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HomeMy Public PortalAboutPRR 16-22317-h e Cid ���� of N. `Lest 'Palm Teach "The Capital City of the Palm Beaches June 7, 2016 Town of Gulf Stream Custodian of Public Records Via email: rtaylor@gulf-stream.org RE: PUBLIC RECORDS REQUEST Kelly Avery (last four SS digits DOE: 101111 - present Department of Human Resources 401 Clematis Street, 3rd Floor West Palm Beach, FL 33401 Tel.: 561-494-1000 Fax: 561-494-1035 Hotline: 561-494-1001 I hereby make this formal request pursuant to Chapter 119, Public Records Act, and Chapter 447, Public Employees Act, for all disciplinary records and performance appraisals to include the Employee Relations File, EEO File, Disciplinary Files along with any and all other files maintained by the Town of Gulf Stream including any investigations related to the individual's performance. I also request verification of employment dates with the Town of Gulf Stream for named individual. As you know, the Florida Public Records law stated that all records shall be open to be inspected and examined by any person desiring to do so. (Section 119.07, Florida Statues). In accordance with the Public Records Law, please notify us when the records will be available. We also agree that we will pay you for the actual cost of duplication, please advise if costs exceed $50.00. Please call Brenda Jenkins at 561.822.1744 when records are available and costs for such records. Please note that under Chapter 119.07 (2) (a) of the Public Records Law that a person who has custody of a public record and who asserts that an exemption applies to a particular Public Record or part of such record shall delete or excise from the record only that portion of the record with respect to which an exemption has been asserted and validity applies, and such person shall produce the remainder of such record for inspection and examination. Sincerely, Brenda Jenkins Brenda Jenkins Human Resources Analyst Department of Human Resources "An Equal Opportunity Employer" City of West Palm Beach Deoartment of Human Resources DISCLOSURE CONCERNING REQUEST FOR BACKGROUND CHECK REPORT The City of West Palm Beach (the "City") will obtain a consumer report (a background check report) on you In connection with your application for employment with the City, and If hired and/or a current employee, the City may do so at any time during the course of your employment with the City to the extent permitted by applicable law, for employment-related purposes. The Clty also may order an "investigative consumer report." An "Investigative consumer report" is a background report that Includes Information from personal interviews (except In California, where that term Includes background reports with or without personal Interviews). The most common form of Investigative consumer report Is an Investigation Into your employment history. The City will obtain the report(s) from the following consumer reporting agency: ScreeningOne, Inc. 1860 N. Avenida Republica de Cuba, Tampa, FL 33605 Phone: (888) 327-6511 Fax; (888) 216-1003 www.5creeninaOne com (the "Agency"). The Agency's privacy policy can be found at www.ScreeningOne.com. The report will contain information relating to your character, general reputation, personal characteristics, and/or mode of living. The types of Information that may be obtained Include, but are not limited to, background references; employment history; credit reports; criminal and civil court, education, and driving records; public Internet posts; and verification of prior employment. The Information In the report will be obtained from private and public record sources, and, In the case of an Investigative consumer report will Include personal Interviews with sources, such as former employers, friends and associates. You may request more information about the nature and scope of any Investigative consumer reports by written request to: the City's Human Resources representative. A summary of your rights under the Fair Credit Reporting Act has been provided with this form. AUTHORIZATION FOR BACKGROUND CHECK REPORT I have carefully read, and I understand, this Disclosure and Authorization form. By my signature below, I consent to the release to the City of West Palm Beach ("City") of consumer reports and Investigative consumer reports (i.e. background check reports) prepared by a consumer reporting agency. If I am hired by the City and/or working as a current employee, I understand that the City may rely on this Authorization to obtain