OFFICE OF THE MAYOR
CITY OF CHICAGO
RAHM EMANUEL
MAYOR
July 26, 2017
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 the sale of city-owned property.
Your favorable consideration of these ordinances will be appreciated.
Mayor
Very truly yours,
ORDINANCE
WHEREAS, the City of Chicago ("City") is a home rule unit of government by virtue of the provisions of the Constitution of the 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 parcels of property located at 3416-3444 West Lake Street, Chicago, Illinois 60624, which are legally described on Exhibit A attached hereto (collectively, the "Property"), which Property is located in the Chicago/Central Park Redevelopment Project Area ("Area") established pursuant ordinances adopted by the City Council of the City (the "City Council") on February 27, 2002, published in the Journal of Proceedings of the City Council for such date at pages 79794 through 80025; and
WHEREAS, Sean R. Kelly (the "Grantee"), of 4425 West Kinzie Street, Chicago, Illinois 60624, has offered to purchase the Property from the City for the sum of Seventy Thousand and No/100 Dollars ($70,000.00), such amount being the appraised fair market value of the Property; and
WHEREAS, the Grantee proposes to improve the Property with a parking lot, landscaping, and paved truck access to service the Grantee's adjacent building and ironworking company; and
WHEREAS, public notice advertising the City's intent to enter into a negotiated sale of the Property with the Grantee and requesting alternative proposals appeared in the Chicago Sun-Times, a newspaper of general circulation, on March 27 and April 3, 2017; and
WHEREAS, the Department of Planning and Development (the "Department") received an alternative proposal in response to the public notice from McDonagh Demolition, Inc., of 7243 Touhy Avenue, Chicago, Illinois 60631, which offered to purchase the Property for Eighty Thousand and No/100 Dollars ($80,000.00) in order to pave the property for parking and off-site equipment storage and to hold for eventual residential development; and
WHEREAS, the Department has evaluated both proposals and has found the proposal submitted by the Grantee to be in the best interests of the City; and
WHEREAS, pursuant to Resolution No. 17-027-21 adopted on April 20, 2017, by the Plan Commission of the City of Chicago (the "Commission"), the Commission approved the negotiated sale of the Property to the Grantee; now, therefore,
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
SECTION 1. The City Council hereby approves the sale of the Property to the Grantee for the amount of Seventy Thousand and No/100 Dollars ($70,000.00).
SECTION 2. The Mayor or his proxy is authorized to execute, and the City Clerk or Deputy City Clerk is authorized to attest, a quitclaim deed conveying the Property to the Grantee. Such deed shall include a covenant obligating the Grantee to use the Property only for a use consistent with the land uses permitted under the redevelopment plan for the Area. Grantee's acceptance of the City's deed shall constitute Grantee's agreement to such covenant. The quitclaim deed shall also contain language substantially in the following form:
|1010|This conveyance is subject to the express condition that the Property is improved with a parking lot within twelve (12) months of the date of this deed. In the event that the condition is not met, the City of Chicago may re-enter the Property and revest title in the City of Chicago. Grantee, at the request of the City of Chicago, covenants to execute and deliver to the City a reconveyance deed to the Property to further evidence such revesting of title.
Grantee acknowledges that if Grantee develops the Property with a residential housing project, as defined under and that is subject to Section 2-45-115 of the Municipal Code of the City (the "2015 Affordable Requirements Ordinance"), Grantee and such project shall be obligated to comply with the 2015 Affordable Requirements Ordinance.
SECTION 3. 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 4. All ordinances, resolutions, motions or orders inconsistent with this ordinance are hereby repealed to the extent of such conflict.
SECTION 5. This ordinance shall take effect upon its passage and approval.
|1010|EXHIBIT A
Purchaser: Purchaser's Address: Purchase Amount: Appraised Value:
Sean R. Kelly
4425 West Kinzie Street, Chicago Illinois 60624
$70,000.00
$70,000.00
Legal Description (Subject to Title Commitment and Survey): Parcel 1:
Lots 13, 14, 15 in Block 1 in Ward's Subdivision of the East 1/4 of the West 1/2 of the Southeast %, of section 11, Township 39 North, Range 13, East of the Third Principal Meridian, Lying North of Lake Street (Except the East 33 Feet and the North 395 Feet Lying South of the Railroad Right of Way) in Cook County, Illinois.
