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OFFICE OF THE MAYOR
CITY OF CHICAGO
LORI E. LIGHTFOOT
MAYOR
June 22.2022
TO THE HONORABLE', THE CU Y COUNCIL OF THE CI TY OF CHICAGO
Ladies and Gentlemen:
At the request ofthe Commissioner of Planning and Development, I transmit herewith ordinances authorizing the sale of City-owned properties.
Your favorable consideration of these ordinances will be appreciated.
AN ORDINANCE OF THE CITY OF CHICAGO, ILLINOIS AUTHORIZING THE CONVEYANCE OF CITY LAND TO NEIGHBORSPACE
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, there is a lack of sufficient open space in the City for recreational and aesthetic uses, as documented in the comprehensive plan entitled "CitySpace: An Open Space Plan for Chicago" (the "CitySpace Plan"), and as a result there is a need to develop small open spaces as parks, gardens and natural areas for public use; and
WHEREAS, the CitySpace Plan sets forth certain goals and objectives for increasing open space in the City; and
WHEREAS, the City Council ofthe City (the "Citv Council") finds that the establishment of additional public open space and parkland is essential to the general health, safety and welfare ofthe City; and
WHEREAS, the City owns one (1) vacant parcel of land (approximately 4,443 square feet) commonly known as 4116 South Lake Park Avenue, Chicago, Illinois, which is legally described on Exhibit A attached hereto (subject to final survey and title commitment, the "Property"); and
WHEREAS, by ordinance adopted on March 26, 1996, and published at pages 18969 to 18979 in the Journal ofthe Proceedings ofthe City Council ("Journal") of such date (the "Original NeighborSpace Ordinance"), the City authorized the execution of an intergovernmental agreement between the City, the Chicago Park District and the Forest Preserve District of Cook County (the "Original NeighborSpace IGA") to establish NeighborSpace, a not-for-profit corporation, to address the lack of sufficient open space in the City for recreational and aesthetic uses; and
WHEREAS, NeighborSpace was incorporated under the laws of the State of Illinois on May 29, 1996, exclusively for charitable, scientific and educational purposes, including, but not limited to, the preservation of open space and parks within the City; and
WHEREAS, the City, the Chicago Park District and the Forest Preserve District of Cook County entered into the Original NeighborSpace IGA on or as of January 16, 1997; and
WHEREAS, following two extensions, the Original NeighborSpace IGA expired on December 1, 2020; and
WHEREAS, pursuant to an ordinance adopted on May 26, 2021, and published at pages 30443 to 30455 in the Journal of such date (the "2021 NeighborSpace Ordinance"), the City, the Chicago Park District and the Forest Preserve District of Cook County entered into a new intergovernmental agreement (the "2021 NeighborSpace IGA") to continue their support of NeighborSpace; and
WHEREAS, the 2021 NeighborSpace IGA commenced on January 1, 2021, and expires on December 31, 2025, subject to an option to extend for an additional five (5) year period upon the mutual agreement of the parties; and
WHEREAS, the primary mission of NeighborSpace is to acquire small open spaces to ensure their continued survival for community use; and
WHEREAS, the Original NeighborSpace Ordinance contemplates that the City would donate, sell or lease land to NeighborSpace, and that NeighborSpace, in turn, would enter into agreements with local groups to use and maintain the land as community gardens or other public open space; and
WHEREAS, the 2021 NeighborSpace Ordinance provides that NeighborSpace will retain the powers to buy, accept donations of, own, lease, hold easements to, and sell real property, and will continue to enter into agreements with local groups for the use and maintenance of open spaces; and
WHEREAS, the City desires to convey the Property to NeighborSpace for the expansion of a community-managed garden known as the Milton Mizenburg, Jr. Sculpture Garden (the "Garden"), which is located on the Southwest corner of Lake Park and 41st Place in the Oakland Lamdmark District; and
WHEREAS, after transfer ofthe Property to NeighborSpace, NeighborSpace will own the Property and the Property will be managed by the community as an expansion of the Garden; and
WHEREAS, the City Council finds that the conveyance of the Property to NeighborSpace is in the best interests ofthe City and is consistent with the CitySpace Plan; and
WHEREAS, the Board of Directors of NeighborSpace approved the acquisition of the Property on June 9, 2020; and
WHEREAS, on May 26, 2022, the Chicago Plan Commission approved the sale of the Property to NeighborSpace; and
WHEREAS, public notices advertising the intent of the Department of Planning and Development to enter into a negotiated sale of the Property with NeighborSpace and requesting alternative proposals appeared in the Chicago Tribune on April 28, May 4, and May 11, 2022; now, therefore,
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
SECTION 1. The foregoing recitals, findings and statements of fact are hereby adopted as the findings of the City Council.
