# |8 3T7
ORDINANCE
BE /7" ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
SECTION 1. Title 17 of the Municipal Code of Chicago, the Chicago Zoning Ordinance, is hereby amended by changing all of the B3-1 Community Shopping District symbols shown on Map 12-L in the area generally bounded by:
West 49th Street; the alley next east of South Cicero Avenue; a line 150 feet south of and parallel to West 49th Street; South Cicero Avenue
to the designation of C2-1 Motor Vehicle-Related Commercial District.
SECTION 2. This ordinance takes effect after its passage and approval.
Common Address: 4901-13 South Cicero Avenue
April 30, 2015
Daniel Solis Chairman
Committee on Zoning, Landmarks and
Building Standards
121 North LaSalle Street
Room 304, City Hall
Chicago, Illinois 60602
RE: 4901 -13 South Cicero Avenue
Dear Aid. Solis:
The undersigned, Graham C. Grady, being first duly sworn on oath, deposes and states the following:
The undersigned certifies that the notice requirements of Section 17-13-0107 of the Chicago Zoning Ordinance were complied with by causing written notice to be sent by first class mail, to such property owners who appear to be the owners of all property within the lot lines of the subject property and within 250 feet in each direction of the lot lines of the subject property, exclusive of public roads, streets, alleys and other public ways.
The undersigned certifies that the notice contained the address of the property which is the subject of the application; a statement of the intended use ofthe property; the name and address of the applicant; and a statement that the applicant intends to file an application for a Zoning Amendment on or about May 6, 2015
The undersigned certifies that the applicant has made a bona fide effort to determine the addresses of the parties to be notified under Section 17-13-0107-A of the Chicago Zoning Ordinance and that the accompanying list of names and addresses of surrounding property owners within 250 feet of the subject site is a complete list containing the names and addresses of the people who were served. _
Subscribed and sworn to before me this 30th day of
May 5, 2015
Dear Sir or Madam:
In compliance with the notice requirements for an Amendment to the Chicago Zoning Ordinance, please be informed that on or about May 6, 2015, an application for an Amendment to the Chicago Zoning Ordinance will be filed on behalf of Core Property Group, LLC, the Applicant, for the property commonly known as 4901-13 S. Cicero Ave.
The Applicant proposes to renovate the existing one story building for use as an automobile rental facility with off-street customer and employee parking spaces and storage for rental automobiles.
The application requests a change in zoning from B3-1 Community Shopping District to C2-1 Motor Vehicle-Related Commercial District.
The contact information for the Applicant is as follows: Core Property Group, LLC, 200 West Madison St. Suite 4200, Chicago, IL 60606. The current owners of the property are Core Property Group, LLC, and Pace Property Group, LLC, both with offices at 200 West Madison St. Suite 4200, Chicago, IL 60606.
Please note that your property is not being rezoned. The Applicant is required by law to send this notice to you because you own property within 250 feet of the subject site.
Questions about this notice may be directed to the Applicant's attorney, Graham C. Grady, at 312-836-4036, at Taft Stettinius & Hollister LLP, 111 East Wacker Drive, Suite 2800, Chicago, Illinois 60601.
Very truly yours,
/
April 30,2015
City of Chicago
Department of Housing and Economic Development Planning and Zoning1 Division 121 N. LaSalle St., Room 900 Chicago, IL 60602
Re: 4911-13 South Cicero Avenue
To Whom It May Concern:
This letter is to inform you of the approval of the owner of the above-referenced property for Core Property Group, LLC to file an application for a zoning map amendment to change the zoning district of the above-referenced property from B3-1 Community Shopping District to C2-1 Motor Vehicle-Related Commercial District.
Very truly yours,
Signature
Printed Name
CITY OF CHTCAGO
APPLICATION FOR AN AMENDMENT TO THE CHICAGO ZONING ORDINANCE
ADDRESS of the property Applicant is seeking to rezone:
4901-13 South Cicero Avenue
Ward Number that property is located in: 14
APPLICANT Core Property Group, LLC (Owner of 4901-09 South Cicero Ave.)
ADDRESS 200 West Madison, Suite 4200 CITY Chicago
STATE Illinois ZIP CODE 60606 PHONE 312.332.4172
Is the applicant the owner of the Property? YES X (In part) NO X (In part)
If the applicant is not the owner of the property, please provide the following information regarding the owner and attach written authorization from the owner allowing the application to proceed.
OWNER Pace Property Group, LLC (Owner of 4911-13 S. Cicero Ave.)
ADDRESS 200 West Madison, Suite 4200 CITY Chicago
STATE JL ZIP CODE 60606 PHONE 312-332-4172
If the Applicant/Owner of the property has obtained a lawyer as their representative for the rezoning, please provide the following information:
ATTORNEY Graham C. Grady - Taft Stettinius & Hollister LLP
ADDRESS 111 East Wacker Drive - Suite 2800
CITY Chicago STATE Illinois ZIP CODE 60601
6. If the applicant is a legal entity (Corporation, LLC, Partnership, etc.) please provide the names of all owners as disclosed on the Economic Disclosure Statements.