Parcel 2:
Lot 7 in County Clerk's Division of Lots 12 and 13 in Block 1 and Lots 15 and 16 in Block 2 of Ward's Subdivision of the East % of the West 1/2 of the Southeast %, of section 11, Township 39 North, Range 13, East of the Third Principal Meridian, Corporation of Lake Street (Except the East 33 Feet and the North 395 Feet Thereof, Lying South of the Railroad Right of Way); also Lots 52, 53, 76 and 77 in John D. Parker's Subdivision of the West 9 Acres of the East Vi of the West 1/2 of the Southeast % of Section 11, Township 39 North, Range 13, East of the Third Principal Meridian, Lying South of Railroad and North of Lake Street, in Cook County, Illinois.
Parcels 3-8:
Lots 78, 79, 80, 81, 82 and 83 in John D. Parker's Subdivision of the West 9 Acres of the East !4 of the West 1/4 of the Southeast %, Lying South of Railroad and North of Lake Street, in Section 11, Township 39 North, Range 13, East of the Third Principal Meridian, in Cook County, Illinois.
Address: 3416-3444 West Lake Street
Chicago, Illinois 60624
16-11-410-029-0000 16-11-410-030-0000 16-11-410-031-0000 16-11-410-032-0000 16-11-410-033-0000 16-11-410-034-0000 16-11-410-035-0000 16-11-410-036-0000
|1010|CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I ~ GENERAL INFORMATION
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egal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable:
ck ONE of the' following three boxes:
Indicate whether the Disclosing Party submitting this EDS is: T>p the Applicant OR
[ ] 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:
:ity with a right of control (see Section II.B.l.) State the legal name of the entity in
osing Party holds a right of control:
OR [ ] a legal ch which the Disc
,; Fax:
business address of the Disclosing Party: J_
clephone:
^amcof contact person:
E. Federal Employbr Identification No. (if you have one):
F. Brief description of contract, transaction or other undertaking (referred to below as the "Matter") to
whjch this EDS pertains. (Include project number and location of property, if applicable):
J
Which City agency or department is requesting this EDS? "be.f2T~ PI/hOtO; a.j Q bc^/cpu.f the Matter is a contract being.handled by the City's Department of Procurement Services, please Complete the following:
>pecification U i
Page 1 of 13
SECTION II -- DISCLOSURE OF OWNERSHIP INTERESTS
|1010|# P
[>r [] [] [] [] []
A. >
erson i
ublicly registered business corporation rivatcly held business corporation Sole proprietorship C cnera] partnership I imited partnership
Trust
[ ] Limited liability company
[ ] Limited liability partnership
[ ] Joint venture
[ ] Not-for-profit corporation
(Is the not-for-profit corporation also a 501(c)(3))?
[ ] Yes [ ] No
[ ] Other (please specify)
For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
Yes
[jNo
b [
B. I
1.
3. For legal entities not organized in the State of Illinois: Has the organization registered to do usiiess in the State of Illinois as a foreign entity?
[]N/A
< THE DISCLOSING PARTY IS A LEGAL ENTITY:
NOTE: Fornot-for then the 1
List below the full names and titles.of all executive officers and all directors of the entity.
profit corporations, also list below all members, if any, which arc legal entities. If are no such members, write "no members." For trusts, estates or other similar entities, list below gal titleholdcr(s).
Ifjthe entity is a general partnership, limited partnership, limited liability company, limited liability partr ership 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
Please provide the following information concerning each person or entity having a direct or indirect beneficial interest (including ownership) in excess of 7.5% of the Disclosing Party. Examples of sujch an interest include shares in a corporation, partnership interest in a partnership or joint venture,
j
Page 2 of 13
interbst of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estati or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal Code"), the City may require any such additional information from any applicant which is reasonably intended to achieve full disclosure.
Percentage Interest in the Disclosing Party
SEC TION III - BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship," as defined in Chapter 2-156 of the Municipal pod:, with any City elected official in the 12 months before the date this EDS is signed?
