COMMERCIAL ORDINANCE
WHEREAS, the City of Chicago ("City") is a home rule unit of local government pursuant to Article VII, Section 6 (a) of the 1970 constitution of the State of Illinois and, as such, may exercise any power and perform any function pertaining to its government and affairs; and
WHEREAS, the properties at 7135-7161 W. Archer Avenue, 5501-5511 S. Harlem Avenue, and 5515-5525 S. Harlem Avenue are owned by JAMA Investments II, LLC, an Illinois limited liability company ("Developer"); and
WHEREAS, the Developer proposes to use the portion of the alleys to be vacated herein for construction of a grocery store and associated parking; and
WHEREAS, the City Council of the City of Chicago, after due investigation and consideration, has determined that the nature and extent ofthe public use and the public interest to be subserved is such as to warrant the vacation of those portions of public alleys, described in the following ordinance; now therefore,
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
SECTION 1. DEDICATION:
THE SOUTH 16.0 FEET OF LOT 31 IN BLOCK 106 IN FREDERICK H. BARTLETT'S SIXTH ADDITION TO BARTLETT HIGHLANDS IN THE NORTHWEST QUARTER OF SECTION 18, TOWNSHIP 38 NORTH, RANGE 13 EAST OF THE THIRD PRINCIPAL MERIDIAN, ACCORDING TO THE PLAT THEREOF RECORDED AUGUST 20, 1914, AS DOCUMENT NUMBER 5481127, IN COOK COUNTY, ILLINOIS, CONTAINING 2,109.76 SQUARE FEET or 0.05 ACRES, MORE OR LESS as shaded and legally described by the words "HEREBY DEDICATED" on the plat hereto attached as Exhibit A, which drawing for greater clarity, is hereby made a part of this ordinance, be and the same is hereby dedicated and opened as public way.
VACATION:
THE EAST- WEST 16.0 FOOT ALLEY LYING EAST OF THE EAST LINE OF S. HARLEM AVENUE AND WEST OF THE WEST LINE OF S. NEVA AVENUE, SOUTH OF AND ADJACENT TO LOTS 1 TO 8 AND NORTH OF AND ADJACENT TO LOTS 9 AND 32, TOGETHER WITH THAT PART OF THE NORTH-SOUTH 16.0 FOOT PUBLIC ALLEY LYING NORTH OF THE NORTH LINE (AND ITS WESTERLY EXTENSION THEREOF) OF THE SOUTH 16.0 FEET OF LOT 31 IN BLOCK 106 IN FREDERICK H. BARTLETT'S SIXTH ADDITION TO BARTLETT HIGHLANDS IN THE NORTHWEST QUARTER OF SECTION 18, TOWNSHIP 38 NORTH, RANGE 13 EAST OF THE THIRD PRINCIPAL MERIDIAN, ACCORDING TO THE PLAT THEREOF RECORDED AUGUST 20, 1914, AS DOCUMENT NUMBER 5481127, IN COOK COUNTY, ILLINOIS CONTAINING 4,944.91 SQUARE FEET or
Page 1
0.11 ACRES, MORE OR LESS as shaded and legally described by the words "HEREBY VACATED" on the plat hereto attached as Exhibit B, which plat for greater clarity, is hereby made a part of this ordinance, be and the same is hereby vacated and closed, inasmuch as the same is no longer required for public use and the public interest will be subserved by such vacations.
SECTION 2. The City of Chicago hereby reserves for the benefit of The Peoples Gas Light and Coke Co. an easement to operate, maintain, repair, renew and replace existing underground facilities and to construct new facilities in all ofthe area to be vacated, with the right of ingress and egress at all times for any and all such purposes. It is further provided that no buildings or other structures shall be erected on said easement herein reserved for The Peoples Gas Light and Coke Co. or other use made of the said area which would interfere with the construction, operation, maintenance, repair, removal, or replacement of said facilities, or the construction of additional facilities. Any future vacation-beneficiary prompted relocation of Peoples Gas facilities lying within the area being vacated will be accomplished by Peoples Gas, and done at the expense of beneficiary ofthe vacation, its successors or assigns.
SECTION 3. The dedication for public alley herein provided for is made upon the express condition that within 180 days after the passage of this ordinance, the Developer shall deposit in the City Treasury of the City of Chicago, a sum sufficient to defray the costs of removing paving and curb returns, and constructing newly dedicated public way, in accordance with the most current version ofthe Chicago Department of Transportation's Regulations for Opening, Repair and Construction in the Public Way and its appendices, and in accordance with the executed Duty to Build Agreement attached herein and made a part of this ordinance as Exhibit C.
SECTION 4. The vacation herein provided for is made upon the express condition that within 180 days after the passage of this ordinance, the Developer shall pay or cause to be paid to the City of Chicago as compensation for the benefits which will accrue to the owner of the property abutting said part of public alleys hereby vacated the sum
dollars ($ ),
which sum in the judgment of this body will be equal to such benefits.
