|
This record contains private information, which has been redacted from public viewing.
|
|
Type:
|
Ordinance
|
Status:
|
Passed
|
|
Title:
|
Zoning Reclassification Map No. 13-I at 5700 N Ashland Ave - App No. 17776
|
|
Topic:
|
ZONING RECLASSIFICATIONS - Map No. 13-I
|
FINAL FOR PUBLICATION ORDINANCE BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO: SECTION 1. Title 17, ofthe Municipal Code of Chicago, the Chicago Zoning Ordinance be amended by changing all the RS3 Residential single-Unit (Detached House) District symbols and indications as shown on Map No. 13-1 in the area West Edgewater Avenue; North Ashland Avenue; West Hollywood Avenue; and a line 298.03 feet west of and parallel to North Ashland Avenue; the alley next north of and parallel to West Hollywood Avenue; and a line 306.03 feet west of and parallel to North Ashland Avenue, to those of a B2-3 Neighborhood Mixed-Use District and a corresponding use district is hereby established in the area above described. SECTION 2. That the Chicago Zoning Ordinance be amended by changing all the B2-3 Neighborhood Mixed-Use District symbols and indications within the area hereinabove described to the designation of Residential Planned Development Number , which is hereby established in the area above described, subject to such use and bulk regulations as arc set forth in the Plan of Development herewith attached and made a part thereof and to no others. SECTION 3. This ordinance shall be in force and effect from and after its passage and due publication. FINAL FOR PUBLICATION RESIDENTIAL PLANNED DEVELOPMENT No. PLAN OF DEVELOPMENT STATEMENTS The area delineated herein as Residential Planned Development No^ , (the "Planned Development") consists of approximately seventy-one thousand, and eighty-four (71,084) square feet (one point sixty three) 1.63 acres of property (includes 2,800 square feet of alley right-of-way to be vacated under separate submittal) which is depicted on the attached Planned Development Boundary and Property Line Map (the 'Property") and is owned or controlled by the Applicant, "MCZ Edgewater, LLC". All applicable official reviews, approvals or permits are required to be obtained by the Applicant or its successors, assignees or grantees. Any dedication or vacation of streets, alleys or easements or any adjustment of the right-of-way shall require a separate submittal to the Department of Transportation on behalf of the applicant or its successors, assignees or grantees and approval by the City Council. Any requests for grants of privilege, or any items encroaching on the public way, shall be in compliance with the Plans. Ingress or egress shall be pursuant to the Plans and may be subject to the review and approval by the Departments of Planning and Development and Transportation. Closure of all or any public street or alley during demolition or construction shall be subject to the review and approval of the Department of Transportation. All work proposed in the public way must be designed and constructed in accordance with the Department of Transportation Construction Standards for work in the public way and in compliance with the Municipal Code ofthe city of Chicago. Prior to the issuance of any Part II approval, the submitted plans must be approved by the Department of Transportation. As part of this project, the Ashland Avenue/Hollywood traffic signal must be retrofitted with countdown pedestrian signals 3. The requirements, obligations and conditions contained within this Planned Development shall be binding upon the Applicant, its successors and assigns and, if different than the Applicant, the legal title holders and any ground lessors. All rights granted hereunder to the Applicant shall inure to the benefit ofthe applicant's successors and assigns and, if different than the applicant, the legal title holder and any ground lessors. Furthermore, pursuant to the requirements of Section 17-8-0400 ofthe Chicago Zoning Ordinance, the Property, at the time application for amendments, modifications or changes (administrative, legislative or otherwise) to this Planned Development are made, shall be under single ownership or designated control. Single designated control is defined in Sec. 17-8-0400 of the Chicago Zoning Ordinance. Applicant: MCZ Edgewater, LLC Address: 5700 North Ashland Avenue Intro Date: July 24, 2013 CPC Date: February 18, 2016 FINAL FOR PUBLiCAU This Plan of Development consists of sixteen (16) Statements: a Bulk Regulations and Data Table; an Existing Zoning Map; a Planned Development Boundary and Property Line Map, an Existing Land-Use Map, Site Plan. Green Roof Plan, North Building Elevation, South Building Elevation, East Building Elevation and West Building Elevations prepared by Hartshorne Plunkard and Associates and dated February 18, 2016 submitted herein. In any instance where a provision of this Planned Development conflicts with the Chicago Building Code, the Building Code shall control. This Planned Development conforms to the intent and purpose ofthe Zoning Ordinance, and all requirements thereto, and satisfies the established criteria for approval as a Planned Development. In case of a conflict between the terms of this Planned Development ordinance and the Zoning Ordinance, this Planned Development ordinance shall control. The following uses are allowed in the area delineated herein as a Residential Planned Development: Sub-Area A: multi-family residential with accessory uses and off-street parking and loading; and Sub-Area B; public open space-(neighborhood park) use. On-premisc signs and temporary signs such as construction and marketing signs shall be permitted within the Planned Development subject to the review and approval of the Department of Planning and Development ("DPD"). Off-premise signs are prohibited within the boundary ofthe Planned Development. For purposes of height of any measurement, the definitions in the Zoning Ordinance shall apply. The height of any building shall also be subject to height limitations established by the (FAA) Federal Aviation Administration. The maximum permitted floor.area-ratio (F.A.R.) for tlie site shall be in accordance with the attached Bulk Regulations and Data Table. For the purposes of FAR calculations and floor area measurements, the definitions in the Chicago Zoning Ordinance shall apply. The permitted FAR identified in the Bulk Regulations and Data Table has been determined using Net Site Area of 71,084 square feet; Sub-Area A Net Site Area of 26,820.33 square feet; and Sub-Area B Net Site Area of 44,263 square feet. This Planned Development transfers 128,293 square feet of floor area development rights from Sub-Area B lo Sub-Area A, resulting in a sub-area maximum FAR of 7.62 in Sub-Area A and 0.10 FAR in Sub-Area B. The allowed density (MLA per unit) for the purpose of this planned development shall be calculated on the net Site Area of both Sub-Area A and B. Sub-Area B will be used as a public open space-(Neighborhood Park) for recreational purposes only. Applicant: MCZ Edgewater, LLC Address: 5700 North Ashland Avenue Intro Date: July 24, 2013 CPC Date: February 18, 2016 FINAL FOR PUBLICATION Upon review and determination, "Part 11 Review", pursuant to section 17-13-061 0 of the Zoning Ordinance, a Part Tl Review fee shall be assessed by the Department of Planning and Development. The fee, as determined by staff at the time, is final and binding on the applicant and must be paid to the Department of Revenue prior to the issuance of any Part II Approval. The Site Plan and Landscape Plans shall be in substantial conformance with the Landscape Ordinance and any other corresponding regulations and guidelines. Final landscape plan and approval will be by the Department of Planning and Development. Any interim reviews associated with site plan review or Part II-Reviews, are conditional until final Part II Approval. Subarea B of this planned development will include open space. The open space will be designed and developed in conformance with the Chicago Park District design and development standards. The terms and conditions of development under this Planned Development ordinance may be modified administratively, pursuant to Section 17-13-0611-A of the Zoning Ordinance by the Zoning administrator upon the application for such modification by the applicant, its successors and assigns and, if different than the Applicant, the legal titleholders and any ground lessors. The Applicant acknowledges that it is in the public interest to design, construct and maintain the project in a manner which promotes, enables and maximizes universal access throughout the Property. Plans for all buildings and improvements on the Property shall be reviewed and approved by the Mayor's Office for People with Disabilities ("MOPD") to ensure compliance with all applicable laws and regulations related to access for persons with disabilities and to promote the highest standard of accessibility. The Applicant will comply with Rules and Regulations for the Maintenance of Stock Piles Promulgated by the Commissioner of Street and Sanitation, the Commissioner of the Environment and the Commissioner of Buildings pursuant to Section 13-32-125 of the Municipal Code of Chicago or any other provision of that Code. 14. The Applicant acknowledges that is in the public interest to design, construct, renovate and maintain all buildings in a manner that provides healthier indoor environments, reduces operating costs and conserves energy and natural ( resources. The project will be in substantial compliance with the current City of Chicago Sustainable Development policy set forth by the DPD. The proposed building shall provide a vegetated ("Green") roof totaling a minimum of 50% of the net roof area or 13,525 square feet and obtain a Building Certification. Applicant: MCZ Edgewater, LLC Address: 5700 North Ashland Avenue Intro Date: July 24, 2013 CPC Date: February 18, 2016 \kl FOR PUBLICATION 15. The Applicant acknowledges and agrees that the rezoning of the property from RS3 Residential Single-Unit (Detached House) District to a B2-3 Neighborhood Mixed-use District for construction of this Planned Development triggers the requirement of Section 2-45-110 of the Municipal Code (the "Affordable Housing Ordinance"). Any developer of a "residential housing project" within the meaning of the Affordable Housing Ordinance ("Residential Project") must: (i) develop affordable housing units as part of the Residential Project; (ii) pay a fee in lieu of the development of affordable housing units; or (iii) any combination of (i) and (ii). In accordance with these requirements and the Affordable Housing Profile Form attached hereto as an exhibit, the Applicant has agreed to provide fourteen (14) affordable housing units in the Residential Project for households earning up to 60 percent of the Chicago Primary Metropolitan Statistical Area median income (the "Affordable Units"), and make a zero (0) cash payment to the Affordable Housing Opportunity Fund ("Cash Payment"). At the time of each Part II review for the Residential Project, Applicant may update and resubmit the Affordable Housing Profile Form to DPD for review and approval. If the Applicant subsequently reduces the number of dwelling units in the Residential Project, DPD may adjust the requirements of this statement 15 (i.e. number of Affordable Units and/or amount of Cash Payment) accordingly without amending the Planned Development. Prior to the issuance of any building permits for the Residential Project, including, without limitation, excavation or foundation pennits, the Applicant must either make the required Cash Payment, and/or execute an Affordable Housing Agreement in accordance with Section 2-45-110(i) (2). The terms of the Affordable Housing Agreement and any amendments thereto are incorporated herein by this reference. The applicant acknowledges and agrees that he Affordable housing Agreement will be recorded against the Residential Project and will constitute a lien against each Affordable Unit. The City-shall execute partial, releases of the Affordable Housing Agreement prior to or at the time of the sale of each Affordable Unit to an income-eligible buyer at an affordable price, subject to the simultaneous execution and recording of a mortgage, restrictive covenant or similar instrument against such Affordable Unit. The Commissioner of Planning and Development (DPD) may enforce remedies for breach of the Affordable Housing Agreement, and enter into settlement agreements with respect to any such breach, subject to the approval of the Corporation Council, without amending the Planned Development. 16. This Planned Development shall be governed by Section 17-13-0612 of the Zoning Ordinance. Should this Planned Development ordinance lapse, the Zoning Administrator shall initiate a zoning map amendment to rezone the property to a RS3 Residential Single-Unit (Detached House) District which was the underlying zoning that formed the basis of this Planned Development. Applicant: MCZ Edgewater, LLC Address: 5700 North Ashland Avenue Intro Date: July 24, 2013 CPC Date: February 18,2016 FINAL FOR PUBLICATION RESIDENTIAL PANNED DEVELOPMENT No. BULK REGULA TIONS AND DA TA TABLE Gross Site Area: 106,251 square feet (2.44 acres) Area of Public R.O.W. 35,167 square feet (0.81 acres) Net Site Area: 71,084 square feet (1.63 acres)* Permitted Floor Area Ratio: Maximum Number of Residential (both dwelling and efficiency) Units: Number of Off-Street Parking Spaces to be provided: Minimum Number of Bicycle Parking Spaces: Minimum Off-Street Loading Spaces: Setbacks from Property Line: Maximum Building Height: 3.0 141 units 50 bicycle spaces one (1) space at 10' x 25' In substantial compliance with the attached Site Plan (Existing) 115.5 feet measured by the CZO (Existing) (The Net Site Area of was increased by 2,800 square feet by the inclusion a public alley right-of-way "Proposed to be Vacated" by the Appiicant and included in Sub-Area B of this development. The vacation of this public alley is subject to the Department of Transportation (CDOT) review and approval under a separate submittal )* Applicant: MCZ Edgewater, LLC Address: 5700 North Ashland Avenue Intro Date: July 24, 2013 CPC Date: February 18, 2016 2007 Affordable Housing Profile Form (Rental) Submit this form to the Department of Planning & Development (DPD) for projects that are subject to the 2007 ARO. Projects submitted after October 13, 2015 - or that do not receive City Council approval by July 13, 2016 - will be subject to the 2015 ARO. More information is online at www.cityotchicaqo.orq'ARO .
This completed form should be returned to; Kara Breems. DPD, 121 N. LaSalle Street, Chicago, IL 60602. E-mail: kara.breorns@cityofchicsgo.ofg Telephone: (312) 744-6476
Date: 2/4/16
SECTION 1: DEVELOPMENT INFORMATION
Development Name:
Development Address: 5700 N Ashland Ave Ward: 40th
If you are working with a Planner at the City, what is his/her name? Fernando Espinoza
Type of City involvement: E~] City Land
{check all that apply) i—i Financial Assistance (If receiving! tif assistance, will TIF funds be
| | used for housing construction? | I') *if yes, please provide copy
, ot the TIF Eligible Expenses I »
[Zoning increase and/or PD
SECTION 2: DEVELOPER INFORMATION
Developer Name. MCZ Edgewater, LLC Developer Contact (Project Coordinator): Todd Mullen Developer Address: 1636 N Bosworth #C-1. Chicago. IL. -Email address: tmullen(o)mczdevelopment.com Telephone Number: 402 6621
SECTION 3: DEVELOPMENT INFORMATION
a) Affordable units required
For ARO projects. m x 10%* = js (always round up)
Total units total affordable units required
*20% if TIF assistance is provided
For Density Bonus projects: X 25% =
Bonus Square Footage* Affordable sq. footage required
"Note thai the maximum allowed bonus is 20% of base FAR in dash-5; 25% in dash-7 or -10: and 30% of base FAR in dash-12 or -16 (www.crtvt>f.cl:iieaqo.oro/;toninQ for zoning info)
b) building details
In addition to water, which of the following utilities will be included in the rent (circle applicable)
? ? LJ ? ?
