OFFICE OF THE MAYOR
CITY OF CHICAGO
LOKI E. LIGHTFOOT
MAYOR
Mav 23, 2022
TO THF HONORABLE,'THE CITY COUMCIL OF THE CITY OF CHICAGO
Ladies and Gentlemen:
At the request ofthe Commissioner of Planning and Development, 1 transmit herewith ordinances authorizing the sale of City-owned properties.
Your favorable consideration of these ordinances will be appreciated.
Very truly yours
ORDINANCE
WHEREAS, the City of Chicago ("Citv") is a home rule unit of government by virtue of the provisions ofthe Constitution ofthe State of Illinois of 1970, and, as such, may exercise any power and perform any function pertaining to its government and affairs; and
WHEREAS, the City is the owner of the vacant parcel of property located at 1256 South Albany Avenue, Chicago, Illinois 60623, which is legally described on Exhibit A attached hereto (the "Property"); and
WHEREAS, pursuant to ordinances adopted by the City Council of the City (the "City Council") on May 17, 2000, and published at pages 30775 through 30953 in the Journal of Proceedings ofthe City Council for such date, the City Council approved a certain redevelopment plan and project for the Midwest Redevelopment Project Area (as previously or subsequently amended, the "Redevelopment Area"); and
WHEREAS, the Property is located in the Redevelopment Area; and
WHEREAS, Natashee Scott ("Grantee"), having a principal residence of 1250 South Albany Avenue, Chicago, Illinois 60623, has offered to purchase the Property from the City for the sum of Seven Thousand Dollars ($7,000.00 ) (the "Purchase Price"), such amount being the appraised fair market value of the Property, to improve with landscaped open space; and
WHEREAS, by Resolution No. 22-009-21, adopted on April 21, 2022, the Chicago Plan Commission approved the disposition ofthe Property to Grantee; and
WHEREAS, public notice advertising the City's intent to enter into a negotiated sale ofthe Property with Grantee and requesting alternative proposals appeared in the Chicago Tribune, a newspaper of general circulation, on March 21 and March 28, 2022; and
WHEREAS, no alternative proposals were received by the deadline indicated in the aforesaid notice; now, therefore,
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
SECTION 1. The foregoing recitals are hereby adopted as the findings of the City Council.
SECTION 2. The City Council hereby approves the sale of the Property to Grantee in its "as is" condition for the Purchase Price.
SECTION 3. The Mayor or her proxy is authorized to execute, and the City Clerk or the Deputy City Clerk is authorized to attest, a quitclaim deed ("Deed") conveying the Property to Grantee, or to a land trust of which Grantee is the sole beneficiary, or to an entity of which Grantee is the sole controlling party or which is comprised of the same principal parties. Without limiting the quitclaim nature ofthe Deed, the conveyance ofthe Property shall be subject to the following: the standard exceptions in an ALTA title insurance policy; general real estate taxes and any special assessments or other taxes; easements, encroachments, covenants, restrictions and liens of record and not shown of record; such other title defects as may exist; and any and all exceptions caused by the acts of Grantee or its agents^ In addition, the Deed shall include the following terms, covenants and conditions, in substantially the form set forth below, which are a part of the consideration for the Property and which shall run with the land and be binding upon
and enforceable against Grantee and Grantee's heirs, successors and assigns, in perpetuity (unless a shorter period is expressly stated below):
Covenant to Improve Property with Landscaped Open Space. Grantee shall improve the Property with landscaped open space within six (6) months ofthe date of this Deed, provided that plantings may be delayed for an additional six (6) months if consistent with good landscaping practices. If these conditions are not met, the City may record a notice of default against the Property and shall have the right to exercise any and all remedies available to it at law or in equity, including the right to re-enter the Property and revest title in the City. Grantee, at the request of the City, covenants to execute and deliver to the City a reconveyance deed to the Property to further evidence such revesting of title. This right of reverter in favor ofthe City shall terminate five (5) years following the date of this Deed; provided however, if Grantee delivers written notice to the Commissioner of the City's Department of Planning and Development, or any successor department thereto, that such improvements have been made to the Property, along with documentation evidencing such improvements, the right of reverter shall terminate on the date Grantee records such notice countersigned by the Commissioner, or the Commissioner's designee, with the Cook County Clerk, Recordings Division.
