Office of the City Clerk - Record #: R2015-258

Record #:

R2015-258

Type:

Resolution

Status:

Adopted

Intro date:

4/13/2015

Current Controlling Legislative Body:

Committee on Economic, Capital and Technology Development

Final action:

4/15/2015

Title:

Support of Class 6(b) tax incentive for property at 4221 N Normandy Ave

Sponsors:

Emanuel, Rahm, Cullerton, Timothy M.

Topic:

TAX INCENTIVES - Class 6(b)

Attachments:

1. R2015-258.pdf

Date	Journal Page Number	Action By	Action	Result	Action Details	Meeting Details	Captions
4/15/2015	106147	City Council	Adopted	Pass	Action details	Meeting details	Not available
4/13/2015		Committee on Economic, Capital and Technology Development	Recommended to Pass		Action details	Meeting details	Not available
4/13/2015		Committee on Economic, Capital and Technology Development	Direct Introduction		Action details	Meeting details	Not available

L> \ C'\ -Z.Si,\^k~{0

RESOLUTION FOR RENEWAL OF CLASS 6(B) REAL ESTATE TAX INCENTIVE FOR THE BENEFIT OF JONCHRIS, LLC, AN ILLINOIS LIMITED LIABILITY COMPANY AND REAL ESTATE LOCATED GENERALLY AT 4221 NORTH NORMANDY AVENUE IN CHICAGO, ILLINOIS PURSUANT TO COOK COUNTY, ILLINOIS REAL PROPERTY ASSESSMENT CLASSIFICATION ORDINANCE

WHEREAS, the, Cook-County Board of Commissioners has enacted the Gppk County RealVProperty, Assessment' Classifjeatjpn ''Ordinance, %as amended from, time tbj time (the "Ordinance"),' which provides for, among other, things, real estate^ b bwriers whb build, rehabilitate, enhance:and occupy property Whichils located WUhin and which is used primarily'fo.r.industrial purposes; and

WHEREAS, the City of Chicago (the¹ 'City"), 'Consistent With.'the Ordinance; wishes to induce)ihduslr^to-loc'aferexpand-and'remain in the 6ityiby supporting ^rfanclafHrfc^ptives¹ ih: the form of property tax relief; and

WHEREAS, on April 6, 2005 the Gity Council of the City enacted a resolution supporting and consentingj to the Class 6(b) classificationTby .the Office of the Assessor bf Cook County (the "Assessor") of certain property located generally at 4201 North Nbrrnandy-'Aveh^ lilinpjs (the -Original Prope^y"). owned by dONCHRlS, LLC, an. Illinois limited liability company (the'-"Applicant"); and

WHEREAS, the Assessor'grah'fe^Jh£'"OJa£s, 6(b)>tax.j.hcentive ih coh'nectTbn yvlth'the Original Property in 2005; and

WHEREAS, the Applicant is, th&jowner of certain real estate located generally at 4221 North Normandy Avenue, Chicago, Illinois'606.34 as further described on Exhibit'.A hereto (the "Subject Property"), which Subject.Property represents a portion ofrth'e QrigiriahProperty; and

WHEREAS, Chicago Paper Tube & Can Co., an Illinois corporation, is the lessee of the Subject Property; and

WHEREAS, the Applicant has filed an application for renewal of the Class 6(b) classification with the Assessor pursuant to the Ordinance with respect to the Subject Property; and

WHEREAS, it is the responsibility of the Assessor to determine that an application for a Class 6(b) classification or renewal of a Class 6(b) classification is eligible pursuant to the Ordinance; and

WHEREAS, the Ordinance requires that, in connection with the filing of a Class 6(b) renewal application with the Assessor, an applicant must obtain from the municipality in which such real estate is located a resolution expressly stating that the municipality has determined that the industrial use of the property is necessary and beneficial to the local economy and that the municipality supports and consents to the renewal of the Class 6(b) classification; now therefore,

c ■ijsi:i;.svs(i.?9t)',Di:.sK i op class 6B> ioncrhi.s i.i <:/ki:ni:w)U()noiki.s mi ki'nkwaj. hi_:si >i.u i ion cin/w. nor;.\

BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:

SECTION 1: That.the City determines that the industrial use of the Subject Property is necessary and beneficial to the local 'economy in which the Subject Property is located.

. SECTION 2: Tj>:a\$iCj$fy.,s'u'ppPTts and. Consents- to; the renewal of the Glass 6(b) classification with respected the Subject Property.

SEGJiON.,.3: T^ajfefffef-$erk-.pf;'th"e/City.- of Chicago is authorized to and' sha]l send a

. certified cbpj^olf-^^ :Office; of the", Cook;jGounty Assessor,, Rbprrt 31.2; :Gourity

Building,.Ghi^

Class.6(b) reh.ew|f ippiiealibh ifiletf -With--.the'fAsVeSsW'^by the: Applicant; as applican'tjyih a'ccordahCe with the ^;Grdinahce-.i

SECTION 4: Thatrthis' resolution shall .-'be,eTfebtjve'iirnm upon' its passage and

c ■i;si:i(.S'i8i)2i)ri i)r.sK ii)i^,.(.:i.As.s msuoncriiis. lu' (Ki-.Ni-:wy.inNi:iiitt>s <<n ri-.ni-'wai. iti-soi.u i ion i is^-ai. nocx

approval.

