OFFICE OF THE MAYOR
CITY OF CHICAGO
RAHM EMANUEL
MAYOR
October 14,2015
TO THE HONORABLE, THE CITY COUNCIL OF THE CITY OF CHICAGO
Ladies and Gentlemen:
At the request of the Commissioner of Planning and Development, I transmit herewith ordinances authorizing a scope of services, budget and management agreement for various Special Service Areas.
Your favorable consideration of these ordinances will be appreciated.
Mayor
Very truly yours,
ORDINANCE
WHEREAS, special service areas may be established pursuant to Article VII, Sections 6(1) and 7(6) of the Constitution of the State of Illinois, and pursuant to the provisions of the Special Service Area Tax Law, 35 ILCS 200/27-5 et seq., as amended from time to time (the "Act") and pursuant to the Property Tax Code, 35 ILCS 200/1-1 et seq., as amended from time to time; and j
WHEREAS, on December 8, 2010 the City Council ofthe City of Chicago (the "City Council") enacted an ordinance (the "Establishment Ordinance") which established an area known and designated as City of Chicago Special Service Area Number 51 (the "Area") and authorized the levy of an annual tax, for the period beginning in 2010 through and including 2019, not to exceed an annual rate of three percent (3%) ofthe equalized assessed value ofthe 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 generally (the "Special Services"); and j
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WHEREAS, certain funds in Fund A98 ("Fund A98") in the amount of $18,308 are available for use in connection with the Area; and
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WHEREAS, the Establishment Ordinance established the Area as that territory consisting approximately of both sides of Cottage Grove Avenue between 75th Street to 92nd Street; then south on the west side of Cottage Grove Avenue between 92nd Street to 95th Street; both sides of 75th Street between Indiana Avenue and Drexel Avenue; both sides of 79th Street between Indiana Avenue and Greenwood Avenue; both sides of 87th Street between Ingleside Avenue and Cottage Grove Avenue; the north side of 95th Street between Cottage Grove Avenue and Stony Island Avenue; then the south side of 95th Street;between Dobson Avenue and Kimbark Avenue; and j
WHEREAS, the Special Services authorized in the Establishment Ordinance include, but are not limited to: recruitment of new businesses to the Area, rehabilitation activities, maintenance and beautification activities, security, coordination of promotional and advertising activities, strategic planning for the Area, and other technical assistance activities to promote commercial and economic development (which may include, but are not limited to, streetscape improvements, strategic transit/parking improvement including parking management studies, and enhanced land use oversight and control initiatives); and
WHEREAS, the Establishment Ordinance provided for the appointment of the Chatham Cottage Grove 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 agreement between the City and the Service Provider (the "Budget") (the aforementioned items 1 through 4 shall be known collectively herein as the "Recommendations"); and
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2015SSA51-ORD.doc
WHEREAS, the Commission has been duly appointed and qualified and 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; 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 into this text as if set out herein in full. j
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: ;
CHATHAM COTTAGE GROVE SPECIAL SERVICE AREA COMMISSION : SPECIAL SERVICE AREA BUDGET
For the fiscal year commencing January 1, 2016 and ending December 31, 2016.
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 three percent (3%) of the equalized assessed value, of the taxable property within Special Service Area Number 51
Fund A98
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
2015SSA51-ORD.doc
SECTION 3. Levy of Taxes. There is hereby levied pursuant to the provisions of Article VII, Sections 6(a) and 6(l)(2) of the Constitution of the State of Illinois and pursuant to the provisions of the Act and pursuant to the provisions of the Establishment Ordinance, the sum of $915,993 as the amount of the Services Tax for the tax year 2015.
j
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 29, 2015, and the County Clerk shall thereafter extend for collection together with all other taxes to be levied by the City of Chicago, the Services Tax herein provided for, said Services Tax to be extended for collection by the County Clerk for the tax year 2015 against all the taxable property within the Area, the amount of the 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. 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 Chatham Business Association, Small Business Development, Inc., 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 ProviderjAgreement as an exhibit. Upon the execution of the 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. 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. ;
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SECTION 7. 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.
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SECTION 8. 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 9. Effective Date. This ordinance shall take effect 10 days after its passage and publication. !
2015SSA51-ORD.doc
EXHIBIT A
Budget
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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I - GENERAL INFORMATION
Legal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable:
Check ONE of the following three boxes:
Jtodir^tfewli^
h r^&p kpp^nMt
OR
2., [ ] a legal entity holding a direct or indirect interest in the Applicant. State the legal name of the
Applicant in which the Disclosing Party holds an interest: ^ .
