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2021 04 12 City Commission Regular Meeting Agenda
CITY COMMISSION REGULAR MEETING AGENDA MONDAY, APRIL 12, 2021 - 6:30 PM CITY HALL - COMMISSION CHAMBERS 1126 EAST STATE ROAD 434, WINTER SPRINGS, FLORIDA 1 CALL TO ORDER Roll Call Invocation Pledge of Allegiance Agenda Changes AWARDS AND PRESENTATIONS 100. Update on the Consumptive Use Permit - Drinking Water INFORMATIONAL AGENDA 200. Current Economic and Community Development Projects Summary Current Projects Summary 201. Comprehensive Plan Timeline Update Comp Plan Gannt Chart_CS PUBLIC INPUT Anyone who wishes to speak during Public Input on any Agenda Item or subject matter will need to fill out a “Public Input” form. Individuals will limit their comments to three (3) minutes, and representatives of groups or homeowners' associations shall limit their comments to five (5) minutes, unless otherwise determined by the City Commission. CONSENT AGENDA 300. Surplus Assets 4.12.21 Surplus List 301. Community Project Funding Requests through Congresswoman Murphy's Office Resolution 2021-04 Supporting Community Project Funding for WTP3 and LS7 generators etc Resolution 2021-05 Supporting Community Project Funding grant for WTP security Funding Requests for WTP3 and LS7 Generators Funding Request for WTP Security 302. Cost-Sharing Agreement between the St. John’s River Water Management District and the City of Winter Springs-Tuskawilla Crossings Reclaimed Water Connection City of Winter Springs Tuskawilla Agreement03_29_21 303. Minutes from the Monday, March 22, 2021 City Commission Regular Meeting Minutes 2 PUBLIC HEARINGS AGENDA 400. Second Reading of Ordinance 2021-02 amending Chapter 20 of the Winter Springs City Code regarding scheduling public hearings before the City Commission on development permit applications; providing for the repeal of prior inconsistent ordinances and resolutions; incorporation into the code; severability and an effective date. Ordinance 2021-02 Scheduling Public Hearings on Development Permit Applications Ordinance 2021-02_Orlando Sentinel Ad REGULAR AGENDA 500. Consider Applications for Appointment to the Office of the Mayor McCann, Kevin - Application for Mayor Morrisey, William - Application for Office of the Mayor Parsons III, Howard - Application for Office of the Mayor Parsons, Sabrina - Application for Office of the Mayor Phillips, Jesse - Application for the Office of the Mayor Spalthoff, Kenneth - Application for Office of the Mayor Wentzell, Christopher Application for Mayor REPORTS 600. City Manager Shawn Boyle 601. City Attorney Anthony A. Garganaese 602. City Clerk Christian Gowan 603. Seat Two Commissioner Kevin Cannon 604. Deputy Mayor/Seat Three Commissioner Ted Johnson 605. Seat Four Commissioner TiAnna Hale 607. Seat Five Commissioner Rob Elliott 608. Seat One Commissioner Matt Benton PUBLIC INPUT Anyone who wishes to speak during Public Input on any Agenda Item or subject matter will need to fill out a “Public Input” form. Individuals will limit their comments to three (3) minutes, and representatives of groups or homeowners' associations shall limit their comments to five (5) minutes, unless otherwise determined by the City Commission. 3 ADJOURNMENT PUBLIC NOTICE This is a Public Meeting, and the public is invited to attend and this Agenda is subject to change. Please be advised that one (1) or more Members of any of the City's Advisory Boards and Committees may be in attendance at this Meeting, and may participate in discussions. Persons with disabilities needing assistance to participate in any of these proceedings should contact the City of Winter Springs at (407) 327-1800 "at least 48 hours prior to meeting, a written request by a physically handicapped person to attend the meeting, directed to the chairperson or director of such board, commission, agency, or authority" - per Section 286.26 Florida Statutes. "If a person decides to appeal any decision made by the board, agency, or commission with respect to any matter considered at such meeting or hearing, he or she will need a record of the proceedings, and that, for such purpose, he or she may need to ensure that a verbatim record of the proceedings is made, which record includes the testimony and evidence upon which the appeal is to be based" - per Section 286.0105 Florida Statutes. 4 AWARDS AND PRESENTATIONS ITEM 100 CITY COMMISSION AGENDA | APRIL 12, 2021 REGULAR MEETING TITLE Update on the Consumptive Use Permit - Drinking Water SUMMARY RECOMMENDATION Staff recommends the City Commission receive this information. No action is required at this time. 5 INFORMATIONAL AGENDA ITEM 200 CITY COMMISSION AGENDA | APRIL 12, 2021 REGULAR MEETING TITLE Current Economic and Community Development Projects Summary SUMMARY Staff is advising the City Commission of the status of current development projects within the City. RECOMMENDATION 6 CURRENT COMMUNITY DEVLEOPMENT PROJECTS SUMMARY PROJECT NAME LOCATION LAST ACTION ITEM CURRENT STATUS AITC Office Building 863 N US 17-92 N/A DA, Final Engineering & Aesthetic Plans are under Staff review. Chase Bank Town Center Community Workshop was held on 02/20/20 CUP and DA approved by the City Commission on 11/16/20. Final Engineering & Aesthetic Plans are under Staff review. Dream Finders Townhomes (Seminole Crossing): 114 Single-Family (Attached) Units Town Center - East side of Michael Blake Blvd. Preliminary Engineering approved by City Commission on 1/8/18. DA, Final Engineering, Waivers, & Aesthetic Review approved by the City Commission on 12/09/2019. Final Plat approved by the City Commission on 09/28/20. Site Work Complete. Single-Family Homes Building Permits under Staff Review. Site acceptance pending. Iriye Suites Live Work Community Town Center SE & DA approved by City Commission on 01/28/19 Final Engineering and Aesthetic Plans are pending. Matthew ADU - CUP 1208 Howell Creek Drive CUP approved by the City Commission on 07/13/20. Building Permit under Staff review. Northern Oaks: 35 Single-Family Homes by Dream Finders Homes North side of SR 434, East of SR 417 Final Engineering & Waivers approved 03/13/17. Aesthetic Review approved 04/9/18. Waiver approved by City Commission on 11/18/19 Site work complete. Single-Family Homes are under construction. Site acceptance complete on 01/13/20. Sand Loch Future Land Use (FLU) request & Rezone North side of SR 434, East of SR 417 Community Workshop was held on 07/09/2020. FLU, Rezone, and DA approved by the City Commission on 09/28/20. Final Engineering and Aesthetics Plans are Pending. Southern Oaks: 54 single-family homes West of DeLeon St. & North of SR 434 DA, Final Engineering, Waivers, & Aesthetic Review approved on 06/22/15. Commission accepted site work on 08/14/17. Site work complete. Single-Family Homes are complete. Site acceptance complete. The Studios at Tuscawilla Vistawilla Drive Community Workshop was held on 07/19/19. DA approved by the City Commission on 01/13/20. Final Engineering, Aesthetic, & Waivers are under Staff Review. 7 Tuskawilla Crossings: 379 Single-Family Homes Town Center DA, Final Engineering, Waivers, & Aesthetics approved by City Commission on 04/24/17. Plat approved 08/13/18. Phase 1 and Phase 2 Site work approved by City Commission. Site work complete. Single-Family Homes under construction. Site acceptance complete. Winter Springs Medical Office E SR 434 Community Workshop was held on 08/13/19 DA, Final Engineering & Aesthetic Plans approved by the City Commission on 11/16/20 Site work started. Winter Springs Marketplace Five (5) Building Commercial Shopping Center SW Corner of SR 434 and Tuskawilla Road Community Workshop was held on 05/28/20 DA, Final Engineering, Waivers, & Aesthetic Review approved by the City Commission on 02/22/2021. Site work started. Winter Springs Retirement Residence (The Savoy): 144 independent suites Town Center DA, Final Engineering, Waivers, & Aesthetic Review approved by City Commission on 01/22/18. Site work complete. Suites under construction. Winter Springs Town Center Retail Building (Ocean Bleu) Town Center Final Engineering & Aesthetic Plans approved by City Commission on 06/10/19. Preconstruction Meeting Pending. Wendy’s Town Center Community Workshop was held on 12/17/19. DA, Final Engineering & Aesthetic Review approved by the Planning and Zoning Board on 02/05/2020 and City Commission on 02/10/20. Site Work Started. Building Permits issued. Building under construction. For more information please click the link below: City of Winter Springs Community Development Projects List/Locations Notes: ADU = Accessory Dwelling Unit CUP = Conditional Use Permit DA = Development Agreement PZB = Planning and Zoning Board SE = Special Exception 8 INFORMATIONAL AGENDA ITEM 201 CITY COMMISSION AGENDA | APRIL 12, 2021 REGULAR MEETING TITLE Comprehensive Plan Timeline Update SUMMARY Staff is advising the City Commission of the status of Comprehensive Plan timeline. City staff shall be working with the East Central Florida Regional Planning Council (ECFRPC) on refining the following elements; Multi-Modal Conservation School Infrastructure Housing The ECFRPC will begin work in May 2020 and conclude in late November 2020. Staff shall transmit the remaining elements to the Local Planning Agency/Planning and Zoning Board and the City Commission by January 2022 and conclude with final adoption by March 2022. RECOMMENDATION 9 Cr City of Winter Spring Comp Plan Enhancements En ECFRPC Enter the name of the Project Lead in cell B3. Enter the Project Start date in cel Th 1 C 3 4 56 7 8 9 ######################1 2 3 4 5 6 7 8 9 #####################1 2 3 4 5 6 7 8 9 10 1112 13 14 15 16 17 18 19 20 21 22 23 24 25 2627 2829 3031 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2021 2223 2425 2627 2829 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 1415 1617 1819 2021 2223 24 25 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 1112 1314 1516 1718 19 20 21 22 23 24 25 26 27 28 29 30 31ThTASKASSIGNEDTOPROGRESSSTARTENDMTWTFSSMTWTFSSMTWTFSSMTWTFSSMTWTFSSMTWTFSSMTWTFSSMTWTFSSMTWTFSSMTWTFSSMTWTFSSMTWTFSSMTWTFSSMTWTFSSMTWTFSSMTWTFSSMTWTFSSMTWTFSSMTWTFSSMTWTFSSMTWTFSSMTWTFSSMTWTFSSMTWTFSSMTWTFSSMTWTFSS Ce Multi-Modal - Best Practice Research and Current Plan Audit ell B9 Research other communities approaches to critical issues (LOS redefine/tracking measurements)ECFRPC 0%5/3/21 6/5/21 Ro Audit comprehensive plan for current policies to adjust (if any)ECFRPC 0%6/5/21 6/25/21 Meet with staff re:recommendations ECFRPC/City Staff 0%6/25/21 6/30/21 Draft new/adjusted policies ECFRPC 0%6/30/21 7/10/21 Draft new/adjusted policies ECFRPC 0%7/10/21 7/20/21 Draft to City for review ECFRPC/City Staff 7/10/21 7/20/21 Integrate comments from staff and send for final approval ECFRPC/City Staff 7/20/21 8/9/21 Th Conservation Element- Best Practice Research and Current Plan Audit Research other communities approaches to critical issues (new arbour ordinance, stronger fertilizer, tree/row ordinance, water quality in streams/rivers)ECFRPC 5/3/21 6/5/21 Audit comprehensive plan for current policies and new arbour and fertilizer ordinances ECFRPC 6/5/21 6/25/21 Meet with staff re:recommendations ECFRPC/City Staff 6/25/21 6/30/21 Draft new/adjusted policies ECFRPC 6/30/21 7/10/21 Draft to City for review ECFRPC/City Staff 7/10/21 7/20/21 Integrate comments from staff and send for final approval ECFRPC/City Staff 7/20/21 8/9/21 Sa School Element - Best Practice Research and Current Plan Audit Research other communities approaches to critical issues (keeping kids in neighborhood schools, keeping density/landuse decisions internal to city, approval based on neighborhood schools) ECFRPC 5/18/21 6/17/21 Audit comprehensive plan for current policies to adjust (if any)ECFRPC 5/25/21 6/24/21 Meet with staff re:recommendations ECFRPC/City Staff 7/14/21 7/19/21 Draft new/adjusted policies ECFRPC 7/20/21 8/19/21 Draft to City for review ECFRPC/City Staff 8/19/21 8/29/21 Integrate comments from staff and send for final approval ECFRPC/City Staff 8/29/21 9/18/21 Sa Infrastructure - Best Practice Research and Current Plan Audit Research other communities approaches to critical issues (impact fees, CUP exceedance, tracking, reuse)ECFRPC 7/25/21 8/24/21 Audit comprehensive plan for current policies to adjust (if any)ECFRPC 8/24/21 9/13/21 Meet with staff re:recommendations ECFRPC/City Staff 9/13/21 9/18/21 Draft new/adjusted policies ECFRPC 9/18/21 10/18/21 Draft to City for review ECFRPC/City Staff 10/18/21 10/28/21 Integrate comments from staff and send for final approval ECFRPC/City Staff 10/28/21 11/12/21 Sa Housing - Best Practice Research and Current Plan Audit Research other communities approaches to critical issues (rental ownership cap, understanding rental data)ECFRPC 7/25/21 8/24/21 Audit comprehensive plan for current policies to adjust (if any)ECFRPC 8/24/21 9/13/21 Meet with staff re:recommendations ECFRPC/City Staff 9/13/21 9/18/21 Draft new/adjusted policies ECFRPC 9/18/21 10/18/21 Draft to City for review ECFRPC/City Staff 10/18/21 10/28/21 Integrate comments from staff and send for final approval ECFRPC/City Staff 10/28/21 11/17/21 Oct 11, 2021 Oct 18, 2021 Oct 25, 2021Sep 6, 2021 Sep 13, 2021 Sep 20, 2021 Sep 27, 2021 Oct 4, 2021Aug 2, 2021 Aug 9, 2021 Aug 16, 2021 Aug 23, 2021 Aug 30, 2021####Jul 5, 2021 Jul 12, 2021 Jul 19, 2021 Jul 26, 2021######## Mon, 5/3/2021 ################ Project Start: Display Week:####Jun 7, 2021 10 Comission Date Surplus Assets Methods of Disposal 4/12/2021 1 - Auction 6 - Totaled/Accident 2 - eWaste 7 - Lost 3 - Destroy 8 - Stolen 4 - Salvage 9 - Donated 5 - Trade-in 10 - Transfer Department Description Asset # Acquisition Date Original Cost Method of Disposal PW Equip RTI Refrigerant Recovery 4272 3/22/1995 2,300$ 4 PW Equip John Bean Tire Changer 5513 12/22/1998 3,006$ 4 PW Multiquip Walk Behind Roller 300959 1/21/2009 10,950$ 4 PW Equip John Bean Wheel Balancer 5512 12/22/1998 2,149$ 4 11 CONSENT AGENDA ITEM 301 CITY COMMISSION AGENDA | APRIL 12, 2021 REGULAR MEETING TITLE Community Project Funding Requests through Congresswoman Murphy's Office SUMMARY On March 16, 2021 the City Manger's office received direct communication from the Office of Congresswoman Stephanie Murphy regarding an initiative entitled the Community Project Funding Requests. These funding requests are part of the federal government's FY 2022 appropriations process, by which each member of the US House of Representatives may submit up to 10 projects on behalf of their district. Each local jurisdiction was limited to submitting two projects for consideration. The deadline for submitting the request form for consideration was 4/1/2021. Staff began working on the process to bring forward projects for consideration as quickly as possible. The 4/12/2021 meeting of the Commission is the first meeting by which staff would have the opportunity to present our submissions. Due to the timing of the requirements staff has already made two submissions to the Congresswoman's office for consideration. As part of that submission process, staff was directed by the Congresswoman's office that any community support and other supporting documents could be forwarded after 4/1. In addition to the resolutions, attached are the two funding requests that were submitted. Each resolution once approved will be forwarded to Congresswoman Murphy's office in support of each funding request. The funding source should our projects be accepted fall under the Department of the Interior, Title II, Environmental Protection Agency, State and Tribal Assistance Grants (STAG). These grants allow for 80% funding of approved projects. 12 The requests for funding are for the following projects and summarized below: Power Reliability - Water Treatment Plant #3 & Lift Station #7 – We have the need for a new generator at one of our three water treatment plants, along with electrical panels and new generator at the associated lift station. These facilities provide about 30% of the water to the City impacting approximately 12,000 people. The lift station services about half the sewer flow of the City for approximately 19,000 people. Generator power will be utilized during emergency conditions when commercial power is lost at these facilities. In addition to operating power, the City will be able to maintain communication between these facilities and our computer system that runs the plants. The project estimate is in the range of $500k - $1M. Water Treatment Plant Security – We have a plan to upgrade the security surrounding our water treatment facilities. This would include our two waste water treatment plants which feed our reclaim water system as well as our three potable water treatment plants. Providing safe water for our residents is a top priority for our water & sewer utility. Suring up our facilities to protect from a variety of foes is of the utmost importance. The City’s water and waste water treatment plants are part of the significant infrastructure our City offers to our residents. It is vital to protecting public health in our community. Currently, our plan to secure our treatment plants (the perimeter of the hard assets) throughout the City is approximately $1M. Our concept includes but is not limited to cameras, related monitoring equipment, lighting, fencing, razor wire, etc. RECOMMENDATION Staff recommends the City Commission approves the attached resolutions 2021-04 and 2021-05 in support of the projects described therein and submitted for federal funding on 4/1/2021 under the State and Tribal Assistance Grants (STAG) program as part of Congresswoman Murphy's Community Project Funding Requests. 13 City of Winter Springs Resolution 2021-04 Page 1 of 3 RESOLUTION NO. 2021-04 A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF WINTER SPRINGS FLORIDA, SUPPORTING THE CITY’S REQUEST OF FEDERAL COMMUNITY PROJECT FUNDING FOR IMPROVEMENTS RELATING TO WATER TREATMENT PLANT #3 AND LIFT STATION #7; PROVIDING FOR SEVERABILITY, REPEAL OF PRIOR INCONSISTENT RESOLUTIONS, AND AN EFFECTIVE DATE. WHEREAS, the United States Congress recently reinstated the process of earmarking funds for local government entities and non-profit organizations by implementing a process now entitled Community Project Funding (“CPF”), with added oversight mechanisms with the purpose of transparency; and WHEREAS, related communications on behalf of the office of U.S. Congresswoman Stephanie Murphy invited CPF funding requests and noted that CPF funding requests should be for projects that are well-justified, have community support, and can be swiftly and effectively implemented if funded; and WHEREAS, following initial evaluation of the City’s CPF funding request, the request may be submitted to the relevant subcommittee of the House Appropriations Committee, which may then include funding for the request in the FY 2022 appropriations bill, if approved; and WHEREAS, the City recognizes that in current times, the financing of public projects is becoming more and more challenging in Florida and nationally, and that in times of budget constraints and related, it is incumbent upon the City to seek out alternative funding mechanisms and maximize the use of existing resources; and WHEREAS, the City desires to take the necessary actions to achieve needed project development for the maximum benefit to the community; and WHEREAS, the City owns and operates its own water and sewer utility, which provides such utility services to the City’s 39,000 residents as well as local businesses; and WHEREAS, the City recently evaluated its needs and identified necessary updates at Water Treatment Plant #3 and Lift Station #7; and WHEREAS, such City facilities provide about 30% of the water to the City, impacting approximately 12,000 people, and the Lift Station #7 services approximately half the sewer flow of the City, impacting approximately 19,000 people; and WHEREAS, City staff obtained an electrical evaluation from an engineering firm in 2020 14 City of Winter Springs Resolution 2021-04 Page 2 of 3 that was completed for the electrical systems at Water Treatment Plant #3 and Lift Station #7 (the “Evaluation”), and reviewed and considered the Evaluation at a City staff workshop in September, 2020; and WHEREAS, the Evaluation identified a number of deficiencies relating to power reliability, and the recommendations include that a new generator should be installed at Waste Treatment Plant #3, along with electrical panels and a new generator at Lift Station #7, as such equipment is old and in poor condition; and WHEREAS, this project is of great importance to the community and of a high priority for the City, as the improvements will aid the City in hurricane preparedness and resiliency, as the generator power will be utilized during emergency conditions when commercial power is lost at Water Treatment Plant #3 and Lift Station #7. In addition to operating power, the City will be able to maintain communications between these facilities and the City computer system which operates the City’s water treatment plants; and WHEREAS, as the City has already obtained preliminary engineering plans for this project, the City is in a position to swiftly and effectively move forward with implementing such improvements if the CPF funding request is approved; and WHEREAS, the City intends to submit a CPF request for a new generator at Waste Treatment Plant #3, along with electrical panels and a new generator at Lift Station #7, as the project, as described, is eligible for the relevant funding; and WHEREAS, the City intends to request CPF funds for such improvements from the Department of the Interior, Title II, Environmental Protection Agency, State and Tribal Assistance Grants (STAG), which allows for 80% funding of an approved project; and WHEREAS, as the City needs and intends to update Water Treatment Plant #3 and Lift Station #7, the City acknowledges that the receipt of 80% funding of the project will be a significant cost savings if the CPF request is approved, inasmuch as the funds needed to complete this project are projected to cost between $500,000 to $1,000,000; and WHEREAS, the City recognizes that certain federal grant programs may require local funding from the City, and that this particular funding opportunity will require a minimum of 20% funding from the City if approved. The City has funds available in the enterprise fund to meet the 20% co-funding requirement if approved. While the FY 2021 budget does not currently include the upgrades, funds may be made available via a budget amendment if the CPF request for the upgrades is approved; and WHEREAS, the City Commission retains its authority to accept and approve funding awards or contracts related to any funding opportunity applications submitted by the City; and 15 City of Winter Springs Resolution 2021-04 Page 3 of 3 WHEREAS, the City Commission of the City of Winter Springs deems that this Resolution is in the best interests of the public health, safety, and welfare of the citizens of Winter Springs. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF WINTER SPRINGS, SEMINOLE COUNTY, FLORIDA, AS FOLLOWS: Section 1. Incorporation of Recitals. The foregoing recitals are deemed true and correct and are hereby fully incorporated by this reference. Section 2. Support for Submission of Community Funding Project Application. The City Commission supports the Community Funding Project request for funds to assist in the implementation of updates identified as necessary at Water Treatment Plant #3 and Lift Station #7. Section 3. Repeal of Prior Inconsistent Resolutions. All prior resolutions or parts of resolutions in conflict herewith are hereby repealed to the extent of the conflict. Section 4. Severability. If any section, subsection, sentence, clause, phrase, word, or portion of this Resolution is for any reason held invalid or unconstitutional by any court of competent jurisdiction, such portion shall be deemed a separate, distinct and independent provision and such holding shall not affect the validity of the remaining portion hereto. Section 5. Effective Date. This Resolution shall become effective immediately upon adoption by the City Commission of the City of Winter Springs, Florida. RESOLVED by the City Commission of the City of Winter Springs, Florida, in a regular meeting assembled on the 12th day of April, 2021. ___________________________________ TED JOHNSON, Deputy Mayor ATTEST: ________________________________________ CHRISTIAN GOWAN, City Clerk Approved as to legal form and sufficiency for the City of Winter Springs only: _______________________________________ ANTHONY A. GARGANESE, City Attorney 16 City of Winter Springs Resolution 2021-05 Page 1 of 3 RESOLUTION NO. 2021-05 A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF WINTER SPRINGS FLORIDA, SUPPORTING THE CITY’S REQUEST OF FEDERAL COMMUNITY PROJECT FUNDING FOR SECURITY IMPROVEMENTS RELATING TO WASTEWATER AND POTABLE WATER TREATMENT PLANTS; PROVIDING FOR SEVERABILITY, REPEAL OF PRIOR INCONSISTENT RESOLUTIONS, AND AN EFFECTIVE DATE. WHEREAS, the United States Congress recently reinstated the process of earmarking funds for local government entities and non-profit organizations by implementing a process now entitled Community Project Funding (“CPF”), with added oversight mechanisms with the purpose of transparency; and WHEREAS, related communications on behalf of the office of U.S. Congresswoman Stephanie Murphy invited CPF funding requests and noted that CPF funding requests should be for projects that are well-justified, have community support, and can be swiftly and effectively implemented if funded; and WHEREAS, following initial evaluation of the City’s CPF funding request, the request may be submitted to the relevant subcommittee of the House Appropriations Committee, which may then include funding for the request in the FY 2022 appropriations bill, if approved; and WHEREAS, the City recognizes that in current times, the financing of public projects is becoming more and more challenging in Florida and nationally, and that in times of budget constraints and related, it is incumbent upon the City to seek out alternative funding mechanisms and maximize the use of existing resources; and WHEREAS, the City desires to take the necessary actions to achieve needed project development for the maximum benefit to the community; and WHEREAS, the City owns and operates its own water and sewer utility, which provides such utility services to the City’s 39,000 residents as well as local businesses; and WHEREAS, the City’s water and wastewater treatment plants are part of the significant infrastructure of the City, and the protection of same is vital to protect the public health and to ensure safe water for City residents, businesses and visitors; and WHEREAS, the City recently evaluated its needs and identified that security upgrades are necessary at the City’s wastewater and potable water treatment plants (“Security Upgrades”); and WHEREAS, the Security Upgrades will include just over 7,000 linear feet of fencing and 17 City of Winter Springs Resolution 2021-05 Page 2 of 3 razor wire, upgraded lighting, indoor and outdoor security cameras with related licensing, network equipment and cabling; and WHEREAS, as the City has already identified needed materials and equipment, the City is in a position to swiftly and effectively move forward with engaging its vendors to procure such materials and equipment and to commence the installation of the Security Upgrades if the CPF funding request is approved; and WHEREAS, the City intends to submit a CPF funding request for the Security Upgrades, as the project, as described, is eligible for the relevant funding; and WHEREAS, the City intends to request CPF funds for the Security Upgrades from the Department of the Interior, Title II, Environmental Protection Agency, State and Tribal Assistance Grants (STAG), which allows for 80% funding of an approved project; and WHEREAS, as the City needs and intends to implement the Security Upgrades, the City acknowledges that the receipt of 80% funding of the project will be a significant cost savings if the CPF request is approved, inasmuch as the funds needed to complete this project are projected to cost nearly $1,000,000; and WHEREAS, the City recognizes that certain federal grant programs may require local funding from the City, and that this particular funding opportunity will require a minimum of 20% funding from the City if approved. The City has funds available in the enterprise fund to meet the 20% co-funding requirement if approved. While the FY 2021 budget does not currently include the Security Upgrades, funds may be made available via a budget amendment if the CPF request for the Security Upgrades is approved; and WHEREAS, the City Commission retains its authority to accept and approve funding awards or contracts related to any funding opportunity applications submitted by the City; and WHEREAS, the City Commission of the City of Winter Springs deems that this Resolution is in the best interests of the public health, safety, and welfare of the citizens of Winter Springs. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF WINTER SPRINGS, SEMINOLE COUNTY, FLORIDA, AS FOLLOWS: Section 1. Incorporation of Recitals. The foregoing recitals are deemed true and correct and are hereby fully incorporated by this reference. Section 2. Support for Submission of Community Funding Project Application. The City Commission supports the Community Funding Project request for funds to assist in the implementation of Security Upgrades identified as necessary at the City’s water and wastewater 18 City of Winter Springs Resolution 2021-05 Page 3 of 3 treatment plants. Section 3. Repeal of Prior Inconsistent Resolutions. All prior resolutions or parts of resolutions in conflict herewith are hereby repealed to the extent of the conflict. Section 4. Severability. If any section, subsection, sentence, clause, phrase, word, or portion of this Resolution is for any reason held invalid or unconstitutional by any court of competent jurisdiction, such portion shall be deemed a separate, distinct and independent provision and such holding shall not affect the validity of the remaining portion hereto. Section 5. Effective Date. This Resolution shall become effective immediately upon adoption by the City Commission of the City of Winter Springs, Florida. RESOLVED by the City Commission of the City of Winter Springs, Florida, in a regular meeting assembled on the 12th day of April, 2021. ___________________________________ TED JOHNSON, Deputy Mayor ATTEST: ________________________________________ CHRISTIAN GOWAN, City Clerk Approved as to legal form and sufficiency for the City of Winter Springs only: _______________________________________ ANTHONY A. GARGANESE, City Attorney 19 FINANCE & ADMINISTRATIVE SERVICES 20 21 22 23 24 25 26 27 1 10/20/2020 FROM TO Todd Petrie, PE Rob Nicholas, VP Shawn Boyle, City Manager Maria Sonksen, Finance Director This memo is intended to outline the results of the Kimley Horn (KH) electrical evaluation that was completed for the electrical systems at WTP #3 and LS 7. A summary of the findings are below. The final report is attached for reference. LS 7 electrical equipment and controls are outdated and in need of replacement. The underground emergency feeder line from LS 7 to WTP 3 has questionable integrity. The LS 7 emergency generator is old but currently functions. WTP 3 Variable Frequency Drive (VFD) for High Service Pump 2 is in need of replacement. The VFD for HSP 1 was replaced earlier this year. WTP 3 does not have a main breaker installed ahead of the Automatic Transfer Switch WTP 3 High Service Pump 3 does not operate with a VFD. Currently, a soft start is installed. The WTP 3 service entrance rated Automatic Transfer Switch (ATS) was not operable at the time of the site visit. The ATS has been repaired and currently operates properly. findings and their recommendations to install a new generator at WTP #3, add a VFD on high service pump #3, and install a new electrical disconnect between the WTP and the Duke Energy electrical connection. WTP 3 currently gets its standby power through a buried electrical cable running between LS 7W and the WTP. The engineers have indicated through testing that it is at the end of its service life and should be abandoned. LS 7W electrical equipment and generator are old and in poor condition. The engineer recommended solution is to provide a new pre-engineered building to provide climate control for new electrical controls, SCADA, and a new automatic transfer switch. The existing generator will function as currently installed but is old and in poor condition. It could be replaced by a smaller unit. Budget Summary Option 2 proposed by KH is a combined project repairing the electric at WTP #3 and LS 7 at the same time. Separated the projects would cost more due to duplicate contractor mobilization, engineering, bidding and other services. The KH estimates are without any Engineering, Construction Veolia North America tel (813) 508-0218 www.veolianorthamerica.com 28 WTP #3 & LS 7 Electrical Evaluation 10/20/2020 2 Administration/Inspection, or Contingency which the City will need. LS 7 has been budgeted for replacement (electrical, pumps and wet well) for FY 23. A preliminary cost estimate by CPH Engineers a year or more ago estimated that project at $1,500,000 and the electrical improvements would be a portion of that estimate. The table below provides a comparison to the budgeted funds and project estimates. WTP #3 FY 21 Budget Separate Project Estimate Combined Project Estimate** WTP#3 Electrical Improvements $395,000 Construction/Equipment $295,000 $295,000 Survey/Engineering* $65,000 $33,000 Contingency (10%) $36,000 $33,000 Construction Project Admin (9%) $35,000 $32,000 Total = $431,000 $393,000 LS 7W FY 23 Budget Separate Project Estimate Combined Project Estimate** LS 7W Replacement $1,500,000 Construction/Equipment $255,000 $255,000 Survey/Engineering* $65,000 $32,000 Contingency (10%) $32,000 $29,000 Construction Project Admin (9%) $32,000 $28,000 Total = $384,000 $344,000 Separate Project Estimate Combined Project Estimate** Total = $815,000 $737,000 *For the combined project estimate, the Survey/Engineering fee estimate has been split between the two sites. Total survey/Engineering cost may be greater than $65,000 if both sites are included. **The combined project total anticipates execution of the improvements simultaneously. Although funds are not currently allocated in FY21 for LS 7W, the KH report is recommending the electrical and SCADA equipment be replaced. This can be accommodated in the current Capital Improvement Program (CIP) by reallocating the sewer pipe relining and lift station bypass pump retrofits projects. Together, the two CIP projects total $570,000 of available budget. Cost savings may be realized by completing both projects concurrently. Please let us know how you would like to proceed with both the WTP #3 electrical and LS 7W improvements. Additionally, if the LS7W electrical improvements proceed, please advise if the existing generator is to be replaced at this time or delayed. 29 Kimley-Horn.com 189 S Orange Ave. Orlando, FL 32801 Orlando TECHNICAL MEMORANDUM To: Todd Petrie, P.E., Director, Veolia North America Kyle Lanham, Lead Operator, Veolia North America David Kerr, Operation and Maintenance, Veolia North America Paul Morrison, Maintenance, Veolia North America From: Lance Littrell, P.E., Kimley-Horn and Associates, Inc Julia Felter, E.I., Kimley-Horn and Associates, Inc Stephen E. Bailey, P.E., Bailey Engineering Consultants, Inc. Chris Carignan, Bailey Engineering Consultants, Inc. Date: October 15, 2020 Subject: Winter Springs WTP 3 Power Reliability Workshop Background: Water Treatment Plant #3 Water Treatment Plant (WTP) 3 is located at 110 W Bahama Road. The plant consists of two wells, three high service pumps, one ground storage tank and the required chemicals for disinfection and stabilization treatment. The pump building houses the high service pumps and the electrical panels. There are two 75 horsepower (hp) high service pumps that are currently controlled by variable frequency drives (VFDs). The standby pump is a 100 hp pump with a soft start drive. The programmable logic controller (PLC) was recently upgrade to the Schneider M340. The power feed to the WTP is currently provided by Duke Energy with emergency backup service provided from nearby Lift Station 7 (LS 7) through conduit and power cables. LS 7 has an onsite emergency power generator that provides backup power to both LS 7 and WTP 3. Initial Site Visit On May 5th, Kimley-Horn (KH) and the electrical engineering subconsultant, Bailey Engineering Consultants, Inc. (BEC) attended the site visit at WTP 3and LS 7 to identify the recommended electrical testing and to observe electrical deficiencies. The WTP receives primary power from Duke Energy. Emergency power for WTP 3 is fed from LS 7. The distance between sites is approximately 750 linear feet (LF). LS 7 receives primary power from Duke Energy. The existing emergency generator located at LS 7 is sized at 500 KW. Prior to our visit, we recommended that the City consider replacing the underground cables between LS 7 and WTP 3. The City agreed to test the cables to determine their insulation resistance. This value is used to determine the integrity and reliability of any cable connection. 30 Page 2 «Office_» Kimley-Horn.com 189 S Orange Ave. Orlando, FL 32801 Orlando The following list identifies the main deficiencies observed at WTP 3 and LS 7 during our site visit: LS 7 electrical equipment and controls are outdated and in need of replacement. The underground emergency feeder from LS 7 to WTP 3 has questionable integrity. The LS 7 emergency generator is in poor condition. WTP WTP 3 does not have a main breaker installed ahead of the ATS. WTP 3 HSP 3 does not operate with a VFD. The WTP 3 service entrance rated ATS was not operable at the time of our visit. The City/Veolia staff has contacted Eaton for service. Testing and Results The City completed the wire resistance test on the conductors installed from LS 7 to WTP 3. The test was conducted by Peck Electric, Inc. The report was provided to KH on August 17, 2020, below are the results from the testing. Table 1: Wire Insulation Testing Results Phase Name Ohms Recorded Voltage Phase A 754 volts Phase B 1044 volts Phase C 1045 volts included in Appendix A. After visiting the site and reviewing the testing results, it is our opinion that this cable is subject to failure at any time. Workshop On September 17th, KH and BEC conducted a workshop with the City to review the results of the field cable testing and to discuss conceptual designs and associated costs for possible options. KH and BEC reviewed the report from Peck Electric, Inc. and concluded that the emergency feeder from LS 7 to WTP 3 is not reliable and needs to be improved. cable installed in the underground conduit will not be able to be removed without damage to the conduit. As such, replacing the cable in the existing conduit was not considered as a viable option and the cost for replacing the cable in the existing conduit is not applicable in this application. BEC agreed with the when WTP 3 is operating under emergency power (i.e. from drawing power from LS 7). KH and BEC have prepared the following options to address the reliability of LS 7 and emergency power supplies. 