COMMERCIAL ORDINANCE
WHEREAS, the City of Chicago ("City") is a home rule unit of local government pursuant to Article VII, Section 6 (a) of the 1970 constitution ofthe State of Illinois and, as such, may exercise any power and perform any function pertaining to its government and affairs; and
WHEREAS, the properties at 3258 N. Clifton Avenue and 1135-1145 W. School Street are owned by Fletch Development, Inc., an Illinois Corporation ("Developer"); and
WHEREAS, the Developer proposes to use the portion of the street to be vacated herein for garage construction; and
WHEREAS, the City Council of the City of Chicago, after due investigation and consideration, has determined that the nature and extent ofthe public use and the public interest to be subserved is such as to warrant the vacation of part of public street, described in the following ordinance; now therefore,
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
SECTION 1. THAT PART OF WEST SCHOOL STREET IN THE WEST 1/2 OF THE SOUTHEAST 1/4 OF SECTION 20, TOWNSHIP, 40 NORTH, RANGE 14, EAST OF THE THIRD PRINCIPAL MERIDIAN, DESCRIBED AS FOLLOWS:
BEGINNING AT THE POINT OF INTERSECTION OF THE SOUTH RIGHT-OF-WAY LINE OF WEST SCHOOL STREET AND THE WEST RIGHT-OF-WAY LINE OF NORTH CLIFTON AVENUE, BEING ALSO THE NORTHEAST CORNER OF LOT 48 IN BLOCK 8 IN BAXTER'S SUBDIVISION, RECORDED NOVEMBER 16, 1868/ANTE FIRE, OF THE SOUTHWEST 1/4 OF THE SOUTHEAST 1/4 OF SECTION 20,
TOWNSHIP 40 NORTH, RANGE 14, EAST OF THE THIRD PRINCIPAL MERIDIAN;
THENCE NORTH 89 DEGREES 57 MINUTES 16 SECONDS WEST, ALONG THE SAID SOUTH RIGHT-OF-WAY LINE OF WEST SCHOOL STREET, A DISTANCE OF 123.65 FEET TO THE SOUTHWEST CORNER THEREOF;
THENCE NORTH 00 DEGREES 01 MINUTES 43 SECONDS EAST, A DISTANCE OF 1.00 FOOT TO THE NORTHWEST CORNER THEREOF;
THENCE SOUTH 89 DEGREES 57 MINUTES 16 SECONDS EAST, ALONG A LINE BEING PARALLEL TO THE SAID SOUTH RIGHT-OF-WAY LINE OF WEST SCHOOL STREET, A DISTANCE OF 123.65 FEET TO THE NORTHEAST CORNER THEREOF;
THENCE SOUTH 00 DEGREES 01 MINUTES 43 SECONDS WEST, A DISTANCE OF 1.00 FOOT TO THE POINT OF BEGINNING, IN COOK COUNTY, ILLINOIS, SAID PARCEL CONTAINING 123.65 SQUARE FEET OR 0.00283 ACRE, MORE OR LESS.
Page 1
as shaded and legally described by the words "HEREBY VACATED" on the plat hereto attached as Exhibit A, which drawing 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 vacation.
SECTION 2. The City of Chicago hereby reserves for the benefit of Commonwealth Edison, its successors or assigns, a non-exclusive utility easement to operate, maintain, construct, replace and renew overhead wires, poles, and associated equipment and underground conduit, cables, and associated equipment for the transmission and distribution of electrical energy, telephonic and associated services under, over and along the street 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 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 utility. Any future vacation-beneficiary prompted relocation of facilities lying within the area herein vacated shall be accomplished by the utility, and be done at the expense of the beneficiary of the vacation.
SECTION 3. The vacation herein provided for is made upon the express condition that within 180 days after the passage of this ordinance, the Developer shall pay or cause to be paid to the City of Chicago as compensation for the benefits which will accrue to the Developer for the part of public street hereby vacated the sum
dollars ($ ),
which sum in the judgment of this body will be equal to such benefits.
SECTION 4. The vacation herein provided for is made upon the express condition that within one hundred eighty (180) days after the passage of this ordinance, the Developer shall file or cause to be filed for record in the Office of the Recorder of Deeds of Cook County, Illinois a certified copy of this ordinance, together with the associated full sized plat as approved by the Superintendent of Maps and Plats ("Superintendent"), or any acting Superintendent.
SECTION 5. This ordinance shall take effect and be in force from and after its passage. The vacation shall take effect and be in force from and after its recording.
