OFFICE OF THE MAYOR
CITY OF CHICAGO
LORI E. LIGHTFOOT MAYOR
October 16, 2019
TO THE HONORABLE, THE CITY COUNCIL OF THE CITY OF CHICAGO
Ladies and Gentlemen:
At the request ofthe Commissioner of Planning and Development, I transmit herewith ordinances authorizing a scope of service, budget and management agreement for various Special Service Areas. '
Your favorable consideration of these ordinances will be appreciated.
ORDINANCE
WHEREAS, special service areas may be established pursuant to (i) Article VII, Sections 6(1) and 7(6) ofthe Constitution ofthe State of Illinois, (ii) the provisions ofthe Special Service Area Tax Law, 35 ILCS 200/27-5 et seq., as amended from time to time (the "Act"), and (iii) the Property Tax Code, 35 ILCS 200/1-1 et seq., as amended from time to time; and
WHEREAS, on December 14, 2016, the City Council of the City of Chicago (the "City Council") enacted an ordinance (the "Establishment Ordinance") which was published in the Journal of Proceedings of the City Council (the "Journal") for such date at pages 39230 through 39251, and which established an area known and designated as City of Chicago Special Service Area Number 21-2016 (the "Area") and authorized the levy of an annual tax, for the period beginning in 2016 through and including 2030, not to exceed an annual rate of 0.400 percent of the equalized assessed value of the taxable property therein (the "Services Tax") to provide certain special services in and for the Area in addition to the services provided by and to the City of Chicago (the "City") generally (the "Special Services");.and
WHEREAS, certain funds in Fund 156 ("Fund 156") in the amount of $3,400 are available for use in connection with the Area; and
WHEREAS, the Establishment Ordinance established the Area as that territory consisting approximately of the area on both sides of Lincoln Avenue from Foster Avenue on the north to Montrose Avenue on the south; both sides of Lawrence Avenue from Virginia Avenue on the west to Leavitt Street on the east; both sides of Western Avenue from Ainslie Street on the north to Montrose Avenue on the south; and the north side of Montrose Avenue from the North Branch Chicago River on the west to Leavitt Street on the east; and
WHEREAS, the Special Services authorized in the Establishment Ordinance include, but are not limited to: customer attraction, public way aesthetics, sustainability and public place enhancements, economic/business development, safety programs, and other activities to promote commercial and economic development; and
WHEREAS, the Establishment Ordinance provided for the appointment of the Lincoln Square Special Service Area Commission (the "Commission") to advise the City Council regarding the amount of the Services Tax to be levied and for the purpose of recommending to the City Council: (1) a yearly budget based upon the cost of providing the Special Services; (2) an entity to serve as a service provider (the "Service Provider"); (3) an agreement between the City and the Service Provider for the provision of Special Services to the Area (the "Service Provider Agreement"); and (4) a budget to be included in the Service Provider Agreement (the "Budget") (the aforementioned items 1 through 4 shall be known collectively herein as the "Recommendations"); and
WHEREAS, the Commission has heretofore prepared and transmitted to the Commissioner of the Department of Planning and Development (the "Commissioner") its Recommendations to the City Council, including the Budget attached hereto as Exhibit A and hereby made a part hereof; and
WHEREAS, on September 20, 2018, the City Council enacted an ordinance (the "2018 Appropriation, Levy, and Agreement Ordinance"), which was published in the Journal for such date at pages 83589 through 83593, and which among other things, appropriated the sums necessary to
|1010|2019 SSA 21-2016 Levy Amend ORD FINAL 100219.doc
provide the Special Services in and for the Area for 2019, levied the Services Tax for the year 2018, and authorized an agreement with Lincoln Square Ravenswood Chamber of Commerce, an Illinois not-for-profit corporation, as the Service Provider (the "2019 Service Provider"), for the provision of the Special Services in 2019; and
WHEREAS, pursuant to the 2018 Appropriation, Levy, and Agreement Ordinance, the City and the 2019 Service Provider entered into a Service Provider Agreement (the "2019 Service Provider Agreement"); and
WHEREAS, the City desires to increase the budget for Special Services in the Area in 2019 by $7,091; and
WHEREAS, the City therefore desires to amend both the 2018 Appropriation, Levy, and Agreement Ordinance, as set forth below, and the 2019 Service Provider Agreement; now, therefore,
Be It Ordained by the City Council of the City of Chicago:
SECTION 1. Incorporation of Preambles. The preambles of this ordinance are hereby incorporated herein as if set out herein in full.
