This record contains private information, which has been redacted from public viewing.
Record #: O2014-2374   
Type: Ordinance Status: Passed
Intro date: 4/2/2014 Current Controlling Legislative Body: Committee on Transportation and Public Way
Final action: 4/30/2014
Title: Vacation and dedication of public alley(s) in area bounded by E 55th St, S Cornell Ave, E 56th St and Illinois Central Railroad
Sponsors: Hairston, Leslie A.
Topic: ALLEY - Dedications, - ALLEY - Vacation
Attachments: 1. O2014-2374.pdf
COMMERCIAL ORDINANCE
 
 
WHEREAS, the City of Chicago ("City") is a home rule unit of local government pursuant to Article VII, Section 6 (a) of the 1970 constitution of the State of Illinois and, as such, may exercise any power and perform any function pertaining to its government and affairs; and
 
 
WHEREAS, the properties at 5530-5540 & 5542-5558 S. Cornell Avenue, and 1604-1624 E.56th Street are owned by Solstice on the Park, LLC, a Delaware limited liability company, licensed to transact business in Illinois; and
 
 
WHEREAS, Solstice on the Park, LLC proposes to use the portion of the alley to be vacated herein for assembly of a larger parcel for future development located in the vicinity of the Bret Harte Elementary School, a magnet Chicago Public School (the "School"); and
 
 
WHEREAS, the City Council of the City of Chicago, after due investigation and consideration, has determined that the nature and extent of the public use and the public interest to be subserved is such as to warrant the vacation and dedication of those parts of the public alleys, described in the following ordinance; now therefore,
 
 
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
 
 
SECTION 1. EXHIBIT "A" DEDICATION OF AN EAST-WEST 18 FOOT WIDE PUBLIC ALLEY
 
LYING IN LOT 18 IN BLOCK 1 OF ILLINOIS CENTRAL SUBDIVISION OF THE WEST PART OF THE SOUTHWEST 14.09 ACRES IN THE FRACTIONAL SOUTHWEST 1/4 OF SECTION 12 AND THE WEST PART OF THE NORTHWEST 17.93 ACRES IN THE FRACTIONAL NORTHWEST 1/4 OF SECTION 13, TOWNSHIP 38 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN, ACCORDING TO PLAT THEREOF REGISTERED IN THE OFFICE OF THE REGISTRAR OF TITLE OF COOK COUNTY, ILLINOIS ON JUNE 1, 1883, AS DOCUMENT NUMBER 472550 DESCRIBED AS FOLLOWS: THE NORTHERLY 18 FEET OF SAID LOT 18 AS MEASURED PERPENDICULAR TO THE NORTHERLY LINE THEREOF AND (EXCEPT THE WEST 150.00 FEET THEREOF), IN COOK COUNTY, ILLINOIS,
 
EXHIBIT "B"
VACATION OF THAT PART OF AN EAST-WEST 16 FOOT WIDE PUBLIC ALLEY
 
LYING IN PART OF BLOCK 1 AND ADJACENT TO LOTS 19 (EXCEPT THE WEST 131 FEET), 23, 24, 25 AND 26 IN BLOCK 1 OF ILLINOIS CENTRAL SUBDIVISION OF THE WEST PART OF THE SOUTHWEST 14.09 ACRES IN THE FRACTIONAL SOUTHWEST 1/4 OF SECTION 12 AND THE WEST PART OF THE NORTHWEST 17.93 ACRES IN THE FRACTIONAL NORTHWEST 1/4 OF SECTION 13, TOWNSHIP 38 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN, ACCORDING TO PLAT THEREOF REGISTERED IN THE OFFICE OF THE REGISTRAR OF TITLE OF COOK COUNTY, ILLINOIS ON JUNE 1, 1883, AS DOCUMENT
 
Page 1
 
 
NUMBER 472550 DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHEAST CORNER OF LOT 26 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION; THENCE SOUTH 89059'34" WEST ALONG THE NORTH LINE OF LOTS 23 TO 26 INCLUSIVE, A DISTANCE OF 200.05 FEET (MEAS) TO THE NORTHWEST CORNER OF LOT 23 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION ALSO BEING THE NORTHEAST CORNER OF LOT 22 OF BLOCK 11N SAID ILLINOIS CENTRAL SUBDIVISION; THENCE NORTHERLY TO THE INTERSECTION OF THE NORTHERLY EXTENSION OF THE WEST LINE OF LOT 23 OF BLOCK 1 OF SAID ILLINOIS CENTRAL SUBDIVISION, ALSO BEING THE NORTHERLY EXTENSION OF THE EAST LINE OF LOT 22 OF BLOCK 1 OF SAID ILLINOIS CENTRAL SUBDIVISION TO THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION SAID INTERSECTION BEING 131.00 FEET EAST OF THE SOUTHWEST CORNER OF SAID LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION, A DISTANCE OF 16.00 FEET; THENCE NORTH 89059'34" EAST ALONG THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION, A DISTANCE OF 19.00 FEET TO THE EAST LINE OF THE WEST 150 FEET OF LOT 19 OF BLOCK 11N SAID ILLINOIS CENTRAL SUBDIVISION; THENCE CONTINUING NORTH 89°59'34" EAST ALONG THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION TO THE WEST RIGHT OF WAY OF SOUTH CORNELL AVENUE, A DISTANCE OF 181.05 FEET (MEAS); THENCE SOUTH 00o06'59" EAST ALONG THE WEST RIGHT OF WAY OF SOUTH CORNELL AVENUE, A DISTANCE OF 16.00 FEET TO THE POINT OF BEGINNING, ALL IN COOK COUNTY, ILLINOIS, as shaded and legally described by the words "HEREBY VACATED" on the plat hereto attached as Exhibit B, which drawing for greater clarity, is hereby made a part of this ordinance, be and the same is hereby vacated, inasmuch as the same is no longer required for public use and the public interest will be subserved by such vacation; and a new alley will be dedicated for public use shaded and legally described by the words "HEREBY DEDICATED" on the plat hereto attached as Exhibit A, which drawing for greater clarity, is hereby also made a part of this ordinance.
 
 
SECTION 2. The City of Chicago hereby reserves for the benefit of Commonwealth Edison its successors or assigns, a non-exclusive utility easement to operate, maintain, construct, replace and renew overhead wires, poles, and associated equipment and underground conduit, cables, and associated equipment for the transmission and distribution of electrical energy, telephonic and associated services under, over and along the alleys herein vacated, with the right of ingress and egress. The grade of the vacated public ways shall not be altered in a manner so as to interfere with the operation and maintenance of Commonwealth Edison's facilities. No buildings, permanent structures or obstructions shall be placed over Commonwealth Edison's facilities without written release of easement by Commonwealth Edison. Any future vacation-beneficiary prompted relocation of Commonwealth Edison's facilities lying within the area being vacated will be accomplished by Commonwealth Edison and done at the expense of beneficiary of the vacation.
 
 
SECTION 3. The vacation herein provided for is made upon the express condition that within 180 days after the passage of this ordinance, Solstice on the Park, LLC shall deposit in the City Treasury of the City of Chicago, a sum sufficient to defray the costs of removing paving and curb returns in the areas being vacated, and constructing alley, sidewalk and curb at the entrance to that part of the new alley being dedicated (the "Dedicated New Alley"), in accordance with current City right of way construction standards.
 
 
 
 
Page 2
 
 
SECTION 4. The vacation herein provided for is made upon the express condition that Solstice on the Park, LLC shall, at its sole cost and expense, remove paving and curb returns in the areas being vacated, and construct the Dedicated New Alley, sidewalk and curb at the entrance to that part of the Dedicated New Alley, in accordance with current City right of way construction standards, after the passage of this ordinance.
 
 
SECTION 5. The vacation herein provided for is made upon the express condition that after the passage of this ordinance, Solstice on the Park, LLC shall comply with its duties and obligations to the City and Board of Education of the City of Chicago (the "Board") for the School Improvements (the "School Improvements") to the School, as more fully set forth in an Intergovernmental Agreement by and between the City and Board for such School Improvements (the "Bret Harte Intergovernmental Agreement"), which is subject to the City Council for the City of Chicago approving and authorizing Bret Harte Intergovernmental Agreement, as compensation for the benefits which will accrue to Solstice on the Park, LLC as the owner of the property abutting the areas hereby vacated, which in the judgment of this body, when combined with the other benefits to the City and the Board of the Dedicated New Alley and the School Improvements, shall be equal to or greater than such benefits as accrue to the City of Chicago and Board in association with the Dedicated New Alley and the School Improvements for the Bret Harte Elementary School.
 
SECTION 6. The Commissioner of the City of Chicago's Department of Transportation or any designee of the Commissioner is hereby authorized to accept, subject to approval of the Corporation Counsel as to form and legality, on behalf of the City of Chicago, the benefits of a special warranty deed substantially in the form attached hereto as Exhibit C (the "Reconveyance Deed") and in recordable form, from Solstice on the Park, LLC, its successors and/or assigns as grantors ("Grantors"), and naming the City as grantee ("Grantee"), for the public way being vacated, or any portion thereof, by this ordinance securing the Grantors completion of the Dedicated New Alley and the School Improvements. Grantee shall have the right to record the Reconveyance Deed and to re-enter and take possession of the public way being vacated, or any portion thereof, terminate the estate, or any portion thereof, conveyed to the Grantors and revest title to the public way being vacated, or any portion, in the Grantee only upon Grantors' failure to cure, within 30 days after written notice thereof from Grantee, any breach of the terms and conditions of any of the School Improvements. Upon satisfaction in full of the Dedicated New Alley and the School Improvements, Grantee shall have no further right to record the Reconveyance Deed, which shall promptly be returned unrecorded to Grantors. If the Reconveyance Deed is recorded by the Grantee, Grantors shall be responsible for all real estate taxes and assessments which accrued during the period the vacated public way, or any portion thereof, was owned by Grantors. Grantors will cooperate with the Grantee to ensure that should the Grantee record the Reconveyance Deed, such recording is effective for the purposes of transferring title to the vacated public way, or any portion thereof, to the Grantee by executing any customary transfer documents.
 
SECTION 7. The vacation herein provided for is made upon the express condition that within one hundred eighty (180) days after the passage of this ordinance, Solstice on the Park, LLC shall file or cause to be filed for record in the Office of the Recorder of Deeds of Cook County, Illinois a certified copy of this ordinance, together with an attached plats of vacation and dedication as approved by the Superintendent of Maps and Plats.
 
 
 
Page 3
 
SECTION 8. This ordinance shall take effect and be in force from and after its passage. The vacation shall take effect and be in force from and after its recording.
 
 
Vacation Approved:
 
 
 
 
tebekah Scheinfeld Commissioner of Transportation
 
Approved as to Form and Leg
 
Richard Wendy Deputy Corporation Coun^
 
 
rable Leslie Alderman, 5th Ward
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Page 4
 
EXHIBIT "A':
Plat of Dedication
 
 
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BMW PLOTTED ON 24x36 PAPER
OF AN EAST-WEST 18 FOOT WIDE PUBLIC ALLEY
LYING IN LOT 18 IN BLOCK 1 OF ILLINOIS CENTRAL SUBDIVISION OF THE WEST PART OF THE SOUTHWEST 14.09 ACRES IN THE FRACTIONAL SOUTHWEST 1/4 OF SECTION 12 AND THE WEST PART OF THE NORTHWEST 17 93 ACRES IN THE FRACTIONAL NORTHWEST 1/4 OF SECTION 13, TOWNSHIP 38 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN, ACCORDING TO PI AT THEREOF REGISTERED IN THE OFFICE OF THE REGISTRAR OF 'HUE OF COOK COUNTY, ILUNOIS ON JUNE 1, 1883, AS DOCUMENT NUMBER 472550 DESCRIBED AS FOLLOWS:  THE NORTHERLY 18 FEET OF SAID LOT 18 AS MEASURED PERPENDICULAR TO THE NORTHERLY LINE THEREOF AND (EXCEPT THE WEST 150 00 FEET THEREOF), IN COOK COUNTY, ILLINOIS
 
CONTAINING 3,258 SQUARE FEET MORE OR LESS OR 0.075 ACRES MORE OR LESS.
 
 
 
 
4
 
 
 
am;/ to VF0Or.R PRICE P c 222 N LuSALLE S1RLL I CHICCO. ILLINOIS 60601 AT IN   DANIELLE CASSLL
 
ILLINOIS PROFESSIONAL DESIGN FIRM LICENSt. NUMBER 184 002000 EXPIRES APRIL 30. 2015
 
 
 
 
CDOT# 13-05-13-3601
 
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CHRISTIAN-ROGE & ASSOC., ]NC 211  WEST WACKER DRIVE CHICAGO,ILLINOIS 60G06 (312)372-2023 FAX(312)372-5274
UtEPtKED TOR.
SOLSTICE ON THE PARK, LLC 32 N   DEAN STREET, 2nd FLOOR ENGLEWOOD, NJ 07631 201-511-8003
 
PLAT OF DEDICATION    EAST 181'
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EXHIBIT "A'
Plat of Dedication
OF AN EAST-WEST 18 FOOT WIDE PUBLIC ALLEY
 
MAIL TO VEDDER PRICE P C 222 N LoSALLE S1REE1 CHICCO. ILLINOIS 60601 ATTN  DANIELLE CASSEL
 
 
NOTES
  1. FOR BUILDING LINES. EASEMLNI'S AND OTHER RESTRICTIONS NOT SHOWN HEREON RErER TO YOUR DEED. TITLE POL ICY, ZONING ORDINANCE, ETC
  2. THE BASIS Of BEARING IS ASSJMED COMPARE ALL POINTS BEFORE BUU'J.NG AND REPORT ANY DEFERENCE AT ONCE
  3. ALL LOT CORNERS HAVE BEEN SET, FOUND OR OFF SET
1) NO DIMENSION SHOULD BE ASSUMED BY SCALE MEASUREMENT
  1. THE FIELD NOTES FOR THIS SURVEY WERE COMPLETED ON JUNE 14, 2013 EY SCOTT QUINN OF THIS OFFICE
  2. SUBJECT PARCFI IS ZONED PD 282 '/) ALL LINES ARF PROPERTY, DEED OR CALLS FROM THE LEGAL DESCRIPTION UNLESS OTHERWISE NOTED
LEGEND
D-    INDICATES DEED DISTANCE M-R    INDICATES MEASURED DISTANCE EOUAlS RTCORD DISTANCE BOLD U   INDICATES RECORD DISTANCE
U L     INDICATES UTILITY EASEMENT
NE    INDICATES NORTHEASTERLY DIRECTION
:'D CROSS  INDICATES FOUND CUT CROSS
FP    INDICATES FOUND .RON PIPE
SlP    INDICATES SET IRON PIPE
INDICA1ES AREA TO BE VACATED
INDICATES AREA TO BE OPENED FOR PUBLIC ALLEY
INDICATFS AREA TO BE DEDICATED FOR PUBLIC ALLEY
INDICATES TRAFFIC DIRECTION INDICATES CENTER LINE INDCATES PROPERTY LINE INDICATES FENCE LINE
 
 
SI ATE OF ILLINOIS \ COUNTY OF COOK 5 bi
TH'S IS TO CERTIFY THAT SClSUCE ON VE PARK. 1.1 C, A DELAWARE LIMITED LIABILITY COMPANY :s THE RECORD OWNER OF THE LAND 0ESCR.6ED HEREON AS SUBDIVIDED, STAKED AND PLATTED AS SHOWN HEREON, I OR THE PURPOSE OF HAVING THIS PIA1 RECORDED,
BY   AL SOLSTICE ON THE PARK, LLC, A DELAWARE LIMITED LIABILITY COMPANY ITS MANAGER
BY   ANTHEUS CAPITAL. LLC, A NEW Ji.RSEY LIMNED LIABILITY COMPANY ITS   MEM3ER—MANAGER
BY
ENGLEWOOD.
NAME   DAVID H GE~FSKV I IS   MANAGING MEMBER ADDRESS   32 NOR Hi DEAN S'i NEW JERSEY 07631
NOTARY'S CERTIFICATE
STATE OF NEW JERSEV ? „ COUNTY OF BFRCEN     5 3J
I, A NOTARY PUBLIC, IN AND FOR THE COUNTY AND STATE AFORESAID, DO HEREBY CERTIFY IHA1 DAVID II GEFSKY, PERSONALLY KNOWN TO BE THE SAME PERSON WHOSE NAME IS SUBSCRIBED TO THE FOREGOING INSTRUMENT ON BEHALF OF SOLSTICE ON THE PARK (OWNER), APPEARED BErORE ME THIS DAY IN PERSON AND ACKNOWLEDGED ^HAl HE SIGNED AND DELIVERED THE ANNEXED PLAT AS THE "REE AND VOLUNTARY AC i OF SAID OWNER AND AS HIS OWN FREE ' AND VOLUNTARY ACT, FOR THE USES AND PURPOSES THEREIN SET FORTH
GIVEN UNDER MY HAND AND NOTARIAL SEAL  iHIS
 
DAY OF
INDICATES BUILDING
 
LOT#
P   I N
ZONING
17
20-13-100-006
PD 282
18 WPT
20-13-100-016
RM-h
18 CPT
20-13-100-017
PD 2S2
19 WPT
20-13-100-008
RM-5
19 E.PT
20-13-100-009
PD 282
23-26
20-13-100-013
I'D 282
22
20-13-100-012
RM-5
21
20-13-100-011
RM-5
2.0
20-13-100-010
RM-5
1
20-1-1-206-002
RM-5
18 WPT= LOT 18 WESTERLY PART
19 E PT= LOT 19 EASTERLY PART
STATE OF ILLINOIS ! „ COUNTY OF COOK >
WE, CHRISTIAN-ROGE AND ASSOC'ATS. INC HAVE SURVEYED THE ABOVE DESCRIBED PROPERTY UNDER THE DIRECIION OF A PROFESSIONAL LAND SURVEYOR AND THAT SAID SURVEY CONFORMS TO THE CURRENT ILLINOIS MINIMUM STANDARDS FOR A BOUNDARY SURVEY ALL DIMENSIONS ARE IN FEE1 AND DECIMALS PARTS THEREOF
 
DAY
11:
 
TlLINOIS PROFESSIONAL LANE II 035 00298-1 LXP RES V. 730/2011
 
NOTARY PUBLIC
MY COMMISSION EXPIRES
IN CHICAGO. ILLINOIS THIS OF JUNE AD, 2013
 
CDOT# 13-05-13-3601
 
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CHRISTIAN-ROGE & ASSOC., INC. 211 WEST WACKER DRIVE CHICAGO,ILLINOIS G060B (312)372-2023 FAX(312)372-5274
SOLSTICE ON THE PARK, LLC 32 N  DEAN STREET, 2nd FLOOR ENGLEWOOD, NJ 07631 201-511-8003
 
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EXHIBIT "B"
Plat of Vacation
OF THAT PART OF AN LAS1-WEST 16 FOOT W:DE PUBLIC ALLEY
LYING IN PART OF BLOCK 1 AND ADJACENT TO LOTS 19 (EXCEPT THE WEST 131 FEET), 23, 24. 25 AND 26 IN BLOCK 1 OF ILLINOIS CENTRAL SUBDIVISION OF THE WEST PART OF THE SOUTHWEST 14 09 ACRES IN THE FRACTIONAL SOUTHWEST 1/4 OF SECTION 12 AND THE WEST PART OF THE NORTHWEST 17 93 ACRES IN THE FRACTIONAL NORTHWES1  1/4 OF SECTION 13. TOWNSHP 38 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN. ACCORDING TO PLAT THEREOF REGISTERED IN 1HE OFFICE OF THE REGISTRAR OF TITLE OF COOK COUNTY. ILJNOiS ON JUNE 1, 1683, AS DOCUMENT NUMBER 472550 DESCRIBED AS FOLLOWS BEGINNING Al  THE NORTHEAST CORNER OF LOT 26 OF BLOCK 1  IN SAID ILLINOIS CENTRAL SUBDIVISION, THENCE SOUTH 89"59'34" WEST ALONG THE NORTH LINE OF LOTS 23 TO 26 INCLUSIVE, A DIS1ANCE OF 200 05 FEET (MEAS) TO THE NORTHWEST CORNER OF LOT 23 Or BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION ALSO BEING THE NORTHEAST CORNER OF LOT 22 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION,  THENCE NORTHERLY TO THE INTERSECTION OF THE NORTHERLY EXIENSION OF THE WEST LINE OF LOT 23 OF BLOCK 1 OF SAID ILLINOIS CENTRAL SUBDIVISION, ALSO BEING HI.  NORTHERLY EXTENSION OF THE EAST LINE OF LOT 22 OF BLOCK 1 OF SAID ILLINOIS CENTRAL SUBDIVISION TO THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION SAID INTERSECTION BEING 131 00 FEET EAST OF THE SOUTHWEST CORNER OF SAID LOT 19 01   BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION, A DISTANCE OF 16 00 FEET,  THENCE NORTH 89'59'34" EAS1 ALONG THE SOUTH LINE OF LOT 19 OF BIOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION. A DISTANCE OF 19.00 FEET TO THE EAST LINE OF THE WEST 150 FEET OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION, THENCE CONTINUING NORTH 89'59'34" EAST ALONG THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SA;D ILLINOIS CENTRAI   SUBDIVISION TO THE WEST RIGH1 Of WAY OF SOUTH CORNELL AVENUE, A DISTANCE OF 181 05 F£ET (MEAS),  THENCE SOUTH 00"06'59" EAST ALONG THE WEST RIGHT OF WAY OF SOUTH' CORNELL AVENUE, A DISTANCE OF 16 00 FEET TO  THE POINT OF BEGINNING, ALL IN COOK COUNTY, ILLINOIS
 
CONTAINING    3.201 SQUARE FEET MORE OR LESS OR 0 074 ACRES MORE OR LESS
EASTERLY CROSS
 
MAIL TO VEDDER PRICE P C 2?2 N LoSALLE STREET CHICCO. IlLINOIS 60601 ATTN   DANIELLE CASSEI.
 