31 Page 3 «Office_» Kimley-Horn.com 189 S Orange Ave. Orlando, FL 32801 Orlando OPTION 1- LS 7 PROVIDES EMERGENCY POWER TO WTP 3 Option 1 includes maintaining the existing generator at LS 7, replacing the existing conduit and cable suppling emergency power to WTP 3, adding a main breaker, and VFD for pump 3 at WTP 3. The current generator at LS 7 is of sufficient size to provide power to the lift station and WTP 3. The s wastewater treatment plants. The generator has an above ground fuel storage tank. It is operational, however; the existing control panel is outdated and spare parts are no longer manufactured for generator. This generator should be replaced. The LS 7 electrical equipment and control panel require replacement. Table 2 below list the benefits and drawbacks associated with this option and the conceptual costs for each item. Table 2: Replace Conduit and Cable between LS 7 and WTP 3 Item Benefit/ Drawback/Both Cost Easement needed for conduit/cable Drawback $30K LS 7 generator replacement (500 KW) Both $190K LS 7 new controls, switchgear and building Both $225K LS 7 to WTP 3 conduit and wire (1,200 LF) Benefit $250K WTP 3 new main breaker and VFD Benefit $65K Temporary generator for emergency power during construction Drawback $25K LS 7 Reuse existing generator Both $0 Reduced generator maintenance (LS 7 generator only) Benefit Yearly fuel/maintenance technician costs TOTAL $785K OPTION 2- LS 7 AND WTP 3 HAVE INDEPENDENT GENERATORS Option 2 includes adding a dedicated emergency generator at WTP 3 to provide reliable emergency power and adding a main breaker and VFD for pump 3 at WTP 3. This option abandons the LS 7 emergency conduit and cables in place. New generators are recommended to be installed at LS 7 and WTP 3. The estimated generator size needed to provide the emergency power for WTP 3 is 400 KW. Providing a dedicated generator at WTP 3 will reduce the power draw requirements for LS 7 and allow the future replacement generator and switchgear at LS 7 to be smaller (less capital cost). The estimated size for the LS 7 generator under this option is 200 KW. A single generator serving both facilities is slightly more efficient than providing separate generators at each facility. As such the combined KW for the 2-generator implementation will be slightly higher than the single KW generator currently installed at LS 7. Table 3 below list the benefits and drawbacks associated with this option and the costs for each item. 32 Page 4 «Office_» Kimley-Horn.com 189 S Orange Ave. Orlando, FL 32801 Orlando Table 3: Add Generator at WTP 3 Item Benefit/ Drawback Cost WTP 3 new generator Benefit $140K WTP 3 generator installation Benefit $90K WTP 3 new main breaker and VFD Benefit $65K Eliminates LS 7 cable interface Benefit $0 LS7 generator replacement (200KW) Benefit $90K LS 7 new controls, switchgear and building Benefit $165K Similar reliability and maintenance as WTP 2 Benefit $0 Increased generator maintenance (LS 7 and WTP 3 generator locations) Drawback Yearly fuel/maintenance technician costs TOTAL $550K Discussion The workshop discussion highlighted the benefits and drawbacks of each option noted above. In general, the Veolia and City staff noted the importance of having a reliable backup power supply for the WTP to maintain pressure and potable water demands at all times. The discussion of Option 1 noted the easement needed for a new conduit and cable would require a longer route than the existing conduit due to the property access and availability to obtain an easement over the current routing. It is estimated the conduit and cable length would increase from 750 to 1,200 LF. These costs are reflected in the estimates noted in Table 2. The existing electrical equipment and generator at LS 7 is in need of replacement. and should be budgeted within the next 5 years. We noted this work as both a benefit and a drawback. If Option 2 is implemented, the LS 7 electrical gear the generator, and ATS could be downsized. This reduced electrical loading will require less footprint in the electrical building for equipment layout. If possible a new electrical building is recommended to be added to the site to provide an environmentally controlled area and to enhance station safety. The lift station controls would also be improved at this time. The construction sequencing at LS 7 will present challenges that will need to be vetted. Temporary emergency power may be needed to provide emergency power during the construction process. This temporary power will be sized for LS 7 and WTP 3The estimated construction time for these improvements, without obtaining an easement, is 6 months. The discussion of Option 2 noted serval more benefits then drawbacks and received positive feedback from the Veolia staff. There is space for a generator to be installed at WTP 3 with minimal site work and no changes to the current emergency power supply until construction is complete. As mentioned previously, Option 2 for WTP 3 would mirror the improvements being made at WTP 2. The constructability of these improvements would allow for LS 7 and WTP 3 to remain connected to the current generator, once the new generator is in place then the cable will be disconnected on both ends and only LS 7 will be powered by the current generator. There will not be a need to bring in 33 Page 5 «Office_» Kimley-Horn.com 189 S Orange Ave. Orlando, FL 32801 Orlando temporary power. The estimated construction time for these improvements, without generator lead time, is 4 months. The total cost for Option 1, not including the new generator at LS 7 or new LS 7 electrical gear, is $415K (this includes estimated easement cost plus new conduit and wire form LS 7 to WTP 3, a new main breaker and VFD at WTP 3) The cost for Option 2, not including the new generator at LS 7 or the new LS 7 electrical gear is $360K (this includes new generator, main breaker and VFD at WTP 3). Table 4 and Table 5 outlined the price to improve the electrical and emergency power systems at WTP 3. Option 2 allows the future LS 7 emergency generator and electrical gear improvements to be reduced by $185K. It is our opinion that Option 2 provides the more reliable solution as it does not require a long-distance buried feeder between the two facilities. Additional electrical improvements for WTP 3 not included in Table 4 and Table 5 cost estimates below would include replacing the remaining out of date MCC sections. Table 4: Total Cost for Option 1 Item Cost Survey $10K Engineering $55K Easement needed for conduit/cable $30K LS 7 to WTP 3 conduit and wire (1,200 LF) $250K WTP 3 new main breaker and VFD $65K As-builts $5K TOTAL $415K Table 5: Total Cost for Option 2 Item Cost Survey $5K Engineering $55K WTP 3 new generator $140K WTP 3 new main breaker and VFD $65K WTP 3 Generator Installation $90K As-Builts $5K TOTAL $360K 34 Page 6 «Office_» Kimley-Horn.com 189 S Orange Ave. Orlando, FL 32801 Orlando Appendix A Cable Testing Results 35 36 37 A PHASE - 60 SECONDS 38 B PHASE - 80 SECONDS 39 C PHASE - 100 SECONDS 40 41 CITY OF WINTER SPRINGS, FLORIDA FINANCE & ADMINISTRATIVE SERVICES 1126 EAST STATE ROAD 434 WINTER SPRINGS, FLORIDA 32708 T: (407) 327-1800 | F: (407) 324-4753 www.winterspringsfl.org April 1, 2021 Congresswoman Stephanie Murphy (FL‐7) 1710 Longworth House Office Building Washington, DC 25015 Dear Congresswoman Murphy, On behalf of the City of Winter Springs, I submit to you our Community Project Funding Request Form for our Water Treatment Plants – Security project. We respectfully request your consideration of our project. The City of Winter Springs has a population of just under 39,000 residents, located just outside the Orlando area in Seminole County. Our next City Commission meeting will be held on April 12, 2021 where we plan to request the Commission’s support of this project by way of a resolution. We will send the resolution on to your staff as soon as we have it executed. We look forward to hearing back from your office. Respectfully, Maria Sonksen Finance Director City of Winter Springs 42 Page 1 of 7 Rep. Stephanie Murphy FY 2022 Community Project Funding Request Form Instructions and Requirements 1. Please carefully read the information below about the specific appropriations accounts that can be used to make Community Project Funding requests and ensure that your request fits within one of those accounts. 2. One submission per form. No more than two submissions per requestor. 3. All requests must be for a one-time, single-year allocation of funds. 4. Please submit requests to our office no later than April 1. 5. Completed forms should be emailed to john.laufer@mail.house.gov; natalie.martinez@mail.house.gov; and lauren.allen1@mail.house.gov. 6. All questions on the form must be completed. 7. Include a letter on your entity’s official letterhead making the request. 8. Please note that all submitted forms are subject to public disclosure. 43 Page 2 of 7 Appropriations Accounts Eligible for Community Project Funding Only certain appropriations accounts, listed below, are eligible for Community Project Funding. Please click on the hyperlinks for more information about each account. Agriculture Title I, Agriculture Programs, Agricultural Research Service, Buildings and Facilities Title III, Rural Development Programs, Rural Development, Rural Community Facilities Grants Account Title III, Rural Utilities Service, ReConnect Grants (Rural Broadbrand) For more information on these accounts, click here: Commerce, Justice, Science (CJS) Title I, Department of Commerce, National Oceanic and Atmospheric Administration; Operations, Research, and Facilities Title II, Department of Justice, Office of Justice Programs, State and Local Law Enforcement Assistance, Byrne Memorial Justice Assistance Grants (Byrne JAG) Title II, Department of Justice, Community Oriented Policing Services, COPS Technology and Equipment Title III, National Aeronautics and Space Administration; Safety, Security and Mission Services For more information on these accounts, click here. Defense Title IV, Research, Development, Test, and Evaluation (Army, Navy, Air Force, Space Force, and Defense-Wide) For more information on these accounts, click here. Energy and Water Title I, Army Corps of Engineers, Investigations Title I, Army Corps of Engineers, Construction Title I, Army Corps of Engineers, Operation and Maintenance For more information on these accounts, click here. Financial Services and General Government Title V, Small Business Administration, “Small Business Initiatives” For more information on these accounts, click here. 44 Page 3 of 7 Homeland Security Federal Emergency Management Agency, Pre-Disaster Mitigation Grants Federal Emergency Management Agency, Non-Profit Security Grants Federal Emergency Management Agency, Emergency Operations Center Grants For more information on these accounts, click here. Interior Title I, Department of the Interior, Land and Water Conservation Fund, Federal Land Acquisition (FWS or BLM) Title II, Environmental Protection Agency, State and Tribal Assistance Grants (STAG) Title III, U.S. Forest Service, State and Private Forestry For more information on these accounts, click here. Labor/HHS/Education Title I, Department of Labor, Employment and Training Administration, Training and Employment Services Title II, Department of Health and Human Services, Health Resources and Services Administration, Program Management Title II, Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Health Surveillance and Program Support Title III, Department of Education, Innovation and Improvement Title III, Department of Education, Higher Education For more information on these accounts, click here. Military Construction/VA Military Construction, Army, Navy and Marine Corps, Air Force, Defense-Wide, Army National Guard, Air National Guard, Army Reserve, Navy Reserve, Air Force Reserve) For more information on these accounts, click here. Transportation, Housing and Urban Development (T-HUD) Title I, Department of Transportation, “Local Transportation Priorities” (highway, rail, bus, etc.) Title I, Department of Transportation, Airport Improvement Program (AIP) Department of Housing and Urban Development, Economic Development Initiative (EDI) (similar to CDBG) For more information on these accounts, click here. 45 Page 4 of 7 Section One: Contact Requesting Entity Official name of requesting entity: City of Winter Springs Type of entity (non-profit, university, government, etc.): local municipal government Address: 1126 East State Road 434, Winter Springs, FL 32708 Phone number: 407-327-1800 Website: https://www.winterspringsfl.org/ Point of Contact for Requesting Entity: Name: Maria Sonksen Title: Finance Director Address: 1126 East State Road 434, Winter Springs, FL 32708 Phone number: 407-327-7590 Email address: msonksen@winterspringsfl.org Intermediary Contact (if used) Name: Donna Bruno Title: Internal Auditor Organization: City of Winter Springs Address: 1126 East State Road 434, Winter Springs, FL 32708 Phone number: 407-327-6550 Email address: dbruno@winterspringsfl.org 46 Page 5 of 7 Section Two: Official Request Bill (e.g., Agriculture; CJS, Defense, T-HUD): Account (must be one of the specific accounts listed above): Suggested Title of Request: Water Treatment Plants - Security Detailed description of funding request: We have a plan to upgrade the security surrounding our wastewater and potable water treatment plants. This would include fencing/razor wire at our two wastewater treatment plants, which feed our reclaim water system, AND lighting/cameras at both wastewater plants and our three potable water treatment plants. Our concept includes but is not limited to cameras, related monitoring equipment, lighting, fencing, razor wire, etc. More specifically, the project includes just over 7,000 linear feet of both fencing and razor wire. In addition, to a quantity of 26 Meraki MV72 Outdoor cameras (512GB), related mounting brackets, a quantity of 5 Meraki MV12N Indoor cameras (512GB), licensing for the cameras, cabling, network equipment, and installation, as well as upgraded lighting at each of the 5 facilities. 47 Page 6 of 7 Dollar amount requested (smaller requests are more likely to be funded): The estimate for our plan to secure our treatment plants (the perimeter of the hard assets) throughout the City is approximately $1M. How this request, if funded, will help FL-7, the State of Florida more broadly, and/or the nation: Providing safe water for our residents is a top priority for our water & sewer utility. Suring up our facilities to protect from a variety of foes is of the utmost importance. The City’s water and waste water treatment plants are part of the significant infrastructure our City offers to our residents. It is vital to protecting public health in our community. 48 Page 7 of 7 Describe the current status of this project; describe any previous requests you have made for government (federal, state, local) funding; and confirm that, if funding is provided, the project can be implemented swiftly and effectively: We have not made any previous requests for funding in support of this project. If the funding requested is provided the City will take immediate action to engage our vendors to procure the materials and equipment described. Staff is committed to ensuring this project is installed as soon as materials and equipment are made available. Please outline what supporting materials you have to demonstrate community need and community support for this project (and attach documents if you have them) Based on Staff’s observations the existing fencing is failing or does not fully encompass the wastewater treatment plants. The cameras and lighting at the wastewater and water treatment plants are outdated, broken, and are not effective to provide security for the property. Staff plans to bring this project forward at an upcoming commission meeting on 4/12/2021 to engage formal support from our elected officials. Currently, we have informal support for this project. Please use this space to input any additional information that is required/requested pursuant to the account-specific Appropriations Committee instructions. Please strictly adhere to the relevant Submission Guidance documents that are hyperlinked on Page 2 and 3 of this document: Under the State and Tribal Assistance Grants (STAG) the City recognizes there is a minimum 20% cost share requirement. The City does have the funds available in the enterprise fund to meet the co-funding requirement of the STAG grant. Currently this project is not included in the FY2021 budget, but funds can made available by way of a budget amendment if the project is approved for federal funding. The Water Treatment Plants – Security project as described does fall under the Projects That Generally ARE Eligible for STAG Grants as outlined in the Subcommittee on Interior, Environment, and Related Agencies guidance, as an upgrade to the water treatment facility. 49 CONSENT AGENDA ITEM 302 CITY COMMISSION AGENDA | APRIL 12, 2021 REGULAR MEETING TITLE Cost-Sharing Agreement between the St. John’s River Water Management District and the City of Winter Springs-Tuskawilla Crossings Reclaimed Water Connection SUMMARY In August 2020, an application was submitted to the St. John’s Water Management District for consideration for the Florida Department of Environmental Protection’s Alternative Water Supply (AWS) cost-share program. The project submitted to the District was the Tuskawilla Crossing Project which is to extend reclaimed water service north on State Road 434 to just north of Howell Creek. Attachment A of the Agreement, details The Statement of Work for this project. This will allow the City the ability to migrate the Tuskawilla Crossings’ subdivision, approximately 379 parcels, from potable irrigation to reclaimed irrigation service. It will also build the infrastructure to be able to migrate other neighboring subdivisions along this reclaim water supply line to reclaimed services. In December 2020, Staff learned that the City’s submittal to the St. John’s Water Management District’s AWS grant program was selected for funding. The estimated completion date is June 30, 2022. Upon successful completion, the District will reimburse approximately 55% of the total Project cost up to $552,056. The engineering costs are budgeted in the Water & Sewer Availability Fund (412) for FY2021. Construction costs will be budgeted for FY2022 in the Water Sewer Fund (410). RECOMMENDATION Staff recommends the City Commission approve the acceptance of the Cost Share Agreement and authorize the City Manager and City Attorney to prepare and execute any and all applicable documents. 50 Contract #36590 - 1 - COST-SHARE AGREEMENT BETWEEN THE ST. JOHNS RIVER WATER MANAGEMENT DISTRICT AND CITY OF WINTER SPRINGS THIS AGREEMENT (“Agreement”) is entered into by and between the GOVERNING BOARD of the ST. JOHNS RIVER WATER MANAGEMENT DISTRICT (the “District”), whose address is 4049 Reid Street, Palatka, Florida 32177, and CITY OF WINTER SPRINGS (“Recipient”), 1126 East SR 434, Winter Springs, Florida 32708. All references to the parties hereto include the parties, their officers, employees, agents, successors, and assigns. RECITALS The waters of the state of Florida are among its basic resources, and it has been declared to be the policy of the Legislature to promote the conservation, development, and proper utilization of surface and ground water. Pursuant to chapter 373, Fla. Stat., the District is responsible for the management of the water resources within its geographical area. The Florida Department of Environmental Protection’s Alternative Water Supply (AWS) cost-share funding program is designed to fund AWS projects that benefit the region by reducing groundwater withdrawals. The District is also providing funding for this program. The District has determined that providing cost-share funding to Recipient for the purposes provided for herein will benefit the water resources and one or more of the District’s missions and initiatives. At its October 13, 2020 meeting, the Governing Board selected Recipient’s proposal for cost-share funding. The parties have agreed to jointly fund the following project in accordance with the funding formula further described in the Statement of Work, Attachment A (hereafter the “Project”): Tuskawilla Crossing Project In consideration of the above recitals, and the funding assistance described below, Recipient agrees to perform and complete the activities provided for in the Statement of Work, Attachment A. Recipient shall complete the Project in conformity with the contract documents and all attachments and other items incorporated by reference herein. This Agreement consists of all of the following documents: (1) Agreement, (2) Attachment A — Statement of Work; and (3) all other attachments, if any. The parties hereby agree to the following terms and conditions. 1. TERM; WITHDRAWAL OF OFFER (a) The term of this Agreement is from the date upon which the last party has dated and executed the same (“Effective Date”) until June 30, 2022 (“Completion Date”). Recipient shall not commence the Project until any required submittals are received and approved. Time is of the essence for every aspect of this Agreement, including any time extensions. Any request for an extension of time beyond the Completion Date must be made before April 1, 2022. Timely requests to extend, for longer than six months, the Completion Date of the Agreement for projects whose District contribution exceeds $100,000 may only be approved by the District’s Governing Board. Notwithstanding specific mention that certain provisions survive termination or expiration of this 51 Contract #36590 - 2 - Agreement, all provisions of this Agreement that by their nature extend beyond the Completion Date survive termination or expiration hereof (e.g., delivery of a final report, will remain in full force and effect after the Completion Date as necessary to effect performance). (b) This Agreement constitutes an offer until authorized, signed and returned to the District by Recipient. This offer terminates 45 days after receipt by Recipient; provided, however, that Recipient may submit a written request for extension of this time limit to the District’s Project Manager, stating the reason(s) therefor. Request for extension of time after the 45 days will be denied. The Project Manager shall notify Recipient in writing if an extension is granted or denied. If granted, this Agreement shall be deemed modified accordingly without any further action by the parties. 2. DELIVERABLES. Recipient shall fully implement the Project, as described in the Statement of Work, Attachment A. Recipient is responsible for the professional quality, technical accuracy, and timely completion of the Project. Both workmanship and materials shall be of good quality. Unless otherwise specifically provided for herein, Recipient shall provide and pay for all materials, labor, and other facilities and equipment necessary to complete the Project. The District’s Project Manager shall make a final acceptance inspection of the Project when completed and finished in all respects. Upon satisfactory completion of the Project, the District will provide Recipient a written statement indicating that the Project has been completed in accordance with this Agreement. Acceptance of the final payment by Recipient shall constitute a release in full of all claims against the District arising from or by reason of this Agreement. 3. OWNERSHIP OF DELIVERABLES. Unless otherwise provided herein, the District does not assert an ownership interest in any of the deliverables under this Agreement. 4. AMOUNT OF FUNDING (a) For satisfactory completion of the Project, the District shall pay Recipient approximately 55% of the total Project cost, but in no event shall the District cost-share exceed $552,056. The District cost-share is not subject to modification based upon price escalation in implementing the Project during the term of this Agreement. Recipient shall be responsible for payment of all costs necessary to ensure completion of the Project. Recipient shall notify the District’s Project Manager in writing upon receipt of any additional external funding for the Project not disclosed prior to execution of this Agreement. (b) “Construction cost” is defined to include actual costs of constructing Project facilities, including construction management. Land acquisition, engineering design, permitting, and solicitation costs are excluded. Construction cost does not include any costs incurred prior to the Effective Date, unless expressly authorized by the Statement of Work. Costs that are excluded will not be credited toward Recipient’s cost-share. (c) Work performed or expenses incurred after the Completion Date are not eligible for Cost-Share reimbursement. 5. PAYMENT OF INVOICES (a) Recipient shall submit itemized invoices as per the Statement of Work, Attachment A for reimbursable expenses by one of the following two methods: (1) by email to acctpay@sjrwmd.com (preferred) or (2) by mail to the St. Johns River Water Management District, Finance Director, 4049 Reid Street, Palatka, Florida 32177-2571. The invoices shall be submitted in detail sufficient for proper pre-audit and post-audit review. Invoices shall include a copy of contractor and supplier invoices to Recipient and proof of payment. Recipient shall be reimbursed for 100% of approved cost or the not-to-exceed sum of $552,056, whichever is less. 52 Contract #36590 - 3 - The District shall not withhold any retainage from this reimbursement. District reimbursement is subject to annual budgetary limitation, if applicable, as provided in subsection (g). If necessary for audit purposes, Recipient shall provide additional supporting information as required to document invoices. (b) End of District Fiscal Year Reporting. The District’s fiscal year ends on September 30. Irrespective of the invoicing frequency, the District is required to account for all encumbered funds at that time. When authorized under the Agreement, submittal of an invoice as of September 30 satisfies this requirement. The invoice shall be submitted no later than October 30. If the Agreement does not authorize submittal of an invoice as of September 30, Recipient shall submit, prior to October 30, a description of the additional work on the Project completed between the last invoice and September 30, and an estimate of the additional amount due as of September 30 for such Work. If there have been no prior invoices, Recipient shall submit a description of the work completed on the Project through September 30 and a statement estimating the dollar value of that work as of September 30. (c) Final Invoice. The final invoice must be submitted no later than 45 days after the Completion Date; provided, however, that when the Completion Date corresponds with the end of the District’s fiscal year (September 30), the final invoice must be submitted no later than 30 days after the Completion Date. Final invoices that are submitted after the requisite date shall be subject to a penalty of ten percent of the invoice. This penalty may be waived by the District, in its sole judgment and discretion, upon a showing of special circumstances that prevent the timely submittal of the final invoice. Recipient must request approval for delayed submittal of the final invoice not later than ten days prior to the due date and state the basis for the delay. (d) All invoices shall include the following information: (1) District contract number; (2) Recipient’s name, address, and authorization to directly deposit payment into Recipient’s account (if Recipient has not yet provided the District with a completed Direct Deposit Authorization form; (3) Recipient’s invoice number and date of invoice; (4) District Project Manager; (5) Recipient’s Project Manager; (6) supporting documentation as to cost and/or Project completion (as per the cost schedule and other requirements of the Statement of Work), in addition, see Attachment D, “CONTRACT PAYMENT REQUIREMENTS FOR STATE FUNDED COST REIMBURSEMENT CONTRACTS,” (7) Progress Report (if required); (8) Diversity Report (if otherwise required herein). Invoices that do not correspond with this paragraph shall be returned without action within 20 business days of receipt, stating the basis for rejection. Payments shall be made within 45 days of receipt of an approved invoice. (e) Travel expenses. If the cost schedule for this Agreement includes a line item for travel expenses, travel expenses shall be drawn from the project budget and are not otherwise compensable. If travel expenses are not included in the cost schedule, they are a cost of providing the service that is borne by Recipient and are only compensable when specifically approved by the District as an authorized District traveler. In such instance, travel expenses must be submitted on District or State of Florida travel forms and shall be paid pursuant to District Administrative Directive 2000-02. (f) Payments withheld. The District may withhold or, on account of subsequently discovered evidence, nullify, in whole or in part, any payment to such an extent as may be necessary to protect the District from loss as a result of: (1) defective work not remedied; (2) failure to maintain adequate progress in the Project; (3) any other material breach of this Agreement. Amounts withheld shall not be considered due and shall not be paid until the ground(s) for withholding payment have been remedied. 53 Contract #36590 - 4 - (g) Annual budgetary limitation. For multi-fiscal year agreements, the District must budget the amount of funds that will be expended during each fiscal year as accurately as possible. The Statement of Work, Attachment A, includes the parties’ current schedule for completion of the Work and projection of expenditures on a fiscal year basis (October 1 – September 30) (“Annual Spending Plan”). If Recipient anticipates that expenditures will exceed the budgeted amount during any fiscal year, Recipient shall promptly notify the District’s Project Manager and provide a proposed revised work schedule and Annual Spending Plan that provides for completion of the Work without increasing the Total Compensation. The last date for the District to receive this request is August 1 of the then-current fiscal year. The District may in its sole discretion prepare a District Supplemental Instruction Form incorporating the revised work schedule and Annual Spending Plan during the then-current fiscal year or subsequent fiscal year(s). 6. LIABILITY AND INSURANCE. Each party is responsible for all personal injury and property damage attributable to the negligent acts or omissions of that party, its officers, employees and agents. Recipient accepts all risks arising from construction or operation of the Project. Nothing contained herein shall be construed or interpreted as denying to any party any remedy or defense available under the laws of the state of Florida, nor as a waiver of sovereign immunity of the state of Florida beyond the waiver provided for in §768.28, Fla. Stat., as amended. Each party shall acquire and maintain throughout the term of this Agreement such liability, workers’ compensation, and automobile insurance as required by their current rules and regulations. 7. FUNDING CONTINGENCY. This Agreement is at all times contingent upon funding availability, which may include a single source or multiple sources, including, but not limited to: (1) ad valorem tax revenues appropriated by the District's Governing Board; (2) annual appropriations by the Florida Legislature, or (3) appropriations from other agencies or funding sources. Agreements that extend for a period of more than one Fiscal Year are subject to annual appropriation of funds in the sole discretion and judgment of the District's Governing Board for each succeeding Fiscal Year. Should the Project not be funded, in whole or in part, in the current Fiscal Year or succeeding Fiscal Years, the District shall so notify Recipient and this Agreement shall be deemed terminated for convenience five days after receipt of such notice, or within such additional time as the District may allow. For the purpose of this Agreement, “Fiscal Year” is defined as the period beginning on October 1 and ending on September 30. 8. PROJECT MANAGEMENT (a) The Project Managers listed below shall be responsible for overall coordination and management of the Project. Either party may change its Project Manager upon three business days’ prior written notice to the other party. Written notice of change of address shall be provided within five business days. All notices shall be in writing to the Project Managers at the addresses below and shall be sent by one of the following methods: (1) hand delivery; (2) U.S. certified mail; (3) national overnight courier; or (4) email. Notices via certified mail are deemed delivered upon receipt. Notices via overnight courier are deemed delivered one business day after having been deposited with the courier. Notices via e-mail are deemed delivered on the date transmitted and received. DISTRICT RECIPIENT Sara Driggers, Project Manager Donna Bruno, Project Manager St. Johns River Water Management District City of Winter Springs 4049 Reid Street 1125 East SR 434 Palatka, Florida 32177-2571 Winter Springs, Florida 32671 Phone: 386-312-2305 Phone: 407-327-6550 Email: sdrigger@sjrwmd.com Email: dbruno@winterspringsfl.org 54 Contract #36590 - 5 - (b) The District’s Project Manager shall have sole responsibility for transmitting instructions, receiving information, and communicating District policies and decisions regarding all matters pertinent to performance of the Project. The District’s Project Manager may issue a District Supplemental Instruction (DSI) form, Attachment C, to authorize minor adjustments to the Project that are consistent with the purpose of the Project. Both parties must sign the DSI. A DSI may not be used to change the District cost-share or percentage, quantity, quality or the Completion Date of the Project, or to change or modify the Agreement. 9. PROGRESS REPORTS AND PERFORMANCE MONITORING. (a) Progress Reports. Recipient shall provide to the District quarterly Project update/status reports as provided in the Statement of Work. Reports will provide detail on progress of the Project and outline any potential issues affecting completion or the overall schedule. Recipient shall use the District’s Project Progress Report form, Attachment B. Recipient shall submit the Project Progress Reports to the District’s Project Manager and District’s Budget Manager within 30 days after the closing date of each calendar quarter (March 31, June 30, September 30 and December 31). (b) Performance Monitoring. For as long as the Project is operational, the District shall have the right to inspect the operation of the Project during normal business hours upon reasonable prior notice. Recipient shall make available to the District any data that is requested pertaining to performance of the Project. 10. WAIVER. The delay or failure by the District to exercise or enforce any of its rights under this Contract shall not constitute or be deemed a waiver of the District’s right thereafter to enforce those rights, nor shall any single or partial exercise of any such right preclude any other or further exercise thereof or the exercise of any other right. 11. FAILURE TO COMPLETE PROJECT (a) Should Recipient fail to complete the Project, Recipient shall refund to the District all of the funds provided to Recipient pursuant to this Agreement. However, the District, in its sole judgment and discretion, may determine that Recipient has failed to complete the Project due to circumstances that are beyond Recipient’s control, or due to a good faith determination that the Project is no longer environmentally or economically feasible. In such event, the District may excuse Recipient from the obligation to return funds provided hereunder. If the Project has not been completed within 30 days after the Completion Date, Recipient shall provide the District with notice regarding its intention as to completion of the Project. The parties shall discuss the status of the Project and may mutually agree to revise the time for Project completion or the scope of the Project. Failure to complete the Project within 90 days after the Completion Date shall be deemed to constitute failure to complete the Project for the purposes of this provision. (b) In the event the Project constitutes a portion of the total functional project, this paragraph shall apply in the event the total functional project is not completed. In such event, the 90-day timeframe provided herein shall commence upon the date scheduled for completion of the total functional project at the time of execution of this Agreement, unless extended by mutual agreement of the parties. Paragraphs 11(a) and 11(b) shall survive the termination or expiration of this Agreement. 12. TERMINATION. If Recipient materially fails to fulfill its obligations under this Agreement, including any specific milestones established herein, the District may provide Recipient written notice of the deficiency by forwarding a Notice to Cure, citing the specific nature of the breach. Recipient shall have 30 days following receipt of the notice to cure the breach. If Recipient fails to cure the 55 Contract #36590 - 6 - breach within the 30-day period, the District shall issue a Termination for Default Notice terminating this Agreement without further notice. In such event, Recipient shall refund to the District all funds provided to Recipient pursuant to this Agreement within 30 days of such termination. The District may also terminate this Agreement upon ten days’ written notice in the event of any material misrepresentations in the Project Proposal. Delay or failure by the District to enforce any right, remedy or deadline hereunder shall not impair, or be deemed a waiver of, any such right, remedy or deadline, or impair the District’s rights or remedies for any subsequent breach or continued breach of this Agreement. ADDITIONAL PROVISIONS (Alphabetical) 13. ASSIGNMENT. Recipient shall not assign this Agreement, or any monies due hereunder, without the District’s prior written consent. Recipient is solely responsible for fulfilling all work elements in any contracts awarded by Recipient and payment of all monies due. No provision of this Agreement shall create a contractual relationship between the District and any of Recipient’s contractors or subcontractors. 14. AUDIT; ACCESS TO RECORDS; REPAYMENT OF FUNDS (a) Maintenance of Records. Recipient shall maintain its books and records such that receipt and expenditure of the funds provided hereunder are shown separately from other expenditures in a format that can be easily reviewed. Recipient shall keep the records of receipts and expenditures, copies of all reports submitted to the District, and copies of all invoices and supporting documentation for at least five years after expiration of this Agreement. In accordance with generally accepted governmental auditing standards, the District shall have access to and the right to examine any directly pertinent books and other records involving transactions related to this Agreement. In the event of an audit, Recipient shall maintain all required records until the audit is completed and all questions are resolved. Recipient will provide proper facilities for access to and inspection of all required records. (b) Repayment of Funds. District funding shall be subject to repayment after expiration of this Agreement if, upon audit examination, the District finds any of the following: (1) Recipient has spent funds for purposes other than as provided for herein, including but not limited to construction materials not used in the Project; (2) Recipient has failed to perform a continuing obligation of this Agreement; (3) Recipient has received duplicate funds from the District for the same purpose; (4) Recipient has been advanced or paid unobligated funds; (5) Recipient has been paid funds in excess of the amount Recipient is entitled to receive under the Agreement; and/or (6) Recipient has received more than 100% contributions through cumulative public agency cost- share funding. 15. CIVIL RIGHTS. Pursuant to chapter 760, Fla. Stat., Recipient shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin, age, handicap, or marital status. 16. COOPERATION WITH THE INSPECTOR GENERAL, PURSUANT TO §20.055(5) FLA. STAT. Recipient and any subcontractors understand and will comply with their duty, pursuant to §20.055(5), Fla. Stat., to cooperate with the inspector general in any investigation, audit, inspection, review, or hearing. 17. DISPUTE RESOLUTION. Recipient is under a duty to seek clarification and resolution of any issue, discrepancy, or dispute involving performance of this Agreement by submitting a written statement to the District’s Project Manager no later than ten business days after the precipitating 56 Contract #36590 - 7 - event. If not resolved by the Project Manager, the Project Manager shall forward the request to the District’s Office of General Counsel, which shall issue a written decision within ten business days of receipt. This determination shall constitute final action of the District and shall then be subject to judicial review upon completion of the Project. 18. DIVERSITY REPORTING. The District is committed to the opportunity for diversity in the performance of all cost-sharing agreements, and encourages Recipient to make a good faith effort to ensure that women and minority-owned business enterprises (W/MBE) are given the opportunity for maximum participation as contractors. The District will assist Recipient by sharing information on W/MBEs. Recipient shall provide with each invoice a report describing: (1) the company names for all W/MBEs; (2) the type of minority, and (3) the amounts spent with each during the invoicing period. The report will also denote if there were no W/MBE expenditures. 19. FLORIDA SINGLE AUDIT ACT (a) Applicability. The Florida Single Audit Act (FSAA), §215.97, Fla. Stat., applies to all sub- recipients of state financial assistance, as defined in §215.97(1)(q), Fla. Stat., awarded by the District through a project or program that is funded, in whole or in part, through state financial assistance to the District. In the event Recipient expends a total amount of state financial assistance equal to or in excess of $750,000 in any fiscal year of such Recipient, Recipient must have a state single or project-specific audit for such fiscal year in accordance with §215.97, Fla. Stat.; applicable rules of the Department of Financial Services; and chapters 10.550 (local governmental entities) or 10.650 (nonprofit and for-profit organizations), Rules of the Auditor General. In determining the state financial assistance expended in its fiscal year, Recipient shall consider all sources of state financial assistance, including state financial assistance received from the District, other state agencies, and other non-state entities. State financial assistance does not include Federal direct or pass-through awards and resources received by a non-state entity for Federal program matching requirements. Recipient is solely responsible for complying with the FSAA. If Recipient expends less than $750,000 in state financial assistance in its fiscal year, an audit conducted in accordance with the provisions of §215.97, Fla. Stat., is not required. In such event, should Recipient elect to have an audit conducted in accordance with §215.97, Fla. Stat., the cost of the audit must be paid from the non-state entity’s resources (i.e., Recipient’s resources obtained from other than State entities). (b) Program Information. This Agreement involves the disbursement of state funding by the Florida Department of Environmental Protection (FDEP). Funding is provided under the State of Florida, Alternative Water Supplies Program, in the amount of $500,000. The Florida Catalog of State Financial Assistance (CSFA) number for this program is CSFA No. 37.100. The District is providing funding in the amount of $52,056. (c) Additional Information. For information regarding the state program under the above CSFA number, Recipient should access the Florida Single Audit Act website located at https://apps.fldfs.com/fsaa/catalog.aspx for assistance. The following websites may be accessed for additional information: Legislature's Website at http://www.leg.state.fl.us/, State of Florida’s website at http://myflorida.com, District of Financial Services’ website at http://www.fldfs.com/ and the Auditor General's Website at http://www.myflorida.com/audgen/. (d) Allowable Costs. Recipient may only charge allowable costs to this Agreement, as otherwise provided herein. Any balance of unobligated cash that have been advanced or paid that is not authorized to be retained for direct program costs in a subsequent period must be returned to the District. 