SECTION 2. Appropriations for 2020. There is hereby appropriated the following sums in the amounts and for the purposes necessary to provide the Special Services in and for the Area, the estimated amounts of miscellaneous income and the amounts required to be raised by the levy of the Services Tax indicated as follows:
LINCOLN SQUARE SPECIAL SERVICE AREA COMMISSION SPECIAL SERVICE AREA BUDGET
For the fiscal year commencing January 1, 2020 and ending December 31, 2020.
EXPENDITURES
Service Provider Agreement for the provision of Special Services
TOTAL BUDGET REQUEST
SOURCE OF FUNDING
Tax levy at an annual rate not to exceed
0.400 percent of the equalized
assessed value of the taxable property
within Special Service Area Number 21-2016
Carryover funds currently available from prior years
Fund 156
|1010|2019 SSA 21-2016 Levy Amend ORD FINAL 100219.doc
Late collections received by the City attributable to the levy of the Services Tax in prior years, along with interest income
thereon, if any. $2,511
SECTION 3. Levy of Taxes for 2020 Appropriations. There is hereby levied pursuant to (i) the provisions of Article VII, Sections 6(a) and 6(l)(2) ofthe Constitution ofthe State of Illinois, (ii) the provisions ofthe Act, and (iii) the provisions ofthe Establishment Ordinance, the sum of $259,171 as the amount of the Services Tax for the year 2019.
SECTION 4. Filing. The City Clerk of the City (the "City Clerk") is hereby ordered and directed to file in the Office of the County Clerk of Cook County, Illinois (the "County Clerk") a certified copy of this ordinance on or prior to December 31, 2019, and the County Clerk shall thereafter extend for collection together with all other taxes to be levied by the City, the Services Tax herein provided for, said Services Tax to be extended for collection by the County Clerk for the year 2019 against all the taxable property within the Area, the amount ofthe Services Tax herein levied to be in addition to and in excess of all other taxes to be levied and extended against all taxable property within the Area.
SECTION 5. Service Provider Agreement for 2020. The Commissioner, or a designee of the Commissioner (each, an "Authorized Officer"), are each hereby authorized, subject to approval by the Corporation Counsel as to form and legality, to enter into, execute and deliver a Service Provider Agreement as authorized herein with Lincoln Square Ravenswood Chamber of Commerce, an Illinois not-for-profit corporation, as the Service Provider, for a one-year term in a form acceptable to such Authorized Officer, along with such other supporting documents, if any, as may be necessary to carry out and comply with the provisions of the Service Provider Agreement. The Budget shall be attached to the Service Provider Agreement as an exhibit. Upon the execution ofthe Service Provider Agreement and the receipt of proper documentation, the Authorized Officer and the City Comptroller are each hereby authorized to disburse the sums appropriated in Section 2 above to the Service Provider in consideration for the provision of the Special Services described in the Budget. The Department of Planning and Development shall promptly make a copy of the executed Service Provider Agreement readily available for public inspection.
SECTION 6. Amendment of 2018 Appropriation, Levy, and Agreement Ordinance. Section 2 ofthe 2018 Appropriation, Levy, and Agreement Ordinance is hereby amended by deleting the language indicated by strikeout and adding the underlined language as follows:
"SECTION 2. Appropriations. There is hereby appropriated the following sums in the amounts and for the purposes necessary to provide the Special Services in and for the Area, the estimated amounts of miscellaneous income and the amounts required to be raised by the levy of the Services Tax indicated as follows:
LINCOLN SQUARE SPECIAL SERVICE AREA COMMISSION SPECIAL SERVICE AREA BUDGET
For the fiscal year commencing January 1, 2019 and ending December 31, 2019.
|1010|2019 SSA 21-2016 Levy Amend ORD FINAL 100219.doc
EXPENDITURES
Service Provider Agreement for the provision of Special Services
TOTAL BUDGET REQUEST
SOURCE OF FUNDING
Tax levy at an annual rate not to exceed
0.400 percent of the equalized
assessed value, of the taxable property
within Special Service Area Number 21-2016
Fund 156
Carryover funds currently available from prior tax years
Late collections received by the City of Chicago attributable to the levy of the Services Tax in prior tax years, along with interest income thereon, if any.