OR
3. [ ] a legal entity with a right of control (see Section ILB.l.) State the legal nairiae of the entity in
which' th^D'iscios^
Business address of the Disclosing Party: QoQ 7#^Cg,f; *
GU^ r ; I L Lot I 9
C. Telephone: 7^-99^-^0^ Fax: 77i Sr<~'8Name of contact person: H t> /» A'» Hij
Federal Employer Identification No. (if you have one):/_
Brief description of contract, transaction or other undertaking (referred to below as the "Matter") to which this EDS pertains. (Include project number and location of property, if applicable):
Which City agency or department is requesting this EDS? nrt,\ ^ n dl 2X-/op ,»i „ „ /
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification # and Contract #
Page i of 13
SECTION II -- DISCLOSURE OF OWNERSHIP INTERESTS
_A_,_N A TJJ RE_QF_T.HE.DI S C L O S IN G-P-A R-T Y-
] Person
] Publicly registered business corporation
] Privately held business corporation
] Sole proprietorship
] General partnership
] Limited partnership
] Trust
[ ] Limited liability company
[ ] Limited liability partnership
[ ] Joint venture
fyf Not-for-profit corporation
(Is the not-for-profit corporation also a 501(c)(3))?
[ ] Yes . Jt^No
| J Other (please specify)
2... For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
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 entity?
[]Yes []No |
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
1. List below the full names and titles of all executive officers and all directors of the entity. NOTE: For not-for-profit corporations, also list below all members, if any, which are legal entities. If there' are rib such members, write "no members." For trusts, estates or other similar entities, list below the legal titleholder(s).
If the entity is a general partnership, limited partnership, limited liability company, limited liability partnership or joint venture, list below the name and title of each general partner, managing member, manager or any other person or entity that controls the day-to-day management of the Disclosing Party. NOTE: Each legal entity listed below must submit an EDS on' its own behalf.
Name
2. Please provide the following information concerning each person or entity having a direct or indirect beneficial interest (including, ownership) in excess of 7.5% ofthe Disclosing Party. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture.
Page 2 of 13
Executive Board
C tuurinan
William Cartli
Citizen Group
*'.'cv Chair/nan PauJ Labonne
RtgioHul Vice Presutmt PNC BANK
Marino Orlantli Bwbrat Bantiqg
SfcrtHafj'
P.r.;F^Icl3 8fosttjgarBe
South CCMral CommnaH)' Services
¦its/r/anr Stctmtup: Cwen Shaw-
Country Ra Insnranre
»MO tUnri'f Bank
MeTiiJdo Knrirfta rCeDy Board Members
REST BITY* Monte* M- Gaylev
John Griffin
PrssOaa. CEO<£ {firtniy
AGB Investigative Service*
Donnie Brown Independent Real Ertatt
0«vc-t»jjiii'irtti
in
CILATHAJV1 BUSINESS ASSOCIATION, SMALL BUSlNj-SS DEVELOPMENT, INC.
800 B, 78* St, Chicago, Ulinois60t)l9 773-994-5006 (Qftice) 773-855-8905 (Fax) "Sustaining Commwtilies by Building Ona Business at a Time"
August 20, 2015
Chatham Business Association, Small Busiru*<& Devetoprnerit tnc
Hrst Nafrie
Board 2016
Group
¦.•'I
Garth LaBoflne
Grfaindi!
William Paul IMariiraj Fclroa
. 'I.
Gwen
Monica
M_ritet
Michael Arthur
Donnie Mefiincfa
Last.NlaiTte.
Chairman
VjfeChaiirnan
Pirestdemt
Shaw
Uirrares
Gayles
Grffftrt
Herary
Mason
Brown
Kelly
true
t. Secretary
Treasurer
Boatdi
Board
BiparcJ
Beard
Board
Executive Director
I appreciate you taking the time to consider this mitiatSve.
Sincerely,
L
Melrnda Kelly, Executive Director
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago-(— Municipal Gode"), the Gity may require any such additional"infora from any applicant which is reasonably intended to achieve full disclosure.
M
Name Business Address Percentage Interest in the
Disclosing Party
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SECTION HI - BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Pajt^had a "business relationship," as defined in Chapter 2-156 ofthe Municipal Code, with any City elected official in the 12 moriffis before the date this EDS is signed?
[] Yes
If yes, please identify below the name(s) of such City elected officiaJ(s) and describe such relatiohship(s):
SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney,
lobby—t^ and .any other person or entity whom the Disclosing Party has retain
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. The Disclosing Party is not required to disclose employees who are paid solely through the Disclosing Party's regular payroll.
"Lobbyist" means any person or entity who undertakes to influence any legislative or administrative action on behalf of any person or entity other than: (I) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means any person or entity any part of whose duties as an employee of another includes undertaking to influence any legislative or administrative action.
