RESOLUTION , CLASS 6(B) REAL ESTATE TAX INCENTIVE FOR THE BENEFIT OF 4GP, LLC, AN ILLINOIS LIMITED LIABILITY COMPANY, AND REAL ESTATE LOCATED GENERALLY AT 1800-1856 NORTH KOSTNER AVENUE AND 4419 WEST CORTLAND STREET
IN CHICAGO, ILLINOIS PURSUANT TO COOK COUNTY, ILLINOIS REAL PROPERTY ASSESSMENT CLASSIFICATION ORDINANCE
WHEREAS, the Cook County Board of Commissioners has enacted the Cook County Real Property Assessment Classification Ordinance, as amended from time to time (the "Ordinance"), which provides for, among other things, real estate tax incentives to property owners who build, rehabilitate, enhance and occupy property which is located within Cook County and which is used primarily for industrial purposes; and
WHEREAS, the City of Chicago (the "City"), consistent with the Ordinance, wishes to induce industry to locate and expand in the City by supporting financial incentives in the form of property tax relief; and
WHEREAS, 4GP, LLC, an Illinois limited liability company(the "Applicant"), owns certain real estate located generally at 1800-1856 North Kostner Avenue and 4419 West Cortland Street, Chicago, Illinois 60639, as further described on Exhibit A hereto (the "Subject Property"); and
WHEREAS, the Applicant intends to occupy an approximately 151,500 square foot industrial facility located on the Subject Property; and
WHEREAS, the Applicant has filed with the Office of the Assessor of Cook County (the "Assessor") an eligibility application for a Class 6(b) tax incentive under the Ordinance; and
WHEREAS, the Subject Property is located within the Northwest Industrial Corridor Redevelopment Project Area (created pursuant to the Illinois Tax Increment Allocation Redevelopment Act, 65 ILCS 5/11-74.4-1 et. seq., as amended, and pursuant to an ordinance enacted by the City Council of the City), and the purpose of Redevelopment Project Areas is also to provide certain incentives in order to stimulate economic activity and to revitalize depressed areas; 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) eligibility application with the Assessor, the applicant must obtain from the municipality in which such real estate that is proposed for Class 6(b) designation is located a resolution
expressly stating that the municipality has determined that the incentive provided by Class 6(b) is necessary for development to occur on such real estate and that the municipality supports and consents to the Class 6(b) classification by the Assessor; and
WHEREAS, the intended use of the Subject Property will provide significant present and future employment; and
WHEREAS, notwithstanding the Class 6(b) status ofthe Subject Property, the redevelopment and utilization thereof will generate significant new revenues to the City in the form of additional real estate taxes and other tax revenues; now therefore,
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
SECTION 1: That the City determines that the incentive provided by Class 6(b) is necessary for the development to occur on the Subject Property.
SECTION 2: That the City supports and consents to the Class 6(b) classification by the Assessor with respect to the Subject Property.
SECTION 3: That the Clerk ofthe City of Chicago is authorized to and shall send a certified copy of this resolution to the Office of the Cook County Assessor, Room 312, County Building, Chicago, Illinois 60602 and a certified copy of this resolution may be included with the Class 6(b) eligibility application filed with the Assessor by the Applicant, as applicant, in accordance with the Ordinance.