Environmental Screening. The City, acting through its Bureau of Environmental, Health and Safety Management in the Department of Assets, Information and Services ("Department"), has conducted a review ("Limited Screening") of certain internal files and certain other publicly available records ("Review Documents") in an effort to identify potential environmental concerns associated with the Property ("Environmental Findings"). Grantee acknowledges that Grantee has previously received a memo summarizing the Department's Limited Screening, and that the City has made all Review Documents available to Grantee for inspection and copying upon request.
Limited Nature of City's Records Review. Grantee acknowledges that the City did not perform a Phase I Environmental Site Assessment or conduct a thorough environmental investigation of the Property, and that the City's review of internal records and other information was limited. Grantee acknowledges that the Department's Limited Screening may not have located all internal or publicly available documents relating to the condition of the Property, and that there may be other sources or types of contamination affecting the Property. Grantee acknowledges that the City is not obligated to locate all such documentation or perform a thorough environmental investigation.
Historic Contamination of Urban Land. Grantee acknowledges that soil and groundwater in urban areas, including Chicago, are frequently impacted by historic environmental contamination, such as (a) buried demolition debris containing lead-based paint or asbestos, (b) underground heating oil tanks, (c) off-site migration of chemicals from surrounding property previously or currently used for gas stations, dry cleaners, or other commercial, industrial or manufacturing land uses, (d) unauthorized "fly" dumping, (e) nearby railroad operations, and (f) airborne deposit of lead and other contaminants from historic use of lead gasoline and polluting industrial or manufacturing uses. Grantee acknowledges receipt of a fact sheet prepared by the United States Environmental Protection Agency about urban gardening best
management practices to prevent or reduce exposure to contaminants that may be present in soils.
"As Is." "Where Is" and "With All Faults" Conveyance. Grantee acknowledges that Grantee has had an opportunity to inspect the Property, and is relying solely upon Grantee's own inspection and other due diligence activities in determining whether to acquire the Property, and not upon any information provided by or on behalf of the City with respect thereto, including without limitation, the Review Documents and any summary thereof. Grantee acknowledges and agrees that the Property is being conveyed, and Grantee accepts the Property, in its "AS IS," "WHERE IS" and "WITH ALL FAULTS" condition without any covenant, representation, or warranty, express or implied, of any kind, regarding the physical or environmental condition of the Property or the suitability of the Property for any purpose whatsoever. Grantee acknowledges and agrees that Grantee is solely responsible for any investigation and remediation work necessary to put the Property in a condition which is suitable for its intended use.
Release of Citv. Grantee, on behalf of Grantee and Grantee's heirs, successors and assigns, and anyone claiming by, through or under any of them, hereby releases, relinquishes and forever discharges Grantor and its officers, employees, agencies, departments and officials, from and against any and all claims, demands, losses, damages, liabilities, costs and expenses (including, without limitation, reasonable attorney's fees and court costs) based upon, arising out of or in any way connected with, directly or indirectly, the environmental or physical condition ofthe Property.
Midwest Redevelopment Project Area. The Property is located in the Midwest Redevelopment Project Area established pursuant to ordinances adopted by the City Council on May 17, 2000. Grantee is obligated to use the Property only for uses permitted under the redevelopment plan for the redevelopment area, as amended, until such redevelopment plan expires.
Affordable Housing. Grantee acknowledges that the sale of City-owned land may trigger Section 2-44-085 of the Municipal Code of Chicago (as hereafter amended, supplemented or replaced, the "Affordable Requirements Ordinance"), and therefore, that a future residential project on the Property may be subject to the requirements of the Affordable Requirements Ordinance.
