Derek E. Bruce - JRT Construction Co. JETh
RECEIVED
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j. A F N
MIAMI BEACH
. - Office of the City Clerk .
E F
• 1706 Convention Center Drive
Miami Beach, EL 3313.9 CITY O
• 305:6'73.741.1 OFFIC O THE CITY CLERK
LOBBYIST REGISTRATION FORM
Lobbyist means all persOns emplbyed or retained,whether paid or not, by a principal who.seeks to encourage the PaSsage, defeat or
modification of any Ordinante, reSoitition, action Or decision of.any commissioner; any action, decision, recommendation of the City
Manager or any City board Cr committee;qr any action,decision or recommendation of any City personnel during the time period of the,
entire decision-making process on such action i decision Cr recommendation that foreseeably will be heard or reviewed'by the City
CommiSsion, or a':CO board or committee. The term specifically includes•the principal as well as any eMpioyee,:engaged in lobbying
actiVities. The term 'lobbyist'has specific exclusions. Please refer to City Code Chapter,2",Article VII; Division 3,entitled Lobbyists
for additional information.
Instructions:, 'Please complete all sections of this form and submitthe Completed form',with theiapplicable fee;to the Office of the City
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Clerk. If you need more space to;complete an answer, use a separate'sheet(s).of-peper. If you have nothing to report in a particular
section, you must write "none" or "n/e in that section. Any change to any information originally filed; or any additional City
- Commissioner or personnel who are also sought to be lobbied shall require that the lobbyist file an amendment to the registration ferin.
The lobbyist hasl a continuing duty to supply information and amend the forms filed throughout the period.that the lobbying occure.
Separate registration forins,shall be;required for each principal represented on each specific issue.
I. LOBBYIST INFORMATION:
Bruce Derek
• 'NAME OF LOBBYIST (Last) - (First) (Middle Name)
Gunater;Ybakley ei Stewart; RA:, 200'S.-Orange-Ave., Suit a 14.00, Drlaricro,,,FL 32501,
LOBBYIST BUSINESS-NAME AND ADDRESS ,(Numberand Street) .(City) (State) gip coda)
(407)648-5077 . dbrudeagunster.born LOBBYIST BUSINESS TELEPHONE-NUMBER . CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
Tarafa jeovanni R.
, „ .
NAME OF PRINCIPAL (Laet) (First) (Middle Name)
JRT COnstructiOn Co:, 3050 NVV 77:Court, Doral, Florida 33122
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and;Street), (City) (State) (Zip Code)
(305)557-9911 , itarafa@tarafaconstructiOn.COM
PRINCIPAL BUSINESS TELEPHONE NUMBER ' CELLULAR:TELEPHONE NUMBER •EMAIL ADDRESS
vursuant to Olt' eo.e Section 2 482 )(1)a): principal of any corporation partriarship,or othe entity W o appears as a lobbyist on behalf of tha
ntity,zfillk:a specialcompens:tic c reimb rsement for if19 appear nce,zfigito direct,indirect, conti go t,91)OREM support du o_postron
item shall reolstek it the Clerk as requ red by its subsection but shall not is required to ppy an iimillialCiriMa
If the principal Is a Corporation, Partnership or Trust, the following information MUST be provided
pureuanito City-Cede Sedien 2,482(c):
• NAME OF CHIEF OFFICER,PARTNER,,OR BENEFICIARY(if nonesuirrite NIA): Jeovanni R.Tarafa.
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• .NAMO.°FAO-PPRSONt:HOLDING,DIRECTLY 9R INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH
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-CORPORATION;PARTNERSHIP OR TRUST(if none,write N(A): Jeovanni R Tarafa(100%)
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HI. ISSUE TO BE LOBBIED:
Describe with as much detail as is practical, including but not limited to a specific description where
applicable of a pending request for proposal, invitation to bid, or public hearing number.
Invitation to Bid No. 2021-095-AY-North Beach Oceanside Park
IV. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
Pursuant to City Code Section 2-482(a)(4), list the City Commissioner or City personnel sought to be 's
lobbied, and whether the lobbyist has entered into any contractual relationship (paid or unpaid) with
said City Commissioner or City personnel from 12 months preceding such commencement of service
with the City to the present date,stating the general nature of the subject contractual relationship.
Full Name of Individual and Contractual Relationship (If yes,explain) YES NO
Title of Person.to be Lobbied
City Manager,Alina T. Hudak
Mayor, Dan Gelber �
Commissioners,Kristen Rosen Gonzalez, Mark Samuelian,
Alex J.Fernandez,Steven Meiner. Ricky Arriola.and
David Richardson
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.
List any Business, Financial, Familial or Professional Relationship, or other relationship giving rise to an
appearance of impropriety(if none,write N/A):
N/A
V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Specific. (Note that a
contingency fee is prohibited pursuant to City Code Sec. 2-485.3):
Derek E. Bruce$630.00 hourly rate
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The followings six(6)questions.MUST be answered: . . .