George Hanus(100%) .
7. On what date did the owner acquire legal title to the subject property? May, 1980
8. Has the present owner previously rezoned this property? If Yes, when?
NO
9. Present Zoning District B3-1 Proposed Zoning District C2-1
- Lot size in square feet (or dimensions) 16,500 Square Feet
- Current Use of the property 4901-09 S. Cicero Ave.: One story retail building and parking:
4911-13 S. Cicero Ave.: Surface parking lot
12. Reason for rezoning the property To establish an automobile rental facility with off-street
customer parking and storage of rental automobiles.
- Describe the proposed use of the property after the rezoning. Indicate the number of dwelling units; number of parking spaces; approximate square footage of any commercial space; and height ofthe proposed building. (BE SPECIFIC)
The proposed use is the renovation of the existing one story building into an automobile rental
facility with off-street customer and employee parking spaces and rental automobile storage
spaces.
- On May 14th, 2007, the Chicago City Council passed the Affordable Requirements Ordinance (ARO) that requires on-site affordable housing units or a financial contribution if residential housing projects receive a zoning change under certain circumstances. Based on the lot size of the project in question and the proposed zoning classification, is this project subject to the Affordable Requirements Ordinance? (See Fact Sheet for more information)
YES-
NO X
COUNTY OF COOK STATE OF ILLINOIS
George Hanus, being first duly sworn on oath, states that all of the above statements and the statements contained in the documents submitted herewith are true and/correct.
For Office Use Only
Subscribed and Sworn to before me this jg^'^day of April, 2015.
Notary Public (J
Date of Introduction:,
File Number:
Ward:
1379204.2
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I -- GENERAL INFORMATION
A. Legal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable:' Core Property Group, L.L.C,
Check ONE of the following three boxes:
Indicate whether the Disclosmg Parly submitting this EDS is:
- [x] 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: . :
OR "" ' ' , '
3. [ ] a legal entity with a right of control (see Section 1I.B.1.) State the legal name of the entity in
which the Disclosing Party holds a right of control: ....
B. Business address.of the Disclosing Party: 200 ,w. Madison street, #4200
Chicago, IL 60606
- Telephone: 312^332-4177 Fax: 312-332-2119 Email: GDJMSPaoi.com
- Name of contact person:. George Harms
- 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);
Zoning amendment application affecting property at 4901 South Cicero Avenue, Chicago, Illinois
- Which-City agency-or department is requesting this EDS? Department of Planning .& Development
If the Matter is a contract being handled by the City's Department of Procurement Services;, please complete the following:
Specification # and Contracts
Ver. 61-01-12
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SECTION II -- DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY
1. Indicate the nature of the. Disclosing Party:
[ ] Person [x]c Limited liability company
[] Publicly registered business corporation [] Limited liability partnership
[] Privately held business corporation [] Joint, venture
[ ] Sole proprietorship [ ] Not-for-profit corporation
[ ] General partnership (Is the not-for-profit corporation also a 501 (c)(3))?
[ ] Limited partnership [ ] Yes [ ] No
[ ] Trust [ ] Other (please specify)
2. For. legal entities, the state (or foreign country) of incorporation or organization, if applicable:
Illinois
3. For legal entities not organized in the State of Illinois : Has the organization registered to do business jnthe State of Illinois as a foreign entity?
[ JYes [JNo [XJ N/A
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 no such members, write "no members." For trusts, estates or other similar entities, list below, the legal titlehdlder(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 ofthe Disclosing Party. NOTE: Each legal entity listed below must submit an EDS on its Own.behalf.
Name Title
George Hanus Managing Member
2. Please.providethe 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 such,an interest include shares in a corporation, partnership interest in a partnershipror joint venture,
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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 ofthe 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.
Name Business Address Percentage Interest in the
Disclosing Party
George Harm's 200 H. Madison, #4200, Chicago/ IL 60606 100%
SECTION III--:BUSINESS RELATI0NSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosmg Party had a "business relationship," as defined in Chapter 2-156 of the Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?
[ ] Yes |x$No
If yes, please identify below the namc(s) of such City elected official(s) and describe such relationship(s):
SECTION IV - DISCLOSURE OF SUBCONTRACTOR'S-AND OTHER;.RETAINED PARTIES
The: 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 retain in connection with-the Matter, as well as the nature of the relationship, and the total amount ofthe fees paid or estimated to be paid. The Disclosing Party is not required to disclose1 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: (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.
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 Uie disclosure.