Cooking gas electric gas heat electric heat other (describe on back)
? 0 ? L3
Is parking included in the rent for the: affordable units? yes no market-rate units? yes no'
If parking is not included, what is the monthly cost per space? _'_2o _
Estimated date for the commencement of marketing. Spring 2018
Estimated date for completion of construction of the affordable units: Spring 2018
Number
of i To'ai Square ', Bedroo Footage/Unil ;
For each unit configuration. tilljout a separate row, as applicable (see example).
Unit Type'
Number of Units
r '' i;
ms/Unii
759
800
$1000
1 bed/1 bath|1010|0~|101010 1010|Expected j Proposed Market | Affordable Rent i Rent"
Affordable i Units |
Studio 1BRM
746 790|1010|10 4 " 8
90
27
Example
948
470-510 : TBD 640-775 : TBD
N/'A
TBD
Market
Rate
Units
800-1170; TBD
N/A
TBD
470-510
N/A
I2BRM
640-775
800-1170' TBD
Proposed Level of
Affordability (60% or
less of AMIJ
,,60%
60%
60%
60%
N/A
N/A
N/A
Unit Mix OK to proceed?
? ?
?
?
?
"Rent amounts updated annually in thr- City ct Chicago's Maximum AffomaUu Monthly Ren! Chan"
SECTION 4: PAYMENT IN LIEU OF UNITS
When do you expect to make the payment -in-lieu?
(typically corresponds with issuance of building permits)
For ARO projects, use the following formula tocalculate payment owed:
Number of total units in development
X $100,000 = S
(round up to nearest whole number)
For Density Bonus projects, use the following formula to calculate payment owed:
= $'
N/A
Bonus Floor Area {sq ft)
median price per base FAR foot (from table below)
Submarket (Table for use with the Density Bonus fees-in-!ieu calculations)
x 80% x $
Amount owed
Median Land Price ; per Base FAR Foot I
$22 $29
|_L^op: Chicago River_onjior^Avest. CLoncjrGSS_on south: Lake_Snoro Or on east_ ' $31 ¦ North. Division on north: Chicago River on south/west. Lake Shore Dr. on east i
South: Congress oh north. Stevenson on south. Chicago River on west; Lake i Shore Dr. on east
| West: Lake on north; Congress on south, Chicago River on east, Racine on west_ Authojriy^ion to Proceed (to be completed by Developer & DPDY /
Date '
Developer/Project Manager
APPLICANT: MCZ EDGEWATER, LLC EXISTING ZONING MAP
ADDRESS OF PROJECT: 5700 NORTH ASHLAND AVENUE, CHICAGO, IL
INTRODUCTION DATE: JULY 17, 2013 SCALE: NTS
PLAN COMMISION DATE: FEBRUARY 18, 2016
R
R
MtTXtY
' R
M10RT
R
R 7SintT
R
R
7STQHT
R
7 SI1HT
R
i aim
R
7 sirwr
R
7S1IBT
R
isinrr
I !!
LJ[
"i Hn
_ J : i I I
R
? STOAT
5700 N ASHLAND
PROPOSED 8 STORY BUILDING
I LEGEND
c" SUBJECT PREMISES
COMMERCIAL USE
R RESIDENTIAL USE
APPLICANT: MCZ EDGEWATER, LLC EXISTING LAND USE MAP
ADDRESS OF PROJECT: 5700 NORTH ASHLAND AVENUE, CHICAGO, IL
INTRODUCTION DATE: JULY 17, 2013 PLAN COMMISION DATE: FEBRUARY 18, 2016 SCALE: NTS
FINAL FOR PUBLICATION
356.03' PD BOUNDARY
?!
kr a 'in
<— cq
5\~
SUB AREA B
ro
BE VACATED mm pl. SXST'G PUBLIC ALLEY TO BE VACATED
I75D2' P L
J
EXISTING HOSPITAL COMPLEX TO BE RE-USED
LO
.— oa
NEW PUBLIC PARK
.89 ACRES (38.809.66 SF)
1,736.64 SF TO
BE DEDICATED
CM Z
CXJ =
cn o
CM CD
~ J
KEY AREA SUMMARY N
PD BOUNDARY • • • ¦ • • nnnnrnm I l«ir- GROSS PD SITE AREA = 122,626 S.F.
NET SITE AREA = 94,876 S.F.
rnUrhn 1 Y LINE PUBLIC RIGHT-OF-WAY AREA = 27,750 S.F.
APPLICANT: MCZ EDGEWATER, LLC PLANNED DEVELOPMENT BOUNDARY AND PROPERTY LINE MAP SCALE: 1" = oO'-O"
ADDRESS OF PROJECT: 5700 NORTH ASHLAND AVENUE, CHICAGO, IL
INTRODUCTION DATE: JULY 17, 2013
PLAN COMMISION DATE: FEBRUARY 18, 2016
NNAL {"UK HUdUMIH-W
LANDSCAPE ORDINANCE ANALYSIS
PARKWAY PLANTING W. HOLLYWOOD ST.
LENGTH (LINEAR FEET) NUMBER OF TREES REO'D (I PER 25 LFI NUMBER OF EXISTING TREES TO REMAIN NUMBER OF ADDITIONAL TREES TO BE PROVIDED N. ASHLAND AVE.
LENGTH (LINEAR FEET) NUMBER OF TREES REO'D (1 PER 25 LFI NUMBER OF EXISTING TREES TO REMAIN NUMBER OF ADDITIONAL TREES TO BE PROVIDED W. EDGEWATER AVE.
LENGTH (LINEAR FEET) NUMBER OF TREES REO'D 11 PER 25 LFI NUMBER OF EXISTING TREES TO REMAIN NUMBER OF ADDITIONAL TREES TO BE PROVIDED
306'-10"
13|10 10|12 TREES; SEE NOTE 1
235-0"
10|10 10|8 TREES; SEE NOTE 1
306-10"
13|1010|6 TREES; SEE NOTE 1
8' 0" g HOLLYWOOD 16' 0"@ EDGEWATER 2 0
VEHICULAR USE SCREENING NEW SURFACE PARKING
LENGTH (LINEAR FEETI
NUMBER OF TREES REO'D (1 PER ?5 IF) NUMBER OF EXISTING TREES TO REMAIN NUMBER OF ADDITIONAL TREES TO BE PROVIDED 3 TREES
VEHICULAR USE AREA INTERNAL PLANTING
NEW SURFACE PARKING
AREA (SQUARE FEETI 4.581 S.F.
PLANTING AREA REQUIRED I5%l 249 S.F
PLANTING AREA PROVIDED 342 S.F.
NUMBER OF TREES REQUIRED (1 PER 125 S.F.I|910|NUMBER OF TREES PROVIDED 3 TREES
NOTE 1: ADDITIONAL TREES BEYOND NUMBER SHOWN CANNOT BE PROVIDED DUE TO DRIVEWAY OFFSETS, STREET OFFSETS. AND EXISTING LIGHT POLE OFFSETS.
APPLICANT: MCZ EDGEWATER, LLC SITE PLAN/ LANDSCAPE PLAN SCALE: 1"= 80'-0"
ADDRESS OF PROJECT: 5700 NORTH ASHLAND AVENUE, CHICAGO, IL
INTRODUCTION DATE: JULY 17, 2013
PLAN COMMISION DATE: FEBRUARY 18, 2016
FINAL FOR PUBLICATION
MNAL KM PUBLICATION
GREEN ROOF CALCULATIONS
TOTAL ROOF AREA 26.910 SF
MEP EQUIPMENT & ACCESS (20%). 5.382 SF GREEN ROOF REQUIREMENT (50%)' 10.764 SF
GREEN ROOF SUMMARY
AREA A: 2,156 SF
AREA B: 0
AREA C: 1,863 SF
AREA D- 4.673 SF
AREA E. 2.072 SF
TOTAL GREEN ROOF AREA 10.764 SF
GREEN ROOF AREA AND LOCATION SHALL BE ADJUSTED TO MEET 50% GREEN ROOF REQUIREMENT
N
APPLICANT:
MCZ EDGEWATER, LLC
ADDRESS OF PROJECT: 5700 NORTH ASHLAND AVENUE, CHICAGO, IL
INTRODUCTION DATE: JULY 17, 2013
PLAN COMMISION DATE: FEBRUARY 18, 2016
CODE BOTANICAL NAME COMMON NAME QTY CAL HT SPftD ROOT REMARKS
C 111 rs CX'.C IIXM T ALIS t.h< AT-OkAM!)' Mil W.if llliAlGii!Ttl^U- on -JJot«:ut KSS Wt-iI1[ OAt. J iJNCti sTIW.ilT 7*i>lf. HI CIMI U QtJAl.l •
i! acef r,«N*j * r UK i*x,Lciiw.nT ULtJ* Vlt_inlNO>jAljr.
C»ATA(C;ul(:HLV.*i(i v irtiftrii un n.iiilTin< iMinuN incmtn oj*j ii t
tAPANLV HI [111 AC tie I^A.Tl 1UM * VlIFMIMN VtCIHtNOUAI.ll .
i > ,wiAu.-.;*i>»r;ji;:l*v ii -v.Mi
smin moi*.-o Air.nf ci*aani ] o-onniJ'(»
tno now i »w, »noo. Our UN* INOOOUI WW ir Ui
% rw
VHIJAMIXVh WO '.w.-t.nCUAlS m io-oncinh«
KhiNiu ;v>i«iAi:iUM nut«ijt-r hjwi; i contain gm^4
«TI trf»i*i.inn &uCS((n
UClul M.IX II4MUJ L.«Ait ] «"OTJ Ll Nil ft
i FW.iwfmr.HW.i crjfxtn.>wrt> i *-OiCEN'ln
lO.IAH'il "'Al
1IM MJVCAKI tlG ElL*- M5Nl*lllTTl*l VI 1 0-ONCIMIK
trfFTTA < JaaWn.i
OC (MrtJNUA ONiJAr-V^IA C.HNArM: (|«J ) o-onunu*
nfr. ¦UUMC>'IAru.GCA'WJlIV>J»:i BIAO ITlDtUiAN ¦1 i .n-ofjr.CNim
rH ' 5 HMFAHlLI" ll-CNWI o t-OMCi'ju*
ftfANIU VUMC.E I e-QNCIMllSl
u MCMV LKfrT* 0' ; *-ohc£hti«
l"A» 1.« hOC:UiA 1 P»,lVtlW'. i jrON<.inH*
(Ji
¦ PLANT PALETTE
I 'J-'lli (}UAIJli;iHCN 1H HAN' 141 a(.| P*oviOti; K'J* m«C*MATIONOHtl PLAN I OUAfJ'iTlEt iJHtjt n It-* LOJ^ACl AH INlju.AilL) Of' T—r BLAII1 Bi Ihf 1V(!*! C AN' JV.»lfr»:jr.:EV *¦¦! ;.C*JlPACT li'AiL K SAifOOU 1H Ol*»f lHIILSIHCWi Of I TH1
> GREEN ROOF INSTALLATION DETAIL
L iCAU MOl TO VTALf
„r©©0©
1-000
i,[00O0
EXTENT OF SOIL EXCAVATION AND PLAN! 1NG MIX BACKFIt L TAMPED PLANTING MIX AROUND BASE Or ROOT BALL
UNEXCAVATED / UNDISTURBED SUBGRADE
|1010|ORNAMENTAL GRASS PfRENNIAL AND GROUN'DCOVER INSTALLATION DETAIL
APPLICANT: MCZ EDGEWATER, LLC PLANT LIST AND DETAILS
ADDRESS OF PROJECT: 5700 NORTH ASHLAND AVENUE, CHICAGO, IL
INTRODUCTION DATE: JULY 17, 2013 SCALE: AS NOTED
PLAN COMMISION DATE: FEBRUARY 18, 2016
01] FACE BRICK
05 06 07
PAINTED BRICK
CURTAIN WALL ASSEMBLY 04] LIMESTONE SILL
LIMESTONE VENEER LIMESTONE COPING ENLARGED WINDOW OPENING
10
[09| GLASS & METAL RAILING ACCENT LIGHT FEATURE
12
13
14
LIMESTONE ORNAMENT LIMESTONE BLOCK METAL FRAMED OPENING STOREFRONT WINDOW 15 NEW WINDOW @ EXISTING OPENING
16 NEW PUNCHED WINDOW OPENING
BLDG HEIGHT
T/8TH FLOOR
EL: +94'-6" 117TH FLOOR
EL: +83'-l7 T/6TH FLOOR
EL: +7V-6" T/ 5TH FLOOR
EL: +60'-0" T/4TH FLOOR
EL: +48'-6" T/ 3RD FLOOR
EL: +37'-0" T/ 2ND FLOOR
EL: +25'-6" 111ST FLOOR
EL: +14-0'
EL: +115'-6"
APPLICANT: MCZ EDGEWATER, LLC NORTH ELEVATION
ADDRESS OF PROJECT: 5700 NORTH ASHLAND AVENUE, CHICAGO, IL
INTRODUCTION DATE: JULY 17, 2013 SCALE: 1/32"= V-0"
PLAN COMMISION DATE: FEBRUARY 18, 2016
04 05 06 07
OlJ FACE BRICK 02] PAINTED BRICK 03] CURTAIN WALL ASSEMBLY LIMESTONE SILL LIMESTONE VENEER LIMESTONE COPING ENLARGED WINDOW OPENING
10
11
12
13
14
15
[09] GLASS & METAL RAILING ACCENT LIGHT FEATURE LIMESTONE ORNAMENT LIMESTONE BLOCK METAL FRAMED OPENING STOREFRONT WINDOW NEW WINDOW @ EXISTING OPENING
METAL SLAB EDGE COVER Q NEW PUNCHED WINDOW OPENING
nHHOHFIFI
D 0 QQQ n LH QBBQQQD BE BHD EG
¦ l-U
APPLICANT:
MCZ EDGEWATER, LLC
ADDRESS OF PROJECT: 5700 NORTH ASHLAND AVENUE, CHICAGO,^ INTRODUCTION DATE: JULY 17, 2013
PLAN COMMISION DATE: FEBRUARY 18, 2016
011 FACE BRICK
02 PAINTED BRICK 03j CURTAIN WALL ASSEMBLY 04] LIMESTONE SILL 05] LIMESTONE VENEER J)6] LIMESTONE COPING 07] ENLARGED WINDOW OPENING ~08l METAL SLAB EDGE COVER
10
11
12
13
14
16 NEW PUNCHED WINDOW OPENING
f09] GLASS & METAL RAILING ACCENT LIGHT FEATURE LIMESTONE ORNAMENT LIMESTONE BLOCK METAL FRAMED OPENING STOREFRONT WINDOW 15 NEW WINDOW @ EXISTING OPENING
HEIGHT
BLDG EL:
T/ 8TH FLOOR
! i
APPLICANT: MCZ EDGEWATER, LLC SOUTH ELEVATION
ADDRESS OF PROJECT: 5700 NORTH ASHLAND AVENUE, CHICAGO, IL
INTRODUCTION DATE: JULY 17, 201.? SCALE: 1/32"- 1'-0"
PLAN COMMISION DATE: FEBRUARY 18, 2016
cry FACE BRICK 02] PAINTED BRICK
CURTAIN WALL ASSEMBLY LIMESTONE SILL LIMESTONE VENEER 06 LIMESTONE COPING
MATERIAL LEGEND:
10
11
12
13
14
[07] ENLARGED WINDOW OPENING
15
[09] GLASS & METAL RAILING ACCENT LIGHT FEATURE LIMESTONE ORNAMENT LIMESTONE BLOCK METAL FRAMED OPENING STOREFRONT WINDOW NEW WINDOW @ EXISTING OPENING
16 NEW PUNCHED WINDOW OPENING
APPLICANT: MCZ EDGEWATER, LLC WEST ELEVATION
ADDRESS OF PROJECT: 5700 NORTH ASHLAND AVENUE, CHICAGO, IL
INTRODUCTION DATE: JULY 17, 2013 SCALE: 1/32"= V-0"
PLAN COMMISION DATE: FEBRUARY 18, 2016
test
"fl—i—FT
LJ
P-23
JP-31 ¦ P-32IJP-33!P-34[ iP 35
P-36LjP-37|P-38
P-26
P-25
P-24
P-22
P-21
LINE OF BUILDING ABOVE
1P-27
Ij I
8' x 18' TYP. STALL SIZE
P-19
I I
P-9
tn 15'"4" C
9< ^
P7
J i H_
a
STORAGE
...a
SIDEWALK VAULT
APPLICANT: MCZ EDGEWATER, LLC BASEMENT PLAN
ADDRESS OF PROJECT: 5700 NORTH ASHLAND AVENUE, CHICAGO, IL
INTRODUCTION DATE: JULY 17, 2013 SCALE: 1"= 30'-U"
PLAN COMMISION DATE: FEBRUARY 18, 2016
? -U u~" n~^3
?I
rii:RESIDENTIAL LOBBY
J ?