ILLINOIS PROFESSIONAL DESIGN FIRM LICENSE NUMBER 184 002000 EXPIRES APRIL JO. 2015
 
CDOT# 13-05-13-3601
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SOLSTICE ON THE PARK, LLC 32 N  DEAN STREET, 2nd FLOOR ENGLEWOOD, NJ 07631 201-541-8003
 
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1COMMERCIAL ORDINANCE
 
 
WHEREAS, the City of Chicago ("City") is a home rule unit of local government pursuant to Article VII, Section 6 (a) of the 1970 constitution of the State of Illinois and, as such, may exercise any power and perform any function pertaining to its government and affairs; and
 
 
WHEREAS, the properties at 5530-5540 & 5542-5558 S. Cornell Avenue, and 1604-1624 E.56th Street are owned by Solstice on the Park, LLC, a Delaware limited liability company, licensed to transact business in Illinois; and
 
 
WHEREAS, Solstice on the Park, LLC proposes to use the portion of the alley to be vacated herein for assembly of a larger parcel for future development located in the vicinity of the Bret Harte Elementary School, a magnet Chicago Public School (the "School"); and
 
 
WHEREAS, the City Council of the City of Chicago, after due investigation and consideration, has determined that the nature and extent of the public use and the public interest to be subserved is such as to warrant the vacation and dedication of those parts of the public alleys, described in the following ordinance; now therefore,
 
 
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
 
 
SECTION 1. EXHIBIT "A" DEDICATION OF AN EAST-WEST 18 FOOT WIDE PUBLIC ALLEY
 
LYING IN LOT 18 IN BLOCK 1 OF ILLINOIS CENTRAL SUBDIVISION OF THE WEST PART OF THE SOUTHWEST 14.09 ACRES IN THE FRACTIONAL SOUTHWEST 1/4 OF SECTION 12 AND THE WEST PART OF THE NORTHWEST 17.93 ACRES IN THE FRACTIONAL NORTHWEST 1/4 OF SECTION 13, TOWNSHIP 38 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN, ACCORDING TO PLAT THEREOF REGISTERED IN THE OFFICE OF THE REGISTRAR OF TITLE OF COOK COUNTY, ILLINOIS ON JUNE 1, 1883, AS DOCUMENT NUMBER 472550 DESCRIBED AS FOLLOWS: THE NORTHERLY 18 FEET OF SAID LOT 18 AS MEASURED PERPENDICULAR TO THE NORTHERLY LINE THEREOF AND (EXCEPT THE WEST 150.00 FEET THEREOF), IN COOK COUNTY, ILLINOIS,
 
EXHIBIT "B"
VACATION OF THAT PART OF AN EAST-WEST 16 FOOT WIDE PUBLIC ALLEY
 
LYING IN PART OF BLOCK 1 AND ADJACENT TO LOTS 19 (EXCEPT THE WEST 131 FEET), 23, 24, 25 AND 26 IN BLOCK 1 OF ILLINOIS CENTRAL SUBDIVISION OF THE WEST PART OF THE SOUTHWEST 14.09 ACRES IN THE FRACTIONAL SOUTHWEST 1/4 OF SECTION 12 AND THE WEST PART OF THE NORTHWEST 17.93 ACRES IN THE FRACTIONAL NORTHWEST 1/4 OF SECTION 13, TOWNSHIP 38 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN, ACCORDING TO PLAT THEREOF REGISTERED IN THE OFFICE OF THE REGISTRAR OF TITLE OF COOK COUNTY, ILLINOIS ON JUNE 1, 1883, AS DOCUMENT
 
Page 1
 
 
NUMBER 472550 DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHEAST CORNER OF LOT 26 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION; THENCE SOUTH 89059'34" WEST ALONG THE NORTH LINE OF LOTS 23 TO 26 INCLUSIVE, A DISTANCE OF 200.05 FEET (MEAS) TO THE NORTHWEST CORNER OF LOT 23 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION ALSO BEING THE NORTHEAST CORNER OF LOT 22 OF BLOCK 11N SAID ILLINOIS CENTRAL SUBDIVISION; THENCE NORTHERLY TO THE INTERSECTION OF THE NORTHERLY EXTENSION OF THE WEST LINE OF LOT 23 OF BLOCK 1 OF SAID ILLINOIS CENTRAL SUBDIVISION, ALSO BEING THE NORTHERLY EXTENSION OF THE EAST LINE OF LOT 22 OF BLOCK 1 OF SAID ILLINOIS CENTRAL SUBDIVISION TO THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION SAID INTERSECTION BEING 131.00 FEET EAST OF THE SOUTHWEST CORNER OF SAID LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION, A DISTANCE OF 16.00 FEET; THENCE NORTH 89059'34" EAST ALONG THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION, A DISTANCE OF 19.00 FEET TO THE EAST LINE OF THE WEST 150 FEET OF LOT 19 OF BLOCK 11N SAID ILLINOIS CENTRAL SUBDIVISION; THENCE CONTINUING NORTH 89°59'34" EAST ALONG THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION TO THE WEST RIGHT OF WAY OF SOUTH CORNELL AVENUE, A DISTANCE OF 181.05 FEET (MEAS); THENCE SOUTH 00o06'59" EAST ALONG THE WEST RIGHT OF WAY OF SOUTH CORNELL AVENUE, A DISTANCE OF 16.00 FEET TO THE POINT OF BEGINNING, ALL IN COOK COUNTY, ILLINOIS, as shaded and legally described by the words "HEREBY VACATED" on the plat hereto attached as Exhibit B, which drawing for greater clarity, is hereby made a part of this ordinance, be and the same is hereby vacated, inasmuch as the same is no longer required for public use and the public interest will be subserved by such vacation; and a new alley will be dedicated for public use shaded and legally described by the words "HEREBY DEDICATED" on the plat hereto attached as Exhibit A, which drawing for greater clarity, is hereby also made a part of this ordinance.
 
 
SECTION 2. The City of Chicago hereby reserves for the benefit of Commonwealth Edison its successors or assigns, a non-exclusive utility easement to operate, maintain, construct, replace and renew overhead wires, poles, and associated equipment and underground conduit, cables, and associated equipment for the transmission and distribution of electrical energy, telephonic and associated services under, over and along the alleys herein vacated, with the right of ingress and egress. The grade of the vacated public ways shall not be altered in a manner so as to interfere with the operation and maintenance of Commonwealth Edison's facilities. No buildings, permanent structures or obstructions shall be placed over Commonwealth Edison's facilities without written release of easement by Commonwealth Edison. Any future vacation-beneficiary prompted relocation of Commonwealth Edison's facilities lying within the area being vacated will be accomplished by Commonwealth Edison and done at the expense of beneficiary of the vacation.
 
 
SECTION 3. The vacation herein provided for is made upon the express condition that within 180 days after the passage of this ordinance, Solstice on the Park, LLC shall deposit in the City Treasury of the City of Chicago, a sum sufficient to defray the costs of removing paving and curb returns in the areas being vacated, and constructing alley, sidewalk and curb at the entrance to that part of the new alley being dedicated (the "Dedicated New Alley"), in accordance with current City right of way construction standards.
 
 
 
 
Page 2
 
 
SECTION 4. The vacation herein provided for is made upon the express condition that Solstice on the Park, LLC shall, at its sole cost and expense, remove paving and curb returns in the areas being vacated, and construct the Dedicated New Alley, sidewalk and curb at the entrance to that part of the Dedicated New Alley, in accordance with current City right of way construction standards, after the passage of this ordinance.
 
 
SECTION 5. The vacation herein provided for is made upon the express condition that after the passage of this ordinance, Solstice on the Park, LLC shall comply with its duties and obligations to the City and Board of Education of the City of Chicago (the "Board") for the School Improvements (the "School Improvements") to the School, as more fully set forth in an Intergovernmental Agreement by and between the City and Board for such School Improvements (the "Bret Harte Intergovernmental Agreement"), which is subject to the City Council for the City of Chicago approving and authorizing Bret Harte Intergovernmental Agreement, as compensation for the benefits which will accrue to Solstice on the Park, LLC as the owner of the property abutting the areas hereby vacated, which in the judgment of this body, when combined with the other benefits to the City and the Board of the Dedicated New Alley and the School Improvements, shall be equal to or greater than such benefits as accrue to the City of Chicago and Board in association with the Dedicated New Alley and the School Improvements for the Bret Harte Elementary School.
 
SECTION 6. The Commissioner of the City of Chicago's Department of Transportation or any designee of the Commissioner is hereby authorized to accept, subject to approval of the Corporation Counsel as to form and legality, on behalf of the City of Chicago, the benefits of a special warranty deed substantially in the form attached hereto as Exhibit C (the "Reconveyance Deed") and in recordable form, from Solstice on the Park, LLC, its successors and/or assigns as grantors ("Grantors"), and naming the City as grantee ("Grantee"), for the public way being vacated, or any portion thereof, by this ordinance securing the Grantors completion of the Dedicated New Alley and the School Improvements. Grantee shall have the right to record the Reconveyance Deed and to re-enter and take possession of the public way being vacated, or any portion thereof, terminate the estate, or any portion thereof, conveyed to the Grantors and revest title to the public way being vacated, or any portion, in the Grantee only upon Grantors' failure to cure, within 30 days after written notice thereof from Grantee, any breach of the terms and conditions of any of the School Improvements. Upon satisfaction in full of the Dedicated New Alley and the School Improvements, Grantee shall have no further right to record the Reconveyance Deed, which shall promptly be returned unrecorded to Grantors. If the Reconveyance Deed is recorded by the Grantee, Grantors shall be responsible for all real estate taxes and assessments which accrued during the period the vacated public way, or any portion thereof, was owned by Grantors. Grantors will cooperate with the Grantee to ensure that should the Grantee record the Reconveyance Deed, such recording is effective for the purposes of transferring title to the vacated public way, or any portion thereof, to the Grantee by executing any customary transfer documents.
 
SECTION 7. The vacation herein provided for is made upon the express condition that within one hundred eighty (180) days after the passage of this ordinance, Solstice on the Park, LLC shall file or cause to be filed for record in the Office of the Recorder of Deeds of Cook County, Illinois a certified copy of this ordinance, together with an attached plats of vacation and dedication as approved by the Superintendent of Maps and Plats.
 
 
 
Page 3
 
SECTION 8. This ordinance shall take effect and be in force from and after its passage. The vacation shall take effect and be in force from and after its recording.
 
 
Vacation Approved:
 
 
 
 
tebekah Scheinfeld Commissioner of Transportation
 
Approved as to Form and Leg
 
Richard Wendy Deputy Corporation Coun^
 
 
rable Leslie Alderman, 5th Ward
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Page 4
 
EXHIBIT "A':
Plat of Dedication
 
 
r = jo
BMW PLOTTED ON 24x36 PAPER
OF AN EAST-WEST 18 FOOT WIDE PUBLIC ALLEY
LYING IN LOT 18 IN BLOCK 1 OF ILLINOIS CENTRAL SUBDIVISION OF THE WEST PART OF THE SOUTHWEST 14.09 ACRES IN THE FRACTIONAL SOUTHWEST 1/4 OF SECTION 12 AND THE WEST PART OF THE NORTHWEST 17 93 ACRES IN THE FRACTIONAL NORTHWEST 1/4 OF SECTION 13, TOWNSHIP 38 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN, ACCORDING TO PI AT THEREOF REGISTERED IN THE OFFICE OF THE REGISTRAR OF 'HUE OF COOK COUNTY, ILUNOIS ON JUNE 1, 1883, AS DOCUMENT NUMBER 472550 DESCRIBED AS FOLLOWS:  THE NORTHERLY 18 FEET OF SAID LOT 18 AS MEASURED PERPENDICULAR TO THE NORTHERLY LINE THEREOF AND (EXCEPT THE WEST 150 00 FEET THEREOF), IN COOK COUNTY, ILLINOIS
 
CONTAINING 3,258 SQUARE FEET MORE OR LESS OR 0.075 ACRES MORE OR LESS.
 
 
 
 
4
 
 
 
am;/ to VF0Or.R PRICE P c 222 N LuSALLE S1RLL I CHICCO. ILLINOIS 60601 AT IN   DANIELLE CASSLL
 
ILLINOIS PROFESSIONAL DESIGN FIRM LICENSt. NUMBER 184 002000 EXPIRES APRIL 30. 2015
 
 
 
 
CDOT# 13-05-13-3601
 
CR
 
CHRISTIAN-ROGE & ASSOC., ]NC 211  WEST WACKER DRIVE CHICAGO,ILLINOIS 60G06 (312)372-2023 FAX(312)372-5274
UtEPtKED TOR.
SOLSTICE ON THE PARK, LLC 32 N   DEAN STREET, 2nd FLOOR ENGLEWOOD, NJ 07631 201-511-8003
 
PLAT OF DEDICATION    EAST 181'REVISIONS14-11-10RFWSID NDuENCLATUfiE10W-iO-i-COOT Bttft* /IJn-:»-ilLABLL * Ui'DAIE•j-a*-uUPDATED * CERTIFICATION1J-J1-13COOI HCV.FWJ
V \17-053\0210U_CDOT icviow\Dedication\l2-05.3 H nec.cct.on 0710M dwg
 
EXHIBIT "A'
Plat of Dedication
OF AN EAST-WEST 18 FOOT WIDE PUBLIC ALLEY
 
MAIL TO VEDDER PRICE P C 222 N LoSALLE S1REE1 CHICCO. ILLINOIS 60601 ATTN  DANIELLE CASSEL
 
 
NOTES
  1. FOR BUILDING LINES. EASEMLNI'S AND OTHER RESTRICTIONS NOT SHOWN HEREON RErER TO YOUR DEED. TITLE POL ICY, ZONING ORDINANCE, ETC
  2. THE BASIS Of BEARING IS ASSJMED COMPARE ALL POINTS BEFORE BUU'J.NG AND REPORT ANY DEFERENCE AT ONCE
  3. ALL LOT CORNERS HAVE BEEN SET, FOUND OR OFF SET
1) NO DIMENSION SHOULD BE ASSUMED BY SCALE MEASUREMENT
  1. THE FIELD NOTES FOR THIS SURVEY WERE COMPLETED ON JUNE 14, 2013 EY SCOTT QUINN OF THIS OFFICE
  2. SUBJECT PARCFI IS ZONED PD 282 '/) ALL LINES ARF PROPERTY, DEED OR CALLS FROM THE LEGAL DESCRIPTION UNLESS OTHERWISE NOTED
LEGEND
D-    INDICATES DEED DISTANCE M-R    INDICATES MEASURED DISTANCE EOUAlS RTCORD DISTANCE BOLD U   INDICATES RECORD DISTANCE
U L     INDICATES UTILITY EASEMENT
NE    INDICATES NORTHEASTERLY DIRECTION
:'D CROSS  INDICATES FOUND CUT CROSS
FP    INDICATES FOUND .RON PIPE
SlP    INDICATES SET IRON PIPE
INDICA1ES AREA TO BE VACATED
INDICATES AREA TO BE OPENED FOR PUBLIC ALLEY
INDICATFS AREA TO BE DEDICATED FOR PUBLIC ALLEY
INDICATES TRAFFIC DIRECTION INDICATES CENTER LINE INDCATES PROPERTY LINE INDICATES FENCE LINE
 
 
SI ATE OF ILLINOIS \ COUNTY OF COOK 5 bi
TH'S IS TO CERTIFY THAT SClSUCE ON VE PARK. 1.1 C, A DELAWARE LIMITED LIABILITY COMPANY :s THE RECORD OWNER OF THE LAND 0ESCR.6ED HEREON AS SUBDIVIDED, STAKED AND PLATTED AS SHOWN HEREON, I OR THE PURPOSE OF HAVING THIS PIA1 RECORDED,
BY   AL SOLSTICE ON THE PARK, LLC, A DELAWARE LIMITED LIABILITY COMPANY ITS MANAGER
BY   ANTHEUS CAPITAL. LLC, A NEW Ji.RSEY LIMNED LIABILITY COMPANY ITS   MEM3ER—MANAGER
BY
ENGLEWOOD.
NAME   DAVID H GE~FSKV I IS   MANAGING MEMBER ADDRESS   32 NOR Hi DEAN S'i NEW JERSEY 07631
NOTARY'S CERTIFICATE
STATE OF NEW JERSEV ? „ COUNTY OF BFRCEN     5 3J
I, A NOTARY PUBLIC, IN AND FOR THE COUNTY AND STATE AFORESAID, DO HEREBY CERTIFY IHA1 DAVID II GEFSKY, PERSONALLY KNOWN TO BE THE SAME PERSON WHOSE NAME IS SUBSCRIBED TO THE FOREGOING INSTRUMENT ON BEHALF OF SOLSTICE ON THE PARK (OWNER), APPEARED BErORE ME THIS DAY IN PERSON AND ACKNOWLEDGED ^HAl HE SIGNED AND DELIVERED THE ANNEXED PLAT AS THE "REE AND VOLUNTARY AC i OF SAID OWNER AND AS HIS OWN FREE ' AND VOLUNTARY ACT, FOR THE USES AND PURPOSES THEREIN SET FORTH
GIVEN UNDER MY HAND AND NOTARIAL SEAL  iHIS
 
DAY OF
INDICATES BUILDING
 
LOT#P   I NZONING1720-13-100-006PD 28218 WPT20-13-100-016RM-h18 CPT20-13-100-017PD 2S219 WPT20-13-100-008RM-519 E.PT20-13-100-009PD 28223-2620-13-100-013I'D 2822220-13-100-012RM-52120-13-100-011RM-52.020-13-100-010RM-5120-1-1-206-002RM-518 WPT= LOT 18 WESTERLY PART19 E PT= LOT 19 EASTERLY PARTSTATE OF ILLINOIS ! „ COUNTY OF COOK >
WE, CHRISTIAN-ROGE AND ASSOC'ATS. INC HAVE SURVEYED THE ABOVE DESCRIBED PROPERTY UNDER THE DIRECIION OF A PROFESSIONAL LAND SURVEYOR AND THAT SAID SURVEY CONFORMS TO THE CURRENT ILLINOIS MINIMUM STANDARDS FOR A BOUNDARY SURVEY ALL DIMENSIONS ARE IN FEE1 AND DECIMALS PARTS THEREOF
 
DAY
11:
 
TlLINOIS PROFESSIONAL LANE II 035 00298-1 LXP RES V. 730/2011
 
NOTARY PUBLIC
MY COMMISSION EXPIRES
IN CHICAGO. ILLINOIS THIS OF JUNE AD, 2013
 
CDOT# 13-05-13-3601
 
plat of dedication east iei"
CR
HFV1SIOWS
E VISED NOMENCLATURE
ABU * UPDHTF
UPDATED * CERTil
COOT REV.Ew
( SHEET NO
2
 
s.o 07-00:
CHRISTIAN-ROGE & ASSOC., INC. 211 WEST WACKER DRIVE CHICAGO,ILLINOIS G060B (312)372-2023 FAX(312)372-5274
SOLSTICE ON THE PARK, LLC 32 N  DEAN STREET, 2nd FLOOR ENGLEWOOD, NJ 07631 201-511-8003
 
V \12-053\021O14_CDOT review\Dodicalion\12-Ob'i •-: Dedication 021011 dwg
 
 
EXHIBIT "B"
Plat of Vacation
OF THAT PART OF AN LAS1-WEST 16 FOOT W:DE PUBLIC ALLEY
LYING IN PART OF BLOCK 1 AND ADJACENT TO LOTS 19 (EXCEPT THE WEST 131 FEET), 23, 24. 25 AND 26 IN BLOCK 1 OF ILLINOIS CENTRAL SUBDIVISION OF THE WEST PART OF THE SOUTHWEST 14 09 ACRES IN THE FRACTIONAL SOUTHWEST 1/4 OF SECTION 12 AND THE WEST PART OF THE NORTHWEST 17 93 ACRES IN THE FRACTIONAL NORTHWES1  1/4 OF SECTION 13. TOWNSHP 38 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN. ACCORDING TO PLAT THEREOF REGISTERED IN 1HE OFFICE OF THE REGISTRAR OF TITLE OF COOK COUNTY. ILJNOiS ON JUNE 1, 1683, AS DOCUMENT NUMBER 472550 DESCRIBED AS FOLLOWS BEGINNING Al  THE NORTHEAST CORNER OF LOT 26 OF BLOCK 1  IN SAID ILLINOIS CENTRAL SUBDIVISION, THENCE SOUTH 89"59'34" WEST ALONG THE NORTH LINE OF LOTS 23 TO 26 INCLUSIVE, A DIS1ANCE OF 200 05 FEET (MEAS) TO THE NORTHWEST CORNER OF LOT 23 Or BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION ALSO BEING THE NORTHEAST CORNER OF LOT 22 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION,  THENCE NORTHERLY TO THE INTERSECTION OF THE NORTHERLY EXIENSION OF THE WEST LINE OF LOT 23 OF BLOCK 1 OF SAID ILLINOIS CENTRAL SUBDIVISION, ALSO BEING HI.  NORTHERLY EXTENSION OF THE EAST LINE OF LOT 22 OF BLOCK 1 OF SAID ILLINOIS CENTRAL SUBDIVISION TO THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION SAID INTERSECTION BEING 131 00 FEET EAST OF THE SOUTHWEST CORNER OF SAID LOT 19 01   BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION, A DISTANCE OF 16 00 FEET,  THENCE NORTH 89'59'34" EAS1 ALONG THE SOUTH LINE OF LOT 19 OF BIOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION. A DISTANCE OF 19.00 FEET TO THE EAST LINE OF THE WEST 150 FEET OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION, THENCE CONTINUING NORTH 89'59'34" EAST ALONG THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SA;D ILLINOIS CENTRAI   SUBDIVISION TO THE WEST RIGH1 Of WAY OF SOUTH CORNELL AVENUE, A DISTANCE OF 181 05 F£ET (MEAS),  THENCE SOUTH 00"06'59" EAST ALONG THE WEST RIGHT OF WAY OF SOUTH' CORNELL AVENUE, A DISTANCE OF 16 00 FEET TO  THE POINT OF BEGINNING, ALL IN COOK COUNTY, ILLINOIS
 
CONTAINING    3.201 SQUARE FEET MORE OR LESS OR 0 074 ACRES MORE OR LESS
EASTERLY CROSS
 
MAIL TO VEDDER PRICE P C 2?2 N LoSALLE STREET CHICCO. IlLINOIS 60601 ATTN   DANIELLE CASSEI.
 
ILLINOIS PROFESSIONAL DESIGN FIRM LICENSE NUMBER 184 002000 EXPIRES APRIL JO. 2015
 
CDOT# 13-05-13-3601
PARCEL Gtff
 
V. \12-053\122513...CDOT rcview\l 2-053 Vacation G 021014.dwg
T-TjTT CHRISTIAN-ROGE & ASSOC., INC.
^K      211 WEST WACKER DRIVE
CH1CACO.ILLINOIS 6060G (312)372-2023 FAX(312)372-527<I
Bur»*joi
prep axed roK
SOLSTICE ON THE PARK, LLC 32 N  DEAN STREET, 2nd FLOOR ENGLEWOOD, NJ 07631 201-541-8003
 
f      Drawn *t       Â£J2                  Clucked "r          *D                   Kcmlr.    1 -Jo \
PLAT OF VACATION EASTREVISIONS-5■07      spi.it w*a : paactsi»TMi£3 KK C1.TNI
 
HLWS[ UObCHaATURIB7-24-1J.irzniD 4 cmriFijAAt*i
 
PARCEL     LEGAL t LADF.L
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EXHIBIT "B"
Plat of Vacation
OF THAT PART OF A 16 FOOT WIDE PUBLIC ALLEY
 
 
 
MAIL TO. VEDDER PRICE P C 222 N LoSAlll. STREET CHICGO. II.IINOI5 60501 ATTN   DANILLLL CASSFl
 
■NOTES
  1. FOR BUILDING LINES. I ASEMENTS AND OTHER RESTRICTIONS NOT SHOWN HEREON REFER TO YOUR DEED, TITLE POLICY, ZONING ORDINANCE. ETC
  2. THE BASIS OF BEARING IS ASSUMED COMPARE ALL POINTS BEFORE BUILDING AND REPORT ANY DIFFERENCE AT ONCE
  3. ALL. LOT CORNERS HAVE BEEN SET, FOUND OR OFr SET.
  4. NO DIMENSION SHOULD BE ASSUMED BY SCALE MEASUREMENT.
  5. THE FIELD NOTES FOR THIS SURVEY WERE COMPLETED ON JUNE 14, 2013 BY SCOTT OUINN OF THIS OFFICE
  6. SUBJECT PARCEL IS ZONED PD 282
  7. ALL LINES ARE PROPERTY, DEED OR CALLS FROM THE LEGAL DESCRIPTION UNLESS OTHERWISE NOTLD.
 