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Name (indicate whether retained or anticipated to. be retained)
Taft, Stettinius & Holllster LLP
Business Relationship to Disclosing Party Fees (indicate whether
Address, (subcontractor, attorney, paid;or estimated.) NQ-TE:
lobbyist, etc.) "hourly rate" or '-t.b.d" is
not an.acceptable response.
Ill E. Hacker, Chicago. Atty. Estimated $2,500.00 ^
Chicago-Title insurance. 10 S. LaSalle;-Chicago Estimated^ $,l,.5J)0>0d
Associated 'Bank 525 W. Monroe. Chicago Estimated $. 7,500,00
' MM Surveying Chicago,-IL - ^ Estimated $ 750.00
, (Add sheets if necessary) [ J Check" hero if tlie 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 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 of the'Disclosmg Party been, declared in arrearage on" any child support obligations by any Illinois court of competent jurisdiction?.
[ ] Yes fx] No [ ] No person directly or indirectly owns 10% or more ofthe
Disclosing Party.
If "yes," has the person entered into a court-approved agreement for paymenfcof allsupport-owed and is the person in cornpiiance with that agreement?
[]Yes [1N6
- FURTHER CERTIFICATIONS
1. Pursuant to Municipal Code Chapter 1-23, Article I ("Article r')(which the Applicant should consult for defined .tenrTs (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 Parly 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 oremployee of the City or.any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article l is a continuing requirement for doing business with the City. NOTE: If Article I applies tp: the Applicant, the permanent compliance timeframe in Article! supersedes some five-year compliance timeframes in certifications 2 and 3 below.
Page 4 of 13
2, The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section II.B.l. of this EDS:
- are hot 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;
- a re. not presently indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any of the offenses set forth in clause B.2.b. of this Section V;
- have not, within a five-year period preceding the date of this EDS, had one or more public transactions (federal, state or local) terminated for cause or default; and
- have riot, within a five-year period preceding the date of this EDS,,been.conyicted, 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.
3 . The certifications in subparts 3;, 4 and 5 concern:
. 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 thai, 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 pf employees; or organization of a business entity following the ineligibility ofa 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 pr any Affiliated Entity or any other official, agent er emplpyee pf 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").
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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 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 engagementiin 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 biddersjiin restraint of freedom of competition by agreement to bid a fixed price or otherwise; or
ci 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
d. violated the provisions of Municipal'Code Section.2-92-610. (Living Wage Ordinance).
- Neither the Disclosing Party, Affiliated Entity or Contractor, or any of their employees, officials; agents or partners, is barred from contracting with-any unit of slate or local governmentas 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 of any state or of the United States of . America that contains the same elements as the offense of bid-rigging or bid-rotating.
- Neither the Disclosing Party nor any Affiliated Entity is listed on anyjof the following lists maintained by the Office of Foreign Assets Control of the U.S. Department ofthe Treasury or the ■Bureau of Industry and Security ofthe 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.
- The Disclosing Party understands and shall comply with the applicable requirements of Chapters 2-55'(Legislative InspectorGeneral), 2-56 (InspectorGeneral) and 2-156 (Governmental Ethics) ofthe Municipal Code.
- If the Disclosing Party is unable to certify to any of the above statementsjh this Part B (Further Certifications), the Disclosing Party must explain below:
Page 6 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.
8. To the best of the Disclosing Party's.knowledge after reasonableinquiry, the following is a complete list of allxurrent employees ofthe Disclosing Party who were, at any time during the 12-month period preceding "the execution date of this EDS, an employee, or elected or appointed official, of the City of Chicago (if hone, indicate with "N/A" or "none").
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-month period preceding the execution date of this EDS, to an employee, or elected or appointed official, ofthe 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-relail value of less than $20, per recipient (if none, indicate with "N/A" or "none"). As to any gift listed below, please also list the name ofthe City recipient.
N/A
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
- The Disclosing Party certifies that the Disclosing Party (check one) [] is (xjisnot
a "financial institution" as defined in Section 2-32-455(b) ofthe Municipal Code.
- If the Disclosing Party IS a financial institution, then the Disclosmg Parly pledges:
"We are not and will not become a predatory lender as defined in Chapter 2-32 ofthe 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 ofthe 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."
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) of the Municipal Code) is a predatory lender within the meaning ofChapter 2-32 of the Municipal Code, explain here (attach additional pages if necessary):
N/flu: : : : :
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If the letters "NA," tlie 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 INTERESTTN CITY BUSINESS
Any words or terms that are defined in Chapter 2-156 ofthe Municipal Code have the same meanings when used in this Pa
- In accordance with Section 2-156-110. of the Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person .or entity in the Matter?
