FINAL FOR PUBLICATION
SUBSTITUTE ORDINANCE
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
SECTION 1. That the Chicago Zoning Ordinance be amended by changing all ofthe RT-4 Residential Two-Flat, Townhouse and Multi-Unit District and POS-2 Neighborhood Park, Mini-Park or Playlot symbols and indications as shown on Map 7-H in the area bounded by:
North Clybourn Avenue; West Diversey Parkway; North Damen Avenue; the northeast boundary line of the North Branch of the Chicago River; the east boundary line of the North Branch of the Chicago River; the northeast boundary line of the North Branch of the Chicago River; a line 199.48 feet west of and almost parallel to the west line of North Leavitt Street (as measured along the south line of west Oakdale Avenue); a line 145 feet south of an parallel to West Oakdale Avenue; a line approximately 225.29 feet west of and parallel to North Leavitt Street; West Oakdale Avenue; North Leavitt Street
to those of a C2-3 Motor Vehicle-Related Commercial District.
SECTION 2. That the Chicago Zoning Ordinance be amended by changing all of the C2-3 Motor Vehicle-Related Commercial District symbols and indications as shown on Map 7-H in the area bounded by:
North Clybourn Avenue; West Diversey Parkway; North Damen Avenue; the northeast boundary line of the North Branch of the Chicago River; the east boundary line of the North Branch ofthe Chicago River; the northeast boundary line of the North Branch of the Chicago'River; a line 199.48 feet west of and almost parallel to the west line of North Leavitt Street (as measured along the south line of west Oakdale Avenue); a line 145 feet south of an parallel to West Oakdale Avenue; a line approximately 225.29 feet west of and parallel to North Leavitt Street; West Oakdale Avenue; North Leavitt Street
to those of a Waterway-Residential-Business Planned Development.
SECTION 3. This Ordinance shall be in force and effect from and after its passage and publication.
Address: 2820-2996 North Clybourn Avenue; 2000-2144 West Diversey Parkway; 2007-2141 West
Diversey Parkway; 2601-2953 North Leavitt Street; 2800-2888 North Leavitt Street; 2601-2769 North Hoyne Avenue; 2600-2768 North Hoyne Avenue; 2600-2800 North Damen Avenue and 2201-2223 West Oakdale Avenue
RASTM05I449512
WATERWAY RESIDENTIAL BUSINESS PLANNED DEVELOPMENT NO.
The area delineated herein as Waterway Residential Business Planned Development Number
("Planned Development") consists of approximately 1,265,781 square feet of net site
area (after right-of-way adjustments contemplated herein) together with certain portions of adjacent rights-of-way, as depicted on the attached Planned Development Boundary and Property Line Map ("Property"). Lathrop Community Partners is the "Applicant" and has requested this Planned Development with the authorization of the owner of the property, the Chicago Housing Authority. This Planned Development is divided into Subareas (each, a "Subarea" and collectively, the "Subareas") as indicated on the attached Subarea Map.
All applicable official reviews, approvals or permits are required to be obtained by the Applicant or its successors, assignees or grantees. Any dedication or vacation of streets or alleys or grants of easements or any adjustment of the right-of-way shall require a separate submittal to the Department of Transportation ("CDOT") on behalf of the Applicant or its successors, assign or grantees. Proposed right-of-way adjustments are shown in the attached "Right of Way Adjustment Map," including the proposed dedication of approximately 100,814 square feet of new right-of-way and the vacation of approximately 121,663 square feet of existing right-of-way. To the extent CDOT determines that compensation is payable to the City by the Applicant for existing right-of-way to be vacated, the Applicant shall receive credit on a square footage basis for all right-of-way to be dedicated in determining such compensation.
Any requests for grants of privilege, or any items encroaching on the public way, shall be in compliance with the Plans.
Ingress or egress shall be pursuant to the Plans and may be subject to the review and approval of the Department of Planning and Development (the "Department") and CDOT. Closure of all or any public street or alley during demolition or construction shall be subject to the review and approval of CDOT.
All work proposed in the public way must be designed and constructed in accordance with the CDOT Construction Standards for Work in the Public Way and in compliance with the Municipal Code of the City of Chicago. Prior to the issuance of any Part II approval, the submitted plans must be approved by CDOT.
Prior to the issuance of any Part II approval for Phase 2 or 3 as shown on the Preliminary Phasing Plan, the Applicant shall submit a traffic study that contemplates the full extent of the proposed development and which details the anticipated vehicular and pedestrian impact of such project on both the subject site and area infrastructure. Review and approval of such
Applicant: Lathrop Community Partners
Address: 2820-2996 North Clybourn Avenue; 2000-2144 West Diversey Parkway; 2007-2141 West
Diversey Parkway; 2601-2953 North Leavitt Street; 2800-2888 North Leavitt Street; 2601-2769 North Hoyne Avenue; 2600-2768 North Hoyne Avenue; 2600-2800 North Damen Avenue and 2201-2223 West Oakdale Avenue
Introduced: September 24, 2015
Plan Commission: February 18, 2016
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traffic study by CDOT is intended to ensure that the proposed development will not establish an improperly mitigated burden on the existing infrastructure. If any modifications are needed, the study shall detail the specific improvements and necessary infrastructure upgrades, which shall be fully funded by the Applicant.
The requirements, obligations and conditions contained within this Planned Development shall be binding upon the Applicant, its successors and assigns and, if different than the Applicant, the legal title holders and any ground lessees. All rights granted hereunder to the Applicant shall inure to the benefit.of the Applicant's successors and assigns and, if different than the Applicant, the legal title holder and any ground lessees. Furthermore, pursuant to the requirements of Section 17-8-0400 of the Chicago Zoning Ordinance, the Property, at the time of application for amendments, modifications or changes (administrative, legislative or otherwise) to this Planned Development are made, shall be under single ownership or designated control. Single designated control is defined in Section 17-8-0400 ofthe Zoning Ordinance.
This Plan of Development consists of these 21 Statements, a Bulk Regulations Table and the following plans all prepared by Fair Associates and dated February 18, 2015 (collectively, the "Plans"):
Existing Zoning Map
Existing Land-Use Map
Planned Development Boundary and Property Line Map
Right of Way Adj ustment Map
Sub-Area Map
Generalized Land-Use Plan
Site Plan - Phase 1 - Buildings NOL, N02, N03
Site Plan - Phase 1 - Buildings N04, N05, N06, N07
i. Site Plan - Phase 1 - Buildings N08, N09, NI 0, N11, S101
j. Site Plan-Phase 1-Buildings NI 2, NI 3
k. Site Plan - Phase 1 - Buildings N11, N14
1. Preliminary Phasing Plan
m. Phase 1 New Construction Elevations
n. Landscape Exhibits
o. Bulk Table
Where applicable, full-sized copies of the Plans are on file with the Department. In any instance where a provision of this Planned Development conflicts with the Chicago Building Code, the Building Code shall control. This Planned Development conforms lo the intent and purpose of the Zoning Ordinance, and all requirements thereto, and satisfies the
Applicant: Lathrop Community Partners
Address: 2820-2996 North Clybourn Avenue; 2000-2144 West Diversey Parkway; 2007-2141 West
Diversey Parkway; 2601-2953 North Leavitt Street; 2800-2888 North Leavitt Street; 2601-2769 North Hoyne Avenue; 2600-2768 North Hoyne Avenue; 2600-2800 North Damen Avenue and 2201-2223 West Oakdale Avenue
Introduced: September 24, 2015
Plan Commission: February 18, 2016
|1010|
established criteria for approval as a Planned Development. In case of a conflict between the terms of this Planned Development Ordinance and the Zoning Ordinance, this Planned Development Ordinance shall control.
5. The following uses are permitted in this Planned Development:
Sub-Area 1:
Residential: Multi-Unit (on and above ground floor); Townhouse;
Public and Civic: Parks and Recreation; Community Centers, Recreation Buildings and Similar Assembly Use;
Uses limited to Residential Building basements (in addition to the uses permitted for Sub-Area 1):
Commercial: Artist Work or Sales Space; Business Support Services; Communication Service Establishment; Office; Residential Storage;
Industrial: Artisan Manufacturing, Production and Industrial Services; Limited Manufacturing.
Uses limited to the "Potential Commercial Building" shown on the Site Plan - Phase 1 -Buildings N04, N05, N06, N07 Plan (see Exhibit 9) (in addition to the uses permitted for Sub-Area 1 and the Residential Building basements):
Public and Civic: Cultural Exhibits; Day Care; Parks and Recreation (including, without limitation, community centers, recreation buildings and similar assembly uses);
Commercial: Artist Work or Sales Space; Eating and Drinking Establishments (including, without limitation, Limited and General Restaurant; and Outdoor Patio (at-grade and rooftop)); Office; Personal Service; Retail Sales, General, not to exceed 4,035 square feet; Participant Sports and Recreation, indoor (including, without limitation, Children's Play Center); and Business Live/Work Unit.
The following uses are excluded: Recycling Facilities, Warehouse, Wholesale and Freight Movement.
Applicant: Lathrop Community Partners
Address: 2820-2996 North Clybourn Avenue; 2000-2144 West Diversey Parkway; 2007-2141 West
Diversey Parkway; 2601-2953 North Leavitt Street; 2800-2888 North Leavitt Street; 2601-2769 North Hoyne Avenue; 2600-2768 North Hoyne Avenue; 2600-2800 North Damen Avenue and 2201-2223 West Oakdale Avenue
Introduced: September 24, 2015.
Plan Commission: February 18,2016
f^al for mumm
Sub-Area 2:
Residential: Artist Live/Work Space (on and above ground floor); Multi-Unit (on and above ground floor); Elderly Housing; Assisted Living; Nursing Home ..
Public and Civic: Cultural Exhibits and Libraries; Day Care; Parks and Recreation (including, without limitation, community centers, recreation buildings and similar assembly uses).
Commercial: Artist Work or Sales Space; Eating and Drinking Establishments (including, without limitation, Limited and General Restaurant; and Outdoor Patio (at-grade and rooftop)); Food and Beverage Retail Sales (including, without limitation, accessory liquor sales but excluding liquor stores); Retail Sales, General; Participant Sports and Recreation, indoor and outdoor (including, without limitation, Children's Play Center); and Business Live/Work Unit.
Industrial: (limited to Residential Building basements) Artisan Manufacturing, Production and Industrial Services; Limited Manufacturing.
Sub-Area 3:
Residential: Artist Live/Work Space (on and above ground floor); Multi-Unit (on and above ground floor); Elderly Housing; Assisted Living; Nursing Home.
Sub-Area 4:
Residential: Artist Live/Work Space (on and above ground floor); Multi-Unit (on and above ground floor); Elderly Housing; Assisted Living; Nursing Home.
Public and Civic: Cultural Exhibits and Libraries; Day Care; Parks and Recreation (including, without limitation, community centers, recreation buildings and similar assembly uses).
Commercial: Artist Work or Sales Space; Building Maintenance Services; Business Support Services; Communication Service Establishment; Drive-Through Facility (subject to approval of CDOT and Site Plan Approval); Eating and Drinking Establishments (including, without limitation, Limited and General Restaurant; Tavern; and Outdoor Patio (at-grade and rooftop)); Financial Services; Food and Beverage Retail Sales (including, without limitation, Liquor Store (packaged goods); and Liquor Sales (accessory)); Lodging (including, without limitation, Bed and Breakfast; and Vacation Rental); Medical Service; Office; Accessory; Personal Service (including, without limitation, Hair Salon; Nail Salon; Barbershop; Massage
Applicant: Lathrop Community Partners
Address: 2820-2996 North Clybourn Avenue; 2000-2144 West Diversey Parkway; 2007-2141 West
Diversey Parkway; 2601-2953 North Leavitt Street; 2800-2888 North Leavitt Street; 2601-2769 North Hoyne Avenue; 2600-2768 North Hoyne Avenue; 2600-2800 North Damen Avenue and 2201-2223 West Oakdale Avenue
Introduced: September 24, 2015
Plan Commission: February 18,2016
|1010|
Establishment; Repair or Laundry Service (including, without limitation, Dry Cleaning; and Laundromat); Retail Sales, General; Participant Sports and Recreation, indoor (including, without limitation, Amusement Arcade; Children's Play Center); Small and Medium Venues; Valuable Objects Dealer; and Business Live/Work Unit.
Industrial: Artisan Manufacturing, Production and Industrial Services; Limited Manufacturing.
Sub-Area 5:
Residential: Artist Live/Work Space (on and above ground floor); Multi-Unit (on and above ground floor); Elderly Housing; Assisted Living; Nursing Home.
Public and Civic: Cultural Exhibits and Libraries; Day Care; Parks and Recreation (including, without limitation, community centers, recreation buildings and similar assembly uses).
Commercial: Artist Work or Sales Space; Building Maintenance Services; Business Support Services; Communication Service Establishment; Drive-Through Facility (subject to approval of CDOT and Site Plan Approval); Eating and Drinking Establishments (including, without limitation, Limited and General Restaurant; Tavern; and Outdoor Patio (at-grade and rooftop)); Financial Services; Food and Beverage Retail Sales (including, without limitation, Liquor Store (packaged goods); and Liquor Sales (accessory)); Lodging (including, without limitation, Bed and Breakfast; Hotel/Motel; and Vacation Rental); Medical Service; Office; Accessory; Personal Service (including, without limitation. Hair Salon; Nail Salon; Barbershop; Massage Establishment; Repair or Laundry Service (including, without limitation, Dry Cleaning; and Laundromat); Retail Sales, General; Participant Sports and Recreation, indoor and outdoor (including, without limitation, Amusement Arcade; Children!s Play Center); Small and Medium Venues; Valuable Objects Dealer; and Business Live/Work Unit.
Industrial: Artisan Manufacturing, Production and Industrial Services; Limited Manufacturing.
The following uses are excluded within this planned development: Recycling Facilities, Warehouse, Wholesale and Freight Movement.
6. Notwithstanding anything in this Planned Development to the contrary, the maximum aggregate retail square footage in each Subarea shown on the Subarea *Plan shall be as
follows
Applicant: Address:
Introduced:
Plan Commission:
Lathrop Community Partners
2820-2996 North Clybourn Avenue; 2000-2144 West Diversey Parkway; 2007-2141 West Diversey Parkway; 2601-2953 North Leavitt Street; 2800-2888 North Leavitt Street; 2601-2769 North Hoyne Avenue; 2600-2768 North Hoyne Avenue; 2600-2800 North Damen Avenue and 2201-2223 West Oakdale Avenue September 24, 2015 February 18,2016
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Subarea 1: 4,035 sf
Subarea 2: 0 sf
Subarea 3: 0 sf
Subarea 4: 42,000 sf, Provided no building shall have a single retail tenant larger than 15,000 square feet within any subarea.
Subarea 5: 5,000 square feet; provided, however, that additional retail square footage for Subarea 5 may be expanded for the southernmost "Powerhouse Building" upon review and approval by the Department of Planning and Development.
On-Premise signs and temporary signs, such as construction and marketing signs, shall be permitted within the Planned Development, subject to the review and approval of the Department. Off-Premise signs are prohibited within the boundary of the Planned Development.
All ingress and egress shall be subject to the review and approval of CDOT and the Department. Closure .of all or any public street or alley during demolition or construction shall be subject to the review and approval of CDOT., All work proposed in the public way must be designed and constructed in accordance with the CDOT Construction Standards for Work in the Public Way and in compliance with the Municipal Code of the City of Chicago, and must be designed in accordance with the CDOT Street and Site Plan; Design Standards and follow the, principles and practices of a Complete Streets design approach. Any dedication, opening or vacation of public streets, alleys or easements or any adjustment ofthe public right-of-way contained within a particular Part II submittal shall be approved by CDOT and City Council as described
The Applicant agrees to modify the traffic signal at Diversey and Leavitt to provide countdown pedestrian signal indications and a leading eastbound left turn arrow prior to the issuance ofthe Certificate of Occupancy for any building in Subarea 1.
For purposes of height measurement, the definitions in the Zoning Ordinance shall apply. The height of any building shall also be subject to height limitations, if any, established by the Federal Aviation Administration. '
The maximum permitted Floor Area Ratio ("FAR") for the site shall be in accordance with the attached Bulk Regulations Table: For. the purposes of FAR calculations and measurements, the definitions in the Zoning Ordinance shall apply. The permitted FAR
Applicant: Lathrop Community Partners
Address: 2820-2996 North Clybourn Avenue; 2000-2144 West Diversey Parkway; 2007-2141 West
Diversey Parkway; 2601 -2953 North Leavitt Street; 2800-2888 North Leavitt Street; 2601 -2769 North Hoyne Avenue; 2600-2768 North Hoyne Avenue; 2600-2800 North Damen Avenue and 2201-2223 West Oakdale Avenue .
Introduced: September 24, 2015
Plan Commission: February 18,2016
|1010|EAST\67185829.12
identified in the Bulk Regulations Table has been determined using a Net Site Area of 1,265.781 square feet.
The Applicant shall obtain approvals from MWRD as may be required in order to release any stormwater from the development into the Chicago River. Stormwater detention facilities on the property shall be privately owned and maintained.
The Applicant acknowledges the importance of the Chicago River as a resource for both commerce and recreation and also acknowledges the City's goals of improving the appearance, quality and accessibility of the river, as contained in the waterway planned development guidelines contained in the Zoning Ordinance (Section 17-8-0912) and the Chicago River Corridor Design Guidelines and Standards. To further these goals, the Applicant agrees, as set forth in the Plans, to: (a) provide a minimum 30-foot building setback from the river as measured from the legal property line, which will include a continuous riverwalk as shown on the Landscape Plans, provided, however, that all existing buildings to remain shall be permitted to encroach on the 30-fool setback and (b) permit connection of such riverwalk and landscaping with similar facilities when properties adjacent to such portions of the riverwalk are improved or redeveloped. The Applicant shall permit un-gated public access to the river setback and provide signage on the riverwalk indicating that the riverwalk is open to the public during typical Chicago Park District hours. All riverwalk and landscaping improvements within the river setback must be substantially completed within twenty-four (24) months of the issuance of all necessary permits by all governmental or quasi-governmental authorities having jurisdiction over such improvements including, without limitation, the Army Corps of Engineers, Metropolitan Water Reclamation District, IDNR-OWR, Coast Guard and CDOT, and provided that planting may be delayed due to delays or inability to perform such acts due to causes beyond the reasonable control of the Applicant and provided that completion may be delayed if consistent with good landscape practice or if necessary to accommodate construction of later phases of development, but not longer than one year following receipt of the final occupancy certificate.
In addition to the riverwalk, and subject to the receipt of all necessary permits and approvals, the Applicant or its successors and assigns, at its sole cost, shall design and construct the open space improvements as depicted on the Landscape Plan (hereinafter the "Park"). The Applicant may enter into an agreement with the Chicago Park District relating to the ownership and maintenance of portions of the Park and, upon entering into such agreement, the Applicant shall provide evidence of such agreement to the Department of Planning and Development for inclusion in the main file for this Planned Development. Upon completion of the Park, the Applicant, its successors and assigns and, if different than the Applicant, the legal title holders and any ground lessors, shall be responsible for maintaining and managing
Applicant: Lathrop Community Partners
Address: 2820-2996 North Clybourn Avenue; 2000-2144 West Diversey Parkway; 2007-2141 West
Diversey Parkway; 2601-2953 North Leavitt Street; 2800-2888 North I .eavitt Street: 7601-7.769 North Hoyne Avenue; 2600-2768 North Hoyne Avenue; 2600-2800 North Damen Avenue and 2201-2223 West Oakdale Avenue
Introduced: September 24, 2015
Plan Commission: February 18,2016
|1010|EAST\67185829.12
those portions of the Park that are not subject to an agreement with the Chicago Park District (the "Privately Maintained Park") for the purposes set forth herein, including ensuring that the Privately Maintained Park's landscaping is well maintained, that the vegetation and plantings are kept in a healthy condition and that the Privately Maintained Park facilities are clean, well lit, litter free and clear of snow (hardscaped areas) and debris. The maintenance and management obligations contained herein shall continue for the life of this Planned Development and may, at the Applicant's election, be delegated or assigned to a homeowners association or master association. The Privately Maintained Park shall be privately owned, maintained and, subject to occasional partial closure for private use but subject to the foregoing, shall remain accessible to the public during hours in which public parks are accessible to the public. All improvements within the Park must be substantially completed within the eighteen (18) month period set forth in this Statement 12 above, provided that plantings may be delayed if consistent with good landscape practice, but not longer than one year following the construction of the open space improvements set forth herein. Signage shall be placed at all park entries indicating the Park is open to residents of the Planned Development and the general public, free of charge.
Upon review and determination, "Part II Review", pursuant to Section 17-13-0610 of the Zoning Ordinance, a Part II Review Fee shall be assessed by the Department. The fee, as determined by staff at the time, is final and binding on the Applicant and must be paid to the Department of Revenue prior to the issuance of any Part II approval.
The Site and Landscape Plans shall be in substantial conformance with the Landscape Ordinance and any other corresponding regulations and guidelines. Final landscape plan review and approval will be by the Department. Any interim reviews associated with site plan review or Part II reviews, are conditional until final Part II approval.
Prior to the Part II Approval (per Section 17-13-0610 of the Zoning Ordinance) for construction of new buildings (with the exception of buildings substantially conforming to the Plans for Buildings N101 and SI 01, incorporated herein), site plan approval by the Department and site plan review by the Chicago Plan Commission shall be required in accordance with this Statement. 15. In the instance the applicant does not secure approval to demolish the existing buildings located in the areas identified on the plans as occupied by Buildings N101 and S1.01 and as depicted on PD Exhibit No. 10 Site Plan review shall be required. Any modification ofthe existing facades and exterior work shall be reviewed by the Department of Planning and Development.
The Applicant shall submit a site plan, landscape plan, building elevations and a site data table for the building(s) and sub-area(s) in question for review by the Department (collectively, "Site Plans"). The site data table shall contain the following data for the
Applicant: Lathrop Community Partners
Address: 2820-2996 North Clybourn Avenue; 2000-2144 West Diversey Parkway; 2007-2141 West
Diversey Parkway; 2601-2953 North Leavitt Street; 2800-2888 North Leavitt Street; 2601-2769 North Hoyne Avenue; 2600-2768 North Hoyne Avenue; 2600-2800 North Damen Avenue and 2201 -2223 West Oakdale Avenue
I ntroduced: September 24, 2015
Plan Commission: February 18,2016
|1010|proposed building(s) as compared to the parameters for the applicable sub-area(s) as set forth in the Bulk Regulations and Data Table:
Gross Site Area;
Net Site Area;
FAR floor area of each proposed building;
Maximum building height;
Number of dwelling units;
Number of parking spaces; and
Other data as may be required by the Department to demonstrate compliance with this Planned Development.
If, after review, the Commissioner determines that the Site Plans are not in substantial compliance with the Planned Development, then the Commissioner shall advise the Applicant in writing of the ways in which the Site Plans do not so comply. If, after review, the Commissioner determines that the Site Plans are in substantial compliance with the Planned Development, such Site Plans must then be reviewed by the Chicago Plan Commission at a public meeting but shall not require review or approval by the City Council. Following the Chicago Plan Commission review the Zoning Administrator shall issue written approval of the applicable Site Plans. Following such approval, the approved Site Plans shall be made part of the main file and shall be deemed to be an integral part of this Planned Development.
Review and approval of Site Plans is intended to assure that specific development components substantially conform with the Planned Development and to assist the City in monitoring ongoing development. Site plan approval submittals need only include that portion of the Property for which approval is being sought by the Applicant. After approval of a site plan, changes or modifications may be made pursuant to the provisions of Statement .17. In the event of any inconsistency between approved plans and the terms ofthe Planned Development, the terms of the Planned Development shall govern.
The Applicant shall comply with Rules and Regulations for the Maintenance of Stockpiles promulgated by the Commissioners of the Departments of Streets and Sanitation, Environment and Buildings, under Section 13-32-125 of the Municipal Code, or any other provision of that Code.
The terms and conditions of development under this Planned Development ordinance may be modified administratively, pursuant to section 17-13-0611-A of the Zoning Ordinance by the Zoning Administrator upon the application for such a modification by the Applicant, its successors and assigns and, if different than the Applicant, the legal title holders and any
Applicant: Lathrop Community Partners
Address: 2820-2996 North Clybourn Avenue; 2000-2144 West Diversey Parkway; 2007-2141 West
Diversey Parkway; 2601-2953 North Leavitt Street; 2800-2888 North Leavitt Street; 2601-2769 North Hoyne Avenue; 2600-2768 North Hoyne Avenue; 2600-2800 North Damen Avenue and 2201-2223 West Oakdale Avenue
Introduced: September 24, 2015
Plan Commission: February 18, 2016
|10 10|
/
ground lessees. Specifically, but without limitation, in the instance that the Applicant docs not secure approval to demolish the existing buildings located in the areas on the plans occupied by Buildings.N.l01 and SI01 as provided in Statement 15 above, the Department of Planning and Development is authorized to transfer FAR floor area, dwelling units and other development -rights herein between and among sub-areas 2, 4 and 5 and to revise the Bulk Regulations and Data Table accordingly, provided the total FAR and number of dwelling units shall not be exceeded.