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1) Pursuant to City code.Section,2,488,,entitled"Prohibited Campaign Contributions By Lobbyists On Procurement Issues":
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/Yes,_No:• Are you Iobbvinq on a present Pending.bidt for•gooda,,eqUipinent or Servidet, or on,OPresent or
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. pendintraward•fOr 00pda...equipment or service? • • . ' ': ' — . .
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2) Pursuant to City Code Section 2,490,.entitled"prohibited Campaign Contributions By Lobbyists On Real Estate.Development
Issues':
.,..Yet NO.: Are you lobbying on a pending application for a Development Acireementwith:the City or application
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for:Change otionina.MAP,:dealcmatien or change iii•the CRY'S Future Lena Use Map? • .
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3) Pursuant to City'Code Section 2,,0182(h);.'any person (except: these exempt from the definitiOn.of lobbyist 'at set-forth in • .
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Section 2-481)who only appears,as O'rOrsreSentative of a not-for-profit corporation or entity without special or .
reimbursement for the appearance whether direet.or indirect to express support of or opposition to any item,shall register with
the.bity blerkes required by this section,but shall nOtte required tdpay any.registration fees..
YesOO: . Are you representing a not7fer-profit corporation or entity withoUt special compensation Or
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reimbursement?.
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4) • Pursuant to City Code Section ‘2.401, the term ''lobbyist' specifically excludes the following persons: Expert witnesses who
provide only scientific technical or Other specialized information or testimony in,public meetings any person who only appears
as a representative of a association withotittonipenSatiOn:or reimbursement for the appearance,whether direct
indirect or contingent to express supped of or OppQsition.,to any item;and any person who only appears as a representative of
, net-fOr-profit community based.organization .for the purpose of requesting a grant without •special compensation or .
reimbursement for the•OpPearance.
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_,yes‘ZNo: •Are you ,providing only scientific,. technicaLcit._other.specialized_information:. apPearind as a
repretentative.of I neighbOrlibod•ataticiation without special compensations or.reimbursement or
representing 'a not-for-profit based.drgitiiiatiOn• for the purpose of requesting a grant without
special compensation or reimbursement? .
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5)• Pursuant to City Code Section,.2-491(1), no campaign•consultant'Shall lobby the City Commission for-a period'of 12 months
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following the swearing in of any elected,OffiCial(s).for whom the campaign consultant provided campaign consulting services
within the past election cycle.See Section 2491:forMore informatien.
_YessZNO: Have you provided Camealqn Consulting'services to an incumbent member of the.City.Commission
•within the past election cycle?If yes,please list the of-the City Commission:
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Yee. No:. f yes., has it been less than 12 months since the elected official(s) whom you provided campaiq
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011SUIfillt01 e,leer'Pr"..''MffiT./---Mnlini
6) Pursuant to City-Code Section 2,482(0)(4)a.,‘a lobbyist who has within the past election cycle provided campaign consulting
services to an incumbent member of the City Commission(Which lobbying activity is not otherwise prohibited by Code section
2,491) shall disclose'such particular service oni his/her lobbyist registration form and shall orally disclose such particular
service before lobbying the City Commission at a.piiblib Meeting':
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_YeSI:ZNot Have you provided campaign„consulting services to an incumbent Member_of the City Commission
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within the Post election cycle?If yes please list incumbent member(s)of the City Commission
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__Yes_No; i if yes,, were you promised or did you receive economic consideration in exchange for campalq
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conMultirK-TiMirgigir - -----' ' '''''.•'7:-'' - ' I
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•.. . . . . . . .- TOttE CoMPLETED-BY CITY:CLERk'S STAFF ONLY. - ' . ,. : _ . . ...._ . . ......_ -.,
llegistration fee _ . ,,,,
Annual-' ' 2b.. . •
: ,10.'es1 -I,NO ,Afriltt1ptiP4103:1( .2' .1,vicR#. _ ry 2 G datelPoid '
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Lobbyist Registratiro'Porm retelifedandiverifierlby: - - -- - ' -.,--.. --•.- --- --•
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Fi\ellteASAIIXa0.9amMi-osSYISTiFortNISV-obbVisUoeaiitrationkiriraie,iitaiEW.4-201Ed.iii* : ... _ ,Itdirgif..01111*5207 4,
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VI. SIGNATURES UNDER OATH:
ON FEBRUARY 28 OF.EACH._YEAR. EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A
SIGNED..STATEMENT UNDER OATH, LISTING LOBBYING .EXPENDITURES. AS WELL AS COMPENSATION
RECEIVED. FOR THE PRECEDING:CALENDAR'YEAR.WITH.REGARD-TO THE SPECIFIC ISSUE ON WHICH THE,
LOBBYIST HAS BEEN ENGAGED TO LOBBY:A STATEMENT SHALL BE_FILED EVEN IF THERE HAS BEEN NO.