LOT# 17
P   1 N
ZONING
PD 282
 
1COMMERCIAL ORDINANCE
 
 
WHEREAS, the City of Chicago ("City") is a home rule unit of local government pursuant to Article VII, Section 6 (a) of the 1970 constitution of the State of Illinois and, as such, may exercise any power and perform any function pertaining to its government and affairs; and
 
 
WHEREAS, the properties at 5530-5540 & 5542-5558 S. Cornell Avenue, and 1604-1624 E.56th Street are owned by Solstice on the Park, LLC, a Delaware limited liability company, licensed to transact business in Illinois; and
 
 
WHEREAS, Solstice on the Park, LLC proposes to use the portion of the alley to be vacated herein for assembly of a larger parcel for future development located in the vicinity of the Bret Harte Elementary School, a magnet Chicago Public School (the "School"); and
 
 
WHEREAS, the City Council of the City of Chicago, after due investigation and consideration, has determined that the nature and extent of the public use and the public interest to be subserved is such as to warrant the vacation and dedication of those parts of the public alleys, described in the following ordinance; now therefore,
 
 
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
 
 
SECTION 1. EXHIBIT "A" DEDICATION OF AN EAST-WEST 18 FOOT WIDE PUBLIC ALLEY
 
LYING IN LOT 18 IN BLOCK 1 OF ILLINOIS CENTRAL SUBDIVISION OF THE WEST PART OF THE SOUTHWEST 14.09 ACRES IN THE FRACTIONAL SOUTHWEST 1/4 OF SECTION 12 AND THE WEST PART OF THE NORTHWEST 17.93 ACRES IN THE FRACTIONAL NORTHWEST 1/4 OF SECTION 13, TOWNSHIP 38 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN, ACCORDING TO PLAT THEREOF REGISTERED IN THE OFFICE OF THE REGISTRAR OF TITLE OF COOK COUNTY, ILLINOIS ON JUNE 1, 1883, AS DOCUMENT NUMBER 472550 DESCRIBED AS FOLLOWS: THE NORTHERLY 18 FEET OF SAID LOT 18 AS MEASURED PERPENDICULAR TO THE NORTHERLY LINE THEREOF AND (EXCEPT THE WEST 150.00 FEET THEREOF), IN COOK COUNTY, ILLINOIS,
 
EXHIBIT "B"
VACATION OF THAT PART OF AN EAST-WEST 16 FOOT WIDE PUBLIC ALLEY
 
LYING IN PART OF BLOCK 1 AND ADJACENT TO LOTS 19 (EXCEPT THE WEST 131 FEET), 23, 24, 25 AND 26 IN BLOCK 1 OF ILLINOIS CENTRAL SUBDIVISION OF THE WEST PART OF THE SOUTHWEST 14.09 ACRES IN THE FRACTIONAL SOUTHWEST 1/4 OF SECTION 12 AND THE WEST PART OF THE NORTHWEST 17.93 ACRES IN THE FRACTIONAL NORTHWEST 1/4 OF SECTION 13, TOWNSHIP 38 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN, ACCORDING TO PLAT THEREOF REGISTERED IN THE OFFICE OF THE REGISTRAR OF TITLE OF COOK COUNTY, ILLINOIS ON JUNE 1, 1883, AS DOCUMENT
 
Page 1
 
 
NUMBER 472550 DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHEAST CORNER OF LOT 26 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION; THENCE SOUTH 89059'34" WEST ALONG THE NORTH LINE OF LOTS 23 TO 26 INCLUSIVE, A DISTANCE OF 200.05 FEET (MEAS) TO THE NORTHWEST CORNER OF LOT 23 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION ALSO BEING THE NORTHEAST CORNER OF LOT 22 OF BLOCK 11N SAID ILLINOIS CENTRAL SUBDIVISION; THENCE NORTHERLY TO THE INTERSECTION OF THE NORTHERLY EXTENSION OF THE WEST LINE OF LOT 23 OF BLOCK 1 OF SAID ILLINOIS CENTRAL SUBDIVISION, ALSO BEING THE NORTHERLY EXTENSION OF THE EAST LINE OF LOT 22 OF BLOCK 1 OF SAID ILLINOIS CENTRAL SUBDIVISION TO THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION SAID INTERSECTION BEING 131.00 FEET EAST OF THE SOUTHWEST CORNER OF SAID LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION, A DISTANCE OF 16.00 FEET; THENCE NORTH 89059'34" EAST ALONG THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION, A DISTANCE OF 19.00 FEET TO THE EAST LINE OF THE WEST 150 FEET OF LOT 19 OF BLOCK 11N SAID ILLINOIS CENTRAL SUBDIVISION; THENCE CONTINUING NORTH 89°59'34" EAST ALONG THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION TO THE WEST RIGHT OF WAY OF SOUTH CORNELL AVENUE, A DISTANCE OF 181.05 FEET (MEAS); THENCE SOUTH 00o06'59" EAST ALONG THE WEST RIGHT OF WAY OF SOUTH CORNELL AVENUE, A DISTANCE OF 16.00 FEET TO THE POINT OF BEGINNING, ALL IN COOK COUNTY, ILLINOIS, as shaded and legally described by the words "HEREBY VACATED" on the plat hereto attached as Exhibit B, which drawing for greater clarity, is hereby made a part of this ordinance, be and the same is hereby vacated, inasmuch as the same is no longer required for public use and the public interest will be subserved by such vacation; and a new alley will be dedicated for public use shaded and legally described by the words "HEREBY DEDICATED" on the plat hereto attached as Exhibit A, which drawing for greater clarity, is hereby also made a part of this ordinance.
 
 
SECTION 2. The City of Chicago hereby reserves for the benefit of Commonwealth Edison its successors or assigns, a non-exclusive utility easement to operate, maintain, construct, replace and renew overhead wires, poles, and associated equipment and underground conduit, cables, and associated equipment for the transmission and distribution of electrical energy, telephonic and associated services under, over and along the alleys herein vacated, with the right of ingress and egress. The grade of the vacated public ways shall not be altered in a manner so as to interfere with the operation and maintenance of Commonwealth Edison's facilities. No buildings, permanent structures or obstructions shall be placed over Commonwealth Edison's facilities without written release of easement by Commonwealth Edison. Any future vacation-beneficiary prompted relocation of Commonwealth Edison's facilities lying within the area being vacated will be accomplished by Commonwealth Edison and done at the expense of beneficiary of the vacation.
 
 
SECTION 3. The vacation herein provided for is made upon the express condition that within 180 days after the passage of this ordinance, Solstice on the Park, LLC shall deposit in the City Treasury of the City of Chicago, a sum sufficient to defray the costs of removing paving and curb returns in the areas being vacated, and constructing alley, sidewalk and curb at the entrance to that part of the new alley being dedicated (the "Dedicated New Alley"), in accordance with current City right of way construction standards.
 
 
 
 
Page 2
 
 
SECTION 4. The vacation herein provided for is made upon the express condition that Solstice on the Park, LLC shall, at its sole cost and expense, remove paving and curb returns in the areas being vacated, and construct the Dedicated New Alley, sidewalk and curb at the entrance to that part of the Dedicated New Alley, in accordance with current City right of way construction standards, after the passage of this ordinance.
 
 
SECTION 5. The vacation herein provided for is made upon the express condition that after the passage of this ordinance, Solstice on the Park, LLC shall comply with its duties and obligations to the City and Board of Education of the City of Chicago (the "Board") for the School Improvements (the "School Improvements") to the School, as more fully set forth in an Intergovernmental Agreement by and between the City and Board for such School Improvements (the "Bret Harte Intergovernmental Agreement"), which is subject to the City Council for the City of Chicago approving and authorizing Bret Harte Intergovernmental Agreement, as compensation for the benefits which will accrue to Solstice on the Park, LLC as the owner of the property abutting the areas hereby vacated, which in the judgment of this body, when combined with the other benefits to the City and the Board of the Dedicated New Alley and the School Improvements, shall be equal to or greater than such benefits as accrue to the City of Chicago and Board in association with the Dedicated New Alley and the School Improvements for the Bret Harte Elementary School.
 
SECTION 6. The Commissioner of the City of Chicago's Department of Transportation or any designee of the Commissioner is hereby authorized to accept, subject to approval of the Corporation Counsel as to form and legality, on behalf of the City of Chicago, the benefits of a special warranty deed substantially in the form attached hereto as Exhibit C (the "Reconveyance Deed") and in recordable form, from Solstice on the Park, LLC, its successors and/or assigns as grantors ("Grantors"), and naming the City as grantee ("Grantee"), for the public way being vacated, or any portion thereof, by this ordinance securing the Grantors completion of the Dedicated New Alley and the School Improvements. Grantee shall have the right to record the Reconveyance Deed and to re-enter and take possession of the public way being vacated, or any portion thereof, terminate the estate, or any portion thereof, conveyed to the Grantors and revest title to the public way being vacated, or any portion, in the Grantee only upon Grantors' failure to cure, within 30 days after written notice thereof from Grantee, any breach of the terms and conditions of any of the School Improvements. Upon satisfaction in full of the Dedicated New Alley and the School Improvements, Grantee shall have no further right to record the Reconveyance Deed, which shall promptly be returned unrecorded to Grantors. If the Reconveyance Deed is recorded by the Grantee, Grantors shall be responsible for all real estate taxes and assessments which accrued during the period the vacated public way, or any portion thereof, was owned by Grantors. Grantors will cooperate with the Grantee to ensure that should the Grantee record the Reconveyance Deed, such recording is effective for the purposes of transferring title to the vacated public way, or any portion thereof, to the Grantee by executing any customary transfer documents.
 
SECTION 7. The vacation herein provided for is made upon the express condition that within one hundred eighty (180) days after the passage of this ordinance, Solstice on the Park, LLC shall file or cause to be filed for record in the Office of the Recorder of Deeds of Cook County, Illinois a certified copy of this ordinance, together with an attached plats of vacation and dedication as approved by the Superintendent of Maps and Plats.
 
 
 
Page 3
 
SECTION 8. This ordinance shall take effect and be in force from and after its passage. The vacation shall take effect and be in force from and after its recording.
 
 
Vacation Approved:
 
 
 
 
tebekah Scheinfeld Commissioner of Transportation
 
Approved as to Form and Leg
 
Richard Wendy Deputy Corporation Coun^
 
 
rable Leslie Alderman, 5th Ward
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Page 4
 
EXHIBIT "A':
Plat of Dedication
 
 
r = jo
BMW PLOTTED ON 24x36 PAPER
OF AN EAST-WEST 18 FOOT WIDE PUBLIC ALLEY
LYING IN LOT 18 IN BLOCK 1 OF ILLINOIS CENTRAL SUBDIVISION OF THE WEST PART OF THE SOUTHWEST 14.09 ACRES IN THE FRACTIONAL SOUTHWEST 1/4 OF SECTION 12 AND THE WEST PART OF THE NORTHWEST 17 93 ACRES IN THE FRACTIONAL NORTHWEST 1/4 OF SECTION 13, TOWNSHIP 38 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN, ACCORDING TO PI AT THEREOF REGISTERED IN THE OFFICE OF THE REGISTRAR OF 'HUE OF COOK COUNTY, ILUNOIS ON JUNE 1, 1883, AS DOCUMENT NUMBER 472550 DESCRIBED AS FOLLOWS:  THE NORTHERLY 18 FEET OF SAID LOT 18 AS MEASURED PERPENDICULAR TO THE NORTHERLY LINE THEREOF AND (EXCEPT THE WEST 150 00 FEET THEREOF), IN COOK COUNTY, ILLINOIS
 
CONTAINING 3,258 SQUARE FEET MORE OR LESS OR 0.075 ACRES MORE OR LESS.
 
 
 
 
4
 
 
 
am;/ to VF0Or.R PRICE P c 222 N LuSALLE S1RLL I CHICCO. ILLINOIS 60601 AT IN   DANIELLE CASSLL
 
ILLINOIS PROFESSIONAL DESIGN FIRM LICENSt. NUMBER 184 002000 EXPIRES APRIL 30. 2015
 
 
 
 
CDOT# 13-05-13-3601
 
CR
 
CHRISTIAN-ROGE & ASSOC., ]NC 211  WEST WACKER DRIVE CHICAGO,ILLINOIS 60G06 (312)372-2023 FAX(312)372-5274
UtEPtKED TOR.
SOLSTICE ON THE PARK, LLC 32 N   DEAN STREET, 2nd FLOOR ENGLEWOOD, NJ 07631 201-511-8003
 
PLAT OF DEDICATION    EAST 181'REVISIONS14-11-10RFWSID NDuENCLATUfiE10W-iO-i-COOT Bttft* /IJn-:»-ilLABLL * Ui'DAIE•j-a*-uUPDATED * CERTIFICATION1J-J1-13COOI HCV.FWJ
V \17-053\0210U_CDOT icviow\Dedication\l2-05.3 H nec.cct.on 0710M dwg
 
EXHIBIT "A'
Plat of Dedication
OF AN EAST-WEST 18 FOOT WIDE PUBLIC ALLEY
 
MAIL TO VEDDER PRICE P C 222 N LoSALLE S1REE1 CHICCO. ILLINOIS 60601 ATTN  DANIELLE CASSEL
 
 
NOTES
  1. FOR BUILDING LINES. EASEMLNI'S AND OTHER RESTRICTIONS NOT SHOWN HEREON RErER TO YOUR DEED. TITLE POL ICY, ZONING ORDINANCE, ETC
  2. THE BASIS Of BEARING IS ASSJMED COMPARE ALL POINTS BEFORE BUU'J.NG AND REPORT ANY DEFERENCE AT ONCE
  3. ALL LOT CORNERS HAVE BEEN SET, FOUND OR OFF SET
1) NO DIMENSION SHOULD BE ASSUMED BY SCALE MEASUREMENT
  1. THE FIELD NOTES FOR THIS SURVEY WERE COMPLETED ON JUNE 14, 2013 EY SCOTT QUINN OF THIS OFFICE
  2. SUBJECT PARCFI IS ZONED PD 282 '/) ALL LINES ARF PROPERTY, DEED OR CALLS FROM THE LEGAL DESCRIPTION UNLESS OTHERWISE NOTED
LEGEND
D-    INDICATES DEED DISTANCE M-R    INDICATES MEASURED DISTANCE EOUAlS RTCORD DISTANCE BOLD U   INDICATES RECORD DISTANCE
U L     INDICATES UTILITY EASEMENT
NE    INDICATES NORTHEASTERLY DIRECTION
:'D CROSS  INDICATES FOUND CUT CROSS
FP    INDICATES FOUND .RON PIPE
SlP    INDICATES SET IRON PIPE
INDICA1ES AREA TO BE VACATED
INDICATES AREA TO BE OPENED FOR PUBLIC ALLEY
INDICATFS AREA TO BE DEDICATED FOR PUBLIC ALLEY
INDICATES TRAFFIC DIRECTION INDICATES CENTER LINE INDCATES PROPERTY LINE INDICATES FENCE LINE
 
 
SI ATE OF ILLINOIS \ COUNTY OF COOK 5 bi
TH'S IS TO CERTIFY THAT SClSUCE ON VE PARK. 1.1 C, A DELAWARE LIMITED LIABILITY COMPANY :s THE RECORD OWNER OF THE LAND 0ESCR.6ED HEREON AS SUBDIVIDED, STAKED AND PLATTED AS SHOWN HEREON, I OR THE PURPOSE OF HAVING THIS PIA1 RECORDED,
BY   AL SOLSTICE ON THE PARK, LLC, A DELAWARE LIMITED LIABILITY COMPANY ITS MANAGER
BY   ANTHEUS CAPITAL. LLC, A NEW Ji.RSEY LIMNED LIABILITY COMPANY ITS   MEM3ER—MANAGER
BY
ENGLEWOOD.
NAME   DAVID H GE~FSKV I IS   MANAGING MEMBER ADDRESS   32 NOR Hi DEAN S'i NEW JERSEY 07631
NOTARY'S CERTIFICATE
STATE OF NEW JERSEV ? „ COUNTY OF BFRCEN     5 3J
I, A NOTARY PUBLIC, IN AND FOR THE COUNTY AND STATE AFORESAID, DO HEREBY CERTIFY IHA1 DAVID II GEFSKY, PERSONALLY KNOWN TO BE THE SAME PERSON WHOSE NAME IS SUBSCRIBED TO THE FOREGOING INSTRUMENT ON BEHALF OF SOLSTICE ON THE PARK (OWNER), APPEARED BErORE ME THIS DAY IN PERSON AND ACKNOWLEDGED ^HAl HE SIGNED AND DELIVERED THE ANNEXED PLAT AS THE "REE AND VOLUNTARY AC i OF SAID OWNER AND AS HIS OWN FREE ' AND VOLUNTARY ACT, FOR THE USES AND PURPOSES THEREIN SET FORTH
GIVEN UNDER MY HAND AND NOTARIAL SEAL  iHIS
 
DAY OF
INDICATES BUILDING
 
LOT#P   I NZONING1720-13-100-006PD 28218 WPT20-13-100-016RM-h18 CPT20-13-100-017PD 2S219 WPT20-13-100-008RM-519 E.PT20-13-100-009PD 28223-2620-13-100-013I'D 2822220-13-100-012RM-52120-13-100-011RM-52.020-13-100-010RM-5120-1-1-206-002RM-518 WPT= LOT 18 WESTERLY PART19 E PT= LOT 19 EASTERLY PARTSTATE OF ILLINOIS ! „ COUNTY OF COOK >
WE, CHRISTIAN-ROGE AND ASSOC'ATS. INC HAVE SURVEYED THE ABOVE DESCRIBED PROPERTY UNDER THE DIRECIION OF A PROFESSIONAL LAND SURVEYOR AND THAT SAID SURVEY CONFORMS TO THE CURRENT ILLINOIS MINIMUM STANDARDS FOR A BOUNDARY SURVEY ALL DIMENSIONS ARE IN FEE1 AND DECIMALS PARTS THEREOF
 
DAY
11:
 
TlLINOIS PROFESSIONAL LANE II 035 00298-1 LXP RES V. 730/2011
 
NOTARY PUBLIC
MY COMMISSION EXPIRES
IN CHICAGO. ILLINOIS THIS OF JUNE AD, 2013
 
CDOT# 13-05-13-3601
 
plat of dedication east iei"
CR
HFV1SIOWS
E VISED NOMENCLATURE
ABU * UPDHTF
UPDATED * CERTil
COOT REV.Ew
( SHEET NO
2
 
s.o 07-00:
CHRISTIAN-ROGE & ASSOC., INC. 211 WEST WACKER DRIVE CHICAGO,ILLINOIS G060B (312)372-2023 FAX(312)372-5274
SOLSTICE ON THE PARK, LLC 32 N  DEAN STREET, 2nd FLOOR ENGLEWOOD, NJ 07631 201-511-8003
 
V \12-053\021O14_CDOT review\Dodicalion\12-Ob'i •-: Dedication 021011 dwg
 
 
EXHIBIT "B"
Plat of Vacation
OF THAT PART OF AN LAS1-WEST 16 FOOT W:DE PUBLIC ALLEY
LYING IN PART OF BLOCK 1 AND ADJACENT TO LOTS 19 (EXCEPT THE WEST 131 FEET), 23, 24. 25 AND 26 IN BLOCK 1 OF ILLINOIS CENTRAL SUBDIVISION OF THE WEST PART OF THE SOUTHWEST 14 09 ACRES IN THE FRACTIONAL SOUTHWEST 1/4 OF SECTION 12 AND THE WEST PART OF THE NORTHWEST 17 93 ACRES IN THE FRACTIONAL NORTHWES1  1/4 OF SECTION 13. TOWNSHP 38 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN. ACCORDING TO PLAT THEREOF REGISTERED IN 1HE OFFICE OF THE REGISTRAR OF TITLE OF COOK COUNTY. ILJNOiS ON JUNE 1, 1683, AS DOCUMENT NUMBER 472550 DESCRIBED AS FOLLOWS BEGINNING Al  THE NORTHEAST CORNER OF LOT 26 OF BLOCK 1  IN SAID ILLINOIS CENTRAL SUBDIVISION, THENCE SOUTH 89"59'34" WEST ALONG THE NORTH LINE OF LOTS 23 TO 26 INCLUSIVE, A DIS1ANCE OF 200 05 FEET (MEAS) TO THE NORTHWEST CORNER OF LOT 23 Or BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION ALSO BEING THE NORTHEAST CORNER OF LOT 22 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION,  THENCE NORTHERLY TO THE INTERSECTION OF THE NORTHERLY EXIENSION OF THE WEST LINE OF LOT 23 OF BLOCK 1 OF SAID ILLINOIS CENTRAL SUBDIVISION, ALSO BEING HI.  NORTHERLY EXTENSION OF THE EAST LINE OF LOT 22 OF BLOCK 1 OF SAID ILLINOIS CENTRAL SUBDIVISION TO THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION SAID INTERSECTION BEING 131 00 FEET EAST OF THE SOUTHWEST CORNER OF SAID LOT 19 01   BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION, A DISTANCE OF 16 00 FEET,  THENCE NORTH 89'59'34" EAS1 ALONG THE SOUTH LINE OF LOT 19 OF BIOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION. A DISTANCE OF 19.00 FEET TO THE EAST LINE OF THE WEST 150 FEET OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION, THENCE CONTINUING NORTH 89'59'34" EAST ALONG THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SA;D ILLINOIS CENTRAI   SUBDIVISION TO THE WEST RIGH1 Of WAY OF SOUTH CORNELL AVENUE, A DISTANCE OF 181 05 F£ET (MEAS),  THENCE SOUTH 00"06'59" EAST ALONG THE WEST RIGHT OF WAY OF SOUTH' CORNELL AVENUE, A DISTANCE OF 16 00 FEET TO  THE POINT OF BEGINNING, ALL IN COOK COUNTY, ILLINOIS
 
CONTAINING    3.201 SQUARE FEET MORE OR LESS OR 0 074 ACRES MORE OR LESS
EASTERLY CROSS
 
MAIL TO VEDDER PRICE P C 2?2 N LoSALLE STREET CHICCO. IlLINOIS 60601 ATTN   DANIELLE CASSEI.
 