18. The Applicant acknowledges that it is in the public interest to design, construct and maintain
the project in a manner which promotes, enables and maximizes universal access throughout
the Property. Plans for all buildings and improvements on the Property shall be reviewed and
approved by the Mayor's Office for People with Disabilities to ensure compliance with all
applicable laws and regulations related to access for persons with disabilities and to promote
the highest standard of accessibility.
19. The Applicant acknowledges that it is in the public interest to design, construct, renovate and
' maintain all new buildings in a manner that provides healthier indoor environments, reduces
operating costs and conserves energy and natural resources. At the time of site plan approval, all new buildings must demonstrate substantial compliance with the current City of Chicago Sustainable Development Policy set forth by the Planning and Development. All buildings will achieve LEED or other building certification and a 50% green roof will be required on all new construction buildings.
20. The Applicant acknowledges and agrees that the rezoning of the Property from the RT-4
Residential Two-Flat, Townhouse and Multi-Unit District and POS-2 Neighborhood Park,
Mini-Park or Playlot District to the C2-3 Motor Vehicle-Related Commercial District, then to
a Waterway-Residential-Business Planned development for construction of this Planned
Development will trigger the requirements of Section 2-45-110 of the Municipal Code (the
"Affordable Housing Ordinance"). Any developer of a "residential housing project" within
the meaning of the Affordable Housing Ordinance ("Residential Project") must: (i) develop
affordable housing units as part of the Residential Project; (ii) pay a fee in lieu of the
development of affordable housing, units; or (iii) any combination of (i) and (ii). In
accordance with these requirements, the Applicant has agreed to provide affordable housing
units and/or make a cash payment-to the Affordable Housing Opportunity Fund, each in
accordance with the requirements set forth in the Affordable Housing Ordinance. At the time
of each Part II review, Applicant must submit an Affordable Housing Profile Form to the
Department of Planning and Development ("DPD"), in DPD's then-current form, for
purposes of determining the number of required affordable units and/or the amount ofthe in
lieu cash payment for each residential building in the Planned Development. Prior to the
issuance of any building permits for any residential buildings in the Planned Development,
Applicant: Lathrop Community Partners
Address: 2820-2996 North Clybourn Avenue; 2000-2144 West Diversey Parkway; 2007-2141 West
Diversey Parkway; 2601-2953 North Leavitt Street; 2800-2888 North Leavitt Street; 2601-2769 North Hoyne Avenue; 2600-2768 North Hoyne Avenue; 2600-2800 North Damen Avenue and 2201-2223 West Oakdale Avenue
Introduced: September 24, 2015
Plan Commission: February 18, 2016
10
including, without limitation, excavation or foundation permits, the Applicant must either make the required cash payment, or execute an Affordable Housing Agreement in accordance with Section 2-45-110(i)(2). The terms of the Affordable Housing Agreement and any amendments thereto are incorporated herein by this reference. The Applicant acknowledges and agrees that the Affordable Housing Agreement will be recorded against the Property (or the applicable portion thereof) and will constitute a lien against each required affordable unit. The City shall execute partial releases of the Affordable Housing Agreement prior to or at the time of the sale of each affordable unit to an income-eligible buyer at an affordable price, in accordance with the Affordable Housing Ordinance, subject to the simultaneous execution and recording of a mortgage, restrictive covenant or similar instrument against such affordable unit. The Commissioner of DPD may enforce remedies for breach of the Affordable Housing Agreement, and enter into settlement agreements with respect to any such breach, subject to the approval of the Corporation Counsel, without amending the Planned Development.
Notwithstanding the foregoing, if the Applicant receives Low-Income Housing Tax Credits, tax increment financing or other financial assistance whose affordability requirements exceed those of the Affordable Housing Ordinance from the City to develop affordable housing in any portion of the Planned Development, the regulatory, redevelopment, loan or other agreement(s) to be executed by the City and the Applicant in connection with such tax credits or other financial assistance shall govern and control the Applicant's obligation to provide affordable housing for such subsidized portion of the Planned Development in lieu of the requirements set forth in this Statement 20.
21. Construction of the improvements contemplated by this Planned Development may be completed in phases over a period of years. In accordance Section 17-13-0612 of the Chicago Zoning Ordinance, it is acknowledged that commencement and completion of certain phases may exceed the periods set forth in Section 17-13-0612 of the Chicago Zoning Ordinance. Unless construction of Phase 1 has commenced within six years following adoption of this Planned Development (subject to extension for one additional year as set forth in Section 17-13-0612 of the Chicago Zoning Ordinance), then this Planned Development shall expire, and the zoning of the Property shall automatically revert to the C2-3 Motor Vehicle-Related Commercial District.
Applicant: Lathrop Community Partners
Address: 2820-2996 North Clybourn Avenue; 2000-2144 West Diversey Parkway; 2007-2141 West
Diversey Parkway; 2601-2953 North Leavitt Street; 2800-2888 North Leavitt Street; 2601-2769 North Hoyne Avenue; 2600-2768 North Hoyne Avenue; 2600-2800 North Damen Avenue and 2201-2223 West Oakdale Avenue
Introduced: September 24, 2015
Plan Commission: February 18, 2016
11
FINAL FOR PUBLICATION
WATERWAY RESIDENTIAL-BUSINESS PLANNED DEVELOPMENT NO.
OVERALL BULK REGULATIONS AND DATA TABLE
Gross Site Area (sf): Gross Site Acreage ROW Area (sf) ROW Acreage Net Site Area (sf) Net Site Acreage
1,730,722 39.7 464,941 10.6
1,265,781 29.1
Maximum FAR
Maximum FAR Floor Area (sf)1
1.2
1,518,937
Minimum Setbacks
Maximum # Dwelling Units
Minimum # Loading Berths
Minimum # Residential Parking Spaces Required2
Per Site Plan Approval 1,208
Per Site Plan Approval 821
includes basement areas from existing buildings 0.68 spaces per unit blended parking ratio
Applicant: Lathrop Community Partners, LLC
Address: 2820-2996 North Clybourn Avenue; 2000-2144 West Diversey Parkway; 2007-2141 West
Diversey Parkway; 2601-2953 North Leavitt Street; 2800-2888 North Leavitt Street; 2601-2769 North Hoyne Avenue; 2600-2768 North Hoyne Avenue; 2600-2800 North Damen Avenue and 2201 -2223 West Oakdale Avenue
Introduced: September 24, 2015
Plan Commission: February 18,2016
SUB-AREA 1 BULK REGULATIONS AND DATA TABLE
Gross Site Area (sf): Gross Site Acreage ROW Area (sf) ROW Acreage Net Site Area (sf) Net Site Acreage
928,696 21.3 230,781 5.3
697,915 16.0
Maximum FAR
Maximum FAR Floor Area (sf)
Maximum Building Height
Minimum Setbacks
Maximum # Dwelling Units
Minimum # Loading Berths
Minimum # Residential Parking Spaces Required2
42 feet
Per Attached Site Plan 504
Per Attached Site Plan 158
includes basement areas from existing buildings
0.34 spaces per unit blended parking ratio for Sub-area I
Applicant: Lathrop Community Partners, LLC
Address: 2820-2996 North Clybourn Avenue; 2000-2144 West Diversey Parkway; 2007-2141 West
Diversey Parkway; 2601-2953 North Leavitt Street; 2800-2888 North Leavitt Street; 2601-2769 North Hoyne Avenue; 2600-2768 North Hoyne Avenue; 2600-2800 North Damen Avenue and 2201-2223 West Oakdale Avenue
Introduced: September 24, 2015
Plan Commission: February 18,2016
SUB-AREA 2 BULK REGULATIONS AND DATA TABLE
Gross Site Area (sf): Gross Site Acreage ROW Area (sf) ROW Acreage Net Site Area (si) Net Site Acreage
152,365 3.5
32,427 0.7
119,938 2.8
Maximum FAR1
Maximum FAR Floor Area (sf)1
0.59
71,346
Maximum Building Height
Minimum Setbacks
Maximum # Dwelling Units
Minimum # Loading Berths
Minimum # Residential Parking Spaces Required2
24 feet
Per Site Plan Approval 0
Per Site Plan Approval 0
includes basement areas from existing buildings 0.68 spaces per unit blended parking ratio
Applicant: Lathrop Community Partners, LLC
Address: 2820-2996 North Clybourn Avenue; 2000-2144 West Diversey Parkway; 2007-2141 West
Diversey Parkway; 2601-2953 North Leavitt Street; 2800-2888 North Leavitt Street; 2601-2769 North Hoyne Avenue; 2600-2768 North Hoyne Avenue; 2600-2800 North Damen Avenue and 2201-2223 West Oakdale Avenue
Introduced: September 24, 2015
Plan Commission: February 18,2016
SUB-AREA 3 BULK REGULATIONS AND DATA TABLE
Gross Site Area (st): Gross Site Acreage ROW Area (sf) ROW Acreage Net Site Area (sf) Net Site Acreage
62,100 1.4
15,906 0.4
46,194 1.1
Maximum FAR1
Maximum FAR Floor Area (sf)1
1.53
70,897
Maximum Building Height
Minimum Setbacks
Maximum # Dwelling Units
Minimum # Loading Berths
Minimum # Residential Parking Spaces Required2
97 feet
Per Site Plan Approval 92
Per Site Plan Approval 63
includes basement areas from existing buildings
i
0.68 spaces per unit blended parking ratio
Applicant: Address:
Introduced:
Plan Commission:
Lathrop Community Partners, LLC
2820-2996 North Clybourn Avenue; 2000-2144 West Diversey Parkway; 2007-2141 West Diversey Parkway;'2601-2953 North Leavitt Street; 2800-2888 North Leavitt Street; 2601-2769 North Hoyne Avenue; 2600-2768 North Hoyne Avenue; 2600-2800 North Damen Avenue and 2201-2223 West Oakdale Avenue September 24,2015 February 18,2016
SUB-AREA 4 BULK REGULATIONS AND DATA TABLE
Gross Site Area (si): Gross Site Acreage ROW Area (sf) ROW Avcreage Net Site Area (sf) Net Site Acreage
383,399 8.8
146,936 3.4
236,463 5.4
Maximum FAR1
Maximum FAR Floor Area (sf)1
1.78
419,789
Maximum Building Height
Minimum Setbacks
Maximum # Dwelling Units
Minimum # Loading Berths
Minimum # Residential Parking Spaces Required2
70 feet
Per Site Plan Approval 334
Per Site Plan Approval 227
includes basement areas from existing buildings 0.68 spaces per unit blended parking ratio
Applicant: Lathrop Community Partners, LLC
Address: 2820-2996 North Clybourn Avenue; 2000-2144 West Diversey Parkway; 2007-2141 West
Diversey Parkway; 2601-2953 North Leavitt Street; 2800-2888 North Leavitt Street; 2601-2769 North Hoyne Avenue; 2600-2768 North Hoyne Avenue; 2600-2800 North Damen Avenue and 2201-2223 West Oakdale Avenue
Introduced: September 24, 2015
Plan Commission: February 18, 2016
SUB-AREA 5 BULK REGULATIONS AND DATA TABLE
Gross Site Area (sf): 204,162
Gross Site Acreage 4.7
ROW Area (sf) 38,891
ROW Acreage 0.9
Net Site Area (sf) 165,271
Net Site Acreage 3.8
Maximum FAR1 2.35
Maximum FAR Floor Area (sf)1 387,955
Maximum Building Height 161 feet
Minimum Setbacks Per Site Plan Approval
Maximum # Dwelling Units 318
Minimum # Loading Berths Per Site Plan Approval
Minimum # Residential Parking Spaces 216
Required2
i
includes basement areas from existing buildings 0.68 spaces per unit blended parking ratio
Applicant: Lathrop Community Partners, LLC
Address: 2820-2996 North Clybourn Avenue; 2000-2144 West Diversey Parkway; 2007-2141 West
Diversey Parkway; 2601-2953 North Leavitt Street; 2800-2888 North Leavitt Street; 2601-2769 North Hoyne Avenue; 2600-2768 North Hoyne Avenue; 2600-2800 North Damen Avenue and 2201 -2223 West Oakdale Avenue
Introduced: September 24, 2015
Plan Commission: February 18,2016
EXISTING ZONING MAP NTS
APPLICANT LATHROP COMMUNITY PARTNERS
ADDRESS LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE, NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24, 2015
LEGEND
C Business/Commercial R Residential P Parks and Open Space I Institutional M Manufacturing HP Subject Premises N
©
SURROUNDING LAND USE MAP
LATHROP COMMUNITY PARTNERS
LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE, NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24, 2015
PLANNED DEVELOPMENT BOUNDARY AND PROPERTY LINE MAP 1" = 300'
' APPLICANT LATHROP COMMUNITY PARTNERS
ADDRESS LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE; NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24, 2015
LEGEND
PD Boundary
Proposed to be Vacated: 121,663 sf
Proposed to be Dedicated: 100,814 sf
©
0 75' 150' ."MX)' 450' 600' 750' 900
Existing ROW to Remain: 364,127 sf
RIGHTS OF WAY ADJUSTMENT MAP
APPLICANT LATHROP COMMUNITY PARTNERS
LATHROP HOMES - SW CORNER OP DIVERSEY PKWY & DAMEN AVE, NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24. 2015
0 75' ISO' 300' 450' «X)' 750' 900'
SUB AREA MAP
LATHROP COMMUNITY PARTNERS
LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE, NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24. 2015
KEY PLAN
GENERAL LAND-USE PLAN - NORTH 1 = 200|99|
APPLICANT LATHROP COMMUNITY PARTNERS
ADDRESS LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE, NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24, 2015 PLAN COMMISSION February 18, 2016
KEY PLAN
GENERAL LAND-USE PLAN - SOUTH .1" = 200'
APPLICANT LATHROP COMMUNITY PARTNERS
ADDRESS LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE, NW CORNER OP DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24. 2015 PLAN COMMISSION February 16. 2016~
LEGEND
w^mtrn PD Boundary
— ¦— Property Line
——¦ Sub Area Boundary
y. Historic Building
' (Existing Setbacks to Remain)
a Building Entry
"V> PHASET^.
i
0 26- 52' 8(V 106- 133' 160' 186'
KEY PLAN
1" = 80'
APPLICANT
SITE PLAN - PHASE 1 - BUILDINGS N01, N02, N03
ADDRESS
LATHROP COMMUNITY PARTNERS
PLAN COMMISSION February 18, 2016
LATHROP HOMES - SW CORNER OP DIVERSEY PKWY & DAMEN AVE; NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24, 2015
KEY PLAN
SITE PLAN - PHASE 1 - BUILDINGS N04, N05, N06, N07 r = 80'
APPLICANT LATHROP COMMUNITY PARTNERS
ADDRESS LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE; NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24, 2015
LEGEND ¦¦¦i PD Boundary
— ¦ —¦ Property Line
~—¦» Sub Area Boundary
Historic Building ^ (Existing Setbacks to Remain)
HI New Building
[C] Potential Commercial
(3
HVh^eil
^ Building Entry
KEY PLAN
1" = 80'
APPLICANT
SITE PLAN - PHASE 1 - BUILDINGS N08, N09, N10, N101, S101
ADDRESS
LATHROP COMMUNITY PARTNERS
PLAN COMMISSION February 18. 2016
LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE; NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24, 2015
LEGEND
PD Boundary
— ¦ — Property Line
-—•—¦ Sub Area Boundary
Permanent Easement
^2 Historic Building
(Existing Setbacks to Remain)
— — 30' Setback From River a Building Entry
0*
KEY PLAN
SITE PLAN - PHASE 1 - BUILDINGS N12, N13
APPLICANT
LATHROP COMMUNITY PARTNERS
ADDRESS
LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE; NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24, 2015
O 26' 52' 80V I06-.: 133" 160' 186-
LEGEND ¦¦¦¦ PD Boundary
— — ¦ Property Line
Sub Area Boundary
yi Historic Building
(Existing Setbacks to Remain)
— — 30' Setback From River ? Building Entry
CJ
0 26' 52' 80' I06- 133- 160' 186-
KEY PLAN
SITE PLAN - PHASE 1 - BUILDINGS N11, N14
APPLICANT
LATHROP COMMUNITY PARTNERS
ADDRESS
LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE; NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24. 2015
i
PRELIMINARY PHASING PLAN
APPLICANT LATHROP COMMUNITY PARTNERS
ADDRESS LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE; NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24, 2015
i 11,'
N101 BUILDING - NORTHEAST ELEVATION
SCALE. 1/32" = r-cr
1/32" = 1'-0"
APPLICANT
ELEVATIONS - PHASE 1 - BUILDING N101 - NORTHEAST
ADDRESS
LATHROP COMMUNITY PARTNERS
PLAN COMMISSION February 18, 2016
LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE. NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24. 2015
T/ST COPING RF jts
WOVBUILDING - NORTHWEST ELEVATION
SCALE. 1/32" = V-0"
100'
1/32" = V-O"
APPLICANT
ELEVATIONS - PHASE 1 - BUILDING N101 - NORTHWEST
ADDRESS
LATHROP COMMUNITY PARTNERS
PLAN COMMISSION February 18, 2016
LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE; NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24, 2015
ELEVATIONS - PHASE 1 - BUILDING N101 - SOUTH 1/32" = r -0"
APPLICANT LATHROP COMMUNITY PARTNERS
ADDRESS LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE. NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24. 2015
cn cn _j >-mm < f-
^03 CC cc a: a: O uj o m cu o o_ tn
1/32" = r -0"
APPLICANT
ELEVATIONS - PHASE 1 - BUILDING S101 - EAST
ADDRESS
LATHROP COMMUNITY PARTNERS
PLAN COMMISSION February 18, 2016
LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE; NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24. 2015
ELEVATIONS - PHASE 1 - BUILDING S101 - NORTH ' 1/32" = V -0"
APPLICANT LATHROP COMMUNITY PARTNERS
ADDRESS LATHROP HOMES - SW CORNER OP DIVERSEY PKWY & DAMEN AVE, NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24, 2015
ELEVATIONS - PHASE 1 - BUILDING S101 1/32" = r-0"
' APPLICANT LATHROP COMMUNITY PARTNERS
ADDRESS LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE; NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24. 2015
INTRODUCTION DATE SEPTEMBER 24, 2015 PLAN COMMISSION February 18, 2016
1"=200'
PHASE 1 LANDSCAPE SITE PLAN
ADDRESS
APPLICANT LATHROP COMMUNITY PARTNERS
PLAN COMMISSION February 18, 2016
LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE, NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24, 2015
Landscape Information
Phase I Total Site Area: 23 Acres Phase I Landscape Area: 12 Acres
LEGEND
¦' ¦ Limit of Work Phase I
Existing Shoreline
30' Riverwalk Offset Line
Lawn, Planted Area
i.,,-.-; ( Detention Basin & I '- --'i Wetland Planting
Existing Tree to Remain
.;' "'; Existing Tree to Be Removed
Q Proposed Tree
* Building Entry
\ cvPHASEr\v
v^
KEY PLAN
N
0' 50' 100' 200' 300
LANDSCAPE PLANTING PLAN
APPLICANT LATHROP COMMUNITY PARTNERS
ADDRESS
LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE, NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24, 2015
©
LEGEND
Limit of Work Phase I Existing Shoreline 30' Riverwalk Offset Line Lawn, Planted Area Paved Area
Stone & Vegetated Revetment
Detention Basin & Wetland Planting
Existing Tree to Remain
Existing Tree to Be Removed
Proposed Tree
Building Entry
Existing Building to Remain
New Building
Fence
L._
LB
o
o
N
0' 25' 50' 100' 150'
RIVERFRONT PLAN AND SECTION KEY
ADDRESS
APPLICANT LATHROP COMMUNITY PARTNERS
PLAN COMMISSION February 18, 2016
LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE; NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24, 2015
INTRODUCTION DATE SEPTEMBER 24, 2015 PLAN COMMISSION February 18, 2016
INTRODUCTION DATE SEPTEMBER 24, 2015 PLAN COMMISSION February 18, 2016
1" = 20'
APPLICANT
SECTION C - PROSPECT
ADDRESS
LATHROP COMMUNITY PARTNERS
PLAN COMMISSION February 18, 2016
LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE. NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24, 2015
INTRODUCTION DATE SEPTEMBER 24, 2015 PLAN COMMISSION February 18. 2016
SECTION G - PROMENADE 1" = 20' 28
APPLICANT LATHROP COMMUNITY PARTNERS
ADDRESS LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE. NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24, 2015 PLAN COMMISSION February 18. 2016
LANDSCAPE DETAIL KEY PLAN 1"=300'
APPLICANT LATHROP COMMUNITY PARTNERS
ADDRESS LATHROP HOMES - SW CORNER OP DIVERSEY PKWY & DAMEN AVE; NW CORNFR OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24. 2015
' ' ' ' ' V,l_p4:,--:ma«J./.||i.'y I |99|| | T
= N LEAVITT ST =
DETAIL PLAN A: GREAT LAWN AND SPECIAL T BUILDING 1" = 50
APPLICANT LATHROP COMMUNITY PARTNERS
ADDRESS LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE; NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24, 2015
DETAIL PLAN B: SOUTHEAST PARKING AREA - 91 SPACES 1" = 50'
APPLICANT LATHROP COMMUNITY PARTNERS
ADDRESS LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE. NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24, 2015
o
o
o
oLP|10 10|Lawn, Planted Area Paved Area Building Entry Existing Building to Remain New Building
Existing Tree to Remain Existing Tree to Be Removed Proposed Tree Existing Light Post Light Post
Accessible Parking Space
1" = 50'
DETAIL PLAN C: NORTHWEST PARKING AREA
ADDRESS
APPLICANT LATHROP COMMUNITY PARTNERS
LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE; NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24, 2015
pj Accessible Parking Space
cf
1" = 50'
APPLICANT
DETAIL PLAN D: BAR BUILDING PARKING AREA
ADDRESS
LATHROP COMMUNITY PARTNERS
PLAN COMMISSION February 18, 2016
LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE; NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24, 2015
LEGEND
Mixed Concrete and Natural Stone Unit Paving
Existing Tree to Remain Existing Tree to Be Removed Proposed Tree Existing Light Post Light Post Fence
Mixed Cone, and Natural Stone Unit Pavingg
Lawn, Planted Area Paved Area Building Entry Existing Building to Remain New Building
0' 5' 10' 20' 30'|10 10|
1" = 30"
APPLICANT
DETAIL PLAN E: TYPICAL N. CLYBOURN COURTYARD
ADDRESS
LATHROP COMMUNITY PARTNERS
PLAN COMMISSION February 18. 2016
LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE; NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24, 2015
LEGEND
Lawn, Planted Area Paved Area Building Entry Existing Building to Remain
|jT»'fejS| New Building
Mixed Concrete and Natural Stone Unit Paving
(2) Existing Tree to Remain
( ) Existing Tree to Be Removed|10 9|Proposed Tree
O Existing Light Post
-C^' Light Post
Hill Proposed Crosswalk
Limit of Work Phase I
0' 30' 60' 120'
1" = 120'
DETAIL PLAN F: DIVERSEY PKWAY AND N. DAMEN AVE
ADDRESS
APPLICANT LATHROP COMMUNITY PARTNERS
PLAN COMMISSION February 18. 2016
LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE; NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
INTRODUCTION DATE SEPTEMBER 24, 2015
LEGEND
¦ Limit of Work Phase I
Existing Shoreline
30' Riverwalk Offset Line
' . j Lawn, Planted Area
| *"•;:;| Open Space
? Pedestrain Circulation
¦C> Light Posts
Q Bicycle Rack (8 per Rack)
± Building Entry
N
0' 50' 100' 200' 300
PEDESTRIAN CIRCULATION, SITE LIGHTING, BICYCLE PARKING, & OPEN SPACE
APPLICANT LATHROP COMMUNITY PARTNERS
LATHROP HOMES - SW CORNER OF DIVERSEY PKWY & DAMEN AVE, NW CORNER OF DIVERSEY PKWY & CLYBOURN AVE
ADDRESS
INTRODUCTION DATE SEPTEMBER 24. 2015
©
1^5
DlPARTMENT OF PLANNING AND DEVELOPMENT CITY OF CHICAGO
MEMORANDUM
TO: Alderman Daniel S. Solis
Chairman, City Council Committee on Zoning
FROM:
David L. Reifman Secretary
Chicago Plan Commission DATE: February 19, 2016
RE: Proposed Waterway Residential Business Planned Development for property generally located at 2820-2996 North Clybourn.
On February 18, 2016, the Chicago Plan Commission recommended approval ofthe proposed planned development submitted by Lathrop Community Partners, LLC. A copy ofthe proposed planned development is attached. I would very much appreciate your assistance in having this introduced at the next possible City Council Committee on Zoning hearing.
