Record #: O2013-5576   
Type: Ordinance Status: Passed
Intro date: 7/24/2013 Current Controlling Legislative Body: Committee on Housing and Real Estate
Final action: 9/11/2013
Title: Sale of City-owned property at 201-211 E 37th St/3701-3711 S Indiana Ave, 3800 S Prairie Ave/215-225 E 38th St, 3812 S Prairie Ave, 3756 S Indiana Ave and 201 E Pershing Rd to Apostolic Faith Church
Sponsors: Emanuel, Rahm
Topic: PROPERTY - Sale
Attachments: 1. O2013-5576.pdf
ORDINANCE
 
WHEREAS, the City of Chicago ("City") is a home rule unit of government by virtue of the provisions of the Constitution of the State of Illinois of 1970, and, as such, may exercise any power and perform any function pertaining to its government and affairs; and
 
WHEREAS, the City is the owner of the vacant parcels of property located at 3800 South Prairie Avenue, 3701-3711 South Indiana Avenue, 3756 South Indiana Avenue, 3812 S. Prairie Avenue, and 201 East Pershing Road, Chicago, Illinois, which are legally described on Exhibit A attached hereto (the "Properties"), which Properties are located in the Bronzeville Redevelopment Project Area ("Area") established pursuant to ordinances adopted by the City Council of the City on November 4, 2006, and published in the Journal of Proceedings of the City Council for such date at pages 80642 through 80778; and
 
WHEREAS, Apostolic Faith Church, an Illinois not-for-profit corporation ("Grantee"), 3823 South Indiana Avenue, Chicago, Illinois 60653, has offered to purchase the Properties from the City for the sum of One Hundred Sixty-four Thousand Seven Hundred Fifty and No/100 Dollars ($164,750.00), such amount being the appraised fair market value of the Properties subject to a deed restriction limiting the use of the Property to parking in perpetuity, to improve the Properties with parking lots and open space; and
 
WHEREAS, pursuant to Resolution No. 12-044-21 adopted on July 19, 2012, by the Chicago Plan Commission (the "Commission"), the Commission approved the negotiated sale of the Properties to the Grantee; and
 
WHEREAS, public notice advertising the City's intent to enter into a negotiated sale of the Properties with the Grantee and requesting alternative proposals appeared in the Chicago Sun-Times, a newspaper of general circulation, on April 15 and April 22, 2013; and
 
WHEREAS, no alternative proposals were received by the deadline indicated in the aforesaid notice; now, therefore,
 
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
 
SECTION 1. The City Council of the City hereby approves the sale of the Properties to the Grantee for the amount of One Hundred Sixty-four Thousand Seven Hundred Fifty and No/100 Dollars ($164,750.00).
 
SECTION 2. The Mayor or his proxy is authorized to execute, and the City Clerk or Deputy City Clerk is authorized to attest, a quitclaim deed conveying the Properties to the Grantee. Such deed shall include a covenant obligating the Grantee to use the Properties only for use consistent with the land uses permitted under the redevelopment plan for the Area. Grantee's acceptance of the City's deed shall constitute Grantee's agreement to such covenant. The quitclaim deed shall also contain language substantially in the following form:
 
This conveyance is subject to the express conditions that: 1) the Properties are improved with a parking lot and landscaped open space within twelve (12) months of the date of this deed; and 2) the Properties are used for parking and open space in perpetuity.
 
In the event that the conditions are not met, the City of Chicago may re-enter the
 
 
 
1
 
 
 
 
 
Properties and revest title in the City of Chicago. Grantee, at the request of the City of Chicago, covenants to execute and deliver to the City a reconveyance deed to the Properties to further evidence such revesting of title.
 
This right of reverter and re-entry in favor of the City of Chicago shall terminate forty (40) years from the date of this deed.
SECTION 3. If any provision of this ordinance shall be held to be invalid or unenforceable for any reason, the invalidity or unenforceability of such provision shall not affect any of the other provisions of this ordinance.
SECTION 4. All ordinances, resolutions, motions or orders inconsistent with this ordinance are hereby repealed to the extent of such conflict.
SECTION 5. This ordinance shall take effect upon its passage and approval.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2
 
 
EXHIBIT A
 
Purchaser:
Purchaser's Address: Purchase Amount: Appraised Value:
Apostolic Faith Church
3823 South Indiana Avenue, Chicago, Illinois
$164,750.00
$164,750.00 (with deed restriction) $329,500.00 (without deed restriction)
 
 
 
Legal Description (Subject to Title Commitment and Survey):
 
Lots 1 and 2 and the North 25 feet of Lot 3 in Grigg's Subdivision of the North West V* of the South East Va of the South West % of Section 34, Township 39 North, Range 14, East of the Third Principal Meridian, in Cook County, Illinois.
 