57 Contract #36590 - 8 - (e) Audit Requirements. Recipient shall ensure that the audit complies with the requirements of §215.97(7), Fla. Stat. This includes submission of a financial reporting package as defined by §215.97(2), Fla. Stat., and chapters 10.550 (local governmental entities) or 10.650 (nonprofit and for-profit organizations), Rules of the Auditor General. Recipient shall comply with the program requirements described in the Florida Catalog of State Financial Assistance (CSFA) [https://apps.fldfs.com/fsaa/catalog.aspx]. The services/purposes for which the funds are to be used are included in the Statement of Work. (f) Financial Reporting. Recipient shall provide the District with a copy of any reports, management letters, or other information required to be submitted in accordance with chapters 10.550 (local governmental entities) or 10.650 (nonprofit and for-profit organizations), Rules of the Auditor General, as applicable, no more than 20 days after its preparation. Recipient shall indicate the date the reporting package was delivered to Recipient in correspondence accompanying the reporting package. This information shall be directed to: St. Johns River Water Management District, Finance Director, Office of Financial Services, 4049 Reid Street, Palatka, FL 32177. A copy of the report shall also be provided to the Auditor General’s Office at the following address: State of Florida Auditor General, Room 401, Claude Pepper Building, 111 West Madison Street, Tallahassee, Florida 32399-1450. (g) Monitoring. In addition to reviews of audits conducted in accordance with §215.97, Fla. Stat., as revised, monitoring procedures may include, but not be limited to, on-site visits by District staff, limited scope audits, and/or other procedures. Recipient agrees to comply and cooperate with any monitoring procedures/processes deemed appropriate by the District. In the event the District determines that a limited scope audit of Recipient is appropriate, Recipient agrees to comply with any additional instructions provided by the District to Recipient regarding such audit. Recipient agrees to comply and cooperate with any inspections, reviews, investigations, or audits deemed necessary by the District’s Inspector General or the state Chief Financial Officer or Auditor General. (h) Examination of Records. In addition to the District’s audit rights otherwise provided for herein, Recipient shall permit the District or its designated agent, the state awarding agency, the Department of Financial Services, the state’s Chief Financial Officer and the state’s Auditor General to examine Recipient’s financial and non-financial records to the extent necessary to monitor Recipient’s use of state financial assistance and to determine whether timely and appropriate corrective actions have been taken with respect to audit findings and recommendations, which may include onsite visits and limited scope audits. (i) Records Retention. Notwithstanding any other provision of this Agreement to the contrary, Recipient shall retain sufficient records demonstrating its compliance with the terms of this Agreement for a period of five years from the date the audit report is issued, and shall allow the District, or its designee, state Chief Financial Officer, or Auditor General access to such records upon request. Recipient shall ensure that audit working papers are made available for such access for a period of three years from the date the audit report is issued, unless extended in writing by the District. 20. GOVERNING LAW, VENUE, ATTORNEY’S FEES, WAIVER OF RIGHT TO JURY TRIAL. This Agreement shall be construed according to the laws of Florida and shall not be construed more strictly against one party than against the other because it may have been drafted by one of the parties. As used herein, “shall” is always mandatory. In the event of any legal proceedings arising from or related to this Agreement: (1) venue for any state or federal legal proceedings shall be in Orange County; (2) each party shall bear its own attorney’s fees, including appeals; (3) for civil proceedings, the parties hereby consent to trial by the court and waive the right to jury trial. 58 Contract #36590 - 9 - 21. INDEPENDENT CONTRACTORS. The parties to this Agreement, their employees and agents, are independent contractors and not employees or agents of each other. Nothing in this Agreement shall be interpreted to establish any relationship other than that of independent contractors during and after the term of this Agreement. Recipient is not a contractor of the District. The District is providing cost-share funding as a cooperating governmental entity to assist Recipient in accomplishing the Project. Recipient is solely responsible for accomplishing the Project and directs the means and methods by which the Project is accomplished. Recipient is solely responsible for compliance with all labor, health care, and tax laws pertaining to Recipient, its officers, agents, and employees. 22. CONFLICTING INTEREST IN RECIPIENT. Recipient certifies that no officer, agent, or employee of the District has any material interest, as defined in §112.312, Fla. Stat., either directly or indirectly, in the business of Recipient to be conducted hereby, and that no such person shall have any such interest at any time during the term of this Agreement. 23. NON-LOBBYING. Pursuant to §216.347, Fla. Stat., as amended, Recipient agrees that funds received from the District under this Agreement shall not be used for the purpose of lobbying the Legislature or any other state agency. 24. PERMITS. Recipient shall comply with all applicable federal, state and local laws and regulations in implementing the Project and shall include this requirement in all subcontracts pertaining to the Project. Recipient shall obtain any and all governmental permits necessary to implement the Project. Any activity not properly permitted prior to implementation or completed without proper permits does not comply with this Agreement and shall not be approved for cost-share funding. 25. PUBLIC ENTITY CRIME. A person or affiliate who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a bid, proposal, or reply on a contract to provide any goods or services to a public entity; may not submit a bid, proposal, or reply on a contract with a public entity for the construction or repair of a public building or public work; may not submit bids, proposals, or replies on leases of real property to a public entity; may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity; and may not transact business with any public entity in excess of the threshold amount provided in §287.017, Fla. Stat., for CATEGORY TWO ($35,000) for a period of 36 months following the date of being placed on the convicted vendor list. 26. PUBLIC RECORDS. Records of N/A that are made or received in the course of performance of the Project may be public records that are subject to the requirements of chapter 119, Fla. Stat. If N/A receives a public records request, N/A shall promptly notify the District’s Project Manager. Each party reserves the right to cancel this Agreement for refusal by the other party to allow public access to all documents, papers, letters, or other materials related hereto and subject to the provisions of chapter 119, Fla. Stat., as amended. 27. ROYALTIES AND PATENTS. Recipient certifies that the Project does not, to the best of its information and belief, infringe on any patent rights. Recipient shall pay all royalties and patent and license fees necessary for performance of the Project and shall defend all suits or claims for infringement of any patent rights and save and hold the District harmless from loss to the extent allowed by Florida law. 59 Contract #36590 - 10 - IN WITNESS WHEREOF, the St. Johns River Water Management District has caused this Agreement to be executed on the day and year written below in its name by its Executive Director, or duly authorized designee, and Recipient has caused this Agreement to be executed on the day and year written below in its name by its duly authorized representatives, and, if appropriate, has caused the seal of the corporation to be attached. This Agreement may be executed in separate counterparts, which shall not affect its validity. Upon execution, this Agreement constitutes the entire agreement of the parties, notwithstanding any stipulations, representations, agreements, or promises, oral or otherwise, not printed or inserted herein. This Agreement cannot be changed by any means other than written amendments referencing this Agreement and signed by all parties. ST. JOHNS RIVER WATER MANAGEMENT DISTRICT CITY OF WINTER SPRINGS By: By: Ann B. Shortelle, Ph.D., Executive Director, or designee ___________________________________________________ Typed Name and Title Date: _____________________________________ Date: _____________________________________ Attest: Typed Name and Title Attachments: Attachment A — Statement of Work Attachment B — Project Progress Report Form Attachment C — District Supplemental Instructions Form Attachment D — Contract Payment Requirements for State-Funded Cost Reimbursement Contracts 60 Contract #36590 - 11 - ATTACHMENT A - STATEMENT OF WORK TUSKAWILLA CROSSING PROJECT I. INTRODUCTION/BACKGROUND FDEP’s Alternative Water Supply (AWS) cost-share funding program is designed to fund AWS projects that benefit the region by reducing groundwater withdrawals. The District is also providing funding for this program. The City of Winter Springs (Recipient) requested funding for their Tuskawilla Crossing Project (Project). At its October 13, 2020 meeting, the Governing Board selected Recipient’s proposal for cost-share funding. FDEP has also approved funding for this project. The total estimated construction cost of the project is $1,000,000. The District is providing funding in the not to exceed amount of $52,056 and FDEP is providing funding in the not to exceed amount of $500,000. This Cost Share Agreement is for the total not to exceed amount of $552,056. Recipient is located in Seminole County. II. OBJECTIVES The objective of this contract is to provide cost share dollars that will connect the Recipient’s Reclaimed Water (RCW) Main to the reclaimed residential distribution system installed in the Tuskawilla Crossings area. This Project will provide reclaimed water for residential irrigation to eliminate the groundwater withdrawal associated with approximately 379 residential parcels. III. SCOPE OF WORK The Project will connect the Recipient’s RCW Main to the RCW distribution system installed in the Tuskawilla Crossings subdivision. The subdivision RCW distribution system was installed during site development and is currently connected to the potable water system. The Project will disconnect the RCW system from the potable water system and connect it to the Recipient’s RCW system.. IV. PROJECT ADMINISTRATION AND DELIVERABLES The Recipient shall be responsible for the following: • Complete and obtain final project design, construction plans, and specifications; • Obtain all required permits, including right of access to the project sites, related to project construction and subsequent operation and maintenance of the completed work; • Assure compliance with all permits and permit conditions; • Provide procurement for project construction; • Perform supervision and inspection of construction; • Perform construction contract administration; • Assure compliance with cost accounting practices and procedures required for reimbursement of cost share funds expended. The Recipient shall provide the following to the District’s Project Manager: • Timely invoices for actual construction costs in accordance with this cost share agreement (i.e. quarterly, with appropriate substantiation that demonstrates that the applicant has paid for the total work cost and is seeking reimbursement up to the match amount) to enable proper review by 61 Contract #36590 - 12 - the District’s Project Manager prior to payment authorization. Deliverables to be submitted with invoices include (as applicable): o Interim progress status summaries including inspections, meeting minutes and field notes and dated color photographs of the construction completed to include on-going work that represents the time-period being invoiced; o Final invoice submittals for completed construction including inspections and dated color photographs of the construction site prior to, during and immediately following completion of the construction task; o Construction plans, specifications, and contract documents for the site work must be made available upon request; o Written verification that the record drawings and any required final inspection reports for the project are received; • Quarterly progress reports identifying project progress to date, key milestones reached, overall project schedule versus time for project completion, an updated spend-down plan, key issues to be resolved, project construction photos including preconstruction, construction and postconstruction with dates. Quarterly reports shall also be emailed to the District’s Budget Analyst at hnbarber@sjrwmd.com. • Certification of construction completion by a Professional Engineer registered in the state of Florida. The Recipient shall ensure the task in the Task Identification section below is completed. V. TASK IDENTIFICATION AND TIME FRAMES The expiration date of this cost share agreement is June 30, 2022. The projected schedule is as follows: Task Description Anticipated Start Date Anticipated Completion Date Construction 1/1/21 6/1/22 VI. BUDGET/COST SCHEDULE For satisfactory completion of the Project, the District shall pay Recipient approximately 55% of the total construction cost of the Project, but in no event shall the District's cost-share exceed $552,056. It is anticipated that the FY breakdown will be $250,000 for FY2020-21 and $302,056 for FY2021-22. Recipient shall invoice the District quarterly with appropriate documentation. The District’s Project Manager shall provide an invoice template that will be used. Invoices shall include a copy of the contractor’s invoices submitted to the Recipient, proof of payment by Recipient, and other required supporting documentation for reimbursement up to match amount. For in-house expenses, Recipient shall provide copies of all receipts for materials and a system report showing documentation of staff time or other proof of staff time expenses for the Project. The final invoice shall be submitted with the final project report. If the total actual cost of this project is less than originally estimated, the District’s cost-share amount shall be reduced accordingly. Recipient may invoice more frequently submitting all required documentation and include general status information. Recipient may invoice the District for Project work beginning October 13, 2020. The District will not reimburse for any expenditures that occur prior to October 13, 2020. 62 Contract #36590 - 13 - Recipient shall submit quarterly progress reports to the District’s Project Manager and the District’s Budget Analyst within 15 days of the end of quarter for work accomplished during each quarter. The email address for the District’s Budget Analyst is hnbarber@sjrwmd.com. The Recipient shall submit a final project report within 15 days of Final Completion and acceptance by City of Winter Springs detailing the Project’s accomplishments and any issues resolved during the course of the work. Estimated Cost Schedule for Reimbursement per fiscal year (all dollar amounts are approximate and may be reallocated between the construction tasks for the FYs). FY 20-21 (10/1/2020 – 9/30/2021) Description Estimated Task Amount Estimated Reimbursement Amount Construction $500,000 $250,000 FY 21-22 (10/1/2021 – 9/30/2022) Description Estimated Task Amount Estimated Reimbursement Amount Construction $604,112 $302,056 63 Date: Report Number: Spend-Down Plan Fiscal Year 1 Reimbursement #Anticipated Date 1 2 3 4 Project Readiness and Schedule Tracking Project Phase % Complete Shown in Application % Complete Currently Start Date Shown in Application Completion Date Shown in Application Current Start Date Current Completion Date Planning Design Permitting Bidding & Award Task Number Total Construction % Complete Start Date Shown in SOW Current Start Date Current Completion Date 1 Contract Expiration Date: Cost-Share Amount Expended To-date: Cost-Share Amount Expended This Period: 3 4 Notes: Explain anticipated deviations from schedule Tasks/Milestones/Deliverables Completion Date Shown in SOW Recipient:City of Winter Springs Contract/Project Identification Project Name: Tuskawilla Crossing Project 36590 Construction Schedule SJRWMD Project Manager:Sara Driggers Reporting Period Recipient's Project Manager:Donna Bruno SJRWMD Contract Number: Construction Start Date: Construction Completion Date: Beginning Date: ATTACHMENT B PROJECT PROGRESS REPORT St. Johns River Water Management District Project Progress Report Project update including problems, issues and solutions. Explain in detail. Include digital photographs of work accomplished during reporting peroid. Attach an additional page of notes if necessary to explain reasons for lateness or unusual events or circumstances. Anticipated Amount Percent Cost-Share Budget Expended: Reimbursement # Fiscal Year 2 SOW Construction Tasks/Milestones/Deliverables Ending Date: 1 Cost-Share Budget Anticipated Amount Anticipated Date 2 Total Cost-Share Budget: 64 Contract #36590 - 15 - Sample ATTACHMENT C — DISTRICT’S SUPPLEMENTAL INSTRUCTIONS (sample) DISTRICT SUPPLEMENTAL INSTRUCTIONS # DATE: TO: Donna Bruno, Project Manager City of Winter Springs 1125 East SR 434 Winter Springs, FL 32671 FROM: Sara Driggers, Project Manager CONTRACT NUMBER: 36590 CONTRACT TITLE: Tuskawilla Crossing Project The Work shall be carried out in accordance with the following supplemental instruction issued in accordance with the Contract Documents without change in the Contract Sum or Contract Time. Prior to proceeding in accordance with these instructions, indicate your acceptance of these instructions for minor adjustments to the work as consistent with the Contract Documents and return to the District’s Project Manager. 1. RECIPIENT’S SUPPLEMENTAL INSTRUCTIONS: 2. DESCRIPTION OF WORK TO BE CHANGED: 3. DESCRIPTION OF SUPPLEMENTAL INSTRUCTION REQUIREMENTS: . RECIPIENT’s approval: (choose one of the items below): Approved: Date: (It is agreed that these instructions shall not result in a change in the Total Compensation or the Completion Date.) Approved: Date: (N/A agrees to implement the Supplemental Instructions as requested but reserves the right to seek a Change Order in accordance with the requirements of the Agreement.) Approved: Date: Sara Driggers, District Project Manager Acknowledged: Date: Procurement Specialist c: Contract file Financial Services 65 Contract #36590 - 16 - ATTACHMENT D – CONTRACT PAYMENT REQUIREMENTS FOR STATE-FUNDED COST REIMBURSEMENT CONTRACTS Invoices for state-funded cost reimbursement contracts must be supported by an itemized listing of expenditures by category (salary, travel, expenses, etc.). Supporting documentation must be provided for each amount for which reimbursement is being claimed, indicating that the item has been paid. Check numbers may be provided in lieu of copies of actual checks. Each piece of documentation shall clearly reflect the dates of service. Only expenditures for categories in the approved contract budget will be reimbursed. Listed below are examples of the types of documentation representing the minimum requirements by cost category: : Salaries: Submit a payroll register or similar documentation showing gross salary charges, fringe benefits, other deductions, and net pay. If an individual is paid by the hour, a document reflecting the hours worked times the rate of pay is acceptable. Fringe Benefits: Fringe benefits should be supported by invoices showing the amount paid on behalf of the employee (e.g., insurance premiums paid). If the contract specifically states that fringe benefits will be based on a specified percentage, rather than the actual cost of fringe benefits, then the calculation for the fringe benefits amount must be shown. Exception: Governmental entities are not required to provide check numbers or copies of checks for fringe benefits. Travel: Reimbursement for travel must be in accordance with §112.061, Fla. Stat., which includes submission of the claim on the approved State of Florida (State) or District travel voucher. Other direct costs: Reimbursement is based upon paid invoices/receipts. If nonexpendable property is purchased using State funds, the contract should include a provision for the transfer of the property to the State when services are terminated. Documentation must be provided to show compliance with Department of Management Services Rule 60A-1.017, F.A.C., regarding the requirements for contracts which include services and that provide for the contractor to purchase tangible personal property as defined in §273.02, Fla. Stat., for subsequent transfer to the State. In-house charges: Charges which may be of an internal nature (e.g., postage, copies, etc.) may be reimbursed on a usage log which shows the units, times the rate being charged. The rates must be reasonable. Indirect costs: If the contract specifies that indirect costs will be paid based on a specified rate, then the calculation should be shown. The “Reference Guide for State Expenditures” prepared by the Florida Department of Financial Services can be found at this web address: http:/www.fldfs.com/aadir/reference_guide.htm 66 CITY COMMISSION REGULAR MEETING MINUTES MONDAY, MARCH 22, 2021 AT 6:30 PM CITY HALL - COMMISSION CHAMBERS 1126 EAST STATE ROAD 434, WINTER SPRINGS, FLORIDA 67 CITY COMMISSION MINUTES | REGULAR MEETING | MONDAY, MARCH 22, 2021 | PAGE 2 OF 13 CALL TO ORDER Deputy Mayor Ted Johnson called the Regular Meeting of Monday, March 22, 2021 of the City Commission to order at 6:30 p.m. in the Commission Chambers of the Municipal Building (City Hall, 1126 East State Road 434, Winter Springs, Florida 32708). Roll Call: Deputy Mayor Ted Johnson, present Commissioner Matt Benton, present Commissioner Kevin Cannon, present Commissioner TiAnna Hale, present Commissioner Rob Elliott, present City Manager Shawn Boyle, present City Attorney Anthony A. Garganese, present City Clerk Christian Gowan, present AWARDS AND PRESENTATIONS 100) New Wastewater Plant Presentation March Commission Presentation - New WWTP Mr. Rob Nicholas, Veolia, presented on upcoming decisions related to a new wastewater plant, showed a schedule and noted the City was currently finalizing a facility plan and preparing to do a rate study. Mr. Nicholas noted that the Commission had the procurement of a preliminary engineer on the Consent Agenda. Continuing, Mr. Nicholas presented several site decision options and noted that the existing plants must be kept running. A sequencing plan was presented to show efforts to avoid issues and control odors. Mr. Nicholas noted that preliminary engineering reports on potential lift station replacement, reuse expansion, and increasing pressure would help inform decisions going forward. Mr. Dale Smith, Director, Public Works and Utilities noted that Veolia is not involved in construction and they would only be partners in operating the plants. Manager Boyle noted that this process would be an advertised, public bid process in accordance with state statutes that would likely draw many national firms. 68 CITY COMMISSION MINUTES | REGULAR MEETING | MONDAY, MARCH 22, 2021 | PAGE 3 OF 13 101) Best Foot Forward Presentation Best Foot Forward Presentation Mr. Christopher Schmidt, Director, Community Development Department introduced Ms. Emily Hanna, Executive Director, Bike Walk Central Florida to discuss Best Foot Forward. Ms. Hanna reviewed the mission, partnerships, and projects that the organization has completed, noted a report listing the Orlando area as the most dangerous Metropolitan Statistical Area (MSA), and reviewed low-cost engineering changes identified through observation, data collection efforts, crosswalk audits, and online resources. Discussion followed on the involvement of the Winter Springs Police Department. Chief Chris Deisler, Winter Springs Police Department noted the agency had participated with Best Foot Forward previously and that they planned to remain actively involved with the program. Further discussion followed on the possibility of expanding the focus of the program to look at enforcement on bike trails and the possibility of interactive education experiences. 102) Stormwater Action Plan Presentation Stormwater Action Plan Mr. Schmidt and Mr. Kevin Monser, Stormwater Manager, Community Development Department presented on the Stormwater Action Plan. Mr. Schmidt reviewed permit inspection requirements and noted the City was in compliance with MS4 permit requirements. Continuing, Mr. Schmidt showed City pollution control boxes, major outfalls, grass swales, inlets and catch basins, and outfall structures and noted the City’s utilization of GIS for asset management. Mr. Monser discussed projects that have been completed by the City stormwater team. Mr. Schmidt noted that in the future, equipment may come before the Commission to increase efficiency and allow for even more to be done. Manager Boyle noted previous discussions about comprehensive reviews of departments and assessing needs and commended the stormwater team. Further discussion followed on the savings achieved by doing this work in-house and other projects happening around the City. 69 CITY COMMISSION MINUTES | REGULAR MEETING | MONDAY, MARCH 22, 2021 | PAGE 4 OF 13 103) Senior Center Reopening Plan Ms. Casey Howard, Director, Operations Department reviewed Senior Center renovations and detailed fluid plans for reopening. Ms. Howard noted that staff was in constant communication with Seminole County and State officials and noted that a Phase 1 opening was slated for mid-April. Ms. Howard noted that Senior Center Manager Julie Trujillo had been in contact with the Senior Center Association and that a reopening would include limited capacity, and free swim time slots and noted that safety remained the primary concern. Ms. Trujillo showed photos of work completed over the last year at the Senior Center. Further discussion followed on coordination with instructors, in-house renovations, and safety measures that would be in place upon reopening. The Commission complimented the great work and renovations done at the Senior Center ADD ON 104) Update on Marketplace Project Mr. Schmidt noted previous approval of the Winter Springs Marketplace project, requirements for certain studies related to endangered species, and noted that no bald eagles were noted on the site. INFORMATIONAL AGENDA 200) Employee Service Awards This item was not discussed. PUBLIC INPUT Mr. Jim Thompson, 931 Ginnie Way, Winter Springs noted he had lived in Winter Springs 23 years, seen lots of change, noted involvement during Blake Apartments project and that he thought the current Commission was doing a great job. Rowalls, 1232 Orange Ave, Winter Springs asked about a lot clearing that was happening near his house, noted he had seen no signs, and asked if he was allowed to cut trees without a permit. Discussion followed with Mr. Schmidt noting that Code Enforcement was aware of this issue and he explained that no application was active on this site to his knowledge. 70 CITY COMMISSION MINUTES | REGULAR MEETING | MONDAY, MARCH 22, 2021 | PAGE 5 OF 13 Further discussion followed on the possibility of a stop-work order being issued and Attorney Garganese noted that this was theoretically possible under the tree ordinance. Mr. Phillip Kaprow, 1005 Antelope Trail, Winter Springs noted that the Oviedo-Winter Springs Capitol Connection Trip was occurring and asked if any Commissioners were interested in attending. Mr. Kaprow also mentioned recent bylaw changes, which now allowed governing bodies to determine attendees as ex-officio members. Discussion followed about previous attendance and handicap accessibility. Mr. Maurice Kaprow, PO Box 195233, Winter Springs thanked the Commission for their work and noted his long attendance at Commission meetings and his involvement on City Boards. Mr. Kaprow discussed changes over the years and said he believed the Commission listened to residents and this Commission has been addressing residents concerns. Lastly, Mr. Kaprow asked everyone to pull together and back the Commissioners or run in the next election. Mr. Ken Spalthoff, 331 Wooded Vine Drive, Winter Springs, agreed with Rabbi Kaprow, - congratulated Winter Springs on their report card (A), noted review of budget and looking good. Mr. Spalthoff thanked Manager Boyle for his work and the City Staff and noted seeing Commissioners out in the community. Ms. Gina Shafer, Winter Springs Village, Winter Springs was saddened by mean comments going around, noted she had attended a lot of meetings and that she felt listened to by this Commission, not disrespected. Ms. Shafer said she believed past officials did not respect water or trees and that voters made their decision in last election. Ms. Dolly Ames, 150 Third Street, Winter Springs thanked the Commissioners for doing an outstanding job as elected officials. Clerk Gowan read Public Input received via email into the record from the following individuals: Mr. Jesse Phillips, 1124 Duncan Drive, Winter Springs Dr. Kurt Miericke, Winter Springs Mr. David Price, Winter Springs Ms. Beverly Egan, Winter Springs Mr. David Withee, Winter Springs These emails are included at the end of these minutes as a part of the record. ADD-ON) Issues of Concern 71 CITY COMMISSION MINUTES | REGULAR MEETING | MONDAY, MARCH 22, 2021 | PAGE 6 OF 13 Discussion followed on the great aspects of Winter Springs, comments on social media and in the Orlando Sentinel, and efforts to meet and listen to residents. Continuing, the discussion turned to the attempted temporary moratorium on high- density development that was vetoed, visioning sessions and working to enact the will of the residents. Commissioners asked that the community ignore negative comments, disavow falsehoods, and remain engaged. "MOTION TO EXTEND MEETING." MOTION BY COMMISSIONER CANNON. SECONDED BY COMMISSIONER HALE. DISCUSSION. MOTION PASSED WITH UNANIMOUS CONSENT. Further discussion followed on concerns about campaign contributions from developers and different visions for Winter Springs. Commissioner Cannon showed 2018 campaign finance reports from former Mayor Charles Lacey and asked that they be included in the minutes. CONSENT AGENDA 300) Accept a $500 donation received from a resident of the City Cover Page No discussion. 301) Award of Civil Engineering Continuing Services Contracts, RFQ 01-21-TP Cover Page RFQ 01-21 TP Civil Engineering Continuing Services RFQ 01-21 TP Civil Engineering Continuing Services Addendum 1 RFQ 01-21 TP Civil Engineering Continuing Services Addendum 2 020320 RFQ 01-21 TP Civil Engineering Continuing Services Addendum 3 Q&A Copy of 5 Year Capital Plan 2020 -final RFQ 01-21 TP Civil Engineering Continuing Services Bid Tab Results RFQ 01-21 TP AIM Engineering & Surveying Bid Submission RFQ 01-21 TP Bentley Architects & Engineers Bid Submission RFQ 01-21 TP Corollo Engineering Bid Submission RFQ 01-21 TP Carhahan Proctor Cross (CPC) Bid Submission RFQ 01-21 TP CMA Bid Submission RFQ 01-21 TP CPH Bid Submission RFQ 01-21 TP Heath & Lineback Engineers Bid Submission 72 CITY COMMISSION MINUTES | REGULAR MEETING | MONDAY, MARCH 22, 2021 | PAGE 7 OF 13 RFQ 01-21 TP Kimley-Horn & Assoc Bid Submission RFQ 01-21-TP Neel-Schaffer Bid Submission RFQ 01-21 TP NV5 Bid Submission RFQ 01-21 TP Pegasus Engineering Bid Submission RFQ-01-21 TP Southeastern Surveying and Mapping Bid Submission No discussion. 302) Annual Review Cover Page FY21 City at Work No discussion. 303) Minutes from the March 8, 2021 City Commission Regular Meeting Minutes No discussion. "MOTION TO APPROVE CONSENT AGENDA." MOTION BY COMMISSIONER HALE. SECONDED BY COMMISSIONER CANNON. DISCUSSION. VOTE: COMMISSIONER BENTON: AYE COMMISSIONER HALE: AYE DEPUTY MAYOR JOHNSON: AYE COMMISSIONER ELLIOTT: AYE COMMISSIONER CANNON: AYE MOTION CARRIED. PUBLIC HEARINGS AGENDA 400) First Reading of Ordinance 2021-02 amending Chapter 20 of the Winter Springs City Code regarding scheduling public hearings before the City Commission on development permit applications; providing for the repeal of prior inconsistent ordinances and resolutions; incorporation into the code; severability and an effective date. Cover Page Staff Report - First Reading Ordinance 2021-02 Scheduling Public Hearings on Development Permit Applications 73 CITY COMMISSION MINUTES | REGULAR MEETING | MONDAY, MARCH 22, 2021 | PAGE 8 OF 13 “MOTION TO READ BY TITLE ONLY.” MOTION BY COMMISSIONER HALE. SECONDED BY COMMISSIONER CANNON. DISCUSSION. MOTION PASSED WITHOUT OBJECTION. Attorney Garganese read Ordinance 2021-02 by title only. Attorney Garganese explained the desire to place a minimum of fourteen (14) days between Planning and Zoning Board recommendations and items coming before the City Commission for land use considerations. Attorney Garganese noted that legislative recommendations were not included in this Ordinance. Deputy Mayor Johnson opened the Public Hearing for Item 400 No one spoke Deputy Mayor Johnson closed the Public Hearing for Item 400 "MOTION TO APPROVE ON FIRST READING ORDINANCE 2021-02." MOTION BY COMMISSIONER CANNON. SECONDED BY COMMISSIONER ELLIOTT. DISCUSSION. VOTE: COMMISSIONER HALE: AYE DEPUTY MAYOR JOHNSON: AYE COMMISSIONER ELLIOTT: AYE COMMISSIONER CANNON: AYE COMMISSIONER BENTON: AYE MOTION CARRIED. REGULAR AGENDA 500) Resolution 2021-01 Rejoining CALNO Cover Page 2021-01 Requesting Admission from CALNO BYLAWS (amended03-07-2012) Chapter 163 Section 02 - 2020 Florida Statutes - The Florida Senate 2021 CALNO Meeting Schedule (Revised 1-28-2021) "MOTION TO APPROVE RESOLUTION 2021-01 REJOINING CALNO." MOTION BY COMMISSIONER BENTON. SECONDED BY COMMISSIONER CANNON. DISCUSSION. VOTE: COMMISSIONER ELLIOTT: AYE 74 CITY COMMISSION MINUTES | REGULAR MEETING | MONDAY, MARCH 22, 2021 | PAGE 9 OF 13 DEPUTY MAYOR JOHNSON: AYE COMMISSIONER HALE: AYE COMMISSIONER BENTON: AYE COMMISSIONER CANNON: AYE MOTION CARRIED. The Commission agreed that Deputy Mayor would attend as the City’s representative for the first meeting and that this could be revisited. 501) Waste Pro Contract Renewal Cover Page Solid Waste Renewal Ms. Maria Sonksen, Director, Finance Department provided an update on the Waste Pro contract negotiations, noted no change in terms, and showed comparison to other Seminole County cities in rates paid to Waste Pro. Ms. Sonksen noted that Longwood was closest in terms of service. Ms. Sonksen discussed other cities that went out for bid and recommended staying with Waste Pro. Ms. Sonksen noted that Staff would suggest a five (5) year term with three (3) one- year renewal options. Discussion followed on the rates enjoyed by Winter Springs residents and the Commission agreed that Staff should move forward with negotiating a long-term contract. 502) Appointment Opportunities for City Boards and Committees Cover Page "MOTION TO APPROVE MANUEL ZAYAS TO THE VETERAN BOARD." MOTION BY COMMISSIONER HALE. SECONDED BY COMMISSIONER CANNON. DISCUSSION. VOTE: COMMISSIONER CANNON: AYE COMMISSIONER BENTON: AYE COMMISSIONER ELLIOTT: AYE DEPUTY MAYOR JOHNSON: AYE COMMISSIONER HALE: AYE MOTION CARRIED. 503) Formally Receive and Accept Mayor Charles Lacey’s Resignation Effective Monday, March 22, 2021 at 6:00 P.M. 75 CITY COMMISSION MINUTES | REGULAR MEETING | MONDAY, MARCH 22, 2021 | PAGE 10 OF 13 Cover Page Mayor Charles Lacey Resignation Letter Resolution 2021-02 Vacancy Mayor Lacey Resignation Deputy Mayor Johnson asked Attorney Garganese for guidance on Resolution 2021- 02 and the process going forward. Attorney Garganese noted Former Mayor Lacey’s resignation created a vacancy and that per the City Charter, the City Commission had two (2) meetings to make an appointment to serve the remaining portion of the term, scheduled to expire in 2022. Attorney Garganese noted there would be no need to hold a Special Election as it would coincide with the normal election of the Mayor. Attorney Garganese then reviewed past processes, noting the Commission had received and accepted resignations thus beginning the clock for when an appointment must be made. Attorney Garganese note that Resolution 2021-02 proposed to officially recognize Former Mayor Lacey’s resignation and declare a vacancy in the Office of the Mayor. It was noted that the City Commission had discretion on how to proceed and Attorney Garganese noted that in previous situations the City had published a notice and attempted to seek qualified candidates to submit applications to be reviewed and decided upon by the Commission. Discussion followed on the process followed in 2018, including advertising the vacancy and requiring interested individuals to submit an application. Attorney Garganese noted the City Clerk’s Office would go through ha qualifying period to determine eligibility to serve but that the ultimate decision would be with the City Commission. Further discussion followed on the number of meetings to fill the vacancy. Attorney Garganese noted the Charter is silent on when the clock begins to fill the vacancy and reiterated that previously the Commission has accepted a resignation, declared the vacancy, and two (2) meetings from when that occurred would be the deadline. Discussion then followed on the ability to speak with applicants and the establishment of a deadline for applications. The Commission agreed that applications would be accepted from Tuesday, March 23, 2021 at 12PM Noon to Thursday, April 1, 2021 at 12 PM Noon and that applications should be forwarded, upon verification of residency and voter status, to the Commission for their review. Clerk Gowan asked about the swearing-in of the individual that would be chosen and if it would occur at the same meeting. Commissioners suggested swearing-in the appointee at the end of the meeting so that they could have some time to get familiar with processes. 76 CITY COMMISSION MINUTES | REGULAR MEETING | MONDAY, MARCH 22, 2021 | PAGE 11 OF 13 Further discussion followed including the section of the City Charter, Section 4.05, which details the duties of the Mayor so that applicants could review this information. "MOTION TO ACCEPT RESOLUTION 2021-02." MOTION BY COMMISSIONER BENTON. SECONDED BY COMMISSIONER HALE. DISCUSSION. VOTE: COMMISSIONER BENTON: AYE COMMISSIONER CANNON: AYE DEPUTY MAYOR JOHNSON: AYE COMMISSIONER HALE: AYE COMMISSIONER ELLIOTT: NAY MOTION CARRIED. REPORTS 600) City Manager Shawn Boyle • Noted the City’s Arbor Day Tree Giveaway had received over 600 requests to date and encouraged residents to sign up. • Recognized Board of Trustees Members and noted that the pension earned 8.5 million dollars in last 60 days and that these returns would take the burden off the taxpayer. Manager Boyle noted the pension would be 100% funded for the first time in the history of Winter Springs. 601) City Attorney Anthony A. Garganese • No report 602) City Clerk Christian Gowan • Reminded the Commission that the Annual Diversity Workshop was scheduled for Monday, June 7, 2021 • 603) Seat One Commissioner Matt Benton • Thanked everyone that came out for Public Input 604) Seat Two Commissioner Kevin Cannon • Thanked Manager Boyle and Staff for the time they put in for the residents. 605) Deputy Mayor/Seat Three Commissioner Ted Johnson 77 CITY COMMISSION MINUTES | REGULAR MEETING | MONDAY, MARCH 22, 2021 | PAGE 12 OF 13 •Noted attendance at Parks and Rec Master Plan Workshop, thought it was well attended and got a lot out of it. Noted learning about pickle ball requirements. o Manager Boyle noted the City was in the process of building a pickle ball stadium 606) Seat Four Commissioner TiAnna Hale •Thanked the residents for showing up and noted that she would continue to serve to the best of her ability. •Noted appreciation for City Staff •Noted the upcoming Easter Egg Hunt on Saturday, March 27, 2021 and noted that it was already sold out. 607) Seat Five Commissioner Rob Elliott •Expressed appreciation for positive comments shared today. •Noted he would be in attendance at the egg hunt on Saturday. PUBLIC INPUT Mr. Kevin McCann, 1109 Pheasant Circle, Winter Springs noted that he was President of the Tuscawilla Homeowners Association other involvement which started because he had seen things he didn't like. He noted there was a lot to be proud of and commended the Commissioners and expressed appreciation. Lastly, he asked people to work together and to turn the page on negative comments. Ms. Gina Shafer, Winter Springs Village, Winter Springs thought Waste Pro did a great job, noted appreciation for the Commission approving the continuation of partnering with them. Ms. Shafer noted the Public Works team quickly addressed a sidewalk issue and thanked Manager Boyle. Finally, Ms. Shafer encouraged people to shop local. Mr. Ron Ligthart, 1036 Winding Waters Circle, Winter Springs noted he is not on social media, that he has seen some concerns over the years he has been a resident, and said he didn't think it was fair to address people that didn't have a chance to respond. Mr. Michael Radka, 423 Sandringham Court, Winter Springs said he wouldn’t be filing an application to be Mayor, thanked the Commissioners for their work, and noted that he had just signed up to receive his tree. ADJOURNMENT Deputy Mayor Ted Johnson adjourned the meeting at 9:55 P.M. 78 CITY COMMISSION MINUTES | REGULAR MEETING | MONDAY, MARCH 22, 2021 | PAGE 13 OF 13 RESPECTFULLY SUBMITTED: ____________________________________ CHRISTIAN GOWAN CITY CLERK APPROVED: ____________________________________ DEPUTY MAYOR TED JOHNSON NOTE: These Minutes were approved at the _________________, 2021 City Commission Regular Meeting. 