additional reports on me from the agency or other consumer reporting agencies during my employment without asking for my consent again, to the extent permitted by applicable law. I also authorize all of the following to disclose to the Agency and Its agents all Information about or concerning me, including but not limited to: my past or present employers; leaming institutions, Including colleges and universities; law enforcement and all other federal, state and local agencies; federal, state and local courts; the military; credit bureaus; drug and alcohol testing facilities; motor vehicle records agencies; all other private and public sector repositories of Information; and any other person, organization, or agency with any Information about or concerning me. The information that can be disclosed to the Agency and Its agents Includes, but Is not limited to, Information concerning my employment and earnings history, education, credit history, motor vehicle history, criminal history, military service, professional credentials and licenses. The following Is my true and complete legal name and all Information Is true and correct to the best of my knowledge. I understand that dishonesty will disqualify me from consideration for employment with the City and, if I am hired and/or are currently employed by the City that such dishonesty could result In the termination of my employment. that I have received a copy of the following documents: (1) "Disclosure Concerning Request for >ck Report"; (2) "A Summary of Your Rights under the Fair Credit Reporting Act". 61Ut O Date Para lnformaclon an espanot, visite www.consumerfinance.gov/learnmore o ascribe a In escrlbe a fa Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, DC 20006. Jf rtr4i g City of West Palm Beach Department of Human Resources APPLICANT'S INFORMATION lelmo-11-1-1 Middle Name or Initial First Name I /6rb I 1= 10111110112171 Last Name Date of Birth (MMDDYYYY) Other Names Known B Male Female Social Security Number Primary Telephone Number (no dashes) D0 3 s Current Address Apt # #yrs at this address ) City Previous Address State Zip Code Apt # #yrs at this address ■■■ r�neo■oo©©©©a®■■■ ©o Driver's License Number (no dashes) License State Email Add ess : J; e CD aoWoic� Signature Today's Date (MMDDYYYY) 2 Rita Taylor From: Bill Thrasher Sent: Thursday, October 13, 2011 5:55 AM To: Rita Taylor Subject: FW: Kelly's Resume Attachments: positiveoutlook.docx 14 positiveoutlook.doc x (25 KB) Please print two copies of this attached resume. Give one to Gary if you think we should consider this person. This person has been recommended by the F/D of Lake Park. You will see see has a lot of clerk experience, however that may have been the structure where she worked as some governments have the clerk handle the records and the finance, as in Ocean Ridge. She apparently knows "fund accounting" but we have to be sure on that one. I think we, you Gary and I, might have a 3-5 minute telephone interview with her to get an idea of her personality and skill set. However, I won't do that unless we all agree to do SO. BT -----Original Message ----- From: Anne Costello [mailto:acostello@lakeparkflorida.gov] Sent: Wed 10/12/2011 4:59 PM To: Bill Thrasher Subject: FW: Kelly's Resume Bill, Attached is Kelly's resume. Anne Anne M. Costello Director of Finance Town of Lake Park (561)881-3350 (561)881-3358(Fax) acostello@lakeparkflorida.gov<mailto:acostello@lakeparkflorida.gov> From: DJC120455@aol.com [mailto:DJC120455@aol.com] Sent: Wednesday, October 12, 2011 4:39 PM To: Anne Costello Subject: Fwd: Kelly's Resume From: To: djcl20455@aol.com Sent: 10/12/2011 2:43:14 P.M. Eastern Daylight Time Subj: Kelly's Resume Here is my resume .... :) 1 Kelly I. Avery phone: Areas of Expertise Qualifications Summary • Highly effective accounting professional with over a decade of experience Business implementing measurable change in the government and business sectors Accounting . Highly organized and effective manager who is adapt at dealing with all aspects of business accounting in a cross -functional environment Government • Documented track record of success in working with all levels of management to Administration accomplish project outputs, milestones and aims on schedule • Technically proficient and possess excellent command of verbal and written Purchasing communication skills. Budgeting • Experience in many different accounting software programs, Utility Billing Software, Microsoft Office, GIS software, municipal government (police) software, Auditing Internet • Former Illinois Notary Documented Experience Deputy Town Clerk • Town of Lake Park 2011/Current • Lake Park, FL • Attends Commission meetings as needed and records the minutes of such proceedings • Transcribes meeting minutes and prepares them for approval by the Town Commission • Assists in preparing, tracking, and publishing items for the Commission meeting agendas • Performs lien searches • Responds to public records requests and responses to inquiries from the general public • In the absence of the Clerk, performs the duties of the Town Clerk by exercising sounds judgment and discretion • Performs other duties as directed Deputy City Treasurer /Administrative Manager • City of Marquette Heights 2003/2011 • Marquette Heights, IL • Responsible for managing and overseeing the daily operations of the main city office. • Administrative manager responsible for conducting and overseeing the daily business activities of the city including human resources, financial management, and statutory clerk functions. • 4 + years of Supervisory experience • Responsible for entire Utility Billing/Collection process for City Water Department. • Prepared budgets and implemented city policies. Responsible for maintaining city records of council proceedings, handling correspondence on behalf of the city, preparing agendas and executes any assignments given by the council. • Official responsibility for accounting for all receipts and disbursements in regard to city funds. Responsible for prepare and maintaining a variety of financial records including accounts payable, accounts receivable, payroll and investments. • Manage all aspects of city financial reporting including Budgets, Levies and Appropriations. • Handle all other aspects of customer service to the citizens of Marquette Heights and other constituents Kelly I. Avery phone: Accounting Administrator / Warehouse Logistics • P.A.R.C. 1997/2003 • Peoria, Illinois • Worked with over 650 children and adult clients with developmental disabilities in a community-based organization which specializes in intervention services, rehabilitation services, transitional services, vocational training, respite services, clinical and family support services, specialized services and community-based residential setting. • Managed client checking accounts for over 30 clients with developmental disabilities. Responsible for handling receipts, payments and reconciliation of client registers. • Accounts payable/receivables administrator responsible for cash receipts, purchasing and inventory management. • Inventory Manager responsible for keeping materials, parts, products and stock items supplied and readily accessible. Maintained records and ordering stock, forecasting future stock requirements based on known requirements. • Responsible for handling many general office secretarial duties including client services, data entry, direct and phone support. Professional Development 2008 — Illinois Municipal Treasurers Course, 5 Year Continuing Education Program (CIMT) Education 2010 - AAS in Criminal Justice — Illinois Central College, East Peoria, IL 1995 — General Studies, Southern Illinois University, Carbondale, IL OMB No. 1615-0047; Expires 08/31/12 Department of Homeland Security Form I-9, Employment U.S. Citizenship and Immigration Services Eligibility Verification Read instructions carefully before completing this form. The instructions must be available during completion of this form. ANTI -DISCRIMINATION NOTICE: It is illegal to discriminate against work -authorized individuals. Employers CANNOT specify which document(s) they will accept from an employee. The refusal to hire an individual because the documents have a future expiration date may also constitute illegal discrimination. at the time Print NLost First Middle Initial Maiden Name Z _ � I am aware that federal law provides for latttest, under penalty of perjury, that 1 am (check one of the following): Or A citizen of the United Stales imprisonment and/or fines for false statements or use of false documents in connection with the ❑ A noncitizen national of the United States (see instructions) completion of this form. ❑ A lawful permanent resident (Alien #) ❑ An alien authorized to work (Alien #or Admission#) until (expiration date, if appligable-monrh/davh'ear Employee's SignannIX, / // A /V/, r I _ Date (monthVday,yvar) I I I attest, ofpedwy, that I have aargt i . the Completi(n�flhis form and that to the bear ofmy knowledge the information is true and