SECTION 4: That this resolution shalllbe effective immediately upon its passage and approval. *
Honorable Gilbert Villegas Alderman, 36th Ward
EXHIBIT A
Legal Description of Subject Property:
PARCEL 1:
THAT PART OF BLOCK 1 IN HAMILTON'S SUBDIVISION OF THE SOUTH 60 ACRES OF THE EAST 1/2 OF THE SOUTHWEST 1/4 SECTION 34, TOWNSHIP 40 NORTH, RANGE 13, EAST OF THE THIRD PRINCIPAL MERIDIAN, DESCRIBED AS FOLLOWS:
COMMENCING AT A POINT IN THE EAST LINE OF SAID BLOCK 1, SAID EAST LINE BEING IDENTICAL WITH THE WEST LINE OF KOSTNER AVENUE, WHICH IS 74.74 FEET SOUTH OF THE NORTHEAST CORNER OF SAID BLOCK 1; THENCE RUNNING WEST ON A STRAIGHT LINE, WHICH EXTENDED INTERSECTS A LINE, WHICH IS 389.80 FEET WEST OF THE WEST LINE OF KOSTNER AVENUE AT A POINT, WHICH IS 77.87 FEET SOUTH OF THE SOUTH LINE OF CORTLAND STREET, A DISTANCE OF 350.20 FEET TO A POINT; THENCE SOUTH ON A LINE, WHICH IS 350.20 FEET WEST OF AND PARALLEL TO THE WEST LINE OF KOSTNER AVENUE, A DISTANCE OF 50.38 FEET TO A POINT, WHICH IS 127.93 FEET SOUTH OF THE SOUTH LINE OF CORTLAND STREET; THENCE RUNNING EAST IN A STRAIGHT LINE, A DISTANCE OF 68.56 FEET TO A POINT OF INTERSECTION WITH A LINE, WHICH FORMS A SOUTHWEST ANGLE OF 90 DEGREES, 35 MINUTES, 00 SECOND WITH THE SOUTH LINE OF CORTLAND STREET, SAID POINT OF INTERSECTION BEING 127.64 FEET SOUTH OF THE SOUTH LINE OF CORTLAND STREET, MEASURED ALONG SAID LAST DESCRIBED LINE; THENCE SOUTH ON SAID LAST DESCRIBED LINE, A DISTANCE OF 156.18 FEET TO A POINT OF A CURVE; THENCE SOUTHERLY ON A CURVED LINE CONVEX TO THE SOUTHEAST AND HAVING A RADIUS OF 233.49 FEET, A DISTANCE OF 97.86 FEET TO THE POINT OF INTERSECTION OF SAID CURVED LINE WITH A LINE, WHICH FORMS A RIGHT ANGLE WITH THE WEST LINE OF KOSTNER AVENUE AT A POINT WHICH IS 376.91 FEET SOUTH OF THE NORTHEAST CORNER OF SAID BLOCK; THENCE EAST ON SAID RIGHT ANGLE LINE, A DISTANCE OF 301.16 FEET TO THE WEST LINE OF KOSTNER AVENUE; THENCE NORTH ALONG THE WEST LINE OF KOSTNER AVENUE, 302.17 FEET TO THE POINT OF BEGINNING, IN COOK COUNTY, ILLINOIS.
PARCEL 2:
THAT PART OF BLOCK 1 IN HAMILTON'S SUBDIVISION OF THE SOUTH 60 ACRES OF THE EAST 1/2 OF THE SOUTHWEST 1/4 OF SECTION 34, TOWNSHIP 40 NORTH, RANGE 13, EAST OF THE THIRD PRINCIPAL MERIDIAN, DESCRIBED AS FOLLOWS:
COMMENCING AT A POINT IN THE EAST LINE OF SAID BLOCK 1 SAID EAST LINE, BEING IDENTICAL WITH THE WEST LINE OF KOSTNER AVENUE, WHICH IS 376.91 FEET SOUTH OF THE NORTHEAST CORNER OF SAID BLOCK 1 SAID NORTHEAST CORNER OF BLOCK 1, BEING IDENTICAL WITH THE SOUTHWEST CORNER OF CORTLAND STREET; THENCE WEST AT RIGHT ANGLES TO SAID WEST LINE OF KOSTNER AVENUE, A DISTANCE OF 301.16 FEET TO A POINT IN A CURVED LINE; THENCE SOUTHERLY ALONG SAID CURVED LINE, WHICH IS CONVEX TO THE SOUTHEAST AND HAS A RADIUS OF 233.49 FEET, A DISTANCE OF 87.05 FEET TO A POINT IN A LINE, WHICH IS 350.20 FEET WEST OF AND PARALLEL TO THE WEST LINE OF KOSTNER AVENUE, SAID POINT IS 450.71 FEET SOUTH OF THE SOUTH LINE OF CORTLAND STREET; THENCE CONTINUING SOUTHWESTERLY ALONG SAID CURVED LINE, A DISTANCE OF 140.57 FEET TO A POINT IN A LINE, WHICH IS 472.95 FEET WEST OF AND PARALLEL TO THE WEST LINE