ILLINOIS PROFESSIONAL DESIGN FIRM LICENSE NUMBER 184 002000 EXPIRES APRIL JO. 2015
 
CDOT# 13-05-13-3601
PARCEL Gtff
 
V. \12-053\122513...CDOT rcview\l 2-053 Vacation G 021014.dwg
T-TjTT CHRISTIAN-ROGE & ASSOC., INC.
^K      211 WEST WACKER DRIVE
CH1CACO.ILLINOIS 6060G (312)372-2023 FAX(312)372-527<I
Bur»*joi
prep axed roK
SOLSTICE ON THE PARK, LLC 32 N  DEAN STREET, 2nd FLOOR ENGLEWOOD, NJ 07631 201-541-8003
 
f      Drawn *t       Â£J2                  Clucked "r          *D                   Kcmlr.    1 -Jo \
PLAT OF VACATION EASTREVISIONS-5■07      spi.it w*a : paactsi»TMi£3 KK C1.TNI
 
HLWS[ UObCHaATURIB7-24-1J.irzniD 4 cmriFijAAt*iPARCEL     LEGAL t LADF.L117-J1--JTOOT RCMEW\UlC CAU iAUElJ-10-14gjot m-me* i -i J
EXHIBIT "B"
Plat of Vacation
OF THAT PART OF A 16 FOOT WIDE PUBLIC ALLEY
 
 
 
MAIL TO. VEDDER PRICE P C 222 N LoSAlll. STREET CHICGO. II.IINOI5 60501 ATTN   DANILLLL CASSFl
 
■NOTES
  1. FOR BUILDING LINES. I ASEMENTS AND OTHER RESTRICTIONS NOT SHOWN HEREON REFER TO YOUR DEED, TITLE POLICY, ZONING ORDINANCE. ETC
  2. THE BASIS OF BEARING IS ASSUMED COMPARE ALL POINTS BEFORE BUILDING AND REPORT ANY DIFFERENCE AT ONCE
  3. ALL. LOT CORNERS HAVE BEEN SET, FOUND OR OFr SET.
  4. NO DIMENSION SHOULD BE ASSUMED BY SCALE MEASUREMENT.
  5. THE FIELD NOTES FOR THIS SURVEY WERE COMPLETED ON JUNE 14, 2013 BY SCOTT OUINN OF THIS OFFICE
  6. SUBJECT PARCEL IS ZONED PD 282
  7. ALL LINES ARE PROPERTY, DEED OR CALLS FROM THE LEGAL DESCRIPTION UNLESS OTHERWISE NOTLD.
 
LOT# 17P   1 NZONING
20-13 - 100-006PD 28218 WPT
20-13-100-016
RM-5
18 f. PT
20-13-100-017
PO 282
19 WPT
20-13-100-008
RM-5
19 EPT
20-13-100-009
PD 282
23-26
20-13-100-013
PD 282
22
20-13-100-012
RM-5
21 20
20-13-100-011
RM-5
RM-5
 
1COMMERCIAL ORDINANCE
 
 
WHEREAS, the City of Chicago ("City") is a home rule unit of local government pursuant to Article VII, Section 6 (a) of the 1970 constitution of the State of Illinois and, as such, may exercise any power and perform any function pertaining to its government and affairs; and
 
 
WHEREAS, the properties at 5530-5540 & 5542-5558 S. Cornell Avenue, and 1604-1624 E.56th Street are owned by Solstice on the Park, LLC, a Delaware limited liability company, licensed to transact business in Illinois; and
 
 
WHEREAS, Solstice on the Park, LLC proposes to use the portion of the alley to be vacated herein for assembly of a larger parcel for future development located in the vicinity of the Bret Harte Elementary School, a magnet Chicago Public School (the "School"); and
 
 
WHEREAS, the City Council of the City of Chicago, after due investigation and consideration, has determined that the nature and extent of the public use and the public interest to be subserved is such as to warrant the vacation and dedication of those parts of the public alleys, described in the following ordinance; now therefore,
 
 
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
 
 
SECTION 1. EXHIBIT "A" DEDICATION OF AN EAST-WEST 18 FOOT WIDE PUBLIC ALLEY
 
LYING IN LOT 18 IN BLOCK 1 OF ILLINOIS CENTRAL SUBDIVISION OF THE WEST PART OF THE SOUTHWEST 14.09 ACRES IN THE FRACTIONAL SOUTHWEST 1/4 OF SECTION 12 AND THE WEST PART OF THE NORTHWEST 17.93 ACRES IN THE FRACTIONAL NORTHWEST 1/4 OF SECTION 13, TOWNSHIP 38 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN, ACCORDING TO PLAT THEREOF REGISTERED IN THE OFFICE OF THE REGISTRAR OF TITLE OF COOK COUNTY, ILLINOIS ON JUNE 1, 1883, AS DOCUMENT NUMBER 472550 DESCRIBED AS FOLLOWS: THE NORTHERLY 18 FEET OF SAID LOT 18 AS MEASURED PERPENDICULAR TO THE NORTHERLY LINE THEREOF AND (EXCEPT THE WEST 150.00 FEET THEREOF), IN COOK COUNTY, ILLINOIS,
 
EXHIBIT "B"
VACATION OF THAT PART OF AN EAST-WEST 16 FOOT WIDE PUBLIC ALLEY
 
LYING IN PART OF BLOCK 1 AND ADJACENT TO LOTS 19 (EXCEPT THE WEST 131 FEET), 23, 24, 25 AND 26 IN BLOCK 1 OF ILLINOIS CENTRAL SUBDIVISION OF THE WEST PART OF THE SOUTHWEST 14.09 ACRES IN THE FRACTIONAL SOUTHWEST 1/4 OF SECTION 12 AND THE WEST PART OF THE NORTHWEST 17.93 ACRES IN THE FRACTIONAL NORTHWEST 1/4 OF SECTION 13, TOWNSHIP 38 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN, ACCORDING TO PLAT THEREOF REGISTERED IN THE OFFICE OF THE REGISTRAR OF TITLE OF COOK COUNTY, ILLINOIS ON JUNE 1, 1883, AS DOCUMENT
 
Page 1
 
 
NUMBER 472550 DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHEAST CORNER OF LOT 26 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION; THENCE SOUTH 89059'34" WEST ALONG THE NORTH LINE OF LOTS 23 TO 26 INCLUSIVE, A DISTANCE OF 200.05 FEET (MEAS) TO THE NORTHWEST CORNER OF LOT 23 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION ALSO BEING THE NORTHEAST CORNER OF LOT 22 OF BLOCK 11N SAID ILLINOIS CENTRAL SUBDIVISION; THENCE NORTHERLY TO THE INTERSECTION OF THE NORTHERLY EXTENSION OF THE WEST LINE OF LOT 23 OF BLOCK 1 OF SAID ILLINOIS CENTRAL SUBDIVISION, ALSO BEING THE NORTHERLY EXTENSION OF THE EAST LINE OF LOT 22 OF BLOCK 1 OF SAID ILLINOIS CENTRAL SUBDIVISION TO THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION SAID INTERSECTION BEING 131.00 FEET EAST OF THE SOUTHWEST CORNER OF SAID LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION, A DISTANCE OF 16.00 FEET; THENCE NORTH 89059'34" EAST ALONG THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION, A DISTANCE OF 19.00 FEET TO THE EAST LINE OF THE WEST 150 FEET OF LOT 19 OF BLOCK 11N SAID ILLINOIS CENTRAL SUBDIVISION; THENCE CONTINUING NORTH 89°59'34" EAST ALONG THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION TO THE WEST RIGHT OF WAY OF SOUTH CORNELL AVENUE, A DISTANCE OF 181.05 FEET (MEAS); THENCE SOUTH 00o06'59" EAST ALONG THE WEST RIGHT OF WAY OF SOUTH CORNELL AVENUE, A DISTANCE OF 16.00 FEET TO THE POINT OF BEGINNING, ALL IN COOK COUNTY, ILLINOIS, as shaded and legally described by the words "HEREBY VACATED" on the plat hereto attached as Exhibit B, which drawing for greater clarity, is hereby made a part of this ordinance, be and the same is hereby vacated, inasmuch as the same is no longer required for public use and the public interest will be subserved by such vacation; and a new alley will be dedicated for public use shaded and legally described by the words "HEREBY DEDICATED" on the plat hereto attached as Exhibit A, which drawing for greater clarity, is hereby also made a part of this ordinance.
 
 
SECTION 2. The City of Chicago hereby reserves for the benefit of Commonwealth Edison its successors or assigns, a non-exclusive utility easement to operate, maintain, construct, replace and renew overhead wires, poles, and associated equipment and underground conduit, cables, and associated equipment for the transmission and distribution of electrical energy, telephonic and associated services under, over and along the alleys herein vacated, with the right of ingress and egress. The grade of the vacated public ways shall not be altered in a manner so as to interfere with the operation and maintenance of Commonwealth Edison's facilities. No buildings, permanent structures or obstructions shall be placed over Commonwealth Edison's facilities without written release of easement by Commonwealth Edison. Any future vacation-beneficiary prompted relocation of Commonwealth Edison's facilities lying within the area being vacated will be accomplished by Commonwealth Edison and done at the expense of beneficiary of the vacation.
 
 
SECTION 3. The vacation herein provided for is made upon the express condition that within 180 days after the passage of this ordinance, Solstice on the Park, LLC shall deposit in the City Treasury of the City of Chicago, a sum sufficient to defray the costs of removing paving and curb returns in the areas being vacated, and constructing alley, sidewalk and curb at the entrance to that part of the new alley being dedicated (the "Dedicated New Alley"), in accordance with current City right of way construction standards.
 
 
 
 
Page 2
 
 
SECTION 4. The vacation herein provided for is made upon the express condition that Solstice on the Park, LLC shall, at its sole cost and expense, remove paving and curb returns in the areas being vacated, and construct the Dedicated New Alley, sidewalk and curb at the entrance to that part of the Dedicated New Alley, in accordance with current City right of way construction standards, after the passage of this ordinance.
 
 
SECTION 5. The vacation herein provided for is made upon the express condition that after the passage of this ordinance, Solstice on the Park, LLC shall comply with its duties and obligations to the City and Board of Education of the City of Chicago (the "Board") for the School Improvements (the "School Improvements") to the School, as more fully set forth in an Intergovernmental Agreement by and between the City and Board for such School Improvements (the "Bret Harte Intergovernmental Agreement"), which is subject to the City Council for the City of Chicago approving and authorizing Bret Harte Intergovernmental Agreement, as compensation for the benefits which will accrue to Solstice on the Park, LLC as the owner of the property abutting the areas hereby vacated, which in the judgment of this body, when combined with the other benefits to the City and the Board of the Dedicated New Alley and the School Improvements, shall be equal to or greater than such benefits as accrue to the City of Chicago and Board in association with the Dedicated New Alley and the School Improvements for the Bret Harte Elementary School.
 
SECTION 6. The Commissioner of the City of Chicago's Department of Transportation or any designee of the Commissioner is hereby authorized to accept, subject to approval of the Corporation Counsel as to form and legality, on behalf of the City of Chicago, the benefits of a special warranty deed substantially in the form attached hereto as Exhibit C (the "Reconveyance Deed") and in recordable form, from Solstice on the Park, LLC, its successors and/or assigns as grantors ("Grantors"), and naming the City as grantee ("Grantee"), for the public way being vacated, or any portion thereof, by this ordinance securing the Grantors completion of the Dedicated New Alley and the School Improvements. Grantee shall have the right to record the Reconveyance Deed and to re-enter and take possession of the public way being vacated, or any portion thereof, terminate the estate, or any portion thereof, conveyed to the Grantors and revest title to the public way being vacated, or any portion, in the Grantee only upon Grantors' failure to cure, within 30 days after written notice thereof from Grantee, any breach of the terms and conditions of any of the School Improvements. Upon satisfaction in full of the Dedicated New Alley and the School Improvements, Grantee shall have no further right to record the Reconveyance Deed, which shall promptly be returned unrecorded to Grantors. If the Reconveyance Deed is recorded by the Grantee, Grantors shall be responsible for all real estate taxes and assessments which accrued during the period the vacated public way, or any portion thereof, was owned by Grantors. Grantors will cooperate with the Grantee to ensure that should the Grantee record the Reconveyance Deed, such recording is effective for the purposes of transferring title to the vacated public way, or any portion thereof, to the Grantee by executing any customary transfer documents.
 
SECTION 7. The vacation herein provided for is made upon the express condition that within one hundred eighty (180) days after the passage of this ordinance, Solstice on the Park, LLC shall file or cause to be filed for record in the Office of the Recorder of Deeds of Cook County, Illinois a certified copy of this ordinance, together with an attached plats of vacation and dedication as approved by the Superintendent of Maps and Plats.
 
 
 
Page 3
 
SECTION 8. This ordinance shall take effect and be in force from and after its passage. The vacation shall take effect and be in force from and after its recording.
 
 
Vacation Approved:
 
 
 
 
tebekah Scheinfeld Commissioner of Transportation
 
Approved as to Form and Leg
 
Richard Wendy Deputy Corporation Coun^
 
 
rable Leslie Alderman, 5th Ward
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Page 4
 
EXHIBIT "A':
Plat of Dedication
 
 
r = jo
BMW PLOTTED ON 24x36 PAPER
OF AN EAST-WEST 18 FOOT WIDE PUBLIC ALLEY
LYING IN LOT 18 IN BLOCK 1 OF ILLINOIS CENTRAL SUBDIVISION OF THE WEST PART OF THE SOUTHWEST 14.09 ACRES IN THE FRACTIONAL SOUTHWEST 1/4 OF SECTION 12 AND THE WEST PART OF THE NORTHWEST 17 93 ACRES IN THE FRACTIONAL NORTHWEST 1/4 OF SECTION 13, TOWNSHIP 38 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN, ACCORDING TO PI AT THEREOF REGISTERED IN THE OFFICE OF THE REGISTRAR OF 'HUE OF COOK COUNTY, ILUNOIS ON JUNE 1, 1883, AS DOCUMENT NUMBER 472550 DESCRIBED AS FOLLOWS:  THE NORTHERLY 18 FEET OF SAID LOT 18 AS MEASURED PERPENDICULAR TO THE NORTHERLY LINE THEREOF AND (EXCEPT THE WEST 150 00 FEET THEREOF), IN COOK COUNTY, ILLINOIS
 
CONTAINING 3,258 SQUARE FEET MORE OR LESS OR 0.075 ACRES MORE OR LESS.
 
 
 
 
4
 
 
 
am;/ to VF0Or.R PRICE P c 222 N LuSALLE S1RLL I CHICCO. ILLINOIS 60601 AT IN   DANIELLE CASSLL
 
ILLINOIS PROFESSIONAL DESIGN FIRM LICENSt. NUMBER 184 002000 EXPIRES APRIL 30. 2015
 
 
 
 
CDOT# 13-05-13-3601
 
CR
 
CHRISTIAN-ROGE & ASSOC., ]NC 211  WEST WACKER DRIVE CHICAGO,ILLINOIS 60G06 (312)372-2023 FAX(312)372-5274
UtEPtKED TOR.
SOLSTICE ON THE PARK, LLC 32 N   DEAN STREET, 2nd FLOOR ENGLEWOOD, NJ 07631 201-511-8003
 
PLAT OF DEDICATION    EAST 181'REVISIONS14-11-10RFWSID NDuENCLATUfiE10W-iO-i-COOT Bttft* /IJn-:»-ilLABLL * Ui'DAIE•j-a*-uUPDATED * CERTIFICATION1J-J1-13COOI HCV.FWJ
V \17-053\0210U_CDOT icviow\Dedication\l2-05.3 H nec.cct.on 0710M dwg
 
EXHIBIT "A'
Plat of Dedication
OF AN EAST-WEST 18 FOOT WIDE PUBLIC ALLEY
 
MAIL TO VEDDER PRICE P C 222 N LoSALLE S1REE1 CHICCO. ILLINOIS 60601 ATTN  DANIELLE CASSEL
 
 
NOTES
  1. FOR BUILDING LINES. EASEMLNI'S AND OTHER RESTRICTIONS NOT SHOWN HEREON RErER TO YOUR DEED. TITLE POL ICY, ZONING ORDINANCE, ETC
  2. THE BASIS Of BEARING IS ASSJMED COMPARE ALL POINTS BEFORE BUU'J.NG AND REPORT ANY DEFERENCE AT ONCE
  3. ALL LOT CORNERS HAVE BEEN SET, FOUND OR OFF SET
1) NO DIMENSION SHOULD BE ASSUMED BY SCALE MEASUREMENT
  1. THE FIELD NOTES FOR THIS SURVEY WERE COMPLETED ON JUNE 14, 2013 EY SCOTT QUINN OF THIS OFFICE
  2. SUBJECT PARCFI IS ZONED PD 282 '/) ALL LINES ARF PROPERTY, DEED OR CALLS FROM THE LEGAL DESCRIPTION UNLESS OTHERWISE NOTED
LEGEND
D-    INDICATES DEED DISTANCE M-R    INDICATES MEASURED DISTANCE EOUAlS RTCORD DISTANCE BOLD U   INDICATES RECORD DISTANCE
U L     INDICATES UTILITY EASEMENT
NE    INDICATES NORTHEASTERLY DIRECTION
:'D CROSS  INDICATES FOUND CUT CROSS
FP    INDICATES FOUND .RON PIPE
SlP    INDICATES SET IRON PIPE
INDICA1ES AREA TO BE VACATED
INDICATES AREA TO BE OPENED FOR PUBLIC ALLEY
INDICATFS AREA TO BE DEDICATED FOR PUBLIC ALLEY
INDICATES TRAFFIC DIRECTION INDICATES CENTER LINE INDCATES PROPERTY LINE INDICATES FENCE LINE
 
 
SI ATE OF ILLINOIS \ COUNTY OF COOK 5 bi
TH'S IS TO CERTIFY THAT SClSUCE ON VE PARK. 1.1 C, A DELAWARE LIMITED LIABILITY COMPANY :s THE RECORD OWNER OF THE LAND 0ESCR.6ED HEREON AS SUBDIVIDED, STAKED AND PLATTED AS SHOWN HEREON, I OR THE PURPOSE OF HAVING THIS PIA1 RECORDED,
BY   AL SOLSTICE ON THE PARK, LLC, A DELAWARE LIMITED LIABILITY COMPANY ITS MANAGER
BY   ANTHEUS CAPITAL. LLC, A NEW Ji.RSEY LIMNED LIABILITY COMPANY ITS   MEM3ER—MANAGER
BY
ENGLEWOOD.
NAME   DAVID H GE~FSKV I IS   MANAGING MEMBER ADDRESS   32 NOR Hi DEAN S'i NEW JERSEY 07631
NOTARY'S CERTIFICATE
STATE OF NEW JERSEV ? „ COUNTY OF BFRCEN     5 3J
I, A NOTARY PUBLIC, IN AND FOR THE COUNTY AND STATE AFORESAID, DO HEREBY CERTIFY IHA1 DAVID II GEFSKY, PERSONALLY KNOWN TO BE THE SAME PERSON WHOSE NAME IS SUBSCRIBED TO THE FOREGOING INSTRUMENT ON BEHALF OF SOLSTICE ON THE PARK (OWNER), APPEARED BErORE ME THIS DAY IN PERSON AND ACKNOWLEDGED ^HAl HE SIGNED AND DELIVERED THE ANNEXED PLAT AS THE "REE AND VOLUNTARY AC i OF SAID OWNER AND AS HIS OWN FREE ' AND VOLUNTARY ACT, FOR THE USES AND PURPOSES THEREIN SET FORTH
GIVEN UNDER MY HAND AND NOTARIAL SEAL  iHIS
 
DAY OF
INDICATES BUILDING
 
LOT#P   I NZONING1720-13-100-006PD 28218 WPT20-13-100-016RM-h18 CPT20-13-100-017PD 2S219 WPT20-13-100-008RM-519 E.PT20-13-100-009PD 28223-2620-13-100-013I'D 2822220-13-100-012RM-52120-13-100-011RM-52.020-13-100-010RM-5120-1-1-206-002RM-518 WPT= LOT 18 WESTERLY PART19 E PT= LOT 19 EASTERLY PARTSTATE OF ILLINOIS ! „ COUNTY OF COOK >
WE, CHRISTIAN-ROGE AND ASSOC'ATS. INC HAVE SURVEYED THE ABOVE DESCRIBED PROPERTY UNDER THE DIRECIION OF A PROFESSIONAL LAND SURVEYOR AND THAT SAID SURVEY CONFORMS TO THE CURRENT ILLINOIS MINIMUM STANDARDS FOR A BOUNDARY SURVEY ALL DIMENSIONS ARE IN FEE1 AND DECIMALS PARTS THEREOF
 
DAY
11:
 
TlLINOIS PROFESSIONAL LANE II 035 00298-1 LXP RES V. 730/2011
 
NOTARY PUBLIC
MY COMMISSION EXPIRES
IN CHICAGO. ILLINOIS THIS OF JUNE AD, 2013
 
CDOT# 13-05-13-3601
 
plat of dedication east iei"
CR
HFV1SIOWS
E VISED NOMENCLATURE
ABU * UPDHTF
UPDATED * CERTil
COOT REV.Ew
( SHEET NO
2
 
s.o 07-00:
CHRISTIAN-ROGE & ASSOC., INC. 211 WEST WACKER DRIVE CHICAGO,ILLINOIS G060B (312)372-2023 FAX(312)372-5274
SOLSTICE ON THE PARK, LLC 32 N  DEAN STREET, 2nd FLOOR ENGLEWOOD, NJ 07631 201-511-8003
 
V \12-053\021O14_CDOT review\Dodicalion\12-Ob'i •-: Dedication 021011 dwg
 
 
EXHIBIT "B"
Plat of Vacation
OF THAT PART OF AN LAS1-WEST 16 FOOT W:DE PUBLIC ALLEY
LYING IN PART OF BLOCK 1 AND ADJACENT TO LOTS 19 (EXCEPT THE WEST 131 FEET), 23, 24. 25 AND 26 IN BLOCK 1 OF ILLINOIS CENTRAL SUBDIVISION OF THE WEST PART OF THE SOUTHWEST 14 09 ACRES IN THE FRACTIONAL SOUTHWEST 1/4 OF SECTION 12 AND THE WEST PART OF THE NORTHWEST 17 93 ACRES IN THE FRACTIONAL NORTHWES1  1/4 OF SECTION 13. TOWNSHP 38 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN. ACCORDING TO PLAT THEREOF REGISTERED IN 1HE OFFICE OF THE REGISTRAR OF TITLE OF COOK COUNTY. ILJNOiS ON JUNE 1, 1683, AS DOCUMENT NUMBER 472550 DESCRIBED AS FOLLOWS BEGINNING Al  THE NORTHEAST CORNER OF LOT 26 OF BLOCK 1  IN SAID ILLINOIS CENTRAL SUBDIVISION, THENCE SOUTH 89"59'34" WEST ALONG THE NORTH LINE OF LOTS 23 TO 26 INCLUSIVE, A DIS1ANCE OF 200 05 FEET (MEAS) TO THE NORTHWEST CORNER OF LOT 23 Or BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION ALSO BEING THE NORTHEAST CORNER OF LOT 22 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION,  THENCE NORTHERLY TO THE INTERSECTION OF THE NORTHERLY EXIENSION OF THE WEST LINE OF LOT 23 OF BLOCK 1 OF SAID ILLINOIS CENTRAL SUBDIVISION, ALSO BEING HI.  NORTHERLY EXTENSION OF THE EAST LINE OF LOT 22 OF BLOCK 1 OF SAID ILLINOIS CENTRAL SUBDIVISION TO THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION SAID INTERSECTION BEING 131 00 FEET EAST OF THE SOUTHWEST CORNER OF SAID LOT 19 01   BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION, A DISTANCE OF 16 00 FEET,  THENCE NORTH 89'59'34" EAS1 ALONG THE SOUTH LINE OF LOT 19 OF BIOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION. A DISTANCE OF 19.00 FEET TO THE EAST LINE OF THE WEST 150 FEET OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION, THENCE CONTINUING NORTH 89'59'34" EAST ALONG THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SA;D ILLINOIS CENTRAI   SUBDIVISION TO THE WEST RIGH1 Of WAY OF SOUTH CORNELL AVENUE, A DISTANCE OF 181 05 F£ET (MEAS),  THENCE SOUTH 00"06'59" EAST ALONG THE WEST RIGHT OF WAY OF SOUTH' CORNELL AVENUE, A DISTANCE OF 16 00 FEET TO  THE POINT OF BEGINNING, ALL IN COOK COUNTY, ILLINOIS
 
CONTAINING    3.201 SQUARE FEET MORE OR LESS OR 0 074 ACRES MORE OR LESS
EASTERLY CROSS
 
MAIL TO VEDDER PRICE P C 2?2 N LoSALLE STREET CHICCO. IlLINOIS 60601 ATTN   DANIELLE CASSEI.
 