[] Yes ^ No
NOTE: If you checked "Yes" to Item D.l., proceed to Items D:2. and D.3. If you checked "No" to Item D.l., proceed to Part E.,
- Unless sold pursuant to a process of competitive bidding, or otherwise permitted, ho City elected official or employee shall have a financial interest in his or her own name or in the name of any other person or entity in the purchase of any property that.(i) belongs to the City, or{(ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit of the City-(collectively, "City Property Sale"). Compensation for property taken pursuant to the City's eminent domam power, does not constitute a financial interest within the meaning of this Part D.
Does the Matter involve a City Property Sale?
[ 1 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.
E. CERTIFICATION REGARDING SLAVERY ERA.BUSINESS
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing Parly must disclose below or in ah attachment to this EDS all information required by paragraph 2. Failure to
Page .8 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.
x 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 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,Tincluding the names of any and .all slaves or slaveholders described in those records:
SECTION Vi" --^CERTIEJCATIONS FOR FEDERALEY FUNDED.'M ATTERS.
NOTE: If the Matter is federally funded, complete this Section VI. If the Matter is not federally funded1, proceed to Section VII. For purposes of this Section VI, tax credits allocated by the City arid 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 Party means that NO persons or entities registered under the Lobbying Disclosure. Act of 1995 have made lobbying contacts on behalf ofthe Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated fundsto ipay any person or entity listed in Paragraph A. l . above for his or her lobbying activities or to pay any person or entitytp influence or attempt to influence an officer or employee of any agency, as defined by applicable federal lav/, 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.
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- 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) ofthe 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 not1 engaged'and will not engage in "Lobbying Activities".
5 . If the Disclosing, Party is the Applicant, the Disclosing Party must obtain certifications equal in form arid substance to paragraphs A.l. through A A 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
If the 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.:
Ts 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.)
[JYes [JNo
- 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?
[JYes [JNo:
- Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
[ ] Yes [ ] No
If you checked "No" to question 1., of 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:
A-; 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, Cily assistance, or other City, action^ and are material inducements to the City's execution of,any contract or taking other action with respect to the Matter. The DisclosingParty understands that it must comply with all statutes, ordinances, and regulations on which ihis EDS ;is based.
- The City's Governmental Ethics and Campaign Financing Ordinances, Chapters 2-156 and 2-164* of the Municipal Code, impose certain duties and obligations on persons or entities seeking City contracts, work, business, or transactions. The full text of these ordinances and a training program is available on line at www.cltyofchicago-org/EthicS', and may also be obtained from the City's Board of Ethics* 740 N.
Sedgwick St., Suite 500, Chicago, IL 60610, (312) 744-9660. The Disclosing Party must comply fully with the applicable ordinances. ,
- 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 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.
- 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 of the information provided on this EDS and any attachments to this EDS may be made available to the public on the Internet, hvresponse to a Freedom of Information Act request, of otherwise;. By completing and'signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it may have against the City in connection with the public release of information contained: in this EDS and also authorizes the City to verify the accuracy of.any information, submitted in this EDS.
- The information provided in this EDS must be kept current. In the event of changes, the Disclosing Party must supplement this EDS up to the time the City takes action on the Matter. If the Matter is a contract being handled by the City's pepartment 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 of the Municipal Code.
The Disclosing Party represents and warrants that:
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F.l. The Disclosing Party is nbfcdelinquent .in the payment'of any tax administered by the Illinois 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 notlimited to, all water charges, sewer charges,license fees, parking tickets, property faxes 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 If the; Disclosing Party is the Applicant, the Disclosing Parry 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 Fi2. above and will not, without the prior written consent of the City, use any such contractor/subcontractor that 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 Party cannot certify as to any ofthe 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 the Disclosing Parly, and (2) warrants that all certifications and statements contained in this EDS and. Appendix A (if applicable) are true, accurate and complete as ofthe date furnished to the Cily.
Core Property Group, L.
(Print or type name of pjsclosiygr arty) By:
(Signhere) George Hanus
(Print or type name of person signing) Sole member o£ Core Property Group, L.L.C.
(Print or type title of person signing)
Sighed and sworn to before me bhfdate) (jlpui? -20/^,, f^VWS^fp^LSE^
at Ldt&Jl County, *>Jtlkmu> (state). ! 5 LOR! L KAPALDO
T) ~~ >0 I NOTARY PUBLIC-STATE OF ILLINOIS
C^r4? ^ar^M^ Notary Public. I. ^^.ssio.EXP.RES^ns
Commission expiies:_
Page 12 of 13
CITY OF CHIC AGO-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 percent. It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
Under MunicipalCode Section 2-154-015, the Disclosing Party must disclose whether such Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently hasa "familial relationship" with any elected; city official or department head. A "familial relationship" exists if, as ofthe dateihis 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 cleric, the city treasurer or any city department head as spouse or domestic partner or as any ofthe following, whether by blood or adoption: parent, child, brother or sister, aunt or uncle, niece or nephew, grandparent, grandchild, father-in-law, mother-in-law, son-in-law, daughter-in-law, stepfather or stepmother, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister.