—c
i
TENANT STORAGE
? Ltr
—rP-
P-33
P-34[.
8'x 18" TYP. STALL SIZE
24'-2"
P-23 P-221P-211
I I ! I I 1
P-14!P-15
<
i b
D 15'-4"
, ,— A
P-8
P-9
P-11
.1
13'-0"
P-10'
13-0" " -\ G
^ ^fa
, 16'-0"
V t4
P-1
P-2
P-4
P-3
BIKE STORAGE 162 BIKES
iiiiiiiini iiiiiiiiiiiiii
i
P-7
/A
RESIDENTIAL VrT 7 LOBBY iL p
V
APPLICANT:
MCZ EDGEWATER, LLC
ADDRESS OF PROJECT: 5700 NORTH ASHLAND AVENUE, CHICAGO, IL
INTRODUCTION DATE: JULY 17, 2013
PLAN COMMISION DATE: FEBRUARY 18, 2016
DlPARTMENT OF PLANNING AND DEVELOPMENT
CITY OF CHICAGO
MEMORANDUM
TO: Alderman Daniel S. Solis
Chairman, City Council Committee on Zoning
David L. Reifman Secretary
Chicago Plan Commission
DATE: February 19, 2016
RE: Proposed Waterway Residential Business Planned Development for property generally located at 5700 North Ashland Avenue.
On February 18, 2016, the Chicago Plan Commission recommended approval ofthe proposed planned development submitted by MCZ Edgewater, LLC. A copy of the proposed planned development is attached. I would very much appreciate your assistance in having this introduced at the next possible City Council Committee on Zoning hearing.
Also enclosed is a copy of the staff report to the Plan Commission which includes the Department of Planning and Development, bureau of Planning and Zoning recommendation and a copy ofthe Resolution. If you have any questions in this regard, please do not hesitate to contact me at 744-5777.
cc: Steve Valenziano
PD Master File (Original PD, copy of memo)
121 NORTH LASALLE STREET, ROOM 1000, CHICAGO, ILLINOIS 60602
City of Chicago Plan Commission
February 18, 2016
Residential Planned Development 5700 North Ashland Avenue
I >
Aerial Image
5700 N. Ashland Ave PD Presentation
Existing Land Use Plan
-rtr
.l.:u;;i:
L!_:' :.l
h-i
?_LLi.jc;::,_rl
5700 N. Ashland Ave.
I II
Context Images
5700 N. Ashland Ave. PD Presentation
Site Plan
vj O O O T O ^
!HHft0aiMI:MI1SMCI , "¦'STKI KH!IK0n7" ' ¦
r
Q
0. OOTT^)
5700 N Ashland Ave.
Ground Floor Plan
SDGEW/.iER AV/ENUt
i 7 r ^iiflT;j
i,.-.^—
! vi I di
j 4
! 13
i is
TtHAwiHUUHLwir >
HOLLYWOOD AVENUE f
5700 N. Ashland Ave. PD Presentation
Green Roof
GREEN ROOF CALCULATIONS
TOT A ROOF ARE*
UEP CCUIFUENT 1 ACCESS <2CV.l GKCEN ROOF REQUIREMENT - Will
5 382 SF '.t>TM Bf
AREA A | 4TH FLOOR;;
L-4.U
ARFA D 9TTHFI OOR
GREEN ROOF SUMMARY
AREA A AREA r, APF» r ARHA D ARFA P
TOTAL GREEN ROCF AREA
CRCiiN ROOt- AREA AND LOCAltON SHALL 35 ADJUSTED TO WEFT SC-. GRCCN RCOf REQUIREMENT
AREA C 2ND FLOOR
ULOANICALA^LA TOO
iU ¦ MTC.HANICAt. 1 ARLA TBD 1 ARLA D 1 «1H FLOOR , 1
.. ^ AKfcA t ! ND(LOUR { r
J
- ROOF BALLAST IN WiAUY AK^A 1 VJ'
— ? WU1F MAINTENANCE
GRfCN ^OOF TYP
5700 N. Ashland Ave.
North & East Elevations
H 1
Effl
IE! is SS H
m as
a be,-
ffl a-'
a Effl
IB Bl
ffl Hi!
•ii m
HI iffl
East Elevation
32| PANTED tfUCK
aj CUTTMh wni Asson.v
Jm1lM3KMES.I
~X] LftCSTOWVOCER
M|!M3TW£C0n«J
MATERIAL LEGEND:
CJBIICTK.IMJNS 10, ACCOfT IjGHT FEATUV
H, SRMEFWKf MOAT
5700 N. Ashland Ave PD Presentation
South & West Elevations
mM LU El 3' LMi M 5E ai a 55. ea mi ej
BB ffl BJJ
Rfl BB BB
SB SB EBB
SB SB BB
SB LTJ3 RB
ffl Sii fiT!
fiH SB HE
fflag;
HBO 'Iff":
si d m~-
lEB H EBB ¦ EEB.B H0;
¦i3§LB.FFi
H33 B S :
JB SB ' S3 Si) BB SB B3_SI5 ffl B3 SB !ffl a.BB Hi
ffTi ITT
Bi
West Elevation
2l] eAC£ BRCK »1 PAIWTtDBKCK _=3j CLfrA.KW«.LASS=»«.V
"5] LM-'srncsu
Sj LlCSTONti VEMSD ^8] L»CSTOME OUPIMU 3?) [MJUk^WKDOWCPCHMG '»] MCTALSlABLDGbCOMH
D9j GLOSS ft HETUt RMLWA
"lO]ACCEHT LIGHT rtATURE
1?] (**STONE BLOCK U| OTALFTW.EtJOPEJtMG MJ SKJKFFRONI WWUft
"15; rcw wkdow 0 exsntJG CTOWG tsl KW piJNOfc!) IMMDOW OKLMMG
UrTH FLOOR ^ . T)fm FLOOR ^T-
el. *3r^r
TflNDHJXH* TMSTfUWl,*^ i
MM
S :j :'! Q :j !! B- Dl IB Sije.QSSB
ia.sssb. a10.8 m
ua a b b0 a a b a bb
5700 N. Ashland Ave. PD Presentation
REPORT TO THE CHICAGO PLAN COMMISSION FROM
THE DEPARTMENT OF PLANNING AND DEVELOPMENT
FEBURARY 18, 2016
RESIDENTIAL PLANNED DEVELOPMENT
MCZ EDGEWATER, LLC
5700 NORTH ASHLAND AVENUE
Pursuant to the provisions ofthe Chicago Zoning Ordinance, Title 17 ofthe Municipal Code of Chicago, the Department of Planning and Development hereby submit this report and recommendation on a proposed Residential Planned Development for your review and recommendation to the Chicago City Council. The application for the amendment to the Chicago Zoning Ordinance was introduced into the City Council on July 17, 2013. Proper legal notice of the public hearing on the application was published in the Chicago Sun Times on February 3, 2016. The Applicant was separately notified of this hearing.
This application is submitted by the Applicant, as a mandatory planned development pursuant to section 17-8-0513-A, which requires planned development review and approval of developments of 60 dwelling units or greater in the B2-3, Neighborhood Mixed Use Districts for a multi-unit development.
SITE AND AREA DESCRIPTION
The project consists of two rectangular shaped lots containing 71,084 square feet and is bounded on the. north by West Edgewater Avenue, on east by North Ashland.Avenue, on the south by West Hollywood Avenue and on the south by a 3-story masonry residential building. An existing public alley that runs in a north - south direction bifurcates the two lots. The site is currently zoned RS-3, Residential Single-Unit District and is located in the Edgewater (77) Community Area.
The surrounding property to the north is zoned RS-3, Residential Single Unit District, the property to the east is zoned B3-2, Community Shopping District, and the property located south and west ofthe site is zoned RS-3, Residential Single Unit District.
The site is not located in the Lake Michigan and Chicago Lakefront Protection District nor within a Chicago Landmark District. The site is located in the Edgewater Ashland Tax Increment Finance District. The site is immediately accessible via public transit from CTA's No. 9 Ashland Ave. and the No. 22 Clark Street bus lines. The CTA's Red Line Bryn Mawr Station is located approximately one Yz mile away from the site and serves the area.
|1010|
PROJECT DESCRIPTION AND DESIGN
The site is improved with a ten (10) story former hospital building commonly known as the Edgewater Medical Center and several smaller accessory buildings. The applicant proposes to rezone the site from a RS-3 (Residential Single-Unit Detached House District) to a B2-3 (Neighborhood Mixed-Use District) prior to establishing the Residential Planned Development. The proposal will establish two separate sub-areas (A and B), establish a community park, renovate an existing multi-story medical office building, and allow for 141 dwelling units, accessory parking spaces with accessory uses.
Subarea A will include the rehab ofthe existing ten (10) story medical office building and include the 141 dwelling units, 78 accessory parking spaces, and a minimum of 50 bicycle parking spaces and storage space. Subarea A is bounded by on the north by West Edgewater Ave., on the east by North Ashland Ave., on the south by West Hollywood and on the West by an existing north-south public alley. The following uses are permitted within subarea A - Multi-family residential (dwelling units) with accessory uses and accessory parking.
Subarea B is bounded on the north by West Edgewater Ave., on the east by a north-south public alley, on the south by West Hollywood Ave., and on the west by residential masonry building. Currently an east-west public alley bifurcates subarea B and its eastern most portion is planned to be vacated and incorporated into the lot. Subarea B will allow for a public open space - Neighborhood Park. A small portion on the westernmost portion of subarea B will be dedicated for a new north south alley.
ACCESS/CIRCULATION
Access for vehicular is provided via an existing public alley to the west of subarea A; The basement and ground floor ofthe existing medical office building will provide the accessory parking spaces. The public alley will be improved and altered to allow for access on the ground floor and egress from the ground floor. The building also allows for a 10 foot by 25 foot loading berth area and is accessible form the existing north-south alley. Access for pedestrians to the residential component of the proposed project occurs through a residential entry lobby located along North Ashland Avenue.
