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2024-08-06 Exhibit 3, Item IV. D. • 0 '."INUTF_ FILE Exhibit 3 �,, 08/06/2024� ,eof•l•�F�KFF :c `y�A .1 tQ.en I V. D. a. 0 m= . ..., MEMORANDUM _-siN ip ,i' TO: Mayor Watford & City Council DATE: July 29, 2024 FROM: City Clerk Gamiotea SUBJECT: Appoint City Representative to OUA Board of Directors Mr. Frank Irby has resigned from the OUA Board effective June 11 , 2024. We received one new citizen board application from Mr. John Gilliland. His term will be August 7. 2024. through March 1 , 2025, as the City's second Regular Member. filling Mr. Irby's vacancy. As soon as we receive any applications for the Alternate Member position, they will be presented for consideration. Please help with this by asking neighbors and constituents who would be a good fit to serve in this capacity, share the posts from the City's Social Media pages, and post the flyer at your business and/or work (if allowed). Alternates are appointed for a two-year term; this position has been vacant since March 1 , 2023. Requirements: must reside within the City Limits with residence being on the OUA system. Thank You! • • CITY OF OKEECHOBEE 55 Southeast 3rd Avenue, Okeechobee, Florida 34974 Phone: (863) 763-3372 APPLICATION FOR CITY CITIZEN BOARD/COMMITTEE APPOINTMENT Please print or type all information. The information from this application will be used by the City Council when considering action on your appointment. The application MUST BE COMPLETED IN FULL. Answer"None" 'Not Applicable"or"N/A"where appropriate. CHECK THE BOARD(S) OF INTEREST TO YOU A COPY OF EACH BOARD'S DUTIES, MEETING DATES,AND TIMES ARE ATTACHED = Planning Board/Board of Adjustment&Appeals/Design Review Board Okeechobee Utility Authority Board of Directors(City Residents Only) - Police Officers' Pension, Firefighters' Pension, or General Employees' Retirement System Board of Trustees (City Resident Trustee: OR Fifth Member Trustee: - Other: APPLICANT'S FULL NAME: IAN Ft0k1(NC ( l " `Ct i1 cj NAME COMMONLY USED: RESIDENCE ADDRESS: /rl (,e— 01 /jl_ 26l HOW LONG AT ADDRESS: Years: Is this in the City Limits? /\Yes - No MAILING ADDRESS: '[.(5 )1[; TELEPHONE/CELL: > ._ 6;31 — /CI XS/ EMAIL: ..ILL= !J! i/41 � 5 6! 4( ARE YOU A US CITIZEN? t,es =No,explain: FLORIDA REGISTERED VOTER? 1,,Yes County Registered ( 2 L.Cee__ \v�:)C No tiiah School Namelsl&Locahon(s1 Year Tadgaleck EDUCATION: /_2 ty 1)L> /l7) Cohere Nemelsl Cerllhcate/Deareels)Awardeci pate(s)Attendec POST SECONDARY EDUCATION: l� Branchtes2 Dates or Service Discharge Date(s) MILITARY SERVICE: jj CURRENT OR MOST RECENT EMPLOYER: , JJ ;r(Yj 6YIGL V f ifl < I V JOB TITLE/DESCRIPTION: S P WORK ADDRESS: r / /r , r WORK TELEPHONE: l,� 1 I Page 1 of 5 Last Name&First Initial )611 Li,...) '� , • • ARE YOU CURRENTLY EMPLOYED AS: ❑General Contractor L Business Person ❑Architect (CHECK ALL THAT APPLY) Li Engineer ❑Sub-Contractor ❑Realtor ❑Attorney G Doctor ❑Surveyor ❑Lay Person ❑Urban Planner ❑Landscape Architect Have you ever been appointed to, or do you currently serve on, a citizen or community board for any other agency or government? ❑ No _ es*, and list: *If you are currently serving on another Board that the State deems an "office,"your application cannot be considered. Each Board will have to be reviewed and verified. AGENCY BOARD NAME POSITION DATE-(Si Are you now, or have you ever been, elected or appointed to any public office? X,No H Yes, and list: LEVEL OF GOVERNMENT OFFICE TITLE DATE OF ELECTION I FRM(S` Do you work with qr have any association with a current member of the board committee to which you are requesting appointment? Vigo ❑Yes, and list: NAME OF BOARD/COMMITTEE MEMBER(S1 RELATIONSHIP/ASSOCIATION Are you related to, or employed by, any City of