w. m.d. i 8 jun 2009 - guamlegislature.com. 30gl-09-0690 governor...felix p camacho go-vernor...

Felix P. Camacho Governor

P.O. Box 2950 Hagatfia, Guam 96932

TEL: (671) 4 72-8931 • FAX: (671) 4 77-4826 • EMAIL: [email protected]

Michael W. Cruz, M.D.

Lieutenant Governor

Honorable Judith T. Won Pat, Ed.D. Speaker IMina' Trenta Na Liheslaturan Guahan 155 Hesler Street Hagatila, Guam 96910

Dear Speaker Won Pat:

0 8 JUN 2009

On April 26, 2006, Marian Pizarro was appointed to the Guam Contractors License, and her appointment and original supporting documents were transmitted to I Liheslaturan Guahan. Now, therefore, by virtue of the authority vested in me pursuant to the Organic Act of Guam and the local laws applicable to the following position, I am pleased to appoint Ms. Marian Pizarro.

APPOINTEE: Marian Pizarro

POSITION: Member, Guam Contractors License Board

TERM LENGTH: Four ( 4) Years from the Date of Confirmation

This appointment is subject to the advice and consent of I Liheslaturan Guahan.

Q::::A--FELIX P. CAMACHO I Maga'lahen Guahan Governor of Guam

Enclosure

f ~9(}

I "-0

Felix P Camacho Go-vernor

Michael W Cruz, M.D.

Lieutenant Governor

Marian Pizarro P.O. Box 22976 Barrigada, Guam 96921

Dear Ms. Pizarro:

0 8 JUH 2009

On April 26, 2006, you were previously appointed to serve on the Guam Contractors License Board. Because your appointment was never confirmed by the Guam Legislature, it is necessary that we resubmit your appointment application. Now, therefore, by virtue of the authority vested in me pursuant to the Organic Act of Guam and the laws of Guam applicable to this position, I hereby appoint you to serve as a Member of the Guam Contractors License Board.

This appointment is effective today and is subject to the advice and consent of I Liheslaturan Guahan. Please contact the Governor's Office at 472-8931~6 for further processing of your acceptance.

Sins ern yan Magahet,

FELIX P. CAMACHO I Maga' lahen Guahan Governor of Guam

OFFICE OF THE GOVERNOR GUAM

AFFIDAVIT

I, MARIAN PIZARRO, being first duly sworn, deposes and sayeths:

1. That I have read and reviewed the information contained m the attached Nomination Letter from the Governor of Guam.

2. That the matters contained in the Nomination Letter and all attachments thereto are true and correct.

3. That this affidavit is made for the purpose of complying with the requirements of 4 GCA §2103.5.

I declare under penalty of perjury that the foregoing is, to the best of my knowledge, true and correct.

2009.

MARIAN PIZARRO

SUBSCRIBED AND SWORN TO before me this :1£ day of s~

YCRUZHADDO NOTARY PUBLIC CK

M C In and for Guam, U.S A

pb_ ~~~~~g~~~~;;~: get: 03,2012 Phone: 671 4 75_9~~"; 96932

OFFICE OF THE GOVERNOR GUAM

The following is information required for submission to the Speaker of I Liheslaturan Gw'ihan in accordance with 4 G.C.A. § 2103 .5 ofthe Guam Code Annotated.

I. Citizenship:

2. DOB: Lojli/ 71 Age:

3. Residential Address (NOT mailing address):

Lbop

4. Have you ever been convicted of a crime? Yes

If yes, please explain:

5. Have you ever been declared mentally incompetent by any court? Yes No X'

6. Have you ever been found not guilty or not punishable in any criminal proceedings by reason of insanity? Yes__ No-¥-

If yes, please explain :

7. Have you ever been confined to a mental institution? Yes No_K If yes, please explain:

SIGNATURE DATE

Appointment app I ication TODAY'S DATE:

DDirector

POSITION 0Deputy Director APPLYING FOR: 0Boards/Commission

OOther

AGENCY/DEPARTMENTIBOARDS/COMMISSION DESIRED: List top 3 choices.

1.

2.

3.

CITY

! HOM

STATE

u WORK PHONE:

SOCIAL SECURITY NUMBER:

LICENSES: TYPE

BACKGROUND INFORMATION

EXPIRATION DATE

List your prior Government of Guam Appointments and dates of service:

Government of Guam Appointment

Confracfors 1-,'ct..nse 80r:Arcl / Vt'ce, -Cha . ./r

Dates of Service

200ft;- pre.Se~ti I

Cont 'd.