OF KOSTNER AVENUE, SAID POINT BEING 515.64 FEET SQUTH OF THE SOUTH LINE OF CORTLAND STREET; THENCE WESTERLY ALONG A CURVED LINE CONVEX TO THE SOUTH AND HAVING A RADIUS OF 981.50 FEET FOR A DISTANCE OF 129.05 FEET TO A POINT IN THE NORTHERLY RIGHT OF WAY LINE OF THE CHICAGO, MILWAUKEE AND ST. PAUL RAILROAD COMPANY, WHICH IS 31.85 FEET EASTERLY OF THE WEST LINE OF THE EAST 1/2 OF THE EAST 1/2 OF THE SOUTHWEST 1/4 OF SAID SECTION 34, (MEASURED ALONG SAID RIGHT OF WAY LINE); THENCE EAST ON A CURVED LINE CONVEX TO THE SOUTH AND HAVING A RADIUS OF 2814.93 FEET, A DISTANCE OF 379.64 FEET TO T APPOINT OF TANGENCY IN SAID RIGHT OF WAY LINE; THENCE CONTINUING EAST ON SAID RIGHT OF WAY LINE AND TANGENT TO SAID LAST DESCRIBED CURVED LINE, A DISTANCE OF 222.68 FEET TO THE POINT OF INTERSECTION OF SAID RIGHT OF WAY LINE WITH THE WEST LINE OF KOSTNER AVENUE; THENCE NORTH ON THE WEST LINE OF KOSTNER AVENUE A DISTANCE OF 179.81 FEET TO THE POINT OF BEGINNING, IN COOK COUNTY, ILLINOIS.
PARCEL 3:
THAT PART OF BLOCK 1 IN HAMILTON'S SUBDIVISION OF THE SOUTH 60 ACRES OF THE EAST 1/2 OF THE SOUTHWEST 1/4 OF SECTION 34, TOWNSHIP 40 NORTH, RANGE 13, EAST OF THE THIRD PRINCIPAL MERIDIAN, DESCRIBED AS FOLLOWS:
COMMENCING AT A POINT IN A LINE, WHICH IS 350.20 FEET WEST OF AND PARALLEL TO THE EAST LINE OF SAID BLOCK 1, SAID EAST LINE BEING IDENTICAL WITH THE WEST LINE OF KOSTNER AVENUE AND 127.93 FEET SOUTH OF THE SOUTH LINE OF CORTLAND STREET; THENCE RUNNING EAST IN A STRAIGHT LINE, A DISTANCE OF 68.56 FEET TO A POINT OF INTERSECTION WITH A LINE, WHICH FORMS A SOUTHWEST ANGLE OF 90 DEGREE, 35 MINUTES, 00 SECOND WITH THE SOUTH LINE OF CORTLAND STREET SAID PINT OF INTERSECTION, BEING 127.64 FEET SOUTH OF THE SOUTH LINE OF CORTLAND STREET MEASURED ALONG SAID LAST DESCRIBED LINE: THENCE SOUTH ON
SAID LAST DESCRIBED LINE, A DISTANCE OF 156.18 FEET TO A POINT OF CURVE; THENCE SOUTHWESTERLY ON A CURVED LINE CONVEX TO THE SOUTHEAST AND HAVING A RADIUS OF 233.49 FEET, A DISTANCE OF 184.91 FEET TO A POINT IN A LINE, WHICH IS 350.20 FEET WEST OF THE WEST LINE OF KOSTNER AVENUE; THENCE NORTH ON SAID LINE, A DISTANCE OF 322.78 FEET TO THE POINT OF BEGINNING, IN COOK COUNTY, ILLINOIS.
PARCEL 4:
THAT PART OF BLOCK 1 IN HAMILTON'S SUBDIVISION OF THE SOUTH 60 ACRES OF THE EAST 1/2 OF THE SOUTHWEST 1/4 OF SECTION 34, TOWNSHIP 40 NORTH, RANGE 13, EAST OF THE THIRD PRINCIPAL MERIDIAN, DESCRIBED AS FOLLOWS:
COMMENCING AT THE NORTHEAST CORNER OF SAID BLOCK 1, SAID POINT BEING IDENTICAL WITH THE SOUTHWEST CORNER OF KOSTNER AVENUE AND CORTLAND STREET AND RUNNING THENCE WEST ON THE NORTH LINE OF SAID BLOCK, A DISTANCE OF 389.80 FEET TO A POINT SAID POINT BEING 66 FEET SOUTH OF THE NORTH LINE OF CORTLAND STREET; THENCE SOUTH ON A LINE, WHICH IS PARALLEL TO THE WEST LINE OF KOSTNER AVENUE, A DISTANCE OF 77.87 FEET TO A POINT; THENCE EAST IN A STRAIGHT LINE, A DISTANCE OF 389.80 FEET TO A POINT IN THE EAST LINE OF SAID BLOCK 1, WHICH IS 74.74 FEET SOUTH OF THE NORTHEAST CORNER OF SAID BLOCK; THENCE NORTH ALONG THE EAST LINE OF SAID BLOCK, A DISTANCE OF 74.74 FEET TO THE POINT OF BEGINNING, IN COOK COUNTY, ILLINOIS.