SECTION 4. The Commissioner of the Department of Planning and Development (the "Commissioner"), or a designee of the Commissioner, is each hereby authorized, with the approval of the City's Corporation Counsel as to form and legality, to negotiate, execute and deliver such documents as may be necessary or appropriate to carry out and comply with the provisions ofthis ordinance, with such changes, deletions and insertions as shall be approved by the Commissioner or the Commissioner's designee. Such documents may contain terms and provisions that the Commissioner or the Commissioner's designee deems appropriate, including indemnification, releases, affidavits and other documents as may be reasonably necessary to remove exceptions from title with respect to the Property or otherwise may be reasonably necessary or appropriate to consummate the transaction contemplated hereby
SECTION 5. If any provision ofthis ordinance shall be held to be invalid or unenforceable for any reason, the invalidity or unenforceability of such provision shall not affect any of the other provisions of this ordinance.
SECTION 6. All ordinances, resolutions, motions or orders inconsistent with this ordinance are hereby repealed to the extent of such conflict.
SECTION 7. This ordinance shall take effect upon its passage and approval.
Attachments: Exhibit A - Legal Description of Property
EXHIBIT A
LEGAL DESCRIPTION
(SUBJECT TO TITLE COMMITMENT AND SURVEY)
LOT 18 IN BLOCK 1 IN SUBDIVISION OF BLOCKS 1 TO 4 IN BALESTIER'S DOUGLAS PARK ADDITION TO CHICAGO IN THE NORTHWEST % OF SECTION 24, TOWNSHIP 39 NORTH, RANGE 13, EAST OF THE THIRD PRINCIPAL MERIDIAN, IN COOK COUNTY, ILLINOIS.
ADDRESS: 1256 SOUTH ALBANY AVENUE CHICAGO, ILLINOIS 60623
16-24-101-041-0000
CITY OF CHICAGO ECONOMIC DISCLOSURE ST A I KMKNT AND AFFIDAVIT
SKCT.ION I - GENERAL INFORMATION
A. Legal name ofthe Disclosing Parly submitting this EDS. Include d/h/a' if applicable:
. hk^L^e...^(dr) :SCheck ONE of the following three boxes:
Indicate whether i.he Disclosing Party submitting this EDS is: 1. I vfTlie Applicant OR
7. [ ] 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 LDS pertains (referred to below as the "Mailer"), a direct or indirect interest in excess of 7.5% in the Applicant. State the Applicant's legal
name: _ _
"OR "
3. [ ] a legal entity with a direct or indirect right of control ofthe Applicant (see Section 11(B)(1)) State the legal name ofthe entity in which the Disclosing Party holds a right of control:
H. Business address of the Disclosing Party: \yS v. 4> -
C. Telephone: ^ Fax. _ Email'.
L). Name of contact person: ^^f^^>^,"3"'^,cV'K\ 5>V<5V+~
Federal Employer Identification No. (if yot: have one):
Brief description oflhe Matter to which this F.DS pertains. (Include project num her and location of property, if applicable):
Which City agency or department is requesting this EDS? 'i^£ipT •_0.f:„5^k?d:m t>J * 'EtZfllep
If the Matter is a contract bsing handled by the City's Department of Procurement Services, please complete the following:
Specification ti and Contract"
Vcr.2018-1 Pace I of IS
SECTION II - DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF Till: DISCLOSING PARTY
2. For legal entities, the stale (or foreign country) of incoi poration or organization, if applicable:
3. For legal entities not organized in the Slate of Illinois: Has the organization registered to do business in the Stale of Illinois as a foreign entity?
[ ] Organized in Illinois
B. IF THE DISCLOSING PARTY JS A LEGAL ENTITY:
I. I.isi below the. full names and tilles. if applicable, of: (i) ull executive officers and all directors of ihe entily; (ii) for not-for-profit corporations, all members, if any, which arc legal entities (if there are no such members, write "no members which arc legal entities"); (iii.) for trusts, estates or oiher similar entities, the trusiee, 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 controls the day-to-day management of the Applicant.
NOTE: Each legal entity listed below musi submit an FIDS on its own behalf.
Name
2. Please piovide the following iiniirinaiion concerning each person or legal entity having a direct or indirect, current or-prospectivc (i.e. within 6 months after City action) beneficial interest (including ownership) in excess of 7.5% of the Applicant. Examples ofsuch no. interest include shares in a corporation, partnership interest in a partnership or joint venture, interest of a member or manager in a
Pii,ie 2 n:'15
limited liability company, or interest ot a beneficiary of a trust, estate or other similar enlity. [f none, stale "None."