Address:
 
201-11 East 37th St. / 3701-11 South Indiana Avenue
Chicago, Illinois 60653 Property Index Number: 17-24-316-001-0000
 
Legal Description (Subject to Title Commitment and Survey):
 
Lot 49 in Holmes' Subdivision of the West 1/2 of the Southwest % of the Southeast % of Section 34, Township 39 North, Range 14, East ofthe Third Principal Meridian, in Cook County, Illinois.
 
Address:      3800 South Prairie Avenue / 215-25 East 38th Street.
Chicago, Illinois 60653
Property Index Number: 17-34-324-020-0000
 
 
Legal Description (Subject to Title Commitment and Survey):
 
Lot 44 in Holmes Subdivision of the West V* of the Southwest % of the Southeast % of the Southwest V* of Section 34, Township 39 North, Range 14, East of the 3rd Principal Meridian, in Cook County, Illinois.
 
Address:      3812 South Prairie Avenue
Chicago, Illinois 60653
 
Property Index Number: 17-34-324-025-0000
 
 
 
 
 
 
 
 
 
 
 
3
 
 
Legal Description (Subject to Title Commitment and Survey):
 
Lot 9, in Block 2, in John H. Rea Receiver's Resubdivision of Lots 1, 2, 3, 16, 17, 18, 19 & 20 of Brown's Subdivision of the North !4 of the Southwest % of the Southwest % of Section 34, Township 39 North, Range 14, East of the Third Principal Meridian, in Cook County, Illinois.
 
Address:      3756 South Indiana Avenue
Chicago, Illinois 60653
 
Property Index Number: 17-34-323-039-0000
 
 
Legal Description (Subject to Title Commitment and Survey):
 
 
Lots 6 and 7 in Block 1 in Springer's Subdivision of the North !4 of the West 14 of the Northeast % of the Northwest % of Section 3, Township 38 North, Range 14 East of the Third Principal Meridian, in Cook County, Illinois.
 
Address:      201 East Pershing Road
Chicago, Illinois 60653
Property Index Number: 20-03-103-001-0000
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
4
 
 
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
 
SECTION I - GENERAL INFORMATION
A. Legal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable:
Apostolic Faith Church      
 
Check ONE ofthe following three boxes:
 
Indicate whether the Disclosing Party submitting this EDS is:
  1. j^] the Applicant
OR
  1. [ ] a legal entity holding a direct or indirect interest in the Applicant. State the legal name of the
Applicant in which the Disclosing Party holds an interest:       .      
OR
3.      [] a legal entity with a right of control (see Section II.B. 1.) State the legal name of the entity in
which the Disclosing Party holds a right of control:      __
 
B. Business address of the Disclosing Party:     3823 South Indiana Avenue      
Chicago, Illinois 60653
  1. Telephone: 773-373-8500     Fax: 773-373-6902        Email: stEaggidthga£cchiC3X>.C£q/
la Trie. jcaxfa^lafccfiicagD.org
  1. Name of contact person:   Susan D. Smith      
  2. Federal Employer Identification No. (ifyou have one):                  
  3. Brief description of contract, transaction or other undertaking (referred to below as the "Matter") to which this EDS pertains. (Include project number and location of property, if applicable):
 
Please see "Attachment A"
 
G. Which City agency or department is requesting this EDS?  DHED ~ Rsal Estate Division
 
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
 
Specification #      and Contract #      
 
Ver. 01-01-12
 
 
 
Page 1 of 13
 
 
Attachment A
 
Address:
Property Index Number: Address:
Property Index Number: Address:
Property Index Number: Address:
Property Index Number: Address:
Property Index Number:
 
201-11 East 37th St. / 3701-11 South Indiana Avenue Chicago, Illinois 60653
17-24-316-001-0000
 