SECTION 5. The vacations herein provided for are made upon the express condition that within one hundred eighty (180) days after the passage of this ordinance, the Developer shall file or cause to be filed for recordation with the Office of the Recorder of Deeds of Cook County, Illinois a certified copy of this ordinance, together with the associated full sized plats as approved by the Acting Superintendent of Maps and Plats.
SECTION 6. This ordinance shall take effect and be in force from and after its passage. The vacation and dedication shall take effect and be in force from and after recording of the approved plats.
Page 2
Vacations and Dedication Approved:
Approved as to Form and Legality
Richard Wendy Deputy Corporation Counsel
23rd Ward
Page 3
EXHIBIT "A"
PLAT OF DEDICATION
THE SOUTH 16.0 FEET OF LOT 31 IN BLOCK 106 IN FREDERICK H. BARTLETTS SIXTH ADDITION TO BARTLETT HIGHLANDS IN THE NORTHWEST 1/4 OF SECTION 18, TOWNSHIP 38 NORTH, RANGE 13 EAST OF THE THIRD PRINCIPAL MERIDIAN, ACCORDING TO THE PLAT THEREOF RECORDED AUGUST 20, 1914 AS DOCUMENT NO. 5481127, IN COOK COUNTY, ILLINOIS. CONTAINING 2,109 76 SQUARE FEET, 0.05 ACRES, MORE OR LESS.
GRAPHIC SCALE
CDOT#: 18-23-16-3769
MAIL TO. FOLEY « LARDNER 321 N CLARK STREET CHICAGO. IL 60654 312 B32 <596 (W) 773 635 5003 (C)
PREPARED FOR: ALDI INC. VALPARAISO DIVISION
197 E. DIVISION ROAD
VALPARAISO . IN. 46383 ^J^-aiie
219 464 2500 REV. 3-10/31/2016
REV 2-05/31/2016 REV 1-0S/0*/2016
SHEET 1 OF 4
ORDER NO.: 15-20562-16DEC SCALE 1"=60' DATE: 02/16/2016
EXHIBIT "A"
PLAT OF DEDICATION
CITY-DEPT. OF FINANCE
COOK COUNTY
CDOT #: 18-23-16-3769
C. D. O T.
PREPARED FOR: ALDI INC. VALPARAISO DIVISION
197 E. DIVISION ROAD VALPARAISO, IN 46383 219 4G4 2500
SHEET 2 OF 4
ORDER NO.: 15-20562-16DED SCALE: N/A DATE: 02/16/2016
EXHIBIT "A"
PLAT OF DEDICATION
OWNER'S CERTIFICATE
HEREBY CERTIFIES THAT HE/SHE/IT/THEY, IS/ARE THE
OWNER OF RECORD TO THE PROPERTY DESCRIBED AND DEPICTED ON THIS PLAT AS THE AREA TO BE DEDICATED, AND AS SUCH OWNER(S) HAS/HAVE CAUSED SAID PROPERTY TO BE SURVEYED FOR THE PURPOSE OF DEDICATING IT AS PUBLIC RIGHT OF WAY, IN WITNESS THEREOF SAID
HAS SIGNED, OR CAUSED TO BE SIGNED ON ITS BEHALF BY ITS
DULY AUTHORIZED AGENT, THIS CERTIFICATE ON THIS THE DAY
OF A D. 2016
ATTEST:
-(TITLE)
NOTARY CERTIFICATE
STATE OF ILLINOIS )
COUNTY OF
A NOTARY PUBLIC IN AND FOR SAID COUNTY DO HEREBY CERTIFY THAT
. (ENTITY),
(NAME) AS.
JNAME) AS (TITLE) AND
.(TITLE) OF.
WHO ARE PERSONALLY KNOWN TO ME TO BE THE SAME PERSON(S) WHOSE NAME(S) IS/ARE SUBSCRIBED TO THE FOREGOING CERTIFICATE AS SUCH OWNER(S), APPEARED BEFORE ME THIS DAY IN PERSON AND ACKNOWLEDGED THAT HE/SHE/THEY SIGNED AND DELIVERED THE SAID INSTRUMENT AT HIS/HER/THEIR OWN FREE AND VOLUNTARY ACT FOR THE USES AND PURPOSES THEREIN SET FORTH.
GIVEN UNDER MY HAND AND NOTARIAL SEAL THIS
NOTARY PUBLIC
COMMISSION EXPIRES
CDOT#: 18-23-16-3769
MAIL TO
FOLEY 1 LARDNER 321 N CLARK STREET CHICAGO. IL 60654 312 832 4596 (W) 773 835 5603 (C)
PREPARED FOR: ALDI INC. VALPARAISO DIVISION
197 E DIVISION ROAD
VALPARAISO , IN. 46383 REV jo16
219 464 2500 REV 3-10/31/2016
REV 2-05/31/2016 REV 1-05/04/2016
SHEET 3 OF 4
ORDER NO.: 15-20562-16DED SCALE: N/A DATE: 02/16/2016
EXHIBIT "A" PLAT OF DEDICATION
GENERAL NOTES
ASSUMED EAST LINE OF HARLEM AVENUE TO BE: N 00° 06' 19" W.