SECTION 7. Amendment to 2019 Service Provider Agreement. The Commissioner, or a designee ofthe Commissioner, are each hereby authorized, subject to approval by the Corporation Counsel as to form and legality, to enter into, execute and deliver an amendment to the 2019 Service Provider Agreement consistent with Section 6 above and as authorized herein (the "2019 Service Provider Agreement Amendment"), and such other supporting documents, if any, as may be necessary to carry out and comply with the provisions of the 2019 Service Provider Agreement Amendment.
SECTION 8. Enforceability. If any section, paragraph or provision of this ordinance shall be held to be invalid or unenforceable for any reason, the invalidity or unenforceability of such section, paragraph or provision shall not affect any of the remaining provisions of this ordinance.
SECTION 9. Conflict. This ordinance shall control over any provision of any other ordinance, resolution, motion or order in conflict with this ordinance, to the extent of such conflict.
SECTION 10. Publication. This ordinance shall be published by the City Clerk, in special pamphlet form, and made available in her office for public inspection and distribution to members of the public who may wish to avail themselves of a copy of this ordinance.
SECTION 11. Effective Date. This ordinance shall take effect 10 days after its passage and publication.
|1010|2019 SSA 21-2016 Levy Amend ORD FINAL 100219.doc
Exhibit A Budget
: 4^ : ^ :^ -r ' Special Service Area # 21-2016
SSA Name: Lincoln Square
Budget and Services Period: January 1, 2020 through December 31, 2020
2019 Levy
CATEGORY Collectable Levy Estimated Loss Collection Carryover Funds TIF Rebate Fund #156 Estimated Late Collections and Interest Total All Sources
1.00 Customer Attraction $57,975 $2,511 $0 $3,400 $2,511 $66,397
2.00 Public Way Aesthetics $116,250 $0 $0 $0 $0 $116,250
3.00 Sustainability and Public Places $5,500 $0 $0 $0 $0 $5,500
4.00 Economic/ Business Development $0 $0 $32,500 $0 $0 $32,500
5.00 Safety Programs $1,000 $0 $0 $0 $0 $1,000
6.00 SSA Management $17,565 $0 $0 $0 $0 $17,565
7.00 Personnel $58,370 $0 SIS $0 $0 $58,370
Sub-total $256,660 $2,511 lltlltl WPPl mmmmi
GRAND TOTALS Levy Total $259,171 $32,500 $3,400 $2,511 $297,582
Vv:-v^v- LEVY ANALYSIS '\;^y-Z?\
Estimated 2019 EAV: $85,937,173
Authorized Tax Rate Cap: 0.400%
Maximum Potential Levy limited by Rate Cap: $343,749
Requested 2019 Levy Amount: $259,171
Estimated Tax Rate to Generate 2018 Levy: 0.3016%
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION 1--GENERAL INFORMATION
A. Legal name ofthe Disclosing Party submitting this EDS. Include d/b/a/ if applicable:
i
Check ONE of thje following three boxes:
i .
!
Indicate whether the Disclosing Party submitting this EDS is:
[yf the Applicant
OR |
[ ] a legal entity currently holding, or anticipated to hold within six months after City action on
the contract, transaction or other undertaking to which this EDS pertains (referred to below as the
"Matter"), a director indirect interest in excess of 7.5% in the Applicant. State the Applicant's legal
name: ^ ! _ _
OR" ~ "
[ | a legal entity with a direct or indirect right of control ofthe Applicant (see Section II(B)( 1)) State the legal nanjic of the entity in which the Disclosing Party holds a right of control:
Business address of the Disclosing Party: 2 Ml ^ UaU^fgVlU?. A^t.
OiLay / £L £Q£2T
Telephone: ( 7 7"Q VS^Cfax: (?7^ ifoH- HKS Email: /nA(^ ^W^ut/l. 0g>
Name of contact person: ^00)0^0. V- PCorg,Sy JfFederal Employer Identification No. (if you have one): _
Brief description ofthe Matter to which this EDS pertains. (Include project number and location of property, if applicable): 7D aUi)u) t-luL Li'ntok ^oa'e ^-aJt^uXjob chamfer oA Cowamzj-c^
h> cvtfar in,h> 4 cotfl-tradr ^if-k Htt- ti'kj u-P CMicacjo pftWtfe- c^Jecfol <>crv\ceh
Which City agency or department is requesting this BPS'? Pla-MiViOj g,t\} DeWopyfr^qT"'
Ifthe Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification ft _ and Contract #
Ver.201 8-1 Pane 1 of 15
SECTION II -- DISCLOSURE OF OWNERSHIP INTERESTS
t
A. NATURE OF JHE DISCLOSING PARTY
1. Indicate thej nature of the Disclosing Party:
[ ] Person j [ ] Limited liability company
[ ] Publicly registered business corporation [ ] Limited liability partnership
[ 1 Privately held business corporation [ | Joint venture
[ J Sole proprietorship [vf Not-for-profit corporation
[ ] General partnebhip (Is the not-for-profit corporation also a 501(c)(3))'?