NOTE: Each legal enlity listed below may he required to submit, an HDS on its own behalf.
Name Business Address Percentage Interest in the Applicant
^OA^ _
SECTION III -- INCOME. OR COMPENSATION TO, OR OWNERSHIP BV, CITY ELECTED OFFICIALS
I fits the Disciosing Parly provided any income or compensation to any City elecied official during, the
12-month period preceding the dale ofthis EDS? [ | Yes t/fNo
Does the Disclosing Party reasonably expect to provide any income-or compensation to any Cily s
elected official during the 12-monih period following the date of this EDS? [ 1 Yes (l^No
If "yes" to Cither of the above, please identify below the name(s; of such City elected ofiicial(s) and describe such income or compensation:
Does any City elected ofllcial or, to the best ofthe Disclosing Party's knowledge afier reasonable inquiry, any City elecied official's spouse or domestic partner, have a financial interest fas defined in Chapter 2-156 of the Municipalhdode ol'Chicago ("MCC")) in the Disclosing Party? f ] Yes
If "yes," piease identify below the namc(s) of such City elected officia!(s) and/or spousc(s)/domestic partner(s) and describe tlie 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 2-156), 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 of the relationship, and the total amount of the fees paid or estimated to be paid. I he Disclosing Party is nol required to disclose employees who arc paid solely through die Disclosing Party's regular payroll. If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must cither ask the City whether disclosure is lequired or make the disclosure.
I'aye 3 of 15
Name (.indicate wheihei- Husiness Relationship to Disclosing Party l ees (indicate whether
retained or anticipated Address (subcontractor, attorney, liaLeL^l^iUM'cd,) NO 1 K:
to be retained) lobbyist, etc.) "hourly rate" or "t.b.d." is
not an acceptable response.
0.(^1 . . . ... .
(Add sheets if necessary)
| "{Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities,
SECTION V - CERTIFICATIONS
A. COURT-ORDERED CHILD SUPPOR T COMPLIANCE
Under MCC Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance wilh their child support obligations throughout the. contract's term.
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by uny Illinois court ofeompeient jurisdiction?
| ] Yes [ t] No [ fJ'rJo person directly or indirectly owns 10% or more of the Disclosing Party.
If "Yes," has lite person entered into a court-approved agreement for paymcm of al! support owed and is the person in compliance, with that agreement?
[ ] Yes | 1 No
13. FURTHER CERTIFICATIONS
1 | This paragraph 1 applies only if the Matter is it contract being handled by ihe City's Department of Procurement Services.1 In the 5-ycar period preceding the date oflhis EDS, neither lhc Disclosing Parly nor any Affiliated Entity |see definition in (5) below] has engaged, in connection wiih the performance ofany 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 Olher similar skills, designated by a public agency to help the agency monitor ihe activity of specified agency vendors as well us help the vendors reform their business practices so Ihey can be considered for agency contracts in the future, or continue with a contract in progress).
2. The- Disclosing Party and its Affiliated Enlilies are uni delinquent in ihe payment of any line. fee. tax or other source of indebtedness owed to the City of Chicago, including, bur not limited to, water and sewer charges, license, fees, parking tickets, property taxes and -"ales taxes, nor is the Disclosing Party delinqueni in -he payment of any tax administered by the < Illinois Department cTRl-voiiuc.
l'Hne4of 15
.">. The Disclosing Party and. if the Disclosing Party is a legal entily, al) ofihose persons or entities identified in Section 11(11X1 > oflhis EDS-
arc. nul presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from any transactions by an)- fedei ;!'., stale or local unil. of government;
have no:, during the. 5 years before the dale ofthis EDS. been convicted of a criminal offense, adjudged guilty, or bad 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 Malemcins: or receiving stolen property;
are not prcsenily indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any ofthe offenses set forth in subparagraph (b) above;
cl. have not. during the 5 years before the date ofthis EDS. Iiau one or more public transactions (federal, state or local) tenninated for cause or default; and
e. have not, during the 5 years before the dale 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, insiituicd by the City or by the federal government, any state, or any other unil of local government.
¦+. The Disclosing Party understands and shall comply wilh the applicable rciiuircments of MCC Chapters 2-56 (Inspector General) and 2-156 (Governmental Ethics).
5. Certifications (5), (6) and (7) 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 TV, "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. wilh ihc Disclosing Parly, under common control of another person or enlity). Indicia of control include, without, limitation: interlocking management or ownership; identity of interests among family members, shared facilities and equipment; common use cf employees: or organization of a business entity following the ineligibility of a business entity to do business with federal or stale or local government, including the City, using .substantially the same management, ownership, or principals as the ineligible entity. With tespeci lo Contractor?, the teem Affiliated Entity means a person or entity thai directly or indirectly controls the Contractor, is controlled hy il, or. with the Contractor, is under common conirol of another person or etttiiy;
any responsible official oflhe Disclosing Party, any Contraclor or any Affiliated Entity or any Olher official, agent or employee oflhe Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official of the Disclosing Party, any Contractor or any Affiliated Entity ^collectively "Agents").
Hajjjf 5 of 15
Neither the Disclosing Party, nor any Cuntittctor, nor any Affiliated Entity of cither (he Disclosing Party or any Contractor, nor any Agents have, during, the 5 years before the date of this EDS, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of n Conlractor during the. 5 years before tin: date, of .such Contractor's or Affiliated Entity's corn.'act or engagement in connection with the Matter:
a. bribed or attempted to bribe, or been convictod or adjudged guilty of bribery or attempting to bribe, a public officer or employee of the City, the Stale of Illinois, or tiny agency of the federal government nr ofany state or local government in the United Stales of America, in thai officer's or employee's official capacity;
h. agreed or colluded with other bidders or prospective bidders, or been a party to any such agreement,
or beer, convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders,
i.i restraint of freedom of competition hy agreement ui bid a fixed price or otherwise; or
o. made an admission of such conduct desaibed in subparagraph (a) or (h) above that is a mutter of record, but have not been prosecuted for such conduct: or
d. violated the provisions referenced in MCC Subsection 2-"-2-.V20(!\)(4)(Contracts Requiring a Base. Wage): (a')(5)(Debajnienl Regulations); or (ii)(6)(Minimum Wage Ordinance).
Neither the Disclosing Party, nor any Affiliated Entity or Contractor, oi any of their employees, officials, agents or partners, is barred li'um .contracting, with any unit of state or local government as a result of engaging in or being convicted of (1 j bid-rigging in violation of 720 II .CS 5/33E-3; (2) bid-rotaiing in violation of 721) ILCS 5/33E-Neither the Disclosing Party nor any Affiliated Enlity is listed on h Sanctions List maintained by the United States Department of Commerce. State, or Treasury, ot any successor federal agency.
fi. | PGR APPLICANT ONLY! (i) Neither the Applicant nor tiny "controlling person" [sec MCC. Chapter 1-23, Article I for applicability and defined terms],of the Applicant 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 to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of ihc City or any "sister agency"; and (ii) the Applicant understands and acknowledges that compliance, with Article I i:; a continuing requirement for doing business with the City. NOTE: If MCC Chapter 1-23, Article I applies to tbe. Applicant, that Article's permanent compliance timeframe supersedes 5-year compliance timeframes in this Section V.
(FOR APPLICANT ONLYj I he 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. E.Pa on the federal System for Award Management ("SAM").
[FOR APPLICANT ONLY) i hc Applicant will obtain, from any contractors/subcontractors hired
or to be hired in connection with the Matter certifications euual in form and substance lo lliobO. in
Certifications (2) and (9) above and will not. without the prior written conscni of tJte City, use any such
Ver.201X-! I'atvi;c:'l5 /
contractor/subcontractor thai does not provide such certifications or that. Ihe Applicant has reason to believe hiis noi provided or cannot provide truthful certifications.
11. If the Disclosing Party is unable to certify 10 any oi the above, siatemenis in this Part 13 (Further Certifications). UuiJ")isciosing Tarty must explain below.