correct. Preparces/franslator's Signature bb I Print Name Address (Street Name and Number, City, State, Zip Code) I Date (month/day/year) Section Z. Employer Kevlew and Verification (l b be completed and signed by employer. Examine one document from List A OR examine one document from List B and one from List C, as listed on the reverse of thisform, and record the title, number, and expiration date, if any, of the document(s)) List A OR List B ANDList C Document title: ,f7 L Issuing authority: �` / / Document #: Expiration Date (fany)` Document #: Expiration Date (ifany): CERTIFICATION: I attest, under penalty of perjury, that I have examined the document(s) presented by the above-named employee, that the abovtiRsted document(s) appear to be genuine and to relate to the employee named, that the employee began employment on (month/daylyear) lC -3 j - /I and that to the best of my knowledge the employee is authorized to work in the United States. (State employment agencies may omit the date the employee began employment.) a.i'C :� '- L'c.c�I A.Vr� L v A. C. If employee's previous grant of work authorization has Document Title: Document #: Expiration Date (ifany): I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if the employee presented document(s), the document(s) I have examined appear to be genuine and to relate to the individual. Form I-9 (Rev. 08/07/09) Y Page 4 Florida New Hire Reporting Form Send completed forms to: Florida New Hire Reporting Center PO Box 6500 Tallahassee, FL 32314-6500 Fax: (850) 656-0528 or toll-free fax 1 (888) 854-4762 To ensure the highest level of accuracy, please print neatly In capital letters and avoid contact with the edges of the boxes. The following will serve as an example: EMPLOYER INFORMATION Federal Employer ID Number (FEIN) (Please use the same FEIN that appears on your quarterly wage reports you submft to the State): D Is (will) medical insurance be available to employee? Y/N Florida Em to er Unem to ent Compensation (UCT-6) Number: *optional information Employer Name: [11010)1 ID1F (�uLj-F _5-T .M Employer Address: Employer City: Employer State: Zip Code (5 digit): IG I LA ILIE1 ISITIOLIAM� 33 g3 Employer Phone: Extension: Employer Fax: -5-71-DIU-1 L -PI I I I I I I sLp I I Ij 13-7fl I I g8" Contact Name: S1__ L Z fM T A 'S CA Employee Social Security Number (SSN): EMPLOYEE INFORMATION Employee First Name: Middle Initial: jWjEjLjL L Employee Last Name: E Employee Address: Employee City: Employee State: Zip Code (5 digit): Date of Hire: Date of Birth: 10 i t D1qI x-15` Reports must be submitted within 20 days of date of hire or rehire REPORTS WILL NOT BE PROCESSED IF REQUIRED INFORMATION IS MISSING 0 Questions? Call us at (850) 656-3343 or toll-free 1 (888) 854-4791 Rev (01/06) 0 Memo To: Bill Thrasher From: Kelly Avery Date: 4/30/2012 Re: End of Probationary Period As of May 1, 2012, 1 will have officially been at the Town of Gulf Stream for 6 months. This would mark the end of my probationary period. At hire, it was stated that I would then be increased to a wage of $45,000/year once my probation period has been fulfilled. Would you please grant me the authorization to change this in the computer files as well as get enrolled in the 401 K program? Thank youll INTER -OFFICE MEMORANDUM TOWN OF GULF STREAM, FLORIDA TO: Bill Thrasher, Rita Taylor DATE: 7/22/13 RE: Jury Duty I just wanted to make you aware that I have been asked to do jury duty starting August 5, 2013. Let me know if you have questions/concems about this. I = I - ACKNOWLEDGEMENT OF RECEIPT I� PALM BEACH COUNTY - a CODE OF ETHICS TRAINING Legal Name: Kelly Avery (Please print clearly) Employee Identification Number: Agency/Municipality: Town of Gulf Stream Department/Board: Administration Check those items that apply I acknowledge that I have read a copy of the Palm Beach County Code of Ethics (printed or posted on the intranet/internet) and completed additional training by: [, ] Watching the Code of Ethics Training Program on the Intranetlinternet. [ ] Watching the Code of Ethics Training Program on DVD. [ ] Attending a live presentation given on 20_. I understand that I am responsible for understanding and abiding by the Palm Beach County Code of Ethics as I conduct my assigned duties during my term of employment. I also understan, Y that the information in this policy is subject to change. Policy changes will be communicated to me bye my supervisor or through official notices. Advisory 8/21/14 (Date) form to to Appropriate Municipal Representative PLEASE