IMPROVEMENTS ARE NOT SHOWN.
SUBJECT PROPERTY IS ADJOINED ON THE NORTH SIDE BY A PARKING LOT AND COMMERCIAL BUILDING, ON THE SOUTH BY BUILDING.PUBLIC ALLEY AND PARKING, ON THE WEST BY HARLEM AVENUE AND PARKING. ON THE EAST BY SOUTH NEVA AVENUE, PARKING LOT AND RESIDENCE.
PROPERTIES ADJACENT TO THE ALLEY PROPOSED TO BE DEDICATED DEPICTED HEREON ARE ZONED C1-1 AND RS-2.
MONUMENTS SET ON NOVEMBER 4TH , 2016.
SURVEYOR CERTIFICATE
STATE OF ILLINOIS)
)S.S.
COUNTY OF DUPAGE)
I, JOSEPH F. GENTILE , AN ILLINOIS PROFESSIONAL LAND SURVEYOR NO. 2925 DO HEREBY CERTIFY THAT I HAVE SURVEYED THE AFOREMENTIONED DESCRIBED PROPERTY. ALL DIMENSIONS SHOWN HEREON ARE IN FEET AND DECIMAL PARTS THEREOF.
THIS PROFESSIONAL SERVICE CONFORMS TO THE CURRENT ILLINOIS MINIMUM STANDARDS FOR A BOUNDARY SURVEY.
GIVEN UNDER MY HAND AND SEAL THIS 4TH DAY OF NOVEMBER, A D. 2016.
JOSEPH F. GENTILEy 7* £W*rILLINOIS PROFESSIONAL LAND SURVEYOR NO. 2925 r %:
MY LICENSE EXPIRES NOVEMBER 30, 2018 f :
ILLINOIS PROFESSIONAL DESIGN FIRM LICENSE NO. 184.002870 Yv
THIS DESIGN FIRM NUMBER EXPIRES APRIL 30, 2017 %
gas79@sbcglobal.net ' VO/,
?4 IJ
G
CDOT #: 18-23-16-3769
MAIL TO FOLEY & LARDNER 321 N CLARK STREET CHICAGO. IL 60654 312 832 4596 (W) 773 835 5603 (C)
PREPARED FOR: ALDI INC. VALPARAISO DIVISION
197 E DIVISION ROAD VALPARAISO , IN. 46383 219 464 2500
SHEET 4 OF 4
ORDER NO.: 15-20562-16DED SCALE. N/A DATE: 02/16/2016
EXHIBIT "B"
PLAT OF VACATION
THE EAST- WEST 16.0 FOOT ALLEY LYING EAST OF THE EAST LINE OF S. HARLEM AVENUE AND WEST OF THE WEST LINE OF S. NEVA AVENUE, SOUTH OF AND ADJACENT TO LOTS 1 TO 8 AND NORTH OF AND ADJACENT TO LOTS 9 AND 32, TOGETHER WITH THAT PART OF THE NORTH-SOUTH 16.0 FOOT : PUBLIC ALLEY LYING NORTH OF THE NORTH LINE (AND ITS WESTERLY EXTENSION THEREOF) OF THE SOUTH 16.0 FEET OF LOT 31 IN BLOCK 106 IN FREDERICK H. BARTLETTS SIXTH ADDITION TO BARTLETT HIGHLANDS IN THE NORTHWEST 1/4 OF SECTION 18, TOWNSHIP 38 NORTH, RANGE 13 EAST OF THE THIRD PRINCIPAL MERIDIAN, ACCORDING TO THE PLAT THEREOF RECORDED AUGUST 20, 1914 AS DOCUMENT NO. 5481127, IN COOK COUNTY, ILLINOIS. CONTAINING 4,944 91 SQUARE FEET, 0.11 ACRES, MORE OR LESS.
CDOT#: 18-23-16-3769
MAIL TO FOLEY & LARDNER 321 N CLARK STREET CHICAGO. IL 60654 312 832 4590 (W) 773 635 5603 (C)
PREPARED FOR: ALDI INC. VALPARAISO DIVISION
197 E. DIVISION ROAD VALPARAISO . IN 46383 219 464 2500
SHEET 1 OF 3
ORDER NO.: 15-20562-16VAC SCALE 1"=60' DATE. 02/16/2016
EXHIBIT "B"
P.I.N.:
19-18-100-001-0000 19-18-100-009-0000 19-18-100-010-0000 19-18-100-025-0000 19-18-100-026-0000 19-18-100-043-0000
CITY-DEPT. OF FINANCE
COOK COUNTY
CDOT#: 18-23-16-3769
C. D. O T.
PREPARED FOR: ALDI INC. VALPARAISO DIVISION
197 E DIVISION ROAD VALPARAISO . IN 46383 219 464 2500
SHEET 2 OF 3
ORDER NO.: 15-20562-16VAC SCALE: N/A DATE: 02/16/2016
EXHIBIT "B"
PLAT OF VACATION
GENERAL NOTES
ASSUMED EAST LINE OF HARLEM AVENUE TO BE: N 00° 06' 19" W.