Also enclosed is a copy of the staff report to the Plan Commission which includes the Department of Planning and Development, bureau of Planning and Zoning recommendation and a copy of the Resolution. If you have any questions in this regard, please do not hesitate to contact me at 744-5777.
cc: Steve Valenziano
PD Master File (Original PD, copy of memo)
ROOM 1000, CHICAGO, ILLINOIS 60602
Chicago Plan Commission
Lathrop Community Partners, LLC Waterway Residential Business Planned Development 2820-2996 North Clybourn Avenue 2000-2144 West Diversey Parkway February 18th, 2016
Lathrop Community Meetings
February 2011 November 16, 2011 December 8, 2011 December 10, 2011 December 13, 2011 November 2012 July 2013 February 2016
(over 600 participants)
Stakeholder Interviews
Planning Process Public Kick-Off Meeting
Community Workshop #1
Community Workshop #2
Community Workshop #3
Community Open Houses
Community Meeting
Community Meeting
Organizations Consulted on Lathrop (To date)
Community Groups
Lathrop Working group
Lathop residents (Resident Academy)
Hamlin Park Neighbors
Landmarks Illinois
Lathrop Homes Advisory Council
Logan Square Neighborhood Association
Preservation Chicago
Roscoe Village Neighbors
West DePaul Neighbors
Wrightwood Neighbors
South Lakeview Neighborhood Association
Lakeview Citizens' Council
Agencies or Units of Government
The Mayor's Office
Alderman Moreno
Alderman Waguespack
Chicago Department of Transportation
Illinois Historic Preservation Agency
Chicago DHED
Chicago Park District
The Landmarks Division
ACHP
MWRD
HUD
|1010|
EXISTING CONDITIONS
WALKUP BUILDING WALKUP BUILDING
SITE PLAN
Boys and Girls Club
Dog Friendly Area
Kayak Launch
Great Lawn
Pedestrian Bridge
Senior Building
Powerhouse
LEGEND
I I EXISTING BUILDING fim&\ NEW CONSTRUCTION
EXISTING BUILDING ELEVATIONS
SOUTHWEST ELEVATION - noi io scale
NORTHWEST ELEVATION - NOT TO SCALE
EXISTING BUILDING ELEVATIONS
SOUTHWEST ELEVATION- Nor 10 scale
NORTHEAST ELEVATION- not to scale
SOUTHEAST ELEVATION- not to scale
NEW CONSTRUCTION BUILDING ELEVATIONS
N-101 NORTHEAST ELEVATION- NOT TO SCALE
is ;.v.g
i i ¦ • ? t j rian i ¦ irrrn i rnr; ¦ -,tb i
^| g£j;.|jgjr{J
N-101 SOUTH ELEVATION - NOT TO SCALE
!•§-— 6 ';.§ g3 OS ffi '• 'ill |
i^i^..s5.:i.ia^r°ii Hit;., a ;i.&3-
N-101 NORTHWEST ELEVATION - NOT to scale
S-101 EAST ELEVATION- not to scale
NEW CONSTRUCTION BUILDING ELEVATIONS
S-101 NORTH ELEVATION-not to scale
NEW CONSTRUCTION BUILDING ELEVATIONS
S-101 WEST ELEVATION- not to scale
S-101 SOUTH ELEVATION- not to scale
12
13
REPORT to the
CHICAGO PLAN COMMISSION from
THE DEPARTMENT OF PLANNING AND DEVELOPMENT
FEBRUARY 18, 2016
WATERWAY RESIDENTIAL BUSINESS PLANNED DEVELOPMENT
LATHROP COMMUNITY PARTNERS, LLC,
2820-2996 N. CLYBOURN AVE.; 2000-2144 W. DIVERSEY PARKWAY; 2007-2141 W. DIVERSEY PARKWAY; 2601-2953 N. LEAVITT ST.; 2800-2888 N. LEAVITT ST.; 2601-2769 N. HOYNE AVE.; 2600-2768 N. HOYNE AVE.; 2600-2800 N. DAMEN AVE. 2201-2223 W. OAKDALE AVE.
Pursuant to the provisions ofthe Chicago Zoning Ordinance, Title 17 ofthe Municipal Code of Chicago, the Department of Planning and Development hereby submits this report and recommendation on a proposed Planned Development for your review and recommendation to the Chicago City Council. The application for this amendment to the Chicago Zoning Ordinance was introduced into the City Council on September 24, 2015. Notice of the public hearing was published in the Chicago Sun-Times on February 3, 2016. The applicant was separately notified of this public hearing.
This application is submitted by the Applicant, as a mandatory planned development pursuant to Section 17-8-0513-A Large Residential Developments, which states that, planned development review and approval is required when the proposed project exceeds 60 units in the C2-3 (Motor Vehicle-Related Commercial District) Additionally Section 17-8-0509 (Development Along Waterways) requires planned development review and approval for the development of land for any building, structure, or parking area, when any portion of the land is located within 100 feet of any waterway.
The site is currently zoned RT-4 Residential Two-Flat, Townhouse and Multi-Unit District and POS-2 Neighborhood Park, Mini-Park or Play lot District. The applicant requests a rezoning of the subject property to a C2-3 (Motor Vehicle-Related Commercial District) prior to establishing the Waterway Residential-Business Planned Development.
SITE AND AREA DESCRIPTION
The applicant, Lathrop Community Partners, LLC proposes to redevelop the approximately 29 acre Julia C. Lathrop Homes. The site is generally bounded on the northeast by North Clybourn Avenue, on the east by North Damen Avenue and on the south and west by the North Branch ofthe Chicago River. The site is located in the North Center (5) Community Area and is not in a Tax Increment Finance District.
The site is not located in a designated Chicago Landmark District, an industrial corridor or the Lake Michigan and the Chicago Lakefront Protection District. The Julia C. Lathrop Homes site has been placed on the National Register of Historic Places by the United States Department ofthe Interior's National Park Service.
The land uses along West Diversey Parkway, North Clybourn Avenue, Damen Avenue and in the immediate area include residential, small scale retail, institutional, accessory and commercial uses. The area to the east of the site is primarily zoned B2-3, (Neighborhood Mixed Use District) and Business Planned Development No. 728.
The site is accessible via public transit from CTA's # 50 Damen bus line and the # 76 Diversey bus line. The site is also served by the CTA's Sheffield and Diversey Brown line Station is approximately one mile from the site.
PROJECT DESCRIPTION
The proposal will allow for the construction of two new mixed use buildings, the renovation of fourteen:(14) existing structures, allow for a maximum of 1,208 residential dwelling units and 50,000' square feet of commercial and retail space) establish five (5) subareas, accessory parking, and accessory and incidental uses. The project will be divided into a Phase I, II and III. The applicant is currently seeking approval of Phase I with future phases and all future building designs will be required to undergo a site plan review, which will include review and approval by Department of Planning and Development (DPD), the Chicago Department of Transportation (CDOT) and a presentation to the City, of Chicago Plan Commission at a future public hearing. The scope of work included in Phase I will include land in Subareas 1, 2, and 4.
Phase I consists of approximately 497 dwelling units and 223 parking spaces. This phase includes the renovation of fourteen (14) existing historic residential buildings (Subarea 1), . two new mixed-use commercial and residential buildings (Subarea 4), and the repurposing of two historic buildings-one ;as a boat house and the other as a residential-support/maintenance- building (Subarea 2). The two new buildings will . be located at the intersection of North Diversey-Avenue and North Clybourn Avenue /North Damen Avenue.
DESIGN
The two proposed building fronting the intersections;of North .Clybourn Avenue, North Damen Avenue and West Diversey Parkway are identified on the planned development exhibits as Building N101 and S101 (Subarea 4). The building at the northwest corner will contain approximately 9,000 square feet of ground floor retail and the building at the southwest corner will contaia approximately 12,000 square feet of ground floor .retail.
The ground floor of both building's front existing street frontages (North Clybourn Ave., North Damen Ave., and West Diversey Parkway) and are defined with an aluminum and glass storefront system. The upper levels and facade of the buildings are designed with two types of brick with different color tones.
The building facades for both buildings are further defined by architectural aluminum and glass windows and accentuated by projected aluminum windows. Building N101 is a six story building with the amenity space on the roof top and a maximum height of seventy (70)
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feet. Building S101 is the taller of the two building with a maximum height of seventy—nine (79) feet and with the amenity space located on the rooftop.
ACCESS/CIRCULATION
Access to Phase I will be located primarily from North Leavitt Street between North Clybourn Avenue and North Diversey Parkway. On street parking will be provided on both sides of North Leavitt Street. A proposed driveway will be added at the north end of North Leavitt Street in line with the intersection with West Oakdale Avenue. An additional proposed driveway will be located from North Clybourn Avenue north of the intersection with West Diversey Parkway. The commercial building on the south side of West Diversey Parkway will be served by a temporary driveway from North Hoyne Street, which will be integrated into the future Phase II project.
All accessory parking for the planned development will be provided throughout the buildings and occur internal to the site. Buildings N101 will have access from North Clybourn Avenue via proposed curb cut to a proposed accessory parking lot. The S101 Building will have access from North Hoyne Street during the Phase 1 scope of work. In the Phase 2 scope of work a proposed West Parker Avenue will provide an additional access point off of existing North Damen Avenue.
Loading for N101 building will occur on the accessory parking lot. The S101 building will occur via an internal loading dock. The loading dock will accessed through an overhead door. Pedestrian access for the riverwalk will occur from West Diversey Parkway, North Hoyne Street and North Leavitt Street. Access to the publicly accessible open space will occur from the existing street grid system.
SUSTAINABILITY & LANDSCAPE
The newly proposed development for this project will meet the requirements of the City of Chicago's Sustainable Matrix by providing a Green Roof over the 50 % ofthe net roof area for the two new mid-rise buildings (N101 and S101) are required to achieve building certification. Phase I will include extensive work along the Chicago River's edge, including construction of a publically accessible elevated boardwalk. The proposed boardwalk will be constructed on piers connecting a river walk north and south of West Diversey Parkway. The applicant also proposes a dog run, kayak boat ramp, and stormwater rain gardens in addition to stabilizing the river's edge.
The proposed dog run will be publicly accessible and be managed and maintained by the applicant. The open space areas depicted on the planned development exhibits open space plan will be constructed by the applicant but will be managed and maintained by the Chicago Park District. The phase 1 project will provide a total of 12.5 acres of open space, including 1.7 acres of riverwalk area that will be accessible to the general public. All future development within the planned development is required to meet the requirements of the City of Chicago's Sustainable Matrix and future phases will comply with the Chicago Zoning Ordnance and Chicago River Corridor Design Guidelines and Standards.
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BULK/USE/DENSITY
The site is currently zoned RT-4 Residential Two-Flat, Townhouse and Multi-Unit District and POS-2 Neighborhood Park, Mini-Park or Play lot District. This proposed Planned Development will have an underlying zoning of C2-3 (Motor Vehicle-Related Commercial District) with a maximum F.A.R of 1.2. The C2-3 District allows for a maximum FAR of 3.0 but this planned development would restrict it to a maximum F.A.R. of 1.2.
RECOMMENDATION
The Department of Planning and Development has reviewed the project materials submitted by the Applicant and have concluded that the proposed development would be appropriate for the site for the following reasons:
The project complies with the Standards and Guidelines for Planned Developments in the Zoning Ordinance (Section 17-8-0900).
Compliance with Zoning. The proposed Planned Development would increase the maximum Floor Area Ratio (F.A.R.) stipulated but would remain consistent with the surrounding community. This project would have similar uses as the surrounding areas, which include residential, commercial, and accessory parking.
Urban and Building Design. The building urban design and emphasizes on quality materials provide for an improved urban environment. The fourteen (14) historic structures will be rehabilitated to their former state.
Motor vehicle parking to the site would be accessed from existing street grid system: North Damen Avenue, North Clybourn Avenue and West Diversey Parkway.
The proposed development is compatible with the character ofthe surrounding area in terms of uses, density, and building scale. .
The proposed Planned Development would be consistent in bulk, density, and Floor Area Ratio (F.A.R.) with the surrounding area. The proposed project will remain at an underlying zoning of C2-3 (Motor Vehicle-Related Commercial District) and achieve a maximum total Floor Area Ratio (F.A.R.) to 1.2.
The public infrastructure facilities and city services will be adequate to serve the proposed development at the time of occupancy.
Per 17-13-0308-E - Transportation, Traffic Circulation and Parking: The pedestrian access point for the residential buildings and mixed use buildings are located on North Clybourn Avenue, North Damen Avenue, North Leavitt Street and West Diversey Park way. The pedestrian access for retail patrons occur along North Clybourn and West Diversey Parkway. All loading will occur internal to the site.
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Promotes environmentally sustainable development practices (per 17-9-0908-A), as evidenced by the rehabilitation of the fourteen (14) existing structures. The two new building in phase 1 identified on the plans as N101 andS101 are required to obtain Building certification. All future buildings in Phases 2 and 3 are also required to me the City of Chicago Sustainability matrix.
The project meets the purpose and criteria set forth in the Chicago Zoning Ordinance and its adoption would not have any adverse impact on the public's health, safety or welfare:
Per 17-13-0308-C, the proposed development is compatible with surrounding commercial and residential development in terms of land use, as well as, the density and scale of the physical structure.
Per 17-13-0308-D, the proposed underlying zoning for this planned development C2-3 (Motor Vehicle-Related Commercial District) is consistent with the adjacent zoning districts; both adjacent to this site and in the immediate area.
Based on the foregoing, it is the recommendation of the Department of Planning and Development that the revised application for a Waterway Residential Business Planned Development for LATHROP COMMUNITY PARTNERS, LLC, be approved and the recommendation to the City Council Committee on Zoning, Landmarks and Building Standards be "As-Revised, Passage Recommended"
Department of Planning and Development Bureau of Planning and Zoning
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FINAL
DEPARTMENT OF PLANNING and DEVELOPMENT CITY OF CHICAGO
RESOLUTION
2820-2996 N. CLYBOURN AVE.; 2000-2144 W. DIVERSEY PARKWAY; 2007-2141 W. DIVERSEY PARKWAY; 2601-2953 N. LEAVITT ST.; 2800-2888 N. LEAVITT ST.; 2601-2769 N. HOYNE AVE.; 2600-2768 N. HOYNE AVE.; 2600-2800 N. DAMEN AVE.
2201-2223 W. OAKDALE AVE.
WHEREAS, the applicant, LATHROP COMMUNITY PARTNERS, LLC, proposes the construction of two new mixed use buildings, the renovation of fourteen (14) existing structures, allow for1 a maximum of 1,208 residential dwelling units and 50,000 square feet of commercial and retail space; establish five (5) subareas, accessory parking, and accessory and incidental uses. The project will be divided* into a Phase I, H and III. The scope of work included in Phase I will include land in' Subareas 1, 2, and 4. The applicant requests a rezoning of the subject property to a C2-3 (Motor Vehicle-Related Commercial District) prior to establishing the Waterway Residential-Business Planned Development; and
WHEREAS, This development is being submitted by the applicant as a mandatory planned development application and an application for a Planned Development was introduced to the City Council on September 24, 2015; and
WHEREAS, proper legal notice of the hearing before the Chicago Plan Commission was published in the Chicago Sun-Times on February 3, 2016. The proposed Zoning Application was considered at a public hearing by this Plan Commission on February 18, 2016. The Applicant was separately notified of this hearing; and
WHEREAS, the Plan Commission has reviewed the applications with respect to the provisions of the Chicago Zoning Ordinance and finds that the proposal will be consistent with said provisions; and
WHEREAS, the Department of Planning and Development recommended approval of the application, with the recommendation and explanation contained in the written report dated February 18, 2016, a copy of which is attached hereto and made a part hereof; and
121 NORTH LASALLE STREET, ROOM 1000, CHICAGO ILLINOIS 60602
FINAL
WHEREAS, the Chicago Plan Commission has fully reviewed the application and all
informational submissions associated with the proposed amendment, the report and recommendation of the Commissioner of the Department of Planning and Development, and all other testimony presented at the public hearing held on February 18, 2016 giving due and proper consideration to the Chicago Zoning Ordinance; and
NOW, THEREFORE, BE IT RESOLVED BY THE CHICAGO PLAN COMMISSION:
THAT the final revised application dated February 18, 2016 be approved as being in conformance with the provisions, terms and conditions of the corresponding Zoning application; and
THAT this Plan Commission recommends approval to the City Council Committee on Zoning, Landmarks and Building Standards of the final zoning application dated February 18, 2016; and
THAT the above-stated recitals to this resolution together with the report of the Commissioner of the Department of Planning and Development be adopted as the findings of fact of the Chicago Plan Commission regarding the zoning map amendment and planned development application.
Approved: February 18, 2016 WRBPD No.
RECEIVED
FEB 1 8 2015
CITY OF CHICAGO / Q ,¦ Initial: fi^J ImJ AMENDED APPLICATION FOR AN AMENDMENT TO THE CHICAGO ZONING ORDINANCE
ADDRESS ofthe property Applicant is seeking to rezone:
2820-2996 North Clybourn Avenue; 2000-2144 West Diversey Parkway: 2007-2141 West Diversey
Parkway: 2601-2953 North Leavitt Street; 2800-2888 North Leavitt Street: 2601-2769 North Hoyne
Avenue; 2600-2768 North Hoyne Avenue; 2600-2800 North Damen Avenue and 2201-2223 West
Oakdale Avenue
Ward Number that property is located in: 1st and 32nd Wards
3. APPLICANT Lathrop Community Partners. LLC
ADDRESS 350 West Hubbard Street. Suite 300
CITY Chicago STATE IL ZIP CODE 60654
PHONE 312-595-7400 CONTACT PERSON Will Tippens
Is the applicant the owner ofthe property? YES NO X
If the applicant is not the owner of the property, please provide the following information regarding the owner and attach written authorization from the owner allowing the applicant to proceed.
OWNER Chicago Housing Authority
ADDRESS 60 East Van Buren Street ¦ '
CITY Chicago STATE IL ZIP CODE 60605
PHONE 312-913-7574 CONTACT PERSON Anthony Alvarez
If the Applicant/Owner of the property has obtained a lawyer as their representative for the rezoning, please provide the following information:
ATTORNEY DLA Piper LLP (US) - Attn: Rich Klawiter & Katie Jahnke Dale
ADDRESS 203 N. LaSalle Street. Suite 1900
CITY Chicago STATE IL ZIP CODE 60601
PHONE (312)368-7243 / -2153 FAX (312)630-7398
EMAIL richard.klawiter(S),dlapiper.com / katie.dale@dlapiper.com
EASTM05144954 2
6. If the applicant is a legal entity (Corporation, LLC, Partnership, etc.) please provide the names of all owners as disclosed on the Economic Disclosure Statements:
See attached Economic Disc 1 osure Statements
On what date did the owner acquire legal title to the subject property? 1957
Has the present owner previously rezoncd this property? If yes, when? No
Present Zoning District RT-4 Residential Two-Flat, Townhouse and Multi-Unit District and POS-2
Neighborhood Park, Mini-Park or Playlot District
Proposed Zoning District C2-3 Motor Vehicle-Related Commercial District, then to a Residential-
Business Planned Development
Lot size in square feet (or dimensions) +/- 1,265,781 square feet
Current Use of the Property Residential
Reason for rezoning the property Mandatory Planned Development pursuant to 17-8-0509
Development Along Waterways and 17-8-0513 Large Residential Developments.
Describe the proposed use of the property after the rezoning. Indicate the number of dwelling units; number of parking spaces; approximate square footage of any commercial space; and height of the proposed building. (BE SPECIFIC)
The Applicant requests a rezoning of the subject property from RT-4 Residential Two-Flat,
Townhouse and Multi-Unit District and POS-2 Neighborhood Park. Mini-Park or Playlot District to
the C2-3 Motor Vehicle-Related Commercial District then to a Residential-Business Planned
Development to allow for the construction and renovation of approximately 1,208 residential
dwelling units and 50,000 square feet of commercial and retail space containing an overall FAR of
1.2, accessory parking, and accessory and incidental uses.
14. On May 14th, 2007, the Chicago City Council passed the Affordable Requirements Ordinance (ARO)
that requires on-site affordable housing units or a financial contribution if residential housing
projects receive a zoning change under certain circumstances. Based on the lot size ofthe project in
question and the proposed zoning classification, is this project subject to the Affordable
Requirements Ordinance? (See fact Sheet for more information)
YES X NO
EASTM 05144954.2
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:
Lathrop Community Partners, LLC
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS is: 1 • [X] the Applicant OR
2. [ ] a legal entity holding a direct or indirect interest in the Applicant. State the legal name of the
Applicant in which the Disclosing Party holds an interest:
OR
3. [ ] a legal entity with a right of control (see Section II.B.l.) State the legal name of the entity in
which the Disclosing Party holds a right of control:
Business address ofthe Disclosing Party: 350 W. Hubbard St Suite 300, Chicago, IL 60654
Telephone: 312-595-7400 Fax: Email: swick@relatedmidwest.com
Name of contact person: Sarah Wick
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):
Zoning Amendment for property located at 2820-2996 North Clybourn Avenue: 2000-2144 West Diversey Parkway; 2007-2141
West Diversey Parkway; 2601-2953 North Leavitt Street: 2800-2888 North Leavitt Street; 2601-2769 North Hoyne Avenue; 2600-
2768 North Hoyne Avenue; 2600-2800 North Damen Avenue and 2201-2223 West Oakdale Avenue.
G. Which City agency or department is requesting this EDS? Department of Planning and Development
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification # and Contract #
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SECTION II -- DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY
[x] Limited liability company [ ] Limited liability partnership [ ] Joint venture [ ] Not-for-profit corporation
(Is the not-for-profit corporation also a 501(c)(3))?
1. Indicate the nature of the Disclosing Party:
Person [:
Publicly registered business corporation [
Privately held business corporation [
Sole proprietorship [
[ ] Yes [ ] No
[ ] Other (please specify)
General partnership (
Limited partnership
Trust I
2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
Illinois
3. For legal entities not organized in the State of Illinois: Has the organization registered to do business in the State of Illinois as a foreign entity?
[x] N/A
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
1. List below the full names and titles of all executive officers and all directors of the entity. NOTE: For not-for-profit corporations, also list below all members, if any, which are legal entities. If there are no such members, write "no members." For trusts, estates or other similar entities, list below the legal titleholder(s).
If the entity is a general partnership, limited partnership, limited liability company, limited liability partnership or joint venture, list below the name and title of each general partner, managing member, manager or any other person or entity that controls the day-to-day management of the Disclosing Party. NOTE: Each legal entity listed below must-submit an EDS on its own behalf.
Name Title
Related Lathrop, LLC Member/Manager
Heartland Lathrop, LLC Non-Profit Member
Bickerdike Lathrop, LLC Non-Profit Member
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
Disclosing Party
Related Lathrop, LLC 350 W. Hubbard St., Ste. 300 Chicago, IL 60654 60% Interest
Heartland Lathrop. LLC 208 S. LaSalle St., Ste 1818 Chicago, IL 60604 20% Interest
Bickerdike Lathrop, LLC 2550 W. North Avenue Chicago, IL 60647 20% Interest
SECTION III -- BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship," as defined in Chapter 2-156 ofthe Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?
[ ] Yes [X] No
If yes, please identify below the name(s) of such City elected official(s) and describe such relationship(s):
SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature of the relationship, and the total amount 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.
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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.
See attached list.
(Add sheets if necessary)
[ ] Check, here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V -- CERTIFICATIONS
COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
[ ] Yes [X] No [ ] No person directly or indirectly owns 10% or more of the
Disclosing Party.
If "Yes," has the person entered into a court-approved agreement.for payment of all support owed and is the person in compliance with that agreement?
[ ] Yes [ ] No
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
The Disclosing Party and, if the Disclosing Parly is a legal entity, all of those persons or entities identified in Section II.B.l. of this EDS:
are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from any transactions by any federal, stale or local unit of government;
have not, within a five-year period preceding the date of this EDS, been convicted of a criminal offense, adjudged guilty, or had a civil judgment rendered against them in connection with: obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under a public transaction; a violation of federal or state antitrust statutes; fraud; embezzlement; theft; forgery; bribery; falsification or destruction of records; making false statements; or receiving stolen property;
are not presently indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any of the offenses set forth in clause B.2.b. of this Section V;
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 liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other unit of local government.
The certifications in subparts 3, 4 and 5 concern:
the Disclosing Party;
any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in connection with the Matter, including but not limited to all persons or legal entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties");
any "Affiliated Entity" (meaning a person or entity that, directly or indirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is, with the Disclosing Party, under common control of another person or entity. Indicia of control include, without limitation: interlocking management or ownership; identity of interests among family members, shared facilities and equipment; common use of employees; or organization of a business entity following the ineligibility of a business entity to do business with federal or state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity); with respect to Contractors, the term Affiliated Entity means a person or entity that directly or indirectly controls the Contractor, is controlled by it, or, with the Contractor, is under common control of another person or entity;
any responsible official of the Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee of the Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official ofthe Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
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Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor nor any Agents have, during the five years before the date this EDS is signed, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the five years before the date of such Contractor's or Affiliated Entity's contract or. engagement in connection with the Matter:
bribed or attempted to bribe, or been convicted or adjudged guilty of bribery or attempting to bribe, a public officer or employee of the City, the State of Illinois, or any agency of the federal government or of any state or local government in the United States of America, in that officer's or employee's official capacity;
agreed or colluded with other bidders or prospective bidders,.or been a party to any such agreement, or been convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; or
made an admission of such conduct described in a. or b. above that is a matter of record, but have not been prosecuted for such conduct; or
violated the provisions of Municipal Code Section 2-92-610 (Living Wage Ordinance).
Neither the Disclosing Party, Affiliated Entity or Contractor, or any of their employees, officials, agents or partners, is barred from contracting with any unit of state or local government as a result of engaging in or being convicted of (1) bid-rigging in violation of 720 ILCS 5/33E-3; (2) bid-rotating in violation of 720 ILCS 5/33E-4; or (3) 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 of the Treasury or the " Bureau of Industry and Security of the U.S. Department of Commerce or their successors: the Specially Designated Nationals List, the Denied Persons List, the Unverified List, the Entity List and the Debarred List.
