Margarita Wells Form 9MIAMI BEACH
OFFICE OF THE CITY CLERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www.miamibeachfl.a, ov
Telephone: 305.673-7411
June 29, 2017
Florida Commission on Ethics
P.O. Drawer 15709
Tallahassee, FL 32317-5709
Pursuant to Sec. 112.3148, Florida Statutes, please find Quarterly Gift Disclosure State Form
(9), for the quarter ending March 2017, for the following City of Miami Beach Personnel:
• Margarita Wells — Acting Environment & Sustainability Director
Should you have any questions or require any additional information, please contact me at
305.673.7411.
Respectfully,
Rafael E. Granado
City Clerk
Attachment
REG:cd
Sent Certified Return Receipt
Form 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LAST NAME -- FIRST NAME -- MIDDLE NAME:
NAME OF AGENCY:
Wells, Margarita Kru ff
City of Miami Beach
MAILING ADDRESS:
OFFICE OR POSITION HELD:
1700 Convention Center Drive
Acting Environment & Sustainability Director
CITY: ZIP: COUNTY:
QUARTER ENDING (CHECK ONE): YEAR
VALUE
,FOR
AMARCH ❑JUNE ❑SEPTEMBER ❑ DECEMBER 2017
Miami Beach 33139 Miami -Dade
2/17-2/18/17
PART A — STATEMENT OF GIFTS
Please list below each gift, the value of which you believe to exceed $100, accepted by you during the calendar quarter for which this statement is
being filed. You are required to describe the gift and state the monetary value of the gift, the name and address of the person making the gift, and the
date(s) the gift was received. If any of these facts, other than the gift description, are unknown or not applicable, you should so state on the form. As
explained more fully in the instructions on the reverse side of the form, you are not required to disclose gifts from relatives or certain other gifts. You
are not required to file this statement for any calendar quarter during which you did not receive a reportable gift.
DATE
DESCRIPTION
MONETARY
NAME OF PERSON
ADDRESS OF PERSON
RECEIVED
OF GIFT
VALUE
MAKING THE GIFT
MAKING THE GIFT
2/17-2/18/17
Flight to EWRI Council
$475.50
ASCE EWRI
1801 Alexander Bell Dr
Weekend
Reston, VA 20191
2 Night Hotel Stay for EWRI
1801 Alexander Bell Dr
2/17-2/18/17
Council Weekend
$271.51
ASCE EWRI
Reston, VA 20191
❑ CHECK HERE IF CONTINUED ON SEPARATE SHEET
PART B — RECEIPT PROVIDED BY PERSON MAKING THE GIFT
If any receipt for a gift listed above was provided to you by the person making the gift, you are required to attach a copy of that receipt to this
form. You may attach an explanation of any differences between the information disclosed on this form and the information on the receipt.
J9 _C1iECKHEREIF_ RF_CEtPT_IS_ATTACHED TO THIS FORM_
PART C — OATH
I, the person whose name appears at the beginning of this form, do STATE OF FLORIDA
COUNTY OF R
depose on oath or affirmation and say that the information disclosed Sworn � (orffi
armed) and subscribed before me this
1 LL N
Q`rJ day of Mid"P 20 gin= N
herein and on any attachments made by me constitutes a true accurate, n. ^0 n A.0. 1 I _ .di c
by
and total listing of all gifts required to be reported by Section 112.3148,
Florida Statutes. r , �J (Signature of Notary Public -State oiFlorida) 11 'M
(Print, Type, or Stam,
tam Commissioned Name of Notary Public)
NG OFFICI L Personally Known � OR Produced Identification
Type of Identification Produced
PART D — FILING INSTRUCTIONS
This form, when duly signed and notarized, must be filed with the Commission on Ethics, P.O. Drawer 15709, Tallahassee, Florida 32317-5709; physi-
cal address: 325 John Knox Road, Building E, Suite 200, Tallahassee, Florida 32303. The form must be filed no later than the last day of the calendar
quarter that follows the calendar quarter for which this form is filed (For example, if a gift is received in March, it should be disclosed by June 30.)