EXPENDITURE OR COMPENS TION DURI HE REPORTING PERIOD? • - I
Signature of Lobbyist Date la ntu.4,-y Z S
erek
I do solemnly swear or affirm that all of the foregoing facts,statements,and disclosures in this form are true and correct,
and that I have read or am familiar the 'visions contained in Chapter 2,Art.VII, Division 3, entitled"Lobbyists" of
the Miami Beach City Cod, ;. all repo n re,uirements.
kSignature of Lobbyist Date a ►ttr-Y as 2o41
re ioillr
Signature of Principal: ;,�:.s�. �i ! Date. °kti^"°`V'j 2'S (20'LZ
Jeo`• niR.Tarafe"
VII. NOTARY SIGNAT -E AND SEAL: .
LOBBYIST: PRINCIPAL
State of Florida State of Florida
County of: " .Of'0.v+44G County of: Mlemi-Dade
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Sworn to(or affirmed)and subscribed before me, Sworn to(or affi' nd subscribed before me,
by means of Pt physical presence by means of physical presence
or 0 online notarizatio�r,, or 0 onii a notarize'on,
this elf day of J o rnuafy 201Z by this 'ay of 20: y"
Dert V- -F . Oetkc.e. ounce 1?=�
NAME OF LOBBYIST NAME, PRINCIPAL
Produced ID _Produced ID
FORM'OF IDENTIFICATION Y FORM OF IDENTIFICATION
Z ersonally Known . Personally Known
Signature P Mlic: Signature of Notary P iic
5te.:pp +D t 3:: Puler-
Name of i?lotary i cas.t,�1ngct. P b ,tisilEy - Name o otary,Typed;`Printed or Stamped
'•Ti PEELER
r,s10 Pooz, IAURAGUERRERO
(NOTARY SFJ�11r ' r•�:'MYCOMMISSION#NH032483 (NOTARY SEAL) _' ,. °
,, EXPIRE&Sep;ember SO.2024 y _ * Commission#GG282885
,p�fd,,.?� Bandana! sr'h':>, Expires April 7,2023
�liP+�0ltallndarrnRert:
RpFF�oQ Bonded btu Budget Notary Services
The term"lobbyist'specifically excludes the following persons:
Expert witnesses who provide only scientific,technical or other specialized Information or testimony in public meetings;any.person who
only appears as a representative of a neighborhood association without compensation or reimbursement for the appearance,whether
direct,indirect or contingent,to express support of or opposition to any item;and any person who only appears as a representative of
not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for
the appearance.
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M,I:AMISEACH
City of:Miami Beach,1700 Convention Center.Drive,Miami Beach,Florida 33139 www.miamibeachil.gov
Office of;the City Clerk
Rafael-E.'Granado,City:Clerk CilyClerk@miamibeachfl2gov
Tel 305:6717411,Fax:305.673.7254'
NAME OF LOBBYIST: Derek E. Bruce,
1) LOBBYIST FEE EXPENDITURE AND COMPENSATION.STATEMENT
Pursuant to City Code Section 2-485(d), the City Clerk shall notify any lobbyist (or
principal)who fails to file timely a Lobbyist Fee Expenditure and Compensation Statement
(Statement). In addition to any other penalties that may be imposed as provided in
Section 2-485.1., a fine of $50`.00 a day shall be assessed for Statements filed after the
due date. The City Clerk shall notify the Miami-Dade County Commission on Ethics ands
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 of each year, 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.
I hereby acknowledge that.on February 28 of each year, I shall submit tothê City Clerk a
signed Statement under oath,listing all lobbyist expenditures; as well as compensation
received,for the preceding calendar year with regard to the specific issue on which I have
been engaged to lobby.
2) LOBBYIST WITHDRAWAL
Once an issue. I have registered to lobby has concluded or I am no longer lobbying on
that.issue, I shall immediately file a Notice of Withdrawal With the Office:of the City Clerk.
3) ANNUAL LOBBYIST REGISTRATION FEE
I understand annual,registration of all lobbyists shall be required for each 12-month period
commencing October 1, of each year, and the fee for such annual ;registration. shall be
$5 .0'pugs t Section'2-482.of the.Miami Beach.City Code.
Signature of Lobbyist I Derek E. Bruce Date
F;\CLERI$ALL\aFORMS\LQBBYIST FORMS\Lebbyist Registration Form Revised 03-11-20 REG.doc
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Miscellaneous Cash Receipt
CITY OF MIAMI BEACH ,
No,429587
n;Cash OCredit Card qChedc
�1 - ;Q4:. 20 ='� .
' br-' or 'AA ltv;..t \ .''). , C A. ir, ic. a, :}1 ;)t r`rP �• r. fC.
red
locel aT�neous ivfeK-2022 % f , l
Ord 6i1C `�11.1._,t% ) ram. Q 5 far:.=./ :,C A,s a,-)
Payment Amount 1,700.00. -`
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(THIS INFORMATION MUST-BE COMPLETED) Office of Ftaancr Dkrctor.
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Account NwtrbM: , • �: 4 -�,l.i l
f' per. ------,: :,'-'.) )1) .?::-Ac EXT..��