ILLINOIS PROFESSIONAL DESIGN FIRM LICENSE NUMBER 184 002000 EXPIRES APRIL JO. 2015
 
CDOT# 13-05-13-3601
PARCEL Gtff
 
V. \12-053\122513...CDOT rcview\l 2-053 Vacation G 021014.dwg
T-TjTT CHRISTIAN-ROGE & ASSOC., INC.
^K      211 WEST WACKER DRIVE
CH1CACO.ILLINOIS 6060G (312)372-2023 FAX(312)372-527<I
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prep axed roK
SOLSTICE ON THE PARK, LLC 32 N  DEAN STREET, 2nd FLOOR ENGLEWOOD, NJ 07631 201-541-8003
 
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PLAT OF VACATION EASTREVISIONS-5■07      spi.it w*a : paactsi»TMi£3 KK C1.TNI
 
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EXHIBIT "B"
Plat of Vacation
OF THAT PART OF A 16 FOOT WIDE PUBLIC ALLEY
 
 
 
MAIL TO. VEDDER PRICE P C 222 N LoSAlll. STREET CHICGO. II.IINOI5 60501 ATTN   DANILLLL CASSFl
 
■NOTES
  1. FOR BUILDING LINES. I ASEMENTS AND OTHER RESTRICTIONS NOT SHOWN HEREON REFER TO YOUR DEED, TITLE POLICY, ZONING ORDINANCE. ETC
  2. THE BASIS OF BEARING IS ASSUMED COMPARE ALL POINTS BEFORE BUILDING AND REPORT ANY DIFFERENCE AT ONCE
  3. ALL. LOT CORNERS HAVE BEEN SET, FOUND OR OFr SET.
  4. NO DIMENSION SHOULD BE ASSUMED BY SCALE MEASUREMENT.
  5. THE FIELD NOTES FOR THIS SURVEY WERE COMPLETED ON JUNE 14, 2013 BY SCOTT OUINN OF THIS OFFICE
  6. SUBJECT PARCEL IS ZONED PD 282
  7. ALL LINES ARE PROPERTY, DEED OR CALLS FROM THE LEGAL DESCRIPTION UNLESS OTHERWISE NOTLD.
 
LOT# 17P   1 NZONING
20-13 - 100-006PD 28218 WPT20-13-100-016RM-518 f. PT20-13-100-017PO 28219 WPT20-13-100-008RM-519 EPT20-13-100-009PD 28223-2620-13-100-013PD 2822220-13-100-012RM-521 2020-13-100-011RM-5
20-13-100-010RM-51
20-1-1-206-002 \ RM-5
18      V/PT= 1.01 IB WESTERLY PART
19      I. PT= LOT 19 EASTERLY PART
 
 
 
 
LEGEND
 
 
D-     INDICATES DEED DISTANCE V  R   INDICATES MEASURED DISTANCE EQUALS RECORD DISTANCE BOLD #   INDICATES RECORD DISTANCE 0 E     INDICATES UTII ITY EASEMENT
NE    INDICATES NORTHEAS1ERLY DIRECTION
FD CROSS  INDICATES FOUND CU1 CROSS
FIP    INDICATES FOUND IRON PIPE
SIP   INDICATES SET IRON PIPE
INDICATES AREA TO BE '</_//A VACATED
 
INDICATES AREA TO BE OPENED FOR PUBLIC Al LEY
INDICATES AREA TO BE DEDICATED FOR PUBLIC ALLEY
INDICATES TRAFFIC DIRECTION INDICATES CENTER LINE INDICATES PROPERTY LINE INDICATES FENCE LINE
 
 
STATE OF ILLINOIS > COUNTY OF COOK >
WE, CHRISTIAN-ROGE AND ASSOCIATES, INC. HAVE SURVEYED THE ABOVE DESCRIBED PROPERTY UNDER THE DIRECTION OF A PROFESS.ONAL LAND SURVEYOR AND THAT SAID SURVEY CONFORMS TO THE CURRENT ILLINOIS MINIMUM STANDARDS TOR A BOUNDARY SURVEY ALL DIMENSIONS ARE IN I EET AND DECIMALS PARTS THEREOF
IN CHICAGO, ILLINOIS THIS 14th DAY OF JUNE A. D , 2013
 
 
 
ILLINOIS PROFESSIONAL LAND SURVEYOR # 035 002984 EXPIRES : 1/30/2014
£2
 
CDOT# 13-05-13-3601
FARCEL G * G'
 
CR
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SHEET NO 2
 
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CHRISTIAN-ROGE k ASSOC., INC. 211 WEST WACKER DRIVE CHICAGO.ILUNOIS 60606 (312)372-2023 FAX(312)372-5274
PREPARED FOR
SOLSTICE ON THE PARK, LLC 32 N   DEAN STREET. 2nd FLOOR ENGLEWOOD, NJ 07631 201-541 8003
 
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1COMMERCIAL ORDINANCE
 
 
WHEREAS, the City of Chicago ("City") is a home rule unit of local government pursuant to Article VII, Section 6 (a) of the 1970 constitution of the State of Illinois and, as such, may exercise any power and perform any function pertaining to its government and affairs; and
 
 
WHEREAS, the properties at 5530-5540 & 5542-5558 S. Cornell Avenue, and 1604-1624 E.56th Street are owned by Solstice on the Park, LLC, a Delaware limited liability company, licensed to transact business in Illinois; and
 
 
WHEREAS, Solstice on the Park, LLC proposes to use the portion of the alley to be vacated herein for assembly of a larger parcel for future development located in the vicinity of the Bret Harte Elementary School, a magnet Chicago Public School (the "School"); and
 
 
WHEREAS, the City Council of the City of Chicago, after due investigation and consideration, has determined that the nature and extent of the public use and the public interest to be subserved is such as to warrant the vacation and dedication of those parts of the public alleys, described in the following ordinance; now therefore,
 
 
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
 
 
SECTION 1. EXHIBIT "A" DEDICATION OF AN EAST-WEST 18 FOOT WIDE PUBLIC ALLEY
 
LYING IN LOT 18 IN BLOCK 1 OF ILLINOIS CENTRAL SUBDIVISION OF THE WEST PART OF THE SOUTHWEST 14.09 ACRES IN THE FRACTIONAL SOUTHWEST 1/4 OF SECTION 12 AND THE WEST PART OF THE NORTHWEST 17.93 ACRES IN THE FRACTIONAL NORTHWEST 1/4 OF SECTION 13, TOWNSHIP 38 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN, ACCORDING TO PLAT THEREOF REGISTERED IN THE OFFICE OF THE REGISTRAR OF TITLE OF COOK COUNTY, ILLINOIS ON JUNE 1, 1883, AS DOCUMENT NUMBER 472550 DESCRIBED AS FOLLOWS: THE NORTHERLY 18 FEET OF SAID LOT 18 AS MEASURED PERPENDICULAR TO THE NORTHERLY LINE THEREOF AND (EXCEPT THE WEST 150.00 FEET THEREOF), IN COOK COUNTY, ILLINOIS,
 
EXHIBIT "B"
VACATION OF THAT PART OF AN EAST-WEST 16 FOOT WIDE PUBLIC ALLEY
 
LYING IN PART OF BLOCK 1 AND ADJACENT TO LOTS 19 (EXCEPT THE WEST 131 FEET), 23, 24, 25 AND 26 IN BLOCK 1 OF ILLINOIS CENTRAL SUBDIVISION OF THE WEST PART OF THE SOUTHWEST 14.09 ACRES IN THE FRACTIONAL SOUTHWEST 1/4 OF SECTION 12 AND THE WEST PART OF THE NORTHWEST 17.93 ACRES IN THE FRACTIONAL NORTHWEST 1/4 OF SECTION 13, TOWNSHIP 38 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN, ACCORDING TO PLAT THEREOF REGISTERED IN THE OFFICE OF THE REGISTRAR OF TITLE OF COOK COUNTY, ILLINOIS ON JUNE 1, 1883, AS DOCUMENT
 
Page 1
 
 
NUMBER 472550 DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHEAST CORNER OF LOT 26 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION; THENCE SOUTH 89059'34" WEST ALONG THE NORTH LINE OF LOTS 23 TO 26 INCLUSIVE, A DISTANCE OF 200.05 FEET (MEAS) TO THE NORTHWEST CORNER OF LOT 23 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION ALSO BEING THE NORTHEAST CORNER OF LOT 22 OF BLOCK 11N SAID ILLINOIS CENTRAL SUBDIVISION; THENCE NORTHERLY TO THE INTERSECTION OF THE NORTHERLY EXTENSION OF THE WEST LINE OF LOT 23 OF BLOCK 1 OF SAID ILLINOIS CENTRAL SUBDIVISION, ALSO BEING THE NORTHERLY EXTENSION OF THE EAST LINE OF LOT 22 OF BLOCK 1 OF SAID ILLINOIS CENTRAL SUBDIVISION TO THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION SAID INTERSECTION BEING 131.00 FEET EAST OF THE SOUTHWEST CORNER OF SAID LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION, A DISTANCE OF 16.00 FEET; THENCE NORTH 89059'34" EAST ALONG THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION, A DISTANCE OF 19.00 FEET TO THE EAST LINE OF THE WEST 150 FEET OF LOT 19 OF BLOCK 11N SAID ILLINOIS CENTRAL SUBDIVISION; THENCE CONTINUING NORTH 89°59'34" EAST ALONG THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION TO THE WEST RIGHT OF WAY OF SOUTH CORNELL AVENUE, A DISTANCE OF 181.05 FEET (MEAS); THENCE SOUTH 00o06'59" EAST ALONG THE WEST RIGHT OF WAY OF SOUTH CORNELL AVENUE, A DISTANCE OF 16.00 FEET TO THE POINT OF BEGINNING, ALL IN COOK COUNTY, ILLINOIS, as shaded and legally described by the words "HEREBY VACATED" on the plat hereto attached as Exhibit B, which drawing for greater clarity, is hereby made a part of this ordinance, be and the same is hereby vacated, inasmuch as the same is no longer required for public use and the public interest will be subserved by such vacation; and a new alley will be dedicated for public use shaded and legally described by the words "HEREBY DEDICATED" on the plat hereto attached as Exhibit A, which drawing for greater clarity, is hereby also made a part of this ordinance.
 
 
SECTION 2. The City of Chicago hereby reserves for the benefit of Commonwealth Edison its successors or assigns, a non-exclusive utility easement to operate, maintain, construct, replace and renew overhead wires, poles, and associated equipment and underground conduit, cables, and associated equipment for the transmission and distribution of electrical energy, telephonic and associated services under, over and along the alleys herein vacated, with the right of ingress and egress. The grade of the vacated public ways shall not be altered in a manner so as to interfere with the operation and maintenance of Commonwealth Edison's facilities. No buildings, permanent structures or obstructions shall be placed over Commonwealth Edison's facilities without written release of easement by Commonwealth Edison. Any future vacation-beneficiary prompted relocation of Commonwealth Edison's facilities lying within the area being vacated will be accomplished by Commonwealth Edison and done at the expense of beneficiary of the vacation.
 
 
SECTION 3. The vacation herein provided for is made upon the express condition that within 180 days after the passage of this ordinance, Solstice on the Park, LLC shall deposit in the City Treasury of the City of Chicago, a sum sufficient to defray the costs of removing paving and curb returns in the areas being vacated, and constructing alley, sidewalk and curb at the entrance to that part of the new alley being dedicated (the "Dedicated New Alley"), in accordance with current City right of way construction standards.
 
 
 
 
Page 2
 
 
SECTION 4. The vacation herein provided for is made upon the express condition that Solstice on the Park, LLC shall, at its sole cost and expense, remove paving and curb returns in the areas being vacated, and construct the Dedicated New Alley, sidewalk and curb at the entrance to that part of the Dedicated New Alley, in accordance with current City right of way construction standards, after the passage of this ordinance.
 
 
SECTION 5. The vacation herein provided for is made upon the express condition that after the passage of this ordinance, Solstice on the Park, LLC shall comply with its duties and obligations to the City and Board of Education of the City of Chicago (the "Board") for the School Improvements (the "School Improvements") to the School, as more fully set forth in an Intergovernmental Agreement by and between the City and Board for such School Improvements (the "Bret Harte Intergovernmental Agreement"), which is subject to the City Council for the City of Chicago approving and authorizing Bret Harte Intergovernmental Agreement, as compensation for the benefits which will accrue to Solstice on the Park, LLC as the owner of the property abutting the areas hereby vacated, which in the judgment of this body, when combined with the other benefits to the City and the Board of the Dedicated New Alley and the School Improvements, shall be equal to or greater than such benefits as accrue to the City of Chicago and Board in association with the Dedicated New Alley and the School Improvements for the Bret Harte Elementary School.
 
SECTION 6. The Commissioner of the City of Chicago's Department of Transportation or any designee of the Commissioner is hereby authorized to accept, subject to approval of the Corporation Counsel as to form and legality, on behalf of the City of Chicago, the benefits of a special warranty deed substantially in the form attached hereto as Exhibit C (the "Reconveyance Deed") and in recordable form, from Solstice on the Park, LLC, its successors and/or assigns as grantors ("Grantors"), and naming the City as grantee ("Grantee"), for the public way being vacated, or any portion thereof, by this ordinance securing the Grantors completion of the Dedicated New Alley and the School Improvements. Grantee shall have the right to record the Reconveyance Deed and to re-enter and take possession of the public way being vacated, or any portion thereof, terminate the estate, or any portion thereof, conveyed to the Grantors and revest title to the public way being vacated, or any portion, in the Grantee only upon Grantors' failure to cure, within 30 days after written notice thereof from Grantee, any breach of the terms and conditions of any of the School Improvements. Upon satisfaction in full of the Dedicated New Alley and the School Improvements, Grantee shall have no further right to record the Reconveyance Deed, which shall promptly be returned unrecorded to Grantors. If the Reconveyance Deed is recorded by the Grantee, Grantors shall be responsible for all real estate taxes and assessments which accrued during the period the vacated public way, or any portion thereof, was owned by Grantors. Grantors will cooperate with the Grantee to ensure that should the Grantee record the Reconveyance Deed, such recording is effective for the purposes of transferring title to the vacated public way, or any portion thereof, to the Grantee by executing any customary transfer documents.
 
SECTION 7. The vacation herein provided for is made upon the express condition that within one hundred eighty (180) days after the passage of this ordinance, Solstice on the Park, LLC shall file or cause to be filed for record in the Office of the Recorder of Deeds of Cook County, Illinois a certified copy of this ordinance, together with an attached plats of vacation and dedication as approved by the Superintendent of Maps and Plats.
 
 
 
Page 3
 
SECTION 8. This ordinance shall take effect and be in force from and after its passage. The vacation shall take effect and be in force from and after its recording.
 
 
Vacation Approved:
 
 
 
 
tebekah Scheinfeld Commissioner of Transportation
 
Approved as to Form and Leg
 
Richard Wendy Deputy Corporation Coun^
 
 
rable Leslie Alderman, 5th Ward
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Page 4
 
EXHIBIT "A':
Plat of Dedication
 
 
r = jo
BMW PLOTTED ON 24x36 PAPER
OF AN EAST-WEST 18 FOOT WIDE PUBLIC ALLEY
LYING IN LOT 18 IN BLOCK 1 OF ILLINOIS CENTRAL SUBDIVISION OF THE WEST PART OF THE SOUTHWEST 14.09 ACRES IN THE FRACTIONAL SOUTHWEST 1/4 OF SECTION 12 AND THE WEST PART OF THE NORTHWEST 17 93 ACRES IN THE FRACTIONAL NORTHWEST 1/4 OF SECTION 13, TOWNSHIP 38 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN, ACCORDING TO PI AT THEREOF REGISTERED IN THE OFFICE OF THE REGISTRAR OF 'HUE OF COOK COUNTY, ILUNOIS ON JUNE 1, 1883, AS DOCUMENT NUMBER 472550 DESCRIBED AS FOLLOWS:  THE NORTHERLY 18 FEET OF SAID LOT 18 AS MEASURED PERPENDICULAR TO THE NORTHERLY LINE THEREOF AND (EXCEPT THE WEST 150 00 FEET THEREOF), IN COOK COUNTY, ILLINOIS
 
CONTAINING 3,258 SQUARE FEET MORE OR LESS OR 0.075 ACRES MORE OR LESS.
 
 
 
 
4
 
 
 
am;/ to VF0Or.R PRICE P c 222 N LuSALLE S1RLL I CHICCO. ILLINOIS 60601 AT IN   DANIELLE CASSLL
 
ILLINOIS PROFESSIONAL DESIGN FIRM LICENSt. NUMBER 184 002000 EXPIRES APRIL 30. 2015
 
 
 
 
CDOT# 13-05-13-3601
 
CR
 
CHRISTIAN-ROGE & ASSOC., ]NC 211  WEST WACKER DRIVE CHICAGO,ILLINOIS 60G06 (312)372-2023 FAX(312)372-5274
UtEPtKED TOR.
SOLSTICE ON THE PARK, LLC 32 N   DEAN STREET, 2nd FLOOR ENGLEWOOD, NJ 07631 201-511-8003
 
PLAT OF DEDICATION    EAST 181'REVISIONS14-11-10RFWSID NDuENCLATUfiE10W-iO-i-COOT Bttft* /IJn-:»-ilLABLL * Ui'DAIE•j-a*-uUPDATED * CERTIFICATION1J-J1-13COOI HCV.FWJ
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EXHIBIT "A'
Plat of Dedication
OF AN EAST-WEST 18 FOOT WIDE PUBLIC ALLEY
 
MAIL TO VEDDER PRICE P C 222 N LoSALLE S1REE1 CHICCO. ILLINOIS 60601 ATTN  DANIELLE CASSEL
 
 
NOTES
  1. FOR BUILDING LINES. EASEMLNI'S AND OTHER RESTRICTIONS NOT SHOWN HEREON RErER TO YOUR DEED. TITLE POL ICY, ZONING ORDINANCE, ETC
  2. THE BASIS Of BEARING IS ASSJMED COMPARE ALL POINTS BEFORE BUU'J.NG AND REPORT ANY DEFERENCE AT ONCE
  3. ALL LOT CORNERS HAVE BEEN SET, FOUND OR OFF SET
1) NO DIMENSION SHOULD BE ASSUMED BY SCALE MEASUREMENT
  1. THE FIELD NOTES FOR THIS SURVEY WERE COMPLETED ON JUNE 14, 2013 EY SCOTT QUINN OF THIS OFFICE
  2. SUBJECT PARCFI IS ZONED PD 282 '/) ALL LINES ARF PROPERTY, DEED OR CALLS FROM THE LEGAL DESCRIPTION UNLESS OTHERWISE NOTED
LEGEND
D-    INDICATES DEED DISTANCE M-R    INDICATES MEASURED DISTANCE EOUAlS RTCORD DISTANCE BOLD U   INDICATES RECORD DISTANCE
U L     INDICATES UTILITY EASEMENT
NE    INDICATES NORTHEASTERLY DIRECTION
:'D CROSS  INDICATES FOUND CUT CROSS
FP    INDICATES FOUND .RON PIPE
SlP    INDICATES SET IRON PIPE
INDICA1ES AREA TO BE VACATED
INDICATES AREA TO BE OPENED FOR PUBLIC ALLEY
INDICATFS AREA TO BE DEDICATED FOR PUBLIC ALLEY
INDICATES TRAFFIC DIRECTION INDICATES CENTER LINE INDCATES PROPERTY LINE INDICATES FENCE LINE
 
 
SI ATE OF ILLINOIS \ COUNTY OF COOK 5 bi
TH'S IS TO CERTIFY THAT SClSUCE ON VE PARK. 1.1 C, A DELAWARE LIMITED LIABILITY COMPANY :s THE RECORD OWNER OF THE LAND 0ESCR.6ED HEREON AS SUBDIVIDED, STAKED AND PLATTED AS SHOWN HEREON, I OR THE PURPOSE OF HAVING THIS PIA1 RECORDED,
BY   AL SOLSTICE ON THE PARK, LLC, A DELAWARE LIMITED LIABILITY COMPANY ITS MANAGER
BY   ANTHEUS CAPITAL. LLC, A NEW Ji.RSEY LIMNED LIABILITY COMPANY ITS   MEM3ER—MANAGER
BY
ENGLEWOOD.
NAME   DAVID H GE~FSKV I IS   MANAGING MEMBER ADDRESS   32 NOR Hi DEAN S'i NEW JERSEY 07631
NOTARY'S CERTIFICATE
STATE OF NEW JERSEV ? „ COUNTY OF BFRCEN     5 3J
I, A NOTARY PUBLIC, IN AND FOR THE COUNTY AND STATE AFORESAID, DO HEREBY CERTIFY IHA1 DAVID II GEFSKY, PERSONALLY KNOWN TO BE THE SAME PERSON WHOSE NAME IS SUBSCRIBED TO THE FOREGOING INSTRUMENT ON BEHALF OF SOLSTICE ON THE PARK (OWNER), APPEARED BErORE ME THIS DAY IN PERSON AND ACKNOWLEDGED ^HAl HE SIGNED AND DELIVERED THE ANNEXED PLAT AS THE "REE AND VOLUNTARY AC i OF SAID OWNER AND AS HIS OWN FREE ' AND VOLUNTARY ACT, FOR THE USES AND PURPOSES THEREIN SET FORTH
GIVEN UNDER MY HAND AND NOTARIAL SEAL  iHIS
 
DAY OF
INDICATES BUILDING
 
LOT#P   I NZONING1720-13-100-006PD 28218 WPT20-13-100-016RM-h18 CPT20-13-100-017PD 2S219 WPT20-13-100-008RM-519 E.PT20-13-100-009PD 28223-2620-13-100-013I'D 2822220-13-100-012RM-52120-13-100-011RM-52.020-13-100-010RM-5120-1-1-206-002RM-518 WPT= LOT 18 WESTERLY PART19 E PT= LOT 19 EASTERLY PARTSTATE OF ILLINOIS ! „ COUNTY OF COOK >
WE, CHRISTIAN-ROGE AND ASSOC'ATS. INC HAVE SURVEYED THE ABOVE DESCRIBED PROPERTY UNDER THE DIRECIION OF A PROFESSIONAL LAND SURVEYOR AND THAT SAID SURVEY CONFORMS TO THE CURRENT ILLINOIS MINIMUM STANDARDS FOR A BOUNDARY SURVEY ALL DIMENSIONS ARE IN FEE1 AND DECIMALS PARTS THEREOF
 
DAY
11:
 