CE FORM 9 - EFF. 1/2007 (Refer to Rule 34-7.010(1)(g), F.A.C.)(Rev. 9/2014) (See reverse side for instructions) �
Wells, Margarita
From: American Airlines@aa-com <notify@aa.globainotifications.com>
Sent: Thursday, February 02, 2017 10:50 AM
To: Wells, Margarita
Subject: Your trip confirmation- MCAFIF 17FEB
Importance: Low
101
IN
Hello Mar.qarita Wells! Issued: Feb 2, 2017
Record locator: MCAFIF
- Friday, February
MIA
6:15AM
Nfiatni
American Airlines 2529
CLT
9:30 AM El
Charkitic
American Airlines 1974
U
View your trip -1
CLT
8:1 9 AM
charlott4�
SEA
12:24 Pm
seatth�
Seats: 1100
Class: Economy (G)
Meals:
Seats: 7D
Class: Economy (G)
Meals: Food For
Purchase
Monday, February 20, 2017
SEA
11:20 PM
Seattle
American Airlines 1070
Margarita
Wells
MIA Qo
7:58 AM
Miami
Seats: 100
Class: Economy (G)
Meals: Food For
Purchase
AAdvantage # 089BPJ2 GLD
Ticket # 0012112468221
Your trip receipt
19- American Express XXXXXXXXXXXXX019
Margarita Wells
FARE -USD
TAXES AND CARRIER -IMPOSED FEES
TICKET TOTAL
$ 409.30
$ 66.20
$ 475.50
al -
Book a hotel »91 H1 15
Buy trip insurance » Book a car
Remind me to Uber»
15 H1
19 IHI
2
Contact us I Privacy policy
Get the American Airlines app
R! o=
Baggage Information
Baggage charges for your itinerary will be governed by American Airlines BAG ALLOWANCE -
MIASEA-No free checked bags/ American Airlines BAG ALLOWANCE -SEAMIA-No free
checked bags/ American Airlines 1 STCHECKED BAG FEE-MIASEA-USD0.001 American
Airlines /UP TO 50 LB/23 KG AND UP TO 62 LINEAR IN/158 LINEAR CM 1STCHECKED BAG
FEE-SEAMIA-USD0.00/ American Airlines /UP TO 50 LB/23 KG AND UP TO 62 LINEAR
IN/158 LINEAR CM 2NDCHECKED BAG FEE-MIASEA-USD35.00/ American Airlines /UP TO
50 LB/23 KG AND UP TO 62 LINEAR IN/158 LINEAR CM 2NDCHECKED BAG FEE-SEAMIA-
USD35.00/ American Airlines /UP TO 50 LB/23 KG AND UP TO 62 LINEAR IN/158 LINEAR CM
ADDITIONAL ALLOWANCES AND/OR DISCOUNTS MAY APPLY
You have purchased a NON-REFUNDABLE fare. The itinerary must be canceled before the
ticketed departure time of the first unused coupon or the ticket has no value. If the fare allows
changes, a fee may be assessed for changes and restrictions may apply.
You have 24 hours to cancel your trip for a full refund if you booked at least 7 days prior to
departure. You must cancel your trip before requesting a refund. To cancel your trip, login on
aa.com or Contact Reservations. For our refund policy and to request a refund, go to
www.aa.com/refunds.
Some everyday products, like e -cigarettes and aerosol spray starch, can be dangerous when
transported on the aircraft in carry -on and/or checked baggage. Changes in temperature or
pressure can cause some items to leak, generate toxic fumes or start a fire. Carriage of
prohibited items may result in fines or in certain cases imprisonment. Please ensure there are
no forbidden hazardous materials in your baggage like:
Some Lithium batteries (e.g. spares in checked baggage, batteries over a certain size),
Explosives / Fireworks, Strike anywhere matches/ Lighter fluid, Compressed gases / Aerosols
Oxygen bottles/ Liquid oxygen, Flammable liquids, Pesticides/ Poison, Corrosive material.
There are special exceptions for small quantities (up to 70 ounces total) of medicinal and toilet
articles carried in your luggage, spare lithium batteries for most consumer electronic devices in
carry -on baggage, and certain smoking materials carried on your person.
Certain items are required to be carried with you onboard the aircraft. For example, spare
lithium batteries for portable electronic devices, cigarette lighters and e -cigarettes must be
removed from checked or gate -checked baggage and carried onboard the aircraft. However, e -
cigarettes may not be used on -board the aircraft.
Traveling with medical oxygen, liquid oxygen, mobility aids and other assistive devices may
require airline pre -approval or be restricted from carriage entirely. Passengers requiring these
items should contact the airline operator for information on use of such devices.
To change your reservation, please call 1-800-433-7300 and refer to your record locator.