"Applicable Party" means (1) all executive officers of the Disclosing Party listed in Section II.B. 1 .a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all.general partners and limited partners^of the Disclosmg Party, if the Disclosing Partyls a limited partnership; all managers, managing members and members of the Disclosing Party, if the 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;percent ownership interest in-the Disclosing Party. "Principal officers" means tlie president, chief operating officer, executive director, chief financial pfficer, treasurer Or secretary Of a legal entity or any person exercising similar authority.
Does the Disclosing Parry 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 peg No
Ifyes, please identify below (1) thename and title of such person, (2) the name ofthe 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
GitY OF CHICAGO ECONOMIC DIS C IO SURE STATEMENT AND AFFIDAVIT
APPENDIX B
BUILDING CODE SCOFFJLAWROBLEM 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.S percent (an "Owner"). It is not to be completed by any legal: entity which:has only an indirect ownership interest in the Applicant.
L Pursuant to Municipal Code Section 2-154-610, is the Applicant or any Owner identified as a building code; scofflaw on problem landlord pursuant to Section 2-92-416 ofthe Municipal Code?
[ J Yes [x .] No
- 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 of the Municipal Code?
[ ] Yes [x]No [ ] Not Applicable
- If yes to (1) or (2) above, please identify below the name ofthe person or legal entity identified as a building code scofflaw or problem landlord and the address ofthe building or buildings to which the pertinent code violations apply.
FILLING 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.
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT ANDAFFIDAVIT
SECTION I » GENERAL INFORMATION.
A. Legal name of the Disclosing Party submitting this EDS.: Include d/b/a/ if applicable:
. Pace Property Group, It.L.C-. j: ,
Check ONE ofthe following three boxes:
Indicate whether the Disclosing Pariy submitting this EDS is:
- :[x] 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: ; . -
OR !
'3. f ] a legal entity with a right of control (see Sectibrj.H.'B.!l.)" State the legal name ofthe entity in
which the Disclosing Party holds a right of control: .
B; Business address of tlie Disclosing Party: 200 w. Madison street, #4200
Chicago, IE-. 60606
- Telephone: 312-332-41.7? Fax: 312-332-2119 Email:; Gpn48Paoi.com
- Name: of contactperson: George nanus 1
- 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):
Zoning amendment application affecting property at 4911-13 South Cicero Avenue, Chicago, Illinois
- Which City agency, or department is requesting this EDS? Department of Planning & Development
If the Matter is a contract being handled by the City's Department of Procuxement.Services, please complete the following:
Specification # and Contract #
Ver. 01-01-12
Page 1 of 13,
SECTION II -- DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OFTHE DISCLOSING PARTY
1. Indicate the nature of the Disclosing J
[ ] Person
[ ] Publicly registered business corporation
I ] Privately held business corporation
[ ] Sole proprietorship
[ ] General partnership
[ ] Limited partnership
[] Trust
[xi Limited liability company
[ ] Limitedliability partnership
[, ] Joint venture
[] Not-for-profit corporation
(Is the not-for-profit corporation also a*501(c)(3))?
[ ] Yes, [ ]No
[ ] Uther (please-specify)
2. For legal entities, the state (or foreign.country) of incorporation or organization, if applicable:
Illinois * .
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 [x] N/A
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
1. List below'the full names and titles of all executive officers and all directors ofthe entity. NOTE: For not-for-profit corporations, also list .below all members, if any, which are legal entities. If there are no such members, write "no members." For trusts, estates or other similar entities, list below thelegal tifleholder(s).
If the entity is-a general partnership, limited partnership, limited liability company, limitedliability 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 ofthe Disclosing Party. NOTE: Each legal entity listed below must submit an EDS on its own behalf.
Name Title
.George Hanus, Managing Member
2. Please provide tlie following information concerning each person or entity having a direct or indirect beneficial interest (including ownership) in excess ;of 7.5% of tlie Disclosing: Party. Examples, of such an interest inc hide .shares in a corporation, partnership interest in a partnership or joint venture,
Page 2 of 13
interest of a member or manager in a limited liability company,-6r 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 Code"), the City may require any such additional information from any applicant which is reasonably intended to achieve full disclosure.
Name ' Business Address Percentage Interest in the
'Disclosing Party-
George Hanus 200 W. Madison, #4200, Chicago, IL 60606 100%
SECTION ID - BUSINESS RELATIONSHIPS WITH CITY ELECTED;:OFF,ICIALS:
Has the Disclosing Party had a "business relationship," as:. defined in Chapter 2-156 of the Municipal Code, with any City elected official in the 12 mohths'before the date this^EDS is signed?