[ ] Limited partnefship f ] Yes f^No
[ ] Trust [ ] Other (please specity)
2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
tfcUtWs, iJWhLt) SrukS _ ___ _ _ '
3. For legal entities not organized in the Slate of Illinois: Has the organization registered to do
business in the State of Illinois as a foreign entity?
[ ] Yes [ JNo [^f Organized in Illinois
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
1. List below the full names and titles, if applicable, of: (i) all executive officers and all directors of the entity; (ii) for not-for-profit corporations, all members, if any, which are legal entities (if there are no such members, write "no members which are legal entities"); (iii) for trusts, estates or other similar entities, the trustee, executor, administrator, or similarly situated party: (iv) for general or limited partnerships, limited liability companies, limited liability partnerships or joint ventures, each general partner, managing member, manager or any other person or legal entity that directly or indirectly controlsthe day-to-day management ofthe Applicant.
NOTE: Each legal entity listed below must submit an EDS on its own behalf.
Name , Title
(i) w. qtfolUtc) Ifef _ _ .
(in) QV) KJo-f ctpftlt'uhlfl
2. Please provide the following information concerning each person or legal entity having a direct or indirect, current or prospective (i.e. within 6 months after City action) beneficial interest (including ownership) in excess of 7.5% ofthe Applicant. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture, interest of a member or manager in a
Ver.20 I 8-1. F»niic 2 of 15
Lincoln Square Ravenswood Chamber of Commerce Lincoln Square Special Service Area #21 Lincoln Square Foundation
Lincoln Square Ravenswood Chamber of Commerce Board of Directors 2019/2020
Rodolfo Flores,'Executive Director, LSRCC
Directors: Ed Kaczmarek, President, Urban Pooch Scott Friedland, Treasurer, Timeless Toys
David Camp, First Midwest Bank Sean Cooper, Cooper Financial Planning Hagen Dost, Dovetail Brewery
Adam Garcia, Store Farm Amy Hansen, Amy's Candy Bar Tim Joyce, Old Town School Music Store Carly Katz, Bottles and Cans Anne Merritt, The Perfect Cup Marissa Vanden Bout, Hazel Aaron Zacharias, Fountainhead
Lincoln Square Ravenswood Chamber of Commerce 2611 W Lawrence Avenue. Chicago IL 60625 | p: 773.728.3890 I f: 773.769.4855 www LincolnSquareRavenswood.org
| e: infotSlincolnsquare.org
limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None."
NOTE: Each legaj entity listed below may be required to submit an EDS on its own behalf.
j
Name ! Business Address Percentage Interest in the Applicant
Op' Qv\g_ I i : ¦
SECTION III - INCOME OR COMPENSATION TO, OR OWNERSHIP BY, CITY ELECTED OFFICIALS
Has the Disclosing Party provided any income or compensation to any City elected official during the
12-month period preceding the date of this EDS? • f | Yes |-^fSlo
Does the Disclosing Party reasonably expect to provide any income or compensation to any City-elected official during the 12-month period following the date of this EDS? [ ] Yes |VfNo
If "yes" to either ofthe above, please identify below the name(s) of such City elected official(s) and describe such income or compensation:
Does any City elected official or. to the best ofthe Disclosing Party's knowledge after reasonable inquiry, any City elected official's spouse or domestic partner, have a financial interest (as defined in Chapter 2-156 of lhe Municipal Code of Chicago ("MCC")) in the Disclosing Party? [ ] Yes l^fNo
If "yes," please identify below the name(s) of such City elected official(s) and/or spouse(s)/domestic partner(s) and describe the financial interest(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 (as defined in MCC Chapter 2-1 56). 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 ofthe 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 payjroll. Ifthe 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.
Pa tie 5 of 15
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.