EXHIBIT A

Legal Description of Subject Property:

parcel e: owned by jonchris, l.l.c:

that part'o'f f he. south fractional % of section ^:18, township'40 north,' range 13, east of the third principal meridian, lying' south of the indian boundary line and. being'described as follows:

■commencing'.at the intersection: of a line '33.00;'feet,"as measured. at right angles; squtb-pf and parallel with.the;nor>rh,ur^e;ofthe so.(3f^ea# % of said s^ctjonHs';^^^

chicago,-, milwaukee, st. paul and. pacific: l^il^oad^bescribm

2u54l3563;.T^^ ^DisCRlBEb EASfT;.tlNE

feet-'northvo'f^

section'18; thence south 00 degrees 00 minutes-43!seconbs we^v244;6 a point 'for a'place of beginning; thence continuing sou'th^'oo^degrees 00 minut;es'43'seconds west, 260.34: feet; thenceforth 89 begree.s'i:59/minutes 17

. SE60ND"SVWES^ $25143 FEET;' THENCE NORTH 00 'iDEGSEES''00~I^NlJnjES"^3'_;SEeONbS EAST; 260~34 FEET; THENCE SOUTH 89 DEGREES 59 Ml NUT ES: 17 .SECON'DS'EASt,^: 32543 i'FEET TO'THE POINT OF BEGINNING,

ALSp

■ THAT PART; OF-THE SOUTH FRACTIONAL ¹/₂ OF SECTION; 18, TOWNSHIP^O-NOR'TH, RANGE T3,- EAST' 0'F TflE THIRD PRINCIPAL MERIDIAN, LYiNGVSOUTH OF THE.INDIAN BOUNDARY : LINE AND: BEING' DESCRIBED AS FOLLOWS:

COMMENCING AT THE SOUTHEAST CORNER OF LOT 1 IN CHICAGO INDUSTRY TEGH PARK I, BEING A SUBDIVISION ACCORDING TO THE PLAT THEREOF RECORDED JUNE 27, 1997 AS DOCUMENT 97468178; THENCE SOUTH 00 DEGREES OO- MINUTES 43 SECONDS WEST ALONG THE SOUTHERLY EXTENSION OF THE EAST LINE OF SAID LOT 1, 260.34 FEET TO A POINT OF BEGINNING; THENCE CONTINUING SOUTH 00 DEGREES 00 MINUTES 43 SECONDS WEST ALONG THE SOUTHERLY EXTENSION OF THE EAST LINE OF SAID LOT 1, 213.09 FEET TO THE EASTERLY EXTENSION OF THE SOUTH LINE OF LOT 1 IN CHICAGO INDUSTRY TECH PARK II, BEING A SUBDIVISION ACCORDING TO THE PLAT THEREOF RECORDED APRIL 21, 1998 AS DOCUMENT 98318167; THENCE SOUTH 89 DEGREES 51 MINUTES 09 SECONDS WEST ALONG SAID LAST DESCRIBED LINE, 325.43 FEET TO A LINE 66.00 FEET, AS MEASURED AT RIGHT ANGLES, EAST OF AND PARALLEL WITH THE EAST LINE OF SAID LOT 1 IN CHICAGO INDUSTRY TECH PARK II; THENCE NORTH 00 DEGREES 00 MINUTES 43 SECONDS EAST ALONG SAID LAST DESCRIBED PARALLEL LINE, BEING ALSO THE SOUTHERLY EXTENSION OF THE EAST LINE OF NORMANDY AVENUE AS OPENED FOR USE AS A PUBLIC STREET BY ORDINANCE PASSED AND RECORDED AS DOCUMENT 97313089 AND BEING ALSO THE SOUTHERLY EXTENSION OF THE WEST LINE OF LOT 1 IN SAID CHICAGO INDUSTRY TECH PARK I, 214.00 FEET; THENCE SOUTH 89 DEGREES 59 MINUTES 17 SECONDS EAST, 325 43 FEET TO THE POINT OF BEGINNING, IN COOK COUNTY, ILLINOIS. (CONTAINING 154,217 SQUARE FEET OR 3.5403 ACRES)

C:\IISIiKS'OS0?%'J)l::SK'IOI'-.'.l.'\SS filV iNi.KIIIS. " (Kl NI"-W)M( )Nt I IRIS (>l! RLNI.WAL RI-.SOI.U'I ION V-t DOCX

CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT

SECTION I -- GENERAL INFORMATION

A. Legal!name/.of the Discio'sing Party submitting this EDS. Include d/b/a/uf applicable:.

i£ .4. L. CZ... ....... . . . >.

Check;b^E^f:of the follqwing-three boxes: ifldikat^^ejher "merDlsclpsing Party submitHng^u\i^£j^$!/is:'

■2> tr^aiegal-entity holdingji direct orindirect interest^ State the legal nameof the

Apfiicant/ih which the Disclosing Party holds an: interest:.,_ _... . ,_:v._;- .■..._v . .,:/;

t©K,

-3^>'iyi ^ie^l,gnUty/\vith'a rightof control (se^Secti¹^

B. Eusmessraddress of the Disclosing Party: ,^A^A-./^>^

■0. Telephone: "7? 3- "XS^-^S*o Fax^^A-^a^-^ji^^^. Emails J^^^^jj^^l^^fa ^

Name of contact person: . <7^//^. . J#L/^ 7V4>=-« c 0/*j
Federal Employer Identification No. (if you have onc):₍ . .

Brief description of contract, transaction or other undertaking (referred to below as tne "Matter") to which this EDS pertains. (Include project number and location of property, if applicable):
Which City agency or department is requesting this EDS? /^/h^r~> ^ J Oil WIc^P^/^aJT

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 ofthe Disclosing Party:

. [.;] Person C*J Limited liability company

■■_[,]: Piiblicly registered business.corporation [ ] Limited liability partnership

. [ ] Privately held business corporation [.] Joint venture

[\] .Sole proprietorship [■] Not-forrprofit corporation

' (0/'^.^e.ⁿ?riLpartners.hip (Is the not-for-profit corpora'tioh-als6_:a; 501(c)(3))?

it j^n^it^/parinership [] Yes h)l$o

i[''] '%us"t [T Other (please'.specify)''

-21. :76fMeg^al:.erititi cpuiitryj^

■ . ...- . . _

^ -Illegal entities not organizedan; the State ofIllinois: H£s#ie organization :registered to do ;bu>_iness ^:in-_:.thc State of Illinois as a foreign entity?