If the letter; "NA," the word "None." or no -.espouse appears on the lines above, it will be conclusively presumed Ilia! the Disclosing Party certified to the above staiemenis.
12. To the. best ofthe Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all current employees of lhe Disclosing Party who were, at any time during the 12-moruh period preceding the date ofthis EDS, an employee, or elected or appointed official, ofthe City of Chicauo (if none, indicate with "N/A" or "none").
13. To the best ofthe Disclosing Party's knowledge after reasonable inquirs. the following is a complete iist ol" all gifts (hat the Disclosing Party has (oven or caused to be given, al any lime during the 12-month period preceding the execution date of this EDS, to an employee, or elected or appointed official, oflhe City of Chicago, For purposes ofthis statement, a "gill" tloc.t noi include: fi) anything made generally available lo City employees or to the general public, or (ii) food or drink provided iu the course of official Cily business and having a retail value of less than S2:i per recipient, or (iii) a political contribution otherwise, duly reported its required by law (if none, indicate wilh "N/A" or "none").\As 10 any gifl listed below, please also list the mime oflhe City recipient.
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
a "financial institution" as defined in MCC Section 2-32-455(b). 2. Ifthe Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"Wc arc no; and will not become a predatory lender as defmed in MCC Chapter 2-32, We further pledge lhat none of our affiliates is, and none of them will become, a predatory lender as defined in MCC Chapter 2-32, We understand (hat becoming a predatory lender or becoming an affiliate of 11 predatory lender may result in the loss ofthe privilege of doing business with tlie City."
Page 7 ,.f 15
11'lhc Disclosing Party is unable lo make this pledge because it or any of its affiliates (as defined in MCC Section 2-32-455(bj) is n predatory lender within the meaning of MCC Chapter 2-32. explain here (attach additional pages if necessary):
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 siaiements.
0 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 2-156-110: To the best of the Disclosing Party's knowledge after reasonable inquiry, does any official or employee ofthe Cily have a linancial interest in his or hev own name or in the name ofany other person or entily in the Matter?
i JYes |yfNo
NOTE: Ifyou checked "Yes" to Item D(0, proceed to Items D(2) and D(3). If you cheeked "No" to liem D(l), skip Items D(2) and D(3) and 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 linancial interest in his or her own name or in the name ofany other person or entity in the purchase of any property that (i) helohgs to die. City, or (ii) is sold for taxes or assessments, or (iii) is sold hy virtue ol'Tegal process at the suit: of the City (collectively.
' City Property Stile."). Compensation for property taken pursuant to the City's eminent domain power does not constitute a financial interest within the. meaning ofthis Part 13.
Does the Matter involve a Cuy Property Saic'.'
f ] Yes | vf No
Ifyou checked "Yes" to Item D(J). provide, the names and business addresses ofthe City officials or employees having such financial interest and identify the natuie ofthe financial interest:
Name Business Address Nature of Financial Inierest
I'stgKS r.MS
I-!. CERTIFICATION KPXiAP.DlNG SLAVERY ERA BUSINESS
Please check cither (!) oj (2) below. 11"the Disclosing Party check!; (2), the Disclosing. Party must disclose below or in an attachment to this EDS all information required by (2). Faiitire- to comply with ihese disclosure requirements: may make any contract entered into wilh the Cily in connection with the Matter voidable by the Cily.
' Disclosing Parly verifies that the Disclosing Parly has searched any and all records oi" the Disclosing Party and any and all predecessor entities regarding records of investments or profits from slavery or slaveholder insurance policies during the slavery cm (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 Parly verities lhat, as. a result of conducting the search in step (I I above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies, 'l he Disclosing Pnny verifies that the following constitutus full disclosure of all such records, including the names of any and all -slaves or slaveholders described in those recouis:
SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete (his Section VI. If the Mattel- is not federally funded, proceed tn Section VII. For purposes ofthis Section VI. tax credits allocated by the City and proceeds ol" dehl obligations oflhe 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, as amended, who have made lobbying contacts on behalf ofthe 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 tbe word "None" appear, it will he conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of l!/u5, as amended, have made lobbying contacts oo behalf of the Disclosing Party with respect to the Matter. I
2. The Disclosing Parly 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 hei hi'ubyiiig Activities or to nay any
persor. or entily io influence or ntiempt to inlluence an officer or. employee ofany agency, as defined
by applicable federal law, a member of Congressman officer or employe::: of Congress-, or an employee
V«i.2018-1 Page 9 nf IS
of a member of Congress, in connection with the award of any federally funded contract, making any federally funded r.rnnl nr loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contiaci, grant, loan, or cooperative agreement.