Okeechobee employees or elected officials? > No ❑Yes, and list: NAME OF EMPLOYEE/ELECTED OFFICIAL RELATIONSHIP/ASSOCIATION Have you ever been fund to be in violation of Florida Statutes Chapter 112, Part III, Code of Ethics for Public Officers and Employees? No ❑Yes, and list: PAT (S( hAIUHEOE VIOLA IION, Have you ever been convicted of a FELONY. plead guilty or no.contest, or entered into an agreement setting forth the terms leading to the reduction or dismissal of the charges? ❑Yes, and list: DATE(S1 VIOI ATION CITY AND STATE Page 2 of 5 Last Name&First Initial C(/ I,,`4/L04 V • • ALL INFORMATION PROVIDED ON THIS FORM IS A PUBLIC RECORD. Information for certain individuals with a specific public records exemption can be withheld. In order to claim the exemption,complete the following: Are you a current or former, the spouse of a current or former, or the child of a current or former sworn or civilian law enforcement personnel, certified firefighter, EMT,paramedic,code enforcement officer, or other covered employee who is exempt from public records disclosure under Florida Statute 119.071?Review list of other covered employees before responding. XN`o 0 Yes,and list: JOB TITLE OR COVERED POSITION TITLE RELATIONSHIP Describe any skills, experiences, interests and/or background information about yourself that would be helpful to the Board you wish to serve on. Include personal accomplishments that qualify you for the appointment. !/mcme spare is needed,please attach an addi al page. �tCC%%�, 0 7 c c' ���-s=1��i� Sl i �� �%�i .nti� t� jy y< -. fs- ;7SL/L/-i-A /%( Y' 1c .i%eci4 ;hz- i Gi ve= C i �G;72t; 1-j—/h( i y' ri bu,4- 10"k Page 3 of 5 Last Name&First Initial �/ (t 1 t:„0 • II THE FOLLOWING INFORMATION IS USED WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, AGE, DISABILITY, OR MARITAL STATUS. HOWEVER, THE FEDERAL AND STATE GOVERNMENTS REQUIRE THE CITY TO PROVIDE STATISTICS ON THE NUMBER OF WOMEN, MINORITIES, VETERANS, AND DISABLED PERSONS THAT ARE APPOINTED TO BOARDS. INFORMATION WILL BE USED FOR STATISTICAL PURPOSES ONLY AND HAVE NO BEARING ON YOUR APPOINTMENT: SEX: MALE = FEMALE ETHNIC GROUP: "1 CAUCASIAN BLACK =SPANISH HERITAGE =NATIVE AMERICAN ASIAN OR PACIFIC ISLANDER 1 OTHER (specify): CHECK ALL THAT APPLY: =WARTIME PERIOD VETERAN =DISABLED VETERAN =VIETNAM VETERAN HANDICAPPED STATUS: NO =YES,AND LIST THE HANDICAP: STATEMENT OF APPLICANT: I certify that the answers are true and complete to the best of my knowledge_ I authorize investigation of all statements contained in this application. I hereby release all companies, schools, or persons from all liability for any damage for issuing this information. I understand that the City may request a copy of my driver's license. I have the right to request that the City completely and accurately disclose to me the contents of any investigation or reports upon request to the Office of the City Clerk. I further understand all information provided becomes a matter of public record. CERTIFICATION: I understand that falsification, omission, misleading statements, or misrepresentation is cause for rejection of this application. I understand that this application is a Public Record and is subject to the provisions of Florida Statutes Chapter 119. FINANCIAL DISCLOSURE REPORTING: I understand that should I be appointed to a City of Okeechobee citizen board I am required to complete and file a State of Florida Financial Disclosure Form 1 upon my appointment, annually and a Financial Disclosure Form 1-Final upon my resignation/sunset of term. PUBLIC RECORDS/OPEN MEETINGS LAWS: I understand and agree that should I be appointed to a citizen board/committee for the City of Okeechobee, I will comply with all State Statutes, Florida Administrative Code, and State Constitution regarding public records, records retention, public record requests, and the open public meeting requirements. I hereby acknowledge that I h, i re d and understand each of he above statements. / t-, Signature of Applicant: ,/.y /1- /L,i5.:-/ l/ 6,.