[>] Yes []No [)N/A

$v*'BS''3|HE- pi^GLOSING PARTY IS A LEGAL. ENTITY:?

Iv Eis^belbw-the full names and^! titles of all executive officers'a*^ >x&03sE& B6r.no tr-for-pro fit corporations, also list below all members j if any; whichate... legal, entities. If ^i^ieXe-areirio'such members, write "no members." Tor trusts, estates or. othersim^^r.-cn1dh"es,'^:Ustb.e]6w th^lcgaLtitleholde^s).

If'the entity is a general partnership, limited partnership, limited liability company, limited liability ipartriership or joint venture, list below the name and title of each general partner, managing member, manager or any other person or entity that controls the day-to-day management ofthe Disclosing Party. NOTE: Each legal entity listed below must submit an EDS on its own behalf.

Name Title

2. Please provide the following information concerning each person or entity having a direct or indirect beneficial interest (including ownership) in excess of 7.5% ofthe Disclosing Party. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture,

Page 2 of 13

interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 ofthe Municipal Code of Chicago ("Municipal Code"), the City may require any such additional information from any applicant which is reasonably intended to achieve full disclosure.

'Name Business Address Percentage Interest in the

1 ^ /3 A,o>", Discrosing Party

:<r:o7-v,f^ }Qy^.±A ^cNrc**c a Co C&ty .... .., / P o?_0; , ,

^asj^^iscib^ng Party had a ''husiness-irelatioris^ Municipal

,[]^es f^No

ilgyes^ the name(s) of suchi City eiectfeci oTficial(s)VSn^;d ^;de'scnb'e su'cfil

. xelatiojrfsKfp(s):

WQXlO^ iy -DISCLOSURE OF SUBCONTRACTORS AND OTflERiRE^

Tlie-Disclosing.Party must disclose the name and business-address df each subcontractorj 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.■

toTbe retained) lobbyist, etc.) "hourly rate" or "t.b.d." is

not an acceptable response.

-{Add sheets if necessary)

I^CJicjcKH'erejirfhe Disclosing Party has nofcretaihedViior exjj'ects .to fefa'in, any such'pefsbhV^

A, "c:ouRt-ordered;giiild support compliance

i ■ ■ . - ■ . ....

^nde^WMicip a

'.^.e,.Ci^rnusiTemaih' in compliance with their child sujfepor&Qbh^au^ contract'Siterm.:.

*any;p.cr^

^nea^g^'bn/ah^^cKild' support obligations.by any illinois court of competent jurisdiction?

fOi] M?J J^N&v I jiNfrpersp>-di^

Disclosing Party.

M^;<"Y9Si"'haVth^ a courtrapprbyedagreerte^

is the person in compliance with that agreement?

[J Yes [] No

B- FURTHER CERTIFICATIONS

1. Pursuant to .Municipal Code Chapter 1-23, Article 1 ("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 ofthe 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

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:

a; 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;

b. -have not, within a five-year period preceding the date of'this EDS.becn convicted of.a;criminai

q^ffensej.adjudged guilty, or had. a'civil judgment connection, with:

^.fainingyattemptihg tq obtain; or performing a public {'federal, state, or- local)\trans'actib cpiitract under a public transacU^^^

emb,ezzlemeht;;theft;, forgery; .bribery;,falsification, or destrujctioh;of r i:Sfat^merits;^f> recc^

!C,_; ,{-:ar'einb.tpresenU byj.aigpyernm^

.stjft|^lo^^ !p%this^eciipn^;

;dV ft^emot, within a-^^fi 'Jransptib^

^rev cpnyicted,;adjudged

tgiimy?pr.:.fpuri.d. liable in a .civil proceeding, or iii^any criminal or. cjiyjl.actib^^ SS0S!|£ro^ b_ry.the<3^ sTate; or any; pther unit of local government.

13* ^l$e)^|ti^

^: * ifl^Bj^iqsing Party;.

^^"eohtractor" (meaning any contractor or subcontractor used by the Disclosing Party'in. icpnn'ectipn withi the Matter, including but not limited to all persons orlegal.entiU.es disclosed under Sectidrt-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:-

jajj 'bribed or- attempted to bribe,' or. been .convicted or, adjudged guilty of bribery 6^^

bribe, a public officer or employee of the City,, the State of Illinois, or any agency of the federal gp.vernment.or of any state or local government in the United States of America, in diat officer's; _vqr,,emplbycys^:;o'f^

Agreement:jpr^;b"e;en ■conyicte'd or adjudged guilty'Ofagreemerit prcollusi

§rbspec.tiye

.pjher.W)(se;ron:

<@t .inlffdeim-aSimTs'sib&dfisu'Ca cpnducfdescribedih-a; pr:b:ab'pve;m£ftiis.'a matter pfijecp'rd, but! ,Ba^/Tipt b^en piosee^ cfo'ductjf.or

- ;<L, vjMated^ 'Sectipn;'2'-92-6'ifi (giving;^g.e^jrdmlanQe^

%v , N^herthe^i^ibsi :Go'num'C.tp^ cj^cialSj.

fQgtifejL^^^ <witii: any unit&ifSt'ate^ '

' gffgjig^ yiblatipn-'pf $2$

- yiplatfpn^?^

il&mi^ same elements as,Uie.offe

5.- Neitherml»bisclosing Party nor Affiliated Entity i_s listed-pn any ^fiS^^'^'tii^ffjce ofFdreigri'AssetsControl of the U;S. Department of the Treasury-pr the BufeiiU,pt;In'dustry'arid'Security pf 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,

6\ 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.

7. If the Disclosing Party is unable to certify to any ofthe above statements in this Part B (Further Certifications), the Disclosing Party must explain below:

'A/ft

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 completelist of all current employees of the Disclosing Party who were,.at any time.during the 12-m"ortth^:p;enp date\Of^^Uiis EDS, :an.employee,.or;;elccte;d,or appointed official,-^f^^C^^CJicag'g (i^norie,Tndjcate with "N/A" or "hone");.