IMPROVEMENTS ARE NOT SHOWN.
SUBJECT PROPERTY IS ADJOINED ON THE NORTH SIDE BY A PARKING LOT AND COMMERCIAL BUILDING, ON THE SOUTH BY BUILDING.PUBLIC ALLEY AND PARKING, ON THE WEST BY HARLEM AVENUE AND PARKING, ON THE EAST BY SOUTH NEVA AVENUE, PARKING LOT AND RESIDENCE.
PROPERTIES ADJACENT TO THE ALLEY PROPOSED TO BE VACATED DEPICTED HEREON ARE ZONED C1-1
MONUMENTS SET ON NOVEMBER 4TH, 2016
SURVEYOR CERTIFICATE
STATE OF ILLINOIS)
COUNTY OF DUPAGE)
I, JOSEPH F. GENTILE , AN ILLINOIS PROFESSIONAL LAND SURVEYOR NO. 2925 DO HEREBY CERTIFY THAT I HAVE SURVEYED THE AFOREMENTIONED DESCRIBED PROPERTY. ALL DIMENSIONS SHOWN HEREON ARE IN FEET AND DECIMAL PARTS THEREOF.
THIS PROFESSIONAL SERVICE CONFORMS TO THE CURRENT ILLINOIS MINIMUM STANDARDS FOR A BOUNDARY SURVEY.
GIVEN UNDER MY HAND AND SEAL THIS 4TH DAY OF NOVEMBER, A.D. 2016.
CDOT#: 18-23-16-3769
MAIL TO.
FOLEY 4 LARDNER 321 N CLARK STREET
CHICAGO. IL 60654 312 832 4596 (W) 773 835 5603 (C)
PREPARED FOR: ALDI INC. VALPARAISO DIVISION
197 E DIVISION ROAD VALPARAISO . IN 46383 219 464 2500
E x ft 1 B i ~r C
DUTY TO BUILD AGREEMENT FOR CREATION OF A NEW ALLEY
In support of my current application with the Chicago Department of Transportation's Maps and Plats unit, for a dedication of my private property for a new public way, I hereby state that I am the jplicant or the company agent for the applicant company involved in the project, and that I have trie «-to agree to the below terms of the Dedication. Please initial:
I am aware that I am responsible for the construction of all public and private rights of way (streets, alleys, etc.) described on the Plat of Subdivision/Dedication.
I further understand that all rights of way (both public and private) must be built to City ; specifications as detailed in CDOT's Regulation for Openings. Construction and Repair'in j the Public Way. [
Lastly, I understand that construction deposits will be required to assure that the work is : done correctly. An inspection will be conducted by the City upon completion ofthe I wode-Ttre-etty-of Chicago reserves the right to require demolition and reinstallation of any facilities that {ire judged to be sub par or that do not adiaef:e-te-the City's standards.
Signed
ing Member
60305
Zip:
Printed name: Jer/
Organization:
Address: ^115 North Avenue #256, Oak Park, IL
Phone/fax: 312-671-2000 /
Email: jerrycairo@4321000.com
STATE OF ILLINOIS COUNTYOF COOK
The foregoing instrument was acknowledged before me on July 20, 2016 by Jerry Cairo as Managing Member of; JAMA 5501 LLC
"OFFICIAL SEAL" STEPHANIE D UHLER \ Notary Public. State of Illinois \ My Commission
Chicago Department of Transportation
CITY OF CHICAGO
10/30/2016
Mr. Stephen Patton Corporation Counsel Room 600 - City Hall Chicago, IL 60602-1289
Attention: Mr. Richard Wendy Deputy Corporation Counsel
Re: Proposed Vacation & Dedication for JAMA Investments II, LLC Commercial Vacation File: 18-23-16-3769
Dear Mr. Patton:
Pursuant to a request from Mr. Jerry Cairo, we are transmitting herewith for your review and approval as to form and legality an original and three (3) copies of a proposed vacation of the E-W alley in the block bounded by W. Archer Avenue, S. Harlem Avenue, S. Neva Avenue, and W. 56th Street. This property is located in the 23rd Ward.
JAMA Investments II, LLC is the owner of record to the area to be dedicated as new public alley, and to the properties adjoining the public alley to be vacated. The people to contact in connection with this proposed ordinance are Attorney Donna Pugh at 312-832-4596, and Mr. Jerry Cairo at 312-671-2000.
An easement has been reserved for People's Gas in Section 2 of the ordinance. Section 3 ofthe ordinance provides for a deposit to be made to the Department of Transportation to ensure the required construction of the alley to be dedicated, and curb and walk work. Section 4 requires compensation to the City for the areas being vacated. All other underground utility agencies are either not involved or have made suitable arrangements. Sections 5 and 6 of the ordinance are standard language regarding the ordinance.
Sincerely, ... .