The Disclosing Party understands and shall comply with the applicable requirements of Chapters 2-55 (Legislative Inspector General), 2-56 (Inspector General) and 2-156 (Governmental Ethics) of the 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:
Page 6 of 13
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
8. To the best of the Disclosing Party's knowledge after reasonable inquiry, the following is a
complete list of all current employees ofthe Disclosing Party who were, at any time during the 12-
month period preceding the execution date of this EDS, an employee, or elected or appointed official,
of the City of Chicago (if none, indicate with "N/A" or "none").
None
9. To the best ofthe Disclosing Party's knowledge after reasonable inquiry, the following is a
complete list of all gifts that the Disclosing Party has given or caused to be given, at any time during the
12-month period preceding the execution date of this EDS, to an employee, or elected or appointed
official, of the City of Chicago. For purposes of this statement, a "gift" does not include: (i) anything
made generally available to City employees or to the general public, or (ii) food or drink provided in the
course of official City business and having a retail value of less than $20 per recipient (if none, indicate
with "N/A" or "none"). As to any gift listed below, please also list the name of the City recipient.
None
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is [X] is not
a "financial institution" as defined in Section 2-32-455(b) of the Municipal Code.
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 ofthe Municipal Code, explain here (attach additional pages if necessary):
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If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
[ ] Yes [X] No
NOTE: If you checked "Yes" to Item D.l., proceed to Items D.2. and D.3. If you checked "No" to Item D.l., proceed to Part E.
Unless sold pursuant to a process of competitive bidding, or otherwise permitted, no City elected official or employee shall have a financial interest in his or her own name or in the name of any other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit of the City (collectively, "City Property Sale"). Compensation for property taken pursuant to the City's eminent domain power does not constitute a financial interest within the meaning of this Part D.
Docs the Matter involve a City Property Sale?
[ ] Yes [ ] 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 Cily.
X 1. The Disclosing Party verifies that the Disclosing Party has searched any and all records of the Disclosing Party and any and all predecessor entities regarding records of investments or profits from slavery or slaveholder insurance policies during the slavery era (including insurance policies issued to slaveholders that provided coverage for damage to or injury or death of their slaves), and the Disclosing Party has found no such records.
2. The Disclosing Party verifies that, as a result of conducting the search in step 1 above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including the names of any and all slaves or slaveholders described in those records:
SECTION VI -- CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. If the Matter is not federally funded, proceed to Section VII. For purposes of this Section VI, tax credits allocated by the City and proceeds of debt obligations of the City are not federal funding.
A. CERTIFICATION REGARDING LOBBYING
1. List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
Page 9 of 13
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".
If the Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equal in form and substance to paragraphs A.l. through A.4. above from all subcontractors before it-awards any subcontract and the Disclosing Party must maintain all such subcontractors' certifications for the duration of the Matter and must make such certifications promptly available to the City upon request.
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
Is the Disclosing Party the Applicant?
[X] Yes [ ] 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 [X] 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 [X] No
Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
[ ] Yes [X] No
If you checked "No" to question 1. or 2. above, please provide an explanation:
Lathrop Community Partners has no employees
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 law for a false statement 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 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.
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 of the Municipal Code.
The Disclosing Party represents and warrants that:
Page II of 13
F.1. The Disclosing Party is not delinquent in the payment of any tax administered by the Illinois Department of Revenue, nor are the Disclosing Party or its Affiliated Entities delinquent in paying any fine, fee, tax or other charge owed to the City. This includes, but is not limited to, all water charges, sewer charges, license fees, parking tickets, property taxes or sales taxes.
F.2 If the Disclosing Party is the Applicant, the Disclosing Party and its Affiliated Entities will not use, nor permit their subcontractors to use, any facility listed by the U.S. E.P.A. on the federal Excluded Parties List System ("EPLS") maintained by the U. S. General Services Administration.
F.3 If the Disclosing Party is the Applicant, the Disclosing Party will obtain from any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in F.1. and F.2. above and will not, without the prior written consent ofthe City, use any such contractor/subcontractor that does not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
NOTE: If the Disclosing Party cannot certify as to any of the items in F.I., F.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 and statements contained in this EDS and Appendix A (if applicable) are true, accurate and complete as ofthe date furnished to; the City.
By: Related Lathrop, LLC, its Manager
: name of Disclosing Party)
(Print or type name of person signing) (Print or type title of person signing)
Signed and sworn to before me on (date)
at Co^U. County, T,Y— (state).
Notary Public.
Commission expires:.
OFFICIAL SEAL JACALYN M FINKEL GUON NOTARY PUBUC - STATE OF ILLINOIS MY COMMISSION EXPIRES:05/12/18
Page 12 of 13
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND DEPARTMENT HEADS
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5 percent. It "is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
Under Municipal Code Section 2-154-015, the Disclosing Party must disclose whether such Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently has a "familial relationship" with any elected city official or department head. A "familial relationship" exists if, as of the date this EDS is signed, the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof is related to the mayor, any alderman, the city clerk, the city treasurer or any city department head as spouse or domestic partner or as any of the following, whether by blood or adoption: parent, child, brother or sister, aunt or uncle, niece or nephew, grandparent, grandchild, father-in-law, mother-in-law, son-in-law, daughter-in-law, stepfather or stepmother, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister.
"Applicable Party" means (1) all executive officers of the Disclosing Party listed in Section II.B. La., if the Disclosing Party is a corporation; all partners ofthe Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members ofthe Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means the president, chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority.
Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
[ ] Yes [ X] No
If yes, please identify below (1) the name and title of such person, (2) the name ofthe 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 [x]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 ofthe Municipal Code?
[ ] Yes [ ] No [x ] Not Applicable
If yes to (1) or (2) above, please identify below the name of the person or legal entity identified as a building code scofflaw of problem landlord and the address of the building or 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.
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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I - GENERAL INFORMATION
A. Legal name ofthe Disclosing Party submitting this EDS. Include d/b/a/ if applicable: LR Development LLC
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
[ ] the Applicant
OR
K] a legal entity holding a direct or indirect interest in the Applicant. State the legal name ofthe Applicant in which the Disclosing Party holds an interest: Lathrop Community Partners LLC
OR
3. [ ] a legal entity with a right of control (see Section II.B.l.) State the legal name of the entity in
which the Disclosing Party holds a right of control:
B. Business address ofthe Disclosing Party: 350 West Hubbard, Suite 300
Chicago, IL 60654
Telephone: 312-595-7400 Fax: 312-595-1898 Email: swidc@relate(iimdwest.com
Name of contact person: Sarah Wick
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):
Zoning Amendment for property located at 2820-2996 North Clybourn Avenue: 2000-2144 West Diversey Parkway: 2007-214! West Diversey Parkway: 2601-2953 North Leavitt Street: 2800-2888 North Leavitt Street: 2601-2769 North Hoyne Avenue: 2600-2768 North Hoyne Avenue: 2600-2800 North Damen Avenue and 2201-2223 West Oakdale Avenue.
G. Which City agency or department is requesting this EDS? Department of Planning and Development
If the Matter is a contract being handled by the City's Department of Procurement Services, please. complete the following:
Specification # N/A and Contract # N/A
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 Kl
] Publicly registered business corporation [ ]
] Privately held business corporation [ ]
] Sole proprietorship [ ]
] General partnership (Is
] Limited partnership
] Trust []
Limited liability company Limited liability partnership Joint venture
Not-for-profit corporation
the not-for-profit corporation also a 501(c)(3))?
[] Yes []No Other (please specify)
2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable: Delaware
3. For legal entities not organized in the State of Illinois: Has the organization registered to do business in the State of Illinois as a foreign entity?
[ ] Yes N No [ ] N/A
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
1. List below the full names and titles of all executive officers and all directors of the entity. NOTE: For not-for-profit corporations, also list below all members, if any, which are legal entities. If there are no such members, write "no members." For trusts, estates or other similar entities, list below the legal titleholder(s).
If the entity is a general partnership, limited partnership, limited liability company, limited liability partnership or joint venture, list below the name and title of each general partner, managing member, manager or any other person or entity that controls the day-to-day management of the Disclosing Party. NOTE: Each legal entity listed below must submit an EDS on its own behalf.
Name Title See attachment II.B.l
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
Disclosing Party
Related LR Development LLC 60 Columbus Circle, New York, NY 10023 73.4%
LRD Group LLC 350 W. Hubbard, Suite 300, Chicago, IL 60642
Curt Bailey 350 W. Hubbard, Suite 300, Chicago, IL 60642
SECTION III - BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship," as defined in Chapter 2-156 of the Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?
[ ] Yes OKI No
If yes, please identify below the name(s) of such City elected official(s) and describe such relationship(s):
SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature of the relationship, and the total amount of the fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who are paid solely through the Disclosing Party's regular payroll.
"Lobbyist" means any person or entity who undertakes to influence any legislative or administrative action on behalf of any person or entity other than: (1) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means any person or entity any part of whose duties as an employee of another includes undertaking to influence any legislative or administrative action.
If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must either ask the City whether disclosure is required or make the disclosure.
Page 3 of 13
Name (indicate whether Business Relationship to Disclosing Party Fees (indicate whether
retained or anticipated Address (subcontractor, attorney, paid or estimated.) NOTE:
to be retained) lobbyist, etc.) "hourly rate" or "t.b.d." is
uui Mlh . :
(Add sheets if necessary)
pq Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V - CERTIFICATIONS
COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
[ ] Yes pj 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?
[JYes []No
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
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;
have not, within a five-year period preceding the date of this EDS, been convicted of a criminal offense, adjudged guilty, or had a civil judgment rendered against them in connection with: obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under a public transaction; a violation of federal or state antitrust statutes; fraud; embezzlement; theft; forgery; bribery; falsification or destruction of records; making false statements; or receiving stolen property;
are not presently indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any of the offenses set forth in clause B.2.b. of this Section V;
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 liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other unit of local government.
The certifications in subparts 3, 4 and 5 concern:
the Disclosing Party;
any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in connection with the Matter, including but not limited to all persons or legal entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties");
any "Affiliated Entity" (meaning a person or entity that, directly or indirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is, with the Disclosing Party, under common control of another person or entity. Indicia of control include, without limitation: interlocking management or ownership; identity of interests among family members, shared facilities and equipment; common use of employees; or organization of a business entity following the ineligibility of a business entity to do business with federal or state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity); with respect to Contractors, the term Affiliated Entity means a person or entity that directly or indirectly controls the Contractor, is controlled by it, or, with the Contractor, is under common control of another person or entity;
any responsible official of the Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee ofthe 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 of the City, the State of Illinois, or any agency of the federal government or of any state or local government in the United States of America, in that officer's or employee's official capacity;
agreed or colluded with other bidders or prospective bidders, or been a party to any such agreement, or been convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; or
made an admission of such conduct described in a. or b. above that is a matter of record, but have not been prosecuted for such conduct; or
violated the provisions of Municipal Code Section 2-92^610 (Living Wage Ordinance).
Neither the Disclosing Party, Affiliated Entity or Contractor, or any of their employees, officials, agents or.partners, is barred from contracting with any unit of state or local government as a result of engaging in or being convicted of (1) bid-rigging in violation of 720 ILCS 5/33E-3; (2) bid-rotating in violation of 720 ILCS 5/33E-4; or (3) 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 ofthe U.S. Department ofthe Treasury or the Bureau of Industry and Security of the U.S. Department of Commerce or their successors: the Specially Designated Nationals List, the Denied Persons List, the Unverified List, the Entity List and the Debarred List. ,
The Disclosing Party understands .and shall comply with the applicable requirements of Chapters 2-55 (Legislative Inspector General); 2-56 (Inspector General) and 2-156 (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:
n/a -
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 ofthe Disclosing Party who were, at any time during the 12-month period preceding the execution date of this EDS, an employee, or elected or appointed official, of the City of Chicago (if none, indicate with "N/A" or "none").
N/A
9. To the best ofthe Disclosing Party's knowledge after reasonable inquiry, the following is a
complete list of all gifts that the Disclosing Party has given or caused to be given, at any time during the
12-month period preceding the execution date of this EDS, to an employee, or elected or appointed
official, 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.
N/A . .
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is [Xj is not
a "financial institution" as defined in Section 2-32-455(b) of the Municipal Code.
If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will not become a predatory lender as defined in Chapter 2-32 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in Section 2-32-455(b) of the Municipal Code) is a predatory lender within the meaning of Chapter 2-32 ofthe Municipal Code, explain here (attach additional pages if necessary):
Page 7 of 13
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
[]Yes fXjNo
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 of the City (collectively, "City Property Sale"). Compensation for property taken pursuant to the City's eminent domain power does not constitute a financial interest within the meaning of this Part D.
Does the Matter involve a City Property Sale?
[ ] Yes [ ] No
If you checked "Yes" to Item D.L, provide the names and business addresses ofthe City officials or employees having such interest and identify the nature of such interest:
Name Business Address Nature of Interest
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing Party must disclose below or in an attachment to this EDS all information required by paragraph 2. Failure to
Page 8 of 13
comply with these disclosure requirements may make any contract entered into with the City in connection with the Matter voidable by the City.
_x 1. The Disclosing Party verifies that the Disclosing Party has searched any and all records of
the Disclosing Party and any and all predecessor entities regarding records of investments or profits from slavery or slaveholder insurance policies during the slavery era (including insurance policies issued to slaveholders that provided coverage for damage to or injury or death of their slaves), and the Disclosing Party has found no such records.
2. The Disclosing Party verifies that, as a result of conducting the search in step 1 above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including the names of any and all slaves or slaveholders described in those records:
SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. If the Matter is not federally funded, proceed to Section VII. For purposes of this Section VI, tax credits allocated by the City and proceeds of debt obligations of the City are not federal funding.
A. CERTIFICATION REGARDING LOBBYING
1. List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary): N/A
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
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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 tbe Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities".
If the Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equal in form and substance to paragraphs A.l. through A.4. above from all subcontractors before it awards any subcontract and the Disclosing Party must maintain all such subcontractors' certifications for the duration ofthe Matter and must make such certifications promptly available to the City upon request.
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
Is the Disclosing Party the Applicant?
[]Yes K! No
If "Yes," answer the three questions below:
1. • Have you developed and do you have on file affirmative action programs pursuant to applicable
federal regulations? (See 41 CFR Part 60-2.)
[ ] Yes [ ] No
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:
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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.citvofchicago.org/Ethics , and may also be obtained from the City's Board of Ethics, 740 N.
Sedgwick St., Suite 500, Chicago, BL 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 law for a false statement 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 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.
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 of the Municipal Code.
The Disclosing Party represents and warrants that:
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F.1. The Disclosing Party is not delinquent in the payment of any tax administered by the Illinois Department of Revenue, nor are the Disclosing Party or its Affiliated Entities delinquent in paying any fine, fee, tax or other charge owed to the City. This includes, but is not limited to, all water charges, sewer charges, license fees, parking tickets, property taxes or sales taxes.
F.2 If the Disclosing Party is the Applicant, the Disclosing Party and its Affiliated Entities will not use, nor permit their subcontractors to use, any facility listed by the U.S. E.P.A. on the federal Excluded Parties List System ("EPLS") maintained by the U. S. General Services Administration.
F.3 If the Disclosing Party is the Applicant, the Disclosing Party will obtain from any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in F.1. and F.2. above and will not, without the prior written consent ofthe City, use any such contractor/subcontractor that does not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
NOTE: If the Disclosing Party cannot certify as to any of the items in F.I., F.2. or F.3. above, an explanatory statement must be attached to this EDS.
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS and Appendix A (if applicable) on behalf ofthe Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS and Appendix A (if applicable) are true, accurate and complete, as ofthe date furnished to the City.
LR Development Company LLC
Curt Bailey; ' —
(Print or type name of person signing)
President
(Print or type title of person signing)
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND DEPARTMENT HEADS
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5 percent It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant
Under Municipal Code Section 2-154-015, the Disclosing Party must disclose whether such Disclosing Party or any "Applicable Party" or any Spouse or Domestic Parmer thereof currently has a "familial relationship" with any elected city official or department head. A "familial relationship" exists if, as of the date this EDS is signed, the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof is related to the mayor, any alderman, the city clerk, the city treasurer or any city department head as spouse or domestic partner or as any of the following, whether by blood or adoption: parent, child, brother or sister, aunt or uncle, niece or nephew, grandparent, grandchild, father-in-law, mother-in-law, son-in-law, daughter-in-law, stepfather or stepmother, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister.
"Applicable Party" means (1) all executive officers ofthe Disclosing Party listed in Section HB.l.a., if the Disclosing Party is a corporation; all partners ofthe 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 ofthe Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means the president, chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority.
Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
[ ] Yes [X] No
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 of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
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Deborah Walters Don Biemacki JeffBlau Michael Brenner Richard OToole Frank Soldano Lawrence Koch
ATTACHMENT HJLU To Economic Disclosure Statement for LR Development Company LLC Curt R. Bailey President
Chief Financial Officer/Vice President/Treasurer Senior Vice President Vice President Vice President Vice President Vice President Vice President Jacques Sandberg Vice PresidentfSecretary Jacalyn M. Guon Vice Presiriart/AsaiatHiit Secretary
J
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I - GENERAL INFORMATION
A. Legal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable: Related LR Development LLC
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
[ ] the Applicant
OR
jx] 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: Lathrop Community Partners, LLC
OR
3. [] a legal entity with a right of control (see Section II.B.l.) State the legal name of the entity in
which the Disclosing Party holds a right of control:
B. Business address of the Disclosing Party: 60 Columbus Circle
New York, NY 10023
Telephone: 212-421-5333 Fax: 212-801-3781 Email: mbrenner@related.com
Name of contact person: Michael J. Brenner
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):
Zoning Amendment for properly located al 2820-2996 North Clybourn Avenue: 2000-2144 West Diversey Parkway. 2007-2141 West Diversey Parkway: 2601-2953 North Leavitt Street: 2800-2888 North Leavitt Street: 2601-2769 North Hoyne Avenue: 2600-2768 North Hoyne Avenue: 2600-2800 North Damen Avenue and 2201-2223 West Oakdale Avenue.
Which City agency or department is requesting this EDS? Department of Planning and Development
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification # N/A anfj Contract # N/A
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SECTION II - DISCLOSURE OF OWNERSHIP INTERESTS
NATURE OF THE DISCLOSING PARTY
Trust
3 ] ] ] ] ]|1010|1. Indicate the nature of the Disclosing Party: Person P
Publicly registered business corporation [
Privately held business corporation [
Sole proprietorship . [
General partnership ('
Limited partnership
pfj 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:
Delaware
3. For legal entities not organized in the State of Illinois: Has the organization registered to do business in the State of Illinois as a foreign entity?
[]N/A
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
1. List below the full.names and titles of all executive officers and all directors of the entity. NOTE: For not-for-profit corporations, also list below all members, if any, which are legal entities. If there are no such members, write "no members." For trusts, estates or other similar entities, list below the legal titleholder(s).
If-the entity is a general partnership, limited partnership, limited liability company, limited liability partnership or joint venture, list below the name and title of each general partner, managing member, manager or any other person or entity that controls the day-to-day management of the Disclosing Party. NOTE: Each legal entity listed below must submit an EDS on its own behalf.
Name Title
Stephen M. Ross President
Michael J. Brenner, Executive Vice President
Jeff T. Blau Vice President
Bruce A. Beal, Jr. Vice President
The Related Companies, L.P. Member
2. Please provide the following information concerning each person or entity having a direct or indirect beneficial interest (including ownership) in excess of 7.5% of the Disclosing Party. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture,
Page 2 of 13
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal Code"), the City may require any such additional information from any applicant which is reasonably intended to achieve full disclosure.
Name Business Address Percentage Interest in the
Disclosing Party
The Related Companies, L.P. 60 Columbus Circle, New York, NY 10023 90%
Yukon Holdings, LX.C. 60 Columbus Circle, New York, NY 10023 10%
SECTION III - BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship," as defined in Chapter 2-156 of the Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?
[ ] Yes §c] No
If yes, please identify below the name(s) of such City elected official(s) and describe such relationship(s):
SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature of the relationship, and the total amount 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.
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Name (indicate whether Business Relationship to Disclosing Party Fees (indicate whether
retained or anticipated Address (subcontractor, attorney, paid or estimated.) NOTE:
to be retained) lobbyist, etc.) "hourly rate" or "t.b.d." is
not an acceptable response.
(Add sheets if necessary)
[x] Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V - CERTIFICATIONS
COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
[ ] Yes [*] No f ] No person directly or indirectly owns 10% or more of the
Disclosing Party.
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with that agreement?
[ ] Yes [ ]No
FURTHER CERTIFICATIONS
1. Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nOr any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article I supersedes some five-year compliance timeframes in certifications 2 and 3 below.
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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:
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 period preceding the date of this EDS, been convicted of a criminal offense, adjudged guilty, or had a civil judgment rendered against them in connection with: obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under a public transaction; a violation of federal or state antitrust statutes; fraud; embezzlement; theft; forgery; bribery; falsification or destruction of records; making false statements; or receiving stolen property;
are not presently indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any of the offenses set forth in clause B.2.b. of this Section V;
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 liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other unit of local government.
The certifications in subparts 3, 4 and 5 concern:
the Disclosing Party;
any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in connection with the Matter, including but not limited to all persons or legal entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties");
any "Affiliated Entity" (meaning a person or entity that, directly or indirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is, with the Disclosing Party, under common control of another person or entity. Indicia of control include, without limitation: interlocking management or ownership; identity of interests among family members, shared facilities and equipment; common use of employees; or organization of a business entity following the ineligibility of a business entity to do business with federal or state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity); with respect to Contractors, the term Affiliated Entity means a person or entity that directly or indirectly controls the Contractor, is controlled by it, or, with the Contractor, is under common control of another person or entity;
any responsible official of the Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee of the Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official ofthe Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
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Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor nor any Agents have, during the five years before the date this EDS is signed, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the five years before the date of such Contractor's or Affiliated Entity's contract or engagement in connection with the Matter:
bribed or attempted to bribe, or been convicted or adjudged guilty of bribery or attempting to bribe, a public officer or employee ofthe City, the State of Illinois, or any agency of the federal government or of any state or local government in the United States of America, in that officer's or employee's official capacity;
agreed or colluded with other bidders or prospective bidders, or been a party to any such agreement, or been convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; or
made an admission of such conduct described in a. or b. above that is a matter of record, but have not been prosecuted for such conduct; or
violated the provisions of Municipal Code Section 2-92-610 (Living Wage Ordinance).
Neither the Disclosing'Party, Affiliated Entity or Contractor, or any of their employees, officials, agents or partners, is barred from contracting with any unit of state or local government as a result of engaging in or being convicted of (1) bid-rigging in violation of 720 ILCS 5/33E-3; (2) bid-rotating in violation of 720 ILCS 5/33E-4; or (3) 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 ofthe following lists maintained by the Office of Foreign Assets Control of the U.S. Department of the Treasury or the Bureau of Industry and Securityof the U.S. Department of Commerce or their successors: the Specially Designated Nationals List, the Denied Persons List, the Unverified List, the Entity List arid 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) of the 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:
N/A
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If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
8. To the best of the Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all current employees of the Disclosing Party who were, at any time during the 12-month period preceding the execution date of this EDS, an employee, or elected or appointed official, ofthe City of Chicago (if none, indicate with "N/A" or "none").
N/A
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 ofthe City recipient. N/A
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is [x] is not
a "financial institution" as defined in Section 2-32^455(b) of the Municipal Code.
If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will not become a predatory lender as defined in Chapter 2-32 ofthe Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in Section 2-32-455(b) ofthe Municipal Code) is a predatory lender within the meaning of Chapter 2-32 ofthe Municipal Code, explain here (attach additional pages if necessary):
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If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
In accordance with Section 2-156-110 ofthe Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
[]Yes HNo
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 does not constitute a financial interest within the meaning of this Part D.
Does the Matter involve a City Property Sale?
[ ] Yes [ ] No
3. If you checked "Yes" to Item D.l., provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest:
Name Business Address Nature of Interest
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing Party must disclose below or in an attachment to this EDS all information required by paragraph 2. Failure to
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comply with these disclosure requirements may make any contract entered into with the City in connection with the Matter voidable by the City.
_x l. The Disclosing Party verifies that the Disclosing Party has searched any and all records of
the Disclosing Party and any and all predecessor entities regarding records of investments or profits from slavery or slaveholder insurance policies during the slavery era (including insurance policies issued to slaveholders that provided coverage for damage to or injury or death of their slaves), and the Disclosing Party has found no such records.
2. The Disclosing Party verifies that, as a result of conducting the search in step 1 above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including the names of any and all slaves or slaveholders described in those records:
SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. If the Matter is not federally funded, proceed to Section VII. For purposes of this Section VI, tax credits allocated by the City and proceeds of debt obligations of the City are not federal funding.
A. CERTIFICATION REGARDING LOBBYING
1. List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary): N/A
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
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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".
If-the Disclosing Party-is the Applicant, the Disclosing Party must obtain certifications equal in form and substance to paragraphs A.l. through A.4. above from all subcontractors before it awards any subcontract and the Disclosing Party must maintain all such subcontractors' certifications for the duration ofthe Matter and must make such certifications promptly available to the City upon request.
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
Is the Disclosing Party the Applicant?
[ ] Yes [x] 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 []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:
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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.orE/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 law for a false statement 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 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.
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 of the Municipal Code.
The Disclosing Party represents and warrants that:
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F.1. The Disclosing Party is not delinquent in the payment of any tax administered by the Illinois Department of Revenue, nor are the Disclosing Party or its Affiliated Entities delinquent in paying any fine, fee, tax or other charge owed to the City. This includes, but is not limited to, all water charges, sewer charges, license fees, parking tickets, property taxes or sales taxes.
F.2 If the Disclosing Party is the Applicant, the Disclosing Party and its Affiliated Entities will not use, nor permit their subcontractors to use, any facility listed by the U.S. E.P.A. on the federal Excluded Parties List System ("EPLS") maintained by the U. S. General Services Administration.
F.3 If the Disclosing Party is me Applicant ^
contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in F.1. and F.2. above and will not, without the prior written consent ofthe City, use any such contractor/subcontractor that does not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
NOTE: If the Disclosing Party cannot certify as to any of the items in F.1F.2. or F.3. above, an explanatory statement must be attached to this EDS.
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS and Appendix A (if applicable) on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in mis EDS and Appendix A (if applicable) are true, accurate and complete as of the date furnished to the City.
Related LR Development LLC (Print or type name of Disclosing Party)
Michael J. Brenner
(Print or type name of person signing)
Executive Vice President
(Print or type title of person signing)
Signed and sworn to before me on (date) ^Q^j^M^j I \. at WjuJioMc County, MtwVWi (state). 7
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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND DEPARTMENT HEADS
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5 percent. It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant
Under Municipal Code Section 2-154-015, the Disclosing Party must disclose whether such Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently has a "familial relationship" with any elected city official or department head. A "familial relationship" exists if, as of the date this EDS is signed, the Disclosing Party or any "Applicable Party" or any Spouse Or Domestic Partner thereof is related to the mayor, any alderman, the city clerk, the city treasurer or any city department head as spouse or domestic partner or as any of the following, whether by blood or adoption: parent, child, brother or sister, aunt or uncle, niece or nephew, grandparent, grandchild, father-in-law, mother-in-law, son-in-law, daughter-in-law, stepfather or stepmother, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister.
"Applicable Party" means (1) all executive officers of the Disclosing Party listed in Section LLB.l.a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members of the Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal .officers of the Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means the president, chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority.
Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
[ ] Yes [x] No
If yes, please identify below (1) the name and title of such person, (2) the name of the legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I -- GENERAL INFORMATION
A. Legal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable: Related Lathrop LLC
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
[] the Applicant
OR
^ 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: Lathrop Community Partners LLC
OR
3. [] a legal entity with a right of control (see Section II.B.l.) State the legal name of the entity in
which the Disclosing Party holds a right of control:
B. Business address of the Disclosing Party: 350 W. Hubbard, Suite 300
Chicago, IL 60654
Telephone: 312-595-7400 Fax: 312-595-1898 Email: swick@relatedmidwest.com
Name of contact person: Sarah Wick
Federal Employer Identification No. (if you have one): : - -~ -
F, Brief description of contract, transaction or other undertaking (referred to below as the "Matter") to
which this EDS pertains. (Include project number and location of property, if applicable):
Zoning Amendment for property located ax 2820-2996 North Clybourn Avenue; 2000-2144 West Diversey Parkway: 2007-2141 West Diversey Parkway: 2601-2953 North Leavitt Street: 2800-2888 North Leavitt Street: 2601-2769 North Hoyne Avenue: 2600-2768 North Hoyne Avenue: 2600-2800 North Damen Avenue and 2201-2223 West Oakdale Avenue.
«ru- l/-•«, a . - .i * Department of Planning and Developmnet
G. Which City agency or department is requesting this EDS /
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification # N/A and Contract # N/A
Page 1 of 13
SECTION II -- DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY 1. Indicate the nature ofthe Disclosing Party:
Person [X]
Publicly registered business corporation [ J
Privately held business corporation [ ]
Sole proprietorship [ ]
General partnership (Is
Limited partnership
Trust [ ]
Limited liability company Limited liability partnership Joint venture
Not-for-profit corporation
the not-for-profit corporation also a 501(c)(3))?
[ ] Yes [ ] No
Other (please specify)
2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable: Illinois
3. For legal entities not organized in the State of Illinois: Has the organization registered to do business in the State of Illinois as a foreign entity?
[ ] Yes [ ] No M N/A
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
1. List below the full names and titles of all executive officers and all directors ofthe 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.
Name Title -
See attachment II.B.l
2. Piease provide the foilowing 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
Disclosing Party
LR Development Company LLC 350 W. Hubbard, Suite 300, Chicago, IL 60654 100%
SECTION III - BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship," as defined in Chapter 2-156 of the Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?
[ ] Yes M No
If yes, please identify below the name(s) of such City elected official(s) and describe such relationship(s):
SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature ofthe relationship, and the total amount of the fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who are paid solely through the Disclosing Party's regular payroll.
"Lobbyist" means any person or entity who undertakes to influence any legislative or administrative action on behalf of any person or entity other than: (1) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means any person or entity any part of whose duties as an employee of another includes undertaking to influence any legislative or administrative action.
If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must either ask the City whether disclosure is required or make the disclosure.
Page 3 of 13
Name (indicate whether Business Relationship to Disclosing Party Fees (indicate whether
retained or anticipated Address (subcontractor, attorney, paid or estimated.) NOTE:
to be retained) lobbyist, etc.) "hourly rate" or "t.b.d." is
not an acceptable response.
N/A
(Add sheets if necessary)
[X] Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V - CERTIFICATIONS
COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
Has any person who directly or indirectly owns 10% or more ofthe 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 [ ] No
FURTHER CERTIFICATIONS
1. Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article I supersedes some five-year compliance timeframes in certifications 2 and 3 below.
Page 4 of 13
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:
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 period preceding the date of this EDS, been convicted of a criminal offense, adjudged guilty, or had a civil judgment rendered against them in connection with: obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under a public transaction; a violation of federal or state antitrust statutes; fraud; embezzlement; theft; forgery; bribery; falsification or destruction of records; making false statements; or receiving stolen property;
are not presently indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any of the offenses set forth in clause B.2.b. of this Section V;
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 liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other unit of local government.
The certifications in subparts 3,4 and 5 concern:
the Disclosing Party;
any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in connection with the Matter, including but not limited to all persons or legal entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties");
any "Affiliated Entity" (meaning a person or entity that, directly or indirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is, with the Disclosing Party, under common control of another person or entity. Indicia of control include, without limitation: interlocking management or ownership; identity of interests among family members, shared facilities and equipment; common use of employees; or organization of a business entity following the ineligibility of a business entity to do business with federal or state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity); with respect to Contractors, the term Affiliated Entity means a person or entity that directly or indirectly controls the Contractor, is controlled by it, or, with the Contractor, is under common control of another person or entity;
any responsible official of the Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee of the Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official ofthe Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Page 5 of 13
Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor nor any Agents have, during the five years before the date this EDS is signed, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity 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 of the City, the State of Illinois, 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 br'iocal government'as a result of engaging in or being convicted of (1) bid-rigging in violation of 720 ILCS 5/33E-3; (2) bid-rotating in violation of 720 ILCS 5/33E-4; or (3) any similar offense of any state or ofthe United States of America that contains the same elements as the offense of bid-rigging or bid-rotating.
Neither the Disclosing Party hor'ahy Affiliated Entity is listed on any of the following lists maintained by the Office of Foreign Assets Control of the U.S. Department of the Treasury or the Bureau of Industry and Security of the U.S. Department of Commerce or their successors: the Specially DesignatedLNationals List, the Denied Persons List, thre 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) of the 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:
N/A
Page 6 of 13
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
8. To the best of the Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all current employees of the Disclosing Party who were, at any time during the 12-month period preceding the execution date of this EDS, an employee, or elected or appointed official, of the City of Chicago (if none, indicate with "N/A" or "none"). N/A
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, ofthe City of Chicago. For purposes of this statement, a "gift" does not include: (i) anything
made generally available to City employees or to the general public, or (ii) food or drink provided in the
course of official City business and having a retail value of less than $20 per recipient (if none, indicate
with "N/A" or "none"). As to any gift listed below, please also list the name of the City recipient.
N/A
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is PQ is not
a "financial institution" as defined in Section 2-32-455(b) of the Municipal Code.
If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will not become a predatory lender as defined in Chapter 2-32 ofthe Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 ofthe Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in Section 2-32-455(b) of the Municipal Code) is a predatory lender within the meaning of Chapter 2-32 of the Municipal Code, explain here (attach additional pages if necessary):
Page 7 of 13
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
ln accordance with Section 2-156-110 of the Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
[ ] Yes No
NOTE: If you checked "Yes" to Item D.L, proceed to Items D.2. and D.3. If you checked "No" to Item D. 1., 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 does not constitute a financial interest within the meaning of this Part D.
Does the Matter involve a City Property Sale?
[ ] Yes [ ] No
If you checked "Yes" to Item D.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.
X 1. The Disclosing Party verifies that the Disclosing Party has searched any and all records of the Disclosing Party and any and all predecessor entities regarding records of investments or profits from slavery or slaveholder insurance policies during the slavery era (including insurance policies issued to slaveholders that provided coverage for damage to or injury or death of their slaves), and the Disclosing Party has found no such records.
2. The Disclosing Party verifies that, as a result of conducting the search in step 1 above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including the names of any and all slaves or slaveholders described in those records:
SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. If the Matter is not federally funded, proceed to Section VII. For purposes of this Section VI, tax credits allocated by the City and proceeds of debt obligations of the City are not federal funding.
A. CERTIFICATION REGARDING LOBBYING
1. List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
N/A
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
Page 9 of 13
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".
If the Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equal in form and substance to paragraphs A.l. through A.4. above from all.subcontractors before it awards any subcontract and the Disclosing Party must maintain all such subcontractors' certifications for the duration of the Matter and must make such certifications promptly available to the City upon request.
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
If the Matter is federally funded, federal regulations require;the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
Is the Disclosing Party the Applicant?
[ ] Yes Dd 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 [ ] 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 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 law for a false statement 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 ofthe information provided on this EDS and any attachments to this EDS may be made available to the public on the Internet, in response to a Freedom of Information Act request, or otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it may have against the City in connection with the public release of information contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS.
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 Entities will not use, nor permit their subcontractors to use, any facility listed by the U.S. E.P.A. on the federal Excluded Parties List System ("EPLS") maintained by the U. S. General Services Administration.
F.3 If the Disclosing Party is the Applicant, the Disclosing Party will obtain from any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in F. 1. and F.2. above and will not, without the prior written consent of the City, use any such contractor/subcontractor that does hot provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
NOTE: If the Disclosing Party cannot certify as to any ofthe items in F.I., F.2. or F.3. above, an explanatory statement must be attached to this EDS.
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS and Appendix A (if applicable) on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS and Appendix A (if applicable) are true, accurate and complete as of the date furnished to the City:
Related Lathfop LLC .
(PrinU^
/^-^sTgn here) ~" ' ~
Curt Bailey __
(Print or type name of "person signing)
President
(Print or type title of person signing)
Signed and sworn to before me on (date)
at CqqK County, \U
Commission expires
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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 ofthe Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members ofthe Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means the president chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority.
Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
[ ] Yes [x] No
If yes, please identify below (1) the name and title of such person, (2) the name of the legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
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CITY OF CHICAGO
ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT APPENDIX B
BUILDING CODE SCOFFLAW/PROBLEM LANDLORD CERTIFICATION
This Appendix fa to be completed only by (a) tbe Applicant, and (b) any legal entity which has a direct ownership interest in the AppBcant exceeding 7.5 percent (an "Owner"). It is not to be completed by any legal entity which has only an Indirect o^ership interest in the Applicant
Pursuant to Municipal Code Section 2-154-010, is die 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 me 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?
I ]Yes [ ] No l)#Not Applicable
If yes to (1) or (2) above, please identrfy below the name oftbe person or legal entity buildings to which the pertinent code violations apply.
FOULING OUT THIS APPENDIX B CONSTITUTES ACKNOWLEDGEMENT AND AGREEMENT THAT THIS APPENDED 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 C3ERTJDPIGATION MADE UNDER PENALTY OF PERJURY ON PAGE 12 OF THE ASSOCIATED EDS.
ATTACHMENT II.B.l To Economic Statement for Related Lathrop LLC
Curt Bailey Stephen M. Ross JeffBIau Bruce A. Beal, Jr. Michael Brenner. Jacques Sandberg Susan J. McGuire Deborah Walters
President
Chief Executive Officer Executive Vice President Executive Vice President Executive Vice President Vice President Secretary Treasurer
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I -- GENERAL INFORMATION
Legal name ofthe Disclosing Party submitting this EDS. Include d/b/a/ if applicable:
Heartland Lathrop, LLC
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
[ ] the Applicant
OR
[x] a legal entity holding a direct or indirect interest in the Applicant. State the legal name of the Applicant in which the Disclosing Party holds an interest: Lathrop Community Partners, LLC.
OR
3. [] a legal entity with a right of control (see Section II.B.l.) State the legal name of the entity in
which the Disclosing Party holds a right of control:
Business address of the Disclosing Party: 208 S. LaSalle St., Suite 1300
Telephone: 312-660-1383 Fax: 312-660-1555 Email: rngoldberg(aheartlandalliance.<
Name of contact person: Michael Goldberg .__
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):
Zoning Amendment for property located at 2820-2996 North Clybourn Avenue; 2000-2144 West Diversey Parkway; 2007-2141 West Diversey Parkway; 2601-2953 North Leavitt Street; 2800-2888 North Leavitt Street; 2601-2769 North Hoyne Avenue; 2600-2768 North Hoyne Avenue; 2600-2800 North Damen Avenue and 2201-2223 West Oakdale Avenue.
G. Which City agency or department is requesting this EDS? Department of Planning and Development
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification # NA and Contract # NA
Page 1 of 13
SECTION II -- DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY I. Indicate the nature of the Disclosing Party:
Person [yj
Publicly registered business corporation [ ]
Privately held business corporation [ ]
Sole proprietorship [ ]
General partnership (Is
Limited partnership
Trust - [ J
Limited liability company Limited liability partnership Joint venture
Not-for-profit corporation
the not-for-profit corporation also a 501(c)(3))?
[]Yes []No
Other (please specify) —- " ¦
2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable: Illinois
3. For legal entities not organized in the State of Illinois: Has the organization registered to do business in the State of Illinois as a foreign entity?
[ ] Yes [ ] No Bf] N/A ¦
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
1. List below the full names and titles of all executive officers and all directors of the entity. NOTE: For not-for-profit corporations, also list belOw all members, if any, which are legal entities. If there are no such members, write "no members." For trusts, estates or other similar entities, list below the legal titleholde'r(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
Name Title
Heartland Housing, Inc. Sole member of Heartland Lathrop, LLC ¦_
2. Please provide the following information concerning each person or entity having a direct or indirect beneficial interest (including ownership) in excess of 7.5% ofthe Disclosing Party. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture,
Page 2 of 13
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 ofthe Municipal Code of Chicago ("Municipal Code"), the City may require any such additional information from any applicant which is reasonably intended to achieve full disclosure.
Name Business Address Percentage Interest in the
Disclosing Party
Heartland Housing, Inc. 208 S. LaSalle St., Ste. 1300 100%
Chicago, IL 60613
SECTION III -- BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship," as defined in Chapter 2-156 ofthe Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?
[ ] Yes pq No
If yes, please identify below the name(s) of such City elected official(s) and describe such relationship(s):
SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature 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
not an acceptable response.
No retained parties.
(Add sheets if necessary)
|X] Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V -- CERTIFICATIONS
COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
[ ] Yes [ ] No |X] No person directly or indirectly owns 10% or more of the
Disclosing Party.
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person.in compliance with that agreement?
[ ] Yes [ ] No
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 of 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
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:
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 period preceding the date of this EDS, been convicted of a criminal offense, adjudged guilty, or had a civil judgment rendered against them in connection with: obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under a public transaction; a violation of federal or state antitrust statutes; fraud; embezzlement; theft; forgery; bribery; falsification or destruction of records; making false statements; or receiving stolen property;
are not presently indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any of the offenses set forth in clause B.2.b. of this Section V;
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; arid
have not, within a five-year period preceding the date of this EDS, been convicted, adjudged guilty, or found liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other unit of local government.
The certifications in subparts 3, 4 and 5 concern:
the Disclosing Party;
• any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in connection with the Matter, including but not limited to all persons or legal entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties");
any "Affiliated Entity" (meaning a person or entity that, directly or indirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is, with the Disclosing Party, under common control of another person or entity. Indicia of control include, without limitation: interlocking management or ownership; identity of interests among family members, shared facilities and equipment; common use of employees; or organization of a business entity following the ineligibility of a business entity to do business with federal or state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity); with respect to Contractors, the term Affiliated Entity means a person or entity that directly or indirectly controls the Contractor, is controlled by it, or, with the Contractor, is under common control of another person or entity;
any responsible official ofthe Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee ofthe Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official ofthe Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Page 5 of 13
Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor nor any Agents have, during the five years before the date this EDS is signed, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity 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 ivj aner.
bribed or attempted to bribe, or been convicted or adjudged guilty of bribery or attempting to bribe, a public officer or employee of the City, the State of Illinois, or any agency 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 violation of 720 ILCS 5/33E-4; or (3) any similar offense of any state or of the United States of America that contains the same elements as the offense of bid-rigging or bid-rotating.
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 orthe Bureau of Industry and Security of the U:S. Department of Commerce or their successors: the Specially Designated Nationals List, the Denied Persons List, the Unverified List, the Entity List and the Debarred List. ' '
The Disclosing Party understands and shall comply with the applicable requirements Of Chapters 2-55 (Legislative Inspector General), 2-56 (Inspector General) and 2-156 (Governmental Ethics) of the 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:
Page 6 of 13
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
8. To the best of the Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all current employees of the Disclosing Party who were, at any time during the 12-month period preceding the execution date of this EDS, an employee, or elected or appointed official, of the City of Chicago (if none, indicate with "N/A" or "none").
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, ofthe City of Chicago. For purposes of this statement, a "gift" does not include: (i) anything
made generally available to City employees or to the general public, or (ii) food or drink provided in the
course of official City business and having a retail value of less than $20 per recipient (if none, indicate
with "N/A" or "none"). As to any gift listed below, please also list the name of the City recipient.
None
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is rXl is not
a "financial institution" as defined in Section 2-32-455(b) of the Municipal Code.
If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will not become a predatory lender as defined in Chapter 2-32 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in Section 2-32-455(b) of the Municipal Code) is a predatory lender within the meaning of Chapter 2-32 ofthe Municipal Code, explain here (attach additional pages if necessary):
Page 7 of 13
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
Any words or terms that are defined in Chapter 2-156 ofthe Municipal Code have the same meanings when used in this Part D.
In accordance with Section 2-156-110 ofthe Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
[ ] Yes M No
NOTE: If you checked "Yes" to Item D.l., proceed to Items D.2. and D.3. If you checked "No" to Item D.l., proceed to Part E.
Unless sold pursuant to a process of competitive bidding, or otherwise permitted, no City elected official or employee shall have a financial interest in his or her own name or in the name of any other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit of the City (collectively, "City Property Sale"). Compensation for property taken pursuant to the City's eminent domain power does not constitute a financial interest within the meaning of this Part D.
Does the Matter involve a City Property Sale?
[] Yes []No
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.
X 1. The Disclosing Party verifies that the Disclosing Party has searched any and all records of the Disclosing Party and any and all predecessor entities regarding records of investments or profits from slavery or slaveholder insurance policies during the slavery era (including insurance policies issued to slaveholders that provided coverage for damage to or injury or death of their slaves), and the Disclosing Party has found no such records.
2. The Disclosing Party verifies that, as a result of conducting the search in step 1 above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including the names of any and all slaves or slaveholders described in those records:
SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. If the Matter is not federally funded, proceed to Section VII. For purposes of this Section VI, tax credits allocated by the City and proceeds of debt obligations of the City are not federal funding.
A. CERTIFICATION REGARDING LOBBYING
1. List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
Page 9 of 13
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 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) 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".
If the Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equal in -form and substance-to paragraphs-Avl .- through A:4.-above from all subcontractors-before it awards-any- -subcontract and the Disclosing Party must maintain all such subcontractors' certifications for the duration ofthe Matter and must make such certifications promptly available to the City upon request.
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
Is the Disclosing Party the Applicant?
[ ] Yes [X] 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 [ ] 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 cheeked "No" io 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:
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 law for a false statement 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 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.
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 Entities will not use, nor permit their subcontractors to use, any facility listed by the U.S. E.P.A. on the federal Excluded Parties List System ("EPLS") maintained by the U. S. General Services Administration.
F.3- If the Disclosing Party is-the Applicant,-the Disclosing Party will obtain from any— -
contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in F.1. and F.2. above and will not, without the prior written consent of the City, use any such contractor/subcontractor that docs not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
NOTE: If the Disclosing Party cannot certify as to any of the items in F.I., F.2. or F.3. above, an explanatory statement must be attached to this EDS.
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS and Appendix A (if applicable) on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS and Appendix A (if applicable) are true, accurate and complete as of the date furnished to the City.
(Print or type name of Disclosing Party)
(Sign here)
Michael Goldberg
(Print or type name of person signing)
Executive Director of Heartland Housing. Sole Member of Heartland Lathrop, LLC (Print or type title of person signing)
Signed and sworn to before me on (date)^" pfeyu^K 1 p^lS. at C&c?Y~ County, ~±4.1 lyyp,'(state).
Notary Public.
Commission expires: °\ | | z2-\ L»
KfilSTtNA BUTLEfi OFFICIAL SEAL Notary Pubho. Slate ol Illinois My Commission Expires September 12. 2016
Page 12 of 13
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND DEPARTMENT HEADS
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5 percent. It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
Under Municipal Code Section 2-154-015, the Disclosing Party must disclose whether such Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently has a "familial relationship" with any elected city official or department head. A "familial relationship" exists if, as ofthe 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 II.B. La., if the Disclosing Party is a corporation; all partners ofthe Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members ofthe Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal officers ofthe Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means the president, chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority.
Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
[ ] Yes [X] No
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 of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
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 ofthe Municipal Code?
[ ]Yes [X]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 [ ]No [x] Not Applicable
If yes to (1) or (2) above, please identify below the name of the person or legal entity identified as a building code scofflaw or problem landlord and the address of the building or buildings to which the pertinent code violations apply.
FILLING OUT THIS 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.
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I - GENERAL INFORMATION
A. Legal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable: Bickerdike Lathrop LLC
Check ONE ofthe following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
j"'} the Applicant
OR
i/i 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: Lathrop community Partners llc
OR
3. [j a legal entity with a right of control (see Section II.B.l.) State the legal name of the entity in
which the Disclosing Party holds a right of control:
B. Business address ofthe Disclosing Party: 2550 w. North Avenue
Chicago, IL 60647
Telephone: 773-27S-5669 Fax: 773-278-5673 Email: ecastaneda@bickerdike.0r9
Name Of Contact person: ElizabethCastaneda
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):
Zoning amendment for Lathrop Homes .. .
G. Which City agency Or department is requesting this EDS? Department of Planning and Development
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification # __a and Contract # J^a
Page 1 of 13
SECTION II - DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY
f_J Person
^ [ Publicly registered business corporation Q Privately held business corporation fZl Sole proprietorship [Jj General partnership |"~! Limited partnership ? Trust"
/1 Limited liability company
I Limited liability partnership '_"] Joint venture ("j Not-for-profit corporation
(Is the not-for-profit corporation also a 501(c)(3))?
[J-Yes f_jNo f~~j Other (please specify)
2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
State of Illinois
3. For legal entities not organized in the State of Illinois: Has the organization registered to do business in the State of Illinois as a foreign entity?
? Yes ? No [/j N/A
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
1. List below the full names and titles of all executive officers and all directors of the entity. NOTE: For not-for-profit corporations, also list below all members, if any, which are lcgal 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. NOTEvEach legal entity listed below must submit an EDS On its own behalf. *
Name Title Bickerdike Redevelopment Corporation - Sole Member
2. Please provide the following information concerning each person or entity having a direct or indirect beneficial interest (including ownership) in excess of 7.5% ofthe Disclosing Party. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture,
Page 2 of 13
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 ofthe Municipal Code of Chicago ("Municipal Code"), the City may require any such additional information from any applicant which is reasonably intended to achieve full disclosure.
Name Business Address Percentage Interest in the
Disclosing Party
Bickerdike Redevelopment Corporation 2550 W. North Ave Chicago, IL 60647 1 QQ%
2550 W. North Ave Chicago, IL 60647
SECTION III - BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship," as defined in Chapter 2-156 ofthe Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?
LJ Yes V; No
If yes, please identify below the name(s) of such City elected official(s) and describe such relationship(s):
SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
• The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature ofthe relationship, and the total amount of the fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who are paid solely through the Disclosing Party's regular payroll.
"Lobbyist" means any person or entity who undertakes to influence any legislative or administrative action on behalf of any person or entity other than: (1) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means any person or entity any part of whose duties as an employee of another includes undertaking to influence any legislative or administrative action.
If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must cither ask the City whether disclosure is required or make the disclosure.
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Name (indicate whether Business 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.
None
(Add sheets if necessary)
j Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V -- CERTIFICATIONS
COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-41 5, 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?
I_] Yes I" j No ;/j No person directly or indirectly owns 10% or more ofthe
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 QNo
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
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:
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 period preceding the date of this EDS, been convicted of a criminal offense, adjudged guilty, or had a civil judgment rendered against them in connection with: obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under a public transaction; a violation of federal or state antitrust statutes; fraud; embezzlement; theft; forgery; bribery; falsification or destruction of records; making false statements; or receiving stolen property;
are not presently indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any of the offenses set forth in clause B.2.b. of this Section V;
have not, within a five-year period preceding the date of this EDS, had one or more public transactions (federal, slate or local) terminated for cause or default; and
have not, within a five-year period preceding the date of this EDS, been convicted, adjudged guilty, or found liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other unit of local government.
The certifications in subparts 3, 4 and 5 concern:
the Disclosing Party;
any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in connection with the Matter, including but not limited to all persons or legal entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties");
any "Affiliated Entity" (meaning a person or entity that, directly or indirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is, with the Disclosing Party, under common control of another person or entity. Indicia of control include, without limitation: interlocking management or ownership; identity of interests among family members, shared facilities and equipment; common use of employees; or organization of a business entity following the ineligibility of a business entity to do business with federal or state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity); with respect to Contractors, the term Affiliated Entity means a person or entity that directly or indirectly controls the Contractor, is controlled by it, or, with die Contractor, is under common control of another person or entity;
any responsible official ofthe Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee of the Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official ofthe Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Page 5 of 13
Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Conlractor 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 of Illinois, 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 bidder's 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).
4. ! 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 locahgovernment as a result of engaging in or being convicted of (1) bid-rigging in violation of 720 ILCS 5/33E-3; (2) bid-rotating in violation of 720 ILCS 5/33E-4; or (3) any similar .offense of any state or of the United States of America that contains the same elements as the offense of bid-rigging or bid-rotating.
Neither the Disclosing Party nor any Affiliated Entity is listed on any of the following lists • maintained by the Office of Foreign Assets Control ofthe -U.S. Department of the Treasury or the Bureau of Industry and Security ofthe U.S. Department of Commerce or their successors: the Specially Designated Nationals List, the.Denied Persons List, the Unverified List, the Entity ;List and the Debarred List.
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.
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:
n/a
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 ofthe Disclosing Party who were, at any time during the 1.2-month period preceding the execution date of this EDS, an employee, or elected or appointed official,
ofthe City of Chicago (if none, indicate with "N/A" or "none"). 1 n/a
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, n/a
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
The Disclosing Party certifies that the Disclosing Party (check one)
f") is |/; is not
a "financial institution" as defined in Section 2-32-455(b) ofthe Municipal Code.
If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will not become a predatory lender as defined in Chapter 2-32 ofthe Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss ofthe privilege of doing business with the City."
If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in Section 2-32-455(b) 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):
n/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.
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
. 1. In accordance, with.Section.2-156-1.10 of the.Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
Yes '(/] No •
NOTE: If you checked "Yes" to Item D.L, proceed to Items D.2. and D.3. If you checked "No" to Item D. L, proceed to Part E.
2. Unless sold pursuant to a process of competitive bidding, or otherwise permitted, no City elected official or employee shall have a financial interest in his or her own name or in the name of any other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit of the City (collectively, "City Property Sale"). Compensation for property taken pursuant to the City's eminent domain power does not constitute a financial interest within the meaning of this Part D.
Does the Matter involve a City Property Sale?
Yes i'J No
3. 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.
l / ; 1. The Disclosing Party verifies that the Disclosing Party has searched any and all records of the Disclosing Party and any and all predecessor entities regarding records of investments or profits from slavery or slaveholder insurance policies during the slavery era (including insurance policies issued to slaveholders that provided coverage for damage to or injury or death of their slaves), and the Disclosing Party has found no such records.
J \_2. The Disclosing Party verifies that, as a result of conducting the search in step 1 above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including the names of any and all slaves or slaveholders described in those records:
SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. If the Matter is not federally funded, proceed to Section VII. For purposes of this Section VI, tax credits allocated by the City and proceeds of debt obligations ofthe City are not federal funding.
A. CERTIFICATION REGARDING LOBBYING
1. List below the names of all persons or entities registered under the federal Lobbying
Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Parly with
respect to the Matter: (Add sheets if necessary): n/a
(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 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 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 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".
If the Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equal in form and substance to paragraphs A. l. through A.4. above from all subcontractors before it awards any subcontract and the Disclosing Party must maintain all such subcontractors' certifications for the duration ofthe Matter and must make such certifications promptly available to the City upon request.
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
Is the Disclosing Party the Applicant?
QYcs j/. 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 jjNo
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?
H Yes ' r_No '
Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
G 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:.
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 law for a false statement 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 ofthe information provided on this EDS and any attachments to this EDS may be made available to the public on the Internet, in response to a Freedom of Information Act request, or otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it may have against the City in connection with the public release of information contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS.
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 lakes 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 arc the Disclosing Party or its Affiliated Entities delinquent in paying any fine, fee, tax or other charge owed to the City. This includes, but is not limited to, all water charges, sewer charges, license fees, parking tickets, property taxes or sales taxes.
F.2 If the Disclosing Party is the Applicant, the Disclosing Party and its Affiliated Entities will not use, nor permit their subcontractors to use, any facility listed by the U.S. E.P.A. on the federal Excluded Parties List System ("EPLS") maintained by the U. S. General Services Administration.
F.3 If the Disclosing Party is the Applicant, the Disclosing Party will obtain from any cbntract(irs7sub'cdritractors hired or to be hired in connection with the" Matter certifications equal in form and substance to those in F.1. and F.2. above and will not, without the prior written consent ofthe City, use any such contractor/subcontractor that does not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
NOTE: If the Disclosing Party cannot certify as to any ofthe items in F.I., F.2. or F.3. above, an explanatory statement must be attached to this EDS.
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS and Appendix A (if applicable) on behalf ofthe Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS and Appendix A (if applicable) are true, accurate and complete as of the date furnished to the City.
Bickerdike Lathrop llc ; By: Bickerdike Redevelopment Corporation, its.manager
(Sign hen Jpy Aruguete - ¦
(Print or type name of person signing) Chief Executive Officer
(Print or type title of person signing)
(Print or type name of DisclOsint
at C-a&K-Signed and sworn to before me on (date) fiWtA^w^ ^.gj L,
County, JX-^-. (state):
Notary Public.
Commission expires
Page 12 of 13
OFFICIAL SEAL \ 8HADONNA l_ WARE .NOTARY PUBLIC, STATE OF ILLINOIS ' My Commission' Expires 08/13/2016 .
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 ofthe 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 ofthe following, whether by blood or adoption: parent, child, brother or sister, aunt or uncle, niece or nephew, grandparent, grandchild, father-in-law, mother-in-law, son-in-law, daughter-in-law, stepfather or stepmother, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister.
"Applicable Party" means (1) all executive officers of the Disclosing Party listed in Section II.B. La., if the Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members ofthe Disclosing Party, if the Disclosing Party is a 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?
CD Yes I*] 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 ofthe elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
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 - [x]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 [x] Not Applicable
If yes to (1) or (2) above, please identify below the name of the person or legal entity identified as a building code scofflaw or problem landlord and the address of the building or buildings to which the pertinent code violations apply.
FILLING OUT THIS 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.
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I - GENERAL INFORMATION
A. Legal name ofthe Disclosing Party submitting this EDS. Include d/b/a/ if applicable:
The Related Realty Group, Inc.
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
[ ] the Applicant
OR
[ ] a legal entity holding a direct or indirect interest in the Applicant. State the legal name ofthe
Applicant in which the Disclosing Party holds an interest:
OR
3. fc] 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: The Related Companies, LP.
B. Business address ofthe Disclosing Party: 60 Columbus Circle
New York, NY 10023
Telephone: 212-421-5333 Fax: 212-801-3781 Email: mbrenner@related.com
Name of contact person: Michael J. Brenner
E. 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):
Zoning Amendment for property located at 2820-2996 North Clybourn Avenue: 2000-2144 West Diversey Parkway: 2007-2141 West Diversey Parkway: 2601-2953 North Leavitt Street: 2800-2888 North Leavitt Street: 2601-2769 North Hoyne Avenue: 2600-2768 North Hoyne Avenue: 2600-2800 North Damen Avenue and 2201-2223 West Oakdale Avenue.
Which City agency or department is requesting this EDS? Department of Planning and Development
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification # N/A and Contract # N^A
Page 1 of 13
SECTION II - DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY
[ ] Person
[ ] Publicly registered business corporation
fc] 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: Delaware
3. For legal entities not organized in the State of Illinois: Has the organization registered to do business in the State of Illinois as a foreign entity?
£3 Yes []No , [ ] N/A.
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
1. List below the full names and titles of all executive officers and all directors ofthe 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 orother similar entities, list below the legal fitleholder(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 orany other person or entity that controls the day-to-day management of the Disclosing Party. NOTE: Each legal .entity listed below must submit an EDS on itsiown-behalf. -
Name Title
Stephen M. Ross Sole Stockholder, Director, Chairman '
Jeff T. Blau 1 Director, Chief Executive: Officer
Bruce A. Beal, Jr. President
Michael J. Brenner Director, Chief Financial Officer, Executive VP, Treasurer
2. Please provide the following information concerning each person or entity having a direct or indirect beneficial interest (including ownership) in excess of 7.5% of the Disclosing Party. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture,
Page 2 of 13
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal Code"), the City may require any such additional information from any applicant which is reasonably intended to achieve full disclosure.
Name Business Address Percentage Interest in the
Disclosing Party
Stephen M. Ross 60 Columbus Circle, New York, NY 10023 iqq%
SECTION III - BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship," as defined in Chapter 2-156 of the Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?
f_ ] Yes |x] No
If yes, please identify below the name(s) of such City elected official(s) and describe such relationship(s):
SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature of the relationship, and the total amount 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 "l.b.d." is
not an acceptable response.
(Add sheets if necessary)
[X] Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V - CERTIFICATIONS
COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
Has any person who directly or indirectly owns 10% or more of the Disclosing'Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
[ ] Yes Ex] No [ ] No person directly or indirectly owns 10% or more of the
Disclosing Party.
If "Yes;" has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with that agreement?
[] Yes [ ] No
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) neitherthe 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
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:
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 period preceding the date of this EDS, been convicted of a criminal offense, adjudged guilty, or had a civil judgment rendered against them in connection with: obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under a public transaction; a violation of federal or state antitrust statutes; fraud; embezzlement; theft; forgery; bribery; falsification or destruction of records; making false statements; or receiving stolen property;
are not presently indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any of the offenses set forth in clause B.2.b. of this Section V;
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 liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other unit of local government.
The certifications in subparts 3, 4 and 5 concern:
the Disclosing Party;
any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in connection with the Matter, including but not limited to all persons or legal entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties");
any "Affiliated Entity" (meaning a person or entity that, directly or indirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is, with the Disclosing Party, under common control of another person or entity. Indicia of control include, without limitation: interlocking management or ownership; identity of interests among family members, shared facilities and equipment; common use of employees; or organization of a business entity following the ineligibility of a business entity to do business with federal or state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity); with respect to Contractors, the term Affiliated Entity means a person or entity that directly or indirectly controls the Contractor, is controlled by it, or, with the Contractor, is under common control of another person or entity;
any responsible official of the Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee of the Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official of the Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Page 5 of 13
Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor nor any Agents have, during the five years before the date this EDS is signed, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the five years before the date of such Contractor's or Affiliated Entity's contract or engagement in connection with the Matter:
bribed or attempted to bribe, or been convicted or adjudged guilty of bribery or attempting to bribe, a public officer or employee of the City, the State of Illinois, or any agency of the federal government or of any state or local government in the United States of America, in that officer's or employee's official capacity;
agreed or colluded with other bidders or prospective bidders, or been a party to any such agreement, or been convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; or
made an admission of such conduct described in a. or b. above that is a matter of record, but have not been prosecuted for such conduct; or
violated the provisions of Municipal Code Section 2-92-610 (Living Wage Ordinance).
Neither the Disclosing Party, Affiliated Entity or Contractor, or any of their employees, officials, agents or partners, is barred from contracting with any unit of state or local government as a result of engaging in or being convicted of (1) bid-rigging in violation of 720 ILCS 5/33E-3; (2) bid-rotating in violation of 720 ILCS 5/33E-4; or (3) any similar offense of any state or ofthe United States of America that contains the same elements as the offense of bid-rigging or bid-rotating.
Neither the Disclosing Party nor any Affiliated Entity is listed on any of the following lists maintained by the Office of Foreign Assets Control ofthe U.S. Department of the Treasury or the Bureau of Industry and Security of the UiS. 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:
N/A
Page 6 of 13
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
8. To the best ofthe Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all current employees of the Disclosing Party who were, at any time during the 12-month period preceding the execution date of this EDS, an employee, or elected or appointed official, of the City of Chicago (if none, indicate with "N/A" or "none"). N/A
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. N/A
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is [jc] is not
a "financial institution" as defined in Section 2-32-455(b) of the Municipal Code.
If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will not become a predatory lender as defined in Chapter 2-32 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in Section 2-32-455(b) ofthe Municipal Code) is a predatory lender within the meaning of Chapter 2-32 ofthe Municipal Code, explain here (attach additional pages if necessary):
Page 7 of 13
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
D. CERTIFICATION REGARDING INTEREST IN CITY. BUSINESS
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
[] Yes , fx] No
NOTE: If you checked "Yes" to Item D.l., proceed to Items D.2. and D.3. If you checked "No" to Item D.l., proceed to Part E.
Unless sold pursuant to a process of competitive bidding, or otherwise permitted, no City elected official or employee shall have a financial interest in his or her own name or in the name of any other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit of the City (collectively, "City Property Sale"). Compensation forfproperty taken:pursuant to the,City's eminent domain power does not constitute a financial interest within the meaning of this Part D.
Does the Matter involve a City Property Sale?
[ ] Yes [ ] No
3. If you checked "Yes" to Item D.l., provide the names and business addresses ofthe City officials or employees having such interest and identify the nature of such interest:
Name Business Address Nature of Interest
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing Party must disclose below or in an attachment to this EDS all information required by paragraph 2. Failure to
Page 8 of 13
comply with these disclosure requirements may make any contract entered into with the City in connection with the Matter voidable by the City.
_x l. The Disclosing Party verifies that the Disclosing Party has searched any and all records of
the Disclosing Party and any and all predecessor entities regarding records of investments or profits from slavery or slaveholder insurance policies during the slavery era (including insurance policies issued to slaveholders that provided coverage for damage to or injury or death of their slaves), and the Disclosing Party has found no such records.
2. The Disclosing Party verifies that, as a result of conducting the search in step I above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including the names of any and all slaves or slaveholders described in those records:
SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. If the Matter is not federally funded, proceed to Section VII. For purposes of this Section VI, tax credits allocated by the City and proceeds of debt obligations of the City are not federal funding.
A. CERTIFICATION REGARDING LOBBYING
1. List below the names of all persons or entities registered under the federal Lobbying
Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with
respect to the Matter: (Add sheets if necessary): N/A
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
Page 9 of 13
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".
If the Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equal in form and substance to paragraphs A.l. through A.4. above from all subcontractors before it awards any subcontract and the Disclosing Party must maintain all such subcontractors' certifications for the duration of the Matter and must make such certifications promptly available to the City upon request.
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
Is the Disclosing Party the Applicant?
[] Yes fc] 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 [ ] 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 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 law for a false statement 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 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.
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 of the Municipal Code.
The Disclosing Party represents and warrants that:
Page 11 of 13
F. 1. The Disclosing Party is not delinquent in the payment of any tax administered by the Illinois Department of Revenue, nor are the Disclosing Party or its Affiliated Entities delinquent in paying any fine, fee, tax or other charge owed to the City. This includes, but is not limited to, all water charges, sewer charges, license fees, parking tickets, property taxes or sales taxes.
F.2 If the Disclosing Party is the Applicant, the Disclosin&Party and its Affiliated Entities will not use, nor permit their subcontractors to use, any facility listed by the U.S. E.P.A. on the federal Excluded Parties List System.(nEPLS") maintained by the U. S. General Services Administration.
F.3 If the Disclosing Party is the Applicant, the Disclosing Party will obtain from any contractors/subcontractors hired or to be hired in connection with die Matter certifications equal in form and substance to those in F.1. and F.2. above and will not, without the prior written consent of the City, use any such contractor/subcontractor that does not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
NOTE: If the Disclosing Party cannot certify as to any ofthe items in F.I., F.2. or F.3. above, an explanatory statement must be attached to this EDS.
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS and Appendix A (if applicable) on behalfof the Disclosing Party, and (2) warrants'that all certifications and statements contairitil!& thisEDS aiul! Appendix A(if-applicable)are true, accurate • and complete as of the date furnished'to the City. -
The Related Realty Group. Inc. (Print or type name of Disclosing Party)
Michael J. Brenner
(Print or type name of person signing)
Executive Vice President
(Print or type title of person signing)
Signed and sworn to before me on (date) J&p^iu* }w I
at i lc County, p^ V.Wc " (state)
lC^tz^c. ^9. Cg-^c^^t^ Notary Public.
Commission expires: ^//f / £ <3/fr .
.CORINE M. CQLLIGAN Notary Public. Slate of New York Registration #01CO6014998 Qualified In New York County Commkwlon Expires October 1920 {£_
Page 12 of 13
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDLX 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 'Tarnilial relationship" exists if, as ofthe date this EDS is signed, the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Parmer 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 ofthe following, whether by blood or adoption: parent, child, brother or sister, aunt or uncle, niece or nephew, grandparent, grandchild, father-in-law, mother-in-law, son-in-law, daughter-in-law, stepfather or stepmother, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister.
"Applicable Party" means (1) all executive officers of the Disclosing Party listed in Section 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 [x] No
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 of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
Page 13 of 13
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I -- GENERAL INFORMATION
A. Legal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable: Bickerdike Redevelopment Corporation
Check ONE ofthe following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
1. Q the Applicant
OR
2. j a legal entity holding a direct or indirect interest in the Applicant. State the legal name ofthe
Applicant in which the Disclosing Party holds an interest: Lathrop community Partners llc
OR
3. i"_""! 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:
B. Business address of the Disclosing Party: 2550 w. North Avenue
Chicago, IL 60647
Telephone: 773-278-5669 Fax: 773-278-5673 Email: ecastaneda@bickerdike.org
Name Of Contact pcrSOn: Elizabeth Castaneda
Federal Employer Identification No. (if you have one): ^E^^^WP.
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):
Zoning amendment for Lathrop Homes
G. Which City agency or department is requesting this EDS? Department of Planning and Development
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification # _n/a and Contract #
Page 1 of 13
SECTION II DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY
j Person
1 Publicly registered business corporation
f'.j Privately held business corporation f 'j Sole proprietorship [_J General partnership j*""] Limited partnership Trust
;" j Limited liability company . .1 Limited liability partnership
[ ! Joint venture
[/] Not-for-profit corporation
(Is the not-for-profit corporation also a 501(c)(3))?
17] Yes LjNo I ) Other (please specify)
2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
State of Illinois
3. For legal entities not organized in the State of Illinois: Has the organization registered to do business in the State of Illinois as a foreign entity?
? Yes ? No 0 N/A
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
1. List below the full names and titles of all executive officers and all directors of the entity. NOTE: For not-for-profit corporations, also list below all members, if any, which are legal entities. If there arc no such members, write "no members." For trusts, estates or other similar entities, list below the legal titleholder(s).
If the entity is a general partnership, limited partnership, limited liability company, limited liability partnership or joint venture, list below the name and title of each general partner, managing member, manager or any other person or entity that controls the day-to-day management of the Disclosing Party. NOTE: Each legal entity listed below must submit an EDS on its own behalf.
Name Title See attached list of officers and directors. No members are legal entities.
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
Disclosing Party
None
SECTION III - BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship," as defined in Chapter 2-156 ofthe Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?
I JYcs i/jNo
If yes, please identify below the name(s) of such City elected official(s) and describe such rclationship(s):
SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Parly must disclose the name and business address of each subcontractor, attorney, lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature of the relationship, and the total amount ofthe fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who arc paid solely through the Disclosing Party's regular payroll.
"Lobbyist" means any person or entity who undertakes to influence any legislative or administrative action on behalf of any person or entity other than: (1) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means any person or entity any part of whose duties as an employee of another includes undertaking to influence any legislative or administrative action.
If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must either ask the City whether disclosure is required or make the disclosure.
Page 3 of 13
Name (indicate whether Business Relationship to Disclosing Party Fees (indicate whether
retained or anticipated Address (subcontractor, attorney, paid or estimated.) NOTE:
to be retained) lobbyist, etc.) "hourly rate" or "t.b.d." is
not an acceptable response.
None
(Add sheets if necessary)
Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V -- CERTIFICATIONS
COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
G'Y es Q No [/] No person directly or indirectly owns 10% or more of the
Disclosing Party.
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with that agreement?
? Yes f] No
FURTHER CERTIFICATIONS
1. Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any sister agency, and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article I supersedes some five-year compliance timeframes in certifications 2 and 3 below.
Page 4 of 13
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:
arc not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from any transactions by any federal, state or local unit of government;
have not, within a five-year period preceding the date of this EDS, been convicted of a criminal offense, adjudged guilty, or had a civil judgment rendered against them in connection with: obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under a public transaction; a violation of federal or state antitrust statutes; fraud; embezzlement; theft; forgery; bribery; falsification or destruction of records; making false statements; or receiving stolen property;
arc not presently indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any of the offenses set forth in clause B.2.b. of this Section V;
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 liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other unit of local government.
The certifications in subparts 3, 4 and 5 concern:
the Disclosing Party;
any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in connection with the Matter, including but not limited to all persons or legal entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties");
any "Affiliated Entity" (meaning a person or entity that, directly or indirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is, with the Disclosing Party, under common control of another person or entity. Indicia of control include, without limitation: interlocking management or ownership; identity of interests among family members, shared facilities and equipment; common use of employees; or organization of a business entity following the ineligibility of a business entity to do business with federal or state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity); with respect to Contractors, the term Affiliated Entity means a person or entity that directly or indirectly controls the Contractor, is controlled by it, or, with the Conlractor, is under common control of another person or entity;
• any responsible official ofthe Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee of the Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official ofthe Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Page 5 of 13
Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor nor any Agents have, during the five years before the date this EDS is signed, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity 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 of the City, the State of Illinois, or any agency of the federal government or of any state or local government in the United States of America, in that officer's or employee's official capacity;
agreed or colluded with other bidders or prospective bidders, or been a party to any such agreement, or been convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; or
made an admission of such conduct described in a. or b. above that is a matter of record, but have not been prosecuted for such conduct; or
violated the provisions of Municipal Code Section 2-92-610 (Living Wage Ordinance).
Neither the Disclosing Party, Affiliated Entity or Contractor, or any of their employees, officials, agents or partners, is barred from contracting with any unit of state or local government as a result of engaging in or being convicted of (1) bid-rigging in violation of 720 ILCS 5/33E-3; (2) bid-rotating in violation of 720 ILCS 5/33E-4; or (3) 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 ofthe 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.
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 of the above statements in this Part B (Further
Certifications), the Disclosing Party must explain below:
n/a
Page 6 of 13
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
8. To the best of the Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all current employees of the Disclosing Party who were, at any time during the 12-month period preceding the execution date of this EDS, an employee, or elected or appointed official,
of the City of Chicago (if none, indicate with "N/A" or "none"), n/a
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, n/a
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION -
The Disclosing Party certifies that the Disclosing Party (check one)
j j is i/j is not
a "financial institution" as defined in Section 2-32-455(b) ofthe Municipal Code.
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):
n/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.
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
Any words or terms that are defined in Chapter 2-156 ofthe Municipal Code have the same meanings when used in this Part D.
1. 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 v|No
NOTE: If you checked "Yes" to Item D.l., proceed to Items D.2. and D.3. If you checked "No" to Item D. 1., 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 of the City (collectively, "City Property Sale"). Compensation for property taken pursuant to the City's eminent domain power does not constitute a financial interest within the meaning of this Part D.
Does the Matter involve a City Property Sale?
Yes CjNo-
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.
i ./ j 1. The Disclosing Party verifies that the Disclosing Party has searched any and all records of the Disclosing Party and any and all predecessor entities regarding records of investments or profits from slayery 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 Parly has found no such records.
j j_2. The Disclosing Party verifies that, as a result of conducting the search in step 1 above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including the names of any and all slaves or slaveholders described in those records: n/a
SECTION VI -- CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. If the Matter is not federally funded, proceed to Section VII. For purposes of this Section VI, tax credits allocated by the City and proceeds of debt obligations ofthe City are not federal funding.
A. CERTIFICATION REGARDING LOBBYING
1. List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf ofthe Disclosing Party with respect to the Matter: (Add sheets if necessary): n/a
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
Page 9 of 13
The Disclosing Party will submit an updated certification at the end of each calendar quarter in which there occurs any event that materially affects the accuracy of the statements and information set forth in paragraphs A.l. and A.2. above.
The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) ofthe Internal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) of the Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities".
If the Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equal in form and substance to paragraphs ATI. thTough~AT4Tabove ffolh^ll subcoritra^
subcontract and the Disclosing Party must maintain all such subcontractors' certifications for the duration ofthe Matter and must make such certifications promptly available to the City upon request.
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
If the Matter is federally funded, federal regulations require.the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
Is the Disclosing Party the Applicant?
~] Yes No If "Yes," answer the three questions below:
Have you developed and do you have on file affirmative action programs pursuant to applicable federal regulations? (See 41 CFR Part 60-2.)
G Yes G 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?
HYes rjNo
Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
[7] Yes [j 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:
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, Cily assistance, or other City action, and arc 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 law for a false statement 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 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.
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 Entities will not use, nor permit their subcontractors to use, any facility listed by the U.S. E.P.A. on the federal Excluded Parties List System ("EPLS") maintained by the U. S. General Services Administration.
F.3 If the Disclosing Party is the Applicant, the Disclosing Party will obtain from any contractor's/subcdhtrac'tofs'hircd or to be hired in connection with the Matter certification's equal in form and substance to those in F.1. and F.2. above and will not, without the prior written consent of the City, use any such contractor/subcontractor that does not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
NOTE: If the Disclosing Party cannot certify as to any of the items in F. 1., F.2. or F.3. above, an explanatory statement must be attached' to this EDS.
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS arid Appendix A (if applicable) on behalf of the Disclosing Party, ;and (2) warrants that all certifications and statements contained in this EDS and Appendix A (if applicable) are true, accurate and complete as of the date furnished to the City.
Bickerdike Redevelopment Corporation (Print or type name of Disclosing PartyL_„
By:
Joy Aruguete
(Print or type name of person signing)
Chief Executive Officer
(Print or type title of person signing)
Signed and swd at CoQU-
Commission expires:
Page 12 of 13
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND DEPARTMENT HEADS
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5 percent. It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
Under Municipal Code Section 2-154-015, the Disclosing Party must disclose whether such Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently has a "familial relationship" with any elected city official or department head. A "familial relationship" exists if, as ofthe 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 II.B. La., if the Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members 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?
LI') Yes fx} 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 ofthe 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 [X]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 [ ]No [x] Not Applicable
If yes to (1) or (2) above, please identify below the name of the person or legal entity identified as a building code scofflaw or problem landlord and the address of the building or buildings to which the pertinent code violations apply.
FILLING OUT THIS 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.
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I - GENERAL INFORMATION
Legal name ofthe Disclosing Party submitting this EDS. Include d/b/a/ if applicable:
HpartlanH-HoiKing, Inc. ; . . ,
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
1. ».[,"] the Applicant
OR
pq a'legal entity holding a direct or indirect interest in .the Applicant. State the legal name ofthe
Applicant in which the Disclosing Party holds an interest: Lathrop Community Partners LLC OR
[ ] a legal entity with a right of control (see SectionTl.'B.L) :State the legal name of the entity in
which the Disclosing Party holds a right of control:
Business address ofthe Disclosing Party: 208 S. LaSalle St, Suite 1300
Telephone: 3i7.^fi(Vl383 Fax: iis-fifiO-isss . Email: niCr>lHhprCtabparilarl,lallianrp.nrE
Name of contact person: Michael Goldberg
Federal Employer Identification No. (if you,have one): T
.R;:BHd^deMriptioaiof.con^c^f1ransaction or other. undertaking.(referred.to below, as the "Matter"'), to
¦AyHiph-this (EDS ;pe if appl icable).
^i^7L^dj^%pfoj^ located at 2820-2996 NbHfi'Cjy^ Piycrscy;r%rkway; -2007-2141 ;Wcst.
:Divcrsey:Parkw^ 2800.2888 No^ Leavitt StrMl;'2BdU27fjr9"W6rth Hoyne Avenue; 2600-2768 North
Hovrie Avenue; 2600-2800 North Damen Avenue and 220 iI r2223 West Oak'dale Avenue.
G. Which Gity agency or department is requesting this EDS? Department of Planning andDcveloprncnt
If-the'Matter'is-a>'cdntract'bbinghandI'e^-b'y.the' Gity'sDeparM complete the following:
Specification # . NA and Contract U. NA
Page 1 of 13
SECTION II - DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY
1. Indicate the nature ofthe Disclosing Parly:
[ ] Person [ ] Limited liability company
[] Publicly registered business corporation . [] Limited liability partnership
[] Privately held business .corporation -1 h JpinkYfife&irft
[] Sole proprietorship . pq; Notifor.-profil corporation
[ ] General partnership (Is the not-for-profit corporation also a 50.1(c)(3))?
f ] Limited.partncrship [ft] Yes [ ] No
[] Trust [] Other (please specify)
2. For legal entities, the state (or foreign country) of incorporation or organization; if applicable:
Tllinnix
3. For legalentitiesjnot organized in the;Statejof Illinois: Has the organization rcgistcfc.d>'to.do business in the State of Illinois as a foreign chfity?
[:] Yes [ ] N6: ; ,: fX) N/A . . . .,,;.,!;-
B. IF THE*DISCpOS IN G'P'A^TrY ISA LEGAL ENTITY:
lv ¦L-is&beiow. thc^fu all directors of theren(ity;:
NOTE: For not-for-profit corporations, also'list below all.membcrs.'if any, which arc legai.entilies. If
there are-no.such members, write "no members." For/trusts'^
lhe.legaLtitlehojder(s):
manager?6r any, omer^
NOTErEaclfvlegaFe . ; :: .
Name '"' •-••^v^- "Titld ;; : ; ,:i -¦-¦¦i-iC-:-.
No.inembcrs.'^ vv ¦ ¦ ?*:-'-- ¦ : '¦¦ '¦¦ •:. ":- '':
ListbfalliexeGutive offi . v.
2. Please: pro vide, the following infonn^tiori concerning, each person or entity having a direct or indirect'.bcricficial interest (including ownership) in excess of 7.5% ofthe Disclosing Party. Examples of such an interest include shares in a corpdratiori; partnership interest in a partnership brjbinf venture,
Page 2 of 13
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal Code"), the City may require any such additional information from any applicant which is reasonably intended to achieve full disclosure.
Name Business Address Percentage Interest in the
Disclosing Party
None
SECTION III - BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship," as defined in Chapter 2-156 of the'Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?
U Yes |X] No
If yes, please identify below the name(s) of such City elected official(s) and describe such relationship(s):
SECTION IV —-DIS.CLpSURE.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 fParty';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 priestimated. to be.paid. The Disclosing Party is not required to\discl.os,e employees who are paid splely'through the Disclosing Party's regular payroll.
"Lobbyist'-' means aiiyspefsoh-orentity,who undertakes to,influence any.legislative'-or administrative action on behalfofany person or entity other than; (1) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means ahyiperson or entity any part of whose duties as an.employee of another includes undertaking tq^influence any legislative or administrative action.
If the Disclosing Party-is uncertain whether a disclosure is required under this Section, the. Disclosing. Party must;cither.ask;the City whether disclosure is required or make thcjdisciosurc.
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.
See attached list
(Add sheets if necessary)
[ ] Check here if.theDisclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V -- CERTIFICATIONS
A. GOURT^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 terni.
Has any person who directly or indjEec^}y;owarrearage on any child support ObligatiOris'by any Illinois court of competent jurisdiction?
[ ] Yes [ j No [yj No person directlyor indirectly owns 10% or more ofthe
Disclosing Party.
If "Yes/-' Jhas -the1p~ers6ii ^ntered:intb: a cb"uft-a^ payment of rail support owed aiid
is the person in compliance with'that-agreement?
U'Yes4" :?,[]No" " ¦ ¦¦ : •''"=' C • ' ' ~ - ¦ ¦
B. J^JR-THER CER# :;.: ." ,,
1. Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")(which the Applicant should
consult &r*defiri£dj$rm^ ;
submim"ng"-.thiii EE'S Is'th^^plicant and#^mng'biisihc^ -witil:the City, th'cn the DiselosingParty
certifies as^llbws:i(i) neitj&er the AppHcantfr^ is currently indictcd-or' charged
withj.Orhas-admitt^ ha^evcnb.cch^con 1
crimjnar.offenscr^ atteihpie^s.W-cMs'pjracy to commit bribery, th'eft, fraiid, forgery,
perjury',-d^
'A;ppli£ant'u ¦¦ doing business withnhe City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article 1 supersedes some five-year compliance timeframes in certifications 2 arid 3 below.
Pagci4 of T3
The Disclosing Parly and, if the Disclosing Parly is a legal entity, all of those persons or entities identified in Section II.B.l. 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 period preceding the,date of this EDS, been convicted of a criminal offense, adjudged guilty, or had a civil judgment rendered against them in connection with: obtaining, attempting to obtain, or performing a piiblic,(federal, state or local) transaction or contract under a public transaction; a violation of federal or stale 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 of the 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;prcccdingithe date;of this EDS, been convictcd,iadjudged guilty, or found liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by thc fedcral government,.any statCj or any otherainit.Q&Iocaljgoyernment:
The certifications in subparts.3, 4 and 5'icOncern:
the Disclosing Party;
any "Contractor" (meahingvany^ by ^etPJs^clos^n^rRajjry^in.
connection with the.Matter^ or legal entities .(lisclbsed.unclcr
Seetion?IV, "Disclosures n.
•' any "AffiliatedeEht^ e^Hly^thafj.^directly.or4ndirectLy: contr,oJS:the
Disclosing Party, isxOhtrolled^ Party, or is, with the Disclosing Party, under:
common control ofariomer perspn^r entity; Indicia of control include, without limitation:
interlocking manageme^ among .family members, shared facilities
arid "equipmehtjeomm^^
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 AffiHat^ person, or entity .that directly or.
indirectly controls the:C.britracJo.r,'.is cphtrPlied)§y:.it,-.ori jsK-ith the Contractor, is under common , control of another pefspri or entity;
any responsible bffijcial ofthe,'D.isclosing Party, any Conlractor or any Affiliated Entity or any other official, a'g^t-OY--employee''of'the-DisclosingPatty;-any Contractor or any Affiliated Entity, acting pursuant to;th'e direcliOnjor authorization of a responsible official.of the Disclosing Parly, any Contractor or any Affiliated Entity (collectively "Agents").
Page 5i 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 adjudgedguilty of bribery or attempting to bribe, a public officer Or employee Of the Cilyi tlie.-State of Illinois, or any agency of the federal gbverrimeh'tior of-any/state or 'local gdveniriieh'tiih the United States of America, in-that .officer's or eriiplpyee'siO^hciaFcap'acity;
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, 'inrestraintbf'Trcedom of competition by agreement to^bid a fixed price or
made'ahiaamissibn of siibh conduct desenbe'd-fai-a. bfV: 5Sbpyc that is a matter of record, :but have notfbeen prosecuted'for,'su6h"':c6!hdU'ct;-'6r *'••
vidlatcd' the'prdvisibris'bf MuhicijSal Code Section '-2-92-6^0 -(Livihg\Wage:OTdmanc'e)-.:
Neith'cf^tHe'T^
agehts.or;partners,':is barredtfrbm contracting with any:unitidf ;statcTpr-ldca
engaging'iri^prib^^ of (1) bid-rigging in yiolation of 720 ILCS 5/33E-3; ;(2) bid-rotating in
-viol^qniof^M^S^^-E^'; or (3^ any-similar-offchsc^f^hy^&^
America that cohtainsthe same elements as the offense ofbid-riggihg or bid-rotating.
Ncjj^ listed'Onfjany^f^the^fbilowihg lists
maintained^
Bureau o'£^
'Desighated|^atioii :. -
.peb^cd!mst'6^i;i^ !l':v.v':: • :k;/;-;%;l;-U'';^';^;-^l. . ¦¦ ¦•¦
^! '.'T'K,cSpi^ shall cpmpl'y!witn thcjappiicable requirements of Chapters
2-55 (Legjsl'atiy^^^^
Mum^a^^ ¦ ¦¦ ¦ ¦ \ ¦i:-vin.v,;i:::,:.;-, v.
1: ';If.tfij5^ slate'menfs'in this'Part B- (Further
Page 6 of. 13
Certificaticms}^
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Parly 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 ofthe Disclosing Party who were, at any time during the 12-month period preceding the execution'date of this EDS,'an employee, or elected or appointed official, of the City of Chicago (if none, indicate with "N/A" or "none").
None ' .
9. To the best of the'DiscIosing Patty'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-morith period preceding the execution date of this EDS, to an employee, or elected or appointed official, ofthe City of Chicago. For purposes of this statement, a "gift" docs not include: (i) anything made gencrally avaiiabie to City employees6r''t*b:the^'en'eraTpublic, 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 hone, indicate with "N/A" or "none"). As to any gift listed below, please also list the name of the City recipient.
None _^
C. CERTIFICATIONOFSTAfUS AS FINANCIA'L INSTITUTION
The Disclosing Party certifies that the Disclosing Parly (check one)
[ ] is :PQ is not
a "financial institution'1 as defined in Section 2-j32-455(b) of the Municipal Code.
If the Disclosing Party IS aMriaricial institution, th'eh.tKe Disclosing Party pledges:
"We are not and will not become a predatory lender, as definediii Chapter 2-32 of the Municipal
Code. We fuVth'er pledge that-none; ofout affiliates is,and hone of them will become, a predatory
lender asdefiried^m 2-32 of the Municipal Code. We understand that becoming a predatory
lender or becomingjan affiliate of a predatory lender-may result in the loss of the privilege of doing business with the City."
If the pisclbsing^Paxly is unable tq/make this pled affiliates (as defined in
Section 2-32-455|b)^f the Municipal Code) is a predatory lender withiii the;meaning of.Chapter 2-32 of the Municipal Code, explain -here (attach additional pages if
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. CERTiniCATIQN^.^ARmNG INTEREST IN,
Any words or terms that^are^defined in Chapter 2-1-56 «f.'the Municipal Code have the Same meanings when used in this Parl D.
1: "In accordance w
ofthe City have-a¦financial;interest in his or her pwn.nam.c.or in the name .of any other person or entity, intheiMatter?
[]Yes ; . : ; ;;b<]No .: ;¦: ! =
NOTE: If you checked "Yjes" tojitem^p. l ,, proceed tp.llcms D.2. and D-3. if you checked "No" to.
iteni.p/l .3;prp'ceed^ ] . ' ; ; , . . v / .
2. Unless sold pursuant;to a^process bfxompetitive bidding, or olherwisc':jpe.fmitte.d,< rid City
elected official of-cinp^ ayfinanc'Iarihterest iii his or her own hame'or ih the"hame of
any other person or entrty mt&e'purc (i) belongs to thclCity- or (ii)'is sold
fpr;taxes;or;^s^ prloeess at i;he"^suitfot thxlCity;('coiiectiye;Iy,
"City Property Salc"^^ does-not constitute a fmahciaiiti^^
Does the Matter involve a City Prpperty/Safe?
[ ] Yes [ ] Nb " . >Al
|1010|If you;check;ed^vYes^toTtem
officials or emplo^^s^^ : Si ;fl ,
Name ,; ,,. r ^Busincss-y0^rc|s . •, Nature:pf Interest- .
•¦ • . --- '¦—i ... . ^.jy—-Tw 'r*?*!%t ;'^""V-V.:'1 ^ ~ " • ¦ - -'»'.r- :-;:;i.rr?'. -^>Vi r*.> % v*f. ...r-. *
¦ f • - ¦ r.' v. .>;> j-.- ¦ '-f\i'„ '...a::'t- .'.1 ::.!.^J^;iihi-i!; --' ¦ "¦ '<•.'.'¦ - ¦V'--^; f ).;.'¦ .
4. Tjiej.EtisPllos^
be acquired by an£^ f , ;j., :v::^v-:;'i^::V;;Hi;^'X
.'. ^; ;'^\-/?^ .;¦!: .j (• .:>;{o; fn*-: -h,:]: i^-JiV^tA ':;
E. CERTIFICATION liEGARDING SLAVERY ERA BUSINESS
Please check either :L;-or;2rbelp checks 2:,-the Disclpsihg-Party must
disclose below or in aiii attatiimen't to.tliis;EpS all'ihformalioii required by paragraph 2. '•Fa'ilurevto
;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 Party has searched any and all records of the Disclosing Party and any and all predecessor entities regarding records of investments or profits from slavery or slaveholder insurance policies during the slavery era (including insurance policies issued to slaveholders that provided coverage for damage to or injury or death of their slaves), and the Disclosing Party has found no such records.
2. The Disclosing Party verifies that, as a result of conducting the search in step 1 above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including the nanies of any.and all.slaves or slaveholders described in-.those records:
SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. If the Matter is not federally funded, proceed'to Section VII. For purposes of this Section VI, tax credits allocated by the City and proceeds of debt obligations ofthe City are not federal funding.
A. CERTIFICATION REGARDING LOBBYING
1. List below the names of all persons.or entities registered under the federal Lobbying
Disclosur^ Act'ofl.9^ made^obbying contacts on behalf of me Disclosing Party with
respect to 'ttic^'Klatter: (Addshecfs if necessary):
(If.no explanation appears or-begins on the lines above, or if the letters-''NA'' or'if;Ae;v^prd.vj^dne." 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 bisclbsing'Party has'not spent arid 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 lo pay any person or entity to.influence onattcrnpf/to.influe
applicable fedefaliaw, a member of Congress, an officer or employee of Congress, or an employee of a member, of Cohgress;:in connection withthe award of any federally funded contract, making, any federally funded'grant or loaiii 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 ofthe statements and information set forth in paragraphs A.l. and A.l. above.
The Disclosing Party certifies that either: (i) it is not an organization described iri'section 501(c)(4) of the Internal Revenue Oodeo'f' 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 11 Lobbying Activities".
_ 5,_ If theTDisclosihg Party is the Applicahtj the Disclosing Party must obtain certificationstequal iu.
form-and substaricert6 -paragfaphs'Aj-F. ^pught'A?.4.*abbVc^frOm 'all;*sub'cbntractors ib-eToreMt-awarlisVaiiy-subcontract and'th'e Disclosing ^P^'fty-must^maihtaihVall such subcontractors' certifications for'.th.e duration,of the Matter and must make such certifications promptly available to the City upon request.
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
If-the Matter-is federally funded, federal regulations require the Applicant and all proposed subcontractors'to submit the following information with their bids or in writing at the outset of negotiations^ . .
Is the Disclosing'Party the Applicant? .
[] Yes $ No
If "Yes," answer the three questions below:
j programs pursuant tq.applicable
federal regulations? (S ee 4 J ;CER Part/60-2.) " "?" "¦"" ' ",: >::^
r-]jy-QSi '.r~... . . , ,
2\ &av£>y£yffi
Contrat^ Commission ail 'reports';due
under thc applicable'Tiiihg requirements? :': :i ;': ' ''"''"• : ;
i^Yef^ r '¦ ' ¦ '}iV&o ¦ ¦
3. Hayc.ypu participated in any previous contracts or subebntfacts subject to flic [ualTppp^brtunity clause?
If:yo^cfr<& ¦'
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.arc 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 jQampa jgn Financing Ordinances, Chapters 2-156 and ;2r l 64 of the Municipal Code, impose certain duties and;obiigations on persons or entities seeking City contracts, work, busiriess,.oritransactibns. -The full text of thcse.ordinanccs and a;training.program is-.available bn line at \vww.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 contractpr.&ther_agreement in connection with which it.is submitted may,,bc Tcscinded -prjbc y^id or
voidable, and theCity may.pursue any remedies under the contract pr.agrccmcnt (if hot resciridedor
void), at law,:,or^in.cquityv4 the Disclosing fParty's/part^
declining'to allow me Disclosing Party to participate in other transactions with the City. Remedies at law for a false statement of material fact hiay 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 ijpon request. Some or allio.fShe information provided on this EDS and any attachments tpUhis?E©S*m*ay be made available to the public on the Jntcrnet, in response to a Freedom of Information Act request, or otherwise. By completing and signidg. this .EDS, the Disclosing Party waives and rete^
rights or claims whichitimay have agai
contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS.
E. The information proVided',-^-tliis;EpS,i^ust'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 b*eing&
update this EpS\as?tiie-cb With respect to. Matters .'subjectto .Article i.bf ^
Chapter;1;23'of the^^ INFvLIGIBit;TTY for certain specified
offenses); the info rtM eligibility must be kept c.ufrent :for a longer period,
as required by Chaptcrl of thc'Municipal.Code.
The Disclosing Party represents and warrants that:
Page II of 13
F.1. The DisclosingParly is not delinquent in (he payment of any lax administered by the Illinois Department of Revenue, nor are the Disclosing Party or its Affiliated Entities delinquent in-paying aiiy fine, fee, tax or other charge owed to the City. This includes, but is not lirnited to, all water charges, sewer charges, liccnsefeesj-parkirig tickets; properly taxes or sales taxes.
F;2 .^if the,bisclbsin|l^ the Discipsitig Party and its. Affiliated;^
.usc^nojjpfcmte .sl'EJPyA^ onnhe!f6derai Excluded
•Partics;;List£ by.the;U'. S."General;Services Adrrunistratipri;
F:3 ::lfttjic,^ wjll obtain from, any
^TErJMh^Dr iscldsi^ ;ahyvof theiiterns:in:F,l.; ¥\2. ofF:3^abovc; an
expla^
CERTIFICATION
. artflico&pleti^ 'tb-mc'Gity .:Heartland':H6usinR; Inc... ~.
^MichaeLGoldbcrg':
(nrihtbri^pe^nahte: 6f. 'p^d'ffl'signmg )*':'
¦¦r&eeUMev^jfect'df... ?.
(Print or^t^e^jtle^of person signing)
Sign^iind]^
S» -- -
GommissioriSexpires:
at-i^^^fe^:^ (stale).-, > / , .:v>-: -'A-
^¦MkM^j^^P^-m^^y.'.-' :Notary:Riifelic. ;
Page 12 of 13
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX A
FAMILIAL RELATIONSHIPS WITII ELECTED CITY OFFICE ALS AND DEIURTMENT HEADS
This 'Appendix is to be cpmpicted-bnty Applicant; and (b) any legal entity which/has a direct
ownership intW hot to bc cbhipictcd by any}lcgal entity
which has "only a^^
Under Municipal, Code Scctipn 2- 154r-pi5>;thc Disclosing Party must.disclosc whether sUeh pisclosihg Party
or any ^pph£abi^^ with
any elected Pity'o1(^ exists if, as of the date'thisiEIDS is
signed,- the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof is related to
the mayor; any alderman, the cijry clcr^fthc;;city u-casurer-or any city department head.as spouse br-domestic
partner or as any ofthe following, whether by blood or adoption:-parent, child, brother or sister, aunt or uncle,
niece or nephew, ^andparent, grandchild,^ son-in-iaw, daughtef-inrlaw; stepfather
or stepmother, stepson or stepdaughter; stepbrother or stepsister or half-brother or half-sister;
"Applicable Party" means (1) all executive officers of the Disclosing Party listed in Section ILB.l.a., if tlie
Disclosing Party is a co.rp,oratipn;;.allpartners pf the Disclpsing Patty, if the Disclosing Party is a general
partnership; al l general partners smdiimited partners of thc:piselpsihg; Party, if the Disclosing Party is a,limited
partnership; all managers, managing membcrs/.and members of the Disclosing Party, if the Disclosing Party is a
limited liability company;ii(2) al|jprincip> any person haying more than
a 7.5 :pcrcent:.ownership ihterestcin: Uie-Pisclosihg Party. ^Brincipalrpfficei-s" means the pres'ident^hief
bperatingipfficer, executive director,-chief firancia^ or secretary ,of adegM^cbtifyjopahy person
exercising similar authority.
'Dbesjh^isciqsing^arty or any •'ApJplic^Tc^Palty,, pr-any Spouse or Pomestic Partnerdiereof currently haye.a"fmniliaf
[ :]'Yes £ J No ;
¦¦; ;v3.-:-" :- ¦ y:'^\W.y.: ¦¦ -.j: .-*'¦¦' . t'xKv?
If yes, please idehtify4)eiow^i^ (2)tthe.nahie of tliclegal entity to which
such person is connected;^)-tM na^ such person has a familiarrelatibhship, and\4) ffi
Page 13 of 13
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX B
^ichfhas'a^ -It|is}n'6Mq-bclc6mp^ the Applicant.
the Apjj^
2*92^43'$ipf the 'Muniftp^Gbde?
'• ;^^;Y;Qsv•= -t-¦ - fctyNqv '' !: ; Tx|^ot Applicable " * -^:M'/
> •;>•
.... V,
:AND„AGREEMENT,^
/jpFERENCE^^ ;''
. AND^T-HA^ : .
¦ '^sjfi&E^
W^JJRY Q^ P^E 12 ;PF f HE ASSOCIATED EDS.
!',
6i|1010|
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ro
Ou
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oc
ai
JZ
•;> -a
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it: :J2
< s
.13; U ¦tZ £ TO £3 C
• c ¦; o .ai - u
£,-§
•a
01
c '(5
01
m
:§
ic
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si*
ro i «*-
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;s; -s
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^ :e-c £•8. id
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CQ
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I - GENERAL INFORMATION
A. Legal name ofthe Disclosing Party submitting this EDS. Include d/b/a/ if applicable: The Related Companies, L.P.
Check ONE ofthe following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
[ ] the Applicant
OR
[x] a legal entity holding a direct or indirect interest in the Applicant. State the legal name of the
Applicant in which the Disclosing Party holds an interest: Related LR Development LLC
OR
3. [ ] a legal entity with a right of control (see Section II.B.l.) State the legal name of the entity in
which the Disclosing Party holds a right of control:
B. Business address of the Disclosing Party: 60 Columbus Circle
New York, NY 10023
Telephone: 212-421-5333 pax; 212-801-3781 Email: mbrenner@related.com
Name of contact person: Michael I. Brenner
Federal Employer Identification No. (if you have one): 13-3676645
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):
Zoning Amendment for property located al 2820-2996 North Clybourn Avenue: 2000-2144 West Diversey Parkway: 2007-2141 West Diversey Parkway: 2601-2953 North Leavitt Street; 2800-2888 North Leavitt Street: 2601-2769 North Hoyne Avenue: 2600-2768 North Hoyne Avenue: 2600-2800 North Damen Avenue and 2201-2223 West Oakdale Avenue.
Which City agency or department is requesting this EDS? Department of Planning and Development
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification # N/A and Contract # N/A
Page 1 of 13
SECTION II - DISCLOSURE OF OWNERSHD? INTERESTS
A. NATURE OF THE DISCLOSING PARTY
1. Indicate the nature of the Disclosing Party:
[ ] Person [ ]
[ ] Publicly registered business corporation [ ]
[ ] Privately held business corporation [ ]
[ ] Sole proprietorship [ ]
[ ] General partnership (Is
fx] Limited partnership
[ ] Trust [ ]
Limited liability company Limited liability partnership Joint venture
Not-for-profit corporation
the not-for-profit corporation also a 501(c)(3))?
[] Yes []No Other (please specify)
2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
New York
3. For legal entities not organized in the State of Illinois: Has the organization registered to do
business in the State of Illinois as a foreign entity?
[xj Yes [ ] No [ ] N/A
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
List below the full names and titles of all executive officers and all directors of the entity. NOTE: For not-for-profit corporations, also list below all members, if any, which are legal entities. If there arc no such members, write "no members." For trusts, estates or other similar entities, list below the legal tideholdetfs).
If the entity is a general partnership, limited partnership, limited liability company, limited liability partnership or joint venture, list below the name and title of each general partner, managing member, -manager or any other person or entity that controls the day-to-day management of the Disclosing Party. NOTE: Each legal entity listed below must submit an EDS on its own behalf.
Name Title
The Related Realty Group, Inc General Partner
Stephen M. Ross Chairman of the general partner
Jeff T. Blau Chief Executive Officer of general partner
BruceA.BealJr. President of general partner
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 of the Municipal Code of Chicago ("Municipal Code"), the City may require any such additional information from any applicant which is reasonably intended to achieve full disclosure.
Name Business Address Percentage Interest in the
Disclosing Party
Stephen M. Ross 60 Columbus Circle, New York, NY 10023
JeffT.Blau 60 Columbus Circle, New York, NY 10023
Bruce A Beal, Jr. 60 Columbus Circle, New York, NY 10023
(the percentage interest not shown is comprised of persons and I or entities holding less than a 7.5% interest)
SECTION m - BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship," as defined in Chapter 2-156 ofthe Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?
[ ] Yes [x] No
If yes, please identify below the name(s) of such City elected official(s) and describe such relationship(s):
SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature of the relationship, and the total amount of the fees paid or estimated to be paid. The Disclosing Parry is not required to disclose employees who are paid solely through the Disclosing Parry'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.
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Name (indicate whether Business Relationship to Disclosing Party Fees (indicate whether
retained or anticipated Address (subcontractor, attorney, paid or estimated:) NOTE:
to be retained) lobbyist, etc.) "hourly rate" or "t.b.d." is
not an acceptable response.
(Add sheets if necessary)
ft] Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V - CERTIFICATIONS
COURT-ORDERED CHLLD 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 direcdy 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 PI No [ ] No person directly or indirectly owns 10% or more ofthe
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?
" [ 1 Yes - - [.] No : - -:- - • • --- - -¦=-
FURTHER CERTIFICATIONS > ;
1. Pursuant to Municipal Code Chapter 1-23, Article I ("Article P')(which the Applicant should consult for defined terms (eg:, "doingbusihess") 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 l 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 LLB.l. 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 period preceding the date of this EDS, been convicted of a criminal offense, adjudged guilty, or had a civil judgment rendered against them in connection with: obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under a public transaction; a violation of federal or state antitrust statutes; fraud; embezzlement; theft; forgery; bribery; falsification or destruction of records; making false statements; or receiving stolen property;
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 liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other unit of local government.
The certifications in subparts 3,4 and S concern:
the Disclosing Parry;
any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in connection with the Matter, including but not limited to all persons or legal entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties");
any "Affiliated Entity" (meaning a person or entity that, directly or indirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is, with the Disclosing Party, under common control of another person or entity. Indicia of control include, without limitation: interlocking management or ownership; identity of interests among family members, shared facilities and equipment; common use of employees; or organization of a business entity following the ineligibility of a business entity to do business with federal or state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity); with respect to Contractors, the term Affiliated Entity means a person or entity that direcdy or indirectly controls the Contractor, is controlled by it, or, with the Contractor, is under common control of another person or entity;
• any responsible official ofthe Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee of the Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official ofthe Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
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Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor nor any Agents have, during the five years before the date this EDS is signed, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the five years before the date of such Contractor's or Affiliated Entity's contract or engagement in connection with the Matter:
bribed or attempted to bribe, or been convicted or adjudged guilty of bribery or attemp ting to bribe, a public officer or employee of the City, the State of Illinois, or any agency of the federal government or of any state or local government in the United States of America, in that officer's or employee's official capacity;
agreed or colluded with other bidders or prospective bidders, or been a party to any such agreement, or been convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; or
made an'admission of such conduct described in a. or b. above that is a matter of record, but have not been prosecuted for such conduct; or -
violated the provisions of Municipal Code Section 2-92-610 (Living Wage Ordinance).
NdtheF<&te'Disclbsm{gTafb/;;AfSUiate^'-E^i^ orContractbry 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 BLCS 5/33E-3; (2) bid-rotating in violation of 720 ELCS 5/33E-4; or (3) any similar offense of any1'state* or of ffi£U^ ' America that contains the same elements as the offense of bid-rigging or bid-rotating.
Neither melDisclosrag^Paty listed on any-ofthe following lists
maintained by tbeOffice of Foreign1 Assets Control of tiie U.S. Department of the Treasury br'the
Bureau of Industry and Security of the U.S. Department of Commerce or theirsuccessors: the Specially
Designated Nationals List, the Denied Persons List; the Unverified List, the'Entity List and the
Debarred List. . -: :¦.
6: T-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)1 of the ' Municipal Code: •:¦
7. If the Disclosing Party is unable to certify to any of the above statements in this Part B (Further Certifications), ^ Disclosing Party must explain below: N/A ¦
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If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
8. To the best of the Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all current employees ofthe Disclosing Party who were, at any time during the 12-month period preceding the execution date of this EDS, an employee, or elected or appointed official, of the City of Chicago (if none, indicate with "N/A" or "none").
N/A '
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.
NT/A
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is [jr.] is not
a "financial institution" as defined in Section 2-32-455(b) ofthe Municipal Code.
If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will not become a predatory lender as defined in Chapter 2-32 ofthe Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 ofthe Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss ofthe privilege of doing business with the City."
If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in Section 2-32-455(b) 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," tbe 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 FN 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 of the Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
[]Yes rx]No
NOTE: If you checked "Yes" to Item D.l., proceed to Items D.2. and D.3. If you checked "No" to Item D.l., proceed to Part E.
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 does not constitute a financial interest within the meaning of this Part D.
Does the Matter involve a City Property Sale?
[]Yes []No
If you checked "Yes" to Item D.l., provide the names and business addresses ofthe City officials or employees having such interest and identify the nature of such interest:
Name Business Address Nature of Interest
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing Party must disclose below or in an attachment to this EDS all information required by paragraph 2. Failure to
Page 8 of 13
comply with these disclosure requirements may make any contract entered into with the City in connection with the Matter voidable by the City.
X i. The Disclosing Party verifies that the Disclosing Party has searched any and all records of the Disclosing Party and any and all predecessor entities regarding records of investments or profits from slavery or slaveholder insurance policies during the slavery era (including insurance policies issued to slaveholders that provided coverage for damage to or injury or death of their slaves), and the Disclosing Party has found no such records.
2. The Disclosing Party verifies that, as a result of conducting the search in step 1 above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including the names of any and all slaves or slaveholders described in those records:
SECTION VI - CERTD7ICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. If the Matter is not federally funded, proceed to Section VII. For purposes of this Section VI, tax credits allocated by the City and proceeds of debt obligations of the City are not federal funding.
A. CERTIFICATION REGARDING LOBBYING
1. List below the names of all persons or entities registered under the federal Lobbying
Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with
respect to the Matter: (Add sheets if necessary): N/A
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement
Page 9 of 13
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) ofthe Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities".
If the Disclosing Party is the Applicant, the Disclosing Party must obtain cerifications equal in form and substance to paragraphs A.l. through A.4. above from all subcontractors before it awards any subcontract and the Disclosing Party must maintain all such subcontractors' certifications for the duration of the Matter and must make such certifications promptly available to the City upon request.
B. CERTIFICATION REGARDB4G EQUAL EMPLOYMENT OPPORTUNITY
If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
Is the Disclosing Party the Applicant? , .
[]Yes WNo If "Yes," answer the three questions below:
Have you developed and do you have on file affirmative action programs.pursuant to.applicable federal regulations? (See 41 CFR Part 60-2.)
[ ] Yes []No
Have you filed with die Joint Reporting Committee, the Director of the Office of Federal
Contract Comptiance Programs, or the Equal Employment Opportunity Commission all reports, due
under ffieapplicable 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, PENALTTES, 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, DL 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 law for a false statement 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 mis EDS may be made available to the public on the Internet, in response to a Freedom of Information Act request, or otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it may have against the City in connection with the public release of information contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS.
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 Entities will not use, nor permit their subcontractors to use, any facility listed by tbe U.S. EJ*A. on the federal Excluded Parties List System ("EPLS") maintained by the U. S. General Services Administration.
F.3 If the Disclosing Patty is the Applicant, the Disclosing Party will obtain from any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in F.1. and F.2. above and will not, without the prior written consent of the City, use any such contractor/subcontractor that does riot provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
NOTE: If the Disclosing Party cannot certify as to any ofthe items in F.L, F.2. or F.3. above, an explanatory statement must be attached to this EDS.
CERTIFICATION
Under penalty of perjury, the person signing below: ( I) warrants that he/she is authorized to execute this EDS, and Appendix A (if applicable) on behalf ofthe Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS and Appendix A (if applicable) are true, accurate and complete as of the date furnished to the City.
The Related Companies. L.P.
(Print or type name of Disclosing Party)
Michael J. Brenner
(Print or typc name of person signing)
Executive Vice President of its sole general partner (Print or type title of person signing)
Signed,and swom to before me on (date)-^ik^lw^ / 2^//"
at Pqju Y*-> County, j3o.w ^(/t. (state).
COFUNE M. CCJLUGAN Notary Public. State ot New York Registration #01CO60149S8 Qualified In New York County Commission Expires October 19,20^
Page 12 of 13
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDED 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 currendy has a "familial relationship" with any elected city official or department head. A '"familial relationship" exists if, as ofthe date mis 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 chy 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 LLB.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 Parmer thereof currently have a "familial relationship" with an elected city official or department head?
[]Yes [x]No
If yes, please identify below (1) the name and tide of such person, (2) the name of the legal entity to which such person is connected; (3) the name and tide 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
r1
(DO NOT SUBMn 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.
Zoning amendment for property located at 2820-2996 N. Clybourn Avo., 2000-2144 W. Diversey PKwy.; 2007-2141 W. Diversey Ptwy.; 2601-2953 N. Leavitt Si; 2800-2886 N. Leavitt SI: ThiS recertification iS being Submitted in Connection with2601-2760 N. Hoyne Ave; 2600-27S8 N. Hoyne Ave; 26OO-28OO N. Daroen Ave, and 2201-2223
W OaRBste Avo
[identify the Matter]. Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS recertification on behalf of the Disclosing Party, (2) warrants that all certifications and statements contained in the Disclosing Party's original EDS are true, accurate and complete as of the date furnished to the City and continue to be true, accurate and complete as of the date of this recertification, and (3) reaffirms its acknowledgments.
Lathrop Community Partners, LLC Date: pj? | ioj \Q)
(Print or type legal name of Disclosing Party) By: Related Lathrop, LLC, its Manager
Print or type name of signatory:
Curt R. Bailey
Title of signatory:
President
Signed and sworn to before me on [date] c)l ffi _[£> by
ffimS^fflj at Ccdt 'County, TIWTG& [state].
Commission expires:
Notary Public.
6/c?4/iq
OFFICIAL SEAL ERICA SEARCY
NOTARY PUBUC - STATE OF ILLINOIS MY COMMISSION EXPIRES.06/24/19
Ver. 114)1-05
(DO NOT SUBMIT THIS PAGE WITH YOUR EDS. The purpose of this page is for you to recertify your EDS prior to submission to City Council or on the date of closing. If unable to recertify truthfully, the Disclosing Party must complete a new EDS with correct or corrected information)
RECERTIFICATION
Generally, for use with City Council matters. Not for City procurements unless requested.
Zoning amendment for property located at 2820-2996 N. Clybourn Ave.: 2000-2144 W. Diversey Pkwy.; 2007-2141 W. Diversey Pfcwy.; 2601-2SS3 N. Leavitt St: 2800-2888 N. Laavttt si; This''recertification is being Submitted in Connection Wi th2601-2769 N. Hoyne Ave.: 26OO-2768 N. Hoyne Ave.: 26OO-28OO U. Damen Ave and 2201-2223
VV Oakdalo Avts
[identify the Matter]. Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS recertification on behalf of the Disclosing Party, (2) warrants that all certifications and statements contained in the Disclosing Party's original EDS are true, accurate and complete as of the date furnished to the City and continue to be true, accurate and complete as ofthe date of this recertification, and (3) reaffirms its acknowledgments.
Print or type name of signatory: Curt Bailey
Title of signatory: President
Signed and sworn to before me on [date] by
FiJQ lCmrnj at CC/% County, tflhnOr^ [state].
ffi£yg7M/fZ/^~~ Notary Public.
Commission expires
OFFICIAL SEAL ERICA SEARCY
NOTARY PUBLIC - STATE OF ILLINOIS MY COMMISSION EXP!RES:06/24/19
Ver. 11-4)1-05
(DO NOT SUBMrT 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.
Zoning amendment for property located et 2820-2998 N. Clybourn Ave.: 2000-2144 W Diversey
. ... . . Pkwy.: 2007-2141 W. Diversey Pkwy.; 2601-2953 N.Leavitl SI: 2800-2888 N. Leavitl St
ThlS recertification IS being Submitted in Connection wj til2601-2769 N. Hoyne Ave.: 26OO-2768 N. Hoyne Ave.: 2600-2800 N. Damen Ave. and 2201-2223
* * W ^.Eirtyfttfa JVvo ' ' ¦¦¦¦¦¦¦¦¦ »¦- ¦¦«¦
[identify the Matter]. Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS recertification on behalf of the Disclosing Party, (2) warrants that all certifications and statements contained in the Disclosing Party's original EDS are true, accurate and complete as of the date furnished to the City and continue to be true, accurate and complete as ofthe date of this recertification, and (3) reaffirms its acknowledgments.
Print or type name of signatory:
Curt Bailey
Title of signatory: President
Signed and sworn to before me on [date] C?|l0 | l^i , by
FuCa SglrrtJ at ^Pm^ County, TJ iitW=> [state].
Commission expires
't^/jM/l&f' Notary Public.
OFFICIAL SEAL ERICA SEARCY NOTARY PUBLIC - STATE OF ILLINOIS MY COMMISSION EXPIRES:06/24/19
Ver. 11-01-05
(DO NOT SUBMIT THIS PAGE WITH YOUR EDS. The purpose of this page is for you to recertify your EDS prior to submission to City Council or on the date of closing. If unable to recertify truthfully, the Disclosing Party must complete a new EDS with correct or corrected information)
RECERTIFICATION
Generally, for use with City Council matters. Not for City procurements unless requested.
•-- - Zoning amendment forproporty located al 2S20-2996 N Ctyboum Avs.; 2000-2144 W, Wvofsoy
, , Pkwy.', 2007-2141 W. DiveiMy Pkwy.; 2801*2953 N. Leavitt St; 2800-2608 N LonviH Ul.,
This recertification is being submitted in connection with26ot-27ao n. Hoyne Ave,; 2eoo:2768 n. Hoyne Ave.: 2000-2800 n. Damon avo ma 2201-22.13
[identify the Matter]. Under penalty of perjury, the person signing below: (1) warrants that
he/she is authorized to execute this EDS recertification on behalf of the Disclosing Party, (2)
warrants that all certifications and statements contained in the Disclosing Party's original EDS
are true, accurate and complete as of the date furnished to the City and continue to be true,
accurate and complete as ofthe date of this recertification, and (3) reaffirms its
acknowledgments.
Related LR Development LLC Date: 2/11/16
(Print or type legal name of Disclosing Party)
Print or type name of signatory: Michael J. Brenner
Title of signatory: Executive Vice President
Signed and sworn lo before me on rdatcl^-&\>ru6M U^jUftU . by KK\Ck&/\ 5. rV-<*y- , at NwyA- CountyT^jO jrl. [stale].
Notary Public.
Commission expires: ^J---^ . ^ 1 oLO)~7 ¦
ii .iim u.il Jin i.i i i i
SOFIA FRROKAJ Notary Public - State of New York
No. 01FR6208774 Qualified in Westchester County Commission Expires July 13, 2017 :
(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.
Zoning amondmont for praporty located at 2820-2096 N. Clybaum Ave.: 2000-2144 W. Diversey Pkwy ; 2007-2141 W. Dlvorsey Pkwy.; 2601-2953 N Leavitt SI; 2800-2888 N Lonvlll Oi:
This recertification is being submitted in connection with2ooi-276o u. Hoyne aw . 26002768 n. Hoyne Ave.: 2600-2000 n. Damen avo ami 2201.??;}
[identify the Matter]. Under penalty of perjury, the person signing below: (1) warrants that
he/she is authorized to execute this EDS recertification on behalf of the Disclosing Party, (2)
warrants that all certifications and statements contained in the Disclosing Party's original EDS
are true, accurate and complete as of the date furnished to the City and continue to be true,
accurate and complete as of the date of this recertification, and (3) reaffirms its
acknowledgments.
The Related Companies, LP. Date: 2/"l1'"l6
(Print or type legal name of Disclosing Party)
Print or type name of signatory: Michael J. Brenner
Title of signatory:
Executive Vice President ot its sole general partner
Signed and sworn to before me on [date] \^eX)C\K0n~\ \ \ t jjotig , by
K\\cW«.t Ti. kc-^Mvp- , at UPjlO *A\*'>c- County, Qp^ ^r\C [slate].
^_^3^^\ - Notary Public.
Commission expires: ^JLi^. ^0*7-
SOFIA FRROKAJ Notary Public - State of New York
No. 01FR6208774 Qualified In Westchester County Commission Expires July 13, 2017
(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.
Zoning amendment (or property located at 2620-2998 N, Clybourn Avo. 2000 21. . . . Pkwy.: 2007-21-11 W.Drver»oyPkwy.:26O1.2tl53N.LoavrllSi;2800-2eB8N.Lenvlil0l'.
ThlS reCertlflCatlOn IS being Submitted in Connection With2601-2780 N Hoyne Ave.: 2600-2788 N. Hoyne Ave.; 2a00-2B00 N Damon Avo. anil 5501-3223
[identify the Matter]. Under penalty of perjury, the person'sfgning below: (l)warrants that he/she is authorized to execute this EDS recertification on behalf of the Disclosing Party, (2) warrants that all certifications and statements contained in the Disclosing Party's original EDS are true, accurate and complete as of the date furnished to the City and continue to be true, accurate and complete as of the date of this recertification, and (3) reaffirms its acknowledgments.
The Related Realty Group, Inc. Date: 2/11/16
(Print or type legal name of Disclosing Party)
Print or type name of signatory:
Michael J. Brenner
Title of signatory: Executive Vice President
Signed and sworn to before me on [date] ^^Lau^/vA 1 ¦) blp\b , by
, at Uguj j^-tr. dounty, Ueto^^L fstatel.
Notary Public.
Commission expires:
SOFIA FRROKAJ Notary Public - State of Now York
No. 01FR6208774 Qualified In Westchester County Commission Expires July 13. 2017
(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.
Zoning amendment for property located at 2620-2996 N. Clybourn Ave.; 2000-2144 W. Diversey Pkwy., 2007-2141 W. Diversey Pkwy ; 2601-2953 N. Leavitt St; 2800-2688 M Leavitt St,
This recertification is being submitted in connection with26oi-2769 n Hoyne Ave 2600-2768 n. Hoyne Ave,; 2600-2800 n oamonAve and 2201.2223
[identify the Matter]. Under penalty of perjury, the person'signing below: (1) warrants that
he/she is authorized to execute this EDS recertification on behalf of the Disclosing Party, (2)
warrants that all certifications and statements contained in the Disclosing Party's original EDS
are true, accurate and complete as of the date furnished to the City and continue to be true,
accurate and complete as of the date of this recertification, and (3) reaffirms its
acknowledgments.
Heartland Lathrop, LLC Date: 2. J°l j
(Print or type legal name of Disclosing Party)
(sign here) Print or type name of signatory: Michael Goldberg
Title of signatory:
Executive Director of Heartland Housing, Sole Member of Heartland Lathrop, LLC
Signed
ied and sworn to before me on [datelTgja4X^t^tr---ci fL£s U/>, by
cMo.j% ho\Al?CAj- , at County, J3\^t>;
Notary Public.
Commission expires: °) | ) g— [ j u
Ver. 11-01-05
(DO NOT SUBMIT THIS PAGE WITH YOUR EDS. The purpose of this page isTor 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.
Zoning amondmonl for property located at 2820-2996 N. Clybourn Ave., 2000-2144 W. Diversey
. . . . Pkwy; 2007-2141 W. Diversey Pkwy.; 2601-2953 N. Leavitt St.; 2600-2686 N. Leavitt St;
ThlS recertification IS being Submitted in Connection with260l-2769 N Hoyne Ave.; 2600-2788 N. Hoyne Ave.; 2600-2800 N. Damon Ave and 2201-2223
[identify the Matter]. Under penalty of perjury, the person-s?gn!ng%
he/she is authorized to execute this EDS recertification On behalf of the Disclosing Party, (2) warrants that all certifications and statements contained in the Disclosing Party's original EDS are true, accurate and complete as of the date furnished to the City and continue to be true, accurate and complete as of the date of this recertification, and (3) reaffirms its acknowledgments.
Heartland Housing, Inc. Date: 2. j °i //k>.
(Print or type legal name of Disclosing Party)
By: _
(sign here)
Print or type name of signatory: Michael Goldberg
Title of signatory: Executive Director
,at uyoV-
Signed and sworn to before mc on [date] TSiovot. alha ^ ^f^Ol L> . by
(bounty, zzDlvw)
Notary Public.
Commission expires: °j j j \\p
Vcr. 11-01-05
(DO NOT SUBMIT THIS PAGE WITH YOUR EDS. The purpose of this page is for you to recertify your EDS prior to submission to City Council or on the date of closing. If unable to recertify truthfully, the Disclosing Party must complete a new EDS with correct or corrected information)
RECERTIFICATION
Generally, for use with City Council matters. Not for City procurements unless requested.
This recertification is being submitted in connection with. Zoning amendment for Lathrop Homes [identify the Matter]. Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS recertification on behalf ofthe Disclosing Party, (2) warrants that all certifications and statements contained in the Disclosing Party's original EDS are true, accurate and complete as of the date furnished to the City and continue to be true, accurate and complete as ofthe date of this recertification, and (3) reaffirms its acknowledgments.
By Bickerdike Redevelopment Corporation, its manager t Bickerdike Lathrop LLC Date: 2-|% | \ (j)
(Print or type legal name of Disclosing Party)
Print or type name of signatory:
Joy Aruguete
Title of signatory: Chief Executive Officer
Signed and sworn to before me on fdateT j^^to^ olo[^, , by
Notary Public.
Commission expires:
County, X/ .
i
j (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)
i
RECERTIFICATION
Generally, for use with City Council matters. Not for City procurements unless requested.
This recertification is being submitted in connection with Zoning amendment for Lathrop Homes [identify the Matter]. Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS recertification on behalf of the Disclosing Party, (2) warrants that all certifications and statements contained in the Disclosing Party's original EDS are true, accurate and complete as of the date furnished to the City and continue to be true, accurate and complete as of the date of this recertification, and (3) reaffirms its acknowledgments.
Bickerdike Redevelopment Corporation Date: ^-(^ 1 \ Lp
(Print or type legal name ol" Disclosing Party)
Print or type name of signatory:
Joy Aruguete
Title of signatory: Chief Executive Officer
Signed and sworn to before me on [date] X&&&J$ & by
Notary Public.
Ver. 11-01-05
County, JL C