42^mon(h^^ eTecfe&oVfa^

o&Oi^tf^ For purposes;0f this^;statement, a "gTftf,;dpes ndtEinOlua^£(i) anything?

ipalte;^

. course; of^fficia'kGitysM^

v^ii^^^l^^^h^n'^y: A's^tp^ please iis'd:'U^ft^'e^alth^ of thVGitj^cij^

^{^EiiWmmM^tm status a-sfinangial institution

It ,T*ffe>EJiI6;lbsin^ that the'Disclosing Party (check<pne^

^;EHI'$. [^is not

- * . .... ... 1

a "financial-in/stit^ in Section 2-32-455(b) of the Municipal.Code*

2- If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:

"Weare'npt'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 ah affiliate of a predatory lender may result in the loss ofthe privilege of doing business with the City."

If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in Section 2-32-455(b) ofthe Municipal Code) is a predatory lender within the meaning of Chapter 2-32 ofthe Municipal Code, explain here (attach additional pages if necessary):

hi A

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.

p. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS

Any'WoYds'or term's; that.are defined in Chapter 2-1-56 of the- Municipal G6de>havc the same Meanings' when used iii this Part D.

h-. ihraccbrdaricewith Sectibn 2V16":6.-110: of-the Municipal e.ode;-Do.es.ahy-officialor-employee* pffittfe^?^

*jjjfc|£i£k itf^ousKi^ proceed to Items;Dj2, and Dj. ,Ifiyb^iteck^d^r,^b%

2V ^?f|n|ess;^ ei&tte&oW^ sha'li.Kave?a^ any^bTtfe^

^G^^f^pjpr^S^le^; Comp^^atibntfor p;rop etty i taken, pu fsiignt-Jg! ;the 'Gityls;.;eM^

'dp:es;h^cjm"stit^ the meaning;bf thisTk&Di

1D^'|B^^t0ir«in^ye;9 ©i.ty'Prbperty-Sale?' ,

3. 'If y'o.u checked "Yes" to Item D.l.j provide the names and business addresses ofthe City officials or employees* having such interest and identify the nature of such interest:

Name Business Address Nature of Interest

-~-A/.^. ■ _; _:

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 cither 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 and¹ all records of

the Disclosing Party and any and all predecessor entities regarding records of investments or profits

frpms^ policies during the slavery era (including insurance policies

issueStfoisl^ provided.coverage.for damage -to of injury or death of their slaves), and

thevDisclps^

2. TlieiDisc^ a result of ponducting the'.search in stcp l; above, the

pisblb^

t:SSP d§^in£^ tfejicribe^

SEtejC^f CERTiEICATiONS EG

NO^E^jttie Jfrato^ funded,complete/this Section: YL Xf ih^iMati&foripilederally>

■^djCd^^jBi^ ^c$bn.^IIvE^

an^iffifeM^

A GEKTTBIGA-TIO^ :

1, Eis£bclpw the names pf all perspns pr entities registered underthe federal Lobbying

Disclosure^ contacts on behalf of-the Disclosing Party with

respectit'o; tbe^Matter: (Add. sheets if necessary):

(If np 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

The Disclosing Party will submit an updated certification at the end of each calendar quarter in which there occurs any event that materially affects the accuracy of the statements and information set forth in paragraphs A.l and A.2. above.
The Disclosing. Party certifies that either: (i) it is not an organization described in section
501(c)(4), ^ it is an organization describcd'insection

501(c)(4) ot the Internal Revenue Code of 1986 but has not engaged.and will-not engage in "Lobbying

Activities".

i'r^jB^!.Djsclqsihg^P.arty is the Applicant'* the pisclosing Party.must,obtain certifications equal.in: .form^

'SubcqntfaiCfca^ sduratibu^

_; JB. eERTiEieATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY'

^vl£toej^ federairrcgulations require the Applicant and ailipropp'sed,

subcpntracipT^ hegphatibn'Sij

Is- :tKe?M$cj^

If "Yes," answer the three questipns belpw:

.Haye^pu deyejppe'd on file affirmative action programs pursuant to applicablei

federal;reguiations? (See'41 CFR Part-6"0T2.)

[]Ycs []No

Have you filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Gbmpliahoe Programs, or the Equal Employment Opportunity Commission all reports due under the applicable filing requirements?

[ ] Yes [JNo

Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?

[ ] Yes [ ] No

If you checked "No" to question 1. 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:

A. The;certifications, disclosures;- andacknowledgmentsicontamed in. this EDS will becqme paft of any

; c;onlra.^qKqther;^ -.City-in connection with jthe^'aj^^wjjejici^!

;prpcujrem^ to^the/Gity-'sexecutio

.,;q'f*any;c6^^^ thViM'atte'r. Thepisciosing ParJyyuVders

:itifmi¥fc^^

. B_s ■We^GIry'^

' ihe^ii^ipal-Cbd^ ^duties anHrbbiigadq^ Gi^acbh|rabtsii

w_vork;.busi^ Tjh,ejfujl}tra£p^

;line;a^w^wxitv may also, be/pbtairiedifrbm the City's Board pf;EthTc's_i:?!40 Ni,

:$&L^.j@g$&^^ ThcpiselbsingPartym^ MtlBtn'e^a^UclGleWdifianc^

,£-; rfp.mjei^^^ 'any>cpntra^

Y^rdab^TeV aii8 ^the^Git^i^ay .the,'cpntra;cVcr igt^^^4W^'W^^^0--p^^:

iybid^at^

tije'clhnjinj)tb allpw tlie^ fEdrty>f6 ^aftidipate in^bther transabtidris with thp Gity^iRbmcldiesnat laW'fqX^^^~^^tem'^' P^rnatbri'aj; fact may include incarceration and an award tothe'Giiy<Pf4reple damages.,

D. It.is me'City's piqlicy tc.make,.this dpcument 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 maybe

made available'to the public ph.-the Internet, in response to a Freedom of Information Act request, or

otherwise; By cbmpleting: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 authprizes the City tp verify the accuracy cf 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 ofthe Municipal Code (imposing PERMANENT INELIGIBILITY for certain specified

offenses), the information provided herein regarding eligibility must be kept current for a longer period,

as required by Chapter 1-23 and Section 2-154-020 ofthe Municipal Code.