79 The following emails were submitted via email and read into the record at the March 22, 2021 City Commission Regular Meeting 80 81 82 83 84 85 86 The following document(s) - referenced during the ADD-ON Agenda Item "Issues of Concern" - were submitted for the record by Commissioner Kevin Cannon at the March 22, 2021 City Commission Regular Meeting 87 88 89 90 91 92 93 94 95 96 97 98 PUBLIC HEARINGS AGENDA ITEM 400 CITY COMMISSION AGENDA | APRIL 12, 2021 REGULAR MEETING TITLE Second Reading of Ordinance 2021-02 amending Chapter 20 of the Winter Springs City Code regarding scheduling public hearings before the City Commission on development permit applications; providing for the repeal of prior inconsistent ordinances and resolutions; incorporation into the code; severability and an effective date. SUMMARY The Community Development Department requests the City Commission hold a Public Hearing to consider second reading of Ordinance 2021-02 amending Chapter 20 of the Winter Springs City Code regarding scheduling public hearings before the City Commission on development permit applications. During the February 8, 2021 City Commission hearing, the City Commission directed the City Attorney and staff to prepare an Ordinance to update Chapter 20 with regards to imposing a minimum 14 days between Zoning Board Planning/Land Planning Agency and City Commission related to public hearings for development permit applications; site plans, rezonings, variances, conditional uses, waivers, certain limited administrative waivers, and administrative appeals. The City Commission believes that the minimum fourteen (14) day scheduling period will allow the City Commission to adequately prepare for public hearings on pending development permit applications and to consider all written findings and recommendations of the Planning and Zoning Board. The attached Ordinance was prepared at the direction of the City Commission. The proposed Ordinance requires several publicly noticed and advertised public hearings including one (1) hearing before the City’s Land Planning Agency and two (2) hearings before the City Commission. The City's Land Planning Agency reviewed and unanimously recommended approval of both Ordinances at the March 4, 2021 Planning and Zoning/Local Planning Agency meeting. The First Reading for the Ordinance 2021-02 was held on March 22, 2021. 99 The proposed Ordinance was advertised in the Orlando Sentinel on April 2, 2021. RECOMMENDATION Staff recommends that the City Commission approve Ordinance 2021-02. 100 City of Winter Springs Ordinance No. 2021-02 Page 1 of 4 ORDINANCE NO. 2021-02 AN ORDINANCE OF THE CITY COMMISSION OF THE CITY OF WINTER SPRINGS, FLORIDA; AMENDING CHAPTER 20 OF THE WINTER SPRINGS CITY CODE REGARDING SCHEDULING PUBLIC HEARINGS BEFORE THE CITY COMMISSION ON DEVELOPMENT PERMIT APPLICATIONS; PROVIDING FOR THE REPEAL OF PRIOR INCONSISTENT ORDINANCES AND RESOLUTIONS; INCORPORATION INTO THE CODE; SEVERABILITY AND AN EFFECTIVE DATE. WHEREAS, the City is granted the authority, under Section 2(b), Article VIII, of the State Constitution, to exercise any power for municipal purposes, except when expressly prohibited by law; and WHEREAS, the City Commission desires to ensure that there shall be a minimum of fourteen (14) days between the date the City’s Planning and Zoning Board holds a public hearing on a development permit application and the date the City Commission renders a final decision on the same development permit application; and WHEREAS, the City Commission believes that the minimum fourteen (14) day scheduling period will allow the City Commission to adequately prepare for public hearings on pending development permit applications and to consider all written findings and recommendations of the Planning and Zoning Board; and WHEREAS, the City Commission of the City of Winter Springs, Florida, hereby finds this Ordinance to be in the best interests of the public health, safety, and welfare of the citizens of Winter Springs; and NOW, THEREFORE, BE IT ORDAINED BY THE CITY COMMISSION OF THE CITY OF WINTER SPRINGS, SEMINOLE COUNTY, FLORIDA, AS FOLLOWS: Section 1. Recitals. The foregoing recitals are hereby fully incorporated herein by this reference as legislative findings and the intent and purpose of the City Commission of the City of Winter Springs. Section 2. Code Amendment. Chapter 20 Zoning is hereby amended as follows: (underlined type indicates additions to the City Code and strikeout type indicates deletions, while asterisks (* * *) indicate a deletion from this Ordinance of text existing in Chapter 20. It is intended that the text in Chapter 20 denoted by the asterisks and set forth in this Ordinance shall remain unchanged from the language existing prior to adoption of this Ordinance): CHAPTER 20 – ZONING * * * ARTICLE II. – ADMINISTRATION DIVISION 1. – PROCEDURE; LAND USE DECISIONS 101 City of Winter Springs Ordinance No. 2021-02 Page 2 of 4 * * * Sec. 20-28. - Due process; special notice requirements. (a) All applicants shall be afforded minimal due process as required by law, including the right to receive notice, be heard, present evidence, cross-examine witnesses, and be represented by a duly authorized representative. (b) Within five (5) business days of filing with the city or as soon as practicable, applications filed under this division shall be publicly posted on the city's website on a web page reserved for identifying pending land use applications. (c) In addition to any notice requirements provided by state law, all public hearings under this division shall be publicly noticed for at least seven (7) calendar days prior to any required planning and zoning board hearing and at least twenty (20) calendar days prior to any required city commission hearing unless otherwise provided by subsections (de) and (ef). Said notice shall include the address of the subject property, matter to be considered and the time, date and place of the hearing. The notice shall be posted in the following manner: (1) Posting the affected property on a sign form provided by the city. (2) Posting at city hall. (3) Notifying, by U.S. mail, all owners of real property adjacent to and within approximately five hundred (500) feet of the subject property based on the information contained in the property appraiser's or similar property database. In addition, all neighborhood homeowner's associations registered with the city and located within one- half-mile of the property shall likewise be provided notice by U.S. mail. Said mailing shall only be required for the initial public hearing and shall not be required for hearings that are continued to a date certain by the planning and zoning board or city commission. (4) Posting on the city's website and social media platform. The notice requirements set forth in subsections (1), (2), (3), and (4) above are hereby deemed to be courtesy notices. The failure to provide such courtesy notices shall not be a basis of appealing any decision made under this division. (d) All public hearings under this division at which the city commission will render a final decision regarding site plans, rezonings, variances, conditional uses, waivers, certain limited administrative waivers, and administrative appeals shall be scheduled a minimum of fourteen (14) calendar days following the planning and zoning board’s public hearing on the application, except in circumstances where the city commission determines that the planning and zoning board has not made a recommendation on an application within a reasonable period of time and considers an application without the planning and zoning board’s recommendation. (de) Public hearings initially noticed as required by this section and then continued by the planning and zoning board or city commission may be continued to a date certain without compliance with the minimum seven (7) and twenty (20) calendar day requirement. 102 City of Winter Springs Ordinance No. 2021-02 Page 3 of 4 (ef) Applications regarding an existing single-family home shall be publicly noticed for at least seven (7) calendar days prior to any required planning and zoning board or city commission hearing, and shall not require posting of the affected property. * * * Section 3. Repeal of Prior Inconsistent Ordinances and Resolutions. All prior inconsistent ordinances and resolutions adopted by the City Commission, or parts or ordinances and resolutions in conflict herewith, are hereby repealed to the extent of the conflict. Section 4. Incorporation into Code. This Ordinance shall be incorporated into the Winter Springs City Code and any section or paragraph, number or letter, and any heading may be changed or modified as necessary to effectuate the foregoing. Grammatical, typographical, and like errors may be corrected and additions, alterations, and omissions, not affecting the construction or meaning of this ordinance and the City Code may be freely made. Section 5. Severability. If any section, subsection, sentence, clause, phrase, word, or provision of this ordinance is for any reason held invalid or unconstitutional by any court of competent jurisdiction, whether for substantive, procedural, or any other reason, such portion shall be deemed a separate, distinct and independent provision, and such holding shall not affect the validity of the remaining portions of this ordinance. Section 6. Effective Date. This Ordinance shall become effective upon adoption by the City Commission of the City of Winter Springs, Florida, and pursuant to City Charter. ADOPTED by the City Commission of the City of Winter Springs, Florida, in a regular meeting assembled on the _____ day of April, 2021. Charles Lacey, Mayor ATTEST: Christian Gowan, City Clerk 103 City of Winter Springs Ordinance No. 2021-02 Page 4 of 4 APPROVED AS TO LEGAL FORM AND SUFFICIENCY FOR THE CITY OF WINTER SPRINGS ONLY: _________________________________ Anthony A. Garganese, City Attorney Legal Ad: _______________ First Reading: Second Reading: 104 Order ID:6916309 Page 1 of 3 3/26/2021 9:43:18 AMPrinted: GROSS PRICE * :$275.00 * Agency Commission not included Orlando SentinelPACKAGE NAME: 105 Product(s): Orlando Sentinel, Affidavit, Floridapublicnotices.com AdSize(s):1 Column Run Date(s):Friday, April 2, 2021 Color Spec.B/W Preview Order ID:6916309 Page 2 of 3 3/26/2021 9:43:18 AMPrinted: GROSS PRICE * :$275.00 * Agency Commission not included Orlando SentinelPACKAGE NAME: 106 Order ID:6916309 Page 3 of 3 3/26/2021 9:43:18 AMPrinted: GROSS PRICE * :$275.00 * Agency Commission not included Orlando SentinelPACKAGE NAME: 107 REGULAR AGENDA ITEM 500 CITY COMMISSION AGENDA | APRIL 12, 2021 REGULAR MEETING TITLE Consider Applications for Appointment to the Office of the Mayor SUMMARY The City Charter, Section 4.08 (c) states: "A vacancy in the mayor's position or a commission member's seat shall be filled by a qualified person until the next regular election by a majority vote of all remaining members of the city commission. It shall be the duty of the remaining members to fill the vacancy at either of the next two regular meetings of the commission following the creation of the vacancy. At the next regular election, a qualified person shall be elected for a term equaling that period of time necessary to complete the unexpired terms of the previously vacated position or seat; unless the previous term was to expire, in which case such person shall be elected for a four (4) year term." Any qualified person that is appointed will serve until the next General Election, scheduled for Tuesday, November 8, 2022, at which time the electors of the City of Winter Springs will elect a qualified person to serve a new four (4) year term. The City Clerk's Office received seven (7) applications by the established deadline of Thursday, April 1, 2021 at 12PM Noon. RECOMMENDATION 108 RIECEIVIED MAR 312021 CITY OF WINTER SPRINGS, FLORIDA 4NTER SPRINGS HE CITY CLERK QUALIFYING APPLICATION FOR APPOINTMENT TO MAYOR SEAT THE ORIGINAL QUALIFYING APPLICATION AND ALL OTHER DOCUMENTS MUST COMPLETED WITH ORIGINAL SICAA TURESAND MUST BE FILED IN THE CITYCLERKS OFFICE BY NOON ON THURSDA Y,APRIL 7,,2027 Qualified candidates may attach a resume, references, recommendations, or other such documentation that the candidate desires to have the City Commission consider before making an appointment to fill the unexpired term of the Office of Mayor. The Mayor serves on the governing, body of the City subject to the duties and responsibilities specified in the City Charter. Please be aware that documents submitted to the City are public records available for inspection to the extent allowed by Chapter 119, Florida Statutes. Please complete the following in the space provided: A GENERAL 1.Name:t 4J fl- 2.Home Address: It 0 0-- 4,LA.)7- 141 _,,3.occupation: LAd-6?i TSL t-EY AIAI IA6-f- z /7— 4. Telephone (cell): '407- `*/4 1-=rQ'Ile Telephone (other): 5.Em a i 1: In Q-(2 4 C-0"Cef B. ELIGIBILITY The information provided in this section is for purposes of determining whether you are eligible to serve on the City Commission: la. Are you duly registered to vote in Seminole County. Y) (N)_ 1b. Are you duly registered to vote in the City of Winter Springs? M-Z(N)- 2a. Do you live within the City limits,of Winter Springs: Y)jZ(N) 2b. What district do you reside in? 1)— (2)— (3)vo" (4)— (5)- 2c. How long (years and/or months) have you resided in the district selected in 2b? I& YCA&6 2d. How long (years and/or months) have you resided in the City?. 3.Have you ever been convicted or found guilty, regardless of adjudication, of a felony in anyjurisdiction?Any plea of nolo contendere(no contest hall be considered a conviction for purposes of this question. M— (N)V's 109 RECEIVED MAR 312021 CITY OF WINTER SPRINGS FPICE OF THE CITY CLERK 4a. Do you presently serve on any other City of Winter Springs board or committee? M V0'( N) 4b. Please list each: Vi C-AE e-M,4 1 oZ LI/V j.,W4,t,1 9-7—!??, 4'41- II&V S. Do you have any private or personal interests which might-conflict with serving the City's inter s, if you were to be appointed to serve on this board or committee? M— (N7 6. All persons applying.for a City Commission Seat must voluntarily consent to a standard criminal background check before being appointed. Do you voluntarily consent to having a stapqprd bac'kground check being performed on you by the City of Winter Springs? M V (N)- 6a. Are you related to a City of Wester Springs Commission member by blood, adoption, or marriage? M— (N)_'' 6b. If yes to 6a, please provide relation: 7. 1 have read the attached information detailing the duties an powers of the Mayor and the Rules and Procedures of the City Commission. M— (N)— , NOTE: The City of Winter Springs'City Commission has requested and encourages you to submit: 1) A brief Bio (to include background information, information related to any applicable qualifications and current/previous community service) 2) Information related to why you would be a good candidate to fill this open Mayor Seat YOU HEREBY REPRESENT TO THE CITY OF WINTER SPRINGS UNDER PENALTIES OF PERJURY THAT THE INFORMATION PROVIDED HEREIN IS TRUE AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE AND THE CITY OF WINTER SPRINGS HAS THE RIGHT TO RELY ON THAT INFORMATION. YOU HEREBY ACKNOWLEDGE THE EXISTENCE OF THE CODE OF ETHICS FOR PUBLIC OFFICERS, AND THE FLORIDA SUNSHINE LAW, WHICH MAY PERTAIN TO YOU IF YOU ARE APPOINTED TO SERVE AS MAYOR. IF APPOINTED IT IS YOUR SOLE OBLIGATION AND DUTY TO COMPLY WITH SUCH LAWS. Signature:9; , Date:3 - 'y/ -C-2 Please return to: City of Winter Springs The Office of the City Clerk 1126 East State Road 434 Winter Springs, Florida 32708 2799 THE ORIGINAL QUALIFYING APPLICATION AND ALL OTHER DOCUMENTS MUST BE COMPLETED WITH ORIGINAL SICNA TURESAND MUST BE FILED IN THE CITYCLERR"S OFFICE BY NOON ON THURSDAY, APRIL 7, 2027 FAILURE TO TIMELY FILE AN APPLICATION MAYRESULTIN YOURAPPLIC4770N NOT BEING CONSIDERED BY THE CITYCOMMISSION. 110 RjFCFjVF-V MAR 312021 4,'-S vTe CITY OF WINTER SPRINGS,FLORIDA o- s 2021 MAYOR APPOINTMENT AFFIDAVITOFQUALIFIEDVOTERSTATUSAND THIS COMPLETED 1959 r obwpY,, fi FORM MUST BE CITYAND DISTRICT RESIDENCY PROVIDED TO THE CITY CLERK NO OFFICE OF THE MAYOR LATER THAN NOON ON THURSDAY, APRIL 1,2021 Z , tYl v'do hereby state that I seek appointment to the City Name of Candidate(Print or Type) of Winter Springs' Mayor of the City of Winter Springs to complete a four(4)year term previously held by Mayor Charles Lacey for the City of Winter Springs,Florida.I further swear or affirm: 1.) 1 am a qualified voter in the City of Winter Springs 2.) My legal place of residence is: StreetAddress City State zip Code 3.) Length of time of residency in the City of Winter Springs is: 4.) 1 am attaching two(2)documents,one to be a Florida Driver's License,as verification of my residency in the City of Winter Springs.The second document is: Signature Dato LG I–j— Ji .-S r/L'.s 4 5 7 Street Address City State zip Code State ofFlorida Countyof v)10L 46” Sworn to(or affirmed))andsubscribed before me by means of physical presence or_onlline notarization] this 3 J Sf day of/ art k 2027 by ofV1 M c (exel(\ Personally known: K OR Produced Identification Print name ofperson making statement) Type ofldentifrcation produced Signature ofNotary Public-State of Florida 4p Notary Public State of Florida Christian D Gowan My Commission GG 613234 of dF Expires 09115/2023 FOR OFFICE USE ONLY OCopy of Florida Driver's License provided for Item(S) Other documentation `)` E provided for Item(5) Revised 03(23/2021 111 torid a f Y:. RecravED gytiR aeaNtemmilgaii 32+f'IS MAR 31 2021 t M E p CITY OF W LATER SPRINGS 2rAn OFFICE OF THE CITY CL.ER#C a QMTTttf1 ANDA £PE AS), F IV +'iJd! +, ti 'p34' .. 1109'PF A I4N f $x T . #yX, x qE WTRA.c aoa, WINT SPRINGS FL 3,270$ a a a , X1999 aiiEl3wcT I.S7+jAT QFIECINI:T Nii' ; y3 ' y 3 St.Stephen co S4`.k M 75 Titr Cawu Ila F oa f P ryylj E kAT+: EEJ 7 s awdvir,> .:`°. 9Ba Srie l9J.oIIMs C&4rOF asamta rm 1111hm6WIM1 . f 112 MAR 312021 Kevin R. McCann CITY OF WNTER SPRINGS OFFICE OF THE CITY CLERK 1109 Pheasant Circle Winter Springs,FL 32708 407-409-5646—kev.mccannl@yahoo.com Kevin McCann was born in 1963 in Delaware to a military family. Devotion to public service has always been a large part of his life.While studying Sociology&Social Work,he met and married his wife Katherine. Kevin began his professional career working as a Social Worker;Kevin spent time working in a Psychiatric Inpatient Unit, provided court ordered addiction treatment for the State of Delaware and spent a number of years doing important research on drug/crime correlations within the housing projects of Philadelphia. Soon after the federal research project ended, Kevin and Kathy spent time traveling and eventually settled in Naples, Florida,along with their two children, Jordan and Bently. Kevin's entire career has involved a devotion to providing high caliber service to others. Over his career, Kevin has spent time as a restaurant general manager, operating partner,and sales professional. Kevin eventually became a partner in three different restaurants with the third project bringing his family to Winter Springs in 2004. During this time, he never lost his passion for community service and the needs of others. Kevin was recognized by the Disabled American Veterans for providing over 500 hours of community service. In addition, he has consistently involved in smaller projects such as recent fundraising for St. Baldrick's Foundation (children's cancer research),"Kids House of Seminole"(treating children&families of abused children)along with numerous other charitable projects. Kevin currently serves as President of the Tuscawilla Home Owners Association as well as Vice-Chairman of the Winter Springs Planning&Zoning Board. He has served on the Tuscawilla Lighting&Beautification District Advisory Committee and regularly attends other city meetings including the Winter Springs Police Citizens Advisory Committee. Concern for the well-being of the Winter Springs Community has made Kevin a voluntary fixture at City Commission meetings. He has a clear understanding of the issues facing the city of Winter Springs and the legal history of those issues. In his many roles within the city of Winter Springs; Kevin has built a constructive, positive working relationship with the City Manager, Police Chief,and their staff. Kevin's goal is to accomplish putting thecitizensofWinterSpringsfirstbyworkingwithothermembersofthelocalgovernmenttomaintain, protect,and improve the quality of life for the citizens of our fair city. Kevin intends to manage reasonable growth within Winter Springs,with the pride, class, and dignity that the office deserves. 113 ZOLTAN "SKIP" AROK JR. Cn%Vi%'Y am9 3/30/2021 MAR 31 2OZ1 CITY OF WINTER SPRINGS Skip Arok OFP1CF OF THE CITY CLERK. 1 104 Pheasant Circle, Winter Springs Florida To whom it may concern City of Winter Springs Commissioners, City Staff, and Citizens of Winter Springs I would like to take this opportunity to express my support for Kevin McCann for to be be interim Mayor for the city of Winter Springs. Kevin is a long time neighbor and friend and have served together on the Tuscawilla Home Owners Association, where he is currently President. I believe Kevin is the ideal person for the job. He takes an objective approach to problem solving. He does his homework and makes fact based decisions that takes in to account all sides of issues. He is an independent thinker that will debate you on issues (even if he agrees with you). Kevin and I don't always see eye to eye, but I respect his opinion and decisions for all the same reason stated above. Kevin is a dedicated family man...a good person...hard working...level headed ... objective... balanced... independent...well spoken, and has the best interests of others in his heart. He is the perfect candidate to represent Winter Springs and fill the role of Mayor at this time. Sincerely; Skip Arok City of Winter Springs TLBD Committee Member Resident of Winter Springs 114 RECEIVED MAR 31 2021 TmThe Residents mfthe City ofWinter Springs, Florida CITY oFvwwrcnSPRINGS orr/osorr sor,o e m RE: /\Letter ofRecmmnmnendation FROM: Dr. Kurt K8iericke DATE: March 38,2OZ1 1 have had the privilege of residing in the City of Winter Springs for the past 23 years. | have seen the City grow and mature in mostly positive ways.One of the strengths of our city is having residents who believe in community service.We have enjoyed the service of dedicated and committed leaders. However, lately the city has been experiencing some serious challenges to its growth and pattern oflife. 4svveseek toappoint someone to complete our last mayor's term,vveneed someone who has the commitment and leadership to help us move forward in our current desired direction. believe Kevin McCann iuthat person. Heshould complete Mayor Lacey^nterm ofoffice. As Vice-President of the Tuscawilla Homeowners Association, I have seen and experienced Kevin's leadership skills asour THOAPresident. Hehas been involved inmany aspects ofthe City. Hespends time with our residents and listens totheir concerns. He is aperson who has volunteered many hours nnvarious projects and events. Hehas apersonality that unites people and keeps them nntask. Hehas a strong moral character and a wonderful family that gives him their support. The City would dmwell to have him asitMayor. Sincerely, Dr. Kurt K0iericke, Retired,Superintendent ofthe Southeast Conference 115 4w6W4 ;Vleee qe&a" 1102 P&v4ar &zde * Uvem SA 57.d 32709 RUCL-V ia L) MAR 312011 CITY OF WINTER SPRNGS OFFICE OF THE CITY CLERK To whom it may concern: It is a great pleasure to write this letter of recommendation on Kevin McCann's behalf as he has been a tremendous asset to the City of Winter Springs. I met Kevin McCann and his family when they moved to Winter Springs over 15 years ago. His passion and love for our City were evident very soon after he and his family settled in Winter Springs. Kevin's desire to see our City grow and thrive has been apparent over the years through the many volunteer seats he has held in our City. Kevin has displayed a rare ability to listen to people, stay calm in difficult situations, and offer helpful solutions when presented with challenges. Kevin McCann can bring our leaders and community back together. He is, without a doubt, an incredibly professional, responsible, and respectable member of our community. The City of Winter Springs would greatly benefit from Kevin McCann holding the seat of Mayor. Thank you for your time. Sincerely, Andy-ea rzeptnalf 116 RECEIVED MAR 31 1011 CITY OF 1MNTER SPRINGS OFFICE OF THE.CITY CLERK Susan Beveridge 1834 Seneca Blvd. Winter Springs, F) 32708 Mach 31, 2021 City Commissioners Residents of Winter Springs Dear Residents, I have known Kevin McCann for about 6 years now. I have served on the Tuskawilla Homeowners'Association board with him.We have worked together on projects and his dedication is always impressive. Kevin works hard for our community. He is always trying to make it a better place to live. I was impressed by Kevin's leadership when the President of the board had to leave and Kevin, did not hesitate to take on the job, and begin learning more about what he could do to make a difference. He has a calm demeaner during our meetings. He is great under pressure and is undaunted by tough challenges. He is open to suggestions and always welcomes ideas from the group. He knows the laws and what can be done and what should not be compromised. He is a caring person and very well spoken. He acts on projects he is committed to and gets things done in a timely manner. I have enjoyed working with Kevin. He cares for our community and it is apparent every time we meet. I could not think of anyone more suited for the job to help our city. Susan Beveridge Teacher at Lawton Elementary 117 RESC E a v E a 1 K8arch29, 2O21 MAR -X - ~1~' CITY urWINTER SPRINGS Residents mfWinter Springs,o'PIosoFTHE CITY CLERK I was a long-time resident of Winter Springs who has known Kevin McCann and his family for over 15 years.At first, I knew him as a good neighbor always willing to help in any family gathering, or just to help out anyone in need on our street.As I got to know him on a personal level our family and his became very close. We spent several holidays together,going mnweekend get aways and getting involved incommunity activities. | would attest tohis character aswell ashis competence,asI've watched him over the years become more involved with the city of Winter Springs and having a very genuine care of family's and willingness to do whatever it took to bring people together. I genuinely believe hewould make agreat Mayor ofWinter Springs. Sincerely, 8radLaF|esh 118 RECEIVED MAR 3 12021 CITY oFWINTER SPRINGS nr=/osorTHE CITY CLERK Towhom itmay concern, March 3[\ 2D%1 Kevin McMann is a man of great integrity and has a strong ethical background and is well qualified for serving as an interim mayor of the Winter Springs community. I have known Kevin for approximately 8 years and he has been a great leader for the residents of Winter Springs.As the Tuskawilla Home Owners Association President he runs an orderly meeting and is prepared with topics of discussion pertinent to the betterment of Winter Springs. Kevin uses his resources to better understand issues before making decisions that affect so many people. 1,as a resident of Winter Springs,would support Kevin inthe role ofinterim mayor. Sincerely, TonyBo|yard ll1OPheasant Cir. Winter Springs, Fl. 32708 119 NOMINATION PETITION12E - Alf information on this form becomes apublic record upon receipt by the Supervisor ofElections THIS COMPLETEDEDitisacrimetoknowinglysignmorethanonepetitionforacandidate.[Section 704.785Florida statutes] FORM MUST BEfallrequestedinformationonthisformisnotcompleted,the form will not be vaild as a Candidate Petition Form. I, E ,4-!L .1A,,A J3Q),9 the undersigned, aregistered PROVIDED TO THE Please print name as it appears on your voter information card) CITY CLERK NO LATER THAN NOON Voter of the City of Winter Springs,nominate &-X a 14 c.C 4,41,41 ON THURSDAY, o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address Cityounty ate Zip Code 15d"l . I C I 3c2 signature of)Voter Date Signed(MM/D to be co pleted by V er] 2 -a Rule15-2. ,FAC. NOMINATION PETITION Allinformationonthisformbecomesapublicrecorduponreceiptbythe Supervisor ofElection THIS COMPLETEDacrime£a knawinglysign mare than onepetition fora candidate.[Section 704.785 Fiaricfa Statute.J fall reque information an this form is not completed,the form willnot be vaiid as a Candidate petition Form. FORM MUST BE I, the undersigned, a registered PROVIDED TO THE CITY CLERK NOPleaseprintnamhappearsonyourvoterinformationcard) LATER THAN NOON Voter of the City of Winter Spri nominate A , C 44111 ON THURSDAY, to complete the unexpired term of Office ayor of Winter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DD" City bounty ZipCdejlfte Z Signature of Voter Date Signed(MM(DD To be completed by Voter] Rule 1S-2045,FAC R!E-9 MAR 31 2021 CITY OF WNTER SPRINGS O--RICE OF THE CITY CLERK 120 4 r NOMINATION PETITION Ali information on this form bec s apublic record upon receipt by the Supervisor ofElections TH I COMPLETEDttisac:ri toknowinglysgrnmo an onepeiitionfor acandidate.[Se ction704.T85Florida Statutes] FORM MUST BE1fa11requesd" for ation this fornot completed,the form will not be vaildas a Candidate Petition Form PROVIDED TO THEi, rtiOZ14- 8b /YLthe undersigned, a registered CITY CLERK NOeaseprintAmeasItonyourvoterinformationcard) voter of the City of Winter Springs,nominate &ee llittl , 14 "C 4441 LATER THAN NOON ON THURSDAY. o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address M M[DD/Y" as-lc;ha 0 kzj; 4,4 V/— CITY ounty tate Zip Code Signature of Vote Date Signed(MM/00AWY) To be completed by Voter] Role 15-2045,FAC. NOMINATION PETITION All information on this form becomes a public record upon receipt by the Supervisor of Elections THIS COMPLETEDItisacrimetoknowinglysignmorethanonepetitionforacandidate.[Section 704.765 Florida Statutes] 1fa11 requested information on thisform is not completed,the form will not be vaild as a Candidate Petition Form. FORM MUST BE I> w 4e 'J YEf PROVIDED TO THEtheundersigned, a registered CITY CLERK NOPleaseprintnameitappearsonyourvoterinformationcard) voter of the City of Winter Springs,nominate LATER THAN NOON ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recentlyvacated byformer Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DD r CitYounty to Zip Code i A/7— all I Ir-z' I Signature of Voter Date Signed(MM/bD/WYY) M1 To be completed by Voter] F p}; Rule 1S-2. ,FAC. s r MAR 312021 Cl-r-',—.F WINTER SPRINGS 0FFJ(--OF THE CITY CLERK 121 NOMINATION PETITION AllinformationonthisformbecomesapublicrecorduponreceiptbytheSupervisorofElections THIS COMPLETEDItisacrimetoknowinglysignmorethanonepetitionforacandidate.(Section 704.785Flonda Statutes) FORM MUST BEfailrequestedinformaadononthisformisnotcompleted,the form W11not be vaild as a Candidate Petition Form. I, f'-\PAD l the undersigned, a registered PROVIDED THE Please print name as it appears on your voter information card) CITY CLERKK voter of the City of Winter Springs,nominate &EI11 r 14 O C} ON THURSDAY, o complete the unexpired term of office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address t J '" p Fh l2 t fl city my tate Zip Code OI Signature of Voter Date Signed(MM/DDA" e To be completed by Voter] Rule 1S-2045,FAC. NOMINATION PETITION A11information on this form becomes a public record upon recelot by theSupervisor ofElections THIS COMPLETEDItisacrimetoknomnglysignmorethanonepetitionforacandidate.[Section 704.785F1orida Statutes] ffall requested information on this form isnot completed,the form M11not,be vaild asa Candidate Petition Form. FORM MUST BE I,AA) r 6 I y '10 12—G i'4- r, the undersigned, a registered PROVIDED TO THE Please print name as K CITY CLERK NO appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate j In - ) ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DD/YVYY) o 5/0 J` 6 z-- t 1 i 1 5 A JL fi n.. L-A N e City ounty Istate Zip Code Signature of Voter Date Signed(MM/DD/yYVY] To be completed by Voter] ZLf3 3 z Rule 1S-2,045,FAC. MAR 31 2021 rip V}ANTER SPRINGS E CITY CLERK 122 NOM I NATION PETITION All information on this form becomes apublic record upon receipt by the Supervisor ofElections THIS COMPLETEDftisacrimetoknowinglysignmorethanonepetitionforacandidate.[Section 7o4.lasFlorida statutes] ffallrequested information on this form' r / te4 the form K411notbe vaildasa Candidate Petition Form. FORM MUST BE beg =d/j the undersigned, a registered PROVIDED TO THE Please print name as it appears on your voter Information card) CITY CLERK NO LATER THAN voter of the City of Winter Springs,nominate C lcly,41,41 ON THURSDAY, NOON ko complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Add ess MM/DD JIM —F,V I n S+— city unty IState I Zip Code e"n e- Signature of Voter Date --Signed(MMIDDIYYYY) To be completed by Voter] P NOMINATION PETITION Al/information on thisform becomes apublic record upon receipt by the Supervisor OfFlections Itlsacrime to knowinglysign more than one petition fora candidate.[Section 704.765FIbrida Statutes! THIS COMPLETED Iffallreq ted' fo ationonthistormisn t completed.the form o0notbe vaildasa Candidate Petition Form. FORM MUST BE74" ,j "i the undersigned, a registered PROVIDED TO THEzv—]w Y-a A NOPleaseprintnameasitappearsonyourvcy(er Information card) CITY CLERK LATER THAN NOON voter of the City of Winter Springs,nominate A , ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DD" S22L42: ZZ V r-e-r- vztv/ Y3 a w -S a m City rinty Istate Zip Code Z1.9 4,e Fz, 7 Signature of Vat Date Signed(MM/1313" To be completed by Voter] Rule 1SI-2.045,FAC. T,:!r _11VE MAR 3 12021 C-,I—y OF W.NTER SPRINGS HE(nTY CLERK 123 NOMINATION PETITION Allinformation on this foim becomes a public record upon receipt by the Supervisor ofElections It is a crime to knowinglysign more than one petition for a candidate[Section 704.785FIorida statutes] THIS COMPLETED 1fallrequestedinformation on this form Is not completed,theform will not be valid asa Candidate Petition Form. FORM MUST BE k A PROVIDED TO THE FU &<Nt) Cjjftk-%r11-e—r the undersigned, a registered CITY CLERK NOPleaseprintnameasItappearsonyourvoterInformationcard) LATER THAN NOON Voter of the City of Winter Springs,nominate F, 14.1 R, 14CC41PIV ON THURSDAY, o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MM/DD" 10\22, 0143- wza-Pvv city rounty ate Zip Code Signature of Voter Date Signed jMM/DDtyY" To be completed by Voter] Pule 1S-2045,FAC. NOMINATION PETITION A/1information on this form becomesa public record upon receipt by the Supervisor ofElections V It isa crime to knowing6,,sign more than one petition fora candidate.(Section 704 785FIorlda statutes] THIS COMPLETED Ifallrequested'formationon this form is not completed,theform wil not be vaildasa Candidate Petition Form. FORM MUST BE PROVIDED TO THEtheundersigned, a registered CITY CLERK NOPleaseprintnameasitappearsonyourvoterInformationcard) LATER THAN NOON voter of the City of Winter Springs,nominate 1/,4,/ /Z -' /j' 0-C) '4"1 ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recentlyvacated byformer Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DID" 7 City ou my istate Zip code Signature of Voter Date Signed(MM/DD/YYYY) To be )Ieted by Voter] LR.le`!S-2,04,5.'FAC. MAR 312021 Y OF VVINTER SPRINGS ziCr- ()F THE CITY CLERK 124 NOMINATION PETITION All information on this form becomesa public record upon receipt by the Supervisor ofElections THIS COMPLETEDItisacrimetoknowinglysignmorethanonepetitionforacandidate.;Section 704.785 Florida Statutes) FORM MUST BElfalirequestedinformationonthisformisnotcompleted,the form MYnotbe vaildas Candidate Petition Form, PROVIDED TO THEI. the undersigned, a registered Please print name as it appears on your voter Information card) CITY CLERK voter of the City of Winter Springs,nominate ts1 l k v O C Y41 LATER THAN NOON ON THURSDAY, o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MM 410 Z / 9 6 r,?50 --),P -) -5 , -2 1 CIV ounty tate Zip Code Signatur %Voter Date Signed(MM/DD/VYW) To be completed byVoter] Rule 15-2-045,FAC, NOMINATION PETITION A#information on this form becomes a public record upon receipt by the Supervisor ofElectivns Kis a crime to knowrnglysign more than one petition fora candidate.[Section 704 78SFIorida Statutes] THIS COMPLETED lfallrequestedinformationonthisform isnotcompited,theformwillnotbevaildasaCandidate Petition Form. FORM MUST BE f PROVIDED TO THEI,LkRwAo !Q the undersigned, a registered Please print name as it appears on your voter information card) CITY CLERK NO voter of the City of Winter Springs,nominate HA1/,,t/ A, LATER THAN NOON ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MMroD/YYYY) City my Istate Zip Code ature OAVoter Date Signed(MM/DDIYYYY] To be completed by Voter] Rule 1S-2.045,FAC. MAR 312021 vv NYT ER SPRANG' 125 NOMINATION PETITION All information on this form becomes apublic record upon receipt by the Supendsor of Elections THIS COMPLETEDItisacrimetoknowingysignmorethanonepetitionforacandidate.[Section 104.18SFlorida Statutes] FORM MUST BEWallrequestedinformationonthisformisnotcompleted,the form will not be vadd as a Candidate Petition Form. I, G i Q ! undersigned, a registered PROVIDED TO THE the undersi CITY CLERK NOPleaseprintnameasitappearsonyourvoterinformationcard) 9 LATER THAN NOON voter of the City of Winter Springs,nominate t e C C /11-441/ ON THURSDAY, o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address g, _MM/DD" L( I C1l]L I ..-[-::I 46> city ounty tate Zip Code 1 E Signature ofVoter Date Signed(MM/DD/YYM fro be completed by Voter] Rule 15-2045,QAC. NOMINATION PETITION A11informatlononthisformbecomesapublicrecorduponrece1ptbytheSupert4sorofElections THIS COMPLETEDJtisacrimetoknowingysignmorethanonepetitionforacandidate.[Section 104J85Florida statutes? faPrequested information onthisformisnotcompleted,thefcrmwillnotbevaildasaCandidate petition Fcrm. FORM MUST BE the undersigned, a registered PROVIDED TO THE Please print name as it appears on your voter information card) CITY CLERK NO lAllt A c; ) LATER THAN NOON voter of the City of Winter Springs,nominate 6 v ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Addressd! MM/DD" t44C) C 1 ''A L E 1 C.-L1 i3 tLj city I=ountv ateZip Code Signature 9fVat 7 Date Signed(MM/DD/YYYY) To be completed by Voter] Rule 1S-2045,FAG 7 T MAR 31 NZI G4TY OF 4MNTER SPRINGS n t.E O-i HEGITY GLE, K 126 NOM I NATION PETITIONI All information on this form becomes a public record upon receipt by the Supervisor ofElections THIS COMPLETED7tisacrimetoknowingysignmorethanonepetit7 tateo fora candidate.[Section 704.755 Florida Statutes] FORM MUST BEfalleqstedinformationonth' isnot mpleted, a form will notbe vaild as a Candidate Petition Form. PROVIDED TO THEi, the undersigned, a registered CITY CLERK NOPleaseprintnameasitappearsonyourvoterinformationcard) C-1119/4/ LATER THAN NOON voter of the City of Winter Springs,nominate e , e C .11 ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Vote Registration Number Addressreess kLA city ount-y Zip Code Signature of Voter Date Signed(MM/DD/YYYY) To be cornleted by Vo r] 2-U Rule 75-2045,FAC. NOMINATION PETITION A11information an this form becomes a public record upon recelotby the Supervisor ofElections THIS COMPLETEDtisacrimetoknowinglysignmorethanonepetitionforacandidate.[Section 70475SFioride Statutes,, fallreque edinformatiionnontyhisformi t mpleted,.theforrmwillnotbevaildasaCandidatePetitionForm. FORM MUST BE the undersigned, a registered PROVIDED TO THE please print name as It appears on your esCITY CLERK NOterinformationcard] LATER THAN NOON voter of the City of Winter Springs,nominate f. / L ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address Cul WW,ki tic. -32-709 City unty ate Zip Code Signature of Voter - Date Signed(MM/DDN" To be completed by voter] Rule 7S-2045,F,. C. MAR 312021 CITY OF WNTER SPRINGS r=i CF_OF THE GtTY CLERK 127 NOMINATION PETITION All information on this form becomesa public record upon receipt by the Supervisor c Elections THIS COMPLETEDKisacrimetoknawinglyslgnmorethanonepetitionforacandidate.[Section 704.785Florida Statutes] fall requested information on this form is not completed,the form W11 not be vaiid asa Candidate Petition Form. FORM MUST BE PROVIDED TO THE the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information card) r LATER THAN NOON voter of the City of Winter Springs,nominate Arx `l' R e C C 11,4141 ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRI L 1,2021 Date of Birth OR Voter Registration Number Address MM/DD/YY( 2-<; W) oc (2 l W-3 9 City my tate Zip Code Signature of Voter Date Signed(MM/DDN" To be completed by V er] c 3h5-IeO2 J Rule 1S-2045,F C. NOMINATION PETITION ANinformationonthisformbecomesapublicrecorduponreceiptbytheSupervisorofElection THIS COMPLETED1tisacrimetoknowinglyslgnmorethanonepetitionforacandidate.[Section 704785Florida Statutes] ifall requested information on this form isnot completed,the form willnotbe vaildasa Candidate Petition Form, FORM MUST BE I.A1520,369T !G ltlt L A`ems the undersigned, a registered PROVIDED TO THE Please print name as it appears on your voter information card) CITY CLERK NO voter of the City of Winter Springs,nominate A, In C'd ITER THAN NOON ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DD[Y" City aunty tate Zip Code Signature of Voter Date Signed(MM/DDi'rM To be completed by Voter] Rule 152.045,F.A.C. MAR 312021 CITY OF WINTER SPRINGS r)FFICE OF'rHE CITY CLERK 128 NOMINATION PETITION All information on this form becomes apublic record upon receipt by theSupervisor ofElecdons THIS COMPLETED Itisa crime to knowingly sign more than onepetition fora candidate.