(Add sheets if necbssary)
[ ] Check here if tjhe Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V - CERTIFICATIONS
COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under MCC Section 2-92-415, 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?
[ ] Yes [ ] No [vfNo 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?
[ ]Yes [ ] No
FURTHER CERTIFICATIONS
[This paragraph 1 applies only ifthe Matter is a contract being handled by the City's Department of Procurement Services.] In the 5-year period preceding the date ofthis EDS, neither the Disclosing Party nor any Affiliated Entity [see definition in (5) below] has engaged, in connection with the performance of any public contract, the services of an integrity monitor, independent private sector inspector general, or integrity compliance consultant (i.e., an individual or entity with legal, auditing, investigative, or other similar skills, designated by a public agency to help the agency monitor the activity of specified agency vendors as well as help the vendors reform their business practices so they can be considered' for agency contracts in the future, or continue with a contract in progress).
The Disclosing Party and its Affiliated Entities are not delinquent in the payment of any line. fee. tax or other sourcb of indebtedness owed to the Cily of Chicago, including, but not limited to, water and sewer ehargei, license fees, parking tickets, property taxes and sales taxes, nor is the Disclosing Party delinquent in the payment of any tax administered by the Illinois Department of Revenue.
Page 4 of 15
am
SI
| LINCOLN SQUARE
Lincoln Square Special Service Area #21
The following parties are expected to be retained by the Lincoln Square Special Service Area in 2020 :
Party Name Address Scope of Work Est. SSA Cost Notes
Patch Landscaping 6107 N Ravenswood Chicago, IL 60660 Landscaping, Holiday Decor $88,422
Breaking Ground 3501 W Filmore St Chicago IL 60624 Litter Abatement $31,400
TSI, The Servicie Innovators 543 Diens Dr Wheeling, IL 60090 Giddings Plaza Snow | $3,500 Removal ;
Eilts and Associates 3729 N Ravenswood Ave Suite 117 Chicago IL 60613 SSA Audit $2,500
Foster Ravenswood . Self Storage 1800 W Foster Ave Chicago, IL 60640 Storage of Holiday $3,000 1 Decor
Teska Associates 627 Grove St Unit 2 Evanston, IL 60201 Neighborhood Master : $30,000 Planning ! i
[Contractor TBD] e N/A Parklet Installation i $3,000 j
Honore Storag 5147 N Clark St Chicago, IL 60640 Storage of Street j $3,800 Parklet j
Ripson Communications 210 S Des Plaines St Unit 1201 Chicago, IL 60661 Public Relations $3,000 ¦ Additional cost paid by j service provider
Riehn Insurance 4541 N Lincoln Ave Chicago, IL 60625 Office Insurance $1,500 Additional cost paid by service provider
Lawrence Investment Partners 1000 N Halsted St Unit 102 Chicago, IL 60642 Office Rent $5,275 Additional cost paid by service provider
GrowthZone : 24400 Smiley Rd Suite 4 Nisswa, MN 56468 Website Management j $850 i Additional cost paid by service provider
[Contractor TBD) N/A Banner Production, i $22,325 Installation Additional cost paid by service provider
(Artist TBD] N/A Community Mural ; $5,000 ! Additional costs paid for i ! ; with crowd funding
[Artist TBD] j N/A i Community Mural ! $5,000 i Additional costs paid for ; with crowd funding
Lincoln Square Kavenswood Cnamber of Commerce 2611 W Lawrence Avenue, Chicago IL 60625 | p: 773.728.3890 | f: 773.7G9 | e: info@lincoinsquore org
TFA Signs .(Simone Martir Newberry) - 5500 N Kedzie Ave, Chicago IL 60625 SSA Annual Report $1,000
CoStar j I 105 N Riverside Plaza, Chicago, IL 60606 Real Estate Multiple Listing Service $1,950 Additional cost paid by service provider
Mango ¦ 76 Hawkins Cres, Bradley Stoke, Bristol BS32 8EH, United Kingdom GIS mapping and inventory service $750 Additional cost paid by service provider
International ¦ Downtown Association 910 17th St NW #1050, Washington, DC 20006 Membership fees $1,000 Additional cost paid by service provider
Wausau Tiles : 9001 US-51 BUS, Rothschild, WI 54474 Planters $5,000 ¦
i
I
i
Lincoln Square Ravenswood Chamber of Commerce 2611 W. Lawrence Avenue, Chicago IL 60625 | o 773 728 3890 | f: 773.769.1855 www LincolnSquareRavenswcorl org ( e. info{S)iincolnsquare org
The Disclosing Party and, ifthe Disclosing Parly is a legal entity, all of those persons or entities identified in Section 11(B)(1) ofthis 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, ¦during the 5 years before the date ofthis EDS, been convicted of a criminal offense, adjudged guilty, of had a civil judgment rendered against them in connection with: obtaining, attempting to obtain, or performing 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;
are not presently indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any of the offenses set forth in subparagraph (b) above;
have not, during the 5 years before the date ofthis EDS, had one or more public transactions (federal, state or local) terminated for cause or default; and
have not, during the 5 years before the date ofthis 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.