The Disclosing Party represents and warrants that:

Page 11 of 13

F.l. The Disclosing Party is not delinquent in the payment of any tax administered by the Illinois Department of Revenue, nor are the Disclosing Party or its Affiliated Entities delinquent in paying any fine, fee,, tax or other charge owed to the.Gity. This includes, but is not limited to; all water charges, sewer charges,, license fees, parking[ ticketed property taxes or sales taxes.

'F.2 if^:me:'Dis.cio'sihgParty is^

use; nor permit their s any facility listed by the U.S. E.P.A. on the federal Excluded

Parties List S;ysTem_;'("EPLS") maintained bj the U. S;, General Services Administration.

E;3. ^ffie;"i(iscj^:ifi ijisejoXing Earty.AV.ilj;^ arty/.

cpntract&s$^ tfiejfctatter^ equaPin,"

form and 'suTytfricl?^^ arid: ; above -and' will not, ^yitfibut^e/prior -writteri'c:6.risent flTHhe.

:^yyuseYany&u^;c certifications^/qrrtliaV^thfc Disclosing ^ariy^flin's^reas

NGjPE: If $&I£^idsihjgPar|^ Fv^iy, F;2\vor.a;bbve,:^h'

<expTan^i:^^

Mn.4^;t>^^^^i^??> 'tfte^;erspn^i|ning below: {:l:);warrants that he/she is/authorized;tp,execute-

fPrintpr-'type^ajQe?bfEij8-closing;Par^y)

(Print or type name of person, signing) (Print or type .title ofperson si gning)

Signed and sworn'to before me on (date) fe^ b <?lP*

at C.r?n,k- Cmwty, ^

Commission expires: l/U/l*-^ 1 * <Q.°iQ?

CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT

APPENDIX A

FAMILIAL RELAMONSHIPS" WITH/ELECTED CITY OFFICIALS AND DEPARTMENT HEADS

This Appei^ anylegal:.enM^ ownership^ wh'fchVhas ^

b&ny ^?$p^ aii^. elected feif^^^

signed^ theTji&i^^ br!ariy.S|>b^

'th&mayq^

partneror^

niece;pr*ri^fe

prfSfep'mdtfi^

^artaership^^^ is a limited:

^ar&crship^

ii&i^jliab^f^^ bf*&e"lp;c^sin|^P^; aridj(3).an^

a; 7:5 percent chief;

pperatirig;$

exercising similar authprity.

Does the. Disclosing Party or any'-"Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city pfficial or department head?

[]Yes MNo

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

APPENDIX B

. BUILD ING^COD&SCOF LANDLORD CERTIFICATION

'TKis^ppendix-.'is to.be tornpletcdionly-by (a) the Applicant, and (b) any legaleririry. which has a direct .own^ If is nptitpfhe w the Applicant"

i^;?;^EuJSuanf.tofMu^

^wio^'oa^soofSa^^r' prpblera iahdlbrdvpursuantrfd-Se '^S^l^tl^lS^iaipki. ^xCp'de?" """ ' ' ' '" '" "."'*""" ' '

] Yes j><fNo

2.,>iT,^

uYeApjglican^^^

2-92:4i£bf^ '

[ ] Yes jx^No [ ] Not Applicable

3. ^yj$tp;|l^^

■ identrfis^ landlord.and the address of me'building or

dbuU&rigs/^

FILLING OUT TIHS APPENDIX B CONSTITUTES ACKNOWLEDGMENT AND AGREEMENT THAT THIS APPENDDC B IS INCORPORATED BY REFERENCE INTO, AND MADE A PART OF, THE ASSOCIATED EDS, AND THAT THE REPRESENTATIONS MADE IN THIS APPENDIX B ARE SUBJECT TO THE CERTIFICATION MADE UNDER PENALTY OF PERJURY ON PAGE 12 OF THE ASSOCIATED EDS.

ji-t-y ■■■:''^:'y^,r,-, yy: yCiTYQF/CHlcAG.6-_; \yy_;-., ■' yv-CiM-

f.y-'l-s^JEc^

. y*

LegaLfiame bfthi_;#isclq^hgT *his iEDS;).|n^ iS ;

y^J- ^. ' , -,V .a : :;,-fe.^fc^-i)i.o^>: ^---- ^:yv>y - yyy

G. Which City this EDS?/J.e.'VWW^ f'^^Ut/oV^K^/--

If the Matter is a contract'being.handled by the City's Department of Procurement Services, please complete the following:

Specification it and Contract #

Ver. 01-01-J2

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; '[ Jlimited'.1ia~bili^>p°ar.tnership

Privately heid business: corporation ■[vX^;JoTn^;yenture;

['] Sole proprietorship! [ ] .Not^fpr^

[. ] G.eneral'parinership; (Is^cXnot^ also a. 501 (c)(3)).?

[.^^Limite^^pi'rtn'ersnip^ X4^::Yes _r t'.JNp

[v] Trust; , [^Q_tth^($r^'a^rs^ specify}:

Fb.riegaT;enfite^

■ "*■ ' Ji' " ■ - ....

3. .FbMe§^hnti0s-^&ti6t0^i^^iu% fher'SJ^ registefedvfd do.

buiiribssUntf h£Sta^ a* foreign'entity?

I) Yes fji^j i].N/A. '

Efc IF THE DISCLOSif^ IS; A LEGjAL'ENTITY:

1. List Beitew' the jfulj'naM^ arid all directors! cif:the entity.

NOTKr F&rri6Ufotsj^^ebi^t^&^&S',.0^6'l^t;below-afl1n'eiiibere,ii^any>'which areTegal'cntitibs" If there are no such meriibers, write "no members;" Fpf'trusts, estates Pr other similar entities, list belpw the legal titleholder(s).