LANDSCAPING and SUSTAINABILITY
The applicant has agreed to be in substantial compliance with the City of Chicago's Landscape Ordinance. A total of eleven new parkway trees will be installed in pits at grade along West Edgewater Avenue and West Hollywood. In addition the proposed building in Subarea A project is required to achieve building certification as defined by the City of Chicago Sustainable Matrix. In addition the building will have a 50% green roof comprised of space located on the roof.
BULK/USE/DENSITY
The Plan Development permits a maximum F.A.R of 3.0. The existing building's bulk, scale and density will remain unchanged. The permitted FAR identified in the Bulk Regulations and Data Table has been determined using Net Site Area of 71,084 square feet; Subarea A Net Site Area of 26,820.33 square feet; and Subarea B Net Site Area of 44,263 square feet.
|1010|
This Planned Development transfers 128,293 square feet of floor area development rights from Sub-Area B to Subarea A, resulting in a subarea maximum FAR of 7.62 FAR in Subarea A and 0.10 FAR in Subarea B.
The allowed density (MLA per unit) for the purpose of this planned development shall be calculated on the Net Site Area of both Subareas A and B. Construction in subarea B will be limited to the public park and no building structure is contemplated nor work is contemplated at this time for any future building in Subarea B.
RECOMMENDATION
The Department of Planning and Development has reviewed the project materials submitted by the Applicant and have concluded that the proposed development would be appropriate for the site for the following reasons:
The project complies with the Standards and Guidelines for Planned Developments in the Zoning Ordinance (Section 17-8-0900).
Compliance with Zoning. The proposed Planned Development would not increase the maximum Floor Area Ratio (F.A.R.) stipulated under the dash-3 District but would remain consistent with the surrounding community. This project would have similar uses as the surrounding areas, which include residential, open space and accessory parking spaces.
The public infrastructure facilities and city services will be adequate to serve the proposed development at the time of occupancy. The proposed Planned Development has been reviewed by the Chicago Department of Transportation and all requested changes have been made; and
Motor vehicle parking would be accessed from an existing public alley located directly to the rear of the building. An overhead door leading to a ramp allows vehicular traffic into the basement and ground floor parking levels.
Pedestrian Orientation. The proposed project will allow unimpeded pedestrian flow on West Edgewater Ave., West Hollywood Ave., and North Ashland Avenue. Vehicular access to the rehabbed building will be through an existing the public alley.
Copies of the application have been circulated to other City departments and agencies and no comments have been received; the project will comply with the requirements for access in case of fire and other emergencies.
The proposed development is compatible with the character of the surrounding area in terms of uses, density, and building scale. The proposed Planned Development would be consistent in bulk, density, and Floor Area Ratio (F.A.R.) with the surrounding area. The proposed project will remain with a maximum total Floor Area Ratio (F.A.R.) to 3.0. The height ofthe 10-story (115') residential building will be consistent and is within the context ofthe surrounding area.
|1010|
Based on the foregoing, it is the recommendation of the Department of Planning and Development that the revised application for a Residential Planned Development be approved and that the recommendation to the City Council Committee on Zoning, Landmarks and Building Standards is: "As Amended, Passage Recommended."
Department of Planning and Development Bureau of Zoning and Land Use
|1010|
FINAL
DEPARTMENT of PLANNING and DEVELOPMENT CITY OF CHICAGO
RESOLUTION RESIDENTIAL PLANNED DEVELOPMENT 5700 NORTH ASHLAND AVENUE
WHEREAS, the applicant, MCZ EDGWATER, LLC, proposes to establish a Residential Planned Development. The applicant proposes to rezone the site from a RS-3 (Residential Single-Unit Detached House District) to a B2-3 (Neighborhood Mixed-Use District) prior to establishing the Residential Planned Development. The proposal will establish two separate sub-areas (A and B), establish a community park, renovate an existing multi-story medical office building, and allow for 141 dwelling units, 78 accessory parking spaces with accessory uses; and
WHEREAS, This development is being submitted by the applicant as a mandatory planned development application and an application for a Planned Development was introduced to the City Council on July 17, 2013; and
WHEREAS, proper legal notice of the hearing before the Chicago Plan Commission was published in the Chicago Sun-Times on February 3, 2016. The proposed Zoning Application was considered at a public hearing by this Plan Commission on February 18, 2016. The Applicant was separately notified of this hearing; and
WHEREAS, the Plan Commission has reviewed the applications with respect to the provisions of the Chicago Zoning Ordinance and finds that the proposal will be consistent with said provisions; and
WHEREAS, the Department of Planning and Development recommended approval of the applications, with the recommendation and explanation contained in the written report dated February 18, 2016, a copy of which is attached hereto and made a part hereof; and
I2l NORTH LASALLE STREET, ROOM 1000, CHICAGO ILLINOIS 60602
FINAL
WHEREAS, the Chicago Plan Commission has fully reviewed the application and all
informational submissions associated with the proposed amendment, the report and recommendation of the Commissioner of the Department of Planning and Development, and all other testimony presented at the public hearing held on February 18, 2016 giving due and proper consideration to the Chicago Zoning Ordinance; and
NOW, THEREFORE, BE IT RESOLVED BY THE CHICAGO PLAN COMMISSION:
THAT the final application dated February 18, 2016 be approved as being in conformance with the provisions, terms and conditions of the corresponding Zoning application; and
THAT this Plan Commission recommends approval to the City Council Committee on Zoning, Landmarks and Building Standards of the final zoning application dated February 18, 2016; and
THAT the above-stated recitals to this resolution together with the report of the Commissioner of the Department of Planning and Development be adopted as the findings of fact of the Chicago Plan Commission regarding the zoning map amendment for a Residential Planned Development application.
Martin Cabrera, Jr. / Chairman (/ Chicago Plan Commission"
Approved: February 18, 2016 RPD No.
AMENDED CITY OF CHICAGO APPLICATION FOR AN AMENDMENT TO THE CHICAGO ZONING ORDINANCE
RfCC EIVED
FEB 1 8 2015
Initial:
ADDRESS of the property Applicant is seeking to rezone:
5700 N. Ashland Ave., Chicago, Illinois
Ward Number that property is located in: 40
APPLICANT: MCZ Edgewater, LLC
ADDRESS: 1636N. Bosworth Unit C-I CITY: Chicago
STATE: IlHngis ZIP CODE: 60642 PHONE: (312) 782-1983
EMAIL: nick@sai-nbankslaw.com CONTACT PERSON: Nicholas Ftikas
Is the Applicant the owner of the property? YES NO X
Ifthe 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: Edgewater Medical Center, c/o Eugene Crane, Custodian
ADDRESS: 135 S. LaSalle St., Ste. 3705 CITY: Chicago
STATE: Illinois ZIP CODE: 60603 PHONE: (312-641-6777
EMAIL: nwilderfgjwvlp.com CONTACT PERSON: Nicholas Wilder
If the Applicant/Owner of the property has obtained a lawyer as their representative for the rezoning, please provide the following information:
ATTORNEY: Law Offices of Samuel V.P. Banks
ADDRESS: 221 North LaSalle Street. 38th Floor
CITY: Chicago S TATE: Illinois ZIP CODE: 60601
PHONE: (312) 782-1983 FAX: (312) 782-2433 EMAIL: sarafgtsambankslaw.com
Ifthe applicant is a legal entity (Corporation, LLC, Partnership, etc.), please provide the names of all owners as disclosed on the Economic Disclosure Statements.
Michael J. Lerner. Michael N. Lerner. Thad Wong, Michael Golden
On what date did the owner acquire legal title to the subject property?
The Edgewater Hospital operated at the subject property since approximately 1929.
Has the present owner previously rezoned this property? If Yes, when?
No
Present Zoning District: RS-3 Proposed Zoning District: B2-3 then to a Residential Planned
Development
Lot size in square feet (or dimensions): Approximately 65,761 sq. f
Current Use of the Property: The subject property is currently improved with a vacant multi-floor
' building that formerly operated as a hospital. !
Reason for rezoning the property: To establish a residential planned development. ...
Describe the proposed use ofthe 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 Applicant is seeking to adapt and reuse a significant portion of
the existing building, as well as construct additions to is, in order to establish a residential building
containing approximately 141 residential units and onsite parking for approximately 75 cars. The
maximum building height will be 115.5" above grade. A portion of the subject site will be improved
with a new public park.
The Affordable Requirements Ordinance (ARO) requires on-site affordable housing units and/or
a financial contribution for residential housing projects with ten or more units that receive a zoning change which, among other triggers, increases the allowable floor area, or, for existing Planned Developments, increases the number of units (see attached fact sheet or visit www.cityofchicago.org/ARO for more information). Is this project subject to the ARO?
YES X
CITY OF CHICAGO, ECONOMIC piSGLdSURE ST-ATEMEN.T' AND-AFFIDAVIT V '.' -A.-.
SECTION I;-- GENERAL; INFOR^A^ION^ j:v;
A. Legal narae'pf the Disclpsihg P^ Include d^7a7iif:appiic'ab]e:
Check ONE ofcthe following three boxes:
Indicate %h;etKer>H ¦ ^ .¦-
1. ;[ ] the Applicant-
or '' '
2. a legal;entity;hpldmg ofthe
Applibanf'iiv.-vVhich'the Disclosmg-l).'arW:h6ids '¦^¦cJ^'vf^s^^^^^^\^i:
ok A " J^?-<: ¦';-:Af''y":' "
3; [ ] a ieg0 "entity with'a right of.c'o^ II:B. Ii) Stpe" the'tegaLn^ of th'e entity in
which the .Disclosing P,arty holds a right of control: '• .
B^Busihess-a'daxes's o^e^iselo^g^wfy;. ' •!::,'-:-~.'
PName,tif gb*^ C?ft^4-^^. •; /¦•;¦ ; :'•
E/Eelderat'Employexildent^
E. .Brief d^sc^pjtion of.coh^ct, trahsactib .
,whicii\tfts/^ : f ¦¦• /i
ifthe Mattel's a-coii^^ ,: qomplcti^ie;foHowing?';]'. ^;^:;%lr'i!:'r '¦'¦
v.^|~ri: • • • - ^ -iU^Wu^- ; • ¦V^MMAA^^'^ :':^]-
-g|^iflcltiarr^3 ': ' V:'-:\*:'"- 'A'^^'^'' 1 :::' a^C^^al^^^
Ycr;Oi-oi-i2 '¦ Page^X'of Yh'
SIX'! ION II -- DISCI. OSUUI" OK-O:\VN1- : US HI. I» IN TIvUES TS
a. NATURI-: oi: t:iii:. disclosing'I'Airrv
I. Indicate iiituito of rliV Disclosing Party;:',
j | Pc'fscVji l:;iniiicci li'ab'iiiiy coiiipany
[ ) t»ii li I ia I y: r c g is re. r tuT liii sine s s corporation | ] if1*1 i t o>3I i i i»t v- * i > h 111 f-»_
l^'j. i\V:i_toi>- Zi»r,tiiisinoss 0ot'rpcVirntf<>;il [J] >!C#ifir&.'
( ] Solc(propiicl\:~] Gtn6ry.par.tiicrsi)i'p (;(S{ijVc. i* Ml ^'loi:^|>yx» fi I -cor pbtail io i va I so a 50l(c)(;3|)?
]•] liiiiiit^d pannciKlii|i ... ' |'J. S^'- ; ^V:;:''f j No >
[ j Trust |1 bilier (please specify)
ifbrfegalxlHitiVs^^
3. fibr legal, entities noi iijiiittiizcd in. the Stale .olliiiinois: Max ni^-Oi^«M.yf'-'V1"'*'*lVirSfe.i*tc"-Jc^ri"o:.dYes [l:Ro ^ JjfiU!At
B. IpTlifC piSGj^ ,.... . !
i. ',t^tsisbc»ovvXUtrv l*i»11 iiniilaikI iii.l£?S ^>"f I) llltr^rs nnd^tl! dircdor&oFiKe entity.
interest ofa member .ot manager iri.a;|imited.liability comp.any; >or interest of a.;beneficiary of .a trust,
estate or .omcr.similar .entity. Jf notfe,state. VNone^ NOTE: Pursuant to Section 2-154-030 of tie
.M^nXcipal:Godefpf CHicago0(^uhjcipal ,Codfe!:),-the--:^ additional information,
from any. applicant whichiiCt^aspn^bly intended td-achieve full 'disclosure.
Name ;'^Busines^;^3ress . Eercenla'^ In^ ..
: ¦'^¦¦:::;:'::':: ¦'... . . . rpisclosing Party
;;fcLc - &>.\$. ¦ •.9<^T-i^.;:,-., . .. ..... .u ; .r. . , „ :yjjfi^
^Wkmr '_ : ¦ ¦ •
SfGTIONilJX^ '¦/¦
Gpjde, ^vith any-Gity'electe^?^ months before^^^ i's.sigried?'. •
[ 1 Yes :ifj^6^:i- -=.>.:•;:¦:;-[l-v: --( A,- ;.->.:,:
tff^^ -Si -: > '
relationship(s): .-. .,. < ^. ¦¦¦^'^¦i--' .^i. :
'.^e\©ispibsing;)i?a^
-:16bTiy&&&^^ ll.