] Yes
rela
If yes, please identify below the namc(s) of such City elected official(s) and describe such
ionship(s):
SECTION IV -- DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
1 he Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to rctainj in connection with the Matter, as well as the nature of the relationship, and the total aim unt of the fees.jpaid or estimated to be paid. The Disclosing Party is not required to disclose eim loyees 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 actisn on behalf of: any person or entity other than: (1) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means any person or entity any part of whose duties as an employee of
another includes undertaking to influence any legislative or administrative action.
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If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Displosing Party must either ask the City whether disclosure is required or make the disclosure.
Page 3 of 13
c (indicate whether Business incd or anticipated Address retained)
Relationship to Disclosing Party Fees (indicate whether
(subcontractor, attorney, paid ot estimated.) NOTE;
lobbyist, etc.) "hourly rate" or "t.b.d." is
r.bt an acceptable response.
heck here if the Disclosing Party has not retained, nor expects to retain, any such pensons or entities.
SECTION V - CERTIFICATIONS
:OURT-0RDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with
the City mus( remain in compliance with their child support obligations throughout the contract's term.
I
Ha^ any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in ai re aragc on pny child support obligations by any Illinois court of competent jurisdiction?
] Yes , p^tio [} No person directly or indirectly owns 10% or more of the
Disclosing Party.
If
Vcs," has the person entered into a court-approved agreement for payment of all support owed and
is tic person|in compliance with that agreement?
{]No
FURTHER CERTIFICATIONS
i h, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any ninal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery,
Pursuant to: Municipal Code Chapter 1-23, Article 1 ("Article l")(which the Applicant should coi suit for definccl terms {e.g., "doing business") and legal requirements), if the Disclosing Party sul mining this EDS is the Applicant and is doing business with the City, then the Disclosing Party ceilifics as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged wi cri
penury, dishonesty or deceit against en officer or employee of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article 1 is a continuing requirement for do ng business with the City. 'NOTE: If Article I applies to the Applicant, the permanent compliance timeframe iii Article I supersedes some five-year compliance timeframes in certifications 2 and 3 below
Page A of 13
The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities den :ified in Section 1I.B.1. of this EDS:
are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded front any transactions by any federal, state or local unit of government;
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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; embezzlcmcjnt; theft; forgery; bribery; falsification or destruction of records; making false statements; or receiving stolen property;
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arc not presently indicted for, or criminally or civilly charged by, a governmental entity (federal,
) with committing any of the offenses set forth in clause B.2.b. of this Section V ;
transactions
have not, within a five-year period preceding the date of this EDS, had one or more public
(federal, state or local) terminated for cause or default; and
have not, within a five-year period preceding the date of this EDS, been convicted, adjudged guilty, or fojind 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 certifications in subparts 3, A and 5 concern:
j
the Disclosing Party;
any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in connection witlvthc Matter, including but not limited to all persons or legal entities disclosed under i ection IV, "Disclosure of Subcontractors and Other Retained Parties");
any "Affiliateo* 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
ommon control of another person or entity. Indicia of control include, without limitation:
i aterlocking management or ownership; identity of interests among family members, shared facilities i nd equipment; jcommon use of employees; or organization of a business entity following the ineligibility of aj 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
ontrol of another person or entity; any responsible official of the Disclosing Party, any Contractor or any Affiliated Entity or any
ther official, agent or employee of the Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official of the Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Page 5 of 13
a ly respect befc Matter
Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of.cither the Disclosing Party or ajiy Contractor njor any Agents have, during the five years before the date this EDS is signed, or, with to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the five years re the date of such Contractor's or Affiliated Entity's contract or engagement in connection with the
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, <)r been convicted or adjudged guilty of agreement or collusion among bidders or prospective |biddcrs, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; cjr
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
provisions of Municipal Code Section 2-92-610 (Living Wage Ordinance).
Neither the agents or partners, in or ation of720. Arr erica that
being
Disclosing Party, Affiliated Entity or Contractor, or any of their employees, officials, is barred from contracting with any unit of state or local government as a result of convicted of (1) bid-rigging in violation of 720 ILCS 5/33E-3; (2) bid-rotating in IDCS 5/33E-4; or (3) any similar offense of any state or of the United States of contains the same elements as the offense of bid-rigging or bid-rotating.