If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must either ask the City whether disclosure is required or make the disclosure.
Page 3 of 13
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)
[ ] Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities, SECTION V - CERTIFICATIONS
COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415^ substantial owners of business entities that contract with the City rnust remani irjt compliance with their chUd support obligations throughout thfc contract's term.
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage; on any clu^
[ ] Yes [ ] No fM&Io person directly or indirectly owns 10% or more of the
'Disclosing Party.
If "Yes," has tjie person entered info a court-approved agreement for payment of all support ow ed and is the person in compliance with that agreement?
[ ] Yes [ ] No
FURTHER CERTIFICATIONS
I. Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")( which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article I supersedes some five-year compliance timeframes in certifications 2 and 3 below.
Page 4 of 13
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2. The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section II.B. 1. of this EDST
are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from any transactions by any federal, state or local unit of government;
have not, within a five-year period preceding the date of this EDS, been convicted of a criminal offense, adjudged guilty, or had a civil judgment rendered against them in connection with: obtaining, attempting to obtain, or 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 pi lb)car). wM dffeM&s'et^^^ of:tti3$have not, within a five-year period preceding the date of this EDS, had one or more public rjansacti6ns>XfedexaL si^te or lp;caTj ternvu^e^or cause or default; and
have nor, within a fiveryear period precedhig^he date of this. EDS, been ppnvictedVadjudged guilty, or found liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other unit of local government.
.3. The certifications in subparts 3, 4 and 5 concern:
the Disclosing Party;
any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in
connection with the Matter, including but not limited to all persons or legal entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties");
any "Affiliated Entity" (meaning a person or entity that, directly or indirectly: controls the Disclosing Party, & 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 of the Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Page 5 of 13
Neither the Disclosing Party, nor any Contractor, nor any Affiliated_Entity cj^ith^r
orany"eontfacToTn^any-A"g^t^nave, during the five years before the date this EDS is signed, or, with
respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the five years
before the date of such Contractor's or Affiliated Entity's contract or engagement in connection with the
Matter:
bribed or attempted to bribe, or been convicted or adjudged guilty of bribery or attempting to bribe, a public officer or employee of the City, the State of Illinois, or any agency of the 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 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
made an admission of such conduct described in a. or b. above that is a matter of record, but have not been prosecuted for such conduct; or
violated the provisions of Municipal Code Section 2-92-610 (Living Wage Ordinance).
Neither the pMpJfeswg;Earf^:Airilia^:d^Bidfi^^or G^ntrae1prvpr any of theiremjSJbyeSs; officials;
agents or partnettyis b^ with any unit of state or local government as a result of
engaging in- or hern^ebnvieft^ 5/33 E-3;: (2) bidHtbtatiih^ in
violation, of 720;ILCS of any state or of the United States of
America that contains^beSame elements as the offense of bid-rigging or bid-rotating.
Neither the Disclbsing: Party nor any A ffiliated Entity is listed on any ofthe following lists maintained by the Office of Foreign Assets Control of the U.S. Department of the Treasury or the Bureau of Industry and Security of the U .S. Department of Commerce or their successors: the Specially Designated Nationals List, the benied Persons List, the Unverified List, the Entity List and the Debarred List.
The Disclosing Party understands and shall comply with the applicable requirements of Chapters 2-55 (Legislative Inspector General), 2-56 (Inspector General) and 2-156 (Governmental Ethics) of the Municipal Code.
If the Disclosing Party is unable to certify to any of the above statements in this Part B (Further Certifications), the Disclosing Party must explain below:
Page 6 of J3
—If-the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
8. To the best of the 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-
raonth period preceding the execution date of this EDS, an employee, or elected or appointed official,
of the City of Chicago (if none, indicate with "N/A" or "none").
AJ n A) ?. .
9. 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-montb period preceding the execution date of this EDS, to an employee, or elected or appointed official, of the City of Chicago. For purposes of this statement, a "gift" does not include-:'(i) anything made generally available to City employees or to the general public, or (ii) food or drink provided in the course of official City business and having a retail value of less than' $20 per recipient (if none, indicate w'ifh; *lN//L'!' ox "none"). As to any gift listed below, please also list the name ofthe City recipient.
jdfvff-g,.; .
C- CERTIFICATION OF STATUS. AS:FrNANClA;L INSTITUTION 1The Disclosing Party certifies that the; Disfclpsmg Party (check one)
[ ] is ~^Xls noi
a "financial institution" as defined in Section 2-32-455(b) of the Municipal Code.