SUBMIT THIS FORM TO APROPRIATE PARTY AS HIGHLIGHTED ABOVE PLEASE DO NOT SUBMIT THIS FORM TO THE COMMISSION ON ETHICS 300 North Dixie Highway, Suite 450, West Palm Beach, FL 33401 PHONE: 561.355-1915 FAX: 561.355-1904 Hotline: 877.766.5920 E-mail: ethics@palmbeachcountyethics.com Website: www.12almbeachcountyethics.corn Rev. 08/2013 TOWN OF GULF STREAM APPLICATION FOR EMPLOYMENT An Equal Opportunity Employer 100 Sea Road Gulf Stream, Florida 33483 (5 61) 276-5116 FOR OFFICE USE ONLY Application No. Date Posted (PLEASE PRINT PLAINLY IN BLUE OR BLACK INK) PERSONAL INFORMATION Date: )D I3 1 Name (F' sI) (Middle) Social Security Number �(Lpast) vli lrif. Mailing Acldrprlis City, State and ZIP Code Telephone Number Mori Driv r'sLicense Numbcr (Only if applicable to position) _ _ CDL () Operator (� Are you a citizen of the United States or a registered alien? ...................................................... Yes 1q No ( ) Have you ever been convicted of an offense against the law or forfeiled collateral, or arc you now under charge Cor any offense against the law? You may omit traffic violations for which you were fined S30 or less, and any offense committed prior to your 21st birthday that was finally adjudicated in a juvenile court or under a youthful ofrender law ................................................... Yes() No K While in the military, were you ever convicted by a general court martial ............................................ Yes () No K If the answer is "Yes' to any of the above, give details below. For each ofreme, show the date, charge, place, court, and action taken. Attach extra sheets of paper it nc=sary. NOTE: A conviction does not automatically mem you will not be Iwed. �1J. I�xIZ'e'1� Have you ever been employed by the Town of Gulf Stream before? If so, give data of employment: EDUCATION CIRCLE HIGHEST GRADE COMPLETED Grade School 1 2 3 4 5 6 7 8 High School 1 2 3 4 College 1 Q 4 Graduate 1 2 3 4 Schools Name/Address Major Did you Degree graduate? High School or GED A JAOK QA UKW)�---�1 College 1� Yom- E ( .�--� ,Wlmxlei S A J Graduate School Vocational School \ Other Training JOB INTEREST Position Applied F�orr:�j g S i t-Ef Date you cut begin: d Salary Desired: op oq- moto Will you accept: Temporary Work Yes O No 00 Part -Time Work Yes O No,< z. 3. aRii i •rasa.,{1tfICI JL'KV1l.Li- KC,(:Vi� Were you in the United Sates Armed Forces? Yes () No X) If 'Yes,' what branch? Dates of Duty, to Grade at Discharge: 'Type of Discharge: List duties in service, including special training received: Veterans Preference: YES NO SPECIAL SHILLS, APTITUDES and OTHER QUALIFICATIONS List details of all skills, aptitudes and other qualifications that you feel are relevant to cmploymenL Typing Speed: —_.2D words per minute Shorthand wpm Speed Writing wpm Office machines you can operate clLciently. \ X11" I TIPYlAY4aR Machinery or heavy equipment you can operate efficiently. Scholarships, fellowships, honors, etc, you have received: ipccial qualifications and skills (licenses, certificates, memberships in professional organizations or societies, etc.): T e nod �c ,er t>e� a-0 dvrc L/ , T Urer' e Qxv . :EFERENCES (Excluding former employers and relatives) Name and Occupation Address Phone Numbers (Day and Evening) r� Sb )- U? (O- i) lJ t 3DR-ayl-�99c�£� Additional copies of the inserted page for PRESENT AND PRIOR EMPLOYMENT may be made by the applicant or requested from Town Hall, as necessary. PRESENT AND PRIOR EMPLOYMENT List below all present and past employment, beginning with your most recent. All spaces must be completed. A resume may be submitted but it cannot substitute for completing the questions below. Da not answer a question below with "see resume." Name and Address of Company and Type of Business: �UY�I C l PQ tDescribe May we contact your prbsenUmost recent employer at this time? Yes No ( ) If"No," when? Hired Month[Year Job Title: �� Uj f.L Starting Salary Last Salary t I i S ifo•V Lefty the work you did: \ m(7111yc Sy 11� nS�A' CAPg� yryla-r_� r/LjgC' Name and Title of Supervisor V1 Vic, ,)k— Month/Year 1 Telephonep:.44�� Reason For Leaving: �Q (� ' p�j r' nu Name and Address of Company and rType of Business: ``►16 Z in�Anl►� �( Hired7 r� M�/E�ea b Title: �,..i•I V12D310e ry` tn-`1 �di�l/�nCta�L Starting Salary Last Salary q. hr 17 h Left •t� Month/Year Desicibe t w rk you did: "/ 1A I r/� {OI��'17�1 A �F' II q, ffrV6fd I WMACp) Name and Title of Supervisor Telephone: ` r Reason for Leaving: �^) Name and Address of Company and T e of Business: jP q I Vl` �e �t (") W - J 1 Hired S/ Rn Month/Year Job Title: &n� r vkup I �p � Starting Salary Last Salary (�•� Q Left Month/Year Describe the work you did- �'� �}-UUQ'� DQLZJrL-YJ) )p Name and Title of Supervisor Telephone: I p p�� 3e g-(Pq 1'V DVD 1 Reason for Leaving: r 43,0YiUVI'1 Additional copies of the inserted page for PRESENT AND PRIOR EMPLOYMENT may be made by the applicant or requested from Town Hall, as necessary. 