[] Yes |XJNo
If yes, please identify below the name(s) of such City elected official(s) and describe such relationship^):
SECTION IV ~ DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the mame 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 retain in connection with the Matter, as well as the nature of the relationship, "and the total amount ofthe fees paid or estimated to be paid. The Disclosing Party isjiot required to disclose, employees who are paid solely through the Disclosmg 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: (1) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means any person or entity any partof 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's required under this Section, the Disclosing Parly must either ask the City whether disclosure Is required or make the disclosure.
Page 3 of 13
Name (indicate whether Business Relationship to Disclosmg Party Fees' (indicate whether
retained or anticipated to be retained);
Ta£t, Stettinius & HollisterLLP
Address (subcontractor, attorney, lobbyist, etc.):
Ill B. Hacker, Chicago. Atty- Estimated.
paid or estimated.) NOTE: "hourly rate" or "t.b'.d." is; not an acceptable response.
$2,500.00
Estimated1
$.1,500.-00
Chicago Title Insurance 10 S. LaSalle, Chicago
$:z.5bo^oo
Estimated;
Associated Bank
525 W. Monroer Chicago
Estimated:
Chicago,.IL
.$.750.00
MM Surveying
(Add sheets if necessary) !
[ ] Check hero if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V'^CERTIFICATIQNS
A. COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under ■■Municipal "Co do Section 2-92-415, substantial owners of business entities that contract with, the City must remain in compliance with their child support obligations throughout the contract's term.
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
□ Yes
[x] No [ J 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 agreement?
□ Yes []No
B. FURTHER CERTIFICATIONS
1. Pursuant to Municipal Code Chapter 1-23, Article ! ("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 cuirehtly indicted or charged with, or has admitted guilt of, or has ever been convicted ofyof placed under supervision for, any criminal offense invoiying achial, 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 tp' 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
- The Disclosing Parly and, if the Disclosing Party is a legal entity, all of those persons pr entities identified in Section II.B.l. of this EDS:
- "are hot presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from any transactions by any federal, state or lc-cal 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 or lpcal) with committing any.of the offenses set forth in clause B.2.b. of this Section V;
- have not, within a five-year period preceding the date;of this EDS, had one or more public transactions (federal, state or local) terminated for cause or default; and
- have not, within a five-yearperipd preceding the date pf this EDS, been convicted, adjudged guilty, er fpund liable in a civil proceeding, pr in any criminal or civil actipn, including actipns, concerning environmental viplatipns, instituted by the City or by the federal government, any state, or any other unit of local government.
- 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");
0 any "Affiliated Entity" (meaning a person or entity that, directly orindirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is, with the Disclosing Party, under common cc-ntrpl pf ahether persen or entity. Indicia of control include, without limitation: interlocking management Pf pwnership; identity pf interests ampng family members, shared facilities and equipment; common use of employees; or organization of a business entity follpwing the ineligibility pf a business entity tp dp business with federal pr state pr ideal 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 controIs the; Contractor, is controlled by it, or, with the Contractor, iis under common control of another person or entity; '
- any responsible official of the Disclosing Party, any Contractor or any Affiliated.Ehtify or any other official, agent or employee of the Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible officiahof'the Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents");
Page 5 of 13
Neither the Disclpsing.Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor nor any Agents have, 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 ofthe. federal
..government or of any state or local government in the. United States of America, in that officer's .......
or-employee's official capacity;
- agreed?or colluded with other bidders or prospective.;bidders, '6r been a party to:any such agreement, orbeen.convicted or adjudged guilty of agreement or collusion among bidders or prospective'bidders, inrestraint of freedom of competition by;agreement to bid a fixed price or otherwise; or
i
- made an admission of such conduct described in a. or b. sabove^that is a matter of record, but haye not been prosecuted for such conduct; or
- violated the provisions of Municipal Code Section 2-92-610 (Living Wage Ordinance).
4. Neither the Disclosing Party, 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 pf 720 ILCS 5/33E-4; or (3) any similar.offense of any.statc or of the United States of America that contains the same elements as the offense of bid-rigging or .bid-rotating.
5v Neither, the Disclosmg Party nor any Affiliated Entity is listed on any of the following lists maintained by the Office of Fbreign Assets Control of the: U.S. Department of the Treasury er the Bureau of Industry and Security ofthe U.S. Department of Commerce or. their successors: the Specially Designated Nationals List, the Denied Persons List, the UnverifiedXist, the Entity List and the Debarred List:
- The Disclosing Party understands and shall comply with the applicable requirements pf Chapters 2-55 (Legislative Inspectpr General), 2-56 (Inspector General) and 2-156 (Governmental Ethics) pf the ■Municipal Code.
- If the,Disclosing Party is unable to certify to any of the above statements in this Part B (Further ■Certifications), the Disclosmg Party must explain below::
Page 6. of 13
If the letters "NA," the word "None," or no response appears on the lines above, it will be-conclusively presumed mat 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 tlie 12- . month period preceding tlie 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").