2. If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will not become a predatory lender as defined in Chapter 2-32 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss ofthe privilege of doing business with the City."
If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in. Section 2-32-455(b) ofthe Municipal Code) is a predatory lender within the meaning of Chapter 2-32 ofthe Municipal Code, explain here (attach additional pages if necessary):
Page 7 of 13
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
1. In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee ofthe C^ inte^Pitf^
NOTE; ttyourjfte&etf^ Ifyouchecked Wo" to
Unless sold^iftSu^ permitted,riO"C^ty?
elected.official or emp^ mtere^tin His or.her own name ox fc&&^iiit: 6t
any other person or entity iii tfie-pu^ to the;City, or (iiy is sold,
for taxes ox assessments],. or,(i%is soldby^: VirMe bf legal process a£the suit of the City fe^Uipt^eiyi
"City Prqpe^Sale")- Sjonip^^ taRen pursuant to the &ity&;em power
does nbt constitute a .^^Qti|f:iitfer^trMuSB' the mining* of this £art I>.
Does the Matter involve a City Property Sale?
[ ] Yes [ ] No
If you checked ''Yes" to Item D.l., provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest:
Name Business Address Nature of Interest
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
F. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Please check, either I. or 2. below. If the Disclosing Parly checks 2., the Disclosing Party must disclose below or in an attachment to this EDS all information required by paragraph 2. Failure to
Page S of 13
comply with these disclosure requirements may make any contract entered into with the City in
connection with the Matter voidable by the City.
^ 1. 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^ o$jtiy£j^ig& oryprQfJik €fo.ro slavery oidSlavehb^^^
policies. The Disclosing Partjf verifies that the following constitutes full disclosure of all such records, including the names of any and all slaves or slaveholders described in those records:
SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. If the Matter is not federally funded, proceed to Section VII. For purposes of this Section VI, tibt credits allocated by the City and proceeds of debt obligations of the City are not federal funding.
A. CERTIFICATION REGARDING LOBBYING
1. List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it. will be conclusively presumed that the Disclosing Parry means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
Page 9 of 13
The Disclosing 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.l. and A.2. above.
The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) of the Internal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) of the Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities".
Iflthe'Dfec)^ fo.rraand^
subcontract and the Disclosing Pajrty, must maintain all such subcontractors' certifications for the duration of the MAartei? an^
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
If the Ma tter is federally funded, federal regulations require the Applicant and all proposed
subcontractors to subniifc the; foUpw^ with their bids Or in Writing at the outset of
negotiations.
Is the Disclosing Party the Applicant?
[ ] Yes [ ] No
If "Yes," answer the three questions below:
Have you developed and do you have on file affirmative action programs pursuant to applicable federal regulations? (See 41 CFR Part 60-2.)
[ ] Yes [ ] 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 all reports due under the applicable filing requirements?
[ ] Yes [ ] No
Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
[ j.Yes [] No
If you checked "No" to question 1. or 2. above, please provide an explanation:
Page 10 of 13
SECTION VII - ACKNOWLEDGMENTS, CONTRACT INCORPORATION, COMPLIANCE, PENALTIES, DISCLOSURE
The Disclosing Party understands and agrees that:
The certifications, disclosures, and acknowledgments contained in this EDS will become part of any contract or other agreement between the Applicant and the City in connection with the Matter, whether procurement^. City\assf§tauce,;ct]r- other City action,: and are materia) indiucenient^tor the :City?s^cxecutioh pjf anycontract breaking; 6ffiw action res^ecVto.ithe.Matters, Tfcei^iisclbsipg ugdeKtan,ds: that it must comply with all statutes, ordinances, and regulations on which this EDS is based.
The City's Qp^gr^err^
the Municipal Code, impose certain duties and obligations on persons or entities seeking City contracts,
work, busmess, or tx^^ a jtofjring program is;a*ailabri& qnl
Iitte at ;w^^.cifry6ic^ €i£#s Boa^of^ipiiics,
Sedgwick St., Suite 500, Chicago, IL 60610, (312) 744-9660. The Disclosing Party must comply fully with the applicable ordinances.
If the City detefmihe^ is false,incprnplete or inaccurate,,
any contact or other a^
voidable, and the City may pursue any remedies undeT the contract or agreement (if not rescinded or
void), at law, or ui-equity; ^ the Disclbshig Party's participation in the Matter and/or
declining to .aUow the^ Remedies at
law for a false siatfernerit Of?material fact may include inearcei^
damages.
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 on this EDS and any attachments to this EDS may be made available to the public 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.