Permanent Real Estate Tax Index Numbers (PINS) for the Subject Property:
13-34-307-003-0000 13-34-307-009-0000 13-34-307-010-0000 13-34-307-011-0000
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I - GENERAL INFORMATION
Legal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable:
#6P, uC
Check ONE ofthe following three boxes:
Indicate vtfhether the Disclosing Party submitting this EDS is:
[&] the Applicant
OR
[ J 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:-_. .
Business address of the Disclosing Party: /fyl&t
7, M>43?
Name of contact person: Wtiffc Ptic/l
Federal Employer Identification No. (if you have one): _ . ...
Brief description of contract, transaction or other undertaking (referred to below as the "Matter") to which this EDS pertains. (Include project number and location of property, if applicable):
Cu& &l> Proptrff T^K Mees)hrc /^S6> /I/- ^g^j^^o
Which City agency or department is requesting this EDS? *^3fa**n"°f ^ 7>4>ueJa/Q/7?£r}'t
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification # and Contract #
Page 1 of 13
SECTION II -- DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY
1. Indicate the nature of the Disclosing [ ] Person
[ ] Publicly registered business corporation [ ] Privately held business corporation [ ] Sole proprietorship [ ] General partnership [ ] 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)
2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable:1
3. For legal entities not organized in the State oflllinois: Has the organization registered to do business in the State oflllinois as a foreign entity?
[] Yes []No [^N/A
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
L- - List-below the full names andtitles of all executive officers and aU 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 ofthe Disclosing Party. NOTE: Each legal entity listed below must submit an EDS on its own behalf.
Na,"e M*r*P«<6 ™e P"*>4h*
/?!/&he/te fitch CPe?
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 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
/V
SECTION III — BUSINESS RELATIONS#J*S/Wmi 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 [l^No
Lf 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 ofthe relationship, and the total amount ofthe fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who are paid solely through the Disclosing Party's regular payroll.
"Lobbyist" means any person or entity who undertakes to influence any legislative or administrative action on behalf of any person or entity other than: (1) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means any person or entity any part of whose duties as an employee of another includes undertaking to influence any legislative or administrative action.
If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must either ask the City whether disclosure is required or make the disclosure.
Page 3 of 13
Name (indicate whether 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
/* > m„ J^/' WVs 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?
[ ] 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?
[]Yes , [JNo
B. FURTHER CERTIFICATIONS
1. Pursuant to Municipal Code Chapter 1-23, Article I ("Article l")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), 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
The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section II.B.1. of this EDS:
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;
have not, within a five-year ^^^^^j^g^^^of^(^BDj§, been convicted of a criminal
offense, adjudged guilty, or had ,£ciw|^ them in connection with:
obtaining, attempting to obtain, or local) transaction or
contract under a public transaction; a violation of federal or state antitrust statutes; fraud;
embezzlement; theft; forgery; bribery; falsification or destruction of records; making false
statements; or receiving stolen property;
are not presently indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any ofthe offenses set forth in clause B.2.b. of this Section V;
have not, within a five-year period preceding the date of this EDS, had one or more public transactions (federal, state or local) terminated for cause or default; and
have not, within a five-year period preceding the date of this EDS, been convicted, adjudged guilty; or found liablein a'civil pfoceedihgT or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other unit of local government.