Mei^fc—
PJebekah Scheinfeld Commissioner
"Luann Hamilton Deputy Commissioner
RS: LH: MW: RD cc: Alderman Michael Zalewski Alderman Anthony Beale
c ?,0 NORTH L A S A L L li S XAl K H
Sandra roreman/w Attach. Dwg.-
r,-sum-: .luiq,xhicago, Illinois 60602 s.f. & Ord. (3) file copies
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I -- GENERAL INFORMATION
A. Legal name of the Disclosing Parly submitting this EDS. Include d/b/a/ if applicable: JAMA Investments II LLC, an Illinois limited liability corporation
Check ONE ofthe following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
[?] the Applicant
OR
[ J a legal entity holding a direct or indirect interest in the Applicant. Stale the legal name of the
Applicant in which the Disclosing Party holds an interest:
OR
.3. [ J a legal entity with a right of control (sec Section II.B.l.) State the legal name of the entity in
which the Disclosing Party holds a right of control:
B Business address ofthe Disclosing Party: 7115 North Avenue #256
Oak Park, IL 60305
Telephone: 312-671"?000 Fax: _ Email: jerrycairo@4321000.com
Name of contact person: Jerry Cairo
Federal Employer Identification No. (if you have one):
Brief description of contract, transaction or other undertaking (referred to below as the "Matter") to which this EDS pertains. (Include project number and location of properly, if applicable):
Alley Vacation and Dedication at 5501-5525 S Harlem Ave , 7135-7161 W Archer Ave and 5500-5520 S Neva Ave , File 18-23-16-3769
G. Which City agency or department is requesting this EDS?^hjc_ajo r^e^menl¦_o/J/ansporta^on
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification U N/A and Contract //
Page 1 of 13
SECTION II -
- DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY
1. Indicate the nature of the Disclosing Party:
[ ] Person [?] Limited liability company
[ ] Publicly registered business corporation f ] Limited liability partnership
[ J Privately held business corporation [ ] Joint venture
[ ] Sole proprietorship [ j Not-for-profit corporation
[ ] General partnership (Is the not-for-profit corporation also a 501(c)(3))?
f ] Limited partnership f ] Yes [ ] No
[] Trust [] Other (please specify)
For legal entities, the state (or foreign country) of incorporation or organization, if applicable: Illinois
For legal entities not organized in the State of Illinois: Has the organization registered lo do business in the State of Illinois as a foreign entity?
[ ] Yes [ ] No [?] N/A
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
1. List below the full names and titles of all executive officers and all directors ofthe entity. NOTE: For not-for-profit corporations, also list below all members, if any, which are legal entities. If there are no such members, write "no members." For trusts, estates or other similar entities, list below the legal titleholder(s).
If the entity is a general partnership, limited partnership, limited liability company, limited liability partnership or joint venture, list below the name and title of each general partner, managing member, manager or any other person or entity that controls the day-to-day management ofthe Disclosing Party. NOTE: Each legal entity listed below must submit an EDS on its own behalf.
Name Title
Angela Cairo Managing member
2. Please provide the following information concerning each person or entity having a direct or indirect beneficial interest (including ownership) in excess of 7.5% of the Disclosing Party. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture,
Page 2 of 13
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state ''None." NOTE: Pursuant to Section 2-1 54-030 of the Municipal Code of Chicago ("Municipal Code"), the City may require any such additional information from any applicant which is reasonably intended to achieve full disclosure.
Name Jerry Cairo
Ann Marie Cairo Angela Cairo
Business Address Percentage Interest in the
Disclosing Party
7115 North Avenue #256. Oak Park, IL 60305 77.5% 7115 North Avenue #256, Oak Park, IL 60305 7.5%
7115 North Avenue #256. Oak Park, IL 60305 7.5%
7115 North Avenue #256, Oak Park, IL 60305 7.5%
SECTION IIT - BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship," as defined in Chapter 2-1 56 of the Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?
[ ] Yes [?] No
If yes, please identify below the name(s) of such City elected official(s) and describe such relationship(s):
SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature ofthe relationship, and the total amount of the fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who are paid solely through the Disclosing Party's regular payroll.
"Lobbyist" means any person or entity who undertakes to influence any legislative or administrative action on behalf of any person or entity other than: (1) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means any person or entity any part of whose duties as an employee of another includes undertaking to influence any legislative or administrative action.
If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must either ask the City whether disclosure is required or make the disclosure.
Page 3 of 1 3
Name (indicate whether Business Relationship to Disclosing Party Fees (indicate whether
retained or anticipated Address (subcontractor, attorney, paid or estimated.) NOTE:
to be retained) lobbyist, etc.) "hourly rate" or "t.b.d." is
not an acceptable response.
Foley & Larctner LLP - Retained* cnirjigo ii. 6W5
* Foley & Lardner LLP is a paid representative of ALDI, for whom the site is being designed. ALDI is the lessee of the Applicant. (Add sheets if necessary)
[ j Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V -- CERTIFICATIONS
COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-4 15, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
Has any person who directly or indirectly owns 10% or more ofthe Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
[ J Yes [y] No [ ] No person directly or indirectly owns 10% or more of the
Disclosing Party.