MployeeVw'h'^Ve p'aid ?i % ^ '5
Iflffisei^fiM
ahli>therincludes:uti^ -{j,
^pgcibgi^ y
: t. ¦¦ .•::';'•'.'• :. \'te*%J.:imKC "'mtiU : "tip¦ . ¦ ¦¦¦¦ :4m < ¦. m iiv:
Name.(indicate .whether Business retained orariticipated Address lo :be retained)'
Relationship lo Disclosing^Party (subcontractor, attorney,' lobb'yist.vetc.) i'
Eee's:(indicateAvhether. paid or estimated.);NOTE: "hourly-rate."- or'"t:b;.dvv is-riot-aii acceptable response:
(Add,sKeets-if,nec.essafy) ,J. .-!v ..
pf^heckjHere'if .the^isclosirig EdrtyJh'as-notretamea^ any¦ s.uch>persons :6r(earitie'sv
•sectXqn;v^^^imcX^tiW.y'rT" ¦ ;:?'v' ¦' ';,;,f—'v:: iA •<•*-'•• - ¦••1 ¦¦
A. feQ©&Tto'^ lc:;;, : :- ,7 ;. . :t . r;-,;-. ;:
Un"der^Mumcipal;Gpde-Sectibri,-2-92^ that cdntjact-wth.
. the Giry must remain'inicompliahce witli th'eir- child-support ;obligations¦¦ttrflughput&e'-cqntoct*§.,term-r
. Has anywperaohrwhora.ir'ectiy owns 10% or;more%of;tb^
arrearageipii aiiy-child;supp^prt.obligations by'anyjllihpistcourt ^ "; ^-fo^-V---'
[>]';'Yes -CpNo [~]sKp:-p.ers«Sn:^iredUy or indirectly !b"^::li>Sfc or-ffid!w-ojNie-'
disclosing Party. '
. *If"Y^ alk&ppb.rt oWcid and! '
\'isH£e'-£^^ ' [' \,. '» :. . ^ •
/ • ¦ )B-! FpPvTpEl||E "-^ '-:'-';' l^:£oy :iM-:^ ^^^fiMj;;;-;;;;: ::,?
:: it Rursuai^ co^ult;fp^e suijimm1|^^ .'ce'riiliesVas|folibw
' with^or has'admitted^ :
:c'rim ihai?bffens%^ •
>p erjury/d i'shon esty orfdeceir. against
¦ • e Appj^ ;:
-* Tdoihg busmes?w.ith^the Gity. NOTE:'If ArticleT-'applies-to tBe Applicant, tlieipermanent compliance Himlframe-ih.;A
. Page:4 00413
2. The Disclosing Pany ami. ii' iho Disclosing I'any is a le.iutl entity, all of those persons or entities idcniiTied in Section II.U.I. of this liDS.
a arc dim presenily debarred, suspended, proposed fdi dcbaiineni. declared ineligible
h. have. not. within a fivoycai period |ueceding ihe dale of this l.\DS. been convicted ofa criminal
offense,'adjudged guilty, or had a civil jiulgmeni reiHlorcd/a'ga'iTiSi llrcni iii connection \vith:.; •
oKiaining.aucmpting u> Obtain, or pe.rlprnung'a:p\iUlic f'fedLiraL'-suiie or local) tr'niisaciionjor'
cdntrae'i under a. public transaction: a violation ol' federal dr slarc:'ariiiir:iisi statutes: fraud:
cinboz/leincni: theft; forgery: bribery:.fal.sificaiion or destruction.of records;,making false
statements: or receiving stolen properly: v ••¦-;¦:::•¦¦ :;-y
c. arc not 'pVe'sen'ily indicted Tor: or criiuiniiily or'civ illy charged7by; .1 governmental emity (federal, smie or local) with committing any of 'the offenses set forth iii clause 1.4.2 b. of this Section V.:'
ii: have not. uiihin a five-year period preceding the date of this•¦KilO'S.-'lYild one or more public transactions (federal, staie or local) terminated iof caiise or default: and
:o; have not: uitjiima-five-year period.prceeVli.ny.'.tlic:diiie of tlVis'.lvfDS. been eonvicte'd.'adjiidgcd
guilty, or found liable in a civil proceediiVt:. or iivaiiy criniiiialjorcivil action, including aciions
'"V ' cbnc'crniivg'ehvirdnnicuial vio!:iri'on>;-''0^fiMlic*'^y '•1 c Giiy "or by the fccle^raI governm'chtv'aivy •
.stale, or any otrietunit oTIdcal government;''1 ' : :(!' "• '¦'
¦3. The certifications iivs'ulipiir-ts'3.4'ahd 5-concern:'1-'
? the Disclosing Paily:
;¦ any om:acior (meaning any-coniiacior oTsmicomracioriiscu.-uy -inc i7isinwMni: r;ti i.y in ; !
' cd.nn.cciioii Avithtlve. Maiter'. iiVcliidtng biit tiot lint it c j f t*o: a i|;'iSc*r"So n s' ii r 1 c jj> it let}1'1 s disc? I o scti imder.
. Section I V'. "'Disclosure of Subebnttactdrs afiij;^ri)/tifteia ine.dj^nrtms's")V ; •¦—:< >. '. " ¦
. « anY^VA!(;lliia"tcd'?HiV l
. - v . : - • " ' .-v. «••••;?•.•:'ri -,y r ¦ ::'c.v -. «*,;:••:;'. ¦ ' '• '".-.-:.,'. •'-' ' V-
v ;fli>isfcl^sihg5Paity: is eotmolled by d^DiscJ^ under';; • ;-
cpivitn|Vm^ Iiuliebtfdl'^
':,in^.cp)<>c-k'ii:\ncni'ciiii b'r ownership; identity b£^i^esis::im^
^/nVd-'Sqiii|i'nioni; coiiim'o'n useioiieihplpy^ entity fo IJ o \v i h'gVi
inejigibility.fif'a biisincss ciiiiiy to do biisincsKr \yillv federal ^ ':
the: City, using substantially the same inanagerneni. ownership.; oV-prihcipals as the ineligible entity):
, .Aviiii^rc.speci to Go'ntrac(o'r><.iHjHcrm.Affiliated'ILniiiy/^ that dire,c'tly.or. .
indirectly controls iIre.Contractor, is cbmrolled byMi.OiV\vi^ u'nder'.common
control of anotii,cr.r)ei'son-or entity:* : -••
... ::%hY!respt')hsib'le official ol^ihe^bisclosinn Pariv.^inviC dnir;yciiU;dr an\' AH'iliaied JIiuiiyb£ai'iv
. ./o'tT)^d'iTiciai.sfjiCiV :
. .a'ciiiigjpVifsiiai-ii^O^ ¦
'.;CATu;riKjiru^My:.any A I'll I i a io*l -t-3i7(y-(^jrtj'lcc I i \5c'l j?-" ?V:^iji&?Ti.--'^ ;?;...:C :V". ¦.^]-'^<':-<-:-
l';igo'r5-c>l-kV
Wither the Disclosing Party, nor.any Contractor.- nor any .A ffiliaieiM-niily of cither tin- Disclosing Cany
or any Cnnlrac.ior no/ any Agents have, during ihe live years before, th_e.flafe_ili.is LDS is sit-ned, or. w.ith
respect lo a Contractor, an Affiliated l:.i!iiiy. 01 an Affiliated, l-iii.ity of a Contractor during the five, years
before the dale (if'.sue.lVCu.iiiraciitr's or Affiliated .l.'.iiiiy'scoimaei or engagement in.connect ion with ihe
Manor: :'_::• • ¦ v__...... .... .: ¦ ; ¦ • ; •
a. .:bribed or ajic.m|ne'd .m ^ .or.been er attciiiptiiig.m .:
brilW a; public:^ CJlv;hhe?Sfa_i^ '
government oi' bfjany slate or/ioc.al.gqvei:miie.Vt in iIie:l:injtccjfStaips^o'f-A'iTierica. in.iliai officer's
or?e'inp.loy.si.olsrori5"i?j|U'¦><;;1:Py**l.^y-¦ -'¦ y/'-»~r-.:s.vi-,¦¦ ¦¦ ¦. .- ¦¦'¦':¦.¦{-¦¦-.¦¦¦;¦ '¦. ::i- ¦ ¦:
agreed or.cbjiiided vyiiii oihcrbidclcrs or prospeciivc;biilders.:;or btxm_a party;i.o any such ai;it*emoiViv»)r4HtttH:ot)in'kM'cit'i oriadjudned guiliy 'oljagrcenveui or. ed'lfti.sion'-aiivong bi.dd.ei > or.
: p_tyspe'a^ |.gl^.mcni:.i!¦ otherwise: pr. ; '.>• ^':'y:-/ :-iy^. ¦ ¦: '. ::;y:y:-:^.:;:Yv. :-.- ¦ . ¦:
made.un.:i!,h. .ibm-c-tlxa.ljis^
have not been. pr<)so;c_itied:fo_i»siich,C
cl. violated ilic;:pra^ Cod^Seclion 2-<)2-nlO (Ii\'ingi\Vage Q'alinai.ice).
agents or partners: isyb^rrod: from^ loc^gbven^
evhY«6»"ng^;,dLQ_v.v^;.W
virft4ii<:«VAiE72()^r^ .'. r .
America that coma'ins ihe same c}einents:as:ihc offense «r.'b,iy-.n>.1arin_"g
•'''flic- y.ncis "N\ " m-. ¦
r:::r^
:* l'A^yty«gfy*
* '£?:• !Vi| *Sf _ •> ' .JS ¦ '¦¦':.''.V:'v:.'
comply with these disclosure reejiiircmeius may make any contract entered.into with the City in connection with .ihe, Matter voidable by thc.City.
_i^_s I. The• 1)isciosmg'Paily. verifies that iiieDiscIosing Party -lias^eanihwl any and.all.records6r
the Disclosiitg 1/a):tyja°nd,:an,>jHttid airpredc-ce.'s_spr end gl in.yesi.ineiiis prprcdTls
'fri'irn s 1 riyer y ,vorVs{a"v^l}-dJnisu.«;|iJt?^.!l^Ji£1 S'&SlVj)'iS.^'jft ?!^V^J/J' <•£»• (;jn6JU»d[irig .i risur^nc^yi^j.ic_^s>
issued id-ii Iii ye ho III e^ ormijitfy O^
the Disclosing l'arty,Has (ound no sue It; reed ids.
i 2/vTlHccl),i$cJt>^in Step -I ^b^\;t;-thc>. .
bisplosingl^
policies I'lteDiscio^ing Par^
refcprds,Vincltidin^ any jindt-aij^iav^ ...
fitnded. pnitced iov'$g£tjon-Vir. "l^irpUr^ - and: pwceetlsiO f/ds^i
-A. C Ii RTI I; iC A I-iCi R1 • 0 A R 0 fN d 1*0^6^1 N'Ci.
ȣurjSA'C:i-or;|;M
DiseloSin^A'Ci'-^ respebCtb vlic^
Qisclpsiii&'ltof t y ;,
fedora U>; fit ruled grant^ir.ld^
ain'cntl^ cu inodil'v;tii\% ctnitnict. Luan'VrUdan :^
, • l\iue-?).:of»U-3.
v Iho t >tsi.losiny Parly will submit an iipiktu-il" cuji i ric:M ion in' I lie chtl.of each 'calendar qtianer ii)
w liich ihcre oocuis any event that materially'.iITcck ihe uc'eiiracy of die st.uemonis and information set
('(.nil) in'paragraph:. A.1. and A.2:'ab'ove. :";/:;":';?
-1. . The Di>do>drigPany 'Yeriifi'cs'rihai eiihei::! i I 'iusinbi.an.organic •oOlfcH.4) of ihc lniemal;Revenue Code ol" I uhtii) ii.is aii;Vu;gahi/;iiio.ii dosci ihed^in seciion 5()l (e.H'Sj of the livieinal >Keveiiuc Obde.'ofl.j/fc/Hiiii'i^ Activities". '.'
f;:Rnlic; i > i sill ^ i if ^liy^Xy^i ^ifiv^ iVppiieati^ nuist.olfiain ceviii'icl'uiops eiptal iii
•fo'nir and siihSKmeeib: p;iV^niph's^\Vl;. ii'irou»1i-'#^^^
.subcontract and ihe Disclosing Party" mtisi mnimiruvall:^ the "dunni^ .
U CJ:RTU;l('ATION R RCiAllDING HQ LAI. I: M P liO S'. VII ••N;;T 0 PPO K T:0 SIT Y •
Ii" iWe-:N'|aiier is rederally^J'undeil. federal iegiilaiipi»>;,restdiconiractois'io submit ihe following, inldrmaiiti.n witiiliheir bids oi in writing.a? the outset of
'^gl)9:ns. \: Ai.uA,:^¦:;}¦:•'., - M^'jy^ ^ >
U tbe:T)isclosing Patty tin: Applicant? . ,->;L i' ; ¦ ,". .
If "Yjes.";Viit)Nw.ej'ihg ihre>eV5|nes!j(n^.s;l.u'lo\v:
;l V:;;::lia.\^:yb'trt
I'edei-abi-eutilaiiiuisV (SeVe 41 t"l R.iPait 60-0.1 " ¦.' ' :y"'¦" : rr :; :
2i-^nivc-.you ;filed^ with the .loim-Reportiitg C nitinVitfeeJhhel)ir.oeui
: Contr^ctS-oni^ «l'«o;
uniiernhe applicable lilinglrcquircmonis.' ; ¦ —¦•¦ v.;
•*3'.:: .^cbave-Yiju pai'iicij'^itd'in^m- previous eomrao^dr.su^ :"•
equaj op' pWi^ . . ; ¦ . .
:?lliyVitttMieclU;dfeisJo:^bH|tre-siidn-'lT*'o"r.-2: abovojj|>lc.H!»!'nr«>.Nttoc4si^^^^ fi
I'.ifie ItidrviX
SUCTION VII -- ACK\OW LkbCMKM S, CONTIiA.CT INOORPOKA I ION, COMIM.IANCi:, PIC \ A 1.1 IKS; I) I SCI.OS URIC
Tlu'. Disclosing Party undersiandvand.agrcevilKi.i. ...