The Disclosing Party understands and shall comply with the applicable requirements of MCC Chapters 2-56 (Inspector General) and 2-156 (Governmental Ethics).
Certifications (:5), (6) and (7) concern:
the Disclosing Party;
any "Contractor" (meaning any contractor or subcontractor used by lhe 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 Parly, is controlled by the Disclosing Party, or is, with the Disclosing Party, under common contrbl 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 vviih federal or state or local government, including lhe Cily. using substantially the same management, ownership, or principals as ihe 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 il. or. with the Contractor, is under common! control of another person or entity:
any responsible official ofthe Disclosing Party, any Contractor or any Affiliated Entity or any other official,
Pane 5 of 15
Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of"either the Disclosing Party or any Contractor, nor any Agents have, during the 5 years before the date ofthis EDS, or. with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the 5 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 ofthe City, the State of Illinois, or any agency ofthe federal government or of any state or local government in the United States of America, in that officer's or employee's official capacity; ¦
agreed or colluded with other bidders or prospective bidders, or been a party to any such agreement, or been convicted jor adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; or
made an admission of such conduct described in subparagraph (a) or (b) above that is a matter of record, but have not been prosecuted for such conduct; or
j
violated the provisions referenced in MCC Subsection 2-92-320(a)(4)(Conlracts Requiring a Base Wage): (a)(5)(Debarment Regulations); or (a)(6)(Minimum Wage Ordinance).
Neither the Disclosing Party, nor any Affiliated Entity or Contractor, or any of their employees, officials, agents or partners, is barred from contracting with any unit of state or local government as a result of engagingiin or being convicted of(i) 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 ofthe United States of America that contains the same elements as the offense of bid-rigging or bid-rotating.
Neither the Disclosing Party nor any Affiliated Entity is listed on a Sanctions List maintained by the United States Department of Commerce, State, or Treasury, or any successor federal agency.
[FOR APPLICANT ONLY] (i) Neither the Applicant nor any "controlling person" [see MCC Chapter 1-23, Article 1 for applicability and defined terms] ofthe Applicant is currently indicted or charged with, or lias admitted guilt of, or has ever been convicted of. or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to 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 1 is a continuing requirement for doing business with the City. NOTE: If MCC Chapter 1-23, Article I applies to the Applicant, that Article's permanent compliance timeframe supersedes 5-year compliance timeframes in this Section V.
[FOR APPLICANT ONLY] The Applicant and its Affiliated Entities will not use, nor permit their subcontractors to use, any facility listed as having an active exclusion by the U.S. EPA on the federal System for Award Management ("SAM").
[FOR APPLICANT ONLY| ihe Applicant 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 Certifications (2),and (9) above and will not. without the prior written consent ofthe City, usc'any such
Ver.2018-1 Page 6 (if 15
contractor/subcontractor that does not provide such certifications or that the Applicant has reason to believe has not provided or cannot provide truthful certifications.
11. Ifthe Disclosing Party is unable to certify to any ofthe above statements in this Part B (Further Certifications), the Disclosing Party must explain below:
Ifthe 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.
To the best ofthe Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all current employees of the Disclosing Party who were, at any time during the 12-month period precjeding the date ofthis EDS, an employee, or elected or appointed official, ofthe City of Chicago (if npnjc, indicate with "N/A" or "none").
fifcJio ^oI iv.ioU ^yorg. rX^tv^xjooa C-kaiuW/ ofi Cflyvu^-OrP_.i
To the best ofthe Disclosing Party'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, al any time during the 12-month period preceding the execution date ofthis EDS, to an employee, or elected or appointed official, ofthe City of Chicago. For purposes ofthis 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 $25 per recipient, or (iii) a political contribution otherwise duly reported as required by law (if none, indicate with "N/A" or "none"). As to any gift listed below, please also list the name ofthe City recipient.
lU oiAJL _ _
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
The Disclosing Party certifies that the Disclosing Party (cheek one)
[ ] is [.^1 is not
a "financial institution" as defined in MCC Seclion 2-32-455(b).