List all prior other government service excluding Government of Guam:

Other Government Appointment Dates of Service

REFERENCES

List three (3) character and family references (name, address, & telephone number):

NAME ADDRESS PHONE

1. Ms. "ftrry 14 Ia.~ AI~ 2. Mr. Jl.,CJv;..,J arA,"turth().t>

P08 //!liP 7~M~utu·off 11/f/.3! Ct.@ Jlf; I/ 4uc"ne Cwp lh (e. tl-8 S'!i. N. ~ aA.c;., .. ~P Pn.ve

r,g'l .50L/

& cfCf, 2_.2.._:_/..__( __

c, t.f9, 2 211 3. Mr. Tommy JA {l(((SOrl

T~ · fr,'!r:; EDUCATION

Education (Circle highest grade completed & degree)

High School: 9Ji1 Op{11pl"1 ~College: 1[]2[]3[]4[1AA[]BA[]BS[]

Location: School Attended: 8a.s"!" 6>//ege-/'1 ofrt:.. n~ e fl. S. Location: Chesh?IAI fl, !L, A4 A Law rUtc.t v,"/1 (.j !(/..[ Concentration: ircc..ot..U'I b nt

Degree: ~u.s 1 {u . .SS

Attended From: 1'/ '! J. to I 'I '(p Other Degrees or Certificates:

TRAINING

APPOINTMENT APPLICATION Approved: 11 /25/02

I

Post-Grad: MBA[] JA[] MAD MS[] PhD[]

School Attended: _______ _

Location: _________ _

Concentration: --------

Degree:-----------

Attended From: to _ _ _ _

Page 2 of 14

Coot' d.

Include professional institutes, seminars, and on-the-job training attended with date:

INSTITUTE/SEMINARS/ON-THE-JOB DATE

AWARDS

I List all educational, professional, civic awards, & recognition for public service:

PROFESSIONAL INVOLVEMENT

List involvement on a local/national/international level , list organizations, activities participated in, offices held:

COMMUNITY/CIVIC INVOLVEMENT

List organizations, activities participated in, offices held:

f3oa.rd Treasurer

PUBLICATIONS & PRESENTATIONS


1..()() 2. - &<!'..s ~f

Page 3 of 14

Cont'd.

List published articles, papers delivered at professional meetings:

MILITARY SERVICE

List type of discharge, branch, rank at discharge, current status, record of any court marshals or non-judicial punishment under the Uniform Code of Military Justice, & special distinctions & honors. Please attach copy of DD214.

EMPLOYMENT HISTORY

EMPLOYMENT EXPERIENCE: Please begin with your present or last positions you have held for the past ten years. Account for all periods of employment including military service, volunteer work, self employment and periods of unemployment in separate blocks . Use separate blocks if your duties and responsibilities changed while working for the same employer. For volunteer work, write the word "Volunteer" in the salary section for that block. To receive full credit for your experience, describe in detail the tasks you were assigned. If you supervised others, explain your duties as a supervisor and indicate the number and kinds of employees you supervised. If more space is needed, please use supplemental form attached. Your answers may be verified with former employers.

Duties & Responsibilities:

ONO ~~--------------------------------------------~

APPOINTMENT APPLICATION Approved: 11/25/02

To: 2..00'f

11-Time 0 Part-Time

40 Starting Salary: per

Ending Salary: per

0 Resigned 0 Discharged 0 Other

Reason(s) for Leaving:

From: 1. 00 2 To: -=-=2'--W-=--'-----

0 Part-Time

Page 4 of 14

Cont'd.

City: State (..{ Zip Average hours worked per week: "/V Starting Salary: per

per

May we contact your previous employer:,..e-Y'ES 0 NO Reason(s) for Leaving : 1-W-h-at-d-id-yo_u_N_O_T_Iik_e_a_b_o-ut_y_o_u_r j-ob-?-. -----------1 ~4.1-~r~U f( L~ AYe

From: !9~ (, To: ~ 00 .2...

uii-Time 0 Part-Time

Zip Average hours worked per week:

Starting Salary: per

Your Title : Ending Salary: per

Duties & Responsibilities: ned 0 Discharged 0 Other

May we contact your previous employer: ES 0 NO Reason(s) for Leaving : . r-------------------~~--------~ Voh Opp~~;: /n

What did you NOT like about your job? 1 I Jl;,

From: To: Employer: -------

Address:

City: State


0 Full-Time 0 Part-Time

Zip Average hours worked per week:

Page 5 of 14

Cont'd .