A. The certifications; disclosures, and. ackno\\-kuJgiivi:iiis c.o.siuiiiuul. in this liDS will become pari of any
cpiurach or: oilier agi;c'ijn)eoiJ>ej\^ with .1 h&Mjjiie/x: wl»V!he*.::
procure men I. Cily assisfaiicefOr otliei^ 10 iheCiiyls cn ecu l ion
of any coniraci or taking .oilier action with respect to the N-laiier T;ho Disclosing Party niule.rsiands ihai
ii'mtisi comply wiih all.sfaiiii.es .;o)r:(irnances.,am liDS is.biised.
|}.,,The Ciiy^ itibi^>^{.ritl«<*";»nVp.iii.«"/J^U.liao.vXU.!C*i»•>»')».ccs. C?Ii;i|>te.rs.i?;-t 1:5(i: Hn11.2 - j (i4 of
ilie'Mlu'nie.^
wm%: business, or .transactjons. ;Th.eJull:'losi of these ordinances and a training 'program, isj.iyailable on line at w.ww.0itvoI'chicauoii)re/11 Ivics. and may also be obtained from the City's Hoard of.'l.iihies. 740 N.
Sedgwick St Suite. 500. Chicago. IL 'fi0i>i'u(*\2\ 744-y.f>60. Tlie.Disclosing Parly must comply fully with.thc applicable ordinances.
C: j I'ihe .(.'jlv. determines that any inform a lion provided.in ibis l-DSis false, incomplete or inaccurate.
any.-eoiurac^or oilHi^a,src.cii^iH:-'iAt»cptv;^jio.n •* ith ^v*||i^h&it'tK:^jt(tMf|it(Ci.voidaisie. and the City¦,ma.yflnursiic:'ti^ (il;:ndi rcsc.inded'.on ;;
void):;aida,>v.;oi\imeq^^
declining 10 allow the DiscJc).sing;Pa^fy;.ip
law for a lalsc:staiemcnt of niaicrialfacT may include incarceration and an award'to tlie City of treble
damages. '¦:.¦; ; ¦ ,•¦ ,¦]. \s ''»>• :
:.--:tM-~-
D. It is thcACiiy's policy tovmakc fhis document a\ailahte .Ui.Tbe public on its l.nicitte.rsi'ic :ihd;dr upon: re< iii; . bilvi
rights or]claims -\vh'ich"': i 1 ¦-. 111 ;ili;Tve«i^irisiHh'eX!it\- ui coiuYeciibil ^
cotitainedlm.this.kTJS and also authorizes IheK ttv to. vonlv the .Yc-eura.cv.oi anv iplorinationisubiniittd^
in.ilm-lfcDS.-
li.Tlie in I cViiii.:t 1 ion provieoirtfact Ircingjiait'dlcTjAvv. the";Citv%lDeiSarinii-ni^d" RrocViVciucnt -Services', the tJiscldsiiiafljaiuv muSst
•.•r < ' ¦ r-r ' '.si'tv'r v >%:: . '" ' r-K^-.(-"£•>#>' X ¦• - .
•IvMA^l^lSI^K!^! .(SIB 11.
update thisjRDS as the con tract reou'ires. sS'OTIv: Av'i.ih1 rCspeci.io^M'a tiers subject" ib;A'rtiele;;l?.ofv.
f lie. D tsc I o's 1 h gf I»ni;t yije. pre sc ni s a 11 d .y,\v'ii r fa n i vi I i a i:
T. 1; Tlvo.bj^ •' *"
;L>eparimeilfry^ or i ts::->\Tn l.i t i 11 ti s ii ii 1 Hit j u 0*11 i jili y.i 1tl. 1»y
Hue. Icc^'i^
e^planiijo^ ¦ ¦¦''}v'-:-x !^-,;.'¦^¦¦¦¦•4.'.
201B.
KCONOiNt ic DfSAI^KNI)I\:A
¦3-:,J£;:£r':. .:
•;v,yinviA,Lr!&
:ilre¦m.aA'pfp'iiy.^ ulefte U'vc.cit^^'ri*^ ii5:spouse^ or^mcsiic, ;
v.-w,'¦*¦ . , .....
^^V;i' '¦'¦.^i*'- :V"X-': . . 1 ... ¦ '¦ ,¦ : *.v.- ^ ¦
KC:0HN'OM-ic: Discix^si^iCss^KviivN'i and AinnAvrr
l' - ;V:;r^^^l^'¦^.¦x.•¦*¦'•''' ¦ ; ' ¦
„, J^IililvN-DlXJl
I'?!.-.*
lipiii-^irj^
¦5-v.r-
:'l!|i'is:-Appoivdik>is:fo;Tic Complct^'iady/.^ which; has ii'di^
It is ii pi: tolKvt(iMy]ij^ any IcRa'I'atti.^ nn i n(he Applicant*.
innMn^eliu'e^^^
• ••: :asi;i;ii;::.;'. ; ':
thc Applic^iiiMdcntilicdias it builoMn'pg^ to Section!
2^92-4 )V> pfihe? Mtiiiicipal CNot: A ppj ica ble;
••;.'.":.:V5.::.:*^;. • II!" • : : •. JV--.'-, •.••V"U.;-"'—~''/;:Vl'i:'^S .»:>:•••• • . : v..' :;« '¦• ¦'. : .
• ;;CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I - GENERAL^ INEORMATiO.N
A. Legal.name of-the.^Disclo'sihgtfar"^ S. Include d/b/a/ if applicable:
Check ONE of the fdilbwihg-three'boxes:
_ _ is:-.
Y\ the Applicant
OR: ' " _ . ¦ ¦
[ ] a legal entity holdiiigia directorihdirect interest hi the Applicant: $.ta"te the legalhame df.the
Applicant in which tie'^ interest;- '., .......... ... ¦..."•-¦¦¦^ . .-
OR* '.„' ¦ "' . ' .V...: ; ^ ., . ., '::A.2 ~3Z .....V
3. { ] ,which the)Disc^ '-^^.=.V .. ¦ ' ' .
¦B. Business address of the Disclos'ingiParty: •;.il:>i.
:Ei FederafEm'pToyer^^^ • v :¦ ^•;^3j_jlr,j-j:r-'-:.:^tijy:r^r:[;;^ .'-.;
: F ¦-Birlef descripjibn
. Which¦this'EDS^ ...
G. Whfeh;G(ty-agencv^ '. \: ft ^^^
¦"j-^-V
Ifahc"$^l^
- coraplbte-tiie)follow^ :: : . ¦' ' .; ,. :f"V 7 ¦• : •
QySfg.:
¦ -Specification M. ¦ .
Page 1 of 13
SECT I ON IT -- D IS C L O S U RE O F O W N ER'S H I P IN T E R E S T S
A; NATURE OF THE DISCLOSING PARTY .
1. "Indicatc'the nature,ofthe Discl6sihg^Pa"rW^-:
[;'J:-Person vJ)^':Linulcd'¦•liability company-
[.jVPublicly^ '/£]30mitcd;l^ iti'i' i
pMPriv^ • !iy»^u;i ^c.Sfcut|j
f'^fSole'p.rop^fieTorsliip,•.'I : '-" • ;^'' i ^13]:^^ : *
fs] ;G'enerai';p^artncrship .;'/(:r;5\-tKfe:n6tTfQr).profit corporation also a 501(c)(3))?
'Iiimite'dj'j^rjrnc :...:='L.^: ''T?*]?^$;f\L''-; ¦¦'¦';X':![V]#o ¦¦'< ; . .';-:/, :'';r,'.;
jf^.Tfust .;,fJ^:'b^e^(pTcas^ ¦
' }2... JFqrlejjaKe^^ couiit^^
' "3:;.: Forlej^ Business in' ^Toi[ei^,^iti;t|^.
. trt^^Ml^S), --:V-;-.i^i ': .±;;.;.'.:: :' . .,¦ - - .V -•'"-¦
.Name; . <'• Title^
r^g^Sss^&xm»^'g*$®mi>-¦ ¦'-,v-^-:-,"~:"-*»"r»',",-r- ^••'^'w«!6fWj8(|»^ ••t/wvs*--'¦¦¦¦ •:t»:r»«~:--,|?-»«'-
' L?i,?^^«w:;-:>^ • "•*• •••••>. •*. '«a?«358!f'i9asi:'.'.'.
¦'ip_ifi|uch^
V" Page2;bf:-13
interest of a -member or ma'nagef in-a liriiitedUiability cqmpaiiy, or interest of a bcneficiary .of a trust, estate or o.ther^similar^entii^.^ If none, stale."Nq.ne/.\:NO.T.E: Pursuant to Secti.on,2-.l 54-030,of the; Municipal.e-pdc/pf G:hi&agpv("Muni
from,any'ap^Hcaiit \ybjcfr^sjjeas*0tfabj'y ihjcn'detftb. aQKiey^fuli-.disclosure.
-Name- . . ¦;B.'us|ne.ssJ:Addr.css- Percentage Interest in the
hxemA&^vS^^- . - : - , .-¦ tpj-::! . v;^...
•.::r.-
SEGTIONi IIIBUSINESS
Has the;Disclosing Earty>had^ in Chaptcr^^^^
Gpde, with {any ^ity^elec^M
[] Yes ¦ <¦¦¦ ¦ • : ;;:^,'v- ¦ .r- . -.j:;.:!,* ::;:::- . ^,:::V,
'Jfjyes';;pleaseiidehtifyib"e^ .6frs~uc^Giryelectc'd :bTficiai(s).and:d^s^'rib'e'?such-''
^jl^pMiK^^V-:-AA'-mA^MAAH?3 ¦ '::AA:- • Av"Z$^A-%&* ¦:y # ¦
The bisvc1osiu¥;P.atrv m^
rfiir^felfr^l^^
'flnh''th'er:if>ci '-! -'
iDisclosing'Piarl^ :
Namc,(ir$icale whether Bjisinessy ¦ Relationship to,Eisplo'sihg Party Fee^ihSica^;^
retained'of anticipated' Address '(sybcpnti-a^ paid^ 6rl'estiMaTed;)'-NO'TE:
to-be retained) lobbyist, etc.) : ': "liouHyvratb" -pr "t.pld.?'is
¦ not an accepVable' respbnse.
(Aidjsheets1 if^eciiss^ry)
rjie'hbck^
SEC-TIQN V --¦XSPRMFICAMpNS A,. eoMT^ORbEREprC
th^jCityh^ co^act's^erm.
• [•?] Yes. : ' [|3$Ip : -
Jf^fYes^
ii^Keperson;• -y:M--,'' -'^^h'^^rt^ 'V^r-ih':
; .Sp:p^:;/:.-;£^ ;Mr:- :'• y.'i :t *>:'.;;v:; i^rb^.M: v';•&•' .••!.!;,*:: -vrwij. : .•
- Abpljcan^mideretah tim'efram®^
;fiage^:bf:13:
2. The Disclosing Party and, if the:Disclosing=Party is a legal entity, all of those persons or entities identified in.S.ejCtionll.B.l. of this EDS:.
are not-prcsently debarred, suspended, proposed for debarment, declared ineligible or-voluntarily excluded from any transactions by any federal, state or local unit of government;
.haye;hot, within a fiveryearperiqdip^ been convicted of a criminal
ipffense;;adjudged guilty, ort'hadfa^ in cphri'ectipn with:
¦ •obtaining; att^
•c'bntra'ctvunder a public transaction^avidlatibri'.-of federal or.staic^
embezzlement^ fqFge^'^b;^ falsification or destruction stdter^^ ?. . ¦ . i- V ; : :
•Ci.=- .afe^n6.t;pfesehtly
stafe^prrlqcal) witn committingany of;tie;q¥fchs.es setfofthih clause B.2.b. ofthi^S^i'dnWT
d. hayetriot,:within a fiver-y^Kperf^ of this EpSl hadVone^or m
transactions (federal, state or local);terratnated for cause or default;and
,e. shayeiflptj within a ifivc-year^c
'guiltyj or found liable in; avCiv^yro^^j^ji^dr in any criminal br.ciyil action, including actions .; cWccm^^
stateyiorvanytifoe^^^ : .-^iv. • .:¦;.:¦ v-nyy^
: %'/ ¦• t'¦ ,. ¦ . * .„ " -"¦"•f^*,"«*-pt' ' : ¦• ¦ ' ',.¦".*.":*;
. 3; Th.ejcejtificatto^ . 0k-- ;\ ] ?¦¦
ttheMisclbsihii-Earty;.
oiSjccfo^ *3*^ar^
"Kj|.8^1o|ing:P oris, wjth;.tHe|Discid;«
¦tactihgVpiiisaaiitto the direction ot-autKqn respo ¦^Gq^aciqtqT^ny AffiliatediEntity.(cql^
¦Pag^^6;'f-:rl3-'
Neither thc,.Disclqsirig Party,.nor any, Contractor, nor. any Affiliated Entity pf.either the Disclosing'Party
or any'Gqntractpr.;npr;a years before thc.datc.^
respect to a Contractor, an Affiliated EnUtyj or'an Affihatcd Entity of a-Contractor durihg'.the five jears
before %^ or engagement in connection with the
Matter: ¦ ¦¦ ¦ "¦<'
a. bribed ofat^mpted :tp^^ of:adjudged guilty of briScry or attcmpting;fp
fOpemploye^
b. - -^fecd oi cbli^ ...^rej^
:: /piftspectiyb^ price or
Vq^fiehvise;^ ;. :::; " "' "*''*"
ti;:-:.-,:;:.;:- y
urMde an:admisSiqh
have not beenrprosecuted for sucriiconduct;;^ ''inb ¦ ¦• ¦ ¦¦ ^
^yip^ated'^
agchtstqf^parth engaging ;in or bemg-c vi6latjo^p720^G§
A^elric^^
Jji^ea'u|^
'.ftAcionai/^N ,i
Ijcqmp
:2jS5:'(Begi^
:p:age^6bfy3;:
Si^mcipaJ^G^ vy:l;if.^,':':'-a3;!:::: .:::: ':;•.¦ -y-y-^^y-rx^^ :/:.:::;x':*-.:>'h:.:;
Ifthe letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that (he 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 preceding the execution date of this EDS, an employee, or elected or appointed official, of the City of Chicago (if none; indicate with "N/A" or "none").