If the entity is a general partaership-,.lirriitcd,partnefship, 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 pr entity that controls the day-to-day management ofthe Disclosing Party, NOTE: Each legal entity listed below must submit an EDS on its own behalf.

Name Title

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

%s£-.-X7 .y<j. /vjO *V ^-v^/OV -Disclosing Party.

NTPV.y*>-> Qi^ju^«i t-WxC^ct . ..... l OO Vj

SE^;eTiW#r~;BUSjift^

Has the Disclosing Party,MH;(a ^Mbui Chaptei>27l'56 of the Municipal

Code,, with any.'Gity/ele^

[ ] Yes Jp*b

If yes, please identify, below the inani :relatipnship(s);

-^w:rvu;.^*VT.'- ■■■

SECTION IV - DTSpj^Sil^

The Disclosing Party mustrdisclose-the'fjiame 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 *th'eMatter, as well as the nature of the relationship, and. the total amount ofthe fees paid or estimated to be paid. "The-Disclosing Party is not required to disclose employees who are paid solely through the Disclosing Party's regular payroll.

"Lobbyist" means any person or entity who undertakes to influence any legislative or administrative action on behalf of any person, or entity other than: (1) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means.any person or entity any part of whose duties as an employee of another includes undertaking to influence any legislative or administrative action.

If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Parly 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 heccssary)

^Checktiereif the Disclosmg ^ retain; any such personslp>entities.

COURT-ORDERED CHitD S

UndenMunlcip at Gpd the City musri-emairi ihcpm^

Has any perspn whp d an-carage-on any child suppofi d^

[.]Yie^Js tj&^-Rj ^,ji$P&i#?Si^^

"^T Mi^l^u^iaitjfe

If "Yes," has the person entejre.ft;intb! a agreement fpr payment of all support owed and

is the perspn in compliance with .that agree

[ ] Yes [ ] N.P

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 ofthe 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

2. The Disclosing Party and, if the'Disclosing Party is a legal entity, all of those persons or entities dentified in Section II.B.l. of this EDS:

a. 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;

b. have np,t,, withiri a "five-year¹ pefibd'preceding' the date of this EDS; been cbnvicted^:pf a criminal

offcns'bjadjudged/guilty^oV nad_:a,ciyil judgment them jn connection, with:

obtaining, atternptin'g to o.btairiy or'perfbrrriin state or local) transaction or

contract under a'publictraiwactic

embezzlement;-^ statements;-or rece^

"eg are ridtpfeseritly.'i

staterd'f^locai): witK. com

d. have not; within a fivc-.y.earipsrib^ m^;e-dateibf tHis-ED^S; had'orie or more public

transactions f(fe'deral;sto

ej_v have not,, withiri a five-yeaf;'pefip'd;prec^

guilty; er found l.iab^ actions cohcefriirig.erivirdri

state, or any pthcr.'unif'bfilp/qyilg^eriiffieiitl '3. The:.c'e^fica'ti.b'ns«ihs#bj>.ar^3.>%&$J5i;$$n?'^$

the Disblosing Pariy-f
any "Contractor" (meaning any contractor br subcontractor used by the .Disclosing Party in connection with the Klatter, inclu'dmglhu 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, of is; with the.Disclosing Party, under common control of another person or entity. Indicia of control include, without limitation: interlocking management or ownership; identity ofinterests among family members, shared facilities and equipment; common use of enjplbyees; or prganizatipn bf a business entity following the ineligibility of a business entity tb dp business with federal or state or local government, including the Cily, using substantially the same management; ownership, or principals as the ineligible entity); with respect to Contractors, the term Affiliated Entity means a person or entity that directly or indirectly controls the Contractor; is controlled by it, or, with the Contractor, is under common control of another person or entity;

any responsible official ofthe Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee ofthe Disclosing Party, any Contractor or any Affiliated Hntity, 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 Contractors or Affiliated Entity's contract or engagement in connection with the Matter:

bribed or attempted-to'bribe, of been cOnyicted;br adjudged guilty of bribery.or attempting to
bribe, a public .officer or. e.rnpl0yee;pf:the^ City/the State! of Illinois, or any. agency of the federal

'government.prof any state;;p"r jbc^ the "United! States of America; ;in that_;officer's:

or, 'employee'sr.dffic^

agreed or colluded tylith>pmer^ tb_?any suc'n

agreement, or been convicted o?!adjudged'lguilt^^d of

prpspective bidde^^

otherwise; pr

Civ made an admissibpbfsu'bh/Ctf^ a master of record;:but;

hayemotbe^

d. yibiatedsthe/provp ;Wage Ordinance;);*

■4. Neither:

sagents pr p'aftnfcrs^i gpycrhment as^a. resulkpf

engaging^n pr beingxpnyic 4yiblMipri:bf72^

America that contains' the same elemerit^ w offense 'bfibi&riggifig^

Neither the Disclosing^ of the following lists
maintained by the Office: of Ec-reigrt ^s]sjets;Cbntfbl oftthe'Uv^ of the Treasury or the
Bureau of Industry and Security■ of (fee;U.S.-. Depakene of Obmriiercc of their successors: the Specially

Designated Nationals List, the Deiiied^Perspns List, the Unverified List, the Entity List and the

Debarred List.

The Disclosing Party understands arid shall comply with the applicable requirements of Chapters 2-55 (Legislative Inspector General), 2-56 (Inspector General) and 2-156 (Governmental Ethics) ofthe Municipal Code.
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:

_/v//y. , _:

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^e!pi§cio.s.ing Party who were-, at any time-during the 12-

month period preceding the execution dajei&f,thi^ or elected' or appointed official,

of the City of Chicago (if none,'indicate/w^

?;,' To,the best:of ;tllc',^

''"A^e'i'Sp'fleraljjf, available: to^City i c.ourse\of official Gity.business ; with "N/A'^or "none''). 'As to any■ jnBiis^=Velo^

L The D isclAsihg P ar ty^v certifipfh^^

[ ] is &J*is not

a "financial institution" as defined in .Sectidn.'2-32-455(b) of the Municipal Gode_>s

2. 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 thc-Murticipai 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 theDisclosin'g!Partyxertifi'ejd to the above statements.