3800 South Prairie Avenue / 215-25 East 38th Street Chicago, Illinois 60653
17-34-324-020-0000
 
3812 South Prairie Avenue Chicago, Illinois 60653
17-34-324-025-0000
 
3756 South Indiana Avenue Chicago, Illinois 60653
17-34-323-039-0000
 
201 East Pershing Road Chicago, Illinois 60653
20-03-103-001-0000
 
SECTION II -- DISCLOSURE OF OWNERSHIP INTERESTS
 
A. NATURE OF THE DISCLOSING PARTY
 
1.   Indicate the nature of the Disclosing Party:
] Person      [ ] Limited liability company
] Publicly registered business corporation      [ ] Limited liability partnership
] Privately held business corporation      [ ] Joint venture
] Sole proprietorship      |X] Not-for-profit corporation
] General partnership      (Is the not-for-profit corporation also a 501 (c)(3))?
] Limited partnership      [}§ Yes      [ ] No
] Trust      [ ] Other (please specify)
 
2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable: Illinois
 
3.   For legal entities not organized in the State of Illinois: Has the organization registered to do business in the State of Illinois as a foreign entity?
 
[ ] Yes      [ ] No      [ ] N/A
 
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
 
1.   List below the full names and titles of all executive officers and all directors of the entity. NOTE: For not-for-profit corporations, also list below all members, if any, which are legal entities. If there are no such members, write "no members." For trusts, estates or other similar entities, list below the legal titleholder(s).
If the entity is a general partnership, limited partnership, limited liability company, limited liability partnership or joint venture, list below the name and title of each general partner, managing member, manager or any other person or entity that controls the day-to-day management of the Disclosing Party. NOTE: Each legal entity listed below must submit an EDS on its own behalf.
 
Name Title Please see "Attachment 3"
 
 
 
 
 
 
 
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% of the Disclosing Party. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture,
 
Page 2 of 13
 
 
Attachment B
 
 
Horace B. Smith, M.D., Pastor, Chief Executive Officer, Chairman, Board of Trustees,
Sylvia Franklin, Trustee,
Susan D. Smith, Trustee,
Gayle L. Kates, Trustee,
Alphonso Adams, Trustee,
Tomrnie James Selvie, Trustee,
James E. Spark, Trustee
 
interest of a member or manager in a limited liability company, or interest ofa beneficiary ofa trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal Code"), the City may require any such additional information from any applicant which is reasonably intended to achieve full disclosure.
 
Name      Business Address      Percentage Interest in the
Disclosing Party
None
 
 
 
 
 
 
 
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?
 
[ ] Yes      [X] No
 
If yes, please identify below the name(s) ofsuch City elected official(s) and describe such relationship(s):
 
 
 
 
SECTION IV -- DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
 
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature of the relationship, and the total amount ofthe fees paid or estimated to be paid. The Disclosing Party is not required to 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: (1) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means any person or entity any part of whose duties as an employee of another includes undertaking to influence any legislative or administrative action.
 
If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must either ask the City whether disclosure is required or make the disclosure.
 
 
 
 
 
Page 3 of 13
 
 
Name (Indicate whether    Busings     Ilelatiorisbip to Disclosing Party Fees (mdiCHte whether
retained, or anficipatei      Address      (subcorrJjEactor, attorney,      paid or estimated.) NOTE:
to be retained)      lobbyist; etc.)      "honrly rate" or "th.d." is
not an acceptable response. aerify&2££cc. 33 R. CLakSb, #T1SJf Cfafcayy H, 6D602 aagmsy Est, $40,000
Snbfcy & BktreafcrsL 33 N. Deaitcm, Ste. 800, Qncagpy 3L 03832 Stirrup B3. &©r0CO
HP Rtagi3te5 3321 K, tfepfflaaa. #103 ]^n»EriLis HSf 45B06 teMect B£.$1,400,000
ES33sti & BCnsv Brr- 823 E. EKsel Sj., Chksto, IL 60SI5 0£shxcam.f4£Bg^ Efet. $350,000
 
(AM steers if necessary)
[ J Cbccl: here if the Disclosing Party has not retained, nor expects to retail any sack persons ox cetMbs.
SECTION V - CEltTIBICATJONS
A_ COTJRX-OSDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities (hat contract with fie City must remain, in compliance with ffieir child support obligations tfnxmghouiilis contract's tern.
 