Rebekah Srfneinfeld Commissioner of Transportation
Vacation Approved:
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Page 3
Approved as to Form and Legality
EXHIBIT "A"
T
THAT PART OF WEST SCHOOL STREET IN THE WEST 1/2 OF THE SOUTHEAST 1/4 OF SECTION 20, TOWNSHIP, 40 NORTH, RANGE 14, EAST OF THE THIRD PRINCIPAL MERIDIAN, DESCRIBED AS FOLLOWS:
BEGINNING AT THE POINT OF INTERSECTION OF THE SOUTH RIGHT-OF-WAY LINE OF WEST SCHOOL STREET AND THE WEST RIGHT-OF-WAY LINE OF NORTH CLIFTON AVENUE, BEING ALSO THE NORTHEAST CORNER OF LOT 48 IN BLOCK 8 IN BAXTER'S SUBDIVISION, RECORDED NOVEMBER 16,1868/ANTE FIRE , OF THE SOUTHWEST 1/4 OF THE SOUTHEAST 1/4 OF SECTION 20, TOWNSHIP 40 NORTH, RANGE 14, EAST OF THE THIRD PRINCIPAL MERIDIAN;
THENCE NORTH 89 DEGREES 57 MINUTES 18 SECONDS WEST, ALONG THE SAID SOUTH RIGHT-OF-WAY LINE OF WEST SCHOOL STREET. A DISTANCE OF 123.65 FEET TO THE SOUTHWEST CORNER THEREOF,
THENCE NORTH 00 DEGREES 01 MINUTES 43 SECONDS EAST, A DISTANCE OF 1.00 FOOT TO THE NORTHWEST CORNER THEREOF;
THENCE SOUTH 89 DEGREES 57 MINUTES 18 SECONDS EAST, ALONG A LINE BEING PARALLEL TO THE SAID SOUTH RIGHT-OF-WAY LINE OF WEST SCHOOL STREET, A DISTANCE OF 123.65 FEET TO THE NORTHEAST CORNER THEREOF;
THENCE SOUTH 00 DEGREES 01 MINUTES 43 SECONDS WEST, A DISTANCE OF 1.00 FOOT TO THE POINT OF BEGINNING, IN COOK COUNTY, ILLINOIS, SAID PARCEL CONTAINING 123.65 SQUARE FEET OR 0.00283 ACRE, MORE OR LESS.
L NORTH R.O.W. UNE OF W. SCHOOL. STREET fCENTERL
L.
J
I; HEREBY VACATED"
THE SOUTH 1.00 FT. OF W. SCHOOL STREET (1.00*123Jg)
] (R&miioox,
<;R)123 651—
W.~ 6CH0OL
I N89-57'16"W (R&M)123 65' ,
LNQRTH LINE OF LOT 46 ?v
LOT 48 gM"y?."gIB'"t?-
jSOUTH UNE OF LOT 4B
— N89* &W —123651
NORTHWEST CORNER OF LOT 48 LQT47
FW:14-20-421-02S
I P0PW&O
j 33 Qui j 33 Off
LOT1
LOT 2
POtU-20-421-002
BAXTER'S SUBDIVISION REC. NOVEMBER 18,1668 DOC.« ANTE FIRE
BlOC*8
LOTS 3 - 24
t-NORTH FLO W. UNE OF W BELMONT AVENUE
l-CENTERLINEOFW BELMONTAVENUE
r-J
PN:14 - 20 - 421-001
I 1A> PITI H/~VMT
_80LTTH R.QW. UNE OF W.
¦ V V . Ll L_L-IVI V*f I 4 I
N00°01'43"E (R&M)1.00S
NORTHWEST CORNER
OF LOT 48
(R&M)123.65' ^
(R&MJ123.65' N89°57'16"W NORTH LINE OF LOT 48
LOT 48
SOUTH LINE OF LOT 48
Fob;
NORTHEAST CORNER
OF LOT 48
S00°01'43"W (R&M)1.00'
Ot-
CM CO , CM
PLAT PREPARED FOR.
MIKE MARESSO
3258 N. CLIFTON AVENUE
CHICAGO, IL 60657
CDOT# 20-44-16-3750
PLAT PREPARED BY.
UNITED SURVEY SERVICE, LLC
CONSTRUCTION AND LAND SURVEYORS 2100 N 15TH AVENUE, SUITE C, MELROSE PARK, IL 60160 -1017 TEL . (847) 299 -1010 FAX : (847) 299 - 5887 E-MAIL1 USURVEY@USANDCS COM
SB
SHEET NUMBER
1 OF 2
EXHIBIT "A"
T
3258 N. CLIFTON AVENUE
PERMANENT INDEX NUMBER:14 ¦ (APPLICANT OWNED - LOT 48)
LEGEND
AREA TO BE VACATED
BOUNDARY LINE OF PROPOSED VACATION
¦ RIGHT-OF-WAY LINE
LOT LINE
TRAFFIC FLOW DIRECTIONAL'S
(R) RECORD DATA (M) MEASURED DATA PIN = PERMANENT INDEX NUMBER
SURVEYOR'S NOTES:
THE BASIS OF BEARINGS IS ASSUMED.