9. To the best of the 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, tp an employee, pr elected pr appointed official, pf the City of Chicago. For purposes of this statement, a "gift" does nnt include: (i) anything made generally available tp City employees or to the general public, or (ii) food or drink provided in the course of pfficial City business and having a retailvahie of less than $20 per recipient (if none, indicate with "N/A" or "none";). As to any gift listed bejcw,- please also list the name ofthe City recipient.
N/A
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
- The Disclosing Party certifies that the Disclosing Party (check One)" []is [xjisnpt
a "financial institution" asdefined in Section 2-32-455(b) of the .Municipal-Code.
- 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 ofthe 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."
If the Disclosing Party is unable to make this pledge because it or any pf its affiliates ?(as defined in Section 2-32-455(b) ofthe Municipal Code) is a predatory lender, within the meaning pf Chapter 2-32 pf the Municipal Cede, explain here (attach additional pages if necessary):
N/fl J : ^ - : ^_ : l_
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. CERTIFICATIONREGARDING INTEREST IN CITY BUSINESS
Any words or terms that are defined in Chapter 2-156 ofthe Municipal Code have the same meanings when used in this Part.D.
- In accordancerwith Section 2-156-110 of the Municipal Code: Does any official or employee of the City have a financial interest in his or her ownmame or inthe name of any other person or entity in the Matter?
[] Yes ^3 No
NOTE: If you checked "Yes" to Item D.l., proceed-to Items D12. and D.3. If you checked "No" to
Item D.l., 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 of any property that (i) belongs to the City,- or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit of the Cily (collectively, "City Property Sale"). Compensation for property taken pursuant to the City's eminent domain power does not constitute a financiallnterest within the meaning of this Part D.
Does the Matter involve a City Property Sale?
[] Yes [];No
- If you checked "Yes"-to Item D.l.,provide thenames andbusiness addresses of theCity "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 inthe Matter will be acquired by any City official or employee.
E. CERTIFICATION:REGARDING SLAVERY ERA BUSINESS
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing Party must disclose below or "in an attachment to this EDS all information required by paragraph 2. Failure to
Page 8 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.
x 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 i: 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 of any and all slaves or slaveholders described in those records:
'SECTIOMVI CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. If the Matter is not federally funded, proceed to Section VII. For purposes of this Section VI, tax credits allocated by the City and proceeds of debt obligations 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 Disclosmg Parly 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" appeal', it will be conclusively presumed that the Disclosing Party means that NO persons or entities ^registered under the Lobbying Disclosure Act of 1995 havemade lobbying contacts on-behalf of the Disclosing Party with respect to the Matter.)
2. The Disclosing Parry has not spent and will not expend any federally appropriated funds to:pay> any person or entity listed in Paragraph A. 1. above for his or her lobbying activities or to .pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable.federal law, a member of Congress, an officer of 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 Disclosmg 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 imsection 501(c)(4) ofthe Internal Revenue Code of 1986; or (ii) it is. an? organization describedln section 501(c)(4) of the Internal Revenue Code of 1986 but lias 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 form"and substance to paragraphs A.l. through A.4. above^from all subcontractors before it awards any subcontract and the Disclosing Party must maintainall such:subcontractors' certifications for the duration of the Matter and must make such certifications promptly available t'othe City upon request;
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
If the Matter is federally funded, federal regulations require, the Applicant and all proposed subcontractors to submit the following information with their bids or .in writing atthe outset of negotiations.
Is the. Disclosing Party, the Applicant?
[] Yes [JNo If "Yes," answer the three questions below:
1. Have you developed and do you have oh file affirmative action programs pursuant to applicable
federal-regulations? (See 41 CFR Part 60-2.)
[] Yes [JNo !
- Have you filed with the Joint Reporting Committee, the Director, of the Office'of Eederal Contract Compliance Programs, or the Equal Employment Opportunity Commission all reports due under the applicable filing requirements?
[JYes [JNo
- Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
[ ] Yes [ J No
If you checked "No" to. question 1. or 2. above, please provide an explanation:
Page 10 of 13
SECTION VII ACKNOWLEDGMENTS, CONTRACT INCORPORATION, COMPLIANCE, PENALTIES, DISCLOSURE
Tlie Disclosing Party understands arid agrees that:
- The certifications, disclosuresr<arid 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 assistance, or other City action, and are material.inducements to the City's execution of any contract or taking other action with respect to the Matter'. The Disclosing Party understands that it must comply with all statutes, ordinances, and regulations on which this EDS is based.
- The City's Governmental Ethics and Campaign Financing Ordinances, Chapters 2-156 and 2-164 of the Municipal Code, impose certain duties and obligations on persons; or entities seeking .City contracts, work, busi.tiess,,or transactions. The full text of these ordinances and a training program is available on line at www.citv6fchicago.org/Ethics, and may also be obtained from the City's Board of Ethics, 740 N.