E. The information provided in this EDS must be kept current. In the event of changes, the Disclosing
Party must supplement this EDS up to the time the City takes action on the Matter. If the Matter is a
contract being handled by the City's Department of Procurement Services, the Disclosing Party must
update this EDS as the contract requires. NOTE: With respect to Matters subject to Article I of
Chapter 1-23 ofthe Municipal Code (imposing PERMANENT INELIGIBILITY for certain specified
offenses), the information provided herein regarding eligibility must be kept current for a longer period,
as required by Chapter 1-23 and Section 2-154-020 ofthe Municipal Code.
The Disclosing Party represents and warrants that:
Page I 1 of 13
—F-1-.—T-he-Disclosing-Party-is-not-^ Department of Revenue, nor are the Disclosing Party or its Affiliated Entities delinquent in paying any fine, fee, tax or other charge owed to the City. This includes, but is not limited to, all water charges, sewer charges, license fees, parking tickets, property taxes or sales taxes.
F.2 If the Disclosing Party is the Applicant, the Disclosing Party and its Affiliated Entities will not use, nor permit their subcontractors to use, any facility listed by the U.S. E.P.A. on the federal Excluded Parties List System ("EPLS") maintained by the U. S. General Services Administration.
F;3 Xf:^''Pj$Blj^hie^i^ is thfe Appiic&it, the D^I^j^.^a^-'will obtain fitflp any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in F.l. and F.2. above and will not, wimpuf the prior written consent of the City, use any such contractor/subcontractthat does not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
NOTE: If the Disclosing Parry cannot certify as to any of the items in F.L, F.2. or F.3. above, an explanatory statement must be attached to this EDS.
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS and Appendix A (if applicable) on behalf of me Di^
certifications iwd §tartemenj^ ^gn^^^jui>tKisiBE^S arid!A^jSfidix A^i? appKcafele) are ifpLe^ accurate and complete as of the date furnished to the City.
(Print or type, name of Disclostag Parly) /
(Sign here)
(Print or type name of person signingV
(Print or type title of person signing)
Signed and sworn to before me on (date)
at CoO£~ County, |t_ (state).
OFFICIAL SEAL Samia Malik ^P«"ic.Sl^Oiliyn*
My Commission^^
Page 12 of 13
— - 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 tia^e ^ It is not tO be co^
whichihas Only an InOTectowne^^^
Undta M^cnDal Code $ or any "AppMcable Pa^^ p£ toy^^ anyeleW^^^ AV?£^j|r^ siigned» thfel^closiri^ P ttepiay^r,:^ partner or as any ^ nieee:OT nephew*;
or stepmother, stepson ^ Or stepsister pr hilf-brofher or ha^sister.
"Applicable Party^means £1)^1 executjveofficers of the Displpsuig; listed in Section ILB. La>^if the
Disclosing Party is a corporarioh^ajl''^^^^^f^^l^i^^atl^^ if^uie^isieiOsmgiP^aiy^is a g^drlfj
partnership; all genera^piortners andi^bo^^ ofthe DisclosihgjPariy, if the Disclosing Par^isa^hmited
partnership; allmaiwge^
limited liability company; (2) afipTrricipal'officeiu of person having rnore than
a 7.5 peTcentownersrnpinte^ Disclosing party. ^Principal officers" means the president, chief'
Operating officer, executive, directory chfe 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
If yes, please identify below (1) the name and title.of such person, (2) die name of the legal entity to which such person is connected; (3) the name and title of the 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 13
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPEND LX B
BUILDING CODE SCOFFLAW/PROBLEM LANDLORD CERTIFICATION
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5 percent (an "Owner"). It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
1. Pursuant to Municipal Code S ection 2-154-010, is the Applicant or any Owner identified as a building code scofflaw or problem landlord pursuant to Section 2-92-416 of the Municipal Code?
[ ]Yes [vfNo
If the Applicant is a legal entity publicly traded on any exchange, is any officer or director of the Applicant identified as a building code scofflaw or problem landlord pursuant to Section 2-92-416 ofthe Municipal Code?
[JYes [ ]No [<|;Not Applicable
3 If yes to (1) or (2) above, please identify below the name of the person or legal entity . identified as a building code scofflaw or problem landlord and the address of the building or buildings to which the pertinent code violations apply.
FILLING OUT THIS APPENDIX B CONSTITUTES ACKNOWLEDGMENT AND AGREEMENT THAT THIS APPENDIX B IS INCORPORATED BY REFERENCE INTO, AND MADE A PART OF, THE ASSOCIATED EDS, AND THAT THE REPRESENTATIONS MADE IN THIS APPENDIX B ARE SUBJECT TO THE CERTIFICATION MADE UNDER PENALTY OF PERJURY ON PAGE 12 OF THE ASSOCIATED EDS.