SECTION 2. The City hereby approves the conveyance ofthe Property to NeighborSpace in its "as is" condition for the sum of One Dollar ($1.00) per parcel.
SECTION 3. The Mayor or her proxy is authorized to execute, and the City Clerk or Deputy City Clerk, is authorized to attest, a quitclaim deed or deeds conveying the Property to NeighborSpace. The quitclaim deed(s) shall include the following covenant running with the land, or language substantially similar and acceptable to the Corporation Counsel:
NeighborSpace shall use, or permit the use, of the Property as open space only, including, without limitation, as a community garden. The City, acting through the Commissioner of the City's Department of Planning and Development, or any successor department thereto, shall have authority to release this covenant upon the request of NeighborSpace. If NeighborSpace uses, or permits the use, of the Property for any other purpose, without first obtaining a release of this covenant, the City may re-enter and take possession of the Property, terminate the estate conveyed to NeighborSpace, and revest title to the Property in the City.
SECTION 4. The Commissioner of the Department of Planning and Development, 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 of this 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 in conflict with this ordinance are hereby repealed to the extent of such conflict.
SECTION 7. This ordinance shall be in full force and effect immediately upon its passage and approval.
Exhibit A - Legal Description of Property
EXHIBIT A
LEGAL DESCRIPTION OF PROPERTY
(SUBJECT TO FINAL SURVEY AND TITLE COMMITMENT)
LOT 11 IN FERRY FARWELL AND TURNER AND BOND'S RESUBDIVISION OF BLOCK 3 IN BAYARD AND PALMER ADDITION IN THE NORTHWEST FRACTIONAL QUARTER OF SECTION 2, TOWNSHIP 38 NORTH, RANGE 14, EAST OF THE THIRD PRINCIPAL MERIDIAN (EXCEPT LOTS 21 AND 22 IN SAID BLOCK 3 IN COOK COUNTY, ILLINOIS.
ADDRESS: 4116 SOUTH LAKE PARK AVENUE CHICAGO, ILLINOIS 60653
20-02-117-024-0000
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I - GENERAL INFORMATION
A. Legal name ofthe Disclosing Party submitting this EDS Include d/b/a/ if applicable
tO.Q. \J ' Check ONE of the following three boxes
Indicate whether the Disclosing Party submitting this EDS is: 1. 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 direct or 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 11(B)(1)) State the legal name ofthe entity in which the Disclosing Party holds a right of control'
B Business address of the Disclosing Party: _Lf 4 *~\ \\ ^ \rs:r rp, pAPrCri:> P\ ?
C_U> Ci2ia.A,J]^.......6^^i...fc:...
C Telephone. 7 9 ^ - % J 6 ~ %} ? Fax- 013 ' '/Sy - Q> ?'j* Email' b /\g 1 p h r\& La [\btr- '^nl.
, ' , J oh
D Name of contact person np L< Hp ( j.: /\n /¦,rV E Federal Employer Identification No. (if you have one)
F Brief description ofthe Matter to which this EDS pertains (Include project number and location of property, if applicable):
Acquire 4116 S. Lake Park Avenue PIN 20-02-117-024-0000 .
G Which City agency or department is requesting this EDS'? Department of Planning & Development
Ifthe Matter is a contract being handled by the City's Department of Procurement Services, please complete the following
Specification *? _ and Contract £ ,
j
Ver 2D 18-1 • Page 1 of 15
/ 1
SECTION II -- DISCLOSURE OF OWNERSHIP INTERESTS
A NATURE OF THE DISCLOSING PARTY
I. Indicate the nature ofthe Disclosing Party,
f ] Person [ ] Limited liability company
[ ] Publicly registered business corporation [ ] Limited liability partnership
[ ] Privately held husiness corporation [ ] Joint venture
f | Sole proprietorship £<] Not-for-profit corporation
[ ] General partnership (Is the not-for-profit corporation also a 501(c)(3))9
f ] Limited partnership Yes [ ] No
I ] Trust [ ] Other (please specify)
2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable
Hl(.,M.<} >S. . ... _.
3 For legal entities not organized in the State of Illinois' Has the organization registered to do business in the State of Illinois as a foreign entity0
[ ] Yes f ] No ^KjTjrganized 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-profil corporations, aii 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 controls the day-to-day management ofthe Applicant.
NOTE Each legal entity listed below must submit an EDS on its own behalf
Name Title
.5.P£...lM1 .ai A J.cX i.'. ? T.
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% of the 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
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limited liability company, or interest of a beneficiary of a trust, estate or other similar entity If none, state "None "
NOTE Each legal entity listed below may be required to submit an EDS on its own behalf
Name Business Address Percentage Interest in the Applicant
~— fidiVLr- • - - -¦- - •¦- -
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'' | ] Yes /)}
Does .the Disclosing Party reasonably expect to \uo\ ide any income or compensation to any City elected official during the 12-month period following tho date ofthis EDS9 [ | Yes ^^["No
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 ofthe Municipal Code of Chicago ("MCC")) in the Disclosing Party9 f 1 Yes J>
If "yes," please identify below the narne(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 defmed 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 payroll 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
Page 3 oflS
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 necessary)
£A COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under MCC Section 2-92-41 5, 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 jurisdiction0
[ ] Yes ( | No Jfr^^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 agreement0
[ JYes I ] No
B FURTHER CERTIFICATIONS
1 [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 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 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)
2. The Disclosing Party and its Affiliated Entities are not delinquent in the payment ofany fine, fee, tax or other source of indebtedness owed to the City of Chicago, including, but not limited to, water and sewer charges, license fees, parking tickets, property taxes and sales taxes, nor is the Disclosing Party delinquent in the payment of anv tax administered by the Illinois Department of Revenue.
Page 4 of!5
The Disclosing Party and. if lhe Disclosing Party is a legal entity, all of those persons or entities identified in Section II(B)( 1) of this EDS
a 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,
b have not, during the 5 years before 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 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,
c are 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 subparagraph (b) above,
d 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
e have not, during the 5 years before 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.
The Disclosing Party understands and shall comply with the applicable requirements of MCC Chapters 2-56 (Inspector General) and 2-156 (Governmental Ethics).
5 Certifications (5), (6) and (7) concern o 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 ofthe Disclosing Party, any Contractor or any Affiliated Entity or any-other official, agent or employee ofthe 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 15
¦ft.1'**'
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
a 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 oflllinois, or any agency ofthe federal government or ofany state or local government in the United States of America, in that officer's or employee's official capacity;
b agreed or colluded with other bidders or prospective bidders, or been a party to any such agreement, or been convicted or 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
c 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
d violated the provisions referenced in MCC Subsection 2-92-320(a)(4)(Contracts Requiring a Base Wage), (a)(5)(Debarment Regulations), or (a)(6)(Minimum Wage Ordinance).
6 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 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 ofany state or ofthe United States of America that contains the same elements as the offense of bid-rigging or bid-rotating
7. 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
8 [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 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 the City or any "sister agency", and (uj 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
9. [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")
10 [FOR APPLICANT ONLY] The 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 Certifi cations (2) and (9) above and will not, without the prior written consent ofthe City, use any such
Ver2018-1 Page 6 of 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.
1 I 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 lhat the Disclosing Party certified to the above statements
12 To the best ofthe 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 date of this FDS, an employee, or elected or appointed official, ofthe City of Chicago (if none, indicate with "N/A" or "none").
hOi\>-L-
13. To the best ofthe Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all gifts that the Disclosing Party has given or caused to be given, at any time during the 12-month period preceding the execution date of this EDS, to an employee, or elected or appointed official, ofthe City of Chicago. For purposes ofthis statement, a "gift" does not include, (l) anything made generally available to City employees or to the general public, or ( u) food or drink provided in the course of official City business and having a retail value of less than $25 per recipient, or (in ) 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 hsl the name of the City recipient.
C CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
1. The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is /£xf'13 not
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 are not and will not become a predatory lender as defined in MCC Chapter 2-32 We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined tn MCC Chapter 2-32 We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City "
Page 7 of 15
It'the 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 paues if necessary)
fj.A- " v. ___ __
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 2-1 56 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 ofany other person or entity in the Matter0
[ ] Yes JxfNo
NOTE Ifyou checked "Yes" to Item D( I), proceed to Items D(2) and D(3). Ifyou checked "No" to Item D( 1 ), 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 financial interest in his or her own name or in the name of any-other person or entity in the purchase ofany property that (l) belongs to the City, or (ii) is sold for taxes or assessments, or (in) 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 Sale0
[ ] Yes L J No
Ifyou checked "Yes" to Item D(l), provide the names and business addresses ofthe City officials or employees having such financial interest and identify the nature of the financial interest
Name Business Address Nature of Financial Interest
4 The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee
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E CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Please check either (1) or (2) below. Ifthe Disclosing Party checks (2), the Disclosing Party must disclose below or in an attachment to this EDS all information required by (2) Failure to comply with these disclosure requirements may make any contract entered into with the City in connection with the Matter voidable by the City
jK_l 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 ofany and all slaves or slaveholders described in those records
SECTION VI -- CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE. Ifthe Matter is federally funded, complete this Section VI. If the Matter is not federally funded, proceed to Section VII For purposes ofthis Section VI, tax credits allocated by the City and proceeds of debt obligations ofthe City are not federal funding
A CERTIFICATION REGARDING LOBBYING
I 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 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, 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(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 ofany agency, as defined
by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee
Vcr 20 IS-1 Page 9 oft 5
of a member of Congress, in connection with the award ofany 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.
The Disclosing Party will submit an updated certification at the end of each calendar, quarter in which there occurs any event that materially a fleets the accuracy of the statements and information set forth in paragraphs AO) 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 (n) 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 that term is defined in the Lobbying Disclosure Act of 1995, as amended
5 Ifthe Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equal in form and substance to paragraphs A( 1) 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 Party the Applicant'7
[ 1 Yes [ j No
If "Yes," answer the three questions below
1 Have you developed and do you have on file affirmative action programs pursuant to applicable
federal regulations0 (See 41 CFR Part 60-2 )
[ ] Yes [ | No
2. Have you filed with the Joint Reporting Committee, the Director ofthe Office of Federal Contract Compliance Programs, or the Equal Employment Opportunity Commission all reports due under the applicable filing requirements'7
[ ] Yes [ ] No [ ] Reports not required
3 Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause9
[ J Yes ' | | No
Ifyou checked "No" to question (1) or (2) above, please provide an explanation
Vcr 20 I,S-1
SECTION VII - FURTHER ACKNOWLEDGMENTS AND CERTIFICATION
The Diselosinu Partv understands and agrees that
CD
A. The certifications, disclosures, and'acknowledgments contained in this HDS will become part ofany contract or other agreement between the Applicant and the City m connection with the Matter, whether procurement, City- assistance, or other City action, and are matenal inducements to the City's execution ofany 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 FDS is based.
B 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 ofthis ordinance and a training program is available on line at www cityofchicago org/'Etlncs, and may also be obtained from the City's Board of Ethics, 740 N Sedgwick St., Suite 500, Chicago, IL 60610, (3 12) 744-9660 The Disclosing Party must comply fully with this ordinance
C. 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 City transactions Remedies at law for a false statement of material fact may include incarceration and an award to the City of treble damages
D It is the City's policy to make this document available to the public on its Internet site and/or upon request. Some or all 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 ofany 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 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
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it- Discl'.iSitiL' Pai"!\. ,'i:id (2i '.varraius ihai
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Signed and sworn to before me on (date) _ J^L'r: ( / ?; r 0 ?,
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Not/iry Pubiic Commission expires
Page 12 of 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 2-154-01 5, 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 any elected city official or department head A "familial relationship" exists if, as of the date this EDS is signed, the Disclosing Party 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 of the 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 (I) all executive officers ofthe Disclosing Party listed in Section II B. 1 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 of the Disclosing Party, ifthe Disclosing Party is a limited partnership, all managers, managing members and members ofthe Disclosing Party, ifthe Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party, 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 head0
If yes, please identify below (I ) the name and title of such person, (2) the name ofthe legal entity to 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
Page 13 of 15
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX U
BUILDING CODE SCOFFLAW/PROBLEM LANDLORD CERTIFICATION
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which lias a direct ownership interest in the Applicant exceeding 7 5% (an "Owner") It is nol to be completed by any legal entity which lias only an indirect ownership interest in the Applicant
Pursuant to MCC 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 'kTno
ti 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 piusuani to MCC Section 2-92-4167
[ | Yes | | No .XTI he Applicant, is not publicly traded on any exchange.
T If yes to (I) or (2) above, please identify below the name of each person or legal entity identified as a building code scofllaw or problem landlord and the address of each building or buildings lo which the pertinent code violations apply
Pago 14 of I5i
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX C
PROHIBITION ON WAGE & SALARY HISTORY SCREENING - CERTIFICATION
This Appendix is to 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 amleual com), generally covers a party to anv agreement pursuant to which they. (Y) receive City of Chicago funds in consideration for services, work or goods provided (including for legal or other professional services), or (ii) pay the City money 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 in compliance with MCC Section 2-92-385(b)( I) and (2), which prohibit (i) screening job applicants based on their wage or salary history, or (ii) 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.
[ I No
This certification shall serve as the affidavit required by MCC Section 2-92-38}(c)(T)
Ifyou checked "no" to the above, please explain.
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