Name of Supervisor:

Your Title:


May we contact your previous employer: OYES

What did you NOT like about your job?

Employer:

Address:

City: State

Name of Supervisor:

Your Title :


May we contact your previous employer: 0 YES

What did you NOT like about your job?


ONO

Zip

ONO


Ending Salary: per

OResigned 0 Discharged OOther

Reason(s) for Leaving :

From: To:

0 Full-Time 0 Part-Time

Average hours worked per week:


Ending Salary: per

OResigned 0 Discharged OOther

Reason(s) for Leaving:

Page 6 of 14

Cont'd.

Explain any periods of unemployment longer than thirty days: -------------------

MANAGEMENT EXPERIENCE

A Have you ever managed a Business, Department or an entire organization? j21YES 0 NO

If YES, did you report to a Board of Directors? 0 YES ~0

If your answer is NO, please select the management position/title you held:

0 Lead 0 Administrator 0 Deputy Director

0 Supervisor

0 Manager

0 Superintendent

0 Director (under a GM/CEO, President)

0 Assistant General Manager

0 Vice President

B Number of years of service in the highest ranking management position you have held. (Please check one of the

following) 0 under 1 year 0 9+ - 15 years

~- 3 years 0 15+ - 20 years

0 3 + - 5 years 0 20+ and up

05+- 9 years

C Sector of Organization you served with the most years. 0 GOVERNMENT: 0 Local 0 Federal

rRIVATE

0 OTHER:--------------

SUPERVISORY


Page 7 of 14

Cont'd.

A Total number of employees in the organization/department you have managed:

0 50 and under 0 101 - 250 0 501 and up

051-100 ~-500

Average number of staff who reported directly to you: ~der 25

026-50

0 201 - 300 0 501 and up

0301-400

051-200 0401-500

...0'1f:S 0 NO

A Was the organization/department you managed "profitable" or did your organization perform as formally planned?

~ ONO

Variance from projected income: 0 Below plan ...e1Vlet plan OAbove plan

A Have you ever participated in a strategic planning process? ~S ONO

If YES, please select one of the following to describe your participation. o-F8'cilitated p-8ff8cted

Do you have any experience with: Restructuring an organization Process Improvement Re-engineering Total Quality Management

....e-YES ,..9-i'ES .e-YEs

ONO ONO ONO ONO

Have you ever participated in formal negotiations with another organization? ~ ONO

If YES, check the boxes describing your role: D Observer __gcliief Negotiator

DAssistant ultant

Have you been involved in policy making process? ~ ONO

If YES, please check the boxes which best describes your role: D Management _...13130ard and/or Commission

D Legislation (includes lobbying process)

TECHNOLOGY

II Have you been involved in promoting the use of Technology in your organization?

Please select all items which describes your involvement:

APPOINTMENT APPLICATION Approved: ll /25/02

OSponsor D Planning D Coordination

S ONO

D Development DDesign ~lementation

Page 8 of 14

Cont'd.

Please check the boxes which best describes your involvement:

SKILLS Indicate appropriate letter for your skill level:

C=Course only F-Fair G-Good

Windows Software: Skill Level Version (C-F-G-E)

MS Word None (;f Excel None 9 PowerPoint None ~

GENERAL

E= Excellent

WordPerfect Presentation Quattro Pro Lotus

OAide 0 Researchers OWriter

Skill Level Version (C-F-G-E)

None None None None

0 Administrator 0 Reviewer 0 Funder

Summarize and explain any experience and/or skills which you feel would be beneficial to employers: Explain:

What do you feel are your primary weaknesses?

.fv.h //c -r~ A&t nJ

APPOINTMENT APPLICATION Approved: 11125/02

Page 9 of 14

Cont'd.

I Please write any additional information that you would like us to know about you (e.g. hobbies)

PLEASE READ CAREFULLY BEFORE SIGNING:

I certify that all statements made on this application are true and complete to the best of my knowledge. I understand that any misrepresentation or omission is sufficient to disqualify me for employment or may result in a discharge if employed. I authorize my former employers, schools, government agencies and other entities to give any information (including fact or opinion) they may have regarding me, whether or not it is on their record. I hereby release them and the company from all liabilities as a result of furnishing and receiving this information. I understand that any offer of employment is subject to satisfactory references. I understand and agree that I may be required to submit to pre-employment drug test and post-offer medical examination as part of my application for employment with the offer of employment conditioned on the result of such test and examination. I also understand and agree that at any time during my employment, I may be required to submit to a drug test and/or a medical examination. I authorize the physician conducting the examination and any laboratory testing any specimen obtained by the physician or collection site to disclose the results of the examination and the laboratory test to the organization I am applying to. If employed , I agree to abide by my employer's policies and recognize that this application is not intended in any way to create an employment contract.