D. CERTIEIGATION REGARD.ING;INT#jjlESTrN ,GIT* BUSINESS

Any<^6rdsVor!'terms:Aiai.are defined M Gh^ meanings.when-used in this Part D;

1: .In accordance'w.ith.Sectibn 2-h56A& bf^th^'^;MMri'i^:cipa'l. Gp'de: Ddesyany/pfficiaifor employee of theyGityihay.e a financial en'tif^

[. } Yes

NOTE: If you checked "Yes" tbTterri D.l ,, proceed^Items D.2. and D.-3. If you checked' "No"' td< Item D.l., prpceed tb'Part E\

Unless sold pursuant to a .pr.pces^ or otherwise permitted,.np Gity

elected pffic'ia'lor employee shaiLhayeiajfihartc^ ihteifest in his pr her d.wn\narne pr iriithe name- of

any other; p,ersbn;pr eritity ^:in is sold'

.for- taxes pr assessments, or (iii)yis/s6Id\b^virtu& thc isuit.pf thc"Gity, (cpHectively,

^M.ity P.rb:peity>Sale''). Cbrrijjcn^ db'es^vndt cdnstitufe-a .financial i

^ ' " -t

.... .

Does the.-Matterinvolye a Gity Pfpperfy Salc,?; .

[ ] Yes J^No

If you checked "Yes" to Item D.l,/prpyide the name's and business addresses ofthe City officials or employees having such interest-and identify theiiature of such interest:

Name Business Address Nature of Interest

r^A . . . _

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.

X 1. The Disclosing Party verifies that the Disclosing Tarty has searched, any and all records of

the Disclosing Party and any and allpredecessor entities regarding records of investments or.profits

from slavery or slaveholder insiirahccpolicies during the. slavery._era (including insurance policies

is'sued to slaveholders mat provided death of their-slaves), arid

the- Disclosing Party has. foundi no. such-recordsi.

_2. <Tjie7pisclosing.(?&^

DisclbsingfEarfy h fPplvciejsyT^

records,;rincludirig the ham

SEXSTION V1V r-'eERTIFI'CATI0N§ MATTERS;

.. $>

!NOTJEsifthe:Matr^ M^tefr iS;-ri;ot federally

fii ndVd^pro ce'ed ito * S ectiori tyJL, For-puip^ ty Jalni3'^rojcje'ea^.'o^debt. obligations- of iMMxiyiiii ^i^rjpM^ndiiigJ:

A^;. .CERTIFICATION REGARDING LOBBYING

1. List below the names of all persons or entities*^ Ldbbying Disclosure Act of 1995 who have made lobbying .contacts on behalf ofthe/Disclosing Party with respect to the Matter: (Add sheets if necessary);

(If no explanation appears or begins on the lines, above,-, or.if-the letters "NA" or if the word "None" appear, it will be conclusively presumed that the pisclosing 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

The Disclosing Party will submit an updated certification at the end of each calendar quarter in which there occurs any event that materiailyaffects the accuracy ofthe statements and information set forth in paragraphs A.l. and A.2. above.
The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) ofthe Internal Revenue Codeiof 198,6; qr(ii):.i^

5Qi(c)j(4) of the Internal Re venuft Code ^ Activities".

5-. If mefDisclosihg Par fqrm_:'and'substance:tOsP>

4)^tjpjrrqf ;t^

B, CERTIFICATION REGARDING EQUAL EMPLOYMENT:0.PP.ORTUNITY

r " »

Lf^tjie ^atte

subcontractor

Negotiations¹.

Isi.tHe?Disclbsitig Party the: Applicant?' ₈

[j.Ybs, 3J^!i;Npi

If "Yes," answer the three questions beloWy

Have you developed and do you have on file ^ to/applicable federal regulations? (See 41 CFR Part 60-2.)

[ ] Yes [ ] No

Have you filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance Programs, or the Equal Employment Opportunity Commission all reports due under the applicable filing requirements?

[ ] Yes [ ] No

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, Ih&tv

A. . "Th>.certifications, disclosures, and acknowledgments c6ntainedJn/this;EbS .will.bccomc part of any

ebntfaqt or, other agreement-between me¹ Applicant-^

(procurement; City assistance, or other JCityiiictio^ City's execution

bf any contract or taking! other actionwithirespecfc^

itonusj;.coin^ly:w.ith: all:s,tatu.tes_f ordinances; and regulatipns omwhic^

B, . The-.Ci ty's Gpyernmental. Ethics and Campalgn-E^ 2-164 of

'^t}^^cip0'^^}AA^S!ti: ceirtaih duties andipbH^ City contracts;

w6rk?b^ 'TKe<tellrte'kUd:filke'g:e or^ihancSs^an'd a'tramihg program

line aTfevj^ci^fc^ ahd^may alsfrh^ of Ethics, 5740'Nvi

^£;Sedgwick ^;SM'Suited GJ^ wim'vthe a'p^U&ljlle^rSinanc'es.

Tf'tlievCity determines, that .ai^ anyfep^

.ymdtbHev^ dr .yoid^'^

, deciln^h^ P^artyM^^ -RcjnedieiS^at^

'lawifiprfa Taise;stete damages.

D^;. It is the City's policy to make this document available^ and/or upon

request. Some or all of the information provided dn this EDS and any altachmehls to this EDS may be made available to the public on the Internet, in response tp 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 ort 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 ofthe Municipal Code (imposing PERMANENT INELIGIBILITY for certain specified offenses), the information provided herein regarding eligibility must be kept current for a longer period, as required by Chapter 1-23 and Section 2-154-020 ofthe Municipal Code.