TlLINOIS PROFESSIONAL LANE II 035 00298-1 LXP RES V. 730/2011
 
NOTARY PUBLIC
MY COMMISSION EXPIRES
IN CHICAGO. ILLINOIS THIS OF JUNE AD, 2013
 
CDOT# 13-05-13-3601
 
plat of dedication east iei"
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HFV1SIOWS
E VISED NOMENCLATURE
ABU * UPDHTF
UPDATED * CERTil
COOT REV.Ew
( SHEET NO
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s.o 07-00:
CHRISTIAN-ROGE & ASSOC., INC. 211 WEST WACKER DRIVE CHICAGO,ILLINOIS G060B (312)372-2023 FAX(312)372-5274
SOLSTICE ON THE PARK, LLC 32 N  DEAN STREET, 2nd FLOOR ENGLEWOOD, NJ 07631 201-511-8003
 
V \12-053\021O14_CDOT review\Dodicalion\12-Ob'i •-: Dedication 021011 dwg
 
 
EXHIBIT "B"
Plat of Vacation
OF THAT PART OF AN LAS1-WEST 16 FOOT W:DE PUBLIC ALLEY
LYING IN PART OF BLOCK 1 AND ADJACENT TO LOTS 19 (EXCEPT THE WEST 131 FEET), 23, 24. 25 AND 26 IN BLOCK 1 OF ILLINOIS CENTRAL SUBDIVISION OF THE WEST PART OF THE SOUTHWEST 14 09 ACRES IN THE FRACTIONAL SOUTHWEST 1/4 OF SECTION 12 AND THE WEST PART OF THE NORTHWEST 17 93 ACRES IN THE FRACTIONAL NORTHWES1  1/4 OF SECTION 13. TOWNSHP 38 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN. ACCORDING TO PLAT THEREOF REGISTERED IN 1HE OFFICE OF THE REGISTRAR OF TITLE OF COOK COUNTY. ILJNOiS ON JUNE 1, 1683, AS DOCUMENT NUMBER 472550 DESCRIBED AS FOLLOWS BEGINNING Al  THE NORTHEAST CORNER OF LOT 26 OF BLOCK 1  IN SAID ILLINOIS CENTRAL SUBDIVISION, THENCE SOUTH 89"59'34" WEST ALONG THE NORTH LINE OF LOTS 23 TO 26 INCLUSIVE, A DIS1ANCE OF 200 05 FEET (MEAS) TO THE NORTHWEST CORNER OF LOT 23 Or BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION ALSO BEING THE NORTHEAST CORNER OF LOT 22 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION,  THENCE NORTHERLY TO THE INTERSECTION OF THE NORTHERLY EXIENSION OF THE WEST LINE OF LOT 23 OF BLOCK 1 OF SAID ILLINOIS CENTRAL SUBDIVISION, ALSO BEING HI.  NORTHERLY EXTENSION OF THE EAST LINE OF LOT 22 OF BLOCK 1 OF SAID ILLINOIS CENTRAL SUBDIVISION TO THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION SAID INTERSECTION BEING 131 00 FEET EAST OF THE SOUTHWEST CORNER OF SAID LOT 19 01   BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION, A DISTANCE OF 16 00 FEET,  THENCE NORTH 89'59'34" EAS1 ALONG THE SOUTH LINE OF LOT 19 OF BIOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION. A DISTANCE OF 19.00 FEET TO THE EAST LINE OF THE WEST 150 FEET OF LOT 19 OF BLOCK 1 IN SAID ILLINOIS CENTRAL SUBDIVISION, THENCE CONTINUING NORTH 89'59'34" EAST ALONG THE SOUTH LINE OF LOT 19 OF BLOCK 1 IN SA;D ILLINOIS CENTRAI   SUBDIVISION TO THE WEST RIGH1 Of WAY OF SOUTH CORNELL AVENUE, A DISTANCE OF 181 05 F£ET (MEAS),  THENCE SOUTH 00"06'59" EAST ALONG THE WEST RIGHT OF WAY OF SOUTH' CORNELL AVENUE, A DISTANCE OF 16 00 FEET TO  THE POINT OF BEGINNING, ALL IN COOK COUNTY, ILLINOIS
 
CONTAINING    3.201 SQUARE FEET MORE OR LESS OR 0 074 ACRES MORE OR LESS
EASTERLY CROSS
 
MAIL TO VEDDER PRICE P C 2?2 N LoSALLE STREET CHICCO. IlLINOIS 60601 ATTN   DANIELLE CASSEI.
 
ILLINOIS PROFESSIONAL DESIGN FIRM LICENSE NUMBER 184 002000 EXPIRES APRIL JO. 2015
 
CDOT# 13-05-13-3601
PARCEL Gtff
 
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T-TjTT CHRISTIAN-ROGE & ASSOC., INC.
^K      211 WEST WACKER DRIVE
CH1CACO.ILLINOIS 6060G (312)372-2023 FAX(312)372-527<I
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SOLSTICE ON THE PARK, LLC 32 N  DEAN STREET, 2nd FLOOR ENGLEWOOD, NJ 07631 201-541-8003
 
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EXHIBIT "B"
Plat of Vacation
OF THAT PART OF A 16 FOOT WIDE PUBLIC ALLEY
 
 
 
MAIL TO. VEDDER PRICE P C 222 N LoSAlll. STREET CHICGO. II.IINOI5 60501 ATTN   DANILLLL CASSFl
 
■NOTES
  1. FOR BUILDING LINES. I ASEMENTS AND OTHER RESTRICTIONS NOT SHOWN HEREON REFER TO YOUR DEED, TITLE POLICY, ZONING ORDINANCE. ETC
  2. THE BASIS OF BEARING IS ASSUMED COMPARE ALL POINTS BEFORE BUILDING AND REPORT ANY DIFFERENCE AT ONCE
  3. ALL. LOT CORNERS HAVE BEEN SET, FOUND OR OFr SET.
  4. NO DIMENSION SHOULD BE ASSUMED BY SCALE MEASUREMENT.
  5. THE FIELD NOTES FOR THIS SURVEY WERE COMPLETED ON JUNE 14, 2013 BY SCOTT OUINN OF THIS OFFICE
  6. SUBJECT PARCEL IS ZONED PD 282
  7. ALL LINES ARE PROPERTY, DEED OR CALLS FROM THE LEGAL DESCRIPTION UNLESS OTHERWISE NOTLD.
 
LOT# 17P   1 NZONING
20-13 - 100-006PD 28218 WPT20-13-100-016RM-518 f. PT20-13-100-017PO 28219 WPT20-13-100-008RM-519 EPT20-13-100-009PD 28223-2620-13-100-013PD 2822220-13-100-012RM-521 2020-13-100-011RM-5
20-13-100-010RM-5120-1-1-206-002 \ RM-518      V/PT= 1.01 IB WESTERLY PART
19      I. PT= LOT 19 EASTERLY PART
 
 
LEGEND
 
 
D-     INDICATES DEED DISTANCE V  R   INDICATES MEASURED DISTANCE EQUALS RECORD DISTANCE BOLD #   INDICATES RECORD DISTANCE 0 E     INDICATES UTII ITY EASEMENT
NE    INDICATES NORTHEAS1ERLY DIRECTION
FD CROSS  INDICATES FOUND CU1 CROSS
FIP    INDICATES FOUND IRON PIPE
SIP   INDICATES SET IRON PIPE
INDICATES AREA TO BE '</_//A VACATED
 
INDICATES AREA TO BE OPENED FOR PUBLIC Al LEY
INDICATES AREA TO BE DEDICATED FOR PUBLIC ALLEY
INDICATES TRAFFIC DIRECTION INDICATES CENTER LINE INDICATES PROPERTY LINE INDICATES FENCE LINE
 
 
STATE OF ILLINOIS > COUNTY OF COOK >
WE, CHRISTIAN-ROGE AND ASSOCIATES, INC. HAVE SURVEYED THE ABOVE DESCRIBED PROPERTY UNDER THE DIRECTION OF A PROFESS.ONAL LAND SURVEYOR AND THAT SAID SURVEY CONFORMS TO THE CURRENT ILLINOIS MINIMUM STANDARDS TOR A BOUNDARY SURVEY ALL DIMENSIONS ARE IN I EET AND DECIMALS PARTS THEREOF
IN CHICAGO, ILLINOIS THIS 14th DAY OF JUNE A. D , 2013
 
 
 
ILLINOIS PROFESSIONAL LAND SURVEYOR # 035 002984 EXPIRES : 1/30/2014
£2
 
CDOT# 13-05-13-3601
FARCEL G * G'
 
CR
V \12-053\122513_CDOT review\12-053 Vacation G 0210i4cwg
SHEET NO 2
 
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CHRISTIAN-ROGE k ASSOC., INC. 211 WEST WACKER DRIVE CHICAGO.ILUNOIS 60606 (312)372-2023 FAX(312)372-5274
PREPARED FOR
SOLSTICE ON THE PARK, LLC 32 N   DEAN STREET. 2nd FLOOR ENGLEWOOD, NJ 07631 201-541 8003
 
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EXHIBIT C TO ORDINANCE
 
Reconveyance Deed
 
(Not attached for Introduction)
 
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
 
SECTION I -- GENERAL INFORMATION
  1. Legal name of the Disclosing Party submitting this EDS. Include d/b/a/if applicable:
SotsHu. OA      fWl t LLC      
 
Check ONE of the following three boxes:
 
Indicate whether the Disclosing Party submitting this EDS is:
1.      the Applicant
OR
2.      [ ] a legal entity holding a direct or indirect interest in the Applicant. State the legal name of the
Applicant in which the Disclosing Party holds an interest:      
OR
3.      [] a legal entity with a right of control (see Section II.B.l.) State the legal name of the entity in
which the Disclosing Party holds a right of control:      
  1. Business address of the Disclosing Party:       3'^- M- &€&a _W -i^ floor      
  2. Telephone: Z&( -Sty (- gflol  Fax: Zol ~ ^ Of- ?39.?   Email:  ScWtiAflb    Â€ aMk+Uf^ ^'
  3. Name of contact person:   ■St>-_i_ £W(rr>-.Jo(:C      
  4. Federal Employer Identification No. (if you have one): _J ;      
F.      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):
Alley Vacations, Alley Dedication and Alley Opening in connection with privately-funded improvements to Bret Harte
Flpmpntary Sr.hnnl privately-fi inHprl right-nf-way imprnvpmpnts, anrl potential mrtevplopmpnt nf arljar.pnt parr.pl at the Northwest corner of South Cornell Avenue and East 56th Street.
G.      Which City agency or department is requesting this EDS? Department of Transportation      
 
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
 
 
SECTION II - DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY 1.   Indicate the nature of the Disclosing Party:
Person      Y) Limited liability company
Publicly registered business corporation       [ ] Limited liability partnership
Privately held business corporation      [ ] Joint venture
Sole proprietorship      [ ] Not-for-profit corporation
General partnership      (Is the not-for-profit corporation also a 501(c)(3))?
Limited partnership      [ ] Yes      [ ] No
Trust      [ ] Other (please specify)
 
 
2.   For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
_J_J_
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?
 
N^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
 
 
 
 
 
 
 
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
 
 
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal 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
L+fttdtr Aa*K-ua. gg^fy f>dJ-i^rs ff, L.fi      Tl       {(*>
      tyh^ccA        6 ^3/      
 
 
 
 
 
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      M No
 
If yes, please identify below the name(s) of such 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 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: (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
 
 
 
 
i
 
Name (indicate whether    Business      Relationship to Disclosing Party   Fees (indicate whether
retained or anticipated       Address       (subcontractor, attorney,      paid or estimated.) NOTE:
to be retained)      lobbyist, etc.)      "hourly rate" or "t.b.d." is
not an acceptable response.
Srfc CVsrj/) 6co^>.iU.    W S. htd,'^ /w. %c^.Ck\^^L lows -^^w.-^f ^J2L_
 
[fe^Lr frfCe-      TTL  /VhrfA U Salic Sfae.et, CLi\c&t,,ZU  ^060(       /WW**-   *5o>060
 
(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
  1. COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
 
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
 
[ ] Yes      5^'No      [ ] No person directly or indirectly owns 10% or more of the
Disclosing Party.
 
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with that agreement?
 
[ ] Yes      [ ] No
  1. FURTHER CERTIFICATIONS
 
1.   Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article I supersedes some five-year compliance timeframes in certifications 2 and 3 below.
 
 
Page 4 of 13
 
  1. The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section II.B.l. of this EDS:
    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 of the 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.
  1. 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 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 of the Disclosing Party, any Contractor or any Affiliated Entity 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 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;
    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
  1. 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 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.
  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) of the 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 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 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.
 
 
 
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
  1. The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is      J*3 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:
"Wc are not and will not become a predatory lender as defined in Chapter 2-32 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
 
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 the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
 
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
 
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
  1. In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
[ ] Yes [#No
 
NOTE:  If you checked "Yes" to Item D.I., proceed to Items D.2. and D.3. If you 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 ^No
  1. If you checked "Yes" to Item D.l., provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest:
 
Name      Business Address      Nature of Interest
 
 
A.(9f\g-
 
 
 
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.
 
)C 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 of the City are not federal funding.
 
A. CERTIFICATION REGARDING LOBBYING
 
1.   List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
 
 
 
 
 
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
 
2.   The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
Page 9 of 13
 
  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.l. and A.2. above.
  2. The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) of the Internal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) of the Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities".
  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 of the Matter and must make such certifications promptly available to the City upon request.
 
 
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
 
If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
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 VII -- 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 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.
  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 of the 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
 
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. 1. 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 of the date furnished to the City.
 
 
 
 
 
 
 
 
 
 
 
 
 
(Print or type title of person signing)
 
 
 
 
 
 
Signed and sworn to before me on (date)   ff,kauris I^.Z&.^j ,
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, the Disclosing Party must disclose whether such Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently has a "familial relationship" with any elected city official or department head. A "familial relationship" exists if, as of the date 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 of the Disclosing Party listed in Section II.B.l.a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members of the Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means 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      H No
 
If yes, please identify below (1) the name and title of such person, (2) the name of the legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
 
 
 
 
 
 
 
 
 
 
 
Page 13 of 13
 
 
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
 
SECTION I - GENERAL INFORMATION
  1. 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:
  1. [ ] 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.      J<] a legal entity with a right of control (see Section II.B.l.) State the legal name of the entity in
which the Disclosing Party holds a right of control: ^oi^/jU- oa
  1. Business address of the Disclosing Party:       .37—   AJorsKv CW^-£ffg«z/ f'V^ pj.      
  2. Telephone: 7jD1^5H ( -fOffl    Fax: 7&l~ YQff~ 73ft?     Email: SC bvÂ¥j\£id&-@ fl/i fktUsf^<y>''W.
  3. Name of contact person:      \jlS) g_  C kfiAg/vl £>££■      
,      " l
i
  1. Federal Employer Identification No. (if you have one):      ;       
  1. 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):
Alley Vacations, Alley Dedication and Alley Opening in connection with privately-funded improvements to Bret Harte Flementary School, privately-funded rigr_-x£-.wayjmpix—ements, and potential redevelopment nf adjacent parcel at . the Northwest corner of South Cornell Avenue and East 56th Street.
  1. Which City agency or department is requesting this EDS? DePartment of Transportation      
 
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
 
Specification #      and Contract #      
 
Vcr. 01-01-12
 
 
 
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
[ ]      Publicly registered business corporation
[ ]      Privately held business corporation
[ ]      Sole proprietorship
[ ]      General partnership
j<3      Limited partnership
[]      Trust
[ ] Limited liability company
[ ] Limited liability partnership
[ ] Joint venture
[ ] Not-for-profit corporation
(Is the not-for-profit corporation also a 501(c)(3))?
[ ] Yes      [ ] No
[ ] Other (please specify)
  1. 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      D0 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
 
 
 
 
 
 
 
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
 
 
Supplementary Page 3 for Lyrical-Antheus Realty Partners II, L.P. Economic Disclosure Statement
 
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal 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
(^4ktc Lorpmxh^      210 Saojv Ht^^^ SmUeZlo      VA~£$'6(o
cw>du. tescxxekst/j c.  (<>p.$z*&^ *zwg      ]o.2$*
 
(No other owner exceeds the 7.5% threshold) 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 P?No
 
If yes, please identify below the name(s) of such 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 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: (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     Business      Relationship to Disclosing Party   Fees (indicate whether
retained or anticipated       Address       (subcontractor, attorney,      paid or estimated.) NOTE:
to be retained)      lobbyist, etc.)      "hourly rate" or "t.b.d." is
not an acceptable response.
 
 
 
 
 
(Add sheets if necessary)
fXfa Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V ~ CERTIFICATIONS
  1. COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
 
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
 
[ ] Yes      [ ] No      lAbNo person directly or indirectly owns 10% or more of the
Disclosing Party.
 
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with that agreement?
 
[ ] Yes      [ ] No
  1. FURTHER CERTIFICATIONS
 
1.   Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article I supersedes some five-year compliance timeframes in certifications 2 and 3 below.
 
 
Page 4 of 13
 
  1. The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section II.B.l. of this EDS:
  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 of the 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
 
c.   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.
  1. 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 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 of the Disclosing Party, any Contractor or any Affiliated Entity 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 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;
    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
  1. 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 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.
  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) of the 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 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").
 
AO(VL-
 
 
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.
 
 
 
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
  1. The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is      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 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
 
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 the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
 
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
 
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
  1. In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee 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 r]No
 
NOTE:  If you checked "Yes" to Item D.l., proceed to Items D.2. and D.3. If you checked "No" to Item D.l., proceed to Part E.
  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 [VTNo
  1. If you checked "Yes" to Item D.L, provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest:
 
Name      Business Address      Nature of Interest
 
 
 
 
 
 
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
 
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
 
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing 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.
 
s>C 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 of the City are not federal funding.
 
A. CERTIFICATION REGARDING LOBBYING
 
1.   List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
 
 
 
 
 
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
 
2.   The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
Page 9 of 13
 
  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.l. and A.2. above.
  2. The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) of the Internal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) of the Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities".
  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 of the Matter and must make such certifications promptly available to the City upon request.
 
 
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
 
If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
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 VII-- 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 information provided on this EDS and any attachments to this EDS may be made available to the public on the Internet, in response to a Freedom of Information Act request, or otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it may have against the City in connection with the public release of information contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS.
 
E.      The information provided in this EDS must be kept current. In the event of changes, the Disclosing
Party must supplement this EDS up to the time the City takes action on the Matter. If the Matter is a
contract being handled by the City's Department of Procurement Services, the Disclosing Party must
update this EDS as the contract requires. NOTE: With respect to Matters subject to Article I of
Chapter 1-23 of the 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
 
F. 1.    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 of the date furnished to the City.
 
(Priri
yficzi- A^wu-i fctWiy p&.-w^ rr.^.ft t
it or type name of Disclosing Party)    & Qtlo^'C-V
 
(Sign here)
      y!kk^      
(Print or type name of person signing)
 
 
(Print ortype title of person signing)
 
 
 
at QxLf^lty      County, ^go-Wry (state).
Signed and sworn to before me on (date) fcWt^ 'T-V/Z^
 
Notary Public.
 
Commission expires:      
Page 12 of 13
 
 
 
JEANETTE MARIE COLON
      NOTARY PUBLIC OF NEW JERSEY
Sfy      l.D.# 2419776
^^My Commission Expires 4/12/20/_Ls
 
 
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 Partner 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 of the Disclosing Party listed in Section II.B.l .a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members of the Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means 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      \X) No
 
If yes, please identify below (1) the name and title of such person, (2) the name of the legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
 
 
 
 
 
 
 
 
 
 
 
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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
 
SECTION I -- GENERAL INFORMATION
  1. Legal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable:
 
( y0cq- Aai*W.   6P iX ,UL,C      
Check ONE of the following three boxes:
 
Indicate whether the Disclosing Party submitting this EDS is:
  1. [ ] 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.l.) State the legal name of the entity in
which the Disclosing Party holds a right of control:    So(sfirt- fl->v-ftu- Pcj-j-f l LC
  1. Business address of the Disclosing Party:        3,1 (\^. ^hoaS^^, Z^' fl.      
Cr^lv^caK rOJ~       
  1. Telephone:'2fb\-SH( SCO'S    Fax:       ~ M 0<f - 7375     Email: icLc^ulo^f^Cu-^t^ Q>{^-
  2. Name of contact person: 3uJSC.VDSZ,\fa$@             
_        -
  1. Federal Employer Identification No. (if you have one):; \      
  1. 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):
Alley Vacations, Alley Dedication and Alley Opening in connection with privately-funded improvements to Bret Harte Elementary School, privately=funried right-of-way-nprovemeDts—and potarjliairedevdopmenLoJ-adjacent parcel—t_ the Northwest corner of South Cornell Avenue and East 56th Street.
  1. Which City agency or department is requesting this EDS? Department of Transportation      
 
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
 
Specification #      and Contract #      
 
Vcr. 01-01-12
 
 
 
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      1£\
Publicly registered business corporation      [ ]
Privately held business corporation      [ ]
Sole proprietorship      [ ]
General partnership      (Is
Limited partnership
Trust      [ ]
 
 
 
 
Limited liability company Limited liability partnership Joint venture
Not-for-profit corporation
the not-for-profit corporation also a 501(c)(3))?
[ ] Yes      [ ] No
Other (please specify)
 
2.      For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
      A- Lit      
  1. 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
C-yn^-  AAjffsg-iAj t\,/\aj&*\ei\h ! L,P>      Mfc/iy^ Mg/n&r      
 
 
 
 
 
 
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
 
 
Supplementary Page 3 for Lyrical-Anlheus GP II, LLC Economic Disclosure Statement
 
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal 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
 
(Jeffrey A Kesvvm is the sole beneficiary of this Trust)      yO^f&x{(L' (      ^     ( OC^^-      
 
 
 
 
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      $q No
 
If yes, please identify below the name(s) of such 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 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: (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    Business      Relationship to Disclosing Party   Fees (indicate whether
retained or anticipated       Address       (subcontractor, attorney,      paid or estimated.) NOTE:
to be retained)      lobbyist, etc.)      "hourly rate" or "t.b.d." is
not an acceptable response.
 
 
 
 
 
(Add sheets if necessary)
Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V - CERTIFICATIONS
  1. COURT-ORDERED CHILD SUPPORT COMPLIANCE
 
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
 
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
 
[ ] Yes      r^No      [ ] No person directly or indirectly owns 10% or more of the
Disclosing Party.
 
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with that agreement?
 
[ ] Yes      [ ] No
  1. FURTHER CERTIFICATIONS
 
1.   Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article I supersedes some five-year compliance timeframes in certifications 2 and 3 below.
 
 
Page 4 of 13
 
  1. The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section II.B.l. of this EDS:
  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 of the 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 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 of the Disclosing Party, any Contractor or any Affiliated Entity 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 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;
  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 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.
  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) of the 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 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 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.
 
______
 
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
  1. The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is      [CJcis 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 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
 
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 the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
 
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
 
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
  1. In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee 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 r^No
NOTE:  If you checked "Yes" to Item D.L, proceed to Items D.2. and D.3. If you checked "No" to Item D.l., proceed to Part E.
  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 |$No
  1. If you checked "Yes" to Item D.l., provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest:
 
Name      . Business Address      Nature of Interest
 
 
 
 
 
 
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
 
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
 
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing 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.
 