Neither the Disclosing Party nor any Affiliated Entity is listed on any of the following lists ntained by the Office of Foreign Assets Control of the U.S. Department of the Treasury or the
and Security of the U.S. Department of Commerce or their successors: the Specially Designated Nationals List, the Denied Persons List, the Unverified List, the Entity List and the Debarred List.
0. 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 Mi nicipal Code.
K If the Disclbsing Party is unable to certify to any of the above statements in this Part B (Furdier Certifications), the Disclosing Party must explain below:
Page 6 of 13
I
If th prcs
letters "NA," ihe word "None," or no response appears on the lines above, it will be conclusively imed 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-month period precejdihg 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").
9i To the best 6f the Disclosing Party's knowledge after reasonable inquiry, the following is a corr plete list of all 'gifts that the Disclosing Party has given or caused to be given, at any time during the 12-i tonth period preceding the execution date of this EDS, to an employee, or elected or appointed official, of the Cityj of Chicago. For purposes of this statement, a "gift" does not include: (i) anything mac e generally available to City employees or to the general public, or (ii) food or drink provided in the cotr/se of official Clity business and having a retail value of less than $20 per recipient (if none, indicate witl ""N/A" or "none"). As to any gift listed below, please also list the name of the City recipient.
CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION The Disclosing Party certifies that the Disclosing Party (check one)
is not
a "financial institution" as defined in Section 2-32-455(b) of the Municipal Code.
i I
If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"W; 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 of the privilege of doing business with the City."
Iff
Sedition
le Disclosing Pjarty is unable to make this pledge because it or any of its affiliates (as defined in tion 2-32-455(p) of the Municipal Code) is a predatory lender within the meaning of Chapter 2 of the Municipal Code, explain here (attach additional pages if necessary):
Page 7 of 13
If thfc 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.
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d. Certification regarding interest in city business
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Anyl words or terms that are defined in Chapter 2-156 of the Municipal Code have the same mca fings when used in this Part D.|1010|of U enti' y
(
In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee e City have a financial interest in his or her own name or in the name of any other person or
in the Matter?
] Yes | p^ko
NO Iten
E: If you chebked "Yes" to Item D.l., proceed to Items D.2. and D.3. If you checked "No" to D.l., proceed jto Part E.
elected any for
"City doe i
not constitute
Unless sold pursuant to a process of competitive bidding, or otherwise permitted, no City official or employee shall have a financial interest in his or her own name or in the name of other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is sold axes or assessments, or (iii) is sold by virtue of legal process at the suit of the Cily (collectively, Property Sale"). Compensation for property taken pursuant to the City's eminent domain power
a financial interest within the meaning of this Part D.
s the Matter involve a City Property Sale?
UNo
2. If you
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:
Nature of Interest
The Disclosing Party further certifies that no prohibited financial interest in the Matter will
be iicquircd by any City official or employee.
j
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
j'lease check cither 1. or 2. below. If the Disclosing Party checks 2., the Disclosing Parly must disclose below or in an attachment to this EDS all information required by paragraph 2. Failure to
Page 8 of 13
comply wilh these disclosure requirements may make any contract entered into with the City in connection with the Matter voidable by the City.
J^ 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 issusd 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 losing Party has found records of investments or profits from slavery or slaveholder insurance
Dis
polfcies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including the names of any and all slaves or slaveholders described in those records
SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. If (he Matter is not federally funded, proceed td Section VII. For purposes of this Section VI, tax credits allocated by the City ana proceeds of debt obligations of the City are not federal funding.
A. CERTIFICATION REGARDING LOBBYING
. List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of ) 995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Mattler: (Add sheets if necessary):
(If ho explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" apr ear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
i
The Disclosing Party has not spent and will not expend any federally appropriated funds,to pay anV person or entity listed in Paragraph A.L above for his or her lobbying activities or to pay any pei son or entity to: influence or attempt to influence an officer or employee of any agency, as defined by applicable federaljlaw, 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 iany 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 whicjh there occurs any event that materially affects the accuracy of the statements and information set fortfj in paragraphs jA.l. and A.2. above.
|10 The Disclosing Party certifies that cither; (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". |
5 If the Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equal in forn. and substance!to paragraphs A.l. through A.4. above from all subcontractors before it awards any subcontract and the!Disclosing Party must maintain all such subcontractors' certifications for the duration of the Matter and must make such certifications promptly available to the City upon request.