Ifthe Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are nol and vyill not become a predatory lender as defined in MCC Chapter 2-32. We further pledge that none 6f our affiliates is. and none of them will become, a predatory lender as defined in MCC Chapter 2-32. 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."
P,i»c 7 nl" 15
Ifthe Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in MCC Section 2-32--455(b)) is a predatory lender within the meaning of MCC Chapter 2-32, explain here (attach additional pages if necessary):
Ifthe 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 FINANCIAL INTEREST IN CITY BUSINESS
Any words or terms defined in MCC Chapter 2-156 have the same meanings if used in this Part D.
In accordance with MCC Section 2-156-1 10: To the best ofthe Disclosing Party's knowledge after reasonable inquiry, does any official or employee ofthe City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
[ JYes KNo
NOTE: If you cheeked "Yes" to Item D(I). proceed to Items D(2) and 6(3). If you checked "No" to Item D( I), skip ltenis D(2) and D(3) and proceed to Part E.
Unless sold pujrsuant 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 ofthe City (collectively, "City Property Sale"). Compensation for property taken pursuant to the City's eminent domain power does not constitute a financial interest within the meaning ofthis Part D.
Does the Matter involve a City Property Sale?
I | Yes [ | No
If you checked "Yes" to Item D( 1), provide the names and business addresses ofthe City officials or employees having such financial interest and identify the nature ofthe financial interest:
Name Business Address Nature of Financial Interest
4. l he Disclosing Party further certifies that no prohibited financial inteiest in the Matter will be acquired by any City official or employee.
Page 8ot 15
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Please cheek either (1) or (2) below. Ifthe Disclosing Party cheeks (2), the Disclosing Party must disclose below or in an attachment to this EDS all information required by (2). Failure to comply with these jdisclosure requirements may make any contract entered into with the City in connection with th> Matter voidable by the City.
/ i
. The Disclosing Party verifies that the Disclosing Party has searched any and all records of
issued to slaveholc
the Disclosing Parly 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
ers that provided coverage for damage to or injury or death of their slaves), and
the Disclosing Par y 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 Discjlosing 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:
i
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 to 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 die names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995, as amended, 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 ifthe letters "NA" or ifthe 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, as amended, 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( 1) 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
Vcr.201 8-1 Page 9 nf 15
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 lo extend, continue, renew, amend, or modify any federally funded contract, grant. loan, or cooperative agreement.
The Disclosing Party will submit an updated certification at the end of each calendar quarter in which there occurs any event that materially affects the accuracy of the statements and information set forth in paragraphs; A( 1) and A(2) above.
The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) ofthe 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," as thai)term is defined in the Lobbying Disclosure Act of 1995, as amended.
i
Ifthe Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equal in form and substance to paragraphs A(I) 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 ofthe Matter and must make such certifications promptly available to the City upon request.
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
Ifthe 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 Ifarty the Applicant?
| | Yes I ] 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.)
f J Yes [ j No
Have you filed jwith the Joint Reporting Committee, the Director ofthe Office of Federal Contract Compliance Programs, or the Equal Eimployment Opportunity Commission all reports due under the applicable filing requirements?
| ] Yes [ | No f | Reports not required
Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
| ] Yes ' | J No
If you checked "No" to question (1) or (2) above, please provide an explanation:
Page 10 of 15
SECTION VII -- FURTHER ACKNOWLEDGMENTS AND CERTIFICATION
The Disclosing Piifty understands and agrees that:
(312)744-9660. 1
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, Cityjassistance, or other City action, and are material inducements to 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 Ordinance, MCC Chapter 2-156, imposes certain duties and obligations on persons or entities seeking City contracts, work, business, or transactions. The full text of this ordinance apd a training program is available on line at vvwvv.cil y o 1 e h t e a a o. o r g/ E thics. and may also be obtained from the City's Board of Ethics, 740 N. Sedgwick St., Suite 500, Chicago. IL 60610,
he Disclosing Party must comply fully with this ordinance.