Has aay person, wio directly or indirectly awns 10% of more of &e Disclosing Party been, declared in arrearage on any child support obligations by any IDmDis court cf competent jurisdiction?
 
I ] Yes      EiNo      { ] Noperson. directly or imErecrtiyowns 10% ormoro ofthe
Disclosing Party.
 
If "Yes," has the person entered into a Gonrt-appioved agreement for payment of all support owed and is the person in compliance wife that agreement?
 
[}Yes []No
 
B. FUB.THER.CER.TMCATIONS
 
L Puiscartt to Mumcipai Code Chapter 1 -23, Article I ("Article ^wMclt. tie Applicant should consult for defined terms (e.g^ "doing business") and legal reqiikenienfe), if tie Disclosing Party Bftlmuttiiig iiis ED S is the AppEcaat and is doing business mm the Cgy, then the Disclosing Party certiS.es as follows: (i) neimer t-he Applicant met any controlling person, is currently indicted or charged with, or has admitted gnflt of, or has ever been convicted of, orplaced trader supervision for,, any criminal offessc involving actual, attempted, of conspiracy to comioit bribery, mcfl, fetvui, forgexy, porhiry, djsnonesiy or deceit against aa officer or employee ofthe City or any sister agency; and (ii) the Applicant rmderstands and aejaiowicdges -mat compliance with Article I is a controlling rw^pirejiient for doing business with the City. NOTE: If Article I applies to ffes Applicant, the permanent compliance ' timeframe in Article I supersedes same frye-year compliance timeframes in certrEcaticris 2 and 3 below.
 
 
Pags4of 13
 
  1. The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section II.B. 1. of this EDS:
  1. are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from any transactions by any federal, state or local unit of government;
  2. have not, within a five-year period preceding the date of this EDS, been convicted of a criminal offense, adjudged guilty, or had a civil judgment rendered against them in connection with: obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under a public transaction; a violation of federal or state antitrust statutes; fraud; embezzlement; theft; forgery; bribery; falsification or destruction of records; making false statements; or receiving stolen property;
  3. are not presently indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any ofthe offenses set forth in clause B.2.b. of this Section V;
  4. have not, within a five-year period preceding the date of this EDS, had one or more public transactions (federal, state or local) terminated for cause or default; and
  5. 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.
  6. The certifications in subparts 3, 4 and 5 concern:
  • the Disclosing Party;
  • any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in connection with the Matter, including but not limited to all persons or legal entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties");
  • any "Affiliated Entity" (meaning a person or entity that, directly or indirectly: controls the Disclosing Party, 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 ofa business entity following the ineligibility ofa business entity to do business with federal or state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity); with respect to Contractors, the term Affiliated Entity means a person or entity that directly or indirectly controls the Contractor, is controlled by it, or, with the Contractor, is under common control of another person or entity;
    • any responsible official of the Disclosing Party, any Contractor or any Affiliated Entiry or any other official, agent or employee of the Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official of the Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
 
 
Page 5 of 13
 
 
Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor nor any Agents have, during the five years before the date this EDS is signed, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the five years before the date of such Contractor's or Affiliated Entity's contract or engagement in connection with the Matter:
  1. bribed or attempted to bribe, or been convicted or adjudged guilty of bribery or attempting to bribe, a public officer or employee ofthe City, the State 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;
  2. 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
  3. 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
  4. violated the provisions of Municipal Code Section 2-92-610 (Living Wage Ordinance).
  1. 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) any similar offense of any state or of the United States of America that contains the same elements as the offense of bid-rigging or bid-rotating.
  2. Neither the Disclosing Party nor any Affiliated Entity is listed on any of the following lists maintained by the Office of Foreign Assets Control ofthe U.S. Department of the Treasury or the Bureau of Industry and Security ofthe U.S. Department of Commerce or their successors: the Specially Designated Nationals List, the Denied Persons List, the Unverified List, the Entity List and the Debarred List.
  3. The Disclosing Party understands and shall comply with the applicable requirements of Chapters 2-55 (Legislative Inspector General), 2-56 (Inspector General) and 2-156 (Governmental Ethics) ofthe Municipal Code.
  4. If the Disclosing Party is unable to certify to any of the above statements in this Part B (Further Certifications), the Disclosing Party must explain below:
 
 
 
 
 
 
 