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
i
If the Matter is federally funded, federal regulations require the Applicant and all proposed sub< ontractors to submit the following information with their bids or in writing at the outset of neg< >tiations. ;
t
Is tr e Disclosing Pirty the Applicant?
] Yes [ ] No
i
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' (es," answer thie three questions below:
If
|1010|Have you developed and do you have on file affirmative action programs pursuant to applicable
fcdcjral regulations? (See 41 CFR Part 60-2,)
[ ] Yes [ ] No
j
Have you filed with the Joint Reporting Committee, the Director of the Office of Federal
Coijtract Compliance Programs, or the Equal Employment Opportunity Commission all reports due
undir the applicable filing requirements?
[ ] Yes | [ ] No
Have you participated in any previous contracts or subcontracts subject to the cqubl opportunity clause?
] Yes j [ ] No
3u checked "No" to question 1. or 2. above, please provide an explanation:
Page 10 of 13
SECTION Vn-- ACKNOWLEDGMENTS, CONTRACT INCORPORATION, COMPLIANCE, PENALTIES, DISCLOSURE
The Disclosing Party understands and agrees that:
he certificatioris, 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
proc urcmcnt, City assistance, or other City action, and are material inducements to the City's execution
of a iy contract of taking other action with respect to the Matter. The Disclosing Party understands that
it mast comply with all statutes, ordinances, and regulations on which this EDS is based.
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B. the City's Governmental Ethics and Campaign Financing Ordinances, Chapters 2-156 and 2-164 of the Municipal Godi, impose certain duties and obligations on persons or entities seeking City contracts, wore, business, or transactions. The full text of these ordinances and a training program is available on line at wwwxityofchicago.org/Ethics , and may also be obtained from the City's Board of Ethics, 740 N.
the applicable
Wltli
Sedgwick St., Suite 500, Chicago, IL 60610, (312) 744-9660. The Disclosing Party must comply fully ordinances.
voi voi
a), at law, or in
C. f the City determines that any information provided in this EDS is false, incomplete or inaccurate, any contract or othfcr agreement in connection with which it is submitted may be rescinded or be void or dable, and the City may pursue any remedies under the contract or agreement (if not rescinded or
equity, including terminating the Disclosing Party's participation in the Matter and/or
dec ining to allow the Disclosing Party to participate in other transactions with the City. Remedies at law for a false statement of material fact may include incarceration and an award to the City of treble damages.
D. ft is the City's policy to make this document available to the public on its Internet site and/or upon
rcq test. Some or all of the information provided on this EDS and any attachments to this EDS may be
ma.i ie 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
rigl ts or claims which it may have against the City in connection with the public release of information
cor tained in this EDS and also authorizes the City to verify the accuracy of any information submitted
int lis EDS.
E. ' ihe 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
cor tract being handled by the City's Department of Procurement Services, the Disclosing Party must
up( ate this EDS as the contract requires. NOTE: With respect to Matters subject to Article I of
Chapter 1-23 of the Municipal Code (imposing PERMANENT INELIGIBILITY for certain specified
off ^ses), 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 of the Municipal Code.
Disclosing Party represents and warrants that:
Page 11 of 13
(DO NOT SUBMIT T1I1S PAGE WITH YOUR EDS. The purpose of this psge is for you tc recertify your EDS prior io submission to C>fy Council or on the date of dosing, if unable tc recertify truthfully, the Disclosing Party must complete a new EDS with correct or corrected information)
RECERT1H CATION Generally, for use with City Council matters. NDt for City procurements unless requested.
This recertification is being submitted in cnnnectjoii with ¦ j J {/ "' ?) V V L; ^ ^c5^
[identify the Matter]. Under penalty of ptrpry, the person signing Wow • ()) warrant?, dial he/she it authorized to execute thii EDS recertification on behalf of the Disclosing Party, (2) warrants thai all certifications and statements contained in the Disclosing Party's original EDS are true, accurate and complete as of the date famished to the City and continue to be true, accurate and complete as of the date of this recertification, and O) reaffirms its ; acknowledgments.
fe k^l'iu Date: _.MMlL...