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with that agreement?
[ J Yes [ J No
FURTHER CERTIFICATIONS
1. Pursuant to Municipal Code Chapter 1 -23, Article I ("Article I")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy lo commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee ofthe City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article 1 supersedes some five-year compliance timeframes in certifications 2 and 3 below.
Page 4 of 13
2. The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section II.B. 1. of this EDS:
are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from any transactions by any federal, state or local unit of government;
have not, within a five-year period preceding the date of this EDS, been convicted of a criminal offense, adjudged guilty, or had a civil judgment rendered against them in connection with: obtaining, attempting to obtain, or perfonning a public (federal, state or local) transaction or contract under a public transaction; a violation of federal or state antitrust statutes; fraud; embezzlement; theft; forgery; bribery; falsification or destruction of records; making false statements; or receiving stolen property;
arc not presently indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any ofthe offenses set forth in clause B.2.b. of this Section V;
have not, within a five-year period preceding the dale of this EDS, had one or more public transactions (federal, state or local) terminated for cause or default; and
have not, within a five-year period preceding the date of this EDS, been convicted, adjudged guilty, or found liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other unit of local government.
3. The certifications in subparts 3, 4 and 5 concern:
the Disclosing Party;
any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in connection with the Matter, including but not limited to all persons or legal entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties");
any "Affiliated Entity" (meaning a person or entity that, directly or indirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is, with the Disclosing Party, under common control of another person or entity. Indicia of control include, without limitation: interlocking management or ownership; identity of interests among family members, shared facilities and equipment; common use of employees; or organization of a business entity following the ineligibility of a business entity to do business with federal or state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity); with respect to Contractors, the term Affiliated Entity means a person or entity that directly or indirectly controls the Contractor, is controlled by it, or, with the Contractor, is under common control of another person or entity;
any responsible official of the Disclosing Parly, any Contractor or any Affiliated Entity or any other official, agent or employee of the Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official ofthe Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Page 5 of 13
Neither the Disclosing Parly, nor any Contractor, nor any Affiliated Entity of either the Disclosing Parly or any Contractor nor any Agents have, during the five years before the date this EDS is signed, or, with respect lo a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the five years before the date of such Contractor's or Affiliated Entity's contract or engagement in connection with the Matter:
bribed or attempted to bribe, or been convicted or adjudged guilty of bribery or attempting to bribe, a public officer or employee of the City, the Stale of Illinois, or any agency of the federal government or of any state or local government in the United Slates of America, in that officer's or employee's official capacity;
agreed or colluded wilh other bidders or prospective bidders, or been a parly to any such agreement, or been convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in reslraint of freedom of competition by agreement to bid a fixed price or otherwise; or
made an admission of such conduct described in a. or b. above that is a matter of record, but have not been prosecuted for such conduct; or
violated the provisions of Municipal Code Section 2-92-610 (Living Wage Ordinance).
Neither the Disclosing Party, Affiliated Entity or Contractor, or any of their employees, officials, agents or partners, is barred from contracting with any unit of stale or local government as a result of engaging in or being convicted of (1) bid-rigging in violation of 720 ILCS 5/33E-3; (2) bid-rotating in violation of 720 ILCS 5/33E-4; or (3) any similar offense of any state or of the United Slates of America that contains the same elements as the offense of bid-rigging or bid-rotaling.
Neither the Disclosing Party nor any Affiliated Entity is listed on any of the following lists maintained by the Office of Foreign Assets Control of the U.S. Department of the Treasury or the Bureau of Industry and Security ofthe U.S. Department of Commerce or their successors: the Specially Designated Nationals List, the Denied Persons List, the Unverified List, the Entity List and the Debarred List.
The Disclosing Party understands and shall comply with the applicable requirements of Chapters 2-55 (Legislative Inspector General), 2-56 (Inspector General) and 2-156 (Governmental Ethics) of the Municipal Code.
If the Disclosing Party is unable lo certify to any of the above statements in this Part B (Further Certifications), the Disclosing Party must explain below:
N/A
Page 6 of 13
If ihe letters "NA," the word "None," or no response appears on the lines above, il will be conclusively presumed that the Disclosing Party certified to the above statements.
8. To the besl of the Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all current employees ofthe Disclosing Party who were, at any time during the 12-month period preceding the execution date of this EDS, an employee, or elected or appointed official,
of the City of Chicago (if none, indicate with "N/A" or "none"). None
9. To the best ofthe Disclosing Parly's knowledge after reasonable inquiry, the following is a complete list of all gifts that the Disclosing Parly has given or caused to be given, at any lime during the I 2-month period preceding the execution date of this EDS, to an employee, or elected or appointed official, of the City of Chicago. For purposes of this statement, a "gift" does not include: (i) anything made generally available to City employees or to the general public, or (ii) food or drink provided in the course of official City business and having a retail value of less than $20 per recipient (if none, indicate with "N/A" or "none"). As to any gift listed below, please also list the name of the City recipient.