Sedgwick St., Suite 500, Chicago, IL 60610, (312) 744-9660. The Disclosing Party must comply fully with the applicable ordinances.
- If the City determines that any information provided in this EDS is false, incomplete or inaccurate, any contract orother agreement in connection with which it-is submitted may- be rescinded br -be void?;or-voidable, and the City may pursue any remedies under the contract or agreement (if not rescinded of 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 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.
- It is the City's policy to make this document available to the public on its Internet site and/or upon request. Sortie 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 arid releases-any possible rights or claims Which it may have against the City in connection with the public released information contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS.
- The information provided in this EDS must be kept current. In the event of changes^ the Disclosing Party must suppleihent 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 ProcurementServices, 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 of tlie Municipal Code.
The Disclosing Party represents and warrants that:
Page 11 of 13 ■
i
F.l. The Disclosing Party is not delinquent in the payment of any tax administered by the Illinois 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, al} water charges, sewer:charges, license fees, paiidngltickets, 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. EVP. A. on the federal Excluded Parties List System ("EPLS") maintained by the U. S. General Services Administration.
F.3 If the Disclosmg Party is the Applicant, the Disclosing Party will obtain from any contractors'/subcontractors hired or to be hired in connection with the Matter certifications.equal in form and substance to thoselh F.l. and F.2. above and-will hot, without the prior written consent ofthe City, use any such contractor/subcontractor that does not provide such certifications or that the Disclosing'Party has reason to believe has hot provided-or carmof provide truthful certifications.:
NOTE: If the Disclosing Party cannot certify as to any ofthe items in F.L, F.2. or F.3. above, an explanatory statement must be attached to this-EDS
CERTIFICATION
(Print or type name of Disci
By:_
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 the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS and Appendix A (if applicable) are true, accurate and complete as of the date furmshed to the City.
(Sign here)
Pace Property Group, L.L.C. ,
George Hanus
(Print or type.nairie of person sighing)
Sole-member of Pace Property Group, L.L.C.
(Print or typeitifle of person signing)
Signed and sworn to before me on (date)
at LQsJLff County. dMjCrM,c, (state).
JD , n X**" OFFICIAL SEAL
<T y^S^l £±T. k!o^QjJ^\ Notary Public. \ LCRIL KAPALDO
' ^ [J^^^ 1 \ NOTARY PUBLIC - STATE OF ILLINOIS
, \ MY COMMISSION EXP!RES:03/06/i6
Commissionexpires: & 3/ Diet I (& . ^>wvvvwv^
Page 12 of 13
I
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDLX A
FA1VHLIAL RELATIONSHIPS W OFFICIALS AND DEPM^TMENT HEADS
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 percent. It is not to be completed by anyTegal entity which has only an indirect ownership interest in the Applicant;
Under Municipal Code Section 2-154-015, the Disclosing Party must disclose whether such Disclosing Party .or any "Applicable Party" or any Spouse or Domestic Partner thereof currently has a "familial relationship" with any elected city official or department head. A "familial relationship" exists if, as'of the date tins 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-ih-Iaw, mother-in-law, son-in-law, daughter-iii-law, stepfather or stepmother, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister.
"Applicable Party" means (1) ailexecutive.officers of theDisclosmg Pai-ty:listedi.n;Section:E.B.l.a., if the Disclosing Party is a corporation; alfpartners of tlie Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners ofthe Disclosing Party, if the.=Disclosihg Party Is a limited partnership; all managers, managing members and members ofthe Disclosing Party, if the Disclosing Party is a limited liability company;,f2) all principal officers ofthe Disclosing Party; and-(3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Princ ipal 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 Disclosmg Party or any "Applicable Parly" or-any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
[JYes [x>JNo
If yes, please identify below (1) the name and title of such person, (2) tlie name of the legal entity to which suebperson 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 13i
CITY OF CHICAGO ECONOMIC DIS C 1LOSURE STATEMENT. AND AFFIDAVIT
APPENDIX B
BUILDING CODE SCOFFXAW/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 enlity which has only an indirect ownership interest iii the Applicant.
I. Pursuant 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 ofthe Munjcfoal Code? H
I ] Yes fx JNo :
2- 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?
[ 1Yes I'x I No ' [ J Not Applicable
3.
If yes to (1) or (2) above, please identify below the name of the person or legal entity identified as a buitding code scofflaw or problem landlord and the address of the building or jbuildingsto which me pertinent code violations .apply.
FHJLING OUT THIS APPENDIXB CONSTITUTES ACKNOWLEDGMENT AND AGREEMENT THAT THIS APPENDIX B IS INCORPORATED BY REFERENCE INTO, AND MADE A PART OF, THJE 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.