'i. The Disclosing Party will submit an updated certification at lhc end of each calendar quarter h\ 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 urgani/ation described in section '-¦') 1 (c)(4) of Ihc internal Revenue Code o! 1 '.'No; or (ii) it is an organization described in section 501(c)(*l) ofthe Internal Revenue Code of 1986 but has not engaged antl will not engage in "Lobbying Activities." as that term is defined in-the Lobbying Disclosure Act of 1995, as amended.
If the Disclosing Party is ihc Applicant, she Di.-idosinn Party must obtain certifications equal in fonn and suh.tancc to paragraphs A(U through AH) above tiom all subcontractor; before it awnrds any siihcontvact and the Disclosing Party .must maintain all such subcontractors' certifications for the duration ofthe Matter and must make such comficjlionj. 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 wilh their bic> or in vvrilir.j} nl the outset of negotiations.
Is the Disclosing Partv the Applicant''
r ] Yes | j Nn
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 4 1 CFR Pail 60-2.)
( i Yes [ ] No
Have you filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance Programs, or the Equal Employment Opportunity Commission nil reports due under the applicable filing requirements?
I ] Yes [ jNo | 1 Reports not required
Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
[ I Yes || No
If you checked "No" io question (I) or (2) above, please provide ar. explanation:
r-jBs to oris
SECTION VII -
- further acknowledcmrnts and certification
Tlie Disclosing Puny understands and agrees that:
A The certifications, disclosures, and acknowledgments contained in this F.DS will become part ofany contract or othei agreement between trie Applicant and the City in connection with the Matter, whether procurement. City assistance, or olher City action, and are maiciial inducements tu lhe City's execution of any contract or taking, other action with tespec. to ihe, Matter. The Disclosing Fat ty understands that it must comply wilh all sta'.utes, ordinances, and regulations on which this EDS is based.
13. The City's Govenunental Ethics Ordinance, MCC Chapter 2-156. imposes certain duties and obligations on persons or entities seeking City contracts, work, business, or transactions. T he full text oflhis ordinance and a training program is available on line ai wu y.'.citvoi'chictigo. ore/Ethics, and may also be obtained from the City's Board of Ethics, 740 N. Sedgwick St Suite 500, Chicago, II, 60610, (312) 744-9660. The Disclosing Party must comply hilly with tbis ordinance.
If the City determines lhat any information provided in this EDS is false, incomplete ot inaccurate, any contract or olher agreement in connection with which it is submitted may be rescinded nr be. void or voidable, and the City may pursue any remedies under Ihe conU'tiol or agreement (if not rescinded or void), at law, or in equiiy. 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 die City of treble damages.
It is the City's policy to make this document available lo the public oc its Internet site and/or upon request. Some or all oflhe information provided in, and appended to, this EDS may be made publicly available on the Iniernei, in response to a Freedom oflnformalion 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 wilh the public release of information contained in this EDS and iilso authorizes the City to verify the accuracy ofany infonnation submitted in this EDS.
The information provided in this EDS musi 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 Mattel. If ibe Matter is a contract being handled by the City's Department of Procurement Services, the Disclosing Party must update (his EDS as the contract requires. NOTE: With respect to Matters subject to MCC Chapter I-P.3, Article 1 (imposing PERMANENT INKI.I01BI1,ITY for cenain specified offenses), the information provided herein regarding eligibility must be kept current for u longer period, as required by MCC Chapter 1-23 and Section 2-154-020.