None
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is [*-] is not
a "financial institution" as defined in Section 2-32-455(b) of the Municipal Code.
If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will not become a predatory lender as defined in Chapter 2-32 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss ofthe privilege of doing business with the City."
If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in Section 2-32-455(b) ofthe Municipal Code) is a predatory lender within the meaning of Chapter 2-32 ofthe Municipal Code, explain here (attach additional pages if necessary): N/A
Page 7 of 13
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
In accordance with Section 2-156-1 10 of the Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Malter?
[ ] Yes H No
NOTE: If you checked "Yes" to Item D. 1., proceed to Items D.2. and D.3. If you checked "No" to Item D.l., proceed to Part E.
Unless sold pursuant to a process of competitive bidding, or otherwise permitted, no City elected official or employee shall have a financial interest in his or her own name or in the name of any other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit of the City (collectively, "City Property Sale"). Compensation for property taken pursuant lo the City's eminent domain power docs not constitute a financial interest within the meaning of this Part D.
Docs the Matter involve a City Property Sale?
I J Yes [ ] No
If you checked "Yes" to Item D. I., provide the names and business addresses ofthe City officials or employees having such interest and identify the nature of such interest:
Name Business Address Nature of Interest
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing Party must disclose below or in an attachment lo this EDS all information required by paragraph 2. Failure to
Page 8 of 13
comply with these disclosure requirements may make any contract entered into with the City in connection with the Matter voidable by the City.
The Disclosing Party verifies that the Disclosing Party has searched any and all records of the Disclosing Party and any and all predecessor entities regarding records of investments or profits from slavery or slaveholder insurance policies during the slavery era (including insurance policies issued to slaveholders that provided coverage for damage to or injury or death of their slaves), and the Disclosing Party has found no such records.
2. The Disclosing Party verifies that, as a result of conducting the search in step 1 above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including the names of any and all slaves or slaveholders described in those records:
SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. If the Matter is not federally funded, proceed lo Section VII. For purposes of this Section VI, tax credits allocated by the City and proceeds of debt obligations ofthe City are not federal funding.
A. CERTIFICATION REGARDING LOBBYING
1. List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
Page 9 of 13
The Disclosing Parly will submit an updated certification at the end of each calendar quarter in which there occurs any event that materially affects the accuracy ofthe statements and information set forth in paragraphs A.l. and A.2. above.
The Disclosing Party certifies that either: (i) it is not an organization described in section 501 (c)(4) of the Internal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) ofthe Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities".
If the Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equal in form and substance to paragraphs A.l. through A.4. above from all subcontractors before it awards any subcontract and the Disclosing Party must maintain all such subcontractors' certifications for the duration of the Matter and must make such certifications promptly available to the City upon request.
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
Is the Disclosing Party the Applicant?
I] Yes []No If "Yes," answer the three questions below:
Have you developed and do you have on file affirmative action programs pursuant to applicable federal regulations? (See 41 CFR Part 60-2.)
[ ] Yes [JNo
Have you filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance Programs, or the Equal Employment Opportunity Commission all reports due under the applicable filing requirements?
[ ] Yes [ ] No
Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
[ ] Yes []No
If you checked "No" to question I. or 2. above, please provide an explanation:
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SECTION VII - ACKNOWLEDGMENTS, CONTRACT INCORPORATION, COMPLIANCE, PENALTIES, DISCLOSURE
The Disclosing Party understands and agrees that:
The certifications, disclosures, and acknowledgments contained in this EDS will become part of any contract or other agreement between the Applicant and the City in connection with the Matter, whether procurement, City assistance, or other City action, and are material inducements lo the City's execution of any contract or taking other action with respect to the Matter. The Disclosing Party understands that it must comply with all statutes, ordinances, and regulations on which this EDS is based.
The City's Governmental Ethics and Campaign Financing Ordinances, Chapters 2-156 and 2-164 of the Municipal Code, impose certain duties and obligations on persons or entities seeking City contracts, work, business, or transactions. The full text of these ordinances and a training program is available on line at w wvv.cityo1 c h i c a g o. org/'Ethics, and may also be obtained from the City's Board of Ethics, 740 N.
Sedgwick St., Suite 500, Chicago, IL 60610, (312) 744-9660. The Disclosing Party must comply fully with the applicable ordinances.
If the City determines that any information provided in this EDS is false, incomplete or inaccurate, any contract or other agreement in connection with which it is submitted may be rescinded or be void or voidable, and the City may pursue any remedies under the contract or agreement (if not rescinded or void), at law, or in equity, including terminating the Disclosing Party's participation in the Matter and/or declining to allow the Disclosing Party to participate in other transactions with the City. Remedies at law for a false statement of material fact may include incarceration and an award to the City of treble damages.
It is the City's policy to make this document available lo the public on its Internet site and/or upon request. Some or all of the information provided on this EDS and any attachments lo this EDS may be made available to the public on the Internet, in response lo a Freedom of Information Act request, or otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it may have against the City in connection with the public release of information contained in this EDS and also authorizes Ihe City to verify the accuracy of any information submitted in this EDS.