(Section 704.785 Florida Statutes] ffaflrequestedipformation on this form Isnot completed,the form will not be vaild as a Candidate Petition Form. FORM MUST BE G' q,'G '1 C PROVIDED K THE I,the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information card) f LATER THAN NOON Voter of the City of Winter Springs,nominate 'j/rjr,J c C tet!s ON THURSDAY, o complete the unexpired term of Office of Mayor of Winter Springs recently vacated byformer Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MM/DD" City y _ / my s ri;o / Zip Code13c;27eg Signature of Voter Date Signed(MM/DD/YYYY) PL1/ To be completed by Voter] DATE MISSING Rule1S-2045,FAC i NOMINATION PETITION Y= Allinformation on thisform becomes a public record upon receipt by the Supervisor ofEiections THIS COMPLETEDItisacrimetoknowinglysignmorethanonepetitionforacandidate(Section 704 W Florida Statutes) lfallrequestedinformationonthisformisnotcompleted,theformwillnotbevaddasaCandidatePetitionForm. FORM MUST BE I, Cd r p l yid j QVl A to r(,61 the undersigned, a registered PROVIDED TO THE CITY CLERK NO Please print name as It appears on your voter information card) ITER THAN NOON voter of the City of Winter Springs,nominate d f„-[/j,// A, / G•'¢st Z ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recentiyvacated byformer Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DD/YYW) Cty Pounty tate Zip Code 4/1 Ale 1 /Z4 1 j-3c;U-::9,A Signature of Voter Date Signed(MM/DDA" To be completed by Voter] Rule 1S-2045,FAC.f MAR 312021 CITY OF\MNTER SPRINGS 7 CF nF THE CITY CLERK 129 CITY OF WINTER SPRINGS 2421 MAYOR APPOINTMENT OATH OF CANDIDATE OFFICE OF THE MAYOR 411 persons who now or hereafter are employed byor who noworhereafterare on the payroll of the state,or any ofits departments and agencies subdivisions counties cities school boards and districts of the fleepublicschoolsystem ofthe state orcounties orinstitutions ofhigher learning,andall candidates for public of99ce,are required to take an oath before anyperson dulyauthorized to take acknowledgements ofInstruments forpublic record In the state-"]87£05(7)Florida Statutes] Anyperson seeking to qualifyftarpublic office who fails orrefuses to file the oath required bythisact shall be held to have failed to qualifyas a candidate forpublic oftTce,and the name ofsuch person shall not be printed on the ballot as a qualifiedcandidate.'[876 07 Florida Statutes] 1/E L t•1J A , ACC,4AIX l , a citizen of the State of Florida and of the United States of America, and a candidate for public office, do hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of Florida. 77 '1 Signature of Appointee Street Address City State Zip Code 130 M=bL=.cEjVED STATE OF FLORIDA MAR 311011 CITY OF WINTER SPRINGS COUNTY OF OFFICE OF T"P CITY CLERK Sworn to (or affirmed) and subscribed before me by means of{—physical presence or—onlline notarization}this day of PaEC'L) 2021 by ev,j, Ah tenn Personally known/'OR Produced Identification Type of Identification produced Notary Public SUft of Flotidao I=jnChristianDGowan MMy Commission GG 913234 Fx mXpires 0911512023 MY Commission GG 913234 Signature of Notary Public - State of Florida 0) 131 RECEIVED CITY OF WINTER SPRINGS MAR 312021 CITY OF NTER 2021 MAYOR APPOINTMENT OFFICE OFTHE CITY CILERK OATH OF CANDIDATE OFFICE OF THE MAYOR Each candidate,whether a party candidate,a candidate with no party affiliation,or a write-in candidate,in order to qualify for nomination or election to any office other than a judicial office as defined in chapter 105,shall take and subscribe to an oath or affirmation in writing. A printed copy of the oath or affirmation shall be furnished to the candidate by the officer before whom such candidate seeks to qualify.." [99.021 (1)(a) Florida Statutes] STATE OF FLORIDA COUNTY OF . Before me,an officer authorized to administer oaths,personally appeared please Print Name As You Wish It To Appear In City Records For ThisAppointment) to me well known,who,being sworn,says that he or she is a candidate for the office of Mayor;that he or she is a qualified elector of the City of Winter Springs,Seminole County,Florida;that he or she is qualified under the Constitution and the laws of Florida to hold the office to which he or she desires to be nominated or elected;that he or she has taken the oath required by ss.876.05-876.10,Florida Statutes;that he or she has qualified for no other public office in the state,the term of which office or any part thereof runs concurrent with that of the office he or she seeks;and that he or she has resigned from any office from which he or she is required to resign pursuant to s.99.012,Florida Statutes." Signature of Appointee Cts/.-" Street Address i•c,T'—>'L lin-I-c GS L '7.. City State Zip Cade Sworn to and subscribed before me this day of aY'C ,`'1 2021,at Seminole County,Florida. xz t 09/lS/2023 ate d Fonda Signature and Title of Officer Administering Oath) wan GG 913234 023 132 CITY OF WINTER SPRINGS, FLORIDA QUALIFYING APPLICATION FOR APPOINTMENTTO MAYOR SEAT THE ORIGINAL QUAUFYING APPLICATION AND ALL OTHER DOCUMENTS MUST COMPLETED WITH ORIGINAL SIGAtATURESANDMUST BEFILED IN THECITYCLERK'S OFFICE BYNOON ON THURSDAY,APRIL 7,2021. Qualified candidates may attach a resume, references, recommendations, or other such documentation that the candidate desires to have the City Commission consider before making an appointment to fill the unexpired term of the Office of Mayor. The Mayor serves on the governing body of the City subject to the duties and responsibilities specified in the City Charter. Please be aware that documents submitted to the City are public records available for inspection to the extent allowed by Chapter 119, Florida Statutes. Please complete the following in the space provided: A GENERAL AM c. 1. Name: 2.Home Address: 3.Occupation: 4. Telephone M 'telephone (other): S.Email: 0 Yot V\00 a Cz VV B. ELIGIBILITY The information provided in this section is for purposes of determining whether you are eligible to serve on the City Commission: la. Are you duly registered to vote in Seminole County: Y)V- (N) 1b. Are you duly registered to vote in the City of Winter Springs?Y)X (N)_ 2a. Do you live within the City limits of Winter Springs: Y) (N)_ 2b. What district do you reside in? 1)— (2)— (3)— (4)— (5)-1--- 2c. How long (years and/or months) have you resided in the district selected in 2b? G 2d. How )on 1-years and/or months) have you resided in the City? 3.Have you ever been convicted or found guilty, regardless of adjudication, of a felony in anyjurisdiction?Any plea of nolo contendere (no cont$st)shall be considered a conviction for purposes of this question. Y)— 133 V-1 APR 0 12021 r-1TY0jF WNTER SPRINGS 4a. Do you presently serve on any other City of W7,kter Spri1a9S E00aTdcj-oTCLERK committee? Y)— (N)A 4b. Please list each: 11 5. Do you have any private or personal interests which might conflict with serving the City's interests, if you were to be appointed to serve on this board or committee? Y)— (N L, 6. All persons applying for a City Commission Seat must voluntarily consent to a standard criminal background check before being appointed. Do you voluntarily consent to having a stqp dard background check being performed on you by the City of Winter Springs? (Y)2 ,(N) 6a. Are you related to a City of Winter Springs Commission member by blood, adoption, or marriage? (Y)—(Nx 6b. If yes to 6a, please provide relation: 7. 1 have read the attached information detailing the duties and powers of the Mayor and the Rules and Procedures of the City Commission. (Y)-X (N) NOTE: The City of Winter Springs'City Commission has requested and encourages you to submit: 1) A brief Bio (to include background information, information related to any applicable qualifications and current/previous community service) 2) Information related to whyyou would be a good candidate to fill this open Mayor Seat YOU HEREBY REPRESENT TO THE CITY OF WINTER SPRINGS UNDER PENALTIES OF PERJURY THAT THE INFORMATION PROVIDED HEREIN IS TRUE AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE AND THE CITY OF WINTER SPRINGS HAS THE RIGHT TO RELY ON THAT INFORMATION. YOU HEREBY ACKNOWLEDGE THE EXISTENCE OF THE CODE OF ETHICS FOR PUBLIC OFFICERS, AND THE FLORIDA SUNSHINE LAW, WHICH MAY PERTAIN TO YOU IF YOU ARE APPOINTED TO SERVE AS MAYOR. IF APPOINTED IT IS YOUR SOLE OBLIGATION AND D UTYT COMPLY WITH SUCH LAWS. Signature. Date: Please return to: City of Winter Springs The Office of the City Clerk 1126 East State Road 434 Winter Springs, Florida 32708 2799 THE ORIGINAL QUALIFYING APPLICATION AND ALL OTHER DOCUMENTS MUST BE COMPLETED WITH ORIGINAL SIGNA TURESAND MUST BEFILED IN THE CITYCLERkCS OFFICE BY NOON ON THURSDAY, APRIL 7, 2027 FAILURE TO TIMELY FILE AN APPLICATION MA Y RESUL T IN YOUR APPLICA TION NOT BEING CONSIDERED BY THE CITYCOMMISSION. 134 i, - - _111- -- 11 CITY OF WINTER SPRINGS,FLORIDA 2021 MAYOR APPOINTMENT THIS COMPLETED 9S9 AFFIDAVITOFQUALIFIED VOTERSTATUSAND FORM MUST BE CITYAND DISTRICTiqESIDENCY PROVIDED TOTHE CITY CLERK NO OFFICE OF THE MAYOR LATER THAN NOON ON THURSDAY, APRIL 1,2021 I, W(*Aw 4 do hereby state that I seek appointment to the City Name of Candidate(Print or Type) of Winter Springs' Mayor of the City of Winter Spring= to complete a four(4)year term previously held by Mayor Charles Lacey for the City of Winter Springs,Florida.I further swear or affirm: 1.) 1 am a qualified voter in the City of Winter Springs 2.) My legal place of residence is: 0 S _56:Quo(6VP U)(106Z,4;s FL StreetAddresscity zip code 3.) Length of time of residency in the City of Winter Springs is: O 4.) 1 am attaching two(2)documents,one to Florida Driver's License as verific tion of my residency in the City of Wit qr Springs.The sec ndcloc t is: Signature 571--lD 00 0 StreetAddress city State zip Code State ofFlorida Countyof Sern),Vv le- Sworn to(or affirmed)and subscribed before me by means of4physical presence or—on1line notarizationj 1 2 a Z) this d"yof 0r, ) 2020' by A10 rri-r e Personally known: OR Produced Identification /Icl Print name ofperson mixing statement) flo j)'d;f r;veef Zl'e&nj if 4 LL 'oe Type ofloentification produced Signature ofNotary Public-state ofFlorida Or Notary Public State of FWWa Christian D Gowan My Commission GG 913234 Expires 09115/2023 FOR OFFICE USE ONLY 1Copy of Florida Driver's License provided for Item(5) Other documentation provided for Item(5) Revised 03/23/2021 135 1v ,. APR 0 12021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK awlDVPVUCEWA gd i wA 07'M&1273+1W-A 9M teat. Nr1N2*U Loma, ir.01- t teas- a s«o A a'fb MtA ftB pp raofa a.ata.N4 M,:A+ae.<..r s tlal IIIE•aarata Y1t'K7+ ",3'mY p l1[SR 136 CITY OF WINTER SPRINGS Summary of Payments and Charges DUE UTILITY BILLING ACCOUNT NUMBER 17835-001a' MON-FRI8-5 1126 E STATE ROAD 434 SERVICE ADDRESS 965 SEQUOIA DR PHONE:407-327-5996 PAST DUE CHARGES $403.26 IMMEDIATELY 39fi9 FAX:407-327-4753 UTILITYSILLS@WINTERSPRINGSFL.ORG PENALTIES 5.00 WWW.WINTERSPRINGSFL.ORG/UB ADJUSTMENTS 0.00 PAYMENTS 82.02) CURRENT CHARGES $60,44 4/20/2021 TOTAL OtIA'. Charges Breakdown_ (Current Month) WATER BASE 6.18 MONTHLY WATER USAGE (in gallons) WATER USAGE 4.07 71473650 WATER TAX 1.03 SEWER BASE 12.14 12000 10000 SEWER USAGE 13.42 8000 STORMWATER SASE 5.50 6000 4000 SOLID WASTE BASE 18.10 2000 0 F }+,j J //++ O O O O O y N N N N ON NTC#T1 L`CtiRRENT CHARGES` $6(}.44 N N ON ON N E N N OE N N N 2 N R M 0=6 z 0 IT mQOMg Scan this code to Meter Reading Information make a payment r r From To Daus Meter# Previous Current Usage with your 2/9/2021 3/12/2021 31 71473650 753,810 756,640 2,830 smartphone or tablet todayl L News You Can Use" Payment Options(Use Account Number 17835-001);See back for more! c Self-Pay by QR Code Scan the code above Please have your trash and recycling out at the curb by Self-Pay by Website eservices.winterspringsfl.org H 7AM on your scheduled pick- Online Bank Pay See your bank's website up days.Bulk pick-up: 2 large Self-Pay by Phone 407-327-5991 items max on your 2nd Call Center 407-327-5996 scheduled trash day.Call 407 M 327-5996 to schedule appliance disposal. Please detach and return the bottom portion with your payment(Make Checks Payable to City of Winter Springs) CITY OF WINTER SPRINGS Summary of Payments and Charges DUE UTILITY BILLING MON-FRI8-5 ACCOUNT NUMBER 17835-001 v 1126 E STATE ROAD 434 SERVICE ADDRESS 965 SEQUOIA DR ter, PHONE:407-327-5996 FAX:407-327-4753 PAST DUE CHARGES $403.26 IMMEDIATELY _®M1 UTILITYBILLS@ WINTERSPRINGSFL.ORG WWW.WINTERSPRINGSFL.ORG/UB lCURRENTCHARGES 60.44 4/20/2021 TOTAL DUE" 443.7Q WILLIAM MORRISEY CITY OF WINTER SPRINGS UTILITY BILLING 965 SEQUOIA DR 1126 E STATE ROAD 434 WINTER SPRINGS, FL 32708 WINTER SPRINGS, FL 32708-2715 00000178350010000046370137 NOMINATION PETITION Affinformat,on on this form becomes apublic record upon receipt hvthe Supolwsnr ntfiections THIS t'OMPLETFD tt isa crime to knowinglystgn more than one petition for a candidata JSectin 1104 7RS Flooda Sranrrua/ fa)!ZoeeSted lnforrcyyrion on thi formisnotcompleted theform will not be vartd as a Card>oate nentwo F:xrn OP'A""1`^c'T BEre J PPOVIDED TO THE 1 o 6 t theundersigned, a registered CITE t.')_ERK NO Please print name as it appears on your ester information card)i A7i;R THAN NOON voter of the City of Winter Springs,nominate t{ N THURSDAY, o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number I Address MM/DD City we Zip Code 5 k]figs ounty 5nrfrfk'' 3z 4 At Signature of voter2 Date Signed MteIMMIOONver)IT.be ample byVoter) ol l / Rule iS-2.045,FAC. NOMINATION PETITION AllinformationonthisformbecomesapublicrecorduponreceiptbytheSupervisorofEjections THIS COMPLETED it is a crime to knowingly sign more than one petition fora candidate[section 104.185Florida statutes] Ifall requested information on this form is not completed,theform,willnotbe vaildasa Candidate Petition Porm FORM MUST BE PROVIDED TO THE the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate W t F ON THURSDAY,t " j in A` f eCrfa APRIL 1,2021tocompletetheunexpiredtermofOfficeofMayorofWinterSpringsrecentlyvacatedbyformraydr Lacey. Date of Birth OR Voter Registration Number Address MM1DDA YM City IState Zip Code fIZ/ M ' S Signature of Voter/ bate Signed tMM]ODM'YY) fro be completed by Voter] 2 Rule is 045,FAC. R E C E I APR 01 1021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 138 NOMINATION PETITION Affinforrinatfor,on this tormt becomes a public record upon receipt tvthr Supe—,sor THIS COMPLETED it is a crime to knowingly sign more than one petition for a candidare/Section 10z tPrFlofitia5rawroc1 I`-OP:-4 MVST BEItallrequesredinformationanthisformisnotcompleted,the form will not be va,ldas a Candid ate Pe(iNo-ro", 1,-POVOED TO THE I,the undersigned, a registered CLEPIK NO Please print dame as It appears on your voter information card) i-ArER THAN NOON voter of the City of Winter Springs,nominate U)4 1 I'A-M A ON IHUPSr)N( o complete the unexpired term of Office of Mayor of Winter Springs recently.tracated by former Mayor Lacey. APPIL 1,2021 Date of Birth OR Voter Registration Number Address MMA:)DjYYYY) 0 4/o LI/I C, oun late lZip Code Signature of voter Date Signed(tAMIDDIVYYY) To be completed byVoter) 03/3 1 /10-2- 1 Rule 1Ass, AC. 71 NOM I NATION PETITION All information on this formbecomes apublic record upon receipt bythe Supervisor afElections THIS COMPLETED isa crime to knowingiy sign more than one peritrio,)for a candidate,[section 104. 185 Florida Statures) lrallrequestedinli:prmapon on this form is not completed,the form will not be vaildas a Candidate Petition Form. FORM MUST BE PROVIDED TO THEC4tjC(!(-Cc.o/\p the undersigned, a registered CITY CLERK NO Please print name asit appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate 0 CCJ ON THURSDAY, to complete the unexpired term of office of Mayor of Winte Springs recently vacs- eW,V-1y APRIL 1,2021 Lacey. bate of Birth OR Voter Registration Number Address MM/DQ)YYYY) Se V 0 at" 0-A ,2s/161 q 6 City knty Ptate Zip Code r IOU Jr I I eL ( SIZ7LIbe Signature of voter Date Signed(MMA)DA-M) rro becompleted byvoter) 0 3/ 3 lRule15-2.045,FAC. P. APR 01 2021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 139 NOMINATiON PETITION Alltnformahon on this form becomes a public record upon receipt by the superwsor et£'lectlons THIS COMPLETED 1t is a crime to knowinglysign more than one petition for a candidate.(Ser.tinn 10Z les f'lorrda Staturs•:f 11'all requested information on this form isnotcompleted.the Form,will not be vadd ac a C"andrdate Petsf an Form POPM MUST RE V14O,VIDED TO THE I, f j tM dcctndon M,-.haG? Morr.l ' the undersigned, a registered ZIT,`CLERK NO Please print name as It appears on your voter information card) kTc P THAN NOON voter of the City of Winter Springs,nominate }X11 jt i4PON THURSDAY ocomplete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey, APPiL 1,2021 Date of Birth OR Voter Registration Number Address MM]OD/YYY1ry S 1y fj Q i1•J /) /)`'10 city ounty tate Zip Code 5t'Al;'n0 le,I r 327 8 Signature of VotW Date Signed(MM/DDM'YY) y / Ta be completed by Voter]27S 33 Rule 1S-2.04S,FAG. NOMINATION PETITION Allinformat,on on this form becormsa public record upon receipt bythe Supervisor ofElections THiS COMPLETED it is acrime to knowingly sign more than onepetition fora candidate.(Section 104.185 Florida Statutes] lfalt requested information on thisform isnot completed the form wilt not be wrild as a Candidate Petition Form. FORM MUST BE the undersigned, a registered PROVIDED TO THE g CITY CLERK NO Please print name as it appears on your voter information card) f ti{A A a rp LATER THAN AY,voter of the City of Winter Springs,nominateUj t IJr / ,r ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by form4r Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MMIDD C t`3 ' City rnty 1,aze Zip Code Signature of Voter Date Signed(MM]DDA Y" S, To be completed byVoter] d Rule 1S-2.045,FAC. S C E I V APR. 01 1021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 140 NOMINATION PETITION All information on this form becomes a Public record upon rec"Pr l'V file-sup'-wsor otflperiorl` THIS CO;M—PIFTFD isacrime to knowingtisign more than one petition fora candidate 15,ect'w'10 7i?50110"'on 51awlesj Iffallrequestedinformaricin on this form isnot completed the form wdl not be vallida-la I-ORM MUST BE PPO'ODIED TO THE the undersigned, a registered I-TY(-LFPK Nn Please print name as it appeals on your ester information card) i,AT;7P THAN NOON voter of the City of Winter Springs,nominate W i I [t 0 A o THURSDAY, ocomplete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MM/DDtyyyY) C City wnty late Zip Code w"N-SQ r ' 1 F',— I3 it(.)1 Signature of Voter DateSigned(MM0QjvYYV) fro be completed by Voter) Rule IS-2.045,FAC. Ty" NOMINATION PETITION All information on this form becomes apublic record upon receipt bythe Supervisor of Elections THIS COMPLETEDiscrimetokno1TqtVsj0nrnorethanonepetitionforacandidate]section 704.785Florida Statutes] ffall ple#ed,the m*vbe r1dasa Candidate Petition Form FORM MUST BE C'.igned, a registered PROVIDED TO THE 1, TCITY CLERK NO Please print name as it appears on tout voter information card) LATER THAN NOON Vil-U64m A . 'v voter of the City of Winter Springs,nominate r I w Iorns6l ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated byformer Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address EN jL_Vte S2 uric 6tate J jZip coderPF signature voter ti Date Signed(MKIDD To be complei: j byvote 3 S11 &[ lRuleI5-2045,FAC. RRECEIVED APR 012021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 141 NOMINATION PETITION Allinformation on this tort"becomes a Public record upon receipt hvrhr THIS COMPLETED itis acrime to knowingly sign more than one petition fora candidate 1.4er 1—104 1ps Florida 5ra wrn Ifailrequested information an this form isnot Completed.tire for")A,#not be vaid as a Cand:tltr Pei4w- NOPM IAUST BE PDOVIDED TO THE 1,the undersigned, a registered CIT/(":LEPK NO Please priAt name as it appears on your ester inforr,nation,card} iAT-P THAN NOON voter of the City of Winter Springs,nominate AM N 7HLJPSDAi%Wtir Ut'A - Ale rrtr67,Y 1 ocomplete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APPIL 1,2021 Date of Binh OR Voter Registration Number Address-, seq U0(D' L'Art V- 0(p/1,18te Ll- 11 oun tlo a, ZipCodeL Sigm repI'Vore Date Signed(MMIDDIY" rr be plet-A by Voter) t NOMINATION PETITION Allintbimarion on this-form becomes a publXrecord upon receipt bytheSupervisor of Elections THIS COMPLETEDItisacrimeto*nowjngr1Vsign more than one petition for acandidate./Section 704.785 Florida Statures/ Wall requested information on this form is not completed the form willnot be vaildas a Candidate Petition Form. FORM MUST BE I, L au*a%.., t an the undersigned, a registered PROVIDED TO THE Please print name as it appears on your Wer information card) CITY CLERK NO LATER THAN NOON voter of the City of Winter Springs,nominate ON THURSDAY,w (-1,(el+t% A - M to complete the unexpired term of0fificeafMayor of Winter Springs recently vacated byformer mayor APRIL 1,2021 Lacey. Date ofBirth OR Voter Registration Number Address MM/DDI"" Se-j"iA br City my tate Zip Code w'I A41r S I v, 1 1 3 T Signature of V er Date Signed(MKIDWYYYY) To becompleted by Voter) 3 t Rule 1S- 845, Z3 IL RNE C E IV E D APR 01 2021 CITY OF WINTER SPRING S OFFICE OF THE CITY CLERK 142 NOMINATION PETITION Allinformation on this form becomes apublic record upon receipt bvrh-Sure—icor O(Efectfjns THIS COMPLETED it'a crime to knowmg,vsr4w more than one petition for a candidate j!;rrNnn 10-c FPS FloruM 5rarurrotj ed i fi marion an this form not coTplefed.the 16fm will not be vaddas a Cand4ate Petition f'orin l-ORM MUST BE PPe'.)VIDED TO THE the undersigned, a registered J,0 P1 QL!iiPK NO Please print name as it a(!'pears on your voter inf6imation card) i,AT-R THAN NOON voter of the City of Winter Springs,nominate U a ON THURSDAY,Uj VFAA Marr(a( o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APPIL 1,2021 Date of Birth OR Voter Registration Number Address MM/DD/Y" I Q)5o"icm City e cunt p Code 13z VA 6 tate I r5 Signature of voter Date Signed(tAMIDDAWY) To becompleted by Voter) 1RuleLS-!(04S,F-kC. NOMINATION PETITION ZO All information on this form becomes a public record upon receipt bythe Supervisor of Elections THIS COMPLETEDitisacrimetoknowngtvsignmorethanoneped6onforacandidate[Section 104.185iclonda Statutes] frallr:q i1forma Mon on this form is not ccmplered,the form will not&-vaild as a Candidate Petition Form. FORM MUST BE PROVIDED TO THEIt-,fe S 0—) 4'A C,the undersigned, a registered CITY CLERK NO please print name as it appears on your votA information card)eLATER THAN NOON voter of the City of winter Springs,nominate W1, 1114m A .ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. Date ofBirth OR Voter Registration Number Address city tountv tate Zip Code If Signature of Voter Date Signed(MM/DD" fro be completed by Voter} I.0 I Rule 7S-2045,FAC, r RECEIVED APR 01 2021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 143 NOMINATION PETITION Aflintormation on this form becomes a Public record upon receipt 1 v thp THIS COMPLETED itisacnme to knowonglysion mare than one pr0tion fora candidate ifSrrefnfl roz w5Flnfl4fa 5tartilp-4 Ifalfrequestedmformation on this form rs nor completed,the form mil not be vaAYas 1 Cand4we Periour.1arn I-ORM MUST BE VQO`,/IDrD TO THE kt C-c/ the undersigned, a registered CIT CLERK NO Please prim name as it appears on your voter information card) ER THAN NOON voter of the City of Winter Springs.nominate W( th'Apti A - VK01TcWf ON THURSDAY, o complete the unexpired term ofOffice of Mayor ofWinter Springs recently vacated by former Mayor Lacey. APPIL 1,2021 Date of Binh OR Voter Registration Number Address MM/bDt^NY) Tnr ke"i yo,A.W, C f'fes, cZiRCodeityr-unty lstate Wl'l 01) &0 3?,70 f Signature of vote, Date Signed(IAM/DDA'V'iM To be completed by Voter] Rule IS-2.04S,FAC. NOMINATION PETITION Affinformarian on ths form becomes apublic record upon recefpt bythe Supermor ofElections i[isacrime toknowInglysi4n more than one petition fora candidate-fSettion 704 785 Florida Statutes]THIS COMPLETED llraflrequ::[ead' rmarion on thisform isnotcomplated.theform"Inotbe vaidasa Candidate Petition Form. FOAM MUST BE 2 PROVIDED TO THE 4 1-14-Z ZA' c i//- - / the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information lzard) M 0 LATER THAN NOON voter of the City of Winter Springs,nominate WiLls'Awk 0(yj 5..-ON THURSDAY,V7 to complete the unexpired term of office of Mayor of Winter Springs recently vacated byformer Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address wMMMDIYYMLe r5- 2 ;;% C/ CityISI Zip Codeune-l`/70 le tate . Signature of Voter Date Signed(M"DNYYY) TO be comp"byvoter] Rule 15 2 APR 01 2021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 144 NOMINATION PETITION All information on this form becomes a public record upon receipt hymp Surrllww o(Efectrons THr S COMPLETED it isa crime to knownglysign more than one petition for a candidwe t.5cc1;n!,10.IFSFtonda 1;ratur-j fall requested information an this formisnot completed.the corm Will not be va'ld a, n OWA MUS r BE PPOVIDED TO THE0mu'-4 C- :Srws cip,(W—ip, the undersigned, a registered r-l-rt'(A EPK NO Please print name as it appears on your voter information card) A F7P THAN NOON voter of the City of Winter Springs,nominate 'wj(vA-rA A, ro 0N THURSDAY. ocomplete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APPIL 1,2021 Date of Birth OR Voter Registration Number Address MMIODAIYM 01Q.OR I lo 1 mrvp City ounty we Zip Code wlt0u, S(--W4oL6 VL 1344og Signature of Voter Date signed 0AlvA:)Dl?Vv`YV) Tobe completed by Voter) 491 - 03 1311 aO 2-1 Rule IS-2.04S.FAV NOMINATION PETITION Allinformation on this form becomes apublic record upon receipt bythe Supervisor ofElections THIS COMPLETED itisa crime to knomngfy sign more than one petition fora candidate f5ection 104-18S Florida Statutes] itall requested information an this form is notcompleted.the form v%W//not be vaildas a Candidate Petition Farm FORM MUST BE I, r\PMA-,j00-1A M- the undersigned, a registered PROVIDED TO THE CITY CLERK NO Please print name as it appears on your voter information card) LATER THAN NOON voter of the City of winter Springs,nominate V) i ((('h-^ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayl APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DO/Yyyyj 0-4 1101 10CU COOL SC()U()1A Dv-. citynty tate Zip Code wit4*Ken s9f-wX-1 ru SEMI mbLE kt,: rL i I IIT Signature of Voter Date Signed(lAI41DDNYYV) To be completed byVoter) 03 J3112-02-1 Rule 15-2.04%FAC. c E i V E D APR 012021 CITY OF VIANTER SPRINGS OFFICE OF THE CITY CLERK 145 I NOMINATION PETITION A!/information on this form becomes apublic record upon receipt by the 5upofwsor of Elecifinc THIS COMPLETED it s a crime eto knowingly sign more than one petition for a candida re/Section 104 IP5 Florida 5ra ttjrro>l T-OP'A MUST BEtdf, ation on this form isnot completed,the form twl/not be vaId as i?(or"(Plate Pelpf'o,r"'m PED e5e P VID the undersigned, a registered CLERK THE RK NO Please print name as it appears on your ester information card) ATER 7HAN NOON voter of the City of Winter Springs,nominate W i It I'Arm As o rf(s6q-4 ON THURSDAY, to complete the unexpired term of office of mayor of Winter Springs recentlyvacated by former Mayor Lacey. APPIL 1,2021 Date of Birth OR Voter Registration Number Address 01 MMADDAYM o lz 3/ t y 3 City. runty tate Zip Code Sem"no 4r, 3 Z?CK Signature of Voter Date Signed(MM/0D/yyYy) fro be completed by Voter] 03/31/ Z0z1 Rule IS-2.045,FAC. 7 NOMINATION PETITION All informa rion on thfs-form becomesa public record upon receipt by the Supervaor of Elections THIS COMPLETED1tisacrimetoknowlngtysignmorethanDriepetitionforacandidate.ISection 104.IBSFIbrida Statutes] ffall requested information on this form isnot co—pleted.the form 9,411not be i,aildasa Candidate Petition Form FORM MUST BE Y-tl Cyy S the undersigned, a registered PROVIDED TO THE CITY CLERK NO Please print nat s it appears on your voter information card) LATER THAN NOON voter of the City of Winter prings,nominate wiWApt A- Ygorrrsv- ON THURSDAY, to complete the unexpired term of office ofMayor of Winter Springs recently vacated by former Mat APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DDryyyy) city runty litate 2ip Code W 751 signature of Y Date Signed(MM/D0/YYYVj fro be completed by voter] 2. 21 RuleIS-2.045,FAC, V U R n CK 1V E ID 146 NOMINATION PETITION Aninformauon on this form becomes apublic record upon receiPt bvtne 5urN-f1w50r arEtections THIS COMPLETEDtiscrimetoknownglysignmorethanonepetitionforacandidate/Sechrn,lilt IRS Florkla 5rarure4/ Ifanrequestedinformation onthis form isnotcompleted,the form mill not bevaldasaC"and dd.telretitoo^Far.n ORM MUST RE FROVIDED TO THE fI, t " Gc-, D" G the undersigned, a registered I?Y CLERK h0 Please print name as it appears on your voter information card) A1 ER THAN NOON voter of the City of Winter Springs,nominate Ul 1,CftM A-> M Q ON THURSDAY o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APPIL 1,2021 Date of Birth OR Voter Registration Number Address MMiODAly" t t, Fr7 t5 a ("C City ounty tate Zip Code t.c7ttt, S J f 5—w c e I FC sign Date Signed(MM(DO,/YYYY) ITo be completed byVoter) f Liz Rule1S•2.04S,FAC. r NOMINATION PETITION Ali information an this form becomes a public record upon receipt by the Supervisor of Elections THIS COMPLETEDitisacrimetoknomnglysignmorethanonepetitionforacandidateIsection104.185Florida Statutes) Iran requested information on this form is not completed the form will not be vaild as a Candidate Petition Form- FORM MUST BE 1, 1 Gt„ C('t"Cq„ R)C'f-6 the undersigned, a registered PROVIDED TO THE CITY CLERK NO Please print name as it appears on your voter information card) r LATER THAN NOON voter of the City of Winter Springs,nominate W f k L f"4 " pp t v I'Joi in j q ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recentlyvacated byformer Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MMID 5 cityFFF Q j A( alnty ... a1( f1 TI- Zi code C- L 1n.,r v G_. "` ` r 1JYr/V 14th1 i L i Sig a of Voter Date signed(m"DIYYYyi tro be comp ed by Voterl Rule 1 .045,FAG 4 vim R }L pia APR 01 mi CITY OF WINTER SPRINGS OFFICE OF THE CIT`,'CLFRK 147 C- NOMINATION PETITION Ailtriformarion onthis form becomesa Public record upon receipt t{v(AP 5urerv'50r Of Elections THISS COMPLETED 111is a crime r knehan one petition for a candidate JSC-Cfinn 104 W5 I 1011rM 51.1tUf';jsrnor irisnot completed.the form K0 not be valdasa IMro-n T ORMUST BEng WPOVIDED TO THE f6,0— the undersigned, a registered CIT CLERK NO Aease print name as it appears on your voter information card) iATZ:R THAN NOON voter of the City of Winter Springs,nominate P'. I I/LAJ J0,M Ck)THURSDAY,i I( N A , M 6 V to complete the unexpired term of Officeof Mayor of Winter Springsrecently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address City ounty Pat, I zip C-de Signature of Voter Signed(MMIDONYYY) be comple by, rI Rule 1 2 FAC A NOMINATION PETITION Allinformation on thtsrorm becomes apublic record upon receipt birthe Supervisor ofElections THIS COMPLETED tr is crime to knovwnqysiqn more than aineperition fora candidate.fSection 104.795F/arida Statutes] Ifa#requested informarton on ths fmrri isnotcompleted,the form vvillnot be vaildas a Candidate Petition Form FORM MUST BE 1. b /,b 0 11- (5 C:E)1nJ the undersigned, a registered PROVIDED TO THE11wALyCITYCLERKNO Please print name as it appears on your voter Information card) LATER THAN NOON voter of the City of Winter Springs,nominate W' 4m A- ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DD(MM/DDtYYYy) 0 0(5 city untyerte1p CodIrz':2- Signature of voter Rate Signed(MM/DD/YYYY) To be completrd byjV0ter) RE:I V APR 0 12021 CITY OF WINTER SPRiN11OFFICEOFTHECITY, =r?r- 148 NOMINATION PETITION All information on this form becomes apublic record upon receipt by the 5UP,-rvrsnr At£lections THIS C. LETE D tt isa crime to knowinglysign more than one petition fora candidate/Sertion 104 tgS Ronda 51awrp,q Jfail requested information on this form is not completed the form w,ilnot be vadd as a Cand>dale Petition roan FORM MUST BE 1 PP.9,/IDED TO THE the undersigned, a registered VI;,{CLERK NO Please print name as it appears on your voter information card)T6R THAN NOON voter of the City of Winter Springs,nominate tM t ON THURSDAY o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APPIL 1,2021 Date of Birth OR Voter Registration Number Address MM/L7DNYY1 J city r r;y tate Zip Code Signature ofvoter late Signed{MM/ODNYYV) To be completed by Voter) V Rule 11S-2.045.FAC. NOMINATION PETITION A#information on this form becomes apublic record upon recefpt bythe Supervisor ofElections HES COMPLETEDisacrimetoknomnglysignmorethanonepetitionforacandidate.[Section104.785 Florida Statutes] ifa#requested in 12irma von on thisform is nat completed the lb rm"Inot be vaild asa Candidare Petition Form FORM MUST BE the undersigned, a registered PROVIDED TO THE CITY CLERK NO Please print name as it appears on year voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated byformer Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DDiYYYY) city ounty Mate ( 2iP Code Signature of Voter Rate Signed(MM/)l)JYYYY) To be completed byVoter) RQIe IS-2.o4s,FAC. RIECEIVED APR 012021 CITY OF WNTER SPRINGS OFcICE OF THE CITY CLERK 149 NOMINATION PETITION All information on this form becomes a public record upon receipt by the Supervisor ofElections THIS COMPLETED It is a crime to knowinglysign more than one petition for a candidate.[Section 104.785 Florida Statutesl / j FORM MUST BE Ifallrequestedi ormationonth/ farmi tcompleted,the form willnot bevaildasaCandida tePetition FFrrrr l GVO 0 the undersigrlsd;a registered PROVIDED K THE CITY CLERK NO Please print name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate ON THURSDAY, o complete the unexpired term of Office of Mayor of Winter Springs recently v feed by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MM/DD/YYYY) City ounty I tate ( Zip Code Signature of Voter Date Signed(MM/DD/YYYY) To be completed by Voter] yule 1S-2.045,F.A.C. ct5-1'75Y NOM I NATION PETITION A//informationonthisformbecomesapubiicrecorduponreceiptbytheSupervisorofElections THIS COMPLETED t is a crime to knowinglysign more than onepetition fora candidate,[Section 104.785 F/arida Statutes] lfallrequestedinfiblyiononthisformisnotcornpleted,theformwil/notbevaildasaCandidalePetitiemForm FORM MUST BE 1 J l} 0 the undersigned, a registered PROVIDED THE CITU CLERK NO please print name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate f Aeg ON THURSDAY, to complete the unexpired term of Office of Mayor of In er nrs re ently y o rj d`ay r APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Addressr(`i MM Dr—) v cog city ounty tate, Zi Cod^e— Signature of Voter Date Signed(MM/DDANW) To beTTIed by Voter] 1 Rul - .045,F.A.C. APR 012021 OF WINTER SP CLERK E OF-THE CITY LE 150 151 152 CITY OF WINTER SPRINGS 2021 MAYOR APPOINTMENT APR 01 701 SPRINGS XA] U C IK AT CITY OF op~.s~"' ' Each candidate,whether a party candidate,a candidate with no party affiliation,or a write-in candidate in order to qualify for nomination or election to any office other than a judicial office as defined in chapter 105,shall take and subscribe to an oath or affirmation in writing. A printed copy of the oath or affirmation shall be furnished to the candidate by the officer before whom such candidate seeks toqua|ify.''' [99.O2l (1)(a) Florida Statutes] STATE OFFLORIDA COUNTY OF IIg Before officer h i d to adminXer k/appeared Please Print lVameAs You Wish It ToAppear In City Pecords For This Appointment) to me well known,who,being sworn,says that he or she is a candidate for the office ofMayor;that heor she is a qualified elector of the City of Winter Springs,Seminole County, Florida;that he or she is qualified under the Constitution and the laws of Florida to hold the office to which he or she desires to benominated orelected;that heorshe has taken the oath required byss.876.O6-875]D, Florida Statutes;that he or she has qualified for no other public office in the state,the term of which office or any part thereof runs concurrent with that mfthe office heorshe seeks;and that h*orshe has resigned from any office from which heurshe isrequired toresign pursuant tos.99.Ol2. Florida Statutes." signature of pointee Street Address iM1 5 city State Zip Code Sworn toand subscribed before rnathis ~L dayof iv, 2O2l.at Seminole County, Florida. Signature and Title ofOfficer Administering Oath) 153 wn-CEIVED MAR 312021 CITY OF WNTER sPRINGS CITY OF WINTER SPRINGS, FLORIDA OFFICE OF THE CITY CLERK QUALIFYING APPLICATION FOR APPOINTMENT TO MAYOR SEAT THE ORIGINAL QUALIFYING APPLICATION AND ALL OTHER DOCUMENTS MUST COMPLETED WITH ORIGINAL SIGNATURESAND MUSTBE FILED IN THE CITYCLERI'S OFFICE BYNOON ON THURSDAY,APRIL 1,2027 Qualified candidates may attach a resume, references, recommendations, or other such documentation that the candidate desires to have the City Commission consider before making an appointment to fill the unexpired term of the Office of Mayor. The Mayor serves on the governing body of the City subject to the duties and responsibilities specified in the City Charter. Please be aware that documents submitted to the City are public records available for inspection to the extent allowed by Chapter 119, Florida Statutes. Please complete the following in the space provided: A. GENERAL J 1.Name: JAX'P 2 P xsp ts 2. Home Address:) a- 3.3. Occupation: klgf rr- 4. Telephone (cell): 4- 3V5- Telephone (other): 5. Email: R 5©n[ B. ELIGIBILITY The information provided in this section is for purposes of determining whether you are eligible to serve on the City Commission: la. Are you duly registered to vote in Seminole County: Y) (N)_ lb. Are you duly registered to vote in the City of Winter Springs? (Y) (N)_ 2a. Do you live within the City limits of Winter Springs: Y))C (N)_ 2b. What district do you reside in?1)_ (2)_ (3)_(4)_ (5))C 2c. How long (years and/or months) have you resided in the district selected in 2b? 2d. How long (years and/or months) have you resided in the City? 3. Have you ever been convicted or found guilty, regardless of adjudication, of a felony in any jurisdiction?Any plea of nolo contendere (no contest)shall be considered a conviction for purposes of this question.Y)_ (N)_ 154 RECEIVED MAR 312021 CITY OF VVINTER SPRINGS OFFICE OF THE CITY CLERK 4a. Do you presently serve on any other City of Winter Springs board or committee? Y)— (N),t- 4b. Please list each: S. Do you have any private or personal interests which might conflict with serving the City's interests, if you were to be appointed to serve on this board or committee? Y)— (N)- 6. All persons applying for a City Commission Seat must voluntarily consent to a standard criminal background check before being appointed. Do you voluntarily consent to having a standard background check being performed on you by the City of Winter Springs? (Y)—(N) 6a. Are you related to a City of Winter Springs Commission member by blood, adoption,or marriage? (Y)— (N)_ 6b. If yes to 6a, please provide relation: 7. 1 have read the attached information detailing the duties and powers of the Mayor and the Rules and Procedures of the City Commission. (Y) (N) NOTE: The City of Winter Springs'City Commission has requested and encourages you to submit: 1) A brief Bio (to include background information, information related to any applicable qualifications and current/previous community service) 2) Information related to why you would be a good candidate to fill this open Mayor Seat YOU HEREBY RE PRESENT TO THE CITY OF WINTER SPRINGS UNDER PENALTI ES OF PERJURY THAT THE INFORMATION PROVI DED HEREIN IS TRUE AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE AND THE CITY OF WINTER SPRINGS HAS THE RIGHTTO RELY ONTHAT INFORMATION. YOU HEREBY ACKNOWLEDGE THE EXISTENCE OF THE CODE OF ETHICS FOR PUBLIC OFFICERS, AND THE FLORIDA SUNSHINE LAW, WHICH MAY PERTAIN TO YOU IF YOU ARE APPOINTED TO SERVE AS MAYOR. IF APPOINTED IT IS YOUR SOLE OBLIGATION AND DUTY TO COMPLY WITH SUCH LAWS. Signature: Date: z Please return to: City of Winter Springs The Office of the City Clerk 1126 East State Road 434 Winter Springs, Florida 32708 2799 THE ORIGINAL QUALIFYING APPLICATION AND ALL OTHER DOCUMENTS MUST BE COMPLETED WITH ORIGINAL SIGNA 77JRE.5 AND MUSTBE FILED IN THE CITY CLERICS OFFICE BY NOON ON THURSDAY, APRIL 7, 2027 FAILURE TO TIMELY FILE AN APPLICATION MA YRESUL TIN YOUPAPPLIC4 TION NOT BEING CONSIDERED BY THE CITYCOMMISSION. Revised 3/23/2021 155 I!I,ECEIVED MAR 3 1 26Z I XtATE,V CITY OF WINTER SPRINGS,FLORIDA CITY OF WN, OFFICE OF VHCITY C;1-04K 2021 MAYOR APPOINTMENT Z0 AFFIDAVITOFQUALIFIED VOTERSTATUSAND THIS COMPLETED FORM MUST BEQ..-CIO CITYAND DISTRICTI?ESIDENCY PROVIDED TO THE CITY CLERK NO OFFICE OF THE MAYOR LATER THAN NOON ON THURSDAY, APRIL 1,2021 do hereby state that I seek appointment to the City Name of Candidate(Print or Type) of Winter Springs' Mayor of the City of Winter Springs to complete a four(4)year term previously held by Mayor Charles Lacey for the City of Winter Springs,Florida.I further swear or affirm: 1.) 1 am a qualified voter in the City of Winter Springs 2.) My legal place of residence is: 1,4,7 U 9,,-,, C StreetAddress City state zip Code 3.) Length of time of residency in the City of Winter Springs is: 4.) 1 am attaching two(2)documents,one to be a Florida Driver's License,as verification of my residency in the City of Winter Springs The.se.cond,clocument is: 13, Signature D6 to 3-1 StreetAddress city State zip code State of Florida Countyof Ej4AI Al 0 Lf- Sworn to(or affirmed)and subscribed before me by means off--jkphysical presence or—onfline notarization] 2 1 rj- 4*7-1 this day of plarth by A C, ,d po-el arQ Personally known: OR Produced Identification Print name o/person making statement) fL 06'vea Lt'ce oe- Type of/dentiRcation produced Signature ofNotary Public-State ofFlorida 400 0Q. Notary public SU"ft of:F:1wda Christian D Gowan State y Commission n G91VExpires091'eV 16 0F , . My Commission GG 913234 Expires 0911512023 FOR OFFICE USE ONLY Copy of Florida Driver's License provided for Item(5) Other documentation V,,7-LrA. t?66/S-rlt AIV-oA) provided for Item(5) Revised 03/23/2021 156 Raw-MmVIED CITY OF WINTER SPRINGS MAR 31 2021 2021 MAYOR APPOINTMENT CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK OATH OF CANDIDATE OFFICE OF THE MAYOR All persons who now or hereafter are employed byor who now or hereafterare on the payroll ofthe state,or any ofits departments and agencies subdivisions counties cities,school boardsanddistricts of the free public school system of the state or counties,or institutions ofhigher learning,and all candidates forpublic offrce,are required to take an oath before anyperson dulyauthorized to take acknowledgements ofinstruments for public recordin the state-"[876.05(1)Florida Statutes) Anyperson seeking to qualifyfor public office who fails or refuses to file the oath required bythis act shall be held to have failed to qualifyas a candidate for public office,and the name ofsuch person shall not be printed on the ballot asa qualified candidate."