 
Page 6 of 13
 
 
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
 
8.   To the best of the Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all current employees ofthe Disclosing Party who were, at any time during the 12-month period preceding the 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").
None
 
 
 
9.  To the best of the Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all gifts that the Disclosing Party has given or caused to be given, at any time during the 12-month period preceding the execution date of this EDS, to an employee, or elected or appointed official, of the City of Chicago. For purposes of this statement, a "gift" does not include: (i) anything made generally available to City employees or to the general public, or (ii) food or drink provided in the course of official City business and having a retail value of less than $20 per recipient (if none, indicate with "N/A" or "none"). As to any gift listed below, please also list the name of the City recipient.
None
 
 
 
 
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
  1. The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is      [33 is not
a "financial institution" as defined in Section 2-32-455(b) of the Municipal Code.
  1. If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
 
"We are not and will not become a predatory lender as defined in Chapter 2-32 ofthe Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 ofthe Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss ofthe privilege of doing business with the City."
 
If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in Section 2-32-455(b) 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 of the Municipal Code have the same meanings when used in this Part D.
  1. In accordance with Section 2-156-110 ofthe 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      H No
 
NOTE:  Ifyou checked "Yes" to Item D.l., proceed to Items D.2. and D.3. Ifyou checked "No" to Item D.L, proceed to Part E.
  1. Unless sold pursuant to a process of competitive bidding, or otherwise permitted, no City elected official or employee shall have a financial interest in his or her own name or in the name of any other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit of the 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 [JNo
  1. If you checked "Yes" to Item D.l., provide the names and business addresses ofthe City officials or employees having such interest and identify the nature of such interest:
 
Name      Business Address      Nature of Interest
 
 
 
 
 
 
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
 
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
 
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing Party must disclose below or in an attachment to this EDS all information required by paragraph 2. Failure to
Page 8 of 13
 
 
comply with these disclosure requirements may make any contract entered into with the City in connection with the Matter voidable by the City.
 
__1. The Disclosing Party verifies that the Disclosing Party has searched any and all records of the Disclosing Party and any and all predecessor entities regarding records of investments or profits from slavery or slaveholder insurance policies during the slavery era (including insurance policies issued to slaveholders that provided coverage for damage to or injury or death of their slaves), and the Disclosing Party has found no such records.
 
      2. The Disclosing Party verifies that, as a result of conducting the search in step 1 above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including the names of any and all slaves or slaveholders described in those records:
 
 
 
 
 
 
 
SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
 
NOTE: If the Matter is federally funded, complete this Section VI. If the Matter is not federally funded, proceed to Section VII. For purposes of this Section VI, 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 ofthe 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 "N A" 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
 
  1. 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. 1. and A.2. above.
  2. 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".
  3. If the Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equal in form and substance to paragraphs A.l. through A.4. above from all subcontractors before it awards any subcontract and the Disclosing Party must maintain all such subcontractors' certifications for the duration ofthe Matter and must make such certifications promptly available to the City upon request.
 
 
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
 
If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
Is the Disclosing Party the Applicant?
[ ] Yes      [ ] No
If "Yes," answer the three questions below:
  1. Have you developed and do you have on file affirmative action programs pursuant to applicable federal regulations? (See 41 CFR Part 60-2.)
[ ] Yes      [ ] No
  1. Have you filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance Programs, or the Equal Employment Opportunity Commission all reports due under the applicable filing requirements?
[ ] Yes      [ ] No
  1. Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
[ ] Yes      [ ] No
 
If you checked "No" to question 1. or 2. above, please provide an explanation:
 
 
 
 
Page 10 of 13
 
 
SECTION VH - ACKNOWLEDGMENTS, CONTRACT INCORPORATION, COMPLIANCE, PENALTIES, DISCLOSURE
 
The Disclosing Party understands and agrees that:
  1. 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.
  2. 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.
  1. If the City determines that any information provided in this EDS is false, incomplete or inaccurate, any contract or other agreement in connection with which it is submitted may be rescinded or be void or voidable, and the City may pursue any remedies under the contract or agreement (if not rescinded or void), at law, or in equity, including terminating the Disclosing Party's participation in the Matter and/or declining to allow the Disclosing Party to participate in other transactions with the City. Remedies at law for a false statement of material fact may include incarceration and an award to the City of treble damages.
  2. 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 infonnation 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.
  3. The information provided in this EDS must be kept current. In the event of changes, the Disclosing Party must supplement this EDS up to the time the City takes action on the Matter. If the Matter is a contract being handled by the City's Department of Procurement Services, the Disclosing Party must update this EDS as the contract requires. NOTE: With respect to Matters subject to Article I of Chapter 1-23 ofthe Municipal Code (imposing PERMANENT INELIGIBILITY for certain specified offenses), the information provided herein regarding eligibility must be kept current for a longer period, as required by Chapter 1-23 and Section 2-154-020 ofthe Municipal Code.
 