¦ (Print or type legs! name of Disclosing Part)'}
iPrirtt or type name of signatory:
Title of signatory:
Signed and jwom to befote me on [date] (p-z^n ,bv
\Z.:&JL<-, . at CcX)iC County, "Ji-, IstateJ
^/^'^lA. Notary Public.
\ ,y /
I LINDA M NORWICK
notarv public - state of iujnois
MY COMMISSION EXPlRES:W1Sfli
CommisMon expire*- ^^imLSEfii
Vir.
F.l.
Dep fine
sewtr charges, license fees, parking tickets, property taxes or sales taxes.
The Disclosing Party is not delinquent in the payment of any lax administered by the Illinois irtmcnt of Revenue, nor are the Disclosing Party or its Affiliated Entities delinquent in paying any fee, tax or other charge owed lo the City. This includes, but is not limited to, all water charges,
F.2
use.
Partjes List Systemi("EPLS") maintained by the U. S. General Services Administration
F.3 If the Disclosing Party is the Applicant, the Disclosing Parly will obtain from any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in F.l. and F.2. above and will not, without the prior written consent of the Cit>, use any such contractor/subcontractor that docs not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications. I !
exp
NOTE: If the Disclosing Party cannot certify as to any of the items in F.L, F.2. or F.3. above, an
anatory statement must be attached to this EDS.
CERTIFICATION
s
Un( cr penalty of perjury, the person signing below: (I) warrants diat he/she is authorized to execute this EDS and Appqndix A (if applicable) on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS and Appendix A (if applicable) arc true, accurate and complete as oil the date furnished to the City.
/I Ma
(Print or typje-namcj of Disclosing Party)
nt or type name of person signing)
nt or type title bf person signing)
at
Signed and sworn io before me on (date) _
Coo tC j_ County, ~ZPu^^o>s (state).
~ L • • • Cojnmission expires: ^ I 1 - 1 X • $ UNDAMNORWICK
! CITY OF CHICAGO
; ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND DEPARTMENT HEADS
ow
1 his Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ncrship interest in the Applicant exceeding 7.5 percent- It is not to be completed by any legal entity whi:h has only an indirect ownership interest in the Applicant.
Under Municipal jCodc Section 2-154-015, the Disclosing Party must disclose whether such Disclosing Party or a ly "Applicable Party" or any Spouse or Domestic Partner thereof currently has a "familial relationship" with any jlccted city official or department head. A "familial relationship" exists if, as of the date this EDS is sign sd, the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof is related to the 1 nayor, any alderinan, the city clerk, the city treasurer or any city department head as spouse or domestic part ter or as any of the following, whether by blood or adoption: parent, child, brother or sister, aunt or uncle, niec; or nephew, grandparent, grandchild, father-in-law, mother-in-law, son-in-law, daughter-in-law, stepfather
or s epmother, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister.
|
i
Applicable Party" means (I) all executive officers of the Disclosing Party listed in Section HB.l.a., if the Dis< losing Party is a'corporation; all partners of the Disclosing Party, if the Disclosing Party is a general part lership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited part lership; all managers, managing members and members of the Disclosing Party, if the Disclosing Party is a limi ted liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7,: i percent ownership interest in the Disclosing Party. 'Principal officers" means the president, chief ope: ating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exei rising similar authority.
I )ocs the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently a "familial relationship" with an elected city official or department head?
] Yes
suci
pen on
If yes, please identify below (1) the name and title of such person, (2) the name of the legal entity to which person is connected; (3) the name and title of the elected city official or department head to whom such has a familial relationship, and (4) the precise nature of such familial relationship.
Page 13 of 13
CITY OF CHICAGO
j ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
i APPENDIX B
BUILDING CODE SCOFFLAW/PROBLEM LANDLORD CERTIFICATION
i
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. Pursuknt to Municipal Code Section 2-154-010, is the Applicant or any Owner identified as a building code scofflaw or problem landlord pursuant to Section 2-92-416 of the Municipal Code?
[ ]Ycs
If the Applicant is a legal entity publicly traded on any exchange, is any officer or director of the A Dpltcant identified as a building code scofflaw or problem landlord pursuant to Section 2-92-4116 of the Municipal Code?
Not Applicable
3. If yd, 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.
FELLING OUT THIS APPENDLX 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.