The Disclosing Party represents and warrants that:

Page 11 of 13

F.l. The Disclosing Party is not delinquent in the payment of any tax administered by the Illinois Department of Revenue, nor are the Disclosing Party or its: Affiliated Entities delinquent in paying any fine,.fee; tax or other charge owed to the City. This;includes, but is not limited to, all water charges, sewer charges, license fees, parking tickets, property taxes/ or sales, taxes.

E2v If the pisclosing: Party is the Applicant, the ^p.is^closing-Party and. its-Affiliated. Entities ■will-not

us'e^_:nor_?perm|t:theifsu^ E.P.A-on; ;th'e'federal.E"xclud;ed;

Parties List System ("EPLS") maintained b^the.^'S^Gene^LSei^'ifces Administration:

Fv3* If thciPisclosing Party is the Applicah^'^ ;cpntpc^stqrs^ tq'b&Kirje^

iD^feinjg- P^y. ih^ sjr,e

'M&^^^B&M^Mm^^ cann?tlcer^£^ above;,-an⁵

. exlpfja:^

ceftm^ accurate an&cpr^^

(Print or,type name of biscjjSsing Party)

(Print or type name of person signing) (Print or type title of person signing)

Signed and sworn to before me on (date) & ,

^ Notary ,1

at Cffl^- County(state).

.£..-

LLM-

!W(VE0:S3yiaX3 NOISSIIWO Alt

siONrini doaivis onand ahvion "IV3S I'VOddO

Commission expires: H^^^I "? £Ol<h

Page 12 of 13

CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT

APPENDIX X

FAMILIAL RELATIONSHIPS WITH ELECTED GITY;QEFICIALS AND/DEPARTMENT' HEADS

TKlSrApperidiiis to be completed oniy_L'^

pwriersihl^ ih:the_:AppHcante ariy_; legal-entity

whlchhas^rily anind

any;¹ . . _ . __J>W.._

sighed/the"^

toernay^ "$ir^iiqira^ =iiece:or_tneph^

'prvstejmpffierj-sf^

Applicable

a7';5\p;ercent

cpefafing officer, executive director, chief financial c® entity or any person

exercising similar authority.

Does the Disclosing Party or any "Applicable Party" or any^-Spouse-pr Dprncstic Partner therecf 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 ofthe legal entity to which such person is connected; (3) the name and title ofthe elected city Official or department head to whom such person has a familial relationship, and (4) the precise nature pf such familial relatipnship.

Page 13 of 13

CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT

APPENDIX B

BUILDING CODE SCOFFLAW/PROBLEM LANDLORD CERTIFICATION

This Appendix:i_s to. be completed;.6hly legaLentijfy Which has-a' direct ownership interest'iA;tlie^p'i>li^ntciceeding,755"'perccht-(an "Owner?), jitis nqttb be completed by any -legal[entity w.fiichj!fr the Applicant

Iv, Purs^ariMb Municipal: Code;§

puildihgrcode scofflaworprpmeml^

Code? " ' '" '" ' "' "~

2.i If the Applicant: is a I egal entity publicly traj^d^:pnt^e^c^^e^ri$ any_;:p'ffi cer prdjrector. of

tBc'-Ap^U'cahtid^tifi^-as' a/bufl&rig cqde scjb^ to Section

2-92^416'.of me.Municipal Code?""

£ ]¥es &<(M. ' '[ fNot Applicable

■3:

ft;y;es' tq (1) or (2) above, please ideptifyb^ iden'tiried'asabuiling:code

buildings to which the pertinent -code-;violations apply!

FILLING OUT THIS APPENDIX B CONSTITUTES ACKNOWLEDGMENT AND AGREEMENT THAT THIS APPENDIX B IS INCORPORATED BY REFERENCE INTO, AND MADE A PART OF, THE ASSOCIATED EDS, AND THAT THE REPRESENTATIONS MADE IN THIS APPENDIX B ARE SUBJECT TO THE CERTIFICATION MADE UNDER PENALTY OF PERJURY ON PAGE 12 OF THE ASSOCIATED EDS.

Department of Planning and Development

CITY OF CHICAGO

March 27, 2015

TO THE HONORABLE THOMAS M. TUNNEY, THE CHAIRMAN AND MEMBERS OF THE CITY COUNCIL COMMITTEE ON ECONOMIC, CAPITAL AND TECHNOLOGY DEVELOPMENT

Ladies and Gentlemen:

I transmit herewith, together with Alderman Cullerton, an ordinance authorizing the renewal of a Class 6b tax status for property located at 4221 N. Normandy Avenue.

Andrew J. Mooney Commissioner

Your favorable consideration of this ordinance will be appreciated. Very truly yours,

121 NORTH LASALLE STREET, ROOM 1000, CHICAGO, ILLINOIS 60602

April 15, 2015

To the President and Members of the City Council:

Reporting for your Committee on Economic, Capital and Technology Development for which a meeting was held on April 13, 2015 having had under consideration six items. The First item is a direct introduction, introduced by Mayor Rahm Emanuel and Alderman Timothy Cullerton for a Class 6b Resolution for the property located at 4221 North Normandy. The next five Class 6b resolutions were introduced at the March 18^th City Council meeting by the following: Alderman Michelle Harris for the property located at 9540 South Dorchester; Alderman James Balcer for the property located at 3800 South Morgan; Alderman Ricardo Munoz for the property located at 3348 South Pulaski; Alderman Jason Ervin for the property located at 2700 West Roosevelt Road; and Alderman John Arena for the property located at 5440-5450 North Northwest Highway. I beg leave to report and recommend that Your Honorable Body Pass the proposed resolutions transmitted herewith.

These recommendations were concurred in by a viva voce vote of the members of the Committee.

Respectfully submitted,

Legislation Text

Legislation Details

Legislation Details (With Text)