The certificationsin subp.arts.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 Disclosmg'Party, or is, with the Disclosing Party, under
common control of jan^eV perspn?pp.enti^. Indicia of control include, without limitation:
interlocking^ among family members, shared facilities
and eguipmenjjfcommbn use^£'empioyees;:tf of a business entiiy following the
ineligibility ^ 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:
bribed or attempted to bribe, or been convicted or adjudged guilty of bribery or attempting to bribe, a public officer or employee ofthe City, the State oflllinois, or any agency ofthe federal government or of any state or local government in the United States of America, in that officer's or employee's official capacity;
agreed or colluded with other bidders or prospective bidders, or been a party to any such agreement, or been convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; or
made an admission of such conduct described in a. or b. above that is a matter of record, but have not been prosecuted For such conduct; or
violated the provisions of Municipal Code Section 2-92-610 (Living Wage Ordinance).
Neither the Disclosing Party, Affiliated Entity or Contractor, or any of their employees, officials, agents or partners, is barred from contracting with any unit of state or local government as a result of engaging in or being convicted of (1) bid-rigging in violation of 720 ILCS 5/33E-3; (2) bid-rotating in
__yiolationof 72Q.ILCS.5/33E^4;.or (3).any-similar-offense of-any-state-or-of-the United States of -America that contains the same elements as the offense of bid-rigging or bid-rotating.
Neither the Disclosing Party nor any Affiliated Entity is listed on any of the following lists maintained by the Office of Foreign Assets Control of the U.S. Department ofthe Treasury or the Bureau of Industry and Security ofthe U.S. Department of Commerce or their successors: the Specially Designated Nationals List, the Denied Persons List, the Unverified List, the Entity List and the Debarred List.
The Disclosing Party understands and shall comply with the applicable requirements of Chapters 2-55 (Legislative Inspector General), 2-56 (Inspector General) and 2-156 (Governmental Ethics) ofthe Municipal Code.
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:
Page 6 of 13
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
8. To the best ofthe Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all current employees of the Disclosing Party who were, at any time during the 12-month period preceding the execution date of this EDS, an employee, or elected or appointed official, of the ejf^^©iftcagpf (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.
.m^M^t;;;, . .. , . .
a "financial institution" as defined in Section 2-32-455(b) of the Municipal Code.
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 ofthe Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in Section 2-32-455(b) ofthe 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.
In accordance with Section 2-156-110 ofthe Municipal Code: Does any official or employee ofthe 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 fYNo
NOTE: If you checked "Yes" to Item D.l., proceed to Items D.2. and D.3. If you checked "No" to Item D.l., proceed to Part E.
Unless sold pursuant to a process of competitive bidding, or otherwise permitted, 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 ofthe City (collectively, "City Property Sale"). Compensation for property taken pursuant to the City's eminent domain power docs not constitute a financial interest within the meaning of this Part D.
Does the Matter involve a City Property Sale?
[ ] Yes [j/No
If you checked "Yes" to Item D.l., provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest:
Name Business Address Nature of Interest
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing 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 Tecords 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 rfecli^i.-ijKitrdkk-'the names of any and all slaves or slaveholders described in those records:
rmmm:^,,,,^^,: : ....... .. ......
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. /Jfi^ f^Cyif //c^ fiiwrft
A. CERTIFICATION - - - - - -—
1. List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf ofthe Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed ia 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) 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".
Sj. ifjthe^iscioshig^ Party must obtain certifications equal in
form and sUBsta^ from all subcontractors before it awards any
stib5^ subcontractors' certifications for the
durationpromptly 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. ^tf-r^i&fSe/fy'^Wcrfr^'
Is the Disclosing Party the Applicant?
[ ] Yes _U.No _ - - -
If "Yes," answer the three questions below:
Have you developed and do you have on file affirmative action programs pursuant to applicable federal regulations? (See 41 CFR Part 60-2.)
[ ] Yes [JNo
Have you filed with the Joint Reporting Committee, the Director ofthe Office of Federal Contract Compliance Programs, or the Equal Employment Opportunity Commission all reports due under the applicable filing requirements?
[ ] Yes [ J No
Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
[JYes [JNo
If you checked "No" to question I. or 2. above, please provide an explanation:
Page 10 of 13
SECTION VII - ACKNOWLEDGMENTS, CONTRACT INCORPORATION, COMPLIANCE, PENALTIES, DISCLOSURE
The Disclosing Party understands and agrees that:
The certifications, disclosures, and acknowledgments contained in this EDS will become part of any contract or other agreement between the Applicant and the City in connection with the Matter, whether procurement, City assistance, or other City action, and are material inducements to the City's execution of any contract or taking other action with respect to the Matter. The Disclosing Party understands that it must comply with all statutes, ordinances, and regulations on which this EDS is based.