CERTIFICATION
Under penally of perjury, llic- person signing below: (1) vyarnuH.s thai he/she is authorized to execute this F.DS, and all applicable Appendices, on behalf of the Disclosing Party, and (2) warrants thai all certifications anil statenients contained iu this EDS, and al! applicable Appendices, are true, accurate and complete as ofthe date furnished to the City.
(Print or type excel lecal name of Disclosing Party) (Signhcre) (Print or type name of person signing)
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(Print ifr type title ofperson signing)
Signed and sworn to before me on (date) _J||.ZO 2. 2.
al - ^°Yr-. County. J Lt.iMoiS . (state).
Notarv PuVjIic
MABICELA ZAPIAN OFFICIAL SEAL Notary Public - Slate of Illinois ' My Commission Expires Oct 19,2025
Commission expires: .\
!>.•>£« 12 or IS
CITY Of CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CU Y OFFICIALS AM) DEPARTMENT HEADS'
This Appendix is tn be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5%. ll is not to lie completed by any legal entity which has only an indirect ownership inierest in the Applicant.
Under MCC Section 2-154-015. the Disclosing Parry must disclose whether such Disclosing Party 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 of the date Ihis CDS is signed, the Disclosing Party or any "Applicable Party;'' or any Spouse '>r Domestic Parmer thereof is relaled to the mayor, any alderman, tlie cily clerk, lhe 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, stcpfadter 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. I a., if the Disclosing Party is a corporation; all partners of lhc Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners ofthe Disclosing Party, if the Disclosing Party is n limited partnership; all managers, managing tneriibers and members ofthe Disclosing Party, if the Disclosing Party is a limited liability company: (2) all principal officers uf the Disclosing Party; und (3) any person having more than a 7.5% ownership interest in tlie 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" ot any Spouse or Domestic Partner thereof cu:rcntMuivc a "familial relationship" with an elected city official or department head'.-'
MVes 1 | No
If yes, please identify below (1) the name and title of such person, (2) the name of the legal entity lo which such person is connected; (3) ihe name and title ofthe elected city official or department head to whom such person ha? a familial relationship, and (¦!) tlie precise nature of such familial relationship.
I'aftc 13 of 15
CU Y OF CHICAGO ECONOMIC DISCLOSURE STATEMENT" AND AFFIDAVIT APPENDIX B
BUILDING CODE SCOFFLA\V/PROBLEM LANDLORD CERTIFICATION
This Appendix is lo hu completed only hy (a) the Applicant, and (h) any legal entily which has a direct ownership interest in 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 MCC Section 2-15-1-010, is the Applicani or any Owner identified ns a building code scofflaw or problem landlord pursuant lo MCC Section 2-92-4! &'?
[ ] Yes [ d/No
2. If the Applicant is a legal enlity publicly traded on any exchange, is any officer or director of die Applicant identified as a building code scolflaw or problem landlord pursuant to MCC Section 2-92-416?
| | Yes f | No [^U-rTtc Applicani is nol ptiblicly 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 code scofflaw or problem landlord and the address of each building or buildings to which the pertinent code violations apply.
Pace 14 of IS
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT AFTENDIV C
rROHlBMTON ON WACiK & SALARY HISTORY SCREENING - CERTIFICATION
This Appendix is to he completed only by an Applicant thai is completing this EDS us a "contractor" as defined in MCC Section 2-92-385. That section, which should Iv consulted (www.antlenal.coml , generally covers a parly ui any agreement pursuant to which they: (i) receive Cily of Chicago funds in consideration for services, work or goods provided (including for legal or oilier professional services), or (ii) pay the City money for a license, grant or concession allowing them to conduci 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 in compliance wilh MCC Section ?.-92-3H5(b)(l) andt'2), which prohibit: (iV screening job applicants based on thc:ir wage or salary history, or (ii) socking job applicants' wage or .vahiry historyfroiii current or former employers. I also certify that the Applicant has adopted it policy thai includes those prohibitions.
[ ]Yes
t I No
f ] N/A - I um not an Applicant lhat is a "contraclor" as defined in MCC Section 2-92-385. This certification shall serve as the affidavit required by MCC Section 2-92-385(c)(l).
Ifyou cheeked "no" to the above, please explain.