The Disclosing Party represents and warrants that:
 
Page 11 of 13
 
F.l.    The Disclosing Party is not delinquent in the payment of any tax administered by the Illinois Department of Revenue, nor are the Disclosing Party or its Affiliated Entities delinquent in paying any fine, fee, tax or other charge owed to the City. This includes, but is not limited to, all water charges, sewer charges, license fees, parking tickets, property taxes or sales taxes.
 
F.2    If the Disclosing Party is the Applicant, the Disclosing Party and its Affiliated Entities will not use, nor permit their subcontractors to use, any facility listed by the U.S. E.P.A. on the federal Excluded Parties List System ("EPLS") maintained by the U. S. General Services Administration.
 
F.3     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 the prior written consent of the City, use any such contractor/subcontractor that does not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
 
NOTE: If the Disclosing Party cannot certify as to any of the items in F.l., F.2. or F.3. above, an explanatory statement must be attached to this EDS.
 
CERTIFICATION
 
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS and Appendix A (if applicable) on behalf of 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 ofthe date furnished to the City.
 
Apostolic Faith Churcl
 
(Sign here)
 
 
( Print or type name of person signing)
 
kfer CO) m i^Uld iUxUcnA
 
/            ..       ;      Vi      .
(Print or type title of person signing)    (' }]j,\<i))
 
Notary Public.
Signed and sworn to before me on (date)
Commission expires:
at      (IU4^        County, ^JJuLnh (state).
 
 
OFFICIAL SEAL LAURIE S JORDAN NOTARY PUBLIC - STATE OF ILLINOIS MY COMMISSION EXPIRES.09/11/13
 
 
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, the Disclosing Party must disclose whether such Disclosing Party or any "Applicable Party" or any Spouse or Domestic Parmer thereof currently has a "familial relationship" with any elected city official or department head. A "familial relationship" exists if, as of the date this EDS is signed, the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof is related to the mayor, any alderman, the city clerk, the city treasurer or any city department head as spouse or domestic partner or as any of the following, whether by blood or adoption: parent, child, brother or sister, aunt or uncle, niece or nephew, grandparent, grandchild, father-in-law, mother-in-law, son-in-law, daughter-in-law, stepfather or stepmother, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister.
 
"Applicable Party" means (1) all executive officers ofthe Disclosing Party listed in Section TLB. La., if the Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members ofthe Disclosing Party, if the Disclosing Party is a hmited liability company; (2) all principal officers ofthe 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 operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority.
 
Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
 
[ ] Yes      [Xl No
 
If yes, please identify below (1) the name and title ofsuch person, (2) the name of the 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 fami lial relationship.
 
 
 
 
 
 
 
 
 
 
 
Page 13 of 13
 
(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 tmthfully, 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 the Negotiated Sale for the purchase of the following City-owned property: 1. 3800 S. Prairie Avenue, Chicago, Illinois 60653 (PIN: 17-34-324-020), 2. 3812 S. Prairie Avenue, Chicago, Illinois 60653 (PIN: 17-34-324-025), 3. 3701-3711 S. Indiana Avenue, Chicago, Illinois 60653 (PIN: 17-34-316-001), 4. 3756 S. Indiana Avenue, Chicago, Illinois 60653 (PIN: 17-34-323-039); and 5. 201 E. Pershing Road, Chicago, Illinois 60653 (PIN: 20-03-103-001). Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS recertification on behalf ofthe 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.
 
 
Date:
Apostolic Faith Church
(Print or type legal name of Disclosing Party)
 
 
 
 
 
 
Print or type name of signatory:
 
 
Title ofsignatory:
 
County,   JUxE^qS [state].
 
 
 
Signed and sworn to before me on [date]
Notary Public.
 
Commission expir
,at falL
 
Ver. 11-01-05