2012,doc
'' FI_ tistration Form.doc Revised 04/27/2012
MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov
CITY CLERK Office
Rafael E.Granado, City Clerk CityClerk@miomibeachfl.gov
Tel:305.673.7411 ,Fax: 305.673.7254
LOBBYIST NAME: Rafael E. Andrade
understand that no later than February 28 of each year, I must file the following form,
pursuant to Section 2-485 of the Miami Beach City Code, with the City Clerk's Office for
all active lobbying issues.
1) LOBBYIST EXPENDITURE AND COMPENSATION FORM
Failure to file these forms on a timely basis will result in my name being transmitted to
the Miami-Dade County Commission on Ethics and for code violation evaluation.
In addition, once an issue 1 have registered to lobby on has been resolved, or I am no
longer lobbying on that issue or for that principal, I am required to immediately notify
the City Clerk's Office of lobbyist withdrawal in writing.
Pursuant-to Section 2485 (d), the City Clerk shall notify any lobbyist(or principal) who
fails to timely file a Statement and in addition to any other penalties which may be
Imposed as provided In Section 2-485.1, a fine of$50.00 a day shall be assessed for all
Statement(s) filed after the due date. The City Clerk shall notify the Miami-Dade
County Commission on Ethics and Public Trust of the failure of a lobbyist(or principal)
to file the Statement or pay the assessed fines after notification.
Any lobbyist, who fails to file the required Statement by April 30th, 2012, shall be
automatically suspended from lobbying until all fines are paid, unless the fine has been
appealed to the Miami-Dade County Commission on Ethics and Public Trust.
Signature: Date:
C:\Userslclerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.0utlook\83L.GQDDH\L.obbyist Registration
Forrnrevised 5-30-2012.doc
i
_ CV
w =
r ua
LU _
IAJF:
CL
cc
F.,
LL, r ;°-, LL 3
v� .v z Z
E to V o L
_ ��•--•�� v -13
a _
a LL. L°
a - L .
Salvatore, Jason
From: fael-E:Andrade,_Esq'<ralph @randradelaw.com>
Sent: Friday, August 19, 2016 4:00 PM
To: Salvatore, Jason
Subject: RE: City of Miami Beach Update of Lobbyist Registration Information
See responses below in RED.
Regards,
Ralph
Rafael E. Andrade, Esquire
Law Offices of Rafael E. Andrade, P.A.
1224 Washington Avenue
Miami Beach, Florida 33139
T 305.531.9511
F 305.673.5734
C 305.216.2028
ralph@randradelaw.com
www.randradelaw.com
NOTICE: This e-mail is from a law firm, Law Offices of Rafael E. Andrade, P.A. ("Firm"), and is intended solely for the use of the
individual(s) to whom it is addressed. If you believe you received this e-mail in error, please notify the sender immediately, delete
the e-mail from your computer and do not copy or disclose it to anyone else. If you are not an existing client of the Firm, do not
construe anything in this e-mail to make you a client unless it contains a specific statement to that effect and do not disclose
anything to the Firm in reply that you expect it to hold in confidence. If you properly received this e-mail as a client, co-counsel or
retained expert of the Firm,you should maintain its contents in confidence in order to preserve the attorney-client or work product
privilege that may be available to protect confidentiality.
From: Salvatore, Jason [mailto:JasonSalvatore @miamibeachfl.gov]
Sent: Friday, August 19, 2016 1:56 PM
To: 'Rafael E. Andrade, Esq.'
Subject: RE: City of Miami Beach Update of Lobbyist Registration Information
Hi Ralph,
I also need the following two for the Consulting business:
1. Potential ATM Procurement
Principal:Communitel, Inc. —Compensation:$1,000 per month
2. City's Green Waste Facility
Principal:South ern.Waste.Systems,.LLC-Compensation:$2,500 per month
Thank you,
1
iv\1AMI
Jason Salvatore - Office Associate lii
Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 305-673-7411 www.miamibeachfl.gov
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical,
historic community.
From: Rafael E. Andrade, Esq. [mailto:ralph @randradelaw.com]
Sent: Friday, August 19, 2016 12:51 PM
To: Salvatore, Jason
Subject: RE: City of Miami Beach Update of Lobbyist Registration Information
Jason:
Please receive the following information in response to your letter dated July 29, 2016:
Issues:
1. Design-Builder Services, Renovation and Expansion; MBCC RFP No. 2014-294-ME
Principal: Clark Construction Group, LLC—Compensation: $2,000 per month payable through Llorente &
Heckler, P.A.
2. Unified Development Sites and Distribution of Floor Area Ordinance; City Wide
Principal: South Beach Heights I, LLC—Compensation: $10,000 flat fee
If you have any questions or require additional information, please do not hesitate to contact me.
Thank you.
Regards,
Ralph
Rafael E. Andrade, Esquire
Law Offices of Rafael E. Andrade, P.A.
1224 Washington Avenue
Miami Beach, Florida 33139
T 305.531.9511
F 305.673.5734
C 305.216.2028
ralph @randradelaw.com
www.randradelaw.com
NOTICE: This e-mail is from a law firm, Law Offices of Rafael E. Andrade, P.A. ("Firm"), and is intended solely for the use of the
individual(s) to whom it is addressed. If you believe you received this e-mail in error, please notify the sender immediately, delete
the e-mail from your computer and do not copy or disclose it to anyone else. If you are not an existing client of the Firm, do not
construe anything in this e-mail to make you a client unless it contains a specific statement to that effect and do not disclose
2