[876.07F/orida Statutes] I,_ -r,a, a 0 1A1?S--f - a citizen of the State of Florida and of the United States of America, and a candidate for public office, do hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of Florida r= Signature of Appointee 1t1(9 c_41,16 pcl?ZZ-r Da. n Street Address City State Zip Code 157 RECEIVED MAR 31 20zl STATE {]FFLORIDA CITY oFvwmrsnSPRINGS OFFICE opTHE CITY CLERK COUNTYOF______ Sworn to (or affirmed) n subscribed before me by means of{ physical presence or i t riza1ionithis3115-/----' day of_ ' 2021 by Personally known__DRProduced Identification Type ofIdentification produced Flarl 4c, azp , 2 Notary Pubhe State of FWda CfthChristian D Gowanfft,=MY,commissim GG 913234 Signature ofNotary Public - State ofFlorida E, 04 EXPirft 011015=23 158 D A In&0 CITY OF WINTER SPRINGS MAR 3 12021 2021 MAYOR APPOINTMENT CITY orvwwre*SPRINGS OFFICE nFTHE CITY CLERK OATH OF CANDIDATE OFFICE OF THE MAYOR Each candidate,whether a party candidate,a candidate with no party affiliation,or a write-in candidate,in order to qualify for nomination or election to any office other than ajudicial office as defined inchapter l05.shall take and subscribe tuanoath oraffirmation inwriting. /\printed copy of the oath or affirmation shall be furnished to the candidate by the officer before whom such candidate seeks toqua|i0/'^[99.021 (l)(a} Florida Statutes] STATE 0FFLORIDA COUNTY OF Before an officer authorized to administer oaths,personally appeared Please Print Name AsYou Wish xToAppearmotyPecordsFor This Appointment) to me well known,who,being sworn,says that he or she is a candidate for the office of Mayor;that he or she is a qualified elector of the City of Winter Springs,Seminole County,Florida;that he or she is qualified under the Constitution and the laws of Florida to hold the office to which he or she desires to be nominated or elected;that he or she has taken the oath required by ss.876.05-876.10,Florida Statutes;that he or she has qualified for no other public office in the state,the term of which office or any part thereof runs concurrent with that ofthe office heorshe seeks;and that heorshe has resigned from any office from which he or she is required to resign pursuant to s.99.012,Florida Statutes." Signature ofAppointee Street Address city State Zip Code Sworn toand subscribed before me this —' 'day of 2021.at Seminole County, Florida. Signature and Title of Officer Administering Oath) Notary Pubbc State of Flonda My Cornmission GG 913234 Expires 09/1.5/2023NotNEE I 159 1-10-E-CEIVED MAR 31 ZOZ1 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK rh3wsn Florida., LICENSE VOTi+R R43li RY s. L - fW9 Cr,C7K&CHEOR Wi i CSR SPRINGS, 32ifl-iW ' l9241998Q , M FIFE OY7SVH[, HOWARD RUSSELL PARSONS 1049 cHOKECHERRY DR 059WINTERSPRINGS Nov/ 4/ WS 2 ftW Covenant Church 00 Tuskawitia Road 2 Winter Springs FL 32708 28 Ma r110J2020 1,07658901 1ant25119" 7 160 Being born and raised just outside of D.C. I was afforded opportunities to pay taxes, sit in traffic and shovel snow. That time in Virginia also allowed the realization of how much I enjoyed Florida while visiting family here. In 1992 1 made a move to Winter Springs but Northern Virginia managed to pull me back after about one year. In 1997 1 moved to Winter Springs and haven't thought twice about moving back! Fast forward a few years and I'm proud to say that my wife and I have been blessed to raise our three children in Winter Springs. All three of our children have attended Winter Springs schools and all three were told the same exact story of how their father went to Indian Trails the first year it was open! They get tired of that story. Not only did my wife and I get to raise three amazing children but we also attended college while working full time. With three children, it was important that we forged bonds with our community and especially school leaders by volunteering through different organizations. I was not only a Den Leader but also the Cub Master in my son's Cub Scout Pack for years with my wife holding positions in the Pack and my daughters volunteering. As a family we were heavily involved in Girl Scouts (yes, I was a Girl Scout assistant leader) and had the privilege to give back to our community. We helped coach soccer and enjoyed many weekends on Red Bug's grassy fields for practice and games. Winter Springs has provided my wife and I the opportunity to not only have a place that we are proud to call home but to also make incredible memories while raising three amazing children. We couldn't imagine calling any other place home. Respectfully, RECEIVED Howard Parsons MAR 312021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 161 There are many attributes that make a person a good candidate for Mayor but ultimately it comes down to passion. Rules and regulations can be learned. When people have lived and grown in a city, they have something to gain and something to lose. When people have lived, grown and are raising a family in that same city, they have everything to gain and everything to lose. The decisions become far more serious because they impact the citizens. Those citizens are my family. Currently, my father and I run a home inspection business that has been growing since 2006. I am also currently assisting the Department of Children and Families during the Covid crisis. Prior work experience includes construction, automotive and management. I am a self-starter that can also work well on a team with classes in communication and negotiation. My application for the position of Mayor comes with no political alliances or debts. I am pro Winter Springs and pro responsible growth. I am extremely passionate about Winter Springs as Winter Springs is not only our home but has also given us so much. As an everyday citizen of Winter Springs, I understand what we are looking for now and for the future of our city. The role the Mayor plays within Winter Springs is an important one that provides our citizens direction, leadership and confidence. Living in Winter Springs, raising children in Winter Springs and being apart of our community, I believe that I can become an important part of the Winter Springs team that can assist in reuniting the city. RECEIVED Respectfully,MAR 312021 Howard Parsons CITY OF WINTER SPRINGS OFFICE OF THE CITY Ci..F-RK 162 Q7. NOMINATION PETITION Allinformation on this forrn becom as a public record upon receipt by the Supervisor ofElections THIS COMPLETEDItisacrimetoknowinglysignmorethanonepetitionforacandidate.[Section 704.785 Florida Statutes) IfaH requested information on this form is not completed,theform,will not be valldas a Candidate Petition Form. FORM MUST BE PROVIDED TO THE Pti tr1 the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter inform}tion rd) LATER THAN NOON voter of the City of Winter Springs,nominate ,jam fie*;' ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Vater Registration Number Address MM/DD" d 7 2 tq 7 q 9-16 City ounty tate j/( Zip Code132— Signature of Voter Date Signed(MM[DD[YYYY) rro be completed by Voter] Rule 15-2.045,FAC. MAR 312a2 X11 Y h)a, fi rpRINGS drP, `tri U— K rL 163 NOM I NATION PETITION Ad information on this form becomes a public record upon receipt by the Supervisor ofElections THIS COMPLETED It is a crime to knowinglysign more than one petition fora candidate.[section 704.785Florida Statutes] Ifallrequested information on this form isnot completed,the form will notbe vaild asa Candidate Petition Form. FORM MUST BE PROVIDED TO THE the undersigned, a registered CITY CLERK NO Please print name as it appears on i LATER THAN NOONjurvoterinformationcard) voter of the City of Winter Springs,nominate 14WAgb R- PAA40A1V 7V7 ON THURSDAY, io complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MM/DD/YYYY) 2-n 1qf5-t City Dunt y tate Zip Code Vt3i(\kU )O( Ll I I 3Y D,5IIli; Signature of Voter Date signed(MM/DQA-yW) To be completed by voter] 313b 11f,124 Pule 1S-2. ,F.A.C.4 2 NOM I NATION PETITION AH information on this form becomes a public record upon receipt bythe Supervisor ofElections THIS COMPLETEDItisacrimetoknowinglysignmorethanonepetitionforacandidate.[Section 704.785 Florida Statutes] lfallrequested information on this form is not completed,the form vvillnot be vaild as a Candidate Petition Form. FORM MUST BE Mage 14Y the undersigned, a registered PROVIDED TO THE CITY CLERK NO Please print name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate ON THURSDAY,1- j1117 to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DD" Oq/0 city ounty rate I lZip Code 297 Signature of Voter Date Signed(lvlM/DDAYW) rc,be completed byVoter] PuKw 2.o4s,F.A.C. MAR 312021 CITY OF VONTEP-SPRINGS OFFICE OF THE CITY CLERK 164 E NOM I NATION PETITION Adinformation on this form becomes a public record upon receipt by theSupervisor ofFlections THIS COMPLETED Itisacrimetoknowingtvsignmorethanonepetitionforacandidate.[section704,785FloridaStatutes] FORM MUST BEfallrequestedinformationonthisformisnotcompleted,the form willnot be valid asa Candidate Petition Form. PROVIDED TO THE 1w the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter Information card) LATER THAN NOON voter of the City of Winter Springs,nominate 1-41a*A (Ala-At ON THURSDAY, o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MM/DD/Y" DOB not provided S Cfry tatre Zip Code[ounty i 0 I V I 7Z76- Signature of Voter t` Date Signed IMM DDA-M) To be completed by Voter] 0)fb-T 2t Rule 1S-2.045,FA.C. NO KAM I NATION PETITION 6 Lz All information on this form becomes a public record upon receipt by the Supervisor ofFlections THIS COMPLETED It isa crime to knowinglysign more than onepetition for a candidate.[Section 704.785 Florida Statutes) fall requested information on this form is nat co pleted,the form wilinot be vaild asa Candidate Petition Form. FORM MUST BE OVIDED THE I, ID&rr e-n h 0 CUr e the undersigned, a registered PC 17Y CLEERKONOE Please print name as it appears on your voter Information cardl LATER THAN NOON voter of the City of Winter Springs,nominatep ,} .0 ON THURSDAY,1-4111:449b 02. 1 A040,9Q APRIL 1,2021tocompletetheunexpiredtermofOfficeofMayorofWinterSpringsrecentlyvacatedbyformerMayor Lacey. Date of Birth OR Voter Registration Number Address A MM/DD i.rY YLZP1l rf fes{(. `t-+ I'1, W v ded Da Ciiitt-y Jq ounty tate ( Zip Code f nature of er Date Signed(MM/DD/YYYY) rro be complet ed Voter) Pule 15-2.045,F.A.G. RIECEIVED MAR 3 12021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 165 NOM I NATION PETITION All information on this form becomes apublic record upon receipt by theSupervisor ofElections THIS COMPLETED It is a crime to knowingtysign more thanone petition for a candidate.[Section 704.785Fiorida Statutes] FORM MUST BE ifa quested infor ation on this form is not completed,the form will not be vaildas a Candidate Petition Form. PROVIDED TO THE 1 the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate4wA02D J ON THURSDAY, to complete the unexpired term of Office of Mayor of WinterSpringsrecently vacated yformer Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MM/DD" 1-2 CityICounty Istate Zip Code signature ofVoter Date Signed(MM/DD ) To be completed by Voter) 3 , Rule 1S-2.045,F.A.C. 1 NOMINATION PETITION Allinformationonthisformbecomesapublic record upon recelptbytheSupervisor ofElection THIS COMPLETED It is a crime to knowinglysign more than onepetition for a candidate.[Section 704.785Florida Statutes] fall requested information on this form is not completed,the form will not be vaild asa Candidate Petition Form. FORM MUST BE PROVIDED THE the undersigned, a registered CITY CLERK NO T,Please print name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate } ON THURSDAY, A J e APRIL 1,2021tocompletetheuexpiredtermofOfficeofMayorofWinterSpringsrecentlyvaaebyformerMayor Lacey. 1 Date of BirtR of r Registration Number Address MMJDD Tc) 1 -0 cap ')Dli-- 1,1 O X) cz( P I V Cit ountyrttj Zip Cade Sire of Voter Date Signed(MM DD ) To be completed by Voter) AIA'D C Rule 7S-2.045,F.A.-. MAR 312021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 166 NOMINATION PETITION All information on this form becomes apublic record upon receipt byrhe Supervisor ofElectiOns THIS COMPLETED it is a crime tPknOw1?79tV$49nmore than one petition for a candidate,[Section 704.165 Florida Statutes] FORM MUST BE Ifallre tedi fo mation on this form isnot completed,bhe form willnot be vaildasa Candidate Petition Form. PROVIDED TO THE the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate L ON THURSDAY, Tplld"wab 14 o complete the unexpired term of Office of Mayor of Winter Springs recently &; byftornmaeA r"Mayelr=ey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MM/DDN" 130/)170 S01-f 5hCtdOW GZe-V Cnty tate P code it S- cm I MoteIVLL IOU Signature of Voter Date signed(MM/DD)9YM) To be completed byVoter] 13 12f Rule 1S-2jD45,FAC, NOMINATION PETITION64r AfiInformation on this form becomes a public record upon receipt bythe Supervisor oreyecrfat75 THIS COMPLETED it is acrime to knowingly sign more than one petition fora candidate.[Section 104 785 Florida Statutes] FORM MUST BE ffaltr uested information m is not completed,the form will not be vaildas a candidate Petition Form. PROVIDED TO THE the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate ON THURSDAY, ll*YIT APRIL 1,2021 to complete the unexpired term of Office of Mayor of Winter SpRngs AIA vacate former mayor Lacey. Date of Birth OR Voter Registration Number Address MMIDE)Hff 30 city Date Signed(MMIDD"Si nature of ter To be completby Voter] Rule I -D45,F.A.C. F.ECEIVED MAR 312021 CITY OF WNTER SPRINGS OFFICE OF THE CITY CLERK 167 A T NOMINATION PETITION ' Allinfo,mation on this form becomes aPub11cr--dbP0n receiptbYtheSupervisor ofElections THIS COMPLETED il-isacrime to knowing Y sign more than one petition fora candA Wte.[Section 704.785 Florida Statutes] FORM MUST BE 1fallrequested information this farm isn :,mp/e reo,the form i4j#notbe validas a Candidate Petition Form. PROVIDED TO THEn A Ili,A the undersigned, a registered CITY CLERK NOvill %Q - --1 -1 inlormation card)Please print P7.it oil You, t1T.LATER THAN NOON voter of the City of Winter Springs, I nominate ON THURSDAY, a —APRIL 1,2021 to complete the unexpired term of Office of Mayor of Winter4prings recentfy vacatedby former Mayor Lacey. Date of Birth OR Voter NumberRegistration AddressnNumber MM/OD" ytZI94nt ew V Date Signed(mm/DDAYM Signature of ter ff To be C pi by voter] Put JS.2. 7Z7r,( PUIAS-2*,F.A.C.F NOMINATION PETITION All information on thisform becomesa Public record Won we'PrbytheSupervisor ofElecrions THIS COMPLETED ft lsa crime toknoMnglysign more than one petition fora candidate[Section 704785Florlda Statutes] FORM MUST BE ffailrequested information.on this form Is not completed,the form Kit/notbe valid as a Candidere Petition Form. PROVIDED TO THE I, PA- 6-61--A-- AAC-k,j S 9; C-- the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate ON THURSDAY, APRIL 1,2021 ngs,to complete the unexpired term of Office of Mayo Pri 3 vacatedbyformer Mayor Lacey. Date of Birth OR Voter Regi7 ton Number Address MM/DO" 1ycityu S C 0or tate Zr Date signed(MM Signatureof V ter To be completed by voter] C Pule 7S•2.0 S,F.A.C. C;9,ryrciF VINTER SPR'NC' 168 T= 1 NOMINATION PETITION1 All information on this form becomes a public record upon receipt by the Supervisor ofElections THIS COMPLETED It is a crime to knowinglysign more than one petition fora candidate.[Section 704.185Florida Statutes] FORM MUST BE ifal/requested information on this form is of compled,the form wilinot be vaild as a Candidate Petition Form. l PROVIDED TO THE R! the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate / ON THURSDAY, o complete the unexpired term of Office of Mayor of Wint Springs redly v ated Aor M1y r acey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MM/DD[YYYY) city c ountytate Zip Code Signature of Voter Date Signed(MM/DD f To be completed by Voter] 3 Rule 1S-2.04,FAC. NOMINATION PETITION wl Ailinformationonthisformbecomesapublicrecord upon receiptbytheSupervisorofElections THIS COMPLETED It is a crime toknowingiysignmore than one petition for acandidate.[Section 704.185F1oridaStatutes] FORM MUST BEIfallrequestedInformationonthisformisnotcompleted,the form wilinot be vaild as a Candidate Petition Form, PROVIDED TO THE fl the undersigned, a registered CITY CLERK NO please pr+ t name as it appears on your voter Information card) LATER THAN NOON voter of the City of Winter Springs,nominate r) b JAS + J F ON THURSDAY, to complete the unexpired term of Office of Mayor of ll ei Springs recently vvacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number I Address N MM/DD" f..(r Z b LU 1^ (0, t ` City tZip codeWC7Q(t ounty Y t(c.. Lam- IZ,? Signature ter Date Signed(MM/DD ) To be completed by Voter] Rule 1S-2.04S,FAC. MAR 312021 CITY OF VVINTER SPRINGS OFFICE OF THE CITY CLERK 169 NOMINATION PETITION Allinformation on this form becomes a public record upon receipt by the Supervisor ofElecrions THIS COMPLETED It isa crime to knowinglysign more than one petition for a candidate.[Section 704,785 Florida Statutes] Ifallrequestedinformat' wo onthisformisnotcomplet d,th,eformwillnotbevalidasaCandidatePetitionForm. FORM MUST BE t PROVIDED TO THE 1, L) the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter inform tion card) LATER THAN NOON voter of the City of Winter Springs,nominate 1y ? fft4rN".yorTa—cey.} ON THURSDAY, a complete the unexpired term of Office of Mayor of Winterringss reecce vacated bAPRIL 1,2021 Date of Birth OR Voter Registration Number Address 9ch City ounty tate Zip Code signature of voter Date Signed(MM/DDNYW) To be completed by Voter[ Rule 1S-2.045,FAC. NOM I NATION PETITION Allinformation on this form becomes a public record upon receipt by the Supervisor ofElections THIS COMPLETED It is a crime to knowingiysign more than one petition fora candidate.[Section 704.785 Florida Statutes/ Ifallrequested information on this form is not completed,the form will notbe vaddasa Candidate Petition Form. FORM MUST BE eICA the undersigned, a registered PROVIDED TO THE CITY CLERK NO Please print name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate Zt teON THURSDAY, to complete the unexpired term of Office of Mayor o41NAr pangs rceritfyGeac byformer Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DD/YYYI) fir.t City tt ountyrte Zip Code FL- 65A Signature of Voter '. Date Signed(MM/DD/VYYV) / ro be completed by Voter) 3w J ` 3C a Rule 1S-2.045,FAC. APR 012021 NGS Ty OF VviNTER I THF CITY CLERK 170 NOMINATION PETITION Allinformation On this form becomes apublic record upon receipt by the SupervisorofElections THIS COMPLETED It is a crime toknowingtVsign more than One perition for acandidafe.[Section 704.785Florida Statutes) FORM MUST BE 1fatirequested information on this form is notco plated theform will notbe valid as a Candidate Petition Form PROVIDED TO THE c4 A- CITY CLERK NOI, the undersigned, a registered Please print name as It appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,non-linateaON THURSDAY, j APRIL 1,2021 to complete the unexpired term of Office of Mayor of Wirrt4Springsrecently vacated by former Mayos, Date of Birth OR voter Registration Number Address MMA:)DN"i , 4Y drWo- City aunty tate Zip code A Y7ru 09 signature of voter Date Signed(M ITO be completed byVoter] Rule 1S-2,045,FAC. NOMINATION PETITION Alliniormation on thisform becomes apublicrecord upon rw7eipt by theSuperkFor OfElecrlon5 THIS COMPLETED Itlsa crime taknowinglYsign more than onepelitiOn fora candidate.[Section 104785F)d6da'statutes] FORM MUST BE Ifall requested information on this form is not c:.,,-mpWed,the form W11not be vaildasa Candidate Petition Form. PROVIDED TO THE the undersigned, a registered CM CLERK NO Please print name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate p ON THURSDAY bt ?t4t9APRIL 1,2021 to complete the unexpired tern of Office of Mayor Ajtprngs recent aPy5Crmer Mayor Lacey. I Date of Birth OR Voter Registration Number Address MMAD0" city Ounry tat.zip Code rnUDW Signature of Voter Date Signed(MWDDA-" To be completed by Voter] Pule IS-2.045.FV- RECEIVED MAR 312021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 171 RECEIVED APR 0 12021 CITY OF WINTER SPRINGS CITY OF WINTER SPRINGS, FLORIDA OFFICE OF THE CITY CLERK QUALIFYING APPLICATION FOR APPOINTMENTTO MAYOR SEAT THE ORIGINAL QUALIFYING APPLICATION AND ALL OTHER DOCUMENTS MUST COMPLETED WITH ORIGINAL SIGNA TURESAND MUST BE FILED IN THE CITY CLERI'CS OFFICE BYNOON ON THURSDAY,APRIL 1,2021. Qualified candidates may attach a resume, references, recommendations, or other such documentation that the candidate desires to have the City Commission consider before making an appointment to fill the unexpired term of the Office of Mayor. The Mayor serves on the governing body of the City subject to the duties and responsibilities specified in the City Charter. Please be aware that documents submitted to the City are public records available for inspection to the extent allowed by Chapter 119, Florida Statutes. Please complete the following in the space provided: A. GENERAL Name:1. o- 2. Home Address: [q T PPI3. Occupation: —n—ro—c—LM— a , . 4. Telephone (cell):Telephone (other): 5. Email: B. ELIGIBILITY The information provided in this section is for purposes of determining whether you are eligible to serve on the City Commission: la. Are you duly registered to vote in Seminole County: Y)JL(N)_ lb. Are you duly registered to vote in the City of Winter Springs? (Y),'—( (N)_ 2a. Do you live within the City limits of Winter Springs: Y) 'k (N)_ 2b. What district do you reside in?1)—(2)— (3)—(4)—(5) 2c. How long (years and/or months) have you resided in the district selected in 2b? 2d. How long (years and/or months) have you resided in the City? 3. Have you ever been convicted or found guilty, regardless of adjudication, of a felony in any jurisdiction?Any plea of nolo contendere (no contest)shall be considered a conviction for purposes of this question. Y)— (N) 172 ItECEIVED APR 01 1011 R SPRINGS 4a. Do you presently serve on any other City of Winter Springs I o E CITY CLERK committee? Y)—(N) 4b. Please list each: S. Do you have any private or personal interests which might conflict with serving the City's interests, if you were to be appointed to serve on this board or committee? Y)—(N)- 6. All persons applying for a City Commission Seat must voluntarily consent to a standard criminal background check before being appointed. Do you voluntarily consent to having a standard background check being performed on you by the City of Winter Springs? (Y)—(N) 6a. Are you related to a City of Winter Springs Commission member by blood, adoption,or marriage? (Y)—(N)_. 6b. If yes to 6a, please provide relation: 7. 1 have read the attached information detailing the duties and powers of the Mayor and the Rules and Procedures of the City Commission. (Y)—(N)— NOTE: The City of Winter Springs'City Commission has requested and encourages you to submit: 1) A brief Bio (to include background information,information related to any applicable qualifications and current/previous community service) 2) Information related to why you would be a good candidate to fill this open Mayor Seat YOU HEREBY REPRESENT TO THE CITY OF WINTER SPRINGS UNDER PENALTIES OF PERJURY THAT THE INFORMATION PROVIDED HEREIN IS TRUE AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE AND THE CITY OF WINTER SPRINGS HAS THE RIGHT TO RELY ON THAT INFORMATION. YOU HEREBY ACKNOWLEDGE THE EXISTENCE OF THE CODE OF ETHICS FOR PUBLIC OFFICERS, AND THE FLORIDA SUNSHINE LAW, WHICH MAY PERTAIN TO YOU IF YOU ARE APPOINTED TO SERVE AS MAYOR. IF APPOINTED IT IS YOUR SOLE OBLIGATION AND DUTY TO COM WITH SUCH LAWS. Signature: r(1 111f-)64LJ4-1,0 127 - Date: 7 2) Ilo Lgoal Please return to: City of Winter Springs The Office of the City Clerk 1126 East State Road 434 Winter Springs, Florida 32708 2799 THE ORIGINAL QUALIFYING APPLICATION AND ALL OTHER DOCUMENTS MUST BE COMPLETED WITH ORIGINAL SIGNATURESAND MUST BE FILED IN THE CITYCLEWS OFFICE By NOON ON THURSDAY, APRIL 7, 2027 FAILURE TO TIMELY FILE AN APPLICATION MAYRESULT IN YOUR APPLICATION NOT BEING CONSIDERED BY THE CITY COMMISSION. Revised 3/23/2021 173 zcFiVED APR 012021 CITYOFWNT-1 OFFICE OF ' My husband, children and I have been proud to call Winter Springs home for nearly two decades. I was blessed to be a stay-at-home mom of three beautiful children, Alexa, Dylan and Howie for nine of those years. Our children attended Winter Springs Elementary, Keeth Elementary, Indian Trails Middle School and Winter Springs H igl-t School. I was honored to serve on the Winter Springs Elementary School Board as Yd Vice President, serve the Cub Scouts for five years from Secretary to Committee Chair and serve the Girl Scouts as a scout leader. While attending college, I volunteered at the Christian Sharing Center for one year and at Kids House of Seminole. In 2012 1 earned my second degree, a bachelor's in human services with an emphasis on child & family welfare. Within weeks of graduation, I was offered a position with the Department of Children & Families. I have had the pleasure of growing within the Department and serving the members of our community since April 2012. Currently I am an Operations Management Consultant I and have plans to continue growing. Serving my community and helping those in need become more self- sufficient has been an absolute pleasure. From here, I have realized that my passion is to make change and to make change, you need to start from the bottom and work your way up. No matter where my path leads, I know that God will be leading it. Respectively, Sabrina Parsons 1049 Chokecherry Dr. Winter Springs, FL 32708 407-733-9554 Sabpar2@hotmail.com 174 IV ED APR 01 2021 CITY OF WNTER SPRINGS OFFICE OF THE CITY CLLRK In any leadership position, the following attributes should be displayed: Integrity Ethics Forward thinking Empathy Decisiveness Inspiration Teamwork Humility Open-mindedness I believe that I display those qualities. Being Mayor, to me, is about bringing your team together to find a common interest in serving your community. Although I am not the "typical" mayoral candidate, I do bring management experience through my volunteering, raising children and through my career with the State of Florida. I am however the "typical" Winter Springs citizen which allows me to connect to and serve our city. My passion and desire are to help and serve others. I have no ties to politics or have a desire in political gain. My interest is to serve our community and the residents of Winter Springs by promoting transparency between local government and to promote engagement of our citizens. Respectfully, Sabrina Parsons 1049 Chokecherry Dr. Winter Springs, FL 32708 407-733-9554 Sabpar2 7ahotmail.com 175 APR 01 2021 CITY uFWINTER SPRINGSEXPERIENCEorF/oenFn+e n'CLERK PARSONS SABR|NA DCF ACCESSSUOMC IUORLANDO, FL DCF ACCESS OMC 1 0 CURRENT Responsibilities include mentoring and guiding staff, including the unit Supervisors, ESSS|| anSSR's. Responsibilities also include OBJECTIVE performing monthly and annual evaluations onall staff under my Career focused with astrong supervision. Other employee related activities include daily, commitment toserving the needs vveeNyand noonth|yennp|oyeereports, data and/»r rrortrend ofthe community, department analysis, providing advice toleadership regarding technical, and the team. systems related and operational processes, identifying the agency's needs inchanges ofcircumstances,scheduling employee leave. Fulfilling continuing education requirements to QUALITIES better the team aswell asgive back tothe community.The Forward looking,career focused,ability torepresent the Department ofChildren & Families inside compassionate, inspirational, oroutside ofthe organization. passionate,confident, rnu!titasker, detail oriented, transparent and DCF ACCESSS U ESS SUPERVISOR 0 ORLANDO, FIL trustworthy 7/7[)16-01/7(l2(] Responsibilities include all ESSS|| level responsibilities; mentoring VITALS and guiding staff, including the unit ESSSU. Responsibilities also 1O49Chokecherry Dr include per rrningquality reviews on E3SS11 and performing' Winter Springs, FL 32708 monthly and annual evaluations onall other staff inthe unit. Other employee related activities include daily, weekly and Phone:407-733-9554 monthly employee reports and scheduling employee leave. Email:sabpar3@hmtnnai|.conn Fulfilling continuing education requirements tobetter the team aswell asgive back tothe community. Face toface customer contact while working inthe storefront and telephone contact as needed are responsibilities exercised daily. DCF ACCESS U ESSSIU U ORLANDO, FL 08/2013 -07/2016 Responsibilities include all ES58level responsibilities; mentoring and guiding staff, performing quality management reviews, running daily reports and maintaining a daily caseload. Daily activities include customer contact through storefront and telephone communication toensure excellence service and afull customer understanding, Activities also include maintaining proper and accurate case records and interactions with quality assurance team aswell asupper management.Continuing education opportunities are utilized inaneffort tobetter the team aswell asthe customer experience, 176 2 APR 012021 DCF ACCESS I ESSSI I ORLANDO, FL CITY OF WNTFR SPR NGS PARSONS, SAB.RllJA 04/2012-08/2013 C)Fri r,,z. -T,-I1-C':TYY CL ERK DCF ACCESS OMC I Responsibilities include processing and approving applications for food assistance, Medicaid, and temporary cash assistance in a manner that complies with State and Federal guidelines. Responsibilities include proper case load management to ensure all procedural guidelines are met. Client interviews, questions and concerns are handled daily to ensure proper customer service standards are continually met. CHRISTIAN SHARING SERVICE I CLIENT SERVICES SANFORD 10/2011-4/2012 This volunteer position responsibility included client intake and client services. Interviewing clients face to face and gathering all the necessary paperwork to determine qualifications for services. Duties also included the use of specific databases to fill out client's information. Informing and referring clients for other services in Seminole County were required as well. BURGER KING I MANAGER I PA& FL 06/1997-02/2002 On a daily basis duties included inventory, bank deposits, scheduling,ordering and the required paperwork to be entered into the computer. Duties also included training new crew members, customer service and food preparation. KEISER UNIVERSITY I ASSIOCIATE DEGREE IN MEDICAL ASSISTANT 12/2009 KAPLAN UNIVERSITY BACHELOR OF SCIENCE IN HUMAN SERVICES WITH AN EMPHASIS IN CHILD AND FAMILY WELFARE 104/12 HONORS, AMARDS ,-& VOLUNNIFEER 0SITIONS Lean Six Sigma 177 PECEIVED APR 01 2021 0[F[RLA2D1Q raduate PARSONS, ( cr oF,wmTrnSPRINGS or n=c~THF rITvCLERK DCF ACCESS OMC | Unit Award O1/2O17 Customer Service Award O6/2U16 Customer Service Award 0A/ZOI4 Cub Scout Secretary 2013-2O16 Cub Scout Popcorn Kernel 2U14-2O18 Cub Scout Committee Chair 2O1G-2O18 President honor roll–Kaplan 2O1O-2OI2 Dean's List– Keiser University 2OO8-2OO9 Volunteered atChristian Sharing Center and Kids House 2OlI– ZO12 Girl Scout Leader 2O1O AVVANA[b–Leader IOIO-2O12 Church Preschool 2OO8-2O17 3'a Vice president PTA Board 2OOG–ZOO8 r~ u "_.^"_""^~ 178 RECEIVE— APRAPR 012021 d TER 1TY of WINTER SPRING`:: CITY OF WINTER SPRINGS,FLORIDA ICF OF THE CITY CLFR 2021 MAYOR APPOINTMENT Z THIS COMPLETED i FORM MUST BEsleAFFIDAVITOFQUALIFIEDVOTERSTATUSAND wEs' g CITYAND DISTRICT RESIDENCY PROVIDED TO THE CITY CLERK NO OFFICE OF THE MAYOR LATER THAN NOON ON THURSDAY, APRIL 1,2021 I do hereby state that I seek appointment to the City Name of Candidate(print or Type) of Winter Springs' Mayor of the City of Winter Springs to complete a four(4)year term previously held by Mayor Charles Lacey for the City of Winter Springs,Florida.I further swear or affirm: 0.) 1 am a qualified voter in the City of Winter Springs 2.) My legal place of residence is: l^1 C..YIC;W, 1" „ { pf 1. , '6&Z0E StreetAddress City State zip Code 3.) Length of time of residency in the City of Winter Springs is: 4.) 1 a ttaching two(2)documents,one to be a Florida Driver's License,as verification of my residency in the Ci f jpriings.T econd document is: Signature Date Zip G f( r c LStreetAdd,Crty State e State ofFlorida County of ye M 1,r)0 Af Sworn to(or affirmed)and subscribed before me bymeans of I—physical presence or_oni ine notarization] this day of _ Al#'jl / vmv- by n tArs/l.s Personally known: OR Pro uced Identification /\ Print name ofperson making statement) 01 Type of/dentification produced Signature of Notary public-State ofFlorida 60 Notary Public State of Flonde Christian D Gowan orw My Commission GG 913234 Expirm 09115MO23 FOR OFFICE USE ONLY Copy of Florida Driver's License provided for Item(5) v'Other documentation r` rP 1 S Provided for Item(5) Revised 03/23/2021 179 I APR 01202 CITY OF"INIT F' SPRINGS OFFICE OF THE CITY CLERK Florida , O..,. SA 144 E stt>a8C+ DR Y FI?EFl Fl.32708-4416 40"— SABRINA KATHERINE PARSONS o lig 1049 CHOKECHERRY DR WINTER SPRINGS 059 4 AA r/26/1981 WS 2 New Covenant Church 800 Tuskawiila Road 2 Winter Springs FL 32708 s. 2s 9 Marl1D12020 107870542 Oct12912002 7 180 CITY OF WINTER SPRINGS 2021 MAYOR APPOINTMENT APR 41 2021 CITY OF WINTER SPRING:: OATH OF CANDIDATE OFFICE OF THE CITY CLERK All persaw who nowor hereafter are employed byor who nowor hemfterare on the payroll of the state,or anyofrts depar&mnts and agende4 subdivisions,counties citie4 school boards and districts of the free publicschoolsystem ofthe state orcounties orinstihWons ofhigherleaming,and all candidates forpublr'c office,are required to take an oath before anyperson dulyauthorized to take adowMedgementsofinsoumentsforpublicrecord in the state"[87605(?)Flarlda Statutes] Anyperson seeldng to qualifyfor public office who fails orreAises to file the oath required bythis act shallbe held tohave failed to qualWasa candidate forpub(k offm and the name ofsuch person shall notbe printedon the ballot as a qualified candidate:"[876071-7orida Statutes] 1, C a citizen of the State of Florida and of the United States of America, and a candidate for public office, do hereby solemnly swear or affirm that I will support the Constit ion of the U 'ted States and of the State of Florida. Signature of Appointee OL Street Address R 33:7up, city State Zip Code 181 STATE OF FLORIDA COUNTY OF fMiOZIP Sworn to (or affirmed) and subscribed before mel means of I_physical presence or_onlline not rization)this day of r. 2021 byraman. Personally known_OR Produced Identification Type of Identification produced d .r, (S 2.I" r i~- Notary public State of Florda Christian Q Gowan My Commission GG 913234 Signature of Notary Public -State of Florida 00V6 Expires 08115/2023 182 CITY OF WINTER SPRINGS F_c"E 9V F- 20212021 MAYOR APPOINTMENT APR 01 2021 nspmwasOT| F C k I[AT cn,nr'*mrswT,o ca^o p`sop OFFICE OF THE MAYOR Each candidate,whether a party candidate,a candidate with no party affiliation,or a write-in candidate,in order to qualify for nomination or election to any office other than a judicial office as defined in chapter 10S,shall take and subscribe to an oath or affirmation in writing. Aprinted copy uf the oath or affirmation shall be furnished to the candidate by the officer before whom such candidate seeks toqua|ify—''[99D2l (1)(o) Florida Statutes] STATE OFFLORIDA COUNTY OF Before me,an officer authorized to administer oaths,personally appeared Please Print Name AaYou Wish Itn,Appear mCity Records For This Appointment) to me well known,who,being sworn,says that he or she is a candidate for the office of Mayor;that he or she is a qualified elector of the City of Winter Springs,Seminole County,Florida;that he or she is qualified under the Constitution and the laws of Florida to hold the office to which he or she desires to benominated orelected;that heorshe has taken the oath required byss.876.05-876.10,Florida Statutes;that he or she has qualified for no other public office in the state,the term of which office or any part thereof runs concurrent with that of the office he or she seeks;and that he or she has resigned from any office from which he or she is required to resign pursuant to s.99.012,Florida Statutes." 5 re of AppointeeVr,lwc Clhb Pcklerr 4 Street Address City State Zip Code Sworn toand subscribed before me thisday of 2021,at Seminole County, Florida. Signature and Title ufOfficer Administering Oath) 183 REIGENVLLA APR 01 2021 OFFICE OP -`NE rCITV CL.FRk NOM I NATION PETITION l Aflinformation on this form becomes apublic record upon receipt by the supervisor ofElections THIS COMPLETED ais a crime to knowinglysign more than one petition for a candidate.[Section 704.785 Florida Statutes) FORM MUST BE fall requested information on this form is not completed,the form will not be valid as a Candidate Petition Form.PROVIDED TO THE 1 d4- L 5+l" the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter informat n card) LATER THAN NOON voter of the City of Winter Springs,nominate Inc \d SC trr ON THURSDAY, io complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MM/DD" Gity ounI t.te I ZipCode Signature of Voter Date Signed(MM/DDAYW) ITo be completed by Voter) 03 /-50/ Rule 15-2.045,FAC. 184 NOM I NATION PETITION AN information on this form becomes a public record upon receipt by theSupervisor ofElections THIS COMPLETED itis a crime to knowinglysign more than onepetition fora candidate.(Section 70AI85Florida Statutes] fallrequestedinformation onthis form Isnot completed,theform"InotbevaildasaCandidate Petition Form. FORM MUST BE 1 PROVIDED TO THE CA ICfL the undersigned, aregistered CITY CLERK NO Please print name as it appears on Vour v teri ation card) LATER THAN NOON voter of the City of Winter Springs,nominate kJrIno W50v J ON THURSDAY, o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address t I City ountytate Zip Code Signature at Voter Date Signed(MM/DD/VYYY) To be cod by Voter] yt'f4-\ . b 07361 Z'-I Rule 152.045,RAC. NOM I NATION PETITION AllinformationonthisformbecomesapublicrecorduponreceiptbytheSupervisorofE{actions THIS COMPLETED It is crime to knowinglysign more than one petition fora candidate.[Section 704.785F1orlda Statutes) ffaflrequested information on this form is not completed,the form willnotbe vaildas a Candidate Petition Form. FORM MUST BE PROVIDED TO THE the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate `Jaj' rtr-vo %rs6V^7 ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DDMNY) City a. Coin I tate Zip Code wn'l-e - c I f-L I 317° Signature of Voter Date Signed(MMJDD/YYYY) To be completed by Voter] j 3p 2a 2-1 Rue 1S-2.045,F.A.C. APR 012021 CITY OF WNTERRTY CLERKOFFICE0,- 185 NOMINATION PETITION Allinformation on this Form becomes a Public record upon receipt bythe SgpetWwrofEl-tions, THIS COMPLETED it is a crime to knowingly sign more than one petition for a candidate.f5ection 704.185FIOrida Statutes) FORM MUST BE Ifaffre ested information on this form Is not completed, h m wynotbe validasa Candidate Petition Form. R the PROVIDED TO THE L -,L/"— & the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter Information card) LATER THAN NOON voter of the City of Winter Springs,nominate ON THURSDAY, o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MM/DDN" City ountyra Ate z-Ipcode rL 1,S2-709r :S of-I I Signature of voter Date Signed(MMIDDAWY) To be completed byVoter) 3 /31 lRul.7f-2.045,F.A.C. q NOMINATION PETITION ea Allinformation an this form becomes a public record upon receipt bythe 5dpervi$or ofElecTions THIS COMPLETED It is a crime to knowinglYSign more than one petition for a candidate.[Section W.785 Florida Statutes] FORM MUST BE 11fallrequested information on this form Isnot completed,theform will not be vaildasa Candidate petition Form. PROVIDED TO THE 41,IA7Z5 4"Z the undersigned, a registered CITY CLERK NO P(ease print name as it appears onyour voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate '5obf-i act V'boy' ON THURSDAY, to complete the unexpired term of office of Mayor ofWinter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/Do" 4 city ountyIstate 2"ip Code Signature ofVoter e Signed fM ITODat be completed by Voter) Rule IS-2.045.F.A.C. APR 0 12021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 186 NOMINATION PETITION winformation on this form becomes a public record upon receipt by theSupervisor ofElections THIS COMPLETED Itis a crime to knowinglysign more than one petition fora candidate.(Section 704.785 Florida Statutes) FORM MUST BE ffa#requested information on this form is not completed,theform willnotbe vaildasa Candidate Petition Form. PROVIDED TO THE 1, IlAy 4z C—z the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate 04106Y-10,ON THURSDAY, to complete the unexpired term ofOffice of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MM/DD" 1,Di C4 r000101tJ City ounty tate Zip Code Signature of Voter Date signed(MWDDA^Y'YY) To be completed by Voter] 3P/ Pule 1S-2,045,FAC. A NOMINATION PETITION All information on this form becomes a public record upon receipt by the Supervisor ofElections THIS COMPLETED Itis a crime to knowinglysign more than onepetition fora candidate.[Section 704.785FIorida Statutes] ffall requested information on this form is not completed,theform will not be valldas a Canoidate Petition Form- FORM MUST BE PROVIDED TO THE P, the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information card) , LATER THAN NOON voter of the City of Winter Springs,nominate '--IA i ?3movy-5 ON THURSDAY,ID(--Y1-a to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DD z -7 1-7t IF% Cit ounty tate Zip code 13270 IF 1 ature Voter Date Signed(MM/DD/YYYY) To be co pleted by loter] 373 11 2-02-1 Pule 1S-2.045,F.A.C. APR 012021 CITY OF WINTER SPRINGS FFlc=-OF THE CITY(;L-ERK 187 NOMINATION PETITION Allinfoimation on this form becomes a public record upon receipt by the Supervisor ofElections THIS COMPLETED It isa crime toknowinglysign more than one petition fora candidate.[Section 704.785Florida Statutes] FORM MUST BE7fallrequestedinformationonthisformisnotcompleted,the form KV11 not be vaildas a Candidate Petition Form. PROVIDED TO THE I, trJl t t h6Vw°-G-1--- the undersigned, aregistered CITY CLERK NO Please print name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominatebr'r1ctlf Ste) ON THURSDAY, o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MM/DD/YYYY) City ounty I tate I Zip Code Signature of Voter Date Signed(M DD ) ro be completed by Voter) Rule ls-2.045, NOMINATION PETITION AllinformationonthlsformbecomesapublicrecorduponreceiptbytheSupervisorofElections THIS COMPLETEDtisacrimetoknowinglysignmorethanonepetitionforacandidate.[Section 704.785Ftorida Statutes] f equestedrnformationonthisfoimlsnotcompleted,theformwilinotbevaildasaCandidatePetitionForm. FORM MUST BE I,g2n c z_— the undersigned, a registered PROVIDED K THE Please print name as it appears on your voter information card) CITY CLERK voter of the City of Winter Springs,nominate LATER THAN NOON b anc3 2>Yf< ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DD b(o GJ 11 1Cr C'ty jj unty ate Zip Code IlSimature of Voter Date Signed(MM/DD///YYYY))) ITot,P b Voter, 1 v Rule 1S-2.045,F.A.C. APR 01 2021 CITY OF WINTER SPRINGS OFFICE OP T i-tE"t"ry CLERK 188 NOMINATION PETITION Allinformation on this form becomes a public record upon receipt bYthOSUPel"v1sarofElecrions THIS COMPLETED it is crime taknowinglYsign m—than one petition fora candidate,[Section 704165F10riJaStatutes] FORM MUST BE 1fall regltrest dinform this form isnotcompleted, in will notbe vaWasa candidate Petition Form, PROVIDED TO THE I, i4awd, a registered CITY CLERK NObuEs Please print name as it appears on your voter intormatior?'card) LATER THAN NOON voter of the City of Winter Springs,nominate ON THURSDAY, o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MM/DDANYY) City rounty Z,o ode t AL001? A 1 5 SignatMer Date Signed(MM/DF1NYYY) 171-0 be comps ed by V0,01 1Rule lS-2.04S,FAC. NOMINATION PETITION A#information on this form becomes a Public record upon receipt bytheSupervisor ofEfectibns THIS COMPLETED It is crime toknowinglYsignmore than onepetition for a candidate,[section 104.185FIodda Statutes] FORM MUST BEfrallrequestedinformationonthisformIsnotcompleted,the form willnotbe vaildasa Candidate Petition Form.PROVIDED TO THE A T the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate %)Or Y-)Cc ?ar 5 ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Vote/Registration mber Address MMIDDhyn—ILTc) City ty tate Zip Code Date Signed(MM/DDTY Signature ot To be completed by Voter) A-11C 4Za-d 1, Rule IS-2,045,F.A.C. P- D APR 0 12021 CITY OF WINTER SPRINGS OF;=I(-F—cDF 7H( CITY CLERK 189 NOMINATION PETITION Ab information on this form becomes a public record upon receipt by the Supervisor ofElections THIS COMPLETED It is a crime to knowinglysign more than one petition fora candidate,[Section 704.785FIorida Statutes] FORM MUST BEifallrequestedinformationonthisformisnotcompleted,the form w Inot be vaild as a Candidate Petition Form. PROVIDED TO THE I,lmpp V J k c the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information card) }LATER THAN NOON voter of the City of Winter Springs,nominateabr N'")G Y Y CXi } ON THURSDAY, o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MM/DD/YYYY) JVr Cit ounty tate Zip Code Yom('`cfr) Signature of V. r Date Signed(MM/DD") rro be completed by Voter] Rule 152.045,RkC. NOMINATION PETITION AllinformationonthisformbecomesapublicrecorduponreceiptbytheSupervisorofElection THIS COMPLETED It is a crime to knowingysign more than one petition fora candidate.[Section 704.785Florida Statutes] Ifallrequested information on this form is no eo l6ted,dhe form will not be vaild as a Candidate Petition Form. FORM MUST BE f j l V t the undersigned, a registered PROVIDED TO THE CITY CLERK NO Please print name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate Sb-ln-a Mon 3 ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MMIDDIYYYY) p y City/ ,` t ounty tate Zip Code Signature of Voter Date Signed(MM/DD/YYYY) To be completed by Voter) Rule 15- ,F.A.C. pp,F%. APR 01 2021 CITY OF WINTER SPRINGS OFFICE OF-1"F CITY CLERK 190 I NOM I NATION PETITION Alt information on this form becomes a public record upon receipt by theSupervisorofElections THIS COMPLETED It is a crime to knowinglysign more than onepetition fora candidate.[Section 704.785FIorida Statutes) FORM MUST BEIfalirequestedinformationonthisformisnotcompleted,the form will not be vaild asa Candidate Petition Form.PROVIDED TO THE I,V0A the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate ')ab- ?a r-5 On 5 ON THURSDAY, o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MMJDDJYYYY] 0 a,5 V G/ city ounty tate Zip Code fig-)r eir n r,r-t c3' I 1 Signature ofVoter Date Signed(MM/DD/YYW) To be completed by Voter] C3 1 , Rule 1#14S,F.A.C. NOMINATION PETITION Allinformation on this form becomes a public record upon receipt by the Supervisor ofElections THIS COMPLETED 11t is a crime to knowinglysign more than one petition for a candidate.[Section 704.785 Florida Statutes] fall requested information on this form is not completed,theform willnotbevaildasa Candidate Petition Form. FORM MUST BE the undersigned, a registered PROVIDED TO THE CITY CLERK NO Ple se print name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recentlyvacated byformer Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DD" City ounty I tate I Zip Code t AIzc Sigryfit4e of Voter Date Signed(MM/DDNYYY) To be completed by VoterAnjg' v 1 Z { Rule 1S-2.045,F. .C. APR 01 2021 CITY OF 1MNTER SPRINGS OFFICE OF THE CITY CLERK 191 T NOM I NATION PETITION All information on this form becomes a public record upon receipt by the Supervisor ofElections THIS CO PLETED Itis a crime to knowingly sign more than onepetition for a candidate.[Section 704.785 Florida Statutes] FORM MUST BEIfallrequestedinformationonthisformisnotcompleted,the form will not be valldas a Candidate Petition Form. 1 PROVIDED TO THE I, C!I-1/ a "C,-y ;96;— the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information card) LATER THAN NOON r'svoteroftheCityofWinterSprings,nominate r %V-50ON THURSDAY, o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MM/D /YYYYj r j 7. ip CodeCity rd J C. rou 1 +moi 0 ! I rate I z signature of Voter igDate Signed(MM/DDA^M) To be completed by Voter] 31-41 -:2/ Rule 1S-2. C. hkt NOMINATION PETITION Aflinformation on this form becomes apublic record upon receipt by theSupervisor ofElections THIS COMPLETED It is crime to knowingly sign more than one petition for a candidate.[Section 704.785 Florida Statutes] If all requested information on thisform is not compleed,theformWllnotbevaildasaCandidate Petition Form. FORM MUST BE PROVIDED TO THE I, a S the undersigned, a registered CITY CLERK NO Pleas nt name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate )abrilei t c r50k11,5 ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DD" Citi n ounty I State / I 2iode Signature of Voter x Date Signed(MM/DD/YYYY) To be completed b Voter] Pule'%--2.04-5,-2.045,17 APR 01 2021 CITY OF WINTER SPRINGS OFt:ICE()Fr TNF CITY CLERK 192 P-ECEIVED APR 012011 CITY OF WINTER SPRINGS, FLORIDA CITY OF WINTER SPRINGS OF THE CITY CLERK QUALIFYING APPLICATION FOR APPOINTMENT TO MAYOR SEAT THE ORIGINAL QUALIFYING APPLICATION AND ALL OTHER DOCUMENTS MUST COMPLETED WITH ORIGINAL SIGNATURESAND MUST BE FILED IN THE CITYCLERKS OFFICEBYNOOIN ON THURSDAKAPRIL 7,2 Qualified candidates may attach a resume, references, recommendations, or other such documentation that the candidate desires to have the City Commission consider before making an appointment to fill the unexpired term of the Office of Mayor. The Mayor serves on the governing body of the City subject to the duties and responsibilities specified in the City Charter. Please be aware that documents submitted to the City are public records available for inspection to the extent allowed by Chapter 119, Florida Statutes. Please complete the following in the space provided: A. GENERAL 1.Name: 3 e 55 e 2. Home Address: I'?t1` eO n JO/19 a-, :41e•l ,22/.,35 3. Occupation:T C42 4. Telephone (cell): 0-7 'y 9 Z-!rtS elephone (other): s S. Email: IMet2 -'-4`a56- P s:.Clef B. ELIGIBILITY The information provided in this section is for purposes of determining whether you are eligible to serve on the City Commission: la. Are you duly registered to vote in Seminole County: Y) (N)_ lb. Are you duly registered to vote in the City of Winter Springs? M7 (N) 2a. Do you live within the City limits of Winter Springs: I ( Y)_ (N). 2b. What district do you reside in? 1)._ (2)_ (3)L (4)._ (5)- 2c. How long (years and/or months) have you resided in the district selected in 2b? 2d. How long (years and/or months) have you resided in the City? 3.Have you ever been convicted or found guilty, regardless of adjudication, of a felony in any jurisdiction?Any plea of nolo contendere (no conshall be considered a conviction for purposes of this question. Y)_ (N) tes 193 RECEIVED APR 012021 CITY OF"INTER SPRINGS 4a. Do you presently serve on any other City of Wint SpriRT`1564ra CI&CLERK committee? Y)— (N)y 4b. Please list each: 5. Do you haye any private or personal interests which might conflict with serving the City's inter sts, if you were to be appointed to serve on this board or committee? Y)— (N) Y 6. All persons applying for a City Commission Seat must voluntarily consent to a standard criminal background check before being appointed. Do you voluntarily consent to having a standard background check being performed on you by the City of Winter Springs? (Y) -J (N) 6a. Are you related to a City ofinter Springs Commission member by blood, adoption, or marriage? (Y)— (N)—/ 6b. If yes to 6a, please provide relation: 7. 1 have read the attached information detailing the duties powers of the Mayor and the Rules and Procedures of the City Commission. (Y) . _ (N) NOTE: The City of Winter Springs'City Commission has requested and encourages you to submit: 1) A brief Bio (to include background information, information related to any applicable qualifications and current/previous community service) 2) Information related to why you would be a good candidate to fill this open Mayor Seat YOU HEREBY REPRESENT TO THE CITY OF WINTER SPRINGS UNDER PENALTIES OF PERJURY THAT THE INFORMATION PROVIDED HEREIN IS TRUE AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE AND THE CITY OF WINTER SPRINGS HAS THE RIGHT TO RELY ON THAT INFORMATION. YOU HEREBY ACKNOWLEDGE THE EXISTENCE OF THE CODE OF ETHICS FOR PUBLIC OFFICERS, AND THE FLORIDA SUNSHINE LAW, WHICH MAY PERTAIN TO YOU IF YOU ARE APPOINTED TO SERVE AS MAYOR. IF APPOINTED IT IS YOUR SOLE OBLIGATION AND DUTY TO COMPLY WITH SUCH LAWS. Signature. 1DDate: 3 / Please return to: City of Winter Springs The Office of the City Clerk 1126 East State Road 434 Winter Springs, Florida 32708 2799 THE ORIGINAL QUALIFYING APPLICATION AND ALL OTHER DOCUMENTS MUST BE COMPLETED WITH ORIGINAL SIGNA TURESAND MUST BE FILED IN THE CITYCLEWS OFFICE BY NOON ON THURSDAY, APRIL 1, 2027 FAILURE TO TIMELY FILE AN APPLIC4TIONMAYRESULTIN YOURAPPLIC4TION NOT BEING CONSIDERED BY THE CITYCOMMISSION. 194 Jesse Phillips Qualifications for Winter Springs Mayor Jab Description:The job description of the Winter Springs Mayor includes,but is not limited to, representing the city in intergovernmental relationships and presiding with over the commission meetings. Jesse Phillips has the experience and skillset to perform these and other duties. COMMunity LeaderAiI2&Involvernent• With extensive public speaking experience and a track record of building and maintaining positive interactions and relationships with many county and state elected officials,Jesse Phillips is well respected and has the ability to represent Winter Springs in intergovernmental relationships. Jesse has been commended,endorsed and supported for the quality of his leadership for various positions in the past by many community leaders who are both current and past county constitutional officers, commissioners from surrounding municipalities,Seminole County commissioners,local State Representatives and appointed members of various governing agencies and boards.While he has not sought public support for this appointment,these examples are provided to show Jesse will have no learning curve in the development of productive relationships with local governmental agencies,since many of these relationships already exist and have been nurtured over the years. Jesse worked as a resident to lobby Seminole County government and the city of Winter Springs to pass a resolution to address traffic issues,which was unanimously passed.He co-founded the Winter Springs Community Association and Our Winter Springs network which daily reach thousands of residents in an ongoing effort to bring the community together behind our shared ideals to find solutions to our ongoing problems.He also helped launch the Business Alliance Council as a community partner with the Seminole County Chamber of Commerce to support the city's struggling small businesses.In all,Jesse has worked as a relentless community advocate to build relationships with leaders of various community and governmental organizations. Quasi-judicial Experience: Jesse has extensive experience,both ecclesiastical and political,in the quasi- judicial realm,both in the development and authoring of constitutions,charters,by laws and rules of procedure,and in serving as a member and as Chairman on panels dedicated to implementing the same. He participated with his national ecclesiastical network to develop its governing documents and serves on its regional judicial review committee which oversees cases involving the resolution of conflicts, grievances and ensuring the proper adherence to complex rules and regulations.Jesse has also chaired several committees for his political party which requires navigating difficult and often emotional decisions through a very strict rules process.He has been recognized as someone who is fair and impartial in his conduct as chair even to those with whom he disagrees and believes even if people disagree with the outcome of a decision,steps should be taken to ensure the process of making the decision is clear, transparent and fair. Jesse feels it would be an honor to serve as Mayor of Winter Springs if that is indeed the desire and decision of the commission. APR 011011 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 195 Jesse Phillips Resume P.F-CEPVF-D 1124 Duncan Drive 0 Winter Springs,FL 32708 0 Phone:(407)49`2-4915 0 E-Mail:me@jessephillips.net APR 0 12021 CITY OF VVINTER SPRINGS OFFICE OF THE CITY CLERK Summary Energetic and experienced Information Technology Director specializing in the health information system vertical.Provided oversight of a million-dollar+technology asset and application portfolio,including acquisition, support and life cycle planning for a 200+employee base. Proven ability to develop strong working relationships with colleagues,business associates and key stakeholders, with the vision and motivation necessary to constantly improve technological offering and enhance business processes. Experienced campaign manager,communications director,grassroots organizer and Republican Party leader. Core Competencies Solid Work Ethic Strategic Planning Technical Troubleshooting Process Improvement Vendor Management Process Automation System Interoperability(HU) Clinical Application Support Customer Support Experience ProVislon Technology Solutions,Managing Partner January 2015 -Present 0 Provide Managed IT and consulting services to small business throughout Central Florida,including anti-virus, data backup and recovery,new hardware and software installation,website hosting,preventative server maintenance and other helpdesk services. State Committeeman of Seminole County Republican Party January 2017 -Present 0 Elected by county-wide ballot to serve as a top-ranking Republican Party official for Seminole County,as a voting member of the State Executive Cornmittce for the Republican Party of Florida.Appointed co-Chwir of the Digital Engagement Committee,facilitating the use of technology and data engagement for local county organizations and was elected Chairman of the 134 seat State Cominitteeman and Committeewoman Caucus in 2019. Sammy Gibson for Seminole County Clerk of Circuit Court,Manager January 2016-August 2016 0 Oversaw day to day campaign operations,including budgeting,recruiting and organizing volunteers,coordination of canvassing,management of social media presence,writing press releases,data analytics and voter targeting,mail piece design and production,absentee chasing and overall ground operation. Seminole County Republican Executive Cornmittee,Secretary December 2014-December 2016 0 Elected as Secretary of the Seminole County Republican Executive Committee by unanimous vote of acclamation. Republican Party of Florida, Consultant October 2014-November 2014 Design and implement a plan of action and political campaign in consultation with the Bob Cortes campaign. Oversaw all aspects of the campaign including day to day operations,the hiring and management of staff,recruiting of campaign volunteers,the coordination and implementation of the fundraising events,ongoing coordination with 196 R-WE C E I V E D APR 012021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK the candidate,management of social media and website,organizing voter outreach events and overall campaign ground game which successfully elected Bob Cortes to the Florida House of Representatives. Bob Cortes for State Representative Campaign, Manager July 2014- September 2014 Oversaw all aspects of the campaign including day to day operations,the hiring and management of staff,recruiting of campaign volunteers,coordination and implementation of fundraising event,,,ongoing, coordination with the candidate,management of social media and website,organizing voter outreach events and overall campaign ground game of a successful Republican primary campaign that won by 14%points. Orlando Orthopaedic Center,Director of Information Technology November 2012 -June 2014 Oversee the streamlined operation of the IT department and to ensure it aligns with OOC's business objectives.jectives. Develop and manage application portfolios for cacti department and to attain all IT service level agreements for the 200+employee user community.Plan,coordinate,direct,and design all operational activities of the IT department,as well as provide direction and support for IT solutions that enhance mission-critical business operations.Working closely with decision makers in other departments to identify,recorm-nmd,develop, implement,and support cost-effective technology solutions. Oversee IT helpdesk team of four employees plus an outside managed service provider. Managed the overhaul and re-installation or major version upgrade of all of the practices core computer systems, including:PACS (conversion from Stryker to Medstrat,$35k budget across 6 offices);phone system(conversion from Nortel to Allworx w/5-year cost savings of$9440;fixing(conversion from ActiFax to GF1 w/5-year cost savings of$40k);practice management(GE Centricity Group Management.);and several other non-critical applications, including dictation systems and internal help desk ticketing platform.Implemented several HL7 interfaces to facilitate the confidential transfer of patient information between internal systems and outside partner organizations. Worked%vith vendors,suppliers and consultants to develop the organizations first comprehensive technology budget and asset life-cycle plan for($800k annually). ProVisionlT TM,Systems Administrator January 2011 -November 2012 Orlando Orthopedic Center System Administrator.principal System Administrator for Orlando Orthopedic Center,a large orthopedic practice with five branch offices throughout Orlando on a single network with X-ray and MRI devices.Provided network and application support for X-ray modalities and PACS software,practice management software,dictation system,finance processes and HU interfaces to ensure interoperability between systems.Also provided support for desktops,tablets and other peripherals. Daily responsibilities*include assisting doctors,clinical and administrative staffand software vendors to support and trouble shoot clinical applications,including Workflow(practice management),Stryker(PACS),Medstrat Echoes PACS),GE Centricity Group Cast(Billing and Appointments),GE ConncctR(HU Interface),dictation and transcription applications,Canon and Fuji CR and DR X-ray modalities and a number of other workstation software platforms,performing software patches and server upgrades as needed. 2 197 FI-11 Z C E I V E D APR 0110421 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK Provided technical support for doctors,clinical and administrative staff by ensuring functionality of Windom workstations and peripherals including tablets,mobile devices,printers,scanners,WAPs and other network devices,performing software patches and error troubleshooting during clinic as needed. ProVisionlT`rm,Applications Specialist June 2007 -January 2011 System Integration:Integrated the client management system and client monitoring agents within the ProVisionITI'm infrastructure, *including the service desk and ticketing system,billing department and sales team. Certified as a support technician for Laserfiche,a comprehensive document-imaging platform that automates corporate internal processes and workflow. Web Development:Managed ProVisionITrm web development projects,including WordPress"'Im powered sites, custom designed PHP/MYSQI,powered sites and custom graphic design and a custom written content management system and website for a regional business association. Database System Development Developed Analyst Work Tracking System(AWTS)for the H&j Intensity Drug 7),afflckzngAgrnc policing.V(HIDTA),a government agency that serves local law enforcement agencies in drug po c The AWTS system developed is a fully-functional case management system used by HIDTA analysts and managers to input reported case data,track drug seizures,query search suspects for identity matches,and manage a submission and approval process for case closure.Developed using PHP,MySQL and AJAX. Metro Life:Church, Pastor July 2007 - October 2011 Youth Ministry:Organized and administrated a parent-based youth ministry,including oversight of Parental Committee,Student Leadership Council and training and deployment of student mentors. International Mission Trip Program:Organized and led an international outreach of 175+individuals from 10 churches in the southeast United States being deployed to perform compassionate outreach to three countries Bolivia,Haiti and Dominican Republic)and several Florida cities,including coordinated budgeting and fundraising efforts exceeding$150,000. High School Athletic Director.administrated the church's high school athletic department and church leagues, including multiple high school and middle basketball teams,high school soccer team and intramural church basketball and volleyball leagues,including schedule coordination with competing schools and fee collection from athletes. Speaking,Writing&Counseling.regular public speaking responsibilities for church events and meetings,opinion and perspective writing,issue-based research,family and teenage crisis counseling and mentoring Technical Certification Lueffiche 8 Administi-ator.Completed the Laserfiche Certified Professional program requirements and is recognized as a Laserfiche 8 Administrator. Microsoft Certified Technology Specialist:Microsoft Certified Technology Specialist(MCTS)and certified in the NET Framework 4,Web Applications. BL7 Certified Control Spedalist'W2.6 Certified Control Specialist for HL7,the global authority on standards for interoperability of health information technology. 3 198 APR 012021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK Education Computer Science,BS,UCF 2005 Graduated with a Bachelor's of Science in Computer Science from the University of Central Florida Other Skills Programming:Java,C/C++,PHP,MySQL,Visual Basic,.NBT Framework Contact information Phone: (407)492-4915 Email: r E R I F I k 0 e Microsoft CfRTMED NET Ramework4.Web Appieations rkhttojagy N specialit 199 RECEIVED APR 01 2021 j,TCITY OF WINTER SPRINGS,FLORIDA CITY OF WNTFR SPRINGS t .. g 2021 MAYOR APPOINTMENT oFFICF of THS: CITY CLE-FW o THIS COMPLETED 19 AFFIDAVIT©F QUALIFIED VOTER STA TUSAND FORM MUST BE CITYAND DISTRICT RESIDENCY PROVIDED Td THE CITY CLERK NO OFFICE OF THE MAYOR LATER THAN NOON ON THURSDAY, r APRIL 1,2021 1, Te 955 I e c t c, J do hereby state that I seek appointment to the City Name of Candidate('I int or Tvpe.) of Winter Springs' Mayor of the City of Winter Springs to complete a four(4)year term previously held by Mayor Charles Lacey for the City of Winter Springs,Florida.I further swear or affirm: 1.) I am a qualified voter in the City of Winter Springs 2.) My legal place of residence is: Street Address Clty St d zip Code 3.) Length of time of residency in the City of Winter Springs is:pars 4.) 1 am attaching two(2)documents,one to be a Florida Driver's License,asverification of my residency in the City of Winter Springs.The second document is: W Ct -Q v4. 111.4, ,6 i r Signature Cute I t 2. D Dr U.{ ll•kr d S t StreetAddre s Crty State Zip code State ofFlorida County of Sx 7i Sworn to(or a>firmed)and subscribed before me bymeans of( physical presence or_onlline notarization) this 3 tdayof e 2021 by SSC L l<< $Personally known: jf OR ro uc I en printname ofperson makingstatement) s RG MYC'' aR: EXM.Fe&uary 1.2023 Type ofidentification produced It!fN FOR OFFICE USE ONLY Copy of Florida Driver's License provided for Item(5) Other documentation provided for Item(5) Revised 03/23(2021 200 rlorlda NSE PHILLIPS iJESSEMERRtfT c 1r.24 DUNCAN DRIVE WINTER 3'=4 W0811983 SPRINGS,5 3M48 APR 0120216xa04x4811029 ,5xas 6'45^ r?aes-NbNE s.E„p NC1NE CITY OF WINTER SPRINGS XSr GIVEFf OFFICE OF THE CITY CLERK 4l3112021 R ?i93719x7!„ 0 or a nwRor rtFesxe p 'o 1« 11ifi6+v'YsaB ey h#t+a n 201 CITY OF WINTER SPRINGS Summary of Payments and Charges DUE 0 UTILITY BILLING ACCOUNT NUMBER 19369-002 MON-FRI 8-5 1125 E STATE ROAD 434 SERVICE ADDRESS 1124 DUNCAN DR PHONE:407-327-5996 PAST DUE CHARGES $0.00 incorporated FAX:407-327-4763 PENALTIES 0.10101959EMERGENCY:407-327.2009 ADJUSTMENTS 0.00 U1-ILITYBILLS(cDWINTERSPRINGSFL.DRG PAYMENTS 134.06 WWW,WINTERSPRINGSFL-ORGIUB CURRENT CHARGES $95.99 02/16/2021 TOTALDV Water Bass 6.18 MONTHLY WATER USAGE Water Usage 11.87 in gallons) Water Tax 1.81 15000 Sewer Base 12.14 Sewer Usage 39 17 10000 Irrigation Usage 1.11 Irrigation Tax 0.11 5000 Stormwater Base 5.50 1 L Solid Waste Bass 18.10 JAN 9 FEB iOMAR 12APR 13 MAY III JUN III JUL 113 AUG 12 SEP 114 OCT 12 NOVII DEC 10 JAN Ii Scan this code to make [R lllltsievt ea dirtgl Information a payment with your From To Days Motor# Previous Current use" smartphone today! 12/10/20 1/11/21 32 77317951 1344720 1352980 8260 12110/20 1111121 32 82184636 3593400 3593930 530 Can Use" STAY IN THE CONVENIENCE OF YOUR Self-Pay by QR Code Scan the code above VEHICLE AND MAKE YOUR UTILITY BILL Self-Pay by Website eservices.winterspringsfl.org PAYMENTS THROUGH THE QUICKPAY Online Bank Pay See your bank's website AUTOMATED PAYMENT KIOSK LOCATED IN THE EAST LOT AT CITY HALL. Self-Pay by Phone 407-327-5991 Call Center 407-127-5996 Please detach and return the bottom portion with your payment(Make Checks Payable to City of Winter Springs) gesSurntnaryoPayrnChar ACCOUNT NUMBER 19369-002 CITY OF WINTER SPRINGS SERVICE ADDRESS 1124 DUNCAN DR 1128 E STATE ROAD 434 PAST DUE CHARGES $0.00WINTERSPRINGS,FL 32703-2715 1959SCURRENT CHARGES $95.99 02/16/2021 Return Service Requested TOTAL DUE 95-99 000000759 I=0001 1111111111 11111111111,111111-11-1 -+11111 1 E C E I V__Lli 7591 AV 0.386 CITY OF WINTER SPRINGS UTILITY BILLING JESSE PHILLIPS 1126 E STATE ROAD 434 1124 DUNCAN DR APR 0 1201.WINTER SPRINGS, FL 32708-2715WINTERSPRINGSFL32708-4308 CITY OF-WNTER SPRINGS OFFICE OF THE CiTY 000CL. ERK 00000000019369002300000095994 202 NOMINATION PETITION All information on this form becomes a publicrecord upon receipt by theSupervisor ofElections THIS COMPLETEDltisacrimetoknowing/ysign more than one petition for a candidate.[section 704385Florida statutesj w1failrequestedinformation on this form isnot completed,the form willnot be vaildaszi Candidate petition Form. FORM MUST BE IPROVIDED TO THE57TC--verN f7ex--,(—the undersigned, a registered CITY Cl...EPK NO Please print name as it appears on your voter information card) LAI EP THAN NOON voter of the City of Winter Springs,nominate q-cssff A, 11,P SON .THURSDAY. o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MMID DNYYY) Ll66/ 1-1 1 CiLy lcountv Zip Code 7 Signature of Vot Date Signed(MM/DD/YYYY) o be completed b V t J?! e IS-2.045,F.A.C. NOM I NATION PETITION Allintormarhonon this form becomes a public record upon receipt by the Supervisor ofElections I's creme t k wmglysj grt more than one petition fora candidate.[Section 704.185FIorida Statutes] THIS COMPLETED lffa//C'11eli"Ifftion on this farrn is not completed,theform will not be vaild as a Canoidate Petition Form. FORM MUST BE I. I PROVIDED TO THES&k'e the undersigned, a registered CITY CLERK NOPleaseprintnameasitappearsonyourvoterinformationcar I-.— voter of the City of Winter Springs,nominate oto'Se Ile LI\I'EP T' ;AN NOON ON THURSDAY, to complete the unexpired term of'Office of Mayor of Winter Springs recently vacated loy former Mayor APRIL],2021 Lacey. Date of Birth OR Voter Regi.stration Number Address MM/DDA-YW)PRI city tool County t%-- t.te Zip Code113)-7 OCPtr SS'qna of te,Date Signed(MM/DD/YYYY)9na' of ot To be completed by Voter] 110 1 2.ZOC.2- R S C E I V E D APR 01 2021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 203 NOMINATION PETITION All information on this form becomes a public record upon receipt by the Supervisor ofElections THIS COMPLETED itis a crime to knowingly sign more than one petition fora candidate.[Section 704.785 Florida Statutes) 1fallrequestedinformation on this form isnot completed,theforni willnot be vailda5 a Candidate Petition Form. FORM MUST BE PROVIDED TO THE J e 5's 0- F1,JI tje the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate j as- sc. e- ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former kyor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MM/DD" City ounty tate Zip Code 1 1 w LAO 3 IRj5ri— I I Signature of Voter ate Signed(IvIM(DDtPM) To be completby Voter] 0,3 / 36ed Rule e545,FAC. 11 NOMINATION PETITION All information on this form becomes aPublic record upon receipt b ctlonsbyoff-eSupervisore5MTHIS COMPLETED It is a crime to knowinglysign more than one petition for a candidate.[Section 704.785 Florida Statutes] Ifall ested*n/or 1 / 7" f leted.theform willnotbe validasa Candidate Petition Form. FORM MUST BE I, z - / mationont is opisnotcornp PROVIDED TO THE 4--6eks'L 1 1 the undersigned, a registered CITY CLERK NO Please print name as it appears on your votelinro-rmation card) LATER THAN NOON voter of the City of Winter Springs,nominate Pk I N P ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address IMM/DD/Y" c q-r) vr- city ounty tate Zip Code I nicc I ok S Signature of Voter Date Signed(MM/DD(Y^tYY) To be completed by voter] Rule IS-2.045,FAC. R&EECEIVED APR 0 12021 CITY OF VVINTER SPRINGS OFFICE OF THE CITY CLERK 204 NOMINATION PETITION Allinformation on this form becomes a public record upon receipt bythe Supervisor ofElections THIS COMPLETED Itisa crime toknowinglysign more than one petition fora candidate-[Section 704.785 Florida Statutes] Ifallrequesteformation on thIsf, /.snotcomp/eted,the form willnotbe vaildasa Candidate Petition Form, FORM MUST BE I'-- PROVIDED TO THEC, the undersigned, a registered CITY CLERK NO Please print name as it appears on voter information card) J r LATER THAN NOON voter of the City of Winter Springs,nominatees-5 e ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MM/DD" 5- - city roSn, State Zip Codet Signature of Voter Date Signed(MM(DD/YYYY) To be completed by voter] Pule 1S-2.045,F.A.C. NOM I NATION PETITION All information on thisform becomes a public record upon receipt bythe Supervisor of lections THIS COMPLETEDItisacrimetoknowinglysignmorethanonepetitionforacandidate.[Section 704.785 Florida Statutes) fall requested information on this form isnot completed,the form will not be vaildasa Candidate Petition Form. FORM MUST BE the undersigned, a registered PROVIDED TO THE CITY CLERK NO Please print name as it-4ears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate e- ON THURSDAY,1)P 55 T ,— ;( o to complete the unexpirecIterm of Office of Mayor of Winter Springs rec el,/ f1) byformer Mayor APR]L 1,2021 Lacey. Date of Birth OR Voter Registration Number Address mm/DDA,yw) 03 Ae City ounty tate Zip Code Signature of Voter Date signed(MM/DDAYW) To be completed by voterl j4" f 6,3 3a CDO(D- Rule IIS-2.046,FAC. R!EC LEE I VE D APR 0 12021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 205 NOMINATION PETITION Allintormation on this form becomes a public record upon receipt bythe SupervisorofElections THIS COMPLETED lt is a crime to knowinglysign more than one petition for a candidate.[Section 704.785FIorida Statutes] Ifallreques d information an thi's fi-rm Isno comp FORM MUST BE PROVIDED TO THE the undersigned, a registeredAvc,),47' CITY CLERK NO Please print name as it appears on your r information card) LATER THAN NOON voter of the City of Winter Springs,nomina lie-51-se- ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former May Lac APRIL 1,2021 Date of Birth OR Voter Registration Number Address MMIDDA'Y" D0AV, OdK5-7 - Iq - Iq f50 K11 City ate ZipCode t 7. 91 Signat9er Date Signed(MM/DDAIYW) To be completed by Voter] i—Vule is-2. S,F.A.C. NOMINATION PETITION Allinformation on thisform becomesapublic record upon receiptby the Supervisor ofElections THIS COMPLETEDItisacrimetoknowinglysignmorethanonepetitionforacandidate.[Section 704.785FIcrida Statutes] Iffall requested information on this form is not completed,the form will not be vaild as a Candidate Petition Form. FORM MUST BE I. Gi- CP Lre " the undersigned, a registered PROVIDED TO THE CITY CLERK NO Please print name as it appears on your voter InfoPtion card) LATER THAN NOON Oessc, IvoteroftheCityofWinterSprings,nominate ON THURSDAY, T- -Z) to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Pegistration Number Address MM1DDiYY`M Rrvork-- L-ew.let e, Dr01 /Qs I I qy 8 City ounty,ta ZipCode 5prinj< 700 Signature ofVoter Date Signed(MM(DQAvw) To be coMpleted W Voter] 0/,-L0 Z, Pule IS-2.045,FAC. R INE C E IV E D APR 0 12021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 206 NOMINATION PETITION Allinformation on this form becomes a public record upon receipt by the Supervisor ofElections THIS COMPLETED tisa crime toknowinglysign more than onepetition fora candidate,j5ection 704.785 Florida Statutes] lfall request r or' ation on this form is not completed,the form willnot be vaild as a Candidate Petition Form. FORM MUST BE PROVIDED TO THE yr t..the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information card) LATER THAN NOONt voter of the City of Winter Springs,nominate ''fie -Se— f/ON THURSDAY, o complete the unexpired term of Office of Mayor of Winter SpVVrin``g''s recently vacated by/f r mer Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MMIDD/YYW) 0 l17/ l'Fdl city ounty tate Zip Code Signature of Voter Date Signed(MM/DD/YYYY) To be completed by Voter] 071t70/2 a1 Rule 1S-2.045,FA.C. NOM I NATION PETITION All information on thisform becomes a public record upon receipt by the Supervisor of Elections THIS COMPLETEDitisacrimetoknowinglysignmore.than onepetitionfora candidate.[.Section 704.785 Florida Statutes) ifallrequested in ormat//lon on this form is not completed,the form will not be vaiid as Candidate Petition Form. FORM MUST BE the undersigned, a registered PROVIDED TO THE CITY CLERK NO Please print name as it appears on your voter information card)LATER THAN NOON voter of the City of Winter Springs,nominate rJ r Itt I , 5 ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs rece tlyvacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address 11,31V-a Cit ountytate Zip Code Signature of voter Date Signed(MM/DD/YWY) To be completed by Voter] v3 .la a Rule 1S-2.045,F.A.C. APR 01 2021 CITY OF WINTER SPRINGSOFFICEOFTHECITYCLERK 207 NOMINATION PETITION Allinformation on this form becomes a public record upon receipt by thesupervisor ofElections THIS Ci 4PLETED it is a crime toknowingly sign more than one petition for acandidate,[section 704785Florida Statutes] FORM MUST BEtfallrequestedinformationonthisformisnotcompleted,the form will notbe vaild as a Candidate Petition Form. THE 1, Lf2 4G the undersigned, a registered PROVIDED CITY CLERKK NO Please print name as it appears on y ur voter information card/], LATER THAN NOON voter of the City of Winter Springs,nominate Gm 11 1 1 ON THURSDAY, o complete the unexpired term of Office of Mayor of Winter Springsrecently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Addr esss MMIDo[mw) 1 0 c1 City unty tate Zip Code Signature ofVoter Date Signed(M MlDDA^NY) To be completed by Voter 0 -3) Zro/. Rule lS-2.015,FAC. NOMI NATION PETITION Aflinformation onthis form becomes a public record upon receipt by the Supervisor ofEYections THIS COMPLETED1tisacrimetoknowingtysignmorethanonepetitionforacandidate.[.Section 704.785 Florida Statutesl fall requestedinformationon this form isnot completed,the form vvill notbe vaildas a Candidate Petition Form. FORM MUST BE 14_ Az4 the undersigned, a registered PROVIDED THE CITY CLERK NO Please print name as it appears tn your voter information card) ` A LATER THAN NOON voter of the City of Winter Springs,nominate -j! j& Nlt'vs ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Voot (} ter Regiistration Number Address IMM[OD 1I+iD ! ! -7 6 J City ounty tate Zip Code Signature of Voter Date Signed(MMfDDNYYY) f To be completed by Voter] 4 r- Rule IS-2-04S,FAC. RECEIVED APR 4.112021 CITY OF Vv1NTER SPRINGS OFFICE OF THE Ci7Y CLERK 208 A NOMINATION PETITION All information on this,'orm becotres a pub/ic record upon receipt t v the Supervisor offlections THIS COMPLETED it is a crime to knowinglysign more than one petition fbra candidate.]-Section 704.785 Florida Statute,-sj ifa4J!equ sted information or.this form 45 not compteted,the form willnotbe vailoasa Canchdate Petition Form. FORM MUST BE PROVIDED TO THE 1, Nicholos C. 13;vorlek the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information card) voter of the City of Winter Springs,nominate 3`, e filkiHips LATER THAN NOONONTHURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number jAclare s MM/DD/YYYY) 0110110114 Moll Nork W-1, J C Cityty Zip Code Wlfbf <A.AIA5:5 St Mll@,.)a(4t ( Z-7 8 loun I tate Signature of voter Date Signed(Mri/oo/YYYY) To be completed by Voter] 1 4 CO(-Wer Rule 15-2.045,F.A.C. NOMINATION PETITION A//intormarion on tht5 form 6pcomes a publi:-recorzy Upon receipt by the Supervisor or Eiections it 4g,,cr;tne tc knowir.,q.v6iyn n)o'e tnu,)onc oclibon for a 704 1,1?j:IoricYa Stolotcsj THIS COMPLETED FORM MUST BF undersigned, a registered PROVIDED TO THE I, A-Al n .,e vv c me,wd d CITY CLERK NO Please name as it appears on your voter informatic.0n ard) LATER THAN NOON voter of the City of Winter Springs,nominate 1—esse A, I Y-s ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. I Date of Birth OR Voter Registration Number Adores MM/1-)DNYYY) b4.,)j I AIDU /S2 Z (96 A/ Cit ouy tate Zip Code W#A4-tr- 5Pp^r,_S Signature o oter Date Signed(MM/DD/YYYY) rTo be completed by Voter]6 z 0 2 /3d 1Vv Rule IS-2.045,F.AC. R C Ll-z i v e7 n APR 0 1202" CITY OF WINTER SPRINGSOFFICEOFTHECITYCLERK 209 NOMINATION PETITION j Allinformation on this form becomes a public record upon receipt by the Supervisor ofFlections THIS COMPLETED It is a crime to knowinglvsygn more than one petition for a candidate.[Section 704,185 Florida Starur&sj ffallrequested Information on this form is not completed,the form will not be vaildas a Candidate Petition.Form. FORM MUST BE PROVIDED TO THE the undersigned, a registered CITY CLERK NO Please print name as it on your voter inrormation card)jppears, LATER*THAN NOON voter of the City of Winter Springs,nominate 1—less- C Pi" Mill ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MM/DDPMY) oa-1k(o I [CrI( City ounty tate Zip Code Int,n'-tf tt,tSS n lhl a I 1--c_. ( 3 14 Signature er Date signed(v1IvI/DD/YYYY) To be compl-ted by votary 0/ F.A.C. NOM I NATION PETITION Allfrifolmazion on thisform becomes a publicrecord upon receipt by the Supervisor ofFlections Jt)s a came to knowingly sign more than one petition for a candidate[Section 70-785 Florida Statutes] THIS COMPLETED fallrequested information of?this form is not completed the form will not be vaildas a candidate Petition Form, FORM MUST BE S-1, M. yti-+{ e PROVIDED TO THE CITY CLERvoylottheundersigned, a registered K NO Please print name as it appears on your voter information cardLATER THAN NOON voter of the City of Winter Springs,nominate ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recentlyvacated by former Mayor APRIL 1,2021 Lacey, Date of Birth OR voter Registration Number Adores MM/DD,l`"YY) Ul C 6 0 ail WjAjc5/jql City oust# 4--(pA y- 5e ,, rate,Zip Code 1:'-c- 0 Signature of Voter Date Signed(MM/DC/YYYY) To be completed by voter] 1%,-)/ w/ lrc 1S-2.045,F.A.C. P-i=-c:F-PVED APR 01 2021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 210 NOM I NATION PETITION Allinforination on this form becornes a public record upon receipt bythe Supervisor o(Elections THIS COMPLETEDItisacrimetoknowinglysignmorethanonepetitionforacandidate.[Section 704.785Florida Statutesl rfallrequestedi. forma .on on thisform&nCot completed,the form will notbe vaild as a Candidate Petition Form. FORM MUST BE S2 j . e PROVIDED TO THET; I (AA1 _ UCr 6(tj the undersigned, a registered CITY CLERK NO Please print Arne as it appears on your voter t;nfornat,.on card) LATER THAN NOON voter of the City of Winter Springs,nominate j cge Pk,//'e ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by ormer Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Addre S MMI DNY' j om C'3 1 q City ounty[ clstate Zip Code 5f.441 0%feit- 32--2 08" Signa re of oter Date signed(MM/DD/VYYY) To be co,qeted by'olterj Pule 1S-2.045,F.A.C. NOMINATION PETITION All information on rh4g form tecome-5a oublic record upon recript by rMe Suppr0sor ofFie c,ions It 45)crime to knowing,"y5icpri more than on e petition for o cand"do lc J'S.Ctk'o 704 ISS i:"Ofidu Sru eut-S!THIS COMPLETED fall requestedirtianone`7xsformisnotcamgletaU,theforrn :r7lnatbevairdasaCandidatePetrtianFarm. FORM MUST BE PROVIDED TO THE the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information card) LAI-ER THAN NOON voter of the City of Winter Springs,nominate Z-,g t' A, I/,r-'.5 ON THURSDAY, to complete the unexpired term of office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DDNYYY) 0SweeldDockt City r ounty tate Zi Code UJI Signature ter Date signed(MM/DD"Y) plTobecomp) byVoter]q z Le- 7z/a n.l.IS-2.91S,F.AC P ECEIVED APR 0 12021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 211 NOMINATION PETITION Aflipformation on thistbIrn beromes a pablicrecoldupon recelpt bytheSupetvlsot offlecrions THIS COMPLETEDtIsacrimetoknowinglysignmorethanonepetitionforacandidate.[Section 704.185 Florida Statutes] ffallrequested' f, tion en this form is not completed,the firm will not be vaildasa Candidate Petition Form. FORM MUST BE k cltlls 4 iii the undersigned, a registered PROVIDED TO THEkIegzll Please print name as it appears on your voter informationj1) CITY CLERK NO o--LATER THAN NOON voter of the City of Winter Springs,nominate I/If ON THURSDAY,Jes-9,P to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MM/DD/Y 193S 1---1ki4eJNve- City t t.te Zip Code Signature of Voter Date Signed(Mlv/DiDpf`W) To be completed by Voter) Rule IS-2.045,F.A.C. NOMINATION PETITION Allinformation on ths form becornesa public--record upon receipt by the Supervisor ofFlections it is a crime to knowing6 srqn more than onepetition fora candidate.[Spr6on 104,18-5Floride THIS COMPLETED Ifall reguested information on lh;sforms notcomploled,Me ro"M.4WInor Det'aildasj r-andidate Petition Form. FORM MUST BE 7 PROVIDED 1-0 THENi6rV6, Q4e,6,&IW the undersigned, a registered CITY CLERK NO Please print n1me as it appears on your vokk-r infer ca LATER THAN NOON voter of the City of Winter Springs,nominate h;ll,1—&<M 10-S ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Adores MM/DD, ) 2 egJOS tA )AIllfe DoveAjeD -11 - 0 71 5.3 ounty late z c dCity000 SCM!No 11 4)W1.44<r SlOttili Signature ofVoter Date Signed(MM/DDA"yW) To be completed by Voter] 0 3 -3 o-A,44 P.re IS-2,045,F.A.C. RECEIVED APR 01 2021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 212 NOMINATION PETITION All information 017 this form becomes a public record upon receipt by the Supervisor ofElectlons THIS COMPLETED It Is a crime to knowingly sign more than one petition for a candidate.(Section 704.785Florida Statutest fall requested information on this form is not completed the form will not be vaildesa Candidate Petition Form FORM MUST BE 1, the undersigned, a registered PROVIDED TO THEAtjLA,—N EFS— CITY CLERK NO IPlease print name as it appears on your voter information carp)-i LATER THAN NOON voter of the City of Winter Springs,nominate ON THURSDAY. o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MM/DDNYYY) I If 0 it eunty rate Zip Code 0 Signature of Voter Date Signed(MM/DD/YYYY) To be completed by voter] Z—_;() — Pule IS-2.045,F.A.C. NOMINATION PETITION All information on this form becomes a public record upon receipt by the Supervisor ofElections Itisa crime to knovwng Y.5ign more than one petition fora candidate.ISection 704.785 Florida Statutes]THIS COMPLETED 1failrequested information on this form is not completed,the form will not be vaild as Candidate Petition Form. FORM MUST BE 1-1%, ii 5,cL A. %\f the undersigned, a registered PROVIDED TO THE CITY CLERK NO Please print name as it appears on your voter information card)LATER THAN NOON voter of the City of Winter Springs,nominate C— ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1 202', Lacey. Date of Birth OR Voter Registration Number Address JVM/DDNYYY) It ),-301A wi,V L II91 City ountyI Zip Cod2-. Signature of Voter Date Signed(MM/DD/YYYY) 7o be cornipleled by Voter] 3- )o IRule 1S-2.045,FA,C APR 01 2021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 213 NOM I NATION PETITION All Information or?th45 form beconies a public tecord upon recelt'n k)ythe StjoervisororElectioos THIS COMPLETED It is a crime to knowinglysi'gn more than one petition to.,a cai;didare.l5ection 704785-Florida Statute-51 fall re sted Information on this form is not completed the form will not be vaildas a Candidate petition Form. FORM MUST BE PROVIDED TO THE the undersigned, a registered CITY CLERK NO I(Please print name as it appei`+on your voter information card) LATER THAN NOON voter of the City of Winter Springs%ominate 4—e-s-S t 0iiiv, I I ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MM/DD/YYYY) J City 1--oun,yZip Code ir IlAJ 1b tate 6 Signature of Voter Date signed(MM/DCh`vYV) J To be completed by voter) NOM I NATION PETITION AllInformaricin on rl-,Isk rrn become,,;aPublx-rec',wdupon recrilotby ihe.supprvisorofElectioos THIS COMPLETEDit5acrimetoknowingJy-,igamore than one petition fora canry'date.(Se:-tion Ifa1l requested information on rnis form is not compietarJ,the form i4finot bo vaildasa Candidate Petition J`-06mr FORM MUST HE 1, the undersigned, a registered PROVIDED TO THE CITY CLERK NO Please print name as it appears on your voter information card) LATER THAN NOONjevoteroftheCityofWinterSprings,nominate —r— fk. I)IPS ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recentlyvacated byformer Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DD/YYYY) I City ounty tate Zip Code Signature of Voter Date Signed(MlV/DD/YYYY) To be completed by Voter] 1PuIQ IS-2.045,F.A.C. RECEIVED APR 012021 CITY OF VVINTER SPRINGS OFFICE OF THE CITY CLERK 214 r, NOMINATION PETITION All information on thisform becomesa public record upon receipt by the Supervisor ofElections THIS COMPLETED t isa crime to knowinglysign more than one petition fora candidate.[Section 704.785Florida Statutes] FORM MUST BEfallrequtedinforatianonthisforisnotcopleted,the form will not be vaild as a Candidate Petition Form. PROVIDED TO THE I, the undersigned, a registered CITY CLERK NO Please print name as R appears on your v ter information card)j//,T LATER THAN NOON voter of the City of Winter Springs,nominate 'z_ /I( 1t 3 ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former/Mayor Lacey. APRIL 1,2021 Date of Birth OR Voter Registration Number Address MM/DD/WW) 07i ) q lq3l 1s / City, ountytate'Zip Code Signature of Voter Date Signed(MM/DDA^tW) To be completed by Voter) 2 3 Rule 1S-2.04S,FA.C. k:NOMINATION PETITION Aflinformation on thisform becomes apublic record upon receipt by the Supervisor offlections THIS COMPLETED It isa crime to knowinglysign more than one petition for a candidate.[Section 704.785Florida Statutes] lfallrequestedinformationonthisformisnotcompleted,theformwiilnotbevaildasaCandidatePetitionForm. FORM MUST BE PROVIDED the undersigned, a registered CITY CLERK THE NO Please print name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recentlyvacated byformer Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DD" City ounty I tate I Zip Code Signature of Voter Date Signed(MM/DD/YYW) 7o be completed by Voter] Rule 15-2045,F.A.C. APR 01 zo2] CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 215 CITY OF WINTER SPRINGS 2021 MAYOR APPOINTMENT APR 01, zov OATH OF CAN D I DATE CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK OFFICE OF THE MAYOR Allpersons who now or hereafter are employed by or who now or hereafter are on the payroll ofthe state,or any of its departments and agencie4 subdivisions,counties cities,school boards and districts of the free public schools state counties institutions candidatessystemateorcoundorinitutionofhigherlearning,and allcan Vd for public office,are required to take an oath before any person duly authorized to take acknowledgements ofinstruments for public record in the state..."[876.05[1)Florida Statutes) Anyperson seeking to qualify for public office who fails or refuses to file the oath required by this act shall be held to have failed to qualifyas a candidate for public office,and the name ofsuch person shall notbe printed on the ballot as a qualified candidate."[871507FIorida Statutes] J e 9-s a 1 1444 a citizen of the State of Florida and of the United States of America, and a candidate for public office, do hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of Florida. Signature of Appointee jj zt Dver raft e— Street Address VIIAVA' ME City State Zip Code 216 RM.CEIVED APR 012021 STATE OF FLORIDA CITY OF W NTF_R SPRINGS COUNTY OF PFICE.OF THE CITY CLERK Sworn to (or affirmed) and subscribed before me by means of{_physical presence or—onlline notarization} this day of F >w,- 2021 by Personally known _OR Produced Identification Type of Id ntification produced EXPIRES:February 1,2023y4FP4+.+ P1IkUfKWW*= Signature otary Public - State of Florida 217 c Y F INTER SPRINGS 2021 MAYOR APPOINTMENT APR `0 1^ ~0'1 CITY oF°^wrERSPRINGS OATH OF CANDIDATE OFFICE oFTHE CITY CLERK OFFICE OF THE MAYOR Each candidate,whether a party candidate,a candidate with no party affiliation,or a write-in candidate,in order toqualify for nomination orelection toany office other than ajudicia| office as defined in chapter 105,shall take and subscribe to an oath or affirmation in writing. A printed copy of the oath or affirmation shall be furnished to the candidate by the officer before whom such candidate seeks toquoUfv-" [99.D2l (l)(a) Florida Statutes] STATE DFFLORIDA COUNTYDF 0 4t~ 8efore nnm,an officer authorized to administer oaths, personally appeared Please Print Name/s You Wish It)bAppea/In cily9e«nnds For ThIs Appointment) to me well known,who,being sworn,says that he or she is a candidate for the office of Mayor;that he or she is a qualified elector of the City of Winter Springs,Seminole County, Florida;that he or she is qualified under the Constitution and the laws of Florida to hold the office to which he or she desires to be nominated or elected;that he or she has taken the oath required by ss.876.05-876.10, Florida Statutes;that he or she has qualified for no other public office in the state,the term of which office or any part thereof runs concurrent with that ofthe office heo/she seeks;and that heorshe has resigned from any office from which he or she is required to resign pursuant to s.99.012, Florida Statutes." ignature of Appointee 00vk«-ma*~- vw^U-f Street Address city State Zip Code OL Sworn toand subscribed before rnethis dayof 2021,at Seminole County, Florida. Signature and Title ofOfficer Administering Oath) 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 At RECEIVED MAR 3 0 2021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK m. . ..... •w •......xn.w..«rx......»n....w.an..:........m....x..xi +a .awarn...•n.en.wnn.W..+w.trv.Wn.••r.f+w..wwwmn.n...aNw..Nrk...wma"wa.....ra..nwa......«...m. ..nx..Please return this Partiwt With YOUF l5ayfrienf. Thank you for your business. DUKn E Account number 18.03 Atter Apr 7, a late charge willENERGY, 35783 11200 by Apr 7 apply. Duke Energy Return Mail PO Box 1090 Charlotte, NC 28201-1090 Amount enclosed 027462 000003248 1!l01,l'llll l i h 11'"1,'>lII N'li'l Ill hllf,1ee ll Duke Energy Payment Processing KENNETH W SPALTHOFF PO Box 1004 y$` 339 WOODED VINE DR Charlotte, NC 28201-1004WINTERSPRINGSFL32708-0038 z 9900357831,120000066000000000000000018670000001,8030 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 RECEIVED MAR 31 2021 CITY OF NTER SPRINGS CITY OF /INTER SPRINGS, FLORIDA OFFICE OF THE CITY CLERK QUALIFYING APPLICATION FOR APPOINTMENTTO MAYOR SEAT THE ORIGINAL QUALIFYING APPLICATION AND ALL OTHER DOCUMENTS MUST COMPLETED WITH ORIGINAL SIGNATURESAND MUSTBEFILED IN THE CITYCLERI"S OFFICE BYHOON ON THURSDAY,APR,& 1,0021 Qualified candidates may attach a resume, references, recommendations, or other such docur entation that the(--a(i idaLe i`liesir es to h ve the CitCC mit- issi0r1 CJP15€(jE'f before making an appointment to fill the unexpired term of the Office of Mayor. The Mayor serves on the governing body of the City subject to the duties and responsibilities specified in the City Charter. Please be aware that documents submitted to the City are public records available for inspection to the extent allowed by Chapter 119, Florida Statutes. Please complete the following in the space provided: A. GENERAL f }_ e1. Name: ('Inn'56pYiW—ey zt l- 2.Home Address: J10 . , Y Sa 01YVN 1Y Wi Spriyicp F1 N-709 3.Occupation: 4. Telephone (cell): ZC3L1(a Telephone (other): 5.Email: CQ UYP_n+7_e-ll 0 kCJMQ.+1 , COM B. ELIGIBILITY The information provided in this section is for purposes of determining whether you are eligible to serve on the City Commission: Ia. Are you duly registered to vote in Seminole County: Y),- (N)_ lb. Are you duly registered to vote in the City of Winter Springs? (Y).X— (N). 2a. Do you live within the City limits of Winter Springs: Y)) (N)_ 2b. What district do you reside in? 1)_ (2)____ (3)-X- (4)_ (5)_ 2c. How long (years and/or months) have you resided in the district.selected in 2b? 2d. How long (years and/or months) have you resided, iti the City? 3.Have you ever been convicted or found guilty, regardless of adj4dication, of a felony in anyjurisdiction?Any plea of nolo contendere (no contest) shall betonsidered a conviction for purposes of this question. Y)_ (N)X- 258 Rr=cF_iVED MAR 312021 CITY OF WINTER SPRINGS OFP CP 4a. r"F r-JTY CLERK a. Do you presently serve on any other City of Winter Springs board or committee? Y)_ (N)x_ 4b. Please list each: S. Do you have any private or personal interests which might conflict with serving the City's interests, if you were to be appointed to serve on this board or committee? Y)_ (N)_)L 6. Ali persons applying for .3 City Commission Spat must voluntarily consent to n standard criminal background check before being appoiW-ed. -Do you voiui-,tarilly consent to having a standard 'background check being performed on you by the City of Winter Springs? (Y) (N)_ 6a. Are you related to a City of Winter Springs Commission member by blood, adoption, or marriage? (Y)_ (N)$-- 6b. If yes to 6a, please provide relation: 7. 1 have read the attached information detailing the duties and powers of the Mayor and the Rules and Procedures of the City Commission. (Y))(— (N)— NOTE: The City of Winter Springs'City Commission has requested and encourages you to submit: 1) A brief Bio (to include background infbrmatior,,,information related to any applicable qualifications and current/previous community service) 2) Information related to whyyou would be a good candidate to fill this open Mayor Seat YOU HEREBY REPRESENT TO THE CITY OF WINTER SP'RINGS UNDER PENALTIES OF PERJURYTHATTHE INFORMATION PROVIDED HEREIN IS TRUE AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE AND THE CITY OF WINTER SPRINGS HAS THE RIGHT TO RELY ON THAT INFORMATION. YOU HEREBY ACKNOWLEDGE THE' EXISTENCE OF THE CODE OF ETHICS FOR PUBLIC OFFICERS, AND THE FLORIDA SUNSHINE LAW, WHICH MAY PERTAIN TO YOU IF YOU ARE APPOINTED TO SERVE AS MAYOR. I F APPOI NTED IT IS YOUR SOLE OBLIGATION AND DUTY TO COMPLY WITH SUCH LAWS. Signature: Date: Please return to: City of Winter Springs The Office of the City Clerk 1126 East State Road 434 Winter Springs, Florida 32708 2199 THE ORIGINAL QUALIFWNC APPLICATION AND ALL OTWP DOCUMENTS MUST BE COMPLETED WITH ORIGINAL.51GI%L4TURE.5ANDMUST BgA7LEDIN THE CITYCLEWS OFFICE BY )VON ON y 1L 1, 2 j` FAtb&RE To. TIMELY FILE ANAPRIL APPLICATION MA YRESUL TIN YOUR APPLICA TION NOT L*WG CONSIDERED BY THE CITYCOMMISSION.259 P.ECEIVED MAR CITY OF WINTER SPRINGS,FLORIDA CITY R S 2021 MAYOR APPOINTMENT OFFIck- b THE K 7* fi OTERSTATUSAND THIS COMPLETED AFFIDA V1 TOF QUALIFIED V FORM MUST BE Q0 C17YAND DISTRICT RESIDENCY PROVIDED TO THE CITY CLERK NO OFFICE OF THE MAYOR LATER THAN NOON ON THURSDAY, APRIL 1,2021 doh,-reby state that 1---ek to tl).City Mame oF Candidate(Print or TN/Pe) of Winter Springs' mayor of the city of Winter Springs to complete a four(4)year term previously held by Mayor Charles Lacey for the city of Winter Springs,Florida.I further swear or affirm: 1.) I am a qualified voter in the City of Winter Springs 2) My legal place of residence is: W (,;Qr))Iy)c,SpringskAlAesSprimsEl StreetAoVres.T-J city j State zip code 3.) Length of time of residency in the Ciiy of Winter Springs is: 4.) 1 am attaching two(2)documents,one to be a Florida Driver's License,as verification of my residency in the City of Winter Springs.The second document is: Signature Date bf% F1 —3Z70E 5treetAdclress jity j State zip Code State of Florida Countyof fL-'\Z jj,-J Swam to(or affirmed)and subscribed before me bymeans off-Cphisicalpresence or—onfline notarizationj this l J day of V 029- by C,{/'1 Personally known: OR Produced Identification Print r7hme ofperson making statement) TYLER TAYLOR g J @ V\,-4;-,H—P&O fr GG 279898Type6f1dentificationproducedg* aio or XP- 'ES:'November 27,2022 is Underwriter FOR OFFICE USE ONLY Copy of Florida Driver's License Provided for Item(5) Other documentation provided for Item(5) Revised 03/23/2021 260 There are several key qualities that 1 possess that would be advantageous for filling the position of Mayor. My work as a teacher has provided me with extensive experience in managing different visions, perspectives, and personalities as we work together to achieve a goal. I am able to provide effective guidance to my students and colleagues alike to ensure that outcomes are successful. I am comfortable with a diverse array of people and am skilled at making people feel respected and heard. My longevity with my school demonstrates the level of commitment and dedication that I would likewise demonstrate towards the Winter Springs community. Being a teacher also requires great organization and attention to details. Multiple levels of planning occur, from an overarching structure of how to cover the standards throughout the year to the day-to-day organization of each lesson, similarly to how a town has an overall vision that they are working to achieve while also managing individual projects and events. Despite that level of planning, however, flexibility is still necessary to ensure success. Sometime a well-planned lesson flops in a group of students, and it is necessary to make on-the spot adjustments in order to be effective. Other times, unexpected events may arise like special schedules or testing days that alter the plans. Being able to manage these changes easily and effectively will prove a valuable skill when issues arise while working towards the success of the city as mayor. But most of all, I feel like I would be an excel as mayor due to my passion for the community of Winter Springs. Since buying my house here in 2019, 1 have developed a deep level of appreciation for what Winter Springs has to offer its residents. It has a small town, connected feel similar to my upbringing in a small town in upstate New York. The safety and amenities available make it an incredible place to raise my daughter. We love going to the various parks and supporting local businesses and restaurants and have been impressed by the city events like the Movie in the Parks and the holiday lights in Central Winds Park. I am excited about the possibility to work towards continuing the great traditions of the community and ensure it remains a great place to live. RECiavrm MAR 3 . 2021 CITY OF WINTER SPRINGSOFFICEOFTHECITYC:l FRK 261 I am an OCPS teacher, spending my entire 14 year tenure at the same Title I school working to make a difference for our students. During that time, I have taken on leadership roles at my job, helping to organize and plan school events such as beautification day, literacy night, and math and science night. I was also elected by my fellow staff members to the Faculty Advisory Committee, of which I am co-chair, and serve as the Professional Learning Community Lead for 8th grade social studies. My mentorship roles include assisting new teachers in order to increase their efficacy as well as providing guidance and modeling for students in collegiate teacher preparation programs. I have a master's degree in educational leadership, which has given me insight in how to manage organizations effectively. Outside of the school setting, I also volunteer at my church, serving on the school board and participating in church workdays. At my daughter's softball games for Winter Springs Babe Ruth, I assist the team with scorekeeping. I have also helped with hurricane relief efforts, filling boxes of food to send to Puerto Rico. Since I moved into the Winter Springs community just months prior to the pandemic, I have not had the opportunity to become as involved as I would like in the community, but I look forward to increasing my participation in the future. RECIENVF-D MAR 3 . 2021 CITY OF VVINTE*F z, ,,- y CLERII, RINGS OFFICE OF THE C- 262 Florida L.., iyM TL elr:. GSl 3Q?iiE1C 6r i'"cCE "; rs. is7Cfi'SA?LIP iCC iaR e11j1 S;~R P!g1N65;;32798 QAB uaip limamm16—ts-8'-00' t2 nex e%c make 5 zm RECEIVED MAR 3 , ZOZI CITY OF WINTER SPRINGS OFFICE OF THP CITY CLERK 263 CITY OF WINTER SPRINGS Charges ie o UE UTILITY BILLINGall UP a- MON 7-61 TUE-FR18-5 1126 E STATE ROAD 434 SERVICE ADDRESS 1009 SAPLING DR ffrX PHONE:407-327-6996 I'g g - . r f Inco 1959 FAX:407-327-4753 PENALTIES 0.00 EMERGENCY:407.327-2669 Y r UTILITYBILLSOWINTERSPRINGSFL.ORG WWW.WINTERSPRINGSFL.ORGtUB PAYMENTS 260.00 CURRENT CHARGES $139.37 07/21/2020 TOTAL DUE BAL.15,Ndt BreakdownCharges Water Base 6.14 MONTHLY (NATER USAGE Water Usage 45.29 in gallons) Water Tax 5.14. 25000 Sewer Base 12.06 Se er Usa Stormwater Base 5.50 12500 Solid Waste Base 18.10 TOTAL CURRENT CHARGES $139.377 ',;_ 0 141i M W = M Sean this code to make DCl OCT 10 NOV 8 DEC 10 JAN 10 FE9 11 MAR 13APR 14MAY 12 JUN 12 F. a payment With your smartphone today! Meter Reading. rTQDays -'M'' t F`" e' € 'W,t04'r. ''I- 9 ,. 0 a s A w _. _ m 5112/20 6/12/20 31 77317937 2357960 . 2380000 22040 c rte..e'`vp''r ? i's!i .c"f' -f't S ,`rF-,FF.ti Sz x='Airirrrirs.°f" ='c`r,!.`3 F.•. 0 0 OMd0N M 0 K w G i`3 r 1J'P.,... _~:. -.a'" r ,..y 0 - f •7!O L a • a i These are difficult times and for some staying `' EaR Cole:'°' = cads current with their utility bill is a challenge.Self-Pay by Website eservices.winterspringsfl.org Payment extensions and installment plan r beak's well 0% arrangements can be made. Call our customer service group for the options. Self Pay by Phone 407-327-5991 N xN Please detach and return the bottom portion with your payment(Make Checks Payable to City 0f Winter Springs] Summary of Charges DUE ACCOUNT NUMBER 17728-002 CITY OF WINTER SPRINGS SERVICE ADDRESS 1009 SAPLING DR 1126 E STATE ROAD 434 WINTER SPRINGS,FL 32708-2715 PAST DUE CHARGES ,$0.00. CURRENT CHARGES, $139.37 07/2112020 Return Service Requested TOTAL DUE r.i _i..• 000001191 I=0001 1191 1 AV 0.386 CITY OF WINTER SPRINGS UTILITY BILLING CHRISTOPHER WENTZELL 1009 SAPLING DR 1126 E STATE ROAD 434 WINTER SPRINGS FL 32708-4006 WINTER SPRINGS, FL 32708-2715 00000000000017728002200000050493 CITY OF WINTER SPRINGS 111111 IIIA IIII 111111 VIII VIII VIII VIII VIII I I II IIII OFF.CF OP"IF aT..CLERK 264 l NOM I NATION PETITION All informa tiOn on tilis form becomes apublic record upon receipt by th e Supervisor OfElectiOns THIS COMPLETED t isa crime to knowingly sign more than one petition fora candidate.[Section 704.785FIorida Statutes] FORM MUST BE fallrequested information on this form isnotcompleted the form willnotbe vaildasa Candidate Petition Form. PROVIDED TO THE the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information card) 1 LATER THAN NOON voter of the City of Winter Springs,nominate f Yid G'l C wavy e-v ON THURSDAY, 1R DAY to complete the unexpired term ofOffice of Mayor of Winter Springs recently vacated by former Mayor Lacey. 021 yMM/DD/YYYY) I J 1E \. c 1J tate Cit Zip Code II ICity ounty i 32. D Date Signed(MM/DD/YYYY) Signature of Voter To be completed by voter] 313012-1 Rule 1S-2.045,F.A.C. I4~NOMINATION PETITION All information on this form becomes public record upon receipt by the Supervisor ofElections THIS COMPLETED It is crime to knowing/ysign more than onepetition fora candidate./Section 704.785 Florida Statutes] FORM MUST B Efallrequestedinformationonthisformisnotcompleted,the form willnotbe vaildasa Candidate Petition Form. PROVIDED TO THE the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information card) r „C,,, LATER THAN NOON i voter of the City of Winter Springs,nominate c ikY n4o lve_ — ON THURSDAY, o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 PP,Voler Rc "tin,t, mbei I l,I r ss M M/DD]YYYY) 11061 Iq 7 00©Sao i t City ountytate jZipCode 0 S'->C'l>'1 c S l']i lCJ t' I 3Z70F Signature of voter Date Signed(MM/DD/YWY) To be completed by Voter] Rule 1S-2.045,F.A.C. RECEIVED MAR 312021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 265 NOMINATION PETITION All information on thisform becomes a public recordupon receipt by the SupervisorofElections THIS COMPLETED ltisa crime to knowinglysign more than onepetition fora candidate.(Section 704.785Florida Statutes) lfallreq estedi formadononthisfor is not completed,the form will not be vaildasa Candidate Petition Form. FORM MUST BE PROVIDED TO THE I, the undersigned, a registered CITY CLERK T Please print nam%e as it spears on your voter i ornatio®n card) i_ LATER THAN NOON voter of the City of Winter Springs,nominate u4c...V\Zt.O ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recentlyvacated byformer Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address Au2 Uco- City ounty tate Zip Code Signature of V Date Signed(MM/DD/YYYY) To be completed byVoter] r 7 j 24D2.j Rule 1S-2.045,F.A.C. NOMINATION PETITION A//information on tl)is form becomes a public record upon receipt by the Supervisor ofElections THIS COMPLETED Itis crime to knowingTysign more than onepetition fora candidate.[Section 704.785Florida Statutes] lfallre uestedinform ojonthisformisnotcompleted,theformwillnotbevaildasaCandidatePetitionForm. FORM MUST BE lk the undersigned, a registered PROVIDED K THE CITY CLERK NO I Please print name as Trappears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate C krts""o nCr tuCni,-e1j ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recentlyvacated byformer Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DD/WVY) Viol It' I dG W Jei 002IQ r City r ountyftate Zip Code J!?70 Signature of Voter Date Signed(MM/DD/YYYY) To be completed by Voter] 02/0 1/ lily I i Rule 1S-2.045,FA Y- MAR 312021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 266 NOMINATION PETITION Alllnfbrmation on thisform becomes apublic record upon receipt by the Supervisor of Elections THIS COMPLETED It isa crime to knowinglvsign more than one petition fora candidate.(Section 704.785Florida Statutes) failrequestedinformation onthisformisnotcompleted,theformwillnotbevaildasaCandidate Petition Form. FORM MUST BE PROVIDED TO THE r1 G' 17[0i,4,4iV the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate v wce7+zel ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recentlyvacated byformer Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address JMM/DDM'YY) I 07 .,' //L,6 City ounty f tate Zip Code Sig nature• oter Date Signed(MM/DDAWY) I To be completed by Voter] 1 Rule lS-2. 5,F.A.C. NOMINATION PETITION xAll information On this form becomes a public record upon receipt by the Supervisor ofElections THIS COMPLETED It is a crime to knowinglvsign more than one petition for a candidate.[Section 704.785Florida Statutes] FORM MUST BEfallrequestedinformationonthisformisnotcompleted,the form will notbe vaildas a Candidate Petition Form.PROVIDED TO THE Ln C C 6ee Af l the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information carrd)) j_ LLLATER THAN NOON voter of the City of Winter Springs,nominate j z l ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recentlyvacated byformer Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address gMM/DD/YWV) 007 S W-6, ! "I City p tate Zipde signature of Voter Date Signed(MM/DD/YWY) Fro be completed by Vater] Rule 1S-2.045,F .. RF-c"EIVIED MAR 312021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 267 NOMINATION PETITION All information on this form becomes a public record upon receipt by the Supervisor ofElections THIS COMPLETEDItiscrimetoknowinglvsignmorethanonepetitionforacandidate.[Section 704.735Flonda Statutes) lfallrequestedinfor ationo this ormisn tcomplete th orrnwillnotbevaildasaCandidatePetitionForm. FORM MUST BE k. 11F, I,C"'N-1 1 e r, bins — - the undersigned, a registered PROVIDED TO THE CITY CLERK NO Please print name as it appears on your voter information card) kri's,,,pl fze!l LATER THAN NOON voter of the City of Winter Springs,nominate h'`'G/ ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recentlyvacated byformer Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DD/YYW) gity , ZipCode Wi o, e I losmt 06f( X01?( Signal:- o Voter Date Signed(MM/DD[YYW) To be comp) ted by Verj Lor--4/I Rule 1S-2.045,F.A.C. t NOMINATION PETITION All information on this form becomes a public record upon receipt by the Supervisor ofElections THIS COMPLETED Itisa crime to knowinglysign more than onepetition fora candidate.[Section 704.135 Florida Statutes) lfa0request dinformation n this form is not completed,the form willnot be vailclas a Candidate Petition Form. FORM MUST BE I, L PROVIDED the undersigned, a registered CITY CLERK THE NO Please print n e as it appears on your 120er inform:-tion card)LATER THAN NOON voter of the City of Winter Springs,nominate' ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Spring recently vacated by former Mayor APRIL 1,2021 Lacey. C,Y1So , y U iz ll Date of Birth OR Voter Registration Number Address MM/DD/YY" ofo xyl/ 1 f eR . jot 7' 0Y City ount tate Zip Code lel- Signature of Voter Date Signed(MM/DD/YYYY) To be completed by Voter] Rule 1 -2.045,F.A.C. RECEIVED MAR 312021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 268 NOMINATION PETITION Ailinformation on thisform becomes a public record upon receipt by the Supervisor ofElections THIS COMPLETEDItisacrimetoknowinglysignmorethanonepetitionforacandidate.(Section 704.05FIorida Statutes) IfaHrequested information on this form is not completed,the form will not be vaildas a Candidate Petition Form. FORM MUST BE the undersigned, a registered PROVIDED TO THECITYCLERKNO Please print name as it appears on your voter information card) r.Y'i`, LATER THAN NOON voter of the City of Winter Springs,nominate p 1 1( ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recentlyvacated byformer Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address t a MM/DID" ) I LAp l 1 V ct l , Cityounty tate Zip ode W 1"A,pin Y Signature of Voter Date Signed(M /WM/DDVY) ITo be completed by Voter] 31act IaoaI Rule IS-2.045,F.A.C. NOM I NATION PETITION All information on this form becomes a public record upon receipt by the Supervisor ofElections THIS COMPLETED Itisa crime to knowinglysign more than one petition fora candidate.(Section 704.735Floride Statutes) Ifall requested information on this form isnot completed,the form will not be vaild as a Candidate Petition Form. FORM MUST BE PROVIDEDTHE the undersigned, a registered CITY CLERK NO Please print name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate r11--46P1--1 LkkAtrzel? ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address f r S City, aunty tate Zip Code s P I Sig •re.t Voter Date Signed(MM/DDAWY) To be complet d by Voter] r Rule1s- :045,F.A.C. RIF-CF-IVED MAR 312021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERIC 269 NOMINATION PETITION ll information or)this form becomes a publicrecord upon receipt by the Supervisor ofElections THIS COMPLETED It is crime to knowinglysign more than one petition fora candidate.[section 704.785Florida Statutes) FORM MUST BEfallrequestedinformationonthisformisnotcompleted,the form will not be vaild as a Candidate Petition Form.PROVIDED TO THE f l yap Akx the undersigned, a registered CITY CLERK NO $ Please print name as it appears on your voter informationcard) LATER THAN NOON voter of the City of Winter Springs,nominate an'skok-er tucy*en ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recently vacated byformer Mayor APRIL 1,2021 Lacey.i Date of Birth OR Voter Registration Number Address City ounty t e Zip Code r Sig nature of Voter Date Signed(MM/DD/YYYY) To be completed by Voter] 03 JY7 Rule 1 2.045,F.A.0 NOMINATION PETITION ublicrecorduponreceiptbytheSupervisorofElections THIS COMPLETED A!linformationonthisformbecomesap Itis crime to knowinglysign more than one petition fora candidate.[section 704.185 Florida Statutes] FORM MUST BE lfallrequested information onthisformisnotcompletedtheformwillnotbevaildasacandidate Petition Form. PROVIDED TO THE a the undersigned, a registered CIN CLERK NO I E Please print name as it appears on your voter information card) LATER THAN NOON LtJ nl zet l ON THURSDAY, voter of the City of Winter Springs,nominate APRIL 1,2021 to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. X REGISTERED AT DIFFERENT ADDRESS Date of Birth OR Voter Registration Number Address MM/DDNYYY) c0 tate i p Code City w f, n( 93 ounty G mss Date Signed(MM/DD/YYYY) Signature of V er / To be completed by Voter] i!f Rule 1S-2.045,F.A.C. RECEIVED MAR 312021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 270 NOMINATION PETITION Allinformation on this form becomes a public record upon receipt by theSupervisorofElections THIS COMPLETED It is a crime to knowinglvsign more than one petition fora candidate.[Section 704.785Flonda Statutes) Ifall requested information onthisformisnotcompletedtheformwillnotbevaildasaCandidate Petition Form. FORM MUST BE x PROVIDED TO THE I, A the undersigned, a registered CITY CLERK NO Please print na a as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate 6,lArMopt--e ua&+.Zeli ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recentlyvacated byformer Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DD 1`?12- qw"Ar+(; r`z .2ci I City ounty tate Zip Code LA lfc, Signature of Voter ry Date Signed(MM/DD/YYVY) 1 r b lipleted by voter] l2-1 Rule 1S-2.0WFAI5, . Kl'-k NOMINATION PETITIONx AllinformationonthisformbecomesepublicrecorduponreceiptbytheSupervisorofElection THIS COMPLETED Itisa crime to knowinglysign more than onepetition fora candidate.[Section 704.785Florida Statutes) fallr ueste 'Tformationo /isfrmisnotcompleted,theformwillnotbevaildasaCandidatePetitionForm. FORM MUST BE PROVIDED TO THE the undersigned, a registered CITY CLERK NO Please print name sit appears on y r voter information{caarrd) LATER THAN NOON voter of the City c Winte prings,nominate C,ris o O ei'' ujem e-i( ON THURSDAY, to complete the unexpired term of Office of Mayor of Winter Springs recentlyvacated byformer Mayor APRIL 1,2021 Lacey. Date of Birth OR Voter Registration Number Address MM/DD/Y" 22 1 City ta atte Zip Code i ounty lllll K. I- L. Signature of V Date Signed(MM/DD/YYYY) Fo be compl ted by Vo r] 2 Rule ls-2.045,F.A.C. MAR 312021 CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 271 k NOMINATION PETITION All information on this form becomes apublic record upon receipt by the Supervisor ofElectionsItisacrimetoknowingiysignmorethanonepetitionforacandidate.(Section 704.785Florida Statutes)7faorequestedinformationonthis form isnot completed,theformwillnotbevai/dasaCandida tepetitionForm. THIS COMPLETED MUST BED the undersigned, a registered VIDED TO THEPleaseprintnameasitppearsonyourvoterinformationcard) TY CLERK NOvoteroftheCityofWinterSprings,nominate THAN NOONl.rttzel' THURSDAY,to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former MayorLacey. PRIL 1,2021 EDter Registration Number Address 1gs 15zco sraewick , Rnty Q tate L Zip Code Signatu r f Voter Date signed(MM/DDAI.(w) To be completed by voter] ( Rule 15-2.045,F.A.C. v\03 / 7 OZ NOMINATION PETITION Allinformation on thisform becomes epublic recordupon receipt bytheSupervisorofElectionsltisacrimetoknowinglysignmorethanonepetitionforacandidate(Section]04.785F/nrida Statutes] THIS COMPLETED7fallrequestedinformationonthisformisnot tccomp` let`eed tthhe form willnotbe vaildasa Candidate Petition Form. FORM MUST BE I' LITO6A anZ the undersigned, a registered PROVIDED TO THE Please print name as it appears on your voter information card) CITY CLERK NO voter of the City of Winter Springs, nominate LATER THAN NOON eHfZ 1/ ON THURSDAY,to complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor APRIL 1,2021Lacey. Date of Birth OR Voter Registration Number Address// ( MM/DD" O' l rhe 5prl' 3dl- /p city r t ountyt( j/ N rI(('N\ tate Zip Code Signature of Voter Signed(MM/DDA'Y y) To be completed by voter] iPule1S-2.045,F.A.C.DATE MISSING RECEIVIED LIAR 312021 CITY OF VONTER SPRINGS OFFICE OF THE CITY CLERK 272 NOMINATION PETITION All information on this form becomes a public record upon receipt by the Supervisor ofElections THIS COMPLETED It is crime to knowing/ysign more than one petition fora candidate.(Section 704785FIorida 5tatutesl lfallreAque_stedinformation onthis form isnot completed,theformwill not bevaildasaCandida tePetition Form. FORM MUST BE I, /_ tU_k j I the undersigned, a registered PROVIDED TO THE CITY CLERK NO Please print name as it appears on your voter information card) LATER THAN NOON voter of the City of Winter Springs,nominate MjS ON THURSDAY, o complete the unexpired term of Office of Mayor of Winter Springs recently vacated by former Mayor Lacey. APRIL 1,2021 Daic,of Bir^ C' ''v^er n;ai ..J.on:' .^.t,c P,ddr.. M M/D DAWY) 07 1-7 00 Ci ountytate Zip Code Signature of Voter Date Signed(MM/DD/VYYY) To lb^ e completed by Voter] Rule 1S-...:4S,F PtECEIVED MAR 312021 CITY OF VNNTER SPRINGS OFFICE OF THE.CITY CLERK 273 CITY OF WINTER SPRINGS 2021 MAYOR APPOINTMENT RE C IS,VVE D OATH OF CANDIDATE OFFICE OF THE MAYOR Al/persons who noworhereafterare emplowdbyor who now orhereafter are on the payroll ofthe sue:srdepajvna-is and egencies, bdivisior d.,str c vitarie.oranyfx-i the free publicschoolsystem of the state or countle4 orinstitudons ofhigher learning,and all candidates for public office,are required to take an oath before anyperson dulyauthor&ed to take acknowledgements ofinstruments far public record in the state-ff[87605 17)Florida statutes) Arlyperson seeking to qualifyforpublic office who fails orrefuses to file the oath requiredby this act shallbe held to have failed to qualifyas a candidate forpublic office,and the name ofsuch person shall not be printed on the ballotas a qualified candidate."187607 Florida Statutes) 1, (' a.ef Lj)-evT MP—\ k , a citizen of the State of Florida and of the United States of America, and a candidate for public office, do hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of Florida. Signature of Appointee Street Address sena city Stale Zip Code 274 C, STATE OF FLOPIDA COUNTY OF-- 1->-'- v Sworn to (or affirmed) and subscribed before m- by means of{_'physical presence or—onlline notarization} this- - k -,cdayof aC-,,- !LL-- 2021 by C- L)e,(4:ze, Personalk/ knO\A/ ) OP Producedldontific,:Itlon Type of Identification produced 3,lue-I, Signature of Notary Public - State of Florida TYLER TAYLOR My COMMISSION#GG 279898 zz EXPIRES:November 27,2022 PubiieundeNOtersBondedThatNo'P rM MAR 3 . 2021 TER SPRINGSFTHECI;jO OFFICE CV ,ITY CLERK RECEIVED MAR 3 , iu'iL CITY OF WINTER SPRINGS OFFICE OF THE CITY CLERK 275 mnw~~=-~~ `~ ---- M&Q 3 12921 CITY OF WKNTEP SPPINGS c"'r° woa Or*.CuurTHE CITY G m T OATH OF CANDIDATE OFFICE OF THE MAYOP ach oandidate.vvheche/ a party candidate.a candidate with no partyafD|iadun'ur a vv/itc:-in candidate, in order to qualify for nomination or election to any office other than a judicial office as defined in chapter lO5.shall take and subscribe to on oath or affirmation in writing. A printed copy of the oath or affirmation shall be furnished to the candidate by the officer before whom such candidate seeks toqua|ify—" [99.02] (1)(o) Florida Statutes] STATE DFFLOQIDA COUNTYOF Before me,an officer authorized to administer oaths, personally appeared Please Print&bmeAs You'Wish It ToAppearmotymecordsFor This Appointment) to me well known,who, being sworn,says that he or she is candidate for the office of Mayor;that he or she is a qualified elector of the City of Winter Springs,Seminole County, Florida;that heorshe is qualified under the Constitution and the laws of Florida to hold the office to which he or she desires to be nominated or elected;that he or she has taken the oath required by ss.876.05-876.1,0, Florida Statutes;that he or she has qualifie(A for no other public office in the state,the term of which office or any part thereof runs concurrent with that of the office he or she seeks;and that he or she has resigned from any office from which he or she is required to resign pursuant to s.99.012, Florida Statutes." Signature ofAppointee Street Address City State Zip Code 57' Svvorntoand subscribed before rnethis dayuf 2021,at Seminole County, Florida. Signature and Title of Office,Xclministeripq.Oath) My Comminion GG 913234NOPExpimsOWISM023 276