E. The information provided in this EDS must be kept current. In the event of changes, the Disclosing
Party must supplement this EDS up to the time the City takes action on the Matter. If the Matter is a
contract being handled by the City's Department of Procurement Services, the Disclosing Party must
update this EDS as the contract requires. NOTE: With respect to Matters subject to Article 1 of
Chapter 1-23 ofthe Municipal Code (imposing PERMANENT INELIGIBILITY for certain specified
offenses), the information provided herein regarding eligibility must be kept current for a longer period,
as required by Chapter 1-23 and Section 2-154-020 ofthe Municipal Code.
The Disclosing Party represents and warrants that:
Page 11 of 13
F.l. The Disclosing Party is not delinquent in the payment of any tax administered by the Illinois Department of Revenue, nor are the Disclosing Party or its Affiliated Entities delinquent in paying any fine, fee, tax or other charge owed to the City. This includes, but is not limited to, all water charges, sewer charges, license fees, parking tickets, property taxes or sales taxes.
F.2 If the Disclosing Party is the Applicant, the Disclosing Party and its Affiliated Entities will not use, nor permit their subcontractors to use, any facility listed by the U.S. E.P.A. on the federal Excluded Parties List System ("EPLS") maintained by the U. S. General Services Administration.
F.3 If the Disclosing Party is the Applicant, the Disclosing Party will obtain from any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in F. I. and F.2. above and will not, without the prior written consent of the City, use any such contractor/subcontractor that does not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
NOTE: If the Disclosing Party cannot certify as to any ofthe items in F.l., F.2. or F.3. above, an explanatory statement must be attached to this EDS.
CERTIFICATION
Under penalty of perjury, the person signing below: (I) warrants that he/she is authorized to execute this EDS and Appendix A (if applicable) on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS and Appendix A (if applicable) are true, accurate and complete as of the date furnished to the City.
JAMA Investments II LLC, an Illinois Limited Liability Corporation
(Print or type name of Disclosing Party)
Angela Cairo
(Print or type name of person signing)
Managing Member
(Print or type title of person signing)
SignciLiind sworn to before me on (date)
at ... L.jp.Q 8. ... . County, XUltfOill... (state).
/<\i\Q, ,U,l(; //Notary Public.
Commission cVpires:
Page 12 of 13
"OFFICIAL SEAL" STEPHANIE D UHLER
Notary Public, State of Illinois My Commission Expires 6/2/2018
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND DEPARTMENT HEADS
This Appendix is to be completed only by (a) (he Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5 percent. It is nol to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
Under Municipal Code Section 2-154-01 5, the Disclosing Party must disclose whether such Disclosing Parly or any "Applicable Party" or any Spouse or Domestic Partner thereof currently has a "familial relationship" with any elected city official or department head. A "familial relationship" exists if, as ofthe date this EDS is signed, the Disclosing Parly or any "Applicable Party" or any Spouse or Domestic Partner thereof is related to the mayor, any alderman, the city clerk, the city treasurer or any city department head as spouse or domestic partner or as any ofthe following, whether by blood or adoption: parent, child, brother or sister, aunt or uncle, niece or nephew, grandparent, grandchild, father-in-law, mother-in-law, son-in-law, daughter-in-law, stepfather or stepmother, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister.
"Applicable Party" means (1) all executive officers ofthe Disclosing Party listed in Section II.B.l.a., if the Disclosing Party is a corporation; all partners ofthe Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members ofthe Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal officers ofthe Disclosing Party; and (3) any pcrson having more lhan a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means the president, chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority.
Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
[ ]Yes MNo
If yes, please identify below (I) the name and title of such person, (2) the name ofthe legal cnlily lo which such person is connected; (3) the name and title ofthe elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
N/A
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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX B
BUILDING CODE SCOFFLAVV/PROBLEM LANDLORD CERTIFICATION
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5 percent (an "Owner"). It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
Pursuant lo Municipal Code Section 2-154-010, is the Applicant or any Owner identified as a building code scofflaw or problem landlord pursuant to Section 2-92-416 ofthe Municipal Code?
| ]Yes [?]No
If the Applicant is a legal entity publicly traded on any exchange, is any officer or director of the Applicant identified as a building code scofflaw or problem landlord pursuant to Section 2-92-416 of the Municipal Code?
[ J Yes | ] No [?] Not Applicable
If yes to (I) or (2) above, please identify below ihe name ofthe person or legal entity identified as a building code scofflaw or problem landlord and the address ofthe building or buildings to which the pertinent code violations apply.
N/A
FILLING OUT THIS APPENDIX B CONSTITUTES ACKNOWLEDGMENT AND AGREEMENT THAT THIS APPENDIX B IS INCORPORATED BY REFERENCE INTO, AND MADE A PART OF, THE ASSOCIATED EDS, AND THAT THE REPRESENTATIONS MADE IN THIS APPENDIX B ARE SUBJECT TO THE CERTIFICATION MADE UNDER PENALTY OF PERJURY ON PAGE 12 OF THE ASSOCIATED EDS.