^>C 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 of the City are not federal funding.
 
A. CERTIFICATION REGARDING LOBBYING
 
1.   List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
 
 
 
 
 
i
(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 of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
Page 9 of 13
 
  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.l. and A.2. above.
  2. The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) of the Internal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) of the Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities".
  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 of the Matter and must make such certifications promptly available to the City upon request.
 
 
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
 
If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
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 VII-- 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 information provided on this EDS and any attachments to this EDS may be made available to the public on the Internet, in response to a Freedom of Information Act request, or otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it may have against the City in connection with the public release of information contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS.
 
E.      The information provided in this EDS must be kept current. In the event of changes, the Disclosing
Party must supplement this EDS up to the time the City takes action on the Matter. If the Matter is a
contract being handled by the City's Department of Procurement Services, the Disclosing Party must
update this EDS as the contract requires. NOTE: With respect to Matters subject to Article I of
Chapter 1-23 of the 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
 
F. 1.    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. 1. 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. 1., 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 of the date furnished to the City.
 
(,yrH-/^ hP ff, LLC
(Print CjH^pefH^mie of DiscIosiiieParty) A (McLw)^ uLe      ^ n
£Ss\ ^            ^rtt*4-^ rW^n^r.
By: _Jk_-_4-—^—            ]\s rWyi^ Ke^rjtr
(-Sign here)      V      s 0 i uc
 
      Pfrfal  fe&rW            T_ &v,ve>{ fVw
(Print or type name of person signing)      .      . r r ,
Ho^n       HeMW
(Print or type title of person signing)
 
at
County, fOiio
(state). Notary Public.
Signed and sworn to before me on (date) feh\A.csy "7- U, ^
itfe)
f-
Page 12 of 13
 
 
Commission expires: W//^-/'^/"?
 
 
 
 
JEANETTE MARIE COLON i NOTARY PUBLIC OF NEW JERSEY
i.D. # 2419776 My Commission Expires 4/12/20 I
 
 
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 Partner 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 of the Disclosing Party listed in Section II.B.l.a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members of the Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means 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      Jtf No
 
If yes, please identify below (1) the name and title of such person, (2) the name of the legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
 
 
 
 
 
 
 
 
 
 
 
Page 13 of 13
 
 
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
 
SECTION I - GENERAL INFORMATION
  1. 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:
  1. [ ] 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.l.) State the legal name of the entity in
which the Disclosing Party holds a right of control:   ^yojsHct- &a      Ppj-L LLC      
  1. Business address of the Disclosing Party:       "Q-  N>> D<£U jWI,!^^,      
Erdujotik, CPtJi      
  1. Telephone: 2th( -     (-ff0o'5     Fax:      W0^-7_7_     Email: ScWvgyvJU^ ^ C^lUuJ cga***-
  2. Name of contact person:  ^>*_fre. CW/g/yj!o£l~      
i i
  1. Federal Employer Identification No. (if you have one):      \. '■■      
  1. 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):
Alley Vacations, Alley Dedication and Alley Opening in connection with privately-funded improvements to Bret Harte FlPmPntary fir.hnnl privately-fi inrlprl right-nf-way impmypmpnts, and potential redevelopment nf adjacent parrel at the Northwest corner of South Cornell Avenue and East 56th Street.
  1. Which City agency or department is requesting this EDS? Department of Transportation      
 
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
 
Specification #      and Contract #      
 
Vcr. 01-01-12
 
 
 
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      [ ]      Limited liability company
[ ] Publicly registered business corporation      [ ]      Limited liability partnership
[ ] Privately held business corporation      [ ]      Joint venture
[ ] Sole proprietorship      [ ]      Not-for-profit corporation
[ ] General partnership      (Is      the not-for-profit corporation also a 501(c)(3))?
Limited partnership      [ ] Yes      [ ] No
[ ] Trust      [ ]      Other (please specify)
 
 
2.   For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
 
 
 
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      M 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
 
 
 
 
 
 
 
 
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
 
 
Supplementary Page 3 for Lyrical-Antheus Management LP Economic Disclosure Statement
 
 
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal 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
 
 
 
 
(Jeffrey A. Keswin is the sole beneficiary of this Trust)      ^ y        ^ t^^f /OQ^-"^      
 
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 I#No
 
If yes, please identify below the name(s) of such 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 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: (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     Business      Relationship to Disclosing Party   Fees (indicate whether
retained or anticipated       Address       (subcontractor, attorney,      paid or estimated.) NOTE:
to be retained)      lobbyist, etc.)      "hourly rate" or "t.b.d." is
not an acceptable response.
 
 
 
 
 
(Add sheets if necessary)
^)] Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V - CERTIFICATIONS
  1. COURT-ORDERED CHILD SUPPORT COMPLIANCE
 
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
 
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
 
[ ] Yes      h<§>No      [ ] No person directly or indirectly owns 10% or more of the
Disclosing Party.
 
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with that agreement?
 
[ ] Yes      [ ] No
  1. FURTHER CERTIFICATIONS
 
1.   Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article I supersedes some five-year compliance timeframes in certifications 2 and 3 below.
 
 
Page 4 of 13
 
  1. The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section II.B.l. of this EDS:
  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 of the 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
 
c.   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.
  1. 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 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 of the Disclosing Party, any Contractor or any Affiliated Entity 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 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;
    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
  1. 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 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.
  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) of the 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 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 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.
 
 
 
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
  1. The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is      <Mis 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 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
 
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 the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
 
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
 
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
  1. In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
[]Yes $No
 
NOTE:  If you checked "Yes" to Item D. 1., proceed to Items D.2. and D.3. If you 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 03<No
  1. If you checked "Yes" to Item D.l., provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest:
 
Name      Business Address      Nature of Interest
 
 
 
 
 
 
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
 
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
 
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing 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 of the City are not federal funding.
 
A. CERTIFICATION REGARDING LOBBYING
 
1.   List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
 
 
 
 
 
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
 
2.   The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
Page 9 of 13
 
  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.l. and A.2. above.
  2. The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) of the Internal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) of the Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities".
  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 of the Matter and must make such certifications promptly available to the City upon request.
 
 
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
 
If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
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 VII- 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 information provided on this EDS and any attachments to this EDS may be made available to the public on the Internet, in response to a Freedom of Information Act request, or otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it may have against the City in connection with the public release of information contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS.
 
E.      The information provided in this EDS must be kept current. In the event of changes, the Disclosing
Party must supplement this EDS up to the time the City takes action on the Matter. If the Matter is a
contract being handled by the City's Department of Procurement Services, the Disclosing Party must
update this EDS as the contract requires. NOTE: With respect to Matters subject to Article I of
Chapter 1-23 of the 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
 
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 of the date furnished to the City.
 
By: e
 
 
(Print o
(Sign here)
 
7h Hc^^He^hJu-
 
 
on s
(Print or type name of person signing)
 
      H-rw-ur      
(Print or type title of person signing)
 
 
 
Signed and sworn to before me on (date) fehfuaruZ£(V
at   Â£%0es\      County, Mao j^f^ (state).
Notary Public.
 
Commission expires: Hj'l Lll-OiT-
Page 12 of 13
 
JEANETTE MARIE COLON
ni{8$$A NOTARY PUBLIC OF NEW JERSEY
MS&SfJ      I.D. # 2419776
My Commission Expires 4/12/201?
 
 
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 Partner 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 of the Disclosing Party listed in Section II.B.l.a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members of the Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means 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      W No
 
If yes, please identify below (1) the name and title of such person, (2) the name of the legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
 
 
 
 
 
 
 
 
 
 
 
Page 13 of 13
 
 
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I - GENERAL INFORMATION
  1. Legal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable:
Lyc\c**~ AMW_ Mcwy^t^h (_.P, LLC      
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
  1. [ ] 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.      frc] a legal entity with a right of control (see Section II.B.l.) State the legal name of the entity in
which the Disclosing Party holds a right of control:   $MS*Tc<l as\ -fW Park /tXC
  1. Business address of the Disclosing Party:      "3 Z, M. Q an       I&fl.      
      Â£ t^\e.^e>0l, t^>I   fN763 I      
  1. Telephone: 7-0 (-5W / "ffi03>    Fax: "l&l-Hbfr- 7_9l   Email:    Sc Wg/t^^gantigujgfM.
  2. Name of contact person:   S<jt-_\_ C-WtrenAotf      
 
E. Federal Employer Identification No. (if you have one):
  1. 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):
Alley Vacations, Alley Dedication and Alley Opening in connection with privately-funded improvements to Bret Harte Flementary School, privately-funded right-of-wayJmpmvemeots, and potential redevelopment of adjacent parcel at_ the Northwest corner of South Cornell Avenue and East 56th Street.
  1. Which City agency or department is requesting this EDS? Department of Transportation      
 
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
 
Specification #      and Contract #      
 
Vcr. 01-01-12
 
 
 
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      Limited liability company
Publicly registered business corporation      [ ]      Limited liability partnership
Privately held business corporation      [ ]      Joint venture
Sole proprietorship      [ ]      Not-for-profit corporation
General partnership      (Is the not-for-profit corporation also a 501(c)(3))?
Limited partnership      [ ] Yes      [ ] No
Trust      [ ]      Other (please specify)
 
2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
      A   PiavJ&r^ LUC,      
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      ft] 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 titleholdcr(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
      D*vrtdl   te&fc^       ht^r      
ik^dr       HtfJatr
 
 
 
 
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
 
 
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal 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
£[\ (Ay/-       U^.(klU,^.£^^iOS 67.7/      75°^
(L\ufcl 6e4kly    31 M. ^fj^S^eir^pf. Ef^t^im 0761/      15^
V(W &_ujVx IfOS Perk N/iA^.^Pi. ^t^l.l^H       S6°S~
 
 
 
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      |0 No
 
If yes, please identify below the name(s) of such 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 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: (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    Business      Relationship to Disclosing Party   Fees (indicate whether
retained or anticipated       Address       (subcontractor, attorney,      paid or estimated.) NOTE:
to be retained)      lobbyist, etc.)      "hourly rate" or "t.b.d." is
not an acceptable response.
 
 
 
 
 
(Add sheets if necessary)
Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V -- CERTIFICATIONS
A. COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
 
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
 
[ ] No person directly or indirectly owns 10% or more of the
 
Disclosing Party.
 
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with that agreement?
 
[]Yes []No
 
B. FURTHER CERTIFICATIONS
 
1.   Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article I supersedes some five-year compliance timeframes in certifications 2 and 3 below.
 
 
Page 4 of 13
 
  1. The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section II.B.l. of this EDS:
  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 of the 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 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 of the Disclosing Party, any Contractor or any Affiliated Entity 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 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;
  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 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.
  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) of the 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 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").
 
fXO.-y?
 
 
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.
 
 
 
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
  1. The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is      j)^ 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 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
 
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 the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
 
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
 
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
  1. In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee 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 ktfNo
 
NOTE:  If you checked "Yes" to Item D.l., proceed to Items D.2. and D.3. If you checked "No" to Item D. 1., 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 [)<_No
  1. If you checked "Yes" to Item D.l., provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest:
 
Name      Business Address      Nature of Interest
 
 
 
 
 
 
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
 
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
 
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing 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 of the City are not federal funding.
 
A. CERTIFICATION REGARDING LOBBYING
 
1.   List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
 
 
 
 
 
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
 
2.   The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
Page 9 of 13
 
  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.l. and A.2. above.
  2. The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) of the Internal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) of the Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities".
  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 of the Matter and must make such certifications promptly available to the City upon request.
 
 
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
 
If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
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 VII- 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 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.
  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 of the 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
 
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 of the date furnished to the City.
 
 
 
 
 
 
(Sign here)
 
(Print or type name of person signing)
 
 
 
 
 
 
 
 
Signed and sworn to before me on (date) Pkbcyjuj-u*2-H/IV
at &_Hj>fro      County,/_)£______f      (state).
 
 
 
 
 
 
S'      '       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, the Disclosing Party must disclose whether such Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently has a "familial relationship" with any elected city official or department head. A "familial relationship" exists if, as of the date 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 of the Disclosing Party listed in Section II.B.l .a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members of the Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means 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?
 
[]Ycs      [4 No
 
If yes, please identify below (1) the name and title of such person, (2) the name of the legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
 
 
 
 
 
 
 
 
 
 
 
Page 13 of 13
 
 
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
 
SECTION I   GENERAL INFORMATION
  1. Legal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable:
y\&9£rgy   K.  K^uhV\ 'Zt'X)^   (°erp^WvVig_ TTujf Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
  1. [ ] 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.      D§ a legal entity with a right of control (see Section II.B.l.) State the legal name of the entity in
which the Disclosing Party holds a right of control: £ol$tft<- oa <W-ParL, LLC.
  1. Business address of the Disclosing Party:      S    P&ri- Aw-A^g- . s fc>rKfloor      
/Ogu Y-rl, fv)y /flfV?-Z_      
  1. Telephone: 211- HtS~£,60l    Fax: 1( -_. - HIS - Uf9    Email: jlce&*to& t^cul
  2. Name of contact person:   J-(~fcp-y ^g_to;w,      
  3. Federal Employer Identification No. (if you have one): '_ i      
  1. 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):
Alley Vacations, Alley Dedication and Alley Opening in connection with privately-funded improvements to Bret Harte
Flampntary firJinnl, prtvatoly-fiinriflri right-nf-way imprrwpmnnts anri potential roHoualnpmont nf artjai-pnt parrel at
the Northwest corner of South Cornell Avenue and East 56th Street.
  1. Which City agency or department is requesting this EDS? Department of Transportation      
 
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
 
 
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      [ ]      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      [tf 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
 
 
 
 
 
 
 
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
 
 
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal 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
 
 
 
 
 
 
 
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      J>J No
 
If yes, please identify below the name(s) of such 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 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: (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
 
 
 
 
 
I
 
Name (indicate whether    Business      Relationship to Disclosing Party   Fees (indicate whether
retained or anticipated      Address      (subcontractor, attorney,      paid or estimated.) NOTE:
to be retained)      lobbyist, etc.)      "hourly rate" or "t.b.d." is
not an acceptable response.
 
 
 
 
 
(Add sheets if necessary)
r^J Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V - CERTIFICATIONS
  1. COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
 
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
 
[ ] Yes      ()f) No      [ ] No person directly or indirectly owns 10% or more of the
Disclosing Party.
 
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with that agreement?
 
[ ] Yes      [ ] No
  1. FURTHER CERTIFICATIONS
 
1.  Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article I supersedes some five-year compliance timeframes in certifications 2 and 3 below.
 
 
Page 4 of 13
 
  1. The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section II.B.l. of this EDS:
    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 of the 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.
  1. 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 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 of the Disclosing Party, any Contractor or any Affiliated Entity 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 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,
  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 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.
  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) of the 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 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 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.
 
 
 
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
  1. The Disclosing Party certifies that the Disclosing Party (check one) [ ] is rj^isnot
a "financial institution" as defined in Section 2-32-4S5(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 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
 
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 the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
 
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
 
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
  1. In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee 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 WNo
 
NOTE: If you checked "Yes" to Item D.l., proceed to Items D.2. and D.3. If you checked "No" to Item D.l., proceed to Part E.
  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      y No
  1. If you checked "Yes" to Item D.l., provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest:
 
Name      Business Address      Nature of Interest
 
AP/)^ ..
 
 
 
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 of the City are not federal funding.
 
A. CERTIFICATION REGARDING LOBBYING
 
1.   List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
 
 
 
 
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
 
2.  The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
Page 9 of 13
 
  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.l. and A.2. above.
  2. The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) of the Internal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) of the Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities".
  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 of the Matter and must make such certifications promptly available to the City upon request.
 
 
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
 
If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
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.)
t ] 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
 
 
 
 
 
 
i
 
SECTION VII - 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, 1L 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 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.
  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 1 of Chapter 1-23 of the 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
 
F. 1.    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 of the date furnished to the City.
 
 
(Print or type name ofDJsclosing Party)
 
By:      
 
(Sign hj^
\u A \tes.\jj\fi)
(Print or type name of person signing)
 
l>K)nr CsMii. i-W£s.fMfiwf  \r\J<M.Z
(Print or type title of person signing)
 
 
 
Signed and sworn to before me on (date)  2 / Z5 / / W
 
at UejoOVc/K County, k)Pw) y.J'XstateV
Notary Public.
Commission expires:
 
Page 12 of 13
 
 
JENNIFER ANNE MCKNIGHT Notary Public - State of New York NO. 01MC6241132 Qualified in New York County My Commission Expires
 
 
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 Partner 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 of the Disclosing Party listed in Section II.B. 1 .a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members of the Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means the president, chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority.
 
Does die Disclosing Party or any "Applicable Party" or any Spouse or Domestic Parmer thereof currently have a "familial relationship" with an elected city official or department head?
[]Yes p4No
If yes, please identify below (1) the name and title of such person, (2) the name of the legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
 
 
 
 
 
 
 
 
 
 
Page 13 of 13
 
 
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
 
SECTION I -- GENERAL INFORMATION
  1. 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:
  1. [ ] 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:   S^gj sktg-e>/\'\W.  f>gA.- yLUC
OR
3.      [ ] a legal entity with a right of control (see Section II.B.l.) State the legal name of the entity in
which the Disclosing Party holds a right of control:      
  1. Business address of the Disclosing Party:       (3  U.   ^Z^S^Teel ^Z^fe      
NJ6Q VWci, K)V 9      
  1. Telephone: 7^1^55^2441 Fax: 7(T.-ZW-SoS'l      Email: Sfn^f 6?J(XA7T,Sc.rtff - Cnrt
  2. Name of contact person:   S>Cpfy   S>cb\f\£\{&£r      ^_      
? ?
  1. Federal Employer Identification No. (if you have one):       I      
t
^      i
  1. 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):
Alley Vacations, Alley Dedication and Alley Opening in connection with privately-funded improvements to Bret Harte
Flpmpntary Srhnnl privatply-fiinriftri right-nf-way imprnvftmpnts anrl pntpntial rpripv/plnpmpnt nf arijappnt parrpl at
the Northwest corner of South Cornell Avenue and East 56th Street.
  1. Which City agency or department is requesting this EDS? DePartment of Transportation      
 
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
 
 
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      [ ] 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      rjQNo      [ ] 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
 
 
 
 
 
 
 
 
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
 
 
Supplementary Page 3 for Claridge Associates Economic Disclosure Statement
 
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal 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
 
frfhe £tWttU/i f^Q f«ri, A)V /do/3   O 4Z.69?»
(No other owner exceeds the 7.5% threshold)
 
 
 
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 ()$No
 
If yes, please identify below the name(s) of such 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 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: (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
 
  1. The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section II.B.l. of this EDS:
    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 of the 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.
  1. 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 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 of the Disclosing Party, any Contractor or any Affiliated Entity 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
 
 
Supplementary Page 4 for Claridge Associates Economic Disclosure Statement
 
Name (indicate whether    Business      Relationship to Disclosing Party   Fees (indicate whether
retained or anticipated       Address       (subcontractor, attorney,      paid or estimated.) NOTE:
to be retained)      lobbyist, etc.)      "hourly rate" or "t.b.d." is
not an acceptable response.
 
 
 
 
 
 
(Add sheets if necessary)
^x^Check nere *ftne Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V -- CERTIFICATIONS
  1. COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
 
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
 
[ ] Yes      fi(No      [ ] No person directly or indirectly owns 10% or more of the
Disclosing Party.
 
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with that agreement?
 
[ ] Yes      [ ] No
  1. FURTHER CERTIFICATIONS
 
1.   Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article I supersedes some five-year compliance timeframes in certifications 2 and 3 below.
 
 
Page 4 of 13
 
 
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 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;
    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
  1. 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 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.
  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) of the 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 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").
 
Horn.
 
 
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.
 
 
 
C CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
  1. The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is      r^J 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 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
 
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 the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
 
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
 
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
  1. In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee 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 QQNo
 
NOTE: If you checked "Yes" to Item D.l., proceed to Items D.2. and D.3. If you checked "No" to Item D.l., proceed to Part E.
  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 [XJNo
  1. If you checked "Yes" to Item D.l., provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest:
 
Name      Business Address      Nature of Interest
 
 
 
 
 
 
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
 
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
 
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing 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.
 
Y~> 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 of the City are not federal funding.
 
A. CERTIFICATION REGARDING LOBBYING
 
1.   List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
 
 
 
 
 
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf 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. 1. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
Page 9 of 13
 
  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.l. and A.2. above.
  2. The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) of the Internal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) of the Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities".
  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 of the Matter and must make such certifications promptly available to the City upon request.
 
 
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
 
If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
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 VII- 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 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.
  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 of the 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
 
 
F. 1.    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 of the date furnished to the City.
 
C[/kjA<fac. Msocffrkj, LLC (Print or type>name of Disclosing Party)
By:(&J^^4L      
(Sign here)
6ccfj 6cho^c)er      
(Print or type name of person signing)
Ha naa \ n C\   H exv^peX"
(Print or type title) of person signing)
 
Signed and sworn to before me on (date)
at       Mv/       County,     Kj v(
3 37 laoiM
_ (state).
 
Notary Public.
Commission expires: xct-v"?-'?^^")
 
Notary Public. Stats aitieatYofo Wo. G'!SC*S135201 Qud&r.-:! Si iiass-aii County QwTvnsw'fir. F-xrif»« Oct. 17, .cO W
 
 
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 Partner 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 of the Disclosing Party listed in Section II.B.l.a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members of the Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means 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
 
If yes, please identify below (1) the name and title of such person, (2) the name of the legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
 
 
 
 
 
 
 
 
 
 
 
Page 13 of 13
 
 
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I - GENERAL INFORMATION
  1. Legal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable:
      Ge>^\~c-   //?f p<s>rcifor\      
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
  1. [ ] the Applicant
OR
  1. f/fi 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:   Sp/s/ftA. &a -Wml. PerLf LLC      
OR
3.      [ ] a legal entity with a right of control (see Section II.B.l.) State the legal name of the entity in
which the Disclosing Party holds a right of control:      
  1. Business address of the Disclosing Party:      Sq^^ Me^u^n -S^ke^, Sw-k 7-16
  2. Telephone: fyf-kGf -991$   Fax: ?/f -      Email: rA^rWr ^dixM^.d^.i-du
  3. Name of contact person: E<^u3cvciL Hu.-Vci\rA£<vv      
  4. Federal Employer Identification No. (if you have one       
F.      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):
Alley Vacations, Alley Dedication and Alley Opening in connection with privately-funded improvements to Bret Harte
Hpmpntary Rrhnnl priuntoly-fi inHoH right-rrf-way imprnwmontg and pntpntial rpripvplnpmpnt nf aHjarant parrel at
the Northwest comer of South Cornell Avenue and East 56th Street.
G.      Which City agency or department is requesting this EDS? Department of Transportation      
 
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-O1-12
 
 
 
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      [ ] Limited liability company
[ ]      Publicly registered business corporation      [ ] Limited liability partnership
[ ]      Privately held business corporation      [ ] Joint venture
[ ]      Sole proprietorship      [$ Not-for-profit corporation
[ ]      General partnership      (Is the not-for-profit corporation also a 501(c)(3))?
[ ]      Limited partnership      [ ] Yes      [ ] No
[ ]      Trust      [ ] Other (please specify)
  1. For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
  2.       tOtH-flr lA_r-£>lryV&      
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      MNo      [ ] 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
 
 
 
 
 
 
 
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
 
 
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal 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
 
 
 
 
 
 
 
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      ft No
 
If yes, please identify below the name(s) of such 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 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: (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    Business      Relationship to Disclosing Party   Fees (indicate whether
retained or anticipated      Address      (subcontractor, attorney,      paid or estimated.) NOTE:
to be retained)      lobbyist, etc.)      "hourly rate" or "t.b.d." is
not an acceptable response.
 