// Date: l�=--7--74-�Z / / 1.The City Code Book Sec.70-151,70-171,70-19170-211 read: "....membership of the board,where possible,shall consist of any of the following: architect, engineer, surveyor, urban planner, landscape architect, general contractor, realtor, business person, and lay persons." 2. Other covered jobs include current or former, their spouse, and children: correctional and correctional probation officers; juvenile probation officers, supervisors, detention superintendents and assistants; Department of Juvenile Justice: detention officers I and II, detention office supervisors, residential officers, residential officer supervisors I and II, counselors and supervisors, human services counselor administrators, senior human services counselor administrators, rehabilitation therapists, and social services counselors; certain personnel of:the Department of Children and Families;the Department of Health;the Department of Financial Services; and the Department of Revenue or local governments whose responsibilities include revenue collection and enforcement or child support enforcement;investigators or inspectors of the Department of Business and Professional Regulation;the Office of the Inspector General or internal audit department;justices of the Supreme Court;judges of the district court of appeals,circuit court,and county court; general and special magistrates,judges of compensation claims,administrative law judges of the Divisions of Administrative Hearings,and child support enforcement hearing officers; state attorneys and assistants, statewide prosecutors and assistants; public defenders and assistants, criminal conflict and civil regional counsel and assistants;guardians ad litem; human resource, labor relations,or employee relations directors and assistants,managers or assistant managers of any local government agency or water management district whose duties include hiring and firing employees, labor contract negotiations, administration, or other personnel-related duties; tax collectors; certain impaired practitioners and consultants; [see '119.071, Florida Statutes]. Page 4 of 5 Last Name&First Initial 10d L `(ly+dd i • • C Katie Rogers i From: Katie Rogers Sent: Thursday, August 1, 2024 10:57 AM To: jegilliland1957@gmail.com Cc: Lane Gamiotea; Caya Ortega Subject: Okeechobee Utility Authority Board of Directors Appointment, 8/6 Council Agenda Attachments: 2024 08 06 Exhibit 3.pdf; 2024 08 06 Agenda.pdf Good Morning. On behalf of City Clerk Gamiotea, attached is a copy of the 8/6/2024 City Council Agenda and Exhibit. Your appointment is being considered under the Consent Items. You are not required to attend, but it is encouraged. If you choose to attend, please note the meeting's time change to 5:00 P.M. Best, Katie Rogers I Deputy Clerk CITY CLERK'S OFFICE CITY OF OKEECHOBEE 55 SE 3RD AVENUE, OKEECHOBEE, FL 34974 PHONE: (863) 763-3372 EXT. 9814 FAX: (863) 763-1686 EMAIL: DEPUPTYCLERK CT CITYOFOKEECHOBEE.COM Under Florida law, email addresses are public records. If you do not want your email address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing, Florida Statute 668.6076. CITY OF OKEECHOBEE ELECTRONIC DEVICE DISCLAIMER: Florida has a very broad public records law. Most written communications to or from local officials regarding city business are public records available to the public and media upon request. Your correspondence via e-mail, text message, voice mail, etc., may therefore be subject to public disclosure.