9. To the best ofthe Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all gifts that fhe 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, of the City of Chicago. For purposes of this statement, a "gift" docs not include: (i) anything made generally available to City employees or to the general public, or (ii) food or drink provided in the course of official City business and having a retail value of less than $20 per recipient (if none, indicate with "N/A" or "none"). As to any gift listed below, please also list the name of the City recipient.
-r::y:fy r;;7;;
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
the Disclosing Party certifies that the Disclosing
13 is ^j&is not '
a "financial institution'' as defined in Section 2-32^455^) ofthe Municipal Code,
IftheDisclosingParty ISla financial instibtion, then ^
"We are not and will not become a predatory lender as: defined in Chapter 2-32 of the Municipal Code. We further pledge thai none of our affiliates is, and none of thcrh will become, a predatory lender as defined in Chapter 2-32 of the.Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the Gity."
If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in Section 2-32-455(b) of the Municipal Code) is .a -predatory lender within the meaning of Chapter 2-32 of the Municipal Code, explain here (attach additional pages if necessary):
Page 7 of 13
If thc7leltcrs'''NA," the word;"'N lines above'ii will be
conclu'sTy.cl^ statements.'.:.:
•b. idERTiilie^^ ¦ ; k:JJ..,
"\, *-.$;ny|word|rjpj^
n.eanmgsfw-hen-u"sed:imthis''T^ :••>« «•»•••
'entity-!n th&Matfer?
\.::::&.csiA:::i * .'.':... cfc^Np-~h;: :ip^,:L;;;'. ::y2y::::2[y.Jrt:l,/:. ^ ,- ¦¦ AA ¦ ~& ¦ :'• /,/:¦:- ¦
/N0J.E. : Ifiyou^
Ifcm; p.r.xproceea 4
,/d6cs\!n^Ui6nstitu^^
jfioes;]^
¦r. ¦
:;ra::
¦ Mcase^necl^itf ¦•''; \£
4dis'cipse:: beibWipn
comply with these disclosure requirements may make any contract entered into with the City in connection with the Matter voidable by the Cily.
1- The Discl6sing;P-arty verifies tliat^e-DiscTosihg Party lias .searched .any and all,>rccordst:of ¦
the.:Disclosing}P,aft?y i^d^any -arid ;alLp.rc^^ regarding -records of investments of prbjEits
f>ln \iu.r-i Fj si-w ,o 1 ri."V »~ «-» Vi /"v \ xl fi r- i ¦»-» fill rn'n /ru A nA1<>^I "~'J n/viUa pliii r >r»« i /« n 1 iV
the^D|s^lp.sing>J5lfFt^ :
2. The .Disclbs|ngJE?arty verifies that^a's'a in step:'.l.'.a^.by^;'iftite
Disclosing PaH^ihas/fqundifeco from^slaV^ry orislay.eholder insurance
policies. -The:©
records jiricludin^
:. „;.,::v7^>-:^^ ¦ •
section vi^^-Gp
''(Ifho'cxplanaiiotfta^
Hpcrs^
; -applicable feder^^ • member of Gorigress,: ifi'^pnncctionAvithi^
• .federally funded grant]qr;lo.ar — — — * —' ^.«.,<» i-r^„„,
biaWcnd; .of m^p^^^
•Acti-fie'sV. Cod^of.;1986,but:haS.notcngaged and will not-bngagf lobbying
VO O^es []N6
•. 'v^i^:4l'^'v'-':wH 'j; '^ :1¦ '",: r't'.r'^ xb^,!,:?':V • •i^S;-. ' v- ^yy.-].y\ xv: ¦; ",<.¦¦: •
#1-
I
SECTION VII — ACKNOWLEDGMENTS, CONTRACT INCORPORATION, COMPLIANCE, PENALTIES, DISCLOSURE
The Disclosing Party 'Understands and agrees that:::
A. The certifications,rdiscl6sufes. ¦an^/ae^ .
:act or takmgtodte^ ^ie-Dischpsiffg^
ply with:aUis^ on;wiuch*tM^ ii-iiij'ii.'/ ''f.A
of any contract it must com
B. Tlie City's ;Gpve ^thc^^
wbrk/businessyodrlCr^s^ '#herfuii5t£xt-b&^
.'•"'-" *¦ »'•¦¦--y-. *•-'.-.— ' : ' -'..-•: •: «j»-Jj' ~~ —- W :>g:~^ 'GyW "." ' '" "' ;' iff ' ~ ,"'V" ' • rr^'lline.at ww.w.ciwofclucago.org^ from;the;:City'siBoard pf;Em^cs,>740'N;
Sedgwick St., Suite 5uG> TvheiDisciosin^'Part^m :
w'ith tlie applicable.ordinatfees. '
liai^pria.faliie statemenf 6^ fetftjjty py^b||'1 ;
damages,. ..:-. :- ;^.;::::^...:;::::;..:.„:„=:j^^s^
t.GHap.ttVMpa^th'^Miiri EMGI-KILIl™ ,;
•bffchscs)£tlie'.•¦:-• "'W^l;^ j.-; "' :: -. ¦.'¦:¦ ¦•-0-¦ ¦:¦ .V*?"'
A' .¦'¦•¦::¦«::;¦. .^'y^r •::^^',?S;!; • . :.: •> .. ¦ : ' ' «¥<*:><,• '. vV-i
Tbe-DJsclosih^^ :; -s^;.,:; ^ri- - :••.••::•;:•'•./••..' . *:-
;P^gcaiipf?13.
F:l.;. Thc-.pisclosing.Parly is h6t detihquerit in the payment:6f.any,tax^admm -
Dc"p^rtme^t'.of-Reveriuc, norarejthe.Disclosing Party>oKits Affiliated •Entities'delihquent'ih payingiahy
fine;vfee^tax-;pr;6thefxharg This includes, .hut .is not iimited to, all water, charge's,
sewerchWgies/Hcehse.'foei; park'uig tickete, property taxes 6r-sales/.taxes.- .¦:':' . •
F.31 •; :If;,uYe;Pisclosing^
cofitra'ctbr^^^ :
form^and •substance.^
Glty^uS^
Disclosu^ provided orjqannqtprovide. truihfuHcerUficati ;: :
N®,.1}E^ as'.to any-,bf tbe^iteras; in^l., F.2. pr^v:3 saboye, an
certification^^ : . r>
...^ iv..... .^Vc--.,^. :~"'v% •io'-' ^*V.-/--:....v.'.i: : i.--:- ¦.: ¦ ¦ ¦ " .~X;<-\-<-. V- ^f.*::*.*:,-.: _ ft - ¦¦ ¦¦ - .
w:,:';';i;:.f'-
andicbmplete.asbf the^ate fum Gity-. ••• :.<>•:•»-•.:.• v--.;- W.--U-
«.:';• v;;;.!;;::fey ••.'.TSk-x-.-.-vi5:'- bi'-; -i-If'3:: V: ;r;:r:-- r
(Prinftorvtype^le^persqri sign ihg)U-; u ¦&;
Commissioh'^pij^stvV"^
Page 12-o.f 13
.CITY OF CHICAGO
ECONOMIC PISCLOSU AND AFFIDAVIT
APPENDIX A;
i
FAMILIAL RELATIONSHIPS WITH ELECTE DEPARTMENT HEADS
which 'h'asibrilwah\ind , . .
pirtne^Q^ cKUdj-broth^ 6r uncle,
; niece or
^partiwr^ u'njijtld^i^ a':7;5;p^rcerit^
uuviauiig^vrMVUt.) 'WA^v.uiiiV^uiivviui, ,i;iiic;i/i,iiicutv;iar:vi'ii^CJ^;.iic'aoui.c;i -oi,TO«iuiv:w>i y;v.i;a>iv;K«iA>iii-)r vi •a-iY.iJV.avu.
excrcismgis^milar au^ a : : ; , . ^
poc$;the
'have a ,'^rnilialTrel^ " '¦•h
•• •• :.j>>: . V--".:;.-.".
person b&'. " ' "
¦bga|c<13:^f^l3:
AAAAA''A
•GITY OF CHICAGO EGONOMlCDISGL'OiSUR
T,;;p£. 7.^;;:^ :/.;_;.,7 ¦ i A^r':'z
BUILDING CODE SG6i$EAW^ CERTIFICATION
•:''-^u^ing-code scofrtavvVorlpFo^ Section 2-92^:t(5!.bf%e.Mumcipal;: SI5*/
..;.-.4i82#i^^^ • ::.:v...lj;rT:r;. a;'.--^^-;, ~r.~-.7-
• :[vv.],Yes ; : r::\/i^::iy;::. .( JNo ... ....:. : •;[*^NotApplica^, ,.:: . I.j7,:,7
.S/tl&^iW^ 7"7:';'1!£.?! .
i i: ::.dentified:as;a.bmldmg^
•:buildmgS;towhlch.thetpertmcn^ •>•="?• s ;; -':;; :; ;: ¦•:• ":':y :':;>•;:.v
.•.':. :":'.':::'::'" • at."-<.-. . :
¦ .:. ¦ ¦ ¦_ ::: .¦ \:\ *?r .• . • ...¦ :.
::S*.
.rat;
: spEFERENCE INTO^'DrMADE:A
-AWlMffl ¦
l-SVJ:"-:
- IPM;v.
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I - GENERAL INFORMATION
Legal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable:
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
[ ] the Applicant
OR
[X] 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: fA_CV ($\Z)(xT5uj_Mrfc?^--, i_^cC_
OR
3. [] a legal entity with aright of control (see Section II.B.l.) State the legal name of the entity in
which the Disclosing Party holds a right of control:
Business address ofthe Disclosing Party:
. ... 9 , _ tt/1 I ._ -l .. Ll. ......... ,-. A /> tlQ,, **^> . ,-?-Ty~ _
"U. "i. cicpuOiiC: (j>\ v"ti'J^«'i>-"j'"ifaX"*"£maIi"."~Y*' '—^ ~"*^~'-' •¦•^-*^. y-j-t—^y^ur—
Name of contact person: ~"ff( A: DO^^ LQO/O'C?-
Federal Employer Identification No. (if you have one):
Brief description of contract, transaction or other undertaking (referred to below as the "Matter") to which this EDS pertains. (Include project number and location of property, ifapplicable):
G. Which City agency or department is requesting this EDS?^^^ | C.rX7_| P<-&r^ CflrvVWlfi^pr^
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification # and Contract #
Page 1 of 13
SECTION II - DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE'DISCLOSING PARTY 1. Indicate the nature of the Disclosing Party:
Person ^f^Limited liability company
Publicly registered business corporation f ] Limited liability partnership
Privately held business corporation [ ] Joint venture
Sole proprietorship [ ]. Not-for-profit corporation
General partnership (Is the not-for-profit corporation also a 501(c)(3))?
Limited partnership [ ] Yes [ ] No
Trust [ ] Other (please specify)
2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
3. For legal entities not organized'in the State of Illinois: Has the organization registered to do business in the State of Illinois as a foreign entity?
[]Yes []No "'[' y$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 arenb such members, write "no members." For trusts, estates ;or other similar entities,.list below the legal titleholder(s).
Ifthe entity is a general partnership, limited .partnership, limited liability company, limited liability partnership or joint venture, list below the name and title of each general partner, managing member, manager or any other person or entity that controls the day-to-day management of the Disclosing Party. NOTE: Each legal entity listed below must submit an EDS on its own behalf.
Name . Title.
2. Please provide the following information concerning each person or entity having a direct or indirect beneficial interest (including ownership) in excess of 7.5% ofthe Disclosing Party. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture,
Page 2 of 13
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
"TUAc^-gLU UJLjSATO- leo^o
tol f) uv 'pUoU-T&rO
xx^^ w> (e£fo
SECTION III -- BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
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 months before the date this EDS is signed?
7^
If yes, please identify below the name(s) of such City elected official(s) and describe such relationship(s):
kU is
SECTIpN.IV - DISCLOSUR E Q F SUBCONTRACTORS AND OT HER RETAIN E D PA RTIES
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 of the fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who are paid solely through the Disclosing Party's regular payroll.
"Lobbyist" means any person or entity who undertakes to influence any legislative or administrative action on behalf of any person or entity other than; (I) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means any person or entity any part of whose duties as an employee of another includes undertaking to influence any legislative or administrative action.
If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must either ask the City whether disclosure is required or make the disclosure.
Page 3 of 13
Name (indicate whether Business Relationship to Disclosing Party Fees (indicate whether
retained or anticipated Address (subcontractor, attorney, paid or estimated.) NOTE:
to be retained) lobbyist, etc.) "hourly rate" or "t.b.d." is
. i not an acceptable response.
(Add sheets if necessary)
Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V--- CERTIFICATIONS
COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
Has any person who directly or indirectly owns 10%-of more ofthe Disclosing Party'been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
[ ] Yes j^No [ ] No person directly or indirectly owns 10% or more ofthe
Disclosing Party.