Ifthe 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 tHo City may pursue any remedies under the contract or agreement (if not rescinded or void), at law, or iniequity, including terminating the Disclosing Party's participation in the Matter and/or declining to allow the Disclosing Party to participate in other City transactions. Remedies at law for a false statement of material fact may include incarceration and an award to the City of treble
damages. j
i
t
It is the City's policy to make this document available to the public on its Internet site and/or upon request. Some orill ofthe information provided in. and appended to, this EDS may be made publicly available on the Internet, in response to 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 the City to verify the accuracy of any information submitted in this EDS.
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. Ifthe 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 MCC Chapter 1-23, Article I (imposing PERMANENT INELIGIBILITY for certain specified offenses), the information provided herein regarding eligibility must be kept current for a longer period, as required by MCC Chapter 1-23 and Section 2-154-020.
Page 11 of 15
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS, and all applicable Appendices, on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS, and all applicable Appendices, are true, accurate and complete as oil the date furnished to the City.
i
j
^/fSign here) \y'
(Print or type exact legal name*of Disclosing Party)
(Print or type name of person signing) (Print or type title of person signing)
Signed and sworn io before me on (date) K"\ | ^" \ j (
at . r\ ; County, "X'\V-^ (state).
f I
Notary Public ""^^ Commission expires: ^'-"-^o | Q
DAVID C. CAMP NOTARY PUBLIC. STATE OF ILLINOIS
My Commission Expires 03/30/2021
Page 12 ol' 15
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) the Applicant, and (b) any legal entity which has a direct ownership {interest in the Applicant exceeding 7.5%. It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
Under MCC Section 2-154-015, the Disclosing Party must disclose whether such Disclosing Party or any "Applicable; Party" or any Spouse or Domestic Partner thereof currently has a "familial relationship" with finy elected city official or department head. A "familial relationship" exists if, as of the date this EDS ijs signed, the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof is ijelated 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, cjhild, 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., ifthe Disclosing Party is a corporation; all partners ofthe Disclosing Party, ifthe Disclosing Party is a general partnership; all general partners and limited partners ofthe Disclosing Party, ifthe Disclosing Party i$ a limited partnership; all managers, managing members and members ofthe Disclosing Party, ijf the Disclosing Party is a limited liability company; (2) all principal officers ofthe Disclosing Parly: and (3) any person having more than a 7.5% 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 \ [vfNo
If yes, please identify below (1) the name and title of such person, (2) the name.of the legal entity to which such persori 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.
Puge 13 of 15
CITY OF CHICAGO IiXONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX B
BUILDING CODE SCOFFLAW/PROBLEM LANDLORD CERTIFICATION
I
i i
This Appendix is lb be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interests the Applicant exceeding 7.5% (an "Owner"). It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
Pursuant to MQC Section 2-154-010, is the Applicant or any Owner identified as a building code scofflaw or problem landlord pursuant to MCC Section 2-92-416?
[ ] Yes [^No
Ifthe Applicanjt 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 MCC Section 2-92-416?
[ 1 Yes [ ] No [^fhe Applicant is not publicly traded on any exchange.
3. If yes to (1) or '(2) above, please identify below the name of each person or legal entity identified as a building codeiscofflaw or problem landlord and the address of each building or buildings to which the pertinent code jviolations apply.
Page 14 ot" 15
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX C
l
PROHIBITION ON WAGE & SALARY HISTORY SCREENING - CERTIFICATION
t
This Appendix is p be completed only by an Applicant that is completing this EDS as a "contractor as defined in MCC Section 2-92-385. That section, which should be consulted (www.amlegal.com ). generally covers a party to any agreement pursuant to which they: (i ) receive City of Chicago funds in consideration for services, work or goods provided (including for legal or other professional services), or (ii) pay the Cityjmoney for a license, grant or concession allowing them to conduct a business on City premises.
On behalf of an Applicant that is a contractor pursuant to MCC Section 2-92-385. I hereby certify that the Applicant is incompliance with MCC Section 2-92-385(b)( 1) and (2), which prohibit: (i) screening job applicants basted on their wage or salary history, or (it) seeking job applicants' wage or salary history from current or former employers. I also certify that the Applicant has adopted a policy that includes those prohibitions.
[vf Yes
[]No
[ j N/A - i am not an Applicant that is a "contractor" as defined in MCC Seclion 2-92-385. This certification shall serve as the affidavit required by MCC Section 2-92-385(c)(l). If you checked "no" to the above, please explain.
Page 15 of 15