Signature of Applicant: Date:

Your application will be placed in our active application files for twelve months. If you are not employed within six months but still wish to be considered for a specific opening, please contact the Governor's Office to inform us of the specific opening for which you wish to be considered .

APPOINTMENT APPLICATION Approved: 11125/02

Page 10 of 14

Cont'd.

TO:

FROM:

Social Security#:

STATEMENT OF FINANCIAL INTE STS

Camacho/Cruz Transition Office P.O. Box 2950 Hagatna, Guam 96932

;t( ()..n a_,., ?t 2 tt r rv

0 I have no financial interest in any business. _..e-rda have interest(s) in the following business(es).

Name/Address of Business Interest Type/Amount of Interest

Signature (sign in ink)


tf.s-K

()t, I OS" I 01

Page 11 of 14

Cont'd.

STATEM NTOF TAX LIA ILITIES

TO: Camacho/Cruz Transition Office P.O. Box 2950 Hagatna, Guam 96932

FROM: 1./a.r/411 2J.arf7J Social Security#: -

~e no delinquent or past due tax liabilities. 0 I do have delinquent or past due liabilities as follows.

Name/Address of Business Interest

Signature (sign in ink)


Type/Amount of Interest

0 C, I Os- I 01

Page 12 of 14

Cont'd.

Employer:

SUPPLEMENTAL Appoint.ment. App I icat.ion



Page 13 of 14

Cont'd.


~--= S~bmrt-l Page 14of14

Government of Guam GUAM POLICE DEPARTMENT

RECORDS & IDENTIFICATION SECTION P.O. Box 23909Guam Main Facility, Guam 96921

June 5, 2009

SUBJECT: CRIMINAL HISTORY RECORD (RECORD OF ARREST/POLICE CLEARANCE)

NAME: Marian JaneT. PIZARRO

lDATE OF BIRTH: lto/14174 riNGERPRINT #: 1

NONE

• The individual has no record of arrest(s) in GPD files that are subject to Guam law and rules and regulations of the Department.

****************NOTHING FOLLOWS*****************

AS OF THE ABOVE DATE. THIS INFORMATION MAY BE LIMITED TO A LOCAL CRIMINAL OFFENSE ONLY AND IS NOT INTENDED FOR USE FOR ANY LOCAL, STATE, OR FEDERAL LAW ENFORCEMENT AGENCY. THIS CLEARANCE IS DERIVED FROM INFORMATION OBTAINED FROM RECORDS THAT ARE CURRENTLY ON FILE WITH THE GUAM POLICE DEPARTMENT THIS CLEARANCE DOES NOT PROVIDE DISPOSITIONS ON ARREST CHARGES. SHOULD DISPOSITION FOR ARRESTS BE NEEDED, IT SHALL BE THE RE;~:IBILffY OF THE APPLICANT TO PROVIDE THE DISPOSrriON ON ARREST CASES

The absence of an original GUAM POLICE

seal invalidates this police clearance.

REVISED O.UOIIU9

RICHARD B. MARTINEZ Clerk of Courts

Telephone (671) 475-3370 Fax(671)477-1500

Name: MARIAN JANET. PIZARRO

SS#: ID# GUAM DL# 1228099548 Date ofBirth: 10114/74

CERTIFICATE OF SEARCH

The undersigned Clerk hereby certifies the following results of a diligent search of the records of this Court:

Criminal Cases: Civil Cases:

A. [y'] No Case Found. A. [y'] No Case Found

B. 1. Criminal Case No. B. 1. Civil Case No.

2. Criminal Case No. 2. Civil Case No.




Criminal Record: Page of Civil Record: Page of

Request for further information may be addressed at the Records Division ofthe Superior Court of Guam, Guam Judicial Center, 120 West O'Brien Drive, Hagatfia, Guam. Hours of operation are Monday- Friday, 7:00a.m. to 6:00p.m. Closed Saturday, Sunday and local/federal holidays. Court Clearances are Non-Refundable.

Dated: 06/05/2009

The absence of an original Court Seal

invalidates this document.

RICHARD B. MARTINEZ Clerk of Courts

BY:

Prepared By: B.M.T.

w. m.d. i 8 jun 2009 - guamlegislature.com. 30gl-09-0690 governor...felix p camacho go-vernor...

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