The City's Governmental Ethics and Campaign Financing Ordinances, Chapters 2-156 and 2-164 of the Municipal Code, impose certain duties and obligations on persons or entities seeking City contracts, work, business, or transactions. The full text of these ordinances and a training program is available on line at www.cityofchicago.org/Ethics . and may also be obtained from the City's Board of Ethics, 740 N.
Sedgwick St., Suite 500, Chicago, IL 60610, (312) 744-9660. The Disclosing Party must comply fully with the applicable ordinances.
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 Taw^foT^'falsYsWeihent of material fact may include incarceration and an award to the City of treble damages.
It is the City's policy to make this document available to the public on its Internet site and/or upon request. Some or all of the information provided on this EDS and any attachments to this EDS may be made available to the public on the Internet, in response to a Freedom of Infonnation 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.
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. 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 Entitiesw.iil not use, nor permit their subcontractors to use, any facility listed by the U.S. E;P;A. on the federaTExclu'ded 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 frorn;any.
contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in
formahd substance io th6se}in F.L and F;2. above and will riot, without hie prior wntten c
City, use any such contract thai docs,not provide such certifications or (hat 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., Fi.2. or F.3 ;< above, an explanatory statement must be attached to this EDS.
CERTIFICATION ~ . ~-
Under penalty of perjury, the person signing below: (I) 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 arid statements contained in this EDS and Appendix A (if applicable) are true, accurate
• and-complete-as of the date furnished to •thc'City.-' ~-«--~~ — . .. _ ~~—
(Pnhfcor'typc'name ofi0isoiosYngli^artyy'
By:.—.Z
(Sign here)
(Print;or type name of person signing)
(Print or type title of person signing)
at
.(state).
_ Notary Public.
Commission expires: {/} 1^ ^
Page 12 of 13
ALOUISEMCPBDSJ. NOTARY PU8UC - STATE OF BXBKX8 : MY COMMSSJON E»«£Sc06riaft»
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 ofthe Disclosing Party listed in Section ILB.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 {/] 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
APPENDIX B
BUILDING CODE SCOFFLAW/PROBLEM LANDLORD CERTIFICATION
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5 percent (an "Owner"). It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
Pursuant to Municipal Code Section 2-154-010, is the Applicant or any Owner identified as a building code scofflaw or problem landlord pursuant to Section 2-92-416 of the Municipal Code? ,
[ ]Yes [/]No
If the Applicant is a legal entity publicly traded on any exchange, is any officer or director of the Applicant identified as a building code scofflaw or problem landlord pursuant to Section 2-92-416 of the Municipal Code?
[ ]Yes ['JNo [iA\Not Applicable
3. I£ yes_toTl)or (2).above,.plea
identified as a building code scofflaw oK^ and the address of the building or
buildings to which the pertinent code viblauons-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.
(DO NOT SUBMIT THIS PAGE WITH YOUR EDS. The purpose of this page is for you to recertify your EDS prior to submission to City Council or on the date of closing. If unable to recertify truthfully, the Disclosing Party must complete a new EDS with correct or corrected information)
RECERTIFICATION
Generally, for use with City Council matters. Not for City procurements unless requested.
This recertification is being submitted in connection with. &LA-?£ fcfe f>yL d f T^J'j. ^,
[identify the Matter]. Under penalty of perjury,£' *
he/she is authorized to execute this ED&?t^&^iiS^^^^0^^^^^^^P^0^f,
warrants that all certifications and statements contained in the-l^c^£ag:Parby's original EDS
are true, accurate and'complete as ofthe date furnished to the City and continue to be true,
accurate and complete as of the date of this recertification, and (3) reaffirms its
acknowledgments.
(Print or type legal name of Disciosing Party)
:'Pnnt,prTy^;n^^6$^lignai^^ Title of signatory:
Signed and sworn to before me on [date] Jjji^^l^/&f£> ,.by 'jfazttjL ifi^A - , at CtMup ' County, ' iffi .[state].
Notary Public.
Commission expires: ^// ^ J/ Q
OFFICIAL SEAL AJLOUtSE M GREDELL
COMMISSION BVmS WVl6