NOTICE OF INCORPORATED TERMS OF CONTRACT
Air Transportation, whether it is domestic or international (including domestic portions of
international journeys), is subject to the individual terms of the transporting air carriers, which
are herein incorporated by reference and made part of the contract of carriage. Other carriers
on which you may be ticketed may have different conditions of carriage. International air
transportation, including the carrier's liability, may also be governed by applicable tariffs on file
with the U.S. and other governments and by the Warsaw Convention, as amended, or by the
Montreal Convention. Incorporated terms may include, but are not restricted to: 1. Rules and
limits on liability for personal injury or death, 2. Rules and limits on liability for baggage,
including fragile or perishable goods, and availability of excess valuation charges, 3. Claim
restrictions, including time periods in which passengers must file a claim or bring an action
against the air carrier, 4. Rights on the air carrier to change terms of the contract, 5. Rules on
reconfirmation of reservations, check-in times and refusal to carry, 6. Rights of the air carrier
and limits on liability for delay or failure to perform service, including schedule changes,
substitution of alternate air carriers or aircraft and rerouting.
You can obtain additional information on items 1 through 6 above at any U.S. location where the
transporting air carrier's tickets are sold. You have the right to inspect the full text of each
transporting air carrier's terms at its airport and city ticket offices. You also have the right, upon
request, to receive (free of charge) the full text of the applicable terms incorporated by reference
from each of the transporting air carriers. Information on ordering the full text of each air
carrier's terms is available at any U.S. location where the air carrier's tickets are sold or you can
click on the Conditions of Carriage button below.
Air transportation on American Airlines and the American Eagle carriers® is subject to
American's conditions of carriage..
NOTICE: This email and any information, files or attachments are for the exclusive and
confidential use of the intended recipient(s). This message contains confidential and proprietary
information of American Airlines (such as customer and business data) that may not be read,
searched, distributed or otherwise used by anyone other than the intended recipient. If you are
not an intended recipient, please do not read, distribute, or take action in reliance upon this
message. If you suspect you have received this email in error, please notify the sender and
promptly delete this message and its attachments from your computer.
NRID:2313114619460209494573800
Wells, Margarita
From: Marriott Hotels & Resorts Reservations <reservations@marriott-res.com>
Sent: Wednesday, February 01, 2017 ll.029 AM
To: Wells, Margarita
Subject: Reservation Confirmation #80404725 for Seattle Airport Marriott
Please reviaw your reservation c!etaflsarca keep fcr your Terords.
Reservation Confirmation: 80404725
For MARGARITA WELLS
CHECK-IN DATE Friday, February 17, 2017 CHECK-OUT ➢ATF
CHECK-IN TIME 03:00 PM Sunday, February 19, 2017
CHECK-OUTTIME 01:00 PM
Modify your reservation Cancel your reservation
Dear MARGARITA WELLS,
We are pleased to confirm your reservation with Seattle Airport Marriott. We look forward to making your
stay memorable and uncomplicated.
Travel Brilliantly,
Seattle Airport Marriott
ROOM TYPE Guest room, 1 King or 2 Doubleq
NUMBER OF ROOMS I
1
GUESTS PER ROOM 1 Adult
GUARANTEED METHOD Credit Card Guarantee, American Express
SPECIAL REQUESTS
Room 1
Guaranteed
* 1 King Bed
Hotel Alert
No rollaways in rooms with 2 double beds J Fee of USD 4 will be charged to guest account for use of
the hotel shuttle
SummM of
RATES, TAXES & FEES ARE PER ROOM, PER NIGHT {USD}
Friday, February 17,2017 -Sunday, February 19, 2017 2 nights 119.00 USD
ASCE EWRI WKND FEB17
ESTIMATED GOVERNMENT TAXES & FEES 16.76 USD
Total for stay (for all rooms) 271.51 USD
Other Charges
On-site parking, fee: 27 USD daily
,Valet parking, fee: 32 USD daily
Rates exclude applicable tax
N
Cancellation policy does apply. For more information, view the'Rate Details' link in your reservation on the Marriott
website, contact the hotel o/call Marriott Reservations.
RATE GUARANTEE uMnnToN(S)
* Changes mtaxes orfees implemented after booking will affect the total room price.
° Please note that achange inthe length ordates ofyour reservation may result marate change.
ADDITIONAL INFORMATION
~The Responsible Tourist and Traveler
xpractical guide u,help you make your trip xmenriching experience
Qr Call 1-808'Z2Q-929Ointhe USand Canada. nrAdditional Reservation Information available
[3 Elsewhere, call our worldwide telephone
numbers.
DOWNLOAD MARRIOTT MOBILE APP '�LL
01
3