If "Yes," has the person entered into a court-approved;agreemeht for payment of all support owed and is the person in compliance with thai agreement?
[] Yes [ ]No M//V
FURTHER CERTIFICATIONS
1. Pursuant to Municipal Code Chapter 1 -23, Article I ("Article l")(which the Applicant should consult for defined terms (e.g., "doing'business") and legal requirements), ifthe Disclosing Party submitting this EDS is the Applicant and is doing business with the'Cily, fherfthe Disclosing Party certifies as follows: (i) neither the Applicant hbr any controlling'person is currently-indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article 1 applies to the Applicant, the permanent compliance timeframe in Article I supersedes some five-year compliance timeframes in certifications 2 and 3 below.
Page 4 of 13
The Disclosing Party and, ifthe Disclosing Party is a legal entity, all of those persons or entities identified in Section II.B.I. of this EDS:
arc not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from any transactions by any federal, state or local unit of government;
have not, within a five-year period preceding the dale of this EDS, been convicted of a criminal offense, adjudged guilty, or had a civil judgment rendered against them in connectionwith: 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, stale or local) with committing any of the offenses sel 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, slate 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 found liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other unit of local government.
The certifications in subparts 3, 4 and 5 concern:
• the Disclosing Party;
any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Varty in connection with the Matter, including but not limited to all persons or legal entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties");
» any "Affiliated Entity" (meaning a person or entity that, directly or indirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is, with the Disclosing Party, under common control of another person or entity. Indicia of control include, without limitation: interlocking management or ownership; identity of interests among family members, shared facilities and equipment; common use of employees; or organization of a business entity following the ineligibility of a business entity to do business with federal or state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity); with respect to Contractors, the term Affiliated Entity means a person or entity that directly or indirectly controls the Contractor, is controlled by it. or, with the Contractor, is under common control of another person or entity;
any responsible official ofthe Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee of the D isclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official ofthe Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Page 5 of 13
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 ofa Contractor during the five years before the date of such Contractor's or Affiliated Entity's contract or engagement in connection with the Matter:
bribed or attempted to bribe, or been convicted or adjudged guilty of bribery or attempting to bribe, a public officer or employee of the City, the State of Illinois, or any agency of the federal government or of any state or local government in the United States of America, in that officer's or employee's official capacity;
agreed or colluded with other bidders or prospective bidders, or been a party to any such agreement, or been convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; or
made an admission of such conduct described in a. or b. above that is a matter of record, but have not been prosecuted for such conduct; or
violated the provisions of Municipal Code Section 2-92-610 (Living Wage Ordinance).
Neither, the 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 of 720 ILCS 5/33E-4; or (3) anysimilar offense of any state or ofthe 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 any ofthe following lists maintained by the Office of Foreign Assets Control of the U.S. Department of the Treasury or the Bureau of Industry'and Security of the U.S. Department of Commerce or their successors: the Specially Designated Nationals List, the 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 Inspector General), 2-56 (Inspector General) and 2-1 56 (Governmental Ethics) of the Municipal Code.
Ifthe Disclosing Party is unable to certify to any of the above statements in this Part B (Further Certifications), the Disclosing Party must explain below:
Page 6 of 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 ofthe 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 preceding the execution date of this EDS, an employee, or elected or appointed official, of the City of Chicago (if none, indicate with "N/A" or "none").
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 retail value of less than $20 per recipient (if none, indicate with "N/A" or "none"). As to any gift listed below, please also list the name ofthe City recipient.
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
1, The Disclosing Party certifies that the Disclosing Party (check one)
f 1 is XJC\ s^nx).i=-.j"^^=^--- ——
r
a "financial institution" as defined in Section 2-32-455(b) of the Municipal Code.
2. Ifthe Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will not become a predatory lender as defined in Chapter 2-32 of the Municipal Code. V/e further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 ofthe Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
If the Disclosing Party is unable to make this pledge "because it or any of its affiliates (as defined in Section 2-32-455(b) of the Municipal Code) is a predatory lender within the meaning of Chapter 2-32 ofthe Municipal Code, explain here (attach additional pages if necessary): /
Page 7 of 13
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
Any words or terms that are defined in Chapter 2-156 ofthe Municipal Code have the same meanings when used in this Part D.
In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
'[]Yes j$io
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 td 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 narne 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 domain power does not constitute a financial interest within the meaning of this Part D.
Does the Matter involve a City Property Sale?
[]Yes ^No
If you checked "Yes" to Item D. 1., provide the names and business addresses of the City officials or employees having such interest and identity the nature of such interest:
Name Business Address Nature of Interest
. to/*. y ;
M/g . . . -
M/o _
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 I. 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 Cily in connection with the Matter voidable by the City.
J__J- The Disclosing Parly verifies that the Disclosing Party has searched any and all records of tlie Disclosing Party and any and all predecessor entities regarding records of investments or profits from slavery or slaveholder insurance policies during the slavery era (including insurance policies issued to slaveholders that provided coverage for damage to or injury or death of their slaves), and the Disclosing Party has found no such records.
2. The Disclosing Party verifies that, as a result of conducting the search in step 1 above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including the names of any and all slaves or slaveholders described in those records:
SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: Ifthe Matter is federally funded, complete this Section VI. Ifthe 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 ofthe 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 of the Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee ofa member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
Page 9 of 13
The Disclosing Party will submit an updated certification at the end of each calendar quarter in which there occurs any event that materially affects the accuracy of the statements and information set forth in paragraphs A.l. and A.2. above.
The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) 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 not engaged'and will not engage in "Lobbying Activities".
Ifthe 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 if 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 prppqsed subcontractors to submit the following information with their bids or in writing at the outset of negotiations. , i,
Is the Disclosing Party the Applicant?
NYes
If "Yes," answer the three questions below:
Have you'developed and do you have on file affirmative action programs pursuant to applicable federal regulations? (See 41 CFR Part 60-2.)
[]Yes []No
Have you filed with the Joint Reporting Committee; the Director of the Office of Federal Contract Compliance Programs, or the Equal Employment Opportunity Commission all reports due under the. applicable filing requirements?
I ] Yes [ ] No
Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
f] Yes [ ] No
If you checked "No" to question I. or 2. above, please provide an explanation:
Page 10 of 13
SECTION VII- ACKNOWLEDGMENTS, CONTRACT INCORPORATION, COMPLIANCE, PENALTIES, DISCLOSURE
The Disclosing Party understands and agrees that:
The certifications, disclosures, and acknowledgments contained in this EDS will become part of any contract or other agreement between the Applicant and the City in connection with the Matter, whether procurement, City 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, business, or transactions. The full text of these ordinances and a training program is available on line at www,cityofchicago.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.
Ifthe 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.
D. It is the City's policy to make this document available to the public on its Internet site and/or upon
request. Some or all of the information provided on this EDS and any attachments to this EDS may be
made available to the public on the Internet, in response to a Freedom of Information Act request, or
otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible
rights or claims which it may have against the City in connection with the public release of.information
contained in this EDS and also authorizes the City to verify the accuracy of any information submitted
in this EDS.
E. The information provided in this EDS must be kept current. In the event of changes, the Disclosing
Party must supplement this EDS up to the time the City takes action on the Matter. Ifthe Matter is a
contract being handled by the City's Department of Procurement Services, the Disclosing Party must
update this EDS as the contract requires. NOTE: With respect to Matters subject to 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:
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, fax or other charge owed to the City. This includes, but is not limited to, all water charges, sewer charges, license fees, parking tickets, property taxes or sales taxes.
F.2 Ifthe 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 Party 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 theprior 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: Ifthe 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 personsigning below: (1) warrants that he/she-is authorized to execute this EDSrand^ Appendix A (ifapplicablc) 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 furnished to the Gity.
(Print or type name of Disclosing Party)
(Print or type name of person signing)
(Print oritype tilWof person signing)
Signed and sworn to before me on (date)
at County, $Mi'A i I $ (state).
2<78
Commission expires:
Notary Public.
Page 12 of 13
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND DEPARTMENT HEADS
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest 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 Municipal Code Section 2-154-015, tlie 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 ofthe date this EDS is signed, the Disclosing Party or any "Applicable Parly" or any Spouse or Domestic Partner thereof is related to the mayor, any .alderman, the city clerk, the city treasurer or any city department head as spouse or domestic partner or as any of the.following, whether by blood or adoption: parent, child, brother or sister, aunt or uncle, niece or nephew, grandparent, grandchild, father-in-law, mother-in-law, son-in-law, daughter-in-law, stepfather or stepmother, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister;
"Applicable Party" means (1) all executive officers ofthe Disclosing Party listed in Section II.B.La., ifthe Disclosing Party is a:corpbration; all partners of the Disclosing Party, if the Disclosing Party, is a general partnership; all general partners, and limited partners ofthe Disclosing Party, ifthe Disclosing Party is a limited partnership; all managers, managing members and members of the Disclosing Party, ifthe Disclosing Party is a limited liability company; (2) all -principal officers'of the Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means the president, chief _ operatmg.ofTIcer, execute exercising similar authority.
Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
[ JYes
If yes, please identify below (1) the name and title of such person, (2) the name ofthe legal entity to which such person is connected; (3) the name and title ofthe elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
"A
Page 13 of 13
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX B
BUILDING CODE SCOFFLAW/PROBLEM LANDLORD CERTIFICATION
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity
which lias a direct ownership interest in the Applicant exceeding 7.5 percent (an "Owner").
It is not to be completed by any legal entity which has only an indirect ownership interest in
the Applicant. "" v
1. Pursuant to Municipal Code Section 2-154-010, is the Applicant or any Owner identified as a
: building code sebfuaw or problem landlord pursuant to Section 2-92-416 of the Municipal
Coder '""
[ jVes
Ifthe 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?
[ ] Yes - [ ]No f^Not Applicable
Ifyes-to (l>) or (2) above, please, identify below thcnarne of the person or legal:entity.: ¦ identified as a building code scofflaw.or problem landlord ;and the address of the-building or buildings:to which the pertinent code violations apply.
FILLING OUT THIS 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.
(DO NOT SUBMIT THIS PAGE WITH YOUR EDS. The purpose of this page is for you to recertify your EDS prior to submission to City Council or on the date of closing. If unable to recertify truthfully, the Disclosing Party must complete a new EDS with correct or corrected information)
RECERTIFICATION
Generally, for use with City Council matters. Not for City procurements unless requested,
This recertification is being submitted in connection with S^°d iO • A _ A*-g-«
[identify the Matter]. Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS recertification on behalf of the Disclosing Party, (2) warrants that all certifications and statements contained in the Disclosing Party's original EDS are true, accurate and complete as of the date furnished to the City and continue to be true, accurate and complete as of the date of this recertification, and (3) reaffirms its acknowledgments.
(Print or type legal name of Disclosing Party)
[state].
re me on fdate]JfiflUJlrfr _f Ml/ . by &7Vat friYl County. <(Ja^
Notary Public.
Cornmission expires:_
Ver. IJ-01-05
(DO NOT SUBMIT THIS PAGE WITH YOUR EDS. The purpose of this page is for you to recertify your EDS prior to submission to City Council or on the date of closing. If unable to recertify truthfully, the Disclosing Party must complete a new EDS with correct or corrected uiforrnation)
RECERTD7ICATION
Generally, for use with City Council matters. Not for Cily procurements unless requested
This recertification is being submitted in connection with S^073 j_ . Ai.&H.t-Vr^O A*<-> [identify the-Matter]. Under penalty of perjury, tile person signing; below: (1) warrants that he/she is 'authorized to execute this EDS recertification: bh behalf of the Disclosmg Pal^, (2) warrants .that all certifications and statements contained in the'Disciosihg Parry's original EDS are true, accurate and complete as of tfie'dafe tuSpisieid to theCity and continue to be'true, accurate and complete as ofthe date oftnisrecerffication, and (3) reaffirms its acknowledgments.
V-KGrCG- 4^0fcX*Str_ ,Qt>C Pate: fr/ ?¦//>•
(Print or type legal name of Disclosing Party)
Print or type name of signatory: Title of signatory:
_ County,. Notary Public.
Signed and sworn to before me on [date] 3rb AO(h^ by
>igned and sv
ft'cha^t Go \<&*~\ ¦, at " QbofL
Commission expires:_
ASMAuMAR
Notu*Pubtlc.> St^ftOfaitlWiS My Commission E^lres AOfl 26; 201S
(DO NOT SUBMIT THIS PAGE WITH YOUR EDS. The purpose of this page is for you to recertify your EDS prior to submission to City Council or on the date of closing. If unable to recertify truthfully, the Disclosing Party must complete a new EDS with correct or corrected information)
RECERTIFICATION
Generally, for use with City Council matters. Not for City procurements unless requested.
This recertification is being submitted in connection with S~7o£> jV4Hu\<-^0 Ay-'L-[identify the Matter]. Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS recertification on behalf of the Disclosing Party, (2) warrants that all certifications and statements contained in the Disclosing Party's original EDS are true, accurate and complete,as ofthe date furnished to the City and continue to be true, accurate and complete as of the date of this recertification, and (3) reaffirms its acknowledgments.
(Print or type legal name of Disclosing Party)
Print or type name of signatory: Title of signatory:
Signed and sworn to before me on [date] Z ) 3 ( 2.QI ^0 by HtCkael €x> \d&n , at _bol^ County, _XTL
0 - —""" _ Notary Public.
Cornmission expires:
____——————_
ASMA OMAR
ver.n-oms \ Offlclil Seal
Notary Public - State ot Illinois My Commission Expires Aug 26,2019
m w
|