 
 
 
 
(Add sheets if necessary)
[)jj Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V -- CERTIFICATIONS
  1. COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
 
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
 
[ ] Yes      [ ] No      L$TNo person directly or indirectly owns 10% or more of the
Disclosing Party.
 
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with that agreement?
 
[ ] Yes      [ ] No
  1. FURTHER CERTIFICATIONS
 
1.   Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or chaTged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article I supersedes some five-year compliance timeframes in certifications 2 and 3 below.
 
 
Page 4 of 13
 
 
 
 
 
i
 
2.      The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section II.B.l. of this EDS:
    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 of the 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.
  1. 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 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 of the Disclosing Party, any Contractor or any Affiliated Entity 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 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;
  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 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.
  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) of the 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 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 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.
 
AO/no
 
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
  1. The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is      p<J 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 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
 
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 the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
 
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
 
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
  1. In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee 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 fyfcNo
NOTE: If you checked "Yes" to Item D.l., proceed to Items D.2. and D.3. If you checked "No" to Item D.l., proceed to Part E.
  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 L^No
  1. If you checked "Yes" to Item D.l., provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest:
 
Name      Business Address      Nature of Interest
 
 
 
 
 
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
 
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
 
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing 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.
 
?C 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 of the City are not federal funding.
 
A. CERTIFICATION REGARDING LOBBYING
 
1.   List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
 
 
 
 
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
 
2.   The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
Page 9 of 13
 
  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.l. and A.2. above.
  2. The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) of the Internal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) of the Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities".
  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 of the Matter and must make such certifications promptly available to the City upon request.
 
 
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
 
If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
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      [ 1 No
 
If you checked "No" to question 1. or 2. above, please provide an explanation:
 
 
 
 
Page 10 of 13
 
 
SECTION VII - ACKNOWLEDGMENTS, CONTRACT INCORPORATION, COMPLIANCE, PENALTIES, DISCLOSURE
 
The Disclosing Party understands and agrees that:
  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, 1L 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 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.
  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 of the 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
 
 
F. 1.   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 of the date furnished to the City.
 
 
(Sign here)
Edward P. Hutchinson (Print or type name of person signing)
Investment Manager
DUMAC, Inc., Authorized Agent      
(Print or type title of person signing)
 
 
 
Signed and sworn to before me on (date) February ■ 2014
at Durham      County, North Carolina (state).
 
Notary Public.
 
 
Page 12 of 13
Commission expires: April 8. 2017
 
 
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 Partner 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 of the Disclosing Party listed in Section II.B.l.a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members of the Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means 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      [>f No
 
If yes, please identify below (1) the name and title of such person, (2) the name of the legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
 
 
 
 
 
 
 
 
 
 
Page 13 of 13
 
 
BOARD OF DIRECTORS & OFFICER LISTING for
Gothic Corporation
 
Ne*IF. Triplet!
Director and President - DUMAC, Inc.
Home: 2808 Chelsea Circle
Durham, NC 27707-5133 DOB: March 16.1971
David R. Shumate
Director and Executive Vice PreddMrt/Treastirer - DUMAC, Inc.
Home: 2915 Gietmar Drive Durham, NC 27705 DOB: November 3,1955 (Illinois, USA)
 
Gregory A. Hudghu
Director and Assistant Secretary - DUMAC, Inc.
Home: 2 Kersey Court
Durham, NC 27713 DOB: August IS, 1958 (New York,USA)
 
Business Address for all listed above: DUMAC, Inc.
280 S. Mangum Street, Suite 210 Durham, NC 27701
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Current as of 9/11/2012
 
 
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
 
SECTION I -- GENERAL INFORMATION
  1. 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:
  1. [ ] 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:  SaisHoi- t. >v      ; L,Lf      
OR
3.      [ ] a legal entity with a right of control (see Section II.B.l.) State the legal name of the entity in
which the Disclosing Party holds a right of control:      
  1. Business address of the Disclosing Party:
  2. Telephone:      ' t?9S"  Fax:       - LU £ ~ 1H(>     Email: famry^Jr 6 aUim**. JjuU.
  3. Name of contact person:   (r fll uM/il MuH^<Wp/>      
  4. Federal Employer Identification No. (if you have one):       
  5. 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):
Alley Vacations, Alley Dedication and Alley Opening in connection with privately-funded improvements to Bret Harte
Flampntary Sr.hnnl, priuatply-fi inrlprl right-nf-way imprnwmpntg anrl potential rpripvplnpmpnt nf adjacent parepl at
the Northwest comer of South Cornell Avenue and East 56th Street.
  1. Which City agency or department is requesting this EDS? Department of Transportation      
 
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
 
 
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      f^j      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      pflNo []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
      SgcV MadU/J.      
 
 
 
 
 
 
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
 
 
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal 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
 
(OflAO-
 
 
 
 
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 |#No
 
If yes, please identify below the name(s) of such 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 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: (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    Business      Relationship to Disclosing Party   Fees (indicate whether
retained or anticipated       Address       (subcontractor, attorney,      paid or estimated.) NOTE:
to be retained)      lobbyist, etc.)      "hourly rate" or "t.b.d." is
not an acceptable response.
 
 
 
 
 
 
(Add sheets if necessary)
Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V - CERTIFICATIONS
  1. COURT-ORDERED CHILD SUPPORT COMPLIANCE
 
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
 
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
 
[ ] Yes      [ ] No      person directly or indirectly owns 10% or more of the
Disclosing Party.
 
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with that agreement?
 
[ ] Yes      [ ] No
  1. FURTHER CERTIFICATIONS
 
1.   Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article 1 supersedes some five-year compliance timeframes in certifications 2 and 3 below.
 
 
Page 4 of 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.l. 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;
 
c.      * are not presently indicted for, or criminally or civilly charged by, a governmental entity (federal,
state or local) with committing any of the offenses set forth in clause B.2.b. of this Section V;
    1. 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
    2. 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.
  1. 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 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 of the Disclosing Party, any Contractor or any Affiliated Entity 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 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;
    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
  1. 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 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.
  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) of the 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:
 
UflkS   fever-    IQjftQC)  e,rwp(tx|fg£, As a- re^Ut-, rU. Cfrsrfo-S^ rV*y  A&rs. ac/
      <WO-biU   <W   fgrkftrottrva   regardVfj tr^fLy?**'      
 
 
 
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 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 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.
 
 
 
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
  1. The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is      p$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 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
 
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 the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
 
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
 
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
  1. In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee 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      [yj No
 
NOTE: If you checked "Yes" to Item D.L, proceed to Items D.2. and D.3. If you checked "No" to Item D.l., proceed to Part E.
  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      jy No
  1. If you checked "Yes" to Item D.l., provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest:
 
Name      Business Address      Nature of Interest
 
 
 
 
 
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
 
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
 
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing 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.
 
y 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 of the City are not federal funding.
 
A. CERTIFICATION REGARDING LOBBYING
 
1.   List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
 
 
 
 
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
 
2.  The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
Page 9 of 13
 
  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.l. and A.2. above.
  2. The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) of the Internal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) of the Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities".
  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 of the Matter and must make such certifications promptly available to the City upon request.
 
 
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
 
If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
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 VII 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 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.
  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 of the 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
 
 
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 of the date furnished to the City.
 
(Sign here)
Edward P. Hutchinson (Print or type name of person signing) Investment Manager
DUMAC, Inc., Authorized Agent      
(Print or type title of person signing)
 
 
Signed and sworn to before me on (date) February Jl( ,2014
at       Durham      County,    North Carolina (state).
 
 
 
 
Page 12 of 13
Commission expires: April 8,2017
 
 
 
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 Partner 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 of the Disclosing Party listed in Section II.B.l.a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members of the Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means 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      \X\ No
If yes, please identify below (1) the name and title of such person, (2) the name of the legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
 
 
 
 
 
 
 
 
 
 
Page 13 of 13
 
 
Page 1 of2
Board of Trustees at Duke University:
 
 
Board of Trustees 2013-2014
Board Leadership
 
David M Rubsnstein, Chair Co-Founder and Co-CEO, The Cartyte Group Washington, OC Term: 2005-2017
Richard HBrodbead President. Duke University Durham. NC
Jack O. Bovender, Jr., Vice Chair
Executive Chairman. Hospital Corporation of America
Nashville, TN
Term: 2007-2015
Susan M. Stalnecker, Vice Chair Vice President, DuPont Wilmington. DE Term: 2003-2015
 
 
 
Anna T. Bass Fort Worth. Texas Term: 2003-2016
G. Malik Burnett
Surgery Resident. UnlversHy of Massachusetts Worcester, MA Term: 2013-2014
Paula H. Crown Principal, Crown & Company Chicago, U. Term 2003-2019
Kaveh Danesh Graduate Student, Harvard Term: 2013-2016
Ailyson Kay Duncan U S Circuit Judge Raleigh. NC Term: 2011-2017
Ralph Eads III
vice Chair, Jeffries & Company, Inc. Houston. TX Term: 2009-2016
Frank E. Emory, Jr. Partner, Hunton & WiBlams Charlotte. NC Term: 1998-2016
Paul Farmer
Co-Founder, Partners In Hearth Cambridge, MA Term: 2009-2015
Robin A Ferracone Executive Chair, Farient Advisors LLC & CEO. RAF Capital. LLC
San Marino, CA Term: 2005-2017
Xiqing Gac
President China investment Corporation Beijing, China Term: 2008-2019
Edward A. G.lhuty
Founder and Partner, Sagevlew Capital, LP Pah) Alto. CA Term: 2013-2019
Bruce A. Karsh
President Oaktrea Capital Management Los Angelas, CA Term: 2003-2016
Elizabeth Kiss
President Agnes Scott College Atlanta, OA Term: 2007-2019
Michael Maraicano
President and CEO, Foundation for The CaroSnas Charlotte, NC Term 2007-2019
Martha L. Monserrale
President Environmental Excellence Engineering, PC Rye, NY
Term 2009-2015 .
Clarence G, Newsome Former President Shaw University Raleigh. NC Term 2002-2019
Stephen G, Pagliuca Managing Director, Bain Capital Boston, MA Term 2013-2019
Robert R. Penn President, Penn Resources Dallas, TX Term 2011-2019
Carmichael S Roberts. Jr.
General Partner, North Bridge Venture Partners
Vvattham.MA
Term: 2013-2019
Alan D Schwartz
Executive Chairman. Guggenheim Partners New York, NY Term 2005-2017
Michelle Sohn J.D. Candidate Harvard Law School Cambridge, MA Term 2012-2014
Laurene Sperling
President Sperling FamBy Charitable Foundation Waytand, MA Term 2010-2019
 
10/21/2013
http^/trustees.duke.edu/trustees/
 
 
Page 2 of 2
Board of Trustees at Duke University:
 
Thomas M Gorrie
T.M. Gome & Associates. LLC
Princeton, NJ
Term: 2006-2016
Gerald L Hassell Chairman and CEO. BNY Melon New York, NY Term 2011-2017
William A Hawkins III President end CEO. tmmucor. Inc. Atlanta. OA Term: 2011-2017
Janet Hill
Principal. Hill Family Advisers Fairfax, VA Ternr 2006-2015
Betsy D. Holden
Senior Advisor, MctOnsey S Company Chicago, L Term: 2011-2017
Jeffrey C Howard
Executive Vice President, Salem Investment Counselors Winston-Salem, NC Term 20134015
Peter J. Kahn
Partner, WfBlams & ConnoSy LLP Washington, DC Term: 2009-2015
Ashley Crowder Stanley Unfted Methodbt Minister Aahevile, NC Term: 2011-2017
Jeffrey N Vinik
Founder. Vlnk Asset Management Tampa FL Term: 2012 - 2018
Hope Morgan Ward
Bishop ol the United Methodist Church
Raleigh, NC
Term: 2010-2019
 
10/21/2013
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
 
SECTION I - GENERAL INFORMATION
  1. Legal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable:
AL-SolsW   .QfN^WL fVi. lu      
 
Check ONE of the following three boxes:
 
Indicate whether the Disclosing Party submitting this EDS is:
  1. [ ] 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.      Jx^] a legal entity with a right of control (see Section II.B.l.) State the legal name of the entity in
which the Disclosing Party holds a right of control:      S'->ySrtut, gjv "rW fWk , L-L^
  1. Business address of the Disclosing Party:
^r^if^cccl. Kit 6765/      
  1. Telephone: ZtM - fH 1 - ?003 Fax:   Tfof-l/Oo^- ftftZ   Email: ^Wil^' ixdUwCyW ■ Â£t>*
  2. Name of contact person:   Sug, Q V&'-c\d r> f-lP      
  3. Federal Employer Identification No. (if you have one):; v:      
  1. 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):
Alley Vacations, Alley Dedication and Alley Opening in connection with privately-funded improvements to Bret Harte Elementery_.SchQoJT4Kivately=J*UDded right-jjl-wayimproi/emepts^and potentMredavelopmenLof-adjacentparcel-al-the Northwest corner of South Cornell Avenue and East 56th Street.
  1. Which City agency or department is requesting this EDS? Department of Transportation      
 
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
 
Specification #      and Contract #      
 
Vcr. 01-01-12
 
 
 
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      [jflj Limited liability company
Publicly registered business corporation       [ ] Limited liability partnership
Privately held business corporation      [ ] Joint venture
Sole proprietorship      [ ] Not-for-profit corporation
General partnership      (Is the not-for-profit corporation also a 501(c)(3))?
Limited partnership      [ ] Yes      [ ] No
Trust      [ ] Other (please specify)
 
 
2.   For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
 
 
 
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
AWke ^  Cfi^i t LLC      fj?rxb^ - fa any a
 
 
 
 
 
 
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
 
 
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal 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
 
fWA foti&L   ^ E^oU, Art tmz \   J      0/0      
 
 
 
 
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      ^3 No
 
If yes, please identify below the name(s) of such 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 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: (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 cither ask the City whether disclosure is required or make the disclosure.
 
 
 
 
 
Page 3 of 13
 
 
Name (indicate whether     Business      Relationship to Disclosing Party   Fees (indicate whether
retained or anticipated       Address       (subcontractor, attorney,      paid or estimated.) NOTE:
to be retained)      lobbyist, etc.)      "hourly rate" or "t.b.d." is
not an acceptable response.
 
 
 
 
 
(Add sheets if necessary)
^> Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V - CERTIFICATIONS
  1. COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
 
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
 
[ ] Yes      Q&No      [ ] No person directly or indirectly owns 10% or more of the
Disclosing Party.
 
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with that agreement?
 
[ ] Yes      [ ] No
  1. FURTHER CERTIFICATIONS
 
1.   Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article 1 is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article I supersedes some five-year compliance timeframes in certifications 2 and 3 below.
 
 
Page 4 of 13
 
  1. The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section II.B.l. of this EDS:
  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 of the 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 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 of the Disclosing Party, any Contractor or any Affiliated Entity 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 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;
    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
  1. 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 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.
  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) of the 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 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").
 
A O/VL      
 
 
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.
 
 
 
 
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
  1. The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is      p*$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 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
 
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 the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
 
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
 
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
  1. In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee 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^iNo
 
NOTE:  If you checked "Yes" to Item D.L, proceed to Items D.2. and D.3. If you checked "No" to Item D.l., proceed to Part E.
  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      [XJ No
  1. If you checked "Yes" to Item D.l., provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest:
 
Name      Business Address      Nature of Interest
 
 
 
 
 
 
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
 
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
 
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing 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.
 
/Kj 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 of the City are not federal funding.
 
A. CERTIFICATION REGARDING LOBBYING
 
1.   List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
 
 
 
 
 
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
 
2.   The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal.law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
Page 9 of 13
 
  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.l. and A.2. above.
  2. The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) of the Internal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) of the Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities".
  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 of the Matter and must make such certifications promptly available to the City upon request.
 
 
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
 
If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
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 VII-- 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 information provided on this EDS and any attachments to this EDS may be made available to the public on the Internet, in response to a Freedom of Information Act request, or otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it may have against the City in connection with the public release of information contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS.
 
E.      The information provided in this EDS must be kept current. In the event of changes, the Disclosing
Party must supplement this EDS up to the time the City takes action on the Matter. If the Matter is a
contract being handled by the City's Department of Procurement Services, the Disclosing Party must
update this EDS as the contract requires. NOTE: With respect to Matters subject to Article I of
Chapter 1-23 of the 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
 
F. 1.    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. 1., 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 of the date furnished to the City.
 
 
 
 
 
 
 
 
(Print or type name of person signing)
 
 
(Print or type title of person signing)
 
 
 
 
 
(state).
 
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, the Disclosing Party must disclose whether such Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently has a "familial relationship" with any elected city official or department head. A "familial relationship" exists if, as of the date 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 of the Disclosing Party listed in Section II.B.l.a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members of the Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means 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      H No
 
If yes, please identify below (1) the name and title of such person, (2) the name of the legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
 
 
 
 
 
 
 
 
 
 
 
Page 13 of 13
 
 
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
 
SECTION I - GENERAL INFORMATION
  1. Legal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable:
 
      h(\\ktJUJL   Ccfftoi, ill      
Check ONE of the following three boxes:
 
Indicate whether the Disclosing Party submitting this EDS is:
  1. [ ] 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.      [xf a legal entity with a right of control (see Section II.B.l.) State the legal name of the entity in
which the Disclosing Party holds a right of control:   SolsltCfe01\ HW- pft-fc^/.,^
  1. Business address of the Disclosing Party:      K). CW ^i,^'^'      
  2. Telephone:^-S*U- gCX35     Fax: •?Q|-v10u>~73frS     Email: 5cL^aJ^o^S oM^-^i^ com
  3. Name of contact person:   ^>0^V& CKflf&i & QpF~      .      
  4. Federal Employer Identification No. (if you have one):      \       
 
F.      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):
Alley Vacations, Alley Dedication and Alley Opening in connection with privately-funded improvements to Bret Harte ^ementary_School, privately^funded right-of-way improvements, and potential redevelopmentof adjacent parceLat_ the Northwest corner of South Cornell Avenue and East 56th Street.
G.      Which City agency or department is requesting this EDS? Department of Transportation      
 
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
 
Specification #      and Contract #      .      
 
Vor. 01-01-12
 
 
 
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
Publicly registered business corporation
Privately held business corporation
Sole proprietorship
General partnership
Limited partnership
Trust
J(j Limited liability company
[ ] Limited liability partnership
[ ] Joint venture
[ ] Not-for-profit corporation
(Is the not-for-profit corporation also a 501(c)(3))?
[]Yes []No [ ] Other (please specify)
 
 
 
2.   For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
      rJfj^      ^a-s^      
3.   For legal entities not organized in the Stale of Illinois: Has the organization registered to do business in the State of Illinois as a foreign entity?
 
f^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
 
 
 
 
 
 
 
 
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
 
 
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal 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
 
 
HfaH<Y   IW    /      /       
J^dT ^fc/v      251%      
 
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 D$No
 
If yes, please identify below the name(s) of such 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 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: (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 cither ask the City whether disclosure is required or make the disclosure.
 
 
 
 
 
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Name (indicate whether Business retained or anticipated Address to be retained)
Relationship to Disclosing Party (subcontractor, attorney, lobbyist, etc.)
Fees (indicate whether paid or estimated.) NOTE: "hourly rate" or "t.b.d." is not an acceptable response.
 
 
 
 
 
 
(Add sheets if necessary)
jKj] Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V - CERTIFICATIONS
 
A. COURT-ORDERED CHILD SUPPORT COMPLIANCE
 
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
 
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
 
[ ] Yes
 
|\^ No      [ ] No person directly or indirectly owns 10% or more of the
Disclosing Party.
 
 
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with that agreement?
 
[]No
 
[ ] Yes
 
 
B. FURTHER CERTIFICATIONS
 
1.   Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article I supersedes some five-year compliance timeframes in certifications 2 and 3 below.
 
 
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  1. The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section II.B.l. of this EDS:
  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 of the 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
 
c.   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.
  1. 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 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 of the Disclosing Party, any Contractor or any Affiliated Entity 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").
 
 
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Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor nor any Agents have, during the five years before the date this EDS is signed, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the five years before the date of such Contractor's or Affiliated Entity's contract or 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 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;
  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 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.
  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) of the 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:
 
 
 
 
 
 
 
 
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If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
 
8.   To the best of the Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all current employees of the Disclosing Party who were, at any time during the 12-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").
 
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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.
 
 
 
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
  1. The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is      [>}:-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 arc not and will not become a predatory lender as defined in Chapter 2-32 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
 
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):
 
 
 
 
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If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
 
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
 
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
  1. In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee 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 r^'No
NOTE:  If you checked "Yes" to Item D.l., proceed to Items D.2. and D.3. If you checked "No" to Item D.l., proceed to Part E.
  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 fyJNo
  1. If you checked "Yes" to Item D.l., provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest:
 
Name      Business Address      Nature of Interest
 
 
 
 
 
 
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
 
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
 
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing Party must disclose below or in an attachment to this EDS all information required by paragraph 2. Failure to
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comply with these disclosure requirements may make any contract entered into with the City in connection with the Matter voidable by the City.
 
A"  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 of the City are not federal funding.
 
A. CERTIFICATION REGARDING LOBBYING
 
1.   List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
 
 
 
 
 
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
 
2.   The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
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  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.l. and A.2. above.
  2. The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) of the Internal Revenue Code of 1986; or (ii) it is an organization described in section
501 (c)(4) of the Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities".
  1. 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 of the Matter and must make such certifications promptly available to the City upon request.
 
i
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:
 
 
 
 
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SECTION VII -- 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.orR/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 information provided on this EDS and any attachments to this EDS may be made available to the public on the Internet, in response to a Freedom of Information Act request, or otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it may have against the City in connection with the public release of information contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS.
 
E.      The information provided in this EDS must be kept current. In the event of changes, the Disclosing
Party must supplement this EDS up to the time the City takes action on the Matter. If the Matter is a
contract being handled by the City's Department of Procurement Services, the Disclosing Party must
update this EDS as the contract requires. NOTE: With respect to Matters subject to Article I of
Chapter 1-23 of the Municipal Code (imposing PERMANENT INELIGIBILITY for certain specified
offenses), the information provided herein regarding eligibility must be kept current for a longer period,
as required by Chapter 1-23 and Section 2-154-020 of the Municipal Code.
 
The Disclosing Party represents and warrants that:
 
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F. 1.    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 of the date furnished to the City.
 
 
 
 
 
 
 
 
(Print or type name of person signing)
 
 
(Print or type title of person signing)
 
Signed and sworn to before me on
 
 
Notary Public.
 
 
 
(date) fiW&;-uj IH^l^
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 Partner 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 of the Disclosing Party listed in Section II.B.l.a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members of the Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means 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      pfi No
If yes, please identify below (1) the name and title of such person, (2) the name of the legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
 
 
 
 
 
 
 
 
 
 
 
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