11/14/2011 04:41 5618013314 TOWN OF LAKE PARK PAGE 02/02 ACKNOWLEDGEMENT OF RECEIPT PALM BEACH COUNTY CODE OF ETHICS TRAINING FOR MUNICIPAL EMPLOYEES, ELECTED/APPOINTED OFFICIALSAND ADVISORYBOARD MEMBERS Check those items that apply I acknowledge that I have read a copy of the Palm Beach County Code of Ethics (printed or posted on the intraneVinternet) and completed additional training by: ❑ Watching the Code of Ethics Training Program on the Intranet/Internet. ❑ Watching the Code of Ethics Training Program on DVD. Attending a live presentation given on I understand that I am responsible for understanding and abiding by the Palm Beach County Code of Ethics as I conduct my assigned duties during my term of employment. I also understand that the information in this policy is subject to change. Policy changes will be communicated to me by my supervisor or through official notices. i cw (Clearty Print the Name of Your DepartmentlBoard) (Date) Employees: Submit signed tone to yourDepertment Head Department Heads; Submit signed tones to Records, Human Resources Advisory Board Members: Submit signed forms to Appropriate Municipal Representative PLEASE SUBMIT THIS FORM TO APROPRIATE PARTY AS HIGHLIGHTED ABOVE PLEASE DO NOT SUBMIT THIS FORM TO THE COMMISSION ON ETHICS 2633 Vista Parkway, West Palm Beach, FL 33411 561.233.0724 FAX: 561.233.0735 Hotline: 877.766.5920 E-mail: ethics@palmbeachcountyethics.com Website: www.paimbeachcountyethics.com C f: 9 cL CD f7 � o O v� ���-tt 'O C CD CD CD O ECD. o a. -% CD 0 In CL 0 O � CD En En iz.. i rCD r-} C7 e --f CD 0 CD CD O A� n 0 o_ rD CD tr1 n � N y � T v D CL C f: 9 cL CD f7 � o O v� ���-tt 'O C CD CD CD O ECD. o a. -% CD 0 In CL 0 O � CD En En iz.. i rCD r-} C7 e --f CD 0 CD CD O A� n 0 o_ rD CD tr1 O -1.) A) O O 0. CD CD < ¢- CD w CD 0. CD O 0 Ln El CD 't3 CD O -h CD CD O Q CD 'CS VCD V ' CD rr CD O UQ 0. O O r FD 0. m CDD n CD CD O CD CD ^O, ^W l/ O CD 0. UQ CD r� jg� O =' cn .Y O CD (D 'O CDD ry r -f- CLCD F O � 'o < CD (D O S1. N y. 'oCD v ' r c.. t CD O CL 0 n � a O RM (D n R� CD O a CD CD CD �r O n O Q- rQ rDZ T� r 1 Imw Er fooll' fb b e G c rt cn tz A Pv y � � N R a a e G rt A y a ^ a rt INTER -OFFICE MEMORANDUM TOWN OF GULF STREAM, FLORIDA OFFICE OF THE TOWN MANAGER WILLIAM H. THRASHER DATE: June 9, 2015 TO: Town Employees RE: Reporting Procedure To Office of the Inspector General The current Palm Beach County Sec. 112.3187 — 112.31895, Florida Statutes require adding the following language to the Towns "Personnel Policy Handbook". Per Article XII, Section 2-922, Palm Beach County Code, the Office of the Inspector General (OIG) was established in 2010 to "Enhance Public Trust in Government ". The OIG has complete independent oversight authority at both County and Municipal levels to ensure accountability and transparency to the citizens of Palm Beach County. The Town employees who wish to report mismanagement of contracts, fraud, theft, bribery, or other violations of the law which appear to fall within the jurisdiction of the OIG, shall notify their supervisor, Town Manager or the OIG. The Town Manager shall notify the Inspector General of the aforementioned possible violations. For more information on compliance, definitions, general questions and fill 01G duties, employees can contact the OIG, or visit website, www pborouorkloir This proposed language will be presented to the Commission for approval at the July 10, 2015 regular meeting. However, please consider this personnel policy addition as it has been approved and therefore to be practiced and usable immediately. Employee Ntime Employee' ature _ IC/ Date Si ed y x T O 0 O ry a0 z •• n azo zC7 yz> .c W CD r _h n� 0) D :. N O a a' N0 00 my CDB CD rt A 0 � b � CD D < CL (D 0 Mr. Thrasher and Ms. Taylor — I do not want my personal information (address, phone number, etc.) made public due to the fact that I have been a victim of domestic abuse in the past. I do not want my information to become public in fear that my ex will get my information. I believe my information is exempt under this statute pursuant to FI. Stat. 119.0720). September 