M/A-Com, Inc. RFP 800
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
cityclerk@ci.miami-beach.f1.us
AFFIDAVIT
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 ANY CITY
BOARD OR COMMIlTEE; OR ANY ACTION, DECISION OR RECOMMENDATION OF ANY PERSONNEL DEFINED
IN ANY MANNER IN THIS SECTION, DURING THE TIME PERIOD OF THE ENTIRE DECISION.MAKING
PROCESS ON SUCH ACTION, DECISION OR RECOMMENDATION THAT FORESEEABL Y WILL BE HEARD OR
REVIEWED BY THE CITY COMMISSION, OR A CITY BOARD OR COMMIlTEE. THE TERM SPECIFICALLY
INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT, ATTORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL,
REGARDLESS OF WHETHER SUCH LOBBYING ACTIVITIES FALL WITHIN THE NORMAL SCOPE OF
EMPLOYMENT OF SUCH AGENT, ATTORNEY, OFFICER OR EMPLOYEE. EACH PERSON WHO WITHDRAWS AS A
LOBBYIST IS REQUIRED TO FILE A "CERTIFICATE OF WITHDRAWAL."
I) Lobbyist Name: McDowell. Carter N.
Last Name
First Name
Middle Initial
Business Phone (305) 350-2355
Message Phone (305) 350.2355
Business Name and Address: Bilzin Sumberg Dunn Baena Price & Axelrod LLP
200 South Biscavne Boulevard. Suite 2500
Miami. Florida 33131
Email Address:cmcdowellla>bilzin.com
2) Principal Retained by: MIA-Com, Inc., 3901 DeITY Street. Harrisburg. PA 1711
If different from above Street
(a) If a corporation, partnership, or trust, identifY and provide the address for the chief officer,
partner, beneficiary or interests.
3) Subject Matter (Describe in Detail): RFP 800 MHz Trunked Digital Simulcast Radio
Svstem, Digital Multiplex, Tower, Shelter. and Services for City of Miami Beach
4. IdentifY each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied:
5. The subject matter in number three (3) above is to be considered at the meeting of (IdentifY each
entity or individual):
x The City Commission TBA
o City Commission Subcommittee
o City Staff
o City Board or Committee
,2001
,2001
,2001
,2001
on
on
on
on
.
on
on
,2001
,2001
o Personnel
o Identify Others
6. State the extent of any business, financial, familial, professional or other relationship which exists
with any individual identified in number (4) above: NONE
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY
CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES
IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR.
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 ity Code as amended,
and all reporting requirements.
Signature of Lobbyist:
tl"""Personally known
o Produced ill
Identify
la"bid take an oath, or
o Did not take an oath
State of Florida, County of Miami-Dade
Swo~to ~ subscribed before me
ThisofU' dayof/1fYe'~
,2001.
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ClIBeUEPACHECO
MY COMMISSION I DO 016e8S
EXPIRES: ApOllO, 2005
BoncIed'1'1uupk:ftlnltnllifllllOtAf/tlt11'f
If Notary, print, stamp or type as
commissioned
FOR CLERK'S USE ONLY
Registration:
[ ] ACCEPTED
[ ] REJECTED
DATE:
I' J:;p'1 /n I
( (
If rejected, state reason:
Registration fee paid: [~...] N~ Not-for-Profit r
[ ] Cas [vj""Check MCR
DATA ENTRY DATE: II ;)-' ,2001 ENTERED BY: