NOT FOR PROFIT ORDINANCE
WHEREAS, the City of Chicago ("City") is a home rule unit of local government pursuant to Article VII, Section 6(a) of the 1970 Constitution of the State of Illinois, and, as such, may exercise any power and perform any function pertaining to its government and affairs; and
WHEREAS, the City wishes to support the charitable, educational and philanthropic activities of established Not for Profit Corporations and encourage the continued viability and growth of such activities; and
WHEREAS, many Not For Profit Corporations own property that adjoins streets and alleys that are no longer required for public use and might more productively be used in furtherance of such activities; and
WHEREAS, the City would benefit from the vacation of these streets and alleys by reducing City expenditures on maintenance, repair and replacement; by reducing fly-dumping, vandalism and other criminal activity; and by providing support for such charitable, educational and philanthropic activities; and
WHEREAS, the City can promote strong communities by facilitating services to the public, and increase the City's job base through the vacation of public street(s) and/or alley(s) for no compensation; and
WHEREAS, the properties at 1100-1132 E. 76th Place, 1101-1133 E. 76th Place, 1100-1110 E. 77th Street, 1101-1111 E. 77th Street, 7637-7661 S. Greenwood Avenue, and 7701-7713 S. Greenwood Avenue, are owned by New Life Covenant Church-SE, an Illinois not for profit corporation ("New Life Covenant Church-SE"); and
WHEREAS, New Life Covenant Church-SE, proposes to use the portion of the public streets and alleys to be vacated herein for parking and accessory use as part of a new facility and campus; and
WHEREAS, the City Council of the City of Chicago, after due investigation and consideration, has determined that the nature and extent of the public use and the public interest to be subserved is such as to warrant the vacation of parts of public streets and alleys described in the following ordinance; now therefore,
Page 1
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
SECTION 1. DEDICATION OF ALLEY:
THE SOUTH 16 FEET OF LOT 13 IN BLOCK 80 IN CORNELL SUBDIVISION, BEING A SUBDIVISION OF THE WEST HALF OF SECTION 26, THE SOUTHEAST QUARTER OF SECTION 26, (WITH THE EXCEPTION OF THE EAST HALF OF THE NORTHEAST QUARTER OF SAID SOUTHEAST QUARTER), THE NORTH HALF OF THE NORTHWEST QUARTER, THE SOUTH HALF OF THE NORTHWEST QUARTER LYING WEST OF THE I.C.R.R. AND THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 35, IN TOWNSHIP 38 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN ACCORDING TO THE PLAT THEREOF RECORDED FEBRUARY 16, 1872 AS DOCUMENT 13647; SAID PARCEL OF LAND HEREIN DESCRIBED CONTAINS 2000 SQUARE FEET OR 0.046 ACRE, MORE OR LESS, ALL IN COOK COUNTY, ILLINOIS as shaded and legally described by the words "HEREBY DEDICATED" on the plat hereto attached as Exhibit A, which plat for greater clarity, is hereby made a part of this ordinance
VACATION:
THAT PART OF EAST 76TH PLACE IN CORNELL SUBDIVISION, BEING A SUBDIVISION OF THE WEST HALF OF SECTION 26, THE SOUTHEAST QUARTER OF SECTION 26, (WITH THE EXCEPTION OF THE EAST HALF OF THE NORTHEAST QUARTER OF SAID SOUTHEAST QUARTER), THE NORTH HALF OF THE NORTHWEST QUARTER, THE SOUTH HALF OF THE NORTHWEST QUARTER LYING WEST OF THE I.C.R.R. AND THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 35, IN TOWNSHIP 38 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN ACCORDING TO THE PLAT THEREOF RECORDED FEBRUARY 16,1872 AS DOCUMENT 13647, LYING SOUTH OF AND ADJOINING THE SOUTH LINE OF BLOCK 58 IN SAID CORNELL SUBDIVISION, LYING WEST OF AND ADJOINING THE WEST LINE OF THAT PART OF VACATED EAST 76TH PLACE PER ORDINANCE RECORDED SEPTEMBER 7, 1916 AS DOCUMENT 5945390, LYING NORTH OF AND ADJOINING THE NORTH LINE OF LOTS 19 THROUGH 26, INCLUSIVE, AND LYING NORTH OF A LINE JOINING THE NORTHWEST CORNER OF SAID LOT 20 WITH THE NORTHEAST CORNER OF SAID LOT 19 IN BLOCK 60 OF SAID CORNELL SUBDIVISION, AND LYING EAST OF A LINE JOINING THE NORTHWEST CORNER OF LOT 19 IN SAID BLOCK 60 WITH THE SOUTHWEST CORNER OF SAID BLOCK 58;
ALSO:
THAT PART OF EAST 77TH STREET LYING SOUTH OF AND ADJOINING THE SOUTH LINE OF LOT 10 IN BLOCK 60 OF SAID CORNELL SUBDIVISION, LYING SOUTH OF A
Page 2
LINE JOINING THE SOUTHEAST CORNER OF SAID LOT 10 WITH THE SOUTHWEST CORNER OF LOT 9, LYING WEST OF THAT PART OF SAID VACATED EAST 77TH STREET PER ORDINANCE RECORDED SEPTEMBER 7, 1916 AS DOCUMENT 5945390, LYING NORTH OF A LINE JOINING THE NORTHWEST CORNER OF LOT 18 WITH THE NORTHEAST CORNER OF LOT 17 IN BLOCK 79 OF SAID CORNELL SUBDIVISION, LYING NORTH OF AND ADJOINING THE NORTH LINE OF SAID LOT 17 AND LYING EAST OF A LINE JOINING THE NORTHWEST CORNER OF SAID LOT 17 WITH THE SOUTHWEST CORNER OF SAID LOT 10;
ALSO:
THE 14 FOOT PUBLIC ALLEY RUNNING NORTH-SOUTH IN SAID BLOCK 60 LYING EAST OF AND ADJOINING THE EAST LINE OF LOTS 10 THROUGH 19, INCLUSIVE, LYING SOUTH OF A LINE JOINING THE NORTHWEST CORNER OF LOT 20 WITH THE NORTHEAST CORNER OF LOT 19, LYING WEST OF AND ADJOINING THE WEST LINE OF SAID LOT 20, LYING WEST OF A LINE JOINING THE SOUTHWEST CORNER OF SAID LOT 20 WITH THE NORTHWEST CORNER OF LOT 9, LYING WEST OF AND ADJOINING THE WEST LINE OF SAID LOT 9 AND LYING NORTH OF A LINE JOINING THE SOUTHWEST CORNER OF SAID LOT 9 WITH THE SOUTHEAST CORNER OF SAID LOT 10;
ALSO:
THE 14 FOOT PUBLIC ALLEY RUNNING NORTH-SOUTH IN SAID BLOCK 79 LYING EAST OF AND ADJOINING THE EAST LINE OF LOT 27 AND THE EAST LINE OF LOTS 8 THROUGH 17, INCLUSIVE, LYING SOUTH OF A LINE JOINING THE NORTHEAST CORNER OF SAID LOT 17 WITH THE NORTHWEST CORNER OF LOT 18, LYING WEST OF AND ADJOINING THE WEST LINE OF SAID LOT 18, LYING WEST OF A LINE JOINING THE SOUTHWEST CORNER OF SAID LOT 18 WITH THE NORTHWEST CORNER OF LOT 7, LYING WEST OF AND ADJOINING THE WEST LINE OF LOT 7 AND THE WEST LINE OF LOT 26 AND LYING NORTH OF A LINE JOINING THE SOUTHWEST CORNER OF SAID LOT 26 WITH THE SOUTHEAST CORNER OF SAID LOT 27;
ALSO:
THAT PART OF THE 14 FOOT PUBLIC ALLEY RUNNING NORTH-SOUTH IN BLOCK 80 OF SAID CORNELL SUBDIVISION LYING NORTH OF THE NORTH LINE OF THE SOUTH 16 FEET OF LOT 13 IN SAID BLOCK 80 EXTENDED EAST, LYING EAST OF AND ADJOINING THE EAST LINE OF LOTS 13 THROUGH 15, INCLUSIVE, AND THE EAST LINE OF LOT 22, LYING SOUTH OF A LINE JOINING THE NORTHEAST CORNER OF SAID LOT 22 WITH THE NORTHWEST CORNER OF LOT 21 AND LYING WEST OF AND ADJOINING THE WEST LINE OF SAID LOT 21 AND THE WEST LINE OF SAID LOT 16;
Page 3
SAID PARCEL OF LAND HEREIN DESCRIBED CONTAINS 38,148 SQUARE FEET OR 0.88 ACRES, MORE OR LESS, ALL IN COOK COUNTY, ILLINOIS as shaded and legally described by the words "HEREBY VACATED" on the plat hereto attached as Exhibit B, which plat for greater clarity, is hereby made a part of this ordinance, be and the same is hereby vacated and closed, inasmuch as the same is no longer required for public use and the public interest will be subserved by such vacations.
SECTION 2. The Commissioner of Transportation is hereby authorized to accept and approve a redevelopment agreement or similar instrument restricting the use and improvement of the public way vacated in Section 1 of this ordinance to secular social service purposes which include but shall not be limited to: serving as a community gathering spot and source of community volunteers; distribution of food, school supplies, holiday meals; the provision of health screenings, counseling and community outreach services, and for such use and improvements that are accessory, as that term is defined in the Chicago Zoning Ordinance, to such secular social service purposes, such uses and improvements to be owned and operated by a non-profit corporation, subject to the approval of the Corporation Counsel as to form and legality. The restriction on use and improvement in the covenant, agreement or instrument shall be for a term of 40 years and upon breach of such restriction the public way herein vacated shall revert to the City and be subject to the terms and conditions of the vacations by which it has been heretofore held by the City.
SECTION 3. The City of Chicago hereby reserves for the benefit of Commonwealth Edison, AT&T/SBC, Comcast and their successors or assigns, a non-exclusive utility easement to operate, maintain, construct, replace and renew overhead wires, poles, and associated equipment and underground conduit, cables, and associated equipment for the transmission and distribution of electrical energy, telephonic and associated services under, over and along the streets and alleys herein vacated, with the right of ingress and egress. The grade of the vacated public way shall not be altered in a manner so as to interfere with the operation and maintenance of Commonwealth Edison, AT&T/SBC, and/or Comcast facilities. No construction, buildings, permanent structures or obstructions shall occur or be placed over the area herein vacated without express written release of easement by the involved utilities. Any future vacation-beneficiary prompted relocation of facilities lying within the area being vacated will be accomplished by the involved utility, and be done at the expense of beneficiary of the vacation.
SECTION 4. The vacations and dedication of/for public way herein provided for are made upon the express condition that within 180 days after the passage of this ordinance, the New Life Covenant Church-SE shall deposit in the City Treasury of the City of Chicago, a sum sufficient to defray the costs of removing paving and curb returns, and constructing newly dedicated public alley, in accordance with the most current version of the Chicago Department of Transportation's Regulations for Opening. Repair and Construction in the Public Way and its appendices, and in agreement with the executed Duty to Build Agreement attached herein and made a part of this ordinance as Exhibit C.
SECTION 5. The vacations and dedications herein provided for are made upon the express condition that within 180 days after the passage of this ordinance, New Life Covenant Church SE, shall file or cause to be filed for record in the Office of the Recorder of Deeds of Cook County, Illinois, a certified copy of this ordinance along with the redevelopment agreement complying with Section 2 of this ordinance, and approved by the Corporation Counsel, and the
Page 4
attached full sized plats as approved by the Department of Transportation / Superintendent of Maps & Plats.
SECTION 6. This ordinance shall take effect and be in force from and after its passage. The vacations and dedication shall take effect and be in force from and after its recording.
Vacations and Dedication Approved:
Rebekah Scheinfeld ' xCu^
Commissioner of Transportation
Approved as to Form and Legality
/f^^^^ - ^ . Deputy Corporation Courfsej/ Richard Wendy
/I
Honorable Michelle A. Harris Alderman, 8th Ward
Page 5
EXHIBIT A
PAGE 1 OF 2
PLAT OF DEDICATION
LEGAL DESCRIPTION
THE SOUTH 16 FEET OF LOT 13 IN BLOCK 80 IN CORNELL SUBDIVISION, BEING A SUBDIVISION OF THE WEST HALF OF SECTION 26. THE SOUTHEAST QUARTER OF SECTION 26, (WITH THE EXCEPTION OF THE EAST HALF OF THE NORTHEAST QUARTER OF SAID SOUTHEAST QUARTER), THE NORTH HALF OF THE NORTHWEST QUARTER, THE SOUTH HALF OF THE NORTHWEST QUARTER LYING WEST OF THE I.C.R.R. AND THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 35, IN TOWNSHIP 38 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN ACCORDING TO THE PLAT THEREOF RECORDED FEBRUARY 16, 1672 AS DOCUMENT 13647; SAID PARCEL OF LAND HEREIN DESCRIBED CONTAINS 2000 SQUARE FEET OR 0.046 ACRE, MORE OR LESS. ALL IN COOK COUNTY, ILLINOIS.
MAIL TO:
LEGEND •t-CN CUT CROSS
TRAFFIC FLOW RECORD DISTANCE MEASURED DISTANCE LOT/PARCEL LINE BOUNDARY LINE RIGHT-OF-WAY LINE
NEAL & LEROY, LLC 203 N. LASALLE ST., STE 2300 CHICAGO, IL 60601 (312)641-7144
(24) 75.0
N
SCALE: 1"=100' FULL SIZE IS 11VI7"
VACATED
HEREBY OPENED TO VEHICULAR TRAFFIC
CORNELL BEING A SUBDIVISION OF THE W. 1/2 SEC. 26, THE S.E. 1/4 SEC. 26, (WITH THE EXCEPTION OF THE E. 1/2 OF THE N.E. 1/4 OF SAID S.E. 1/4) THE N. 1/2 OF THE N.W. 1/4, THE S. 1/2 OF THE N.W. 1/4 W. OF I.C.R.R. AND THE N.W. 1/4 OF THE N.E. 1/4 SEC. 35-38-14
HEREBY DEDICATED FOR PUBLIC ALLEY
(SEE PAGE 2 OF 2)
RECORDED FEBRUARY 16,1672, DOC. #13647
VACATED BY ORDINANCE PASSED OCTOBER 2,1911 RECORDED OCTOBER 31,1811, DOC. # 4858738
"M
VACATED BY ORDINANCE PASSED JULY 18,1916 RECORDED SEPTEMBER 7,1916, DOC. # 5945390
)SS
COOK CO.
STATE OF ILLINOIS)
COUNTY OF COOK)
WE, ENVIRONMENTAL DESIGN INTERNATIONAL, INC., ILLINOIS PROFESSIONAL DESIGN FIRM NO. 184-001224, HEREBY CERTIFY THAT THIS PLAT WAS PREPARED AT AND UNDER THE DIRECT SUPERVISION OF AN ILLINOIS PROFESSIONAL LAND SURVEYOR, AND THAT THIS PLAT REPRESENTS THE CONDITIONS FOUND AT THE TIME OF SAID SURVEY.
GIVEN UNDER MY HAND AND SEAL THIS fll» DAY OF K
r
IS
= 0. 1
20 i/f IN CHICAGO, ILLINOIS. ENVIRONMENTAL DESIGN INTERNATIONAL, INC.
,sy—l
JESUS M LOPEZ \ c . NO. 3774 I* :*\ CHICAGO /*
JESUS Ml LOPEZ, IPLS NO. 085.003774 LICE>NSe|eXPIRES: 11/30/201Q I
THIS PROFESSIONAL SERVICE CONFORMS TO THE CURRENT ILLINOIS MINIMUM STANDARDS FOR A BOUNDARY SURVEY.
Environmental Design International inc.
Cm], Survey, Environmental and Construction Inspection Services 33 W. MONROE STREET, SUITE 1825, CHICAGO, IL 60603 Ph. (312) 345-1400 Fax (312)3450529 www.envdesigni.com
PREPARED FOR: NEAL It LEROY, LLC
203 N. LASALLE ST. STE 2300. CHICAGO, IL 60601
PR0JECT:NEW LIFE COVENANT CHURCH
ILLINOIS PROFESSIONAL DESIGN FIRM
LICENSE NO. 184-001224
FXH1R1T A
PLAT OF DEDICATION
S. GREENWOOD AVE. (66' ROWy 2 oo"Cw?on line
2.0b' W., ON LINE
E/P
0.6' N. & OA' W
CUT CROSS I X :
-1 "—rr r- FOUND CUT CROSS
t-CH CONC. SIDEWALK
E/P EDGE OF PAVEMENT NOTES
BEARINGS AND DISTANCES BASED ON ILLINOIS STATE PLANE COORDINATES, EAST ZONE (2011), GPS DERIVED.
2. PROPERTY SHOWN HEREON LIES IN ZONE RS-3 PER CITY OF CHICAGO ZONING MAP AS VIEWED ON CITY OF CHICAGO WEBSITE.
SURVEY FIELD WORK WAS COMPLETED 6/25/15.
4. DIMENSIONS SHOWN ARE IN FEET AND DECIMAL PARTS THEREOF.
NO DIMENSIONS SHOULD BE ASSUMED BY SCALE MEASUREMENT.
OWNERS CERTIFICATE
STATE OF ILLINOIS)
COUNTY OF
HEREBY CERTIFIES
THAT IT IS THE OWNER OF THE PROPERTY DESCRIBED HEREON AND AS SUCH HAS CAUSED SAID PROPERTY TO BE SURVEYED FOR THE PURPOSE OF DEDICATING PUBLIC ALLEY AS SHOWN AND DEPICTED ON PLAT HEREON.
IN WITNESS THEREOF SAID
HAS CAUSED THIS CERTIFICATE TO BE SIGNED
BY ITS DULY AUTHORIZED
ON ITS BEHALF THIS
DAY OF
BY:
ADDRESS:
NOTARY'S CERTIFICATE
STATE OF ILLINOIS) COUNTY OF
I, A NOTARY PUBLIC, IN AND FOR SAID COUNTY, AND STATE AFORESAID, DO HEREBY CERTIFY THAT PERSONALLY KNOWN TO BE TO BE THE SAME PERSON(S) WHOSE NAME(S) SUBSCRIBED TO THE FOREGOING INSTRUMENT AS SUCH OWNER(S), APPEARED BEFORE ME THIS DAY IN PERSON AND ACKNOWLEDGED THAT SIGNED AND DELIVERED THE ANNEXED PLAT AS OWN FREE AND VOLUNTARY ACT FOR THE USES AND PURPOSED THEREIN SET FORTH.
GIVEN UNDER SET HAND AND NOTARIAL SEAL
THIS DAY OF A.D.
(25')l 20 AT . ILLINOIS
CUT CROSS 2.00' E., ON LINE
'S 0V32'17" E 14' ALLEY
PREPARED FOR: NEAL & LEROY, LLC
203 N. LASALLE ST. STE 2300.
CHICAGO. IL 60601
@H0
N 0V32'23" w/ / ijW w on une 16,00' ""
Environmental Design International inc.
PROJECT:NEW LIFE COVENANT CHURCH
ILLINOIS PROFESSIONAL DESIGN FIRM
LICENSE NO. 184-001224
CM, Survey, Envionmental and Construction Inspection Services 33 W. MONROE STREET. SUITE 1825. CHICAGO, IL 60803 Ph (312) 345-1400 Fax (312)345-0529
FXHIRIT R
TO BE DEDICATED FOR PUBLIC ALLEY
CORNELL BEING A SUBDIVISION OF THE W. 1/2 SEC. 26, THE S.E. 1/4 SEC. 26, (WITH THE EXCEPTION OF THE E. 1/2 OF THE N.E. 1/4 OF SAID S.E. 1/4) THE N. 1/2 OF THE N.W. 1/4, THE S. 1/2 OF THE N.W. 1/4 W. OF I.C.R.R. AND THE N.W. 1/4 OF THE N.E. 1/4 SEC. 35-38-14
RECORDED FEBRUARY 16,1872, DOC. #13647
"B"
Wll BREYFOGLE'S RE-SUBDMSION, BLOCK 59, CORNELL IN THE S.W. 1/4 SEC. 26-38-14
RECORDED OCTOBER 1,1889, DOC. #1163799 CDOTi: 26-08-16-3721
PLAT OF VACATION
'25'26
VACATED BY ORDINANCE PASSED OCTOBER 2,1911 RECORDED OCTOBER 31,1911, DOC. # 4858736
"M
VACATED BY ORDINANCE PASSED JULY 16,1916 RECORDED SEPTEMBER 7,1916, DOC. # 5945390
"U"
VACATED BY ORDINANCE PASSED JANUARY 19,1878 RECORDED JANUARY 26,1878, DOC. # 167189
Environmental Design International inc.
Crvil, Survey. Environmental and Construction Inspection Services 33 W. MONROE STREET, SUiTE 1825, CHICAGO, IL 60603 Ph. (312) 345-1400 Fax (312)3450529 www.envdeslgni.com
PREPARED FOR: NEAL & LEROY. LLC
203 N. LASALLE ST. STE 2300,
CHICA00, IL 60601
PROJECT:NEW LIFE COVENANT CHURCH
ILLINOIS PROFESSIONAL DESIGN FIRM
LICENSE NO. 184-001224
FXHIRIT R
PLAT OF VACATION
LEGAL DESCRIPTION
THAT PART OF EAST 76TH PLACE IN CORNELL SUBDIVISION, BEING A SUBDIVISION OF THE WEST HALF OF SECTION 26, THE SOUTHEAST QUARTER OF SECTION 26. (WITH THE EXCEPTION OF THE EAST HALF OF THE NORTHEAST QUARTER OF SAID SOUTHEAST QUARTER), THE NORTH HALF OF THE NORTHWEST QUARTER, THE SOUTH HALF OF THE NORTHWEST QUARTER LYING WEST OF THE I.C.R.R. AND THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 35, IN TOWNSHIP 38 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN ACCORDING TO THE PLAT THEREOF RECORDED FEBRUARY 16,1872 AS DOCUMENT 13647, LYING SOUTH OF AND ADJOINING THE SOUTH LINE OF BLOCK 68 IN SAID CORNELL SUBDIVISION, LYING WEST OF AND ADJOINING THE WEST LINE OF THAT PART OF VACATED EAST 76TH PLACE PER ORDINANCE RECORDED SEPTEMBER 7,1916 AS DOCUMENT 6945360, LYING NORTH OF AND ADJOINING THE NORTH LINE OF LOTS 19 THROUGH 26, INCLUSIVE, AND LYING NORTH OF A LINE JOINING THE NORTHWEST CORNER OF SAID LOT 20 WTTH THE NORTHEAST CORNER OF SAID LOT 10 IN BLOCK 60 OF SAID CORNELL SUBDIVISION, AND LYING EAST OF A LINE JOINING THE NORTHWEST CORNER OF LOT 19 IN SAID BLOCK 60 WITH THE SOUTHWEST CORNER OF SAID BLOCK 58;
ALSO:
THAT PART OF EAST 77TH STREET LYING SOUTH OF AND ADJOINING THE SOUTH LINE OF LOT 10 IN BLOCK 60 OF SAID CORNELL SUBDIVISION, LYING SOUTH OF A LINE JOINING THE SOUTHEAST CORNER OF SAID LOT 10 WrTH THE SOUTHWEST CORNER OF LOT 9, LYING WEST OF THAT PART OF SAID VACATED EAST 77TH STREET PER ORDINANCE RECORDED SEPTEMBER 7,1916 AS DOCUMENT 5945390. LYING NORTH OF A LINE JOINING THE NORTHWEST CORNER OF LOT 16 WITH THE NORTHEAST CORNER OF LOT 17 IN BLOCK 79 OF SAID CORNELL SUBDIVISION, LYING NORTH OF AND ADJOINING THE NORTH LINE OF SAID LOT 17 AND LYING EAST OF A LINE JOINING THE NORTHWEST CORNER OF SAID LOT 17 WITH THE SOUTHWEST CORNER OF SAID LOT 10;
ALSO:
THE 14 FOOT PUBLIC ALLEY RUNNING NORTH-SOUTH IN SAID BLOCK 60 LYING EAST OF AND ADJOINING THE EAST LINE OF LOTS 10 THROUGH 19. INCLUSIVE, LYING SOUTH OF A LINE JOINING THE NORTHWEST CORNER OF LOT 20 WITH THE NORTHEAST CORNER OF LOT 19, LYING WEST OF AND ADJOINING THE WEST LINE OF SAID LOT 20, LYING WEST OF A LINE JOINING THE SOUTHWEST CORNER OF SAID LOT 20 WITH THE NORTHWEST CORNER OF LOT 9. LYING WEST OF AND ADJOINING THE WEST LINE OF SAID LOT 9 AND LYING NORTH OF A LINE JOINING THE SOUTHWEST CORNER OF SAID LOT 9 WITH THE SOUTHEAST CORNER OF SAID LOT 10;
ALSO:
THE 14 FOOT PUBLIC ALLEY RUNNING NORTH-SOUTH IN SAID BLOCK 79 LYING EAST OF AND ADJOINING THE EAST LINE OF LOT 27 AND THE EAST LINE OF LOTS 8 THROUGH 17. INCLUSIVE, LYING SOUTH OF A LINE JOINING THE NORTHEAST CORNER OF SAID LOT 17 WITH THE NORTHWEST CORNER OF LOT 18, LYING WEST OF AND ADJOINING THE WEST LINE OF SAID LOT 18, LYING WEST OF A LINE JOINING THE SOUTHWEST CORNER OF SAID LOT 18 WITH THE NORTHWEST CORNER OF LOT 7, LYING WEST OF AND ADJOINING THE WEST LINE OF LOT 7 AND THE WEST LINE OF LOT 26 AND LYING NORTH OF A LINE JOINING THE SOUTHWEST CORNER OF SAID LOT 26 WITH THE SOUTHEAST CORNER OF SAID LOT 27;
ALSO:
THAT PART OF THE 14 FOOT PUBLIC ALLEY RUNNING NORTH-SOUTH IN BLOCK 80 OF SAID CORNELL SUBDIVISION LYING NORTH OF THE NORTH LINE OF THE SOUTH 16 FEET OF LOT 13 IN SAID BLOCK 80 EXTENDED EAST, LYING EAST OF AND ADJOINING THE EAST LINE OF LOTS 13 THROUGH 16. INCLUSIVE, AND THE EAST LINE OF LOT 22, LYING SOUTH OF A LINE JOINING THE NORTHEAST CORNER OF SAID LOT 22 WITH THE NORTHWEST CORNER OF LOT 21 AND LYING WEST OF AND ADJOINING THE WEST LINE OF SAID LOT 21 AND THE WEST LINE OF SAID LOT 16;
SAID PARCEL OF LAND HEREIN DESCRIBED CONTAINS 38,148 SQUARE FEET OR 0.88 ACRES, MORE OR LESS, ALL IN COOK COUNTY, ILLINOIS.
CITY DEPARTMENT OF FINANCE
STATE OF ILLINOIS)
)SS
COUNTY OF COOK)
WE, ENVIRONMENTAL DESIGN INTERNATIONAL, INC., ILLINOIS PROFESSIONAL DESIGN FIRM NO. 184-001224, HEREBY CERTIFY THAT THIS PLAT WAS PREPARED AT AND UNDER THE DIRECT SUPERVISION OF AN ILLINOIS PROFESSIONAL LAND SURVEYOR, AND THAT THIS PLAT REPRESENTS THE CONDITIONS FOUND AT THE TIME OF SAID SURVEY.
GIVEN UNDER MY HAND AND SEAL THIS IN CHICAGO, ILLINOIS.
ENVIRONMENTAL DESIGN INTERNATIONAL, INC.
THIS PROFESSIONAL SERVICE CONFORMS TO THE CURRENT ILLINOIS MINIMUM STANDARDS FOR A BOUNDARY SURVEY.
IS
CHICAGO /"*
;£7 JESUS M. \tWcf'llt^
'""iiiiinuK'
Environmental Design International inc.
Civil, Survey, Environmental and Construction Inspection Services 33 W MONROE STREET, SUITE 1825, CHICAGO, IL 60603 Ph. (312) 345-1400 Fax (312)3450529 www.errvdeagni.com
PREPARED FOR: NEAL it LEROY, LLC
203 N. LASALLE ST. STE 2300,
CHICAGO, IL 60601
PR0JECT:NEW LIFE COVENANT CHURCH
ILLINOIS PROFESSIONAL DESIGN FIRM
LICENSE NO. 164-001224
^y^\5 ir o
New Life Covenant Church-SE
5517 South Michigan Avenue Chicago, Illinois 60637
DUTY TO BUILD AGREEMENT FOR CREATION OF A NEW
ALLEY/STREET
In support of my current application with the Chicago Department of Transportation's Maps and Plats unit, for a dedication of my private property, I hereby state that I am the applicant or the company agent for the applicant company involved in the project, and that I have the authority to agree to the below terms of the dedication. Please initial:
I am aware that I am responsible for the construction of all new public and private rights of ayistreets, alleys, etc) described on the Plat of Subdivision/Dedication.
I further understand that all rights of way (both public and private) must be built to City
tectfTcations as detailed in CDOT's Regulation for Openings, Construction and Repair in the Public 'Wayx
Lastly, I understand that construction deposits will be required to assure that the work is done &rreeTJy. An inspection will be conducted by the City upon completion of the work. The City of Chicago reserves the right to require demolition and reinstallation of any facilities that are judged to be sub par or that do not adhere to the City's standards.
Date: ///^
Printed Name: John HannahJ^^ Title: President
Organization: New Life Covenant Church-SE
Address: 5517 S. Michigan Ave. Zip: 60637
Phone:773-278-1731
Emai 1: kedmond@newlifesoutheast.org
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: New Life Covenant Church -SE
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
1. the Applicant
OR
2. [] a legal entity holding a direct or indirect interest in the Applicant. State the legal name of the
Applicant in which the Disclosing Party holds an interest:
OR
3. [ ] a legal entity with a right of control (see Section Il.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: 5517 S. Michigan Avenue
Chicago II 60637
Telephone: 773-278-1731 Fax: Email: kedmond@newlifesoutheast.org
Name of contact person: Karen Edmond
E. 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):
Vacation of alleys and street, and dedication of alley bounded by 76th St., Greenwood Ave., 78th St., and Railroad Right of Way.
Department of Transportation
G. Which City agency or department is requesting this EDS?_
If the M atter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification # and Contract #
Page 1 of 13
SECTION II - DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY 1. Indicate the nature of the Disclosing Party:
Person [ ]
Publicly registered business corporation [ ]
Privately held business corporation [ ]
Sole proprietorship [X]
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 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).
Title There are no members
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
See Attached Exhibit A
2. Please provide the following information concerning each person or entity having a direct or indirect beneficial interest (including ownership) in excess of 7.5% of the Disclosing Party. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture,
Page 2 of 13
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal Code"), the City may require any such additional information from any applicant which is reasonably intended to achieve full disclosure.
Name Business Address Percentage Interest in the
Disclosing Party
not applicable
SECTION III - BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship," as defined in Chapter 2-1 56 of the Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?
[]Yes [^No
If yes, please identify below the name(s) of such City elected official(s) and describe such relationship(s):
SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature of the relationship, and the total amount of the fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who are paid solely through the Disclosing Party's regular payroll.
"Lobbyist" means any person or entity who undertakes to influence any legislative or administrative action on behalf of any person or entity other than: (1) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means any person or entity any part of whose duties as an employee of another includes undertaking to influence any legislative or administrative action.
If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must either ask the City whether disclosure is required or make the disclosure.
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Fees (indicate whether
paid or estimated.) NOTE:
"hourly rate" or "t.b.d." is
not an acceptable response. $25,200.00
$1.8 Million
Holabird & Root, LLC 140 S. Dearborn Street, Chicago II 60603 Architects
(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 1 0% 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 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 of the Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
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Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor nor any Agents have, during the five years before the date this EDS is signed, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the five years before the date of such Contractor's or Affiliated Entity's contract or engagement in connection with the Matter:
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.
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:
none
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, of the City of Chicago. For purposes of this statement, a "gift" does not include: (i) anything made generally available to City employees or to the general public, or (ii) food or drink provided in the course of official City business and having a retail value of less than $20 per recipient (if none, indicate with "N/A" or "none"). As to any gift listed below, please also list the name of the City recipient.
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is [ Kis 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 of the Municipal Code, explain here (attach additional pages if necessary):
Page 7 of 13
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
[]Yes [^No
NOTE: If you checked "Yes" to Item D.I., proceed to Items D.2. and D.3. If you checked "No" to Item D.L, proceed to Part E.
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 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 []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.citvofchicago.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.
E. The information provided in this EDS must be kept current. In the event of changes, the Disclosing
Party must supplement this EDS up to the time the City takes action on the Matter. If the Matter is a
contract being handled by the City's Department of Procurement Services, the Disclosing Party must
update this EDS as the contract requires. NOTE: With respect to Matters subject to Article I of
Chapter 1-23 of the Municipal Code (imposing PERM ANENT INELIGIBILITY for certain specified
offenses), the information provided herein regarding eligibility must be kept current for a longer period,
as required by Chapter 1 -23 and Section 2-154-020 of the Municipal Code.
The Disclosing Party represents and warrants that:
Page 11 of 13
F. 1. The Disclosing Party is not delinquent in the payment of any tax administered by the Illinois Department of Revenue, nor are the Disclosing Party or its Affiliated Entities delinquent in paying any fine, fee, tax or other charge owed to the City. This includes, but is not limited to, all water charges, sewer charges, license fees, parking tickets, property taxes or sales taxes.
F.2 If the Disclosing Party is the Applicant, the Disclosing Party and its Affiliated Entities will not use, nor permit their subcontractors to use, any facility listed by the U.S. E.P.A. on the federal Excluded Parties List System ("EPLS") maintained by the U. S. General Services Administration.
F.3 If the Disclosing Party is the Applicant, the Disclosing Party will obtain from any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in F.l. and F.2. above and will not, without the prior written consent of the City, use any such contractor/subcontractor that does not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
NOTE: If the Disclosing Party cannot certify as to any of the items in F.L, F.2. or F.3. above, an explanatory statement must be attached to this EDS.
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS and Appendix A (if applicable) on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS and Appendix A (if applicable) are true, accurate and complete as of the date furnished to the City.
John F. Hannah
(Print or type name of Disclosing Party)
John F. Hannah
(Print or type name of person signing)
Senior Pastor
(Print or type title of person signing)
0$.
Signed and sworn to before me on (date) ^Tl/-// ^J^/z^,
at Cook County, Illinois (state).
^£
Commission expires: ^/^//y/
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 ll.B.l .a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members of the Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means the president, chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority.
Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
[ ] Yes [ x] No
If yes, please identify below (1) the name and title of such person, (2) the name of the legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
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 [>fNo
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 LXINo [ J Not Applicable
3. 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 of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable: New Life Covenant Church -SE
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
1. the Applicant
OR
2. [] a legal entity holding a direct or indirect interest in the Applicant. State the legal name of the
Applicant in which the Disclosing Party holds an interest:
OR
3. [ ] a legal entity with a right of control (see Section 1I.B.1.) State the legal name of the entity in
which the Disclosing Party holds a right of control:
Business address of the Disclosing Party: 5517 S. Michigan Avenue
Chicago II60637
Telephone: 773-278-1731 Fax: Email: kedmond@newlifesoutheast.org
Name of contact person: Karen Edmond
E. 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):
Vacation of alleys and street, and dedication of alley bounded by 76th St., Greenwood Ave., 78th St., and Railroad Right of Way.
Department of Transportation
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 # and Contract #
Page 1 of 13
SECTION II - DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY 1. Indicate the nature of the Disclosing Party:
Person [ ]
Publicly registered business corporation [ ]
Privately held business corporation [ ]
Sole proprietorship [X]
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))?
[X] 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 [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).
Title There are no members
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
See Attached Exhibit A
2. Please provide the following information concerning each person or entity having a direct or indirect beneficial interest (including ownership) in excess of 7.5% of the Disclosing Party. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture,
Page 2 of 13
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal Code"), the City may require any such additional information from any applicant which is reasonably intended to achieve full disclosure.
Name Business Address Percentage Interest in the
Disclosing Party
not applicable
SECTION III -- BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship," as defined in Chapter 2-1 56 of the Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?
[]Yes [XNo
If yes, please identify below the name(s) of such City elected official(s) and describe such relationship(s):
SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature of the relationship, and the total amount of the fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who are paid solely through the Disclosing Party's regular payroll.
"Lobbyist" means any person or entity who undertakes to influence any legislative or administrative action on behalf of any person or entity other than: (1) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means any person or entity any part of whose duties as an employee of another includes undertaking to influence any legislative or administrative action.
If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must either ask the City whether disclosure is required or make the disclosure.
Page 3 of 13
Name (indicate whether Business Relationship to Disclosing Party Fees (indicate whether
retained or anticipated Address (subcontractor, attorney, paid or estimated.) NOTE:
to be retained) lobbyist, etc.) "hourly rate" or "t.b.d." is
not an acceptable response.
Neal & Leroy LLC 120 N. LaSalle Street, Suite 2600 Chicago Illinois 60602 Attorneys $25,200.00
$1.8 Million
Holabird & Root, LLC 140 S. Dearborn Street, Chicago II 60603 Architects
(Add sheets if necessary)
[ ] Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V - CERTIFICATIONS
A. COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
[ ] Yes [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
B. FURTHER CERTIFICATIONS
1. Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article 1 is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article I supersedes some five-year compliance timeframes in certifications 2 and 3 below.
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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 Parly;
any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in connection with the Matter, including but not limited to all persons or legal entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties");
any "Affiliated Entity" (meaning a person or entity that, directly or indirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is, with the Disclosing Party, under common control of another person or entity. Indicia of control include, without limitation: interlocking management or ownership; identity of interests among family members, shared facilities and equipment; common use of employees; or organization of a business entity following the ineligibility of a business entity to do business with federal or state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity); with respect to Contractors, the term Affiliated Entity means a person or entity that directly or indirectly controls the Contractor, is controlled by it, or, with the Contractor, is under common control of another person or entity;
any responsible official of the Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee of the Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official of the Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
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Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor nor any Agents have, during the five years before the date this EDS is signed, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the five years before the date of such Contractor's or Affiliated Entity's contract or engagement in connection with the Matter:
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:
none
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If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
8. To the best of the Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all current employees of the Disclosing Party who were, at any time during the 12-month period preceding the execution date of this EDS, an employee, or elected or appointed official, of the City of Chicago (if none, indicate with "N/A" or "none").
none
9. To the best of the Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all gifts that the Disclosing Party has given or caused to be given, at any time during the 12-month period preceding the execution date of this EDS, to an employee, or elected or appointed official, of the City of Chicago. For purposes of this statement, a "gift" does not include: (i) anything made generally available to City employees or to the general public, or (ii) food or drink provided in the course of official City business and having a retail value of less than $20 per recipient (if none, indicate with "N/A" or "none"). As to any gift listed below, please also list the name of the City recipient.
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is [ Kjs 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 of the Municipal Code, explain here (attach additional pages if necessary):
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If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
In accordance with Section 2-1 56-110 of the Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
[]Yes [^No
NOTE: If you checked "Yes" to Item D.I., proceed to Items D.2. and D.3. If you checked "No" to Item D.I., 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.I., 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 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
I. 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 "N A" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee 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 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:
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.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.
E. The information provided in this EDS must be kept current. In the event of changes, the Disclosing
Party must supplement this EDS up to the time the City takes action on the Matter. If the Matter is a
contract being handled by the City's Department of Procurement Services, the Disclosing Party must
update this EDS as the contract requires. NOTE: With respect to Matters subject to Article 1 of
Chapter 1-23 of the Municipal Code (imposing PERMANENT INELIGIBILITY for certain specified
offenses), the information provided herein regarding eligibility must be kept current for a longer period,
as required by Chapter 1-23 and Section 2-154-020 of the Municipal Code.
The Disclosing Parly represents and warrants that:
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F. 1. The Disclosing Party is not delinquent in the payment of any tax administered by the Illinois Department of Revenue, nor are the Disclosing Party or its Affiliated Entities delinquent in paying any fine, fee, tax or other charge owed to the City. This includes, but is not limited to, all water charges, sewer charges, license fees, parking tickets, property taxes or sales taxes.
F.2 If the Disclosing Party is the Applicant, the Disclosing Party and its Affiliated Entities will not use, nor permit their subcontractors to use, any facility listed by the U.S. E.P.A. on the federal Excluded Parties List System ("EPLS") maintained by the U. S. General Services Administration.
F.3 If the Disclosing Party is the Applicant, the Disclosing Party will obtain from any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in F.l. and F.2. above and will not, without the prior written consent of the City, use any such contractor/subcontractor that does not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
NOTE: If the Disclosing Party cannot certify as to any of the items in F.L, F.2. or F.3. above, an explanatory statement must be attached to this EDS.
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS and Appendix A (if applicable) on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS and Appendix A (if applicable) are true, accurate and complete as of the date furnished to the City.
John F. Hannah
(Print or type name of Disclosing Party)
(Sign here) John F. Hannah
(Print or type name of person signing)
Senior Pastor
(Print or type title of person signing)
Signed and sworn to before mc on (date) t/-// ,
at Cook County, Illinois (state).
Notary Public.
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 of the Disclosing Party listed in Section ll.B.l.a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members of the Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means the president, chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority.
Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
[ ] Yes [X] No
If yes, please identify below f 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 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 [XNo
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 |J4 No [ /Not Applicable
3. 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.