9, 2014 • Early 2014, after an ARPB (Architectural Review and Planning Board) meeting, I went into the Commission chambers to bring an item to someone attending the meeting. Mr. O'Boyle said my name as I was leaving the chambers. I stopped and he went to put his arm around me. I moved in a way that he wasn't able to completely get his arm around my shoulders. • Shortly before Election Day, 2014, Mr. O'Boyle was out in the Lobby of Town Hall and he stopped me. He started speaking to me asking if I would wear his campaign pin. When I refused to wear the pin in the conversation, he made it a point to tell me that he knew where I lived. • On August 27, 2014, Mr. O'Boyle came to the office and gave me verbal records requests. When I told him I was going to have to get the items together, he told me that was fine. He said that if it was going to take too long to come and tell him. He stated that he was going to leave and when he did he was going to give me a hug and kiss before he left. I brushed it off. I came back and told him it would take a little while to gather the requested documents. He stated to leave and went to hug me. I did not reciprocate and he could tell I wasn't going to return the hug. So, he decide to stop the hug. As he began to leave, he proceeded to kiss the top of my head. • On September 5, 2014, Mr. O'Boyle again came to the office to make verbal records requests. At some point during the conversation, he placed his arm around me. I quickly shrugged out of the embrace. Later, Rita came out of her office and he placed his arm around her as well. \ 1d, GC Kelly Avery "r 9/18/15 Mr. Thrasher & Ms. Taylor — I do not want my personal information (address, phone number, etc.) made public due to the fact that I have been a victim of domestic abuse in the past. I do not want my information to become public in fear that my ex will get my information. I believe my information is exempt under this statute pursuant to FI. Stat. 119.072(j). J�w' WC) -,k PALM BEACH COUNTY MUNICIPAL CLERKS ASSOCIATION CERTIFICATE OF APPRECIATION ION Awarded to Kelly Avery 2014-2015 Website Committee Member Thank you for your dedicated service to the Palm Beach County Municipal Clerks Association and its member. Presented thys-�d day of October, 2015 Q&ra R. Buff, MMC, Pi'Kdent Palm Beach County Municipal Clerks Association PALM BEACH COUNTY M[UNICIPA]L CLERKS ASSOCIATION CERTIFICATE OF APPRECIATION Awarded to Kelly Avery Secretary 2014-2015 Thank you for your dedicated service to the Palm Beach County Municipal Clerks Association and its member. Presented this 229d day of October, 2015 DeWa R. Buff, MMC, President Palm Beach County Municipal Clerks Association \�/ � � � � � � .� �: . _ �re9� � , '�' ..� � ,•1 I l � ,� 1 ) ,� �1,. , r , � /j '' �..,. '��� f.��QGJlH `�J� C: 2.zo �-j071 O 'a M CD � o G7 � CD O _ d CD r+ CDCD -- N CL CD 0 CD rb cC/) CD CD0 CD CD CD o U m -n�.. c !_ o (D O o (n -� r' rotN N a' C O � � n (D �• O C �- C 0 tt CD CD y M� 0 r z o y CDC oCD C) p� aC d G G O y O (D ^ CD y ry 'moi O Q C) N 6 CDc � 00 w CD O O N N N CD CD O A] O 0 Q CD En CD w E� �CD m o r a (D° Q CD o w O � by P-. � • � ¢' (D N p O CL N CCD o o cr CD O m X a �• o ~• 0 U0 C y CL 0 tt CD CD y M� 0 r May 31, 2016 Please accept this notice as my official letter of resignation. My last day of work will be June 17, 2016. TOWN OF GULF STREAM PALM BEACH COUNTY, FLORIDA Delivered via e-mail June 8, 2016 Brenda Jenkins [mail to: Bjenkins@wpb.org] Re: GS #2231 (Public Records Request) I hereby make this formal request pursuant to Chapter 119, Public Records Act, and Chapter 447, Public Employees Act, for all disciplinary records and performance appraisals to include the Employee Relations File, EEO File, Disciplinary Files along with any and all other files maintained by the Town of Gulf Stream including any investigations related to the individual's performance. I also request verification of employment dates with the Town of Gulf Stream for named individual. Dear Brenda Jenkins [mail to: Bjenkins(@wub.oral, The Town of Gulf Stream has received your original record requests dated June 7, 2016. Your original public records request can be found at the following link: htto://www2.gulf- stream.ora/weblink/0/doc/91741/Pasel.asox. Please refer to the referenced number above with any future correspondence. You will find all responsive documents at the same above link. The dates of employment are 10/31/2011 through present. We consider this request closed. Respectfully, Town Clerk, Custodian of the Records