CITY OF CHICAGO ZONED:
RT-4, RESIDENTIAL TWO-FLAT, TOWNHOUSE AND MULTI-UNIT DISTRICT
DATE OF COMPLETION OF FIELD WORK: AUGUST 5,2015
NO DIMENSIONS SHOULD BE ASSUMED BY SCALE MEASUREMENTS.
STATE OF ILLINOIS )
) s s
COUNTY OF COOK )
I, ROY G. LAWNICZAK, DO HEREBY CERTIFY THAT I HAVE PREPARED THE PLAT OF VACATION FOR THE PURPOSE SHOWN HEREON.
THIS PROFESSIONAL SERVICE CONFORMS TO THE CURRENT ILLINOIS MINIMUM STANDARDS FOR A BOUNDARY SURVEY.
DIMENSIONS ARE SHOWN IN FEET AND DECIMALS AND ARE CORRECTED TO A TEMPERATURE OF 68* FAHRENHEIT.
MELROSE PARK, ILLINOIS, JULY 6, A.D. 2016
BY:
ROY G. LAWNICZAK, REGISTERED ILLINOIS LAND SURVEYOR NO. LICENSE EXPIRES: NOVEMBER 30.2016 PROFESSIONAL DESIGN FIRM LICENSE NO.: 184-004576 LICENSE EXPIRES: APRIL 30, 2017
PLAT PREPARED FOR:
MIKE MARESSO
3258 N. CLIFTON AVENUE
CHICAGO, IL 60657
CDOT# 20-44-16-3750
ADDED CDOT#
PLAT PREPARED BY:
UNITED SURVEY SERVICE, LLC
7/6/16
CONSTRUCTION AND LAND SURVEYORS 2100 N 15TH AVENUE, SUITE C, MELROSE PARK, IL 60160-1017 TEL. (847) 299-1010 FAX (847) 299-5887 E-MAIL USURVEY@USANDCS COM
35-2290
SHEET NUMBER
2 OF 2
!; CITY OF CHICAGO ^ " ' -
ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I ~ jGENERAL INFORMATION
Legal name ofthe Disclosing Party submitting this EDS. Include d/b/a/ if applicable:
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
[Lj^the Applicant
OR j [ ] a legallehtity holding a direct or indirect interest in the Applicant. State the legal name of the
Applicant iii which the Disclosing Party holds an interest: .
OR I ;'
i ¦
3 [ ] a legal ebtity with a right of control (see Section II.B.l.) State the legal name ofthe entity in
which the Disclosing Party holds a right of control:
Business address of the Disclosing Party: I "33D lx_> ^U^cLf~\
Telephone: 1^1 ~L\Name of contact person: V rVTU-lCV P (\\~^
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 ofproperty, if applicable):
'I« 3. "^SP ^
Which City agency or department is requesting this EDS? " I rfiri^ ^/i r^cPAtQx—
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification # , and Contract it
Page 1 of 13
SECTION II --DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OFiTHE DISCLOSING PARTY
[ ] Person j f:
[ ] PtjWicly registered business corporation
[tJ'Trivately held business corporation
[ ] Sole proprietorship
[ ] General partnership
[ ] Limited partnership
(] Trust j 1
[] 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:
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: i
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If the entity is;
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,Restates or other similar entities, list below the legal titleholdcr(s).
ajgeneral 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
ft
2. Please prdvide the following information concerning each person or entity having a direct or indirect beneficial'Jinterest (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,
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interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other sirhilar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 ofthe Municipal Code ofChicago ("Municipal Code"), the City may require any such additional information from any applicant which is reasonably intended lo achieve;full disclosure.
| •]
Name j |i Business Address Percentage Interest in the
O :' i Disclosing Party .
SECTION III 4 BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
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Has the Disclosing Party had a "business relationship," asldefined in Chapter 2-156 of the Municipal Code, with any City elected official in the 12 months before jlhc date this EDS is signed?
[] Yes
If yes, please identify below the name(s) of such City elected official(s) and describe such relationship(s): \ '\
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 fee's-paid or estimated to be paid. The Disclosing Party is not required to disclose employees who ate paid solely through the Disclosing Party's regular payroll.
i |- ; "Lobbyist" means any person or entity who undertakes to influence any legislative or administrative
action on behalf 6fiany person or entity other than: (I) 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.
| I
If the Disclosing Party is uncertain whether a disclosure isjrequired 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 \yriether Business retained or anticipated Address to be retained)
Relationship to Disclosing Party Fees (indicate whether
(subcontractor, attorney, paid or estimated.) NOTE:
lobbyist, etc.) "hourly rate" or "t.b.d." is
'; not an acceptable response.
(Add sheets if necessary) j
r^heck here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V - CERTIFICATIONS i
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A. COURT-ORDERED CHILD SUPPORT COMPLIANCE
'¦ I
. ^ i
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 c bligations throughout the contract's term.
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
/ |
[ ] Yes [\f No [ ] No person directly or indirectly owns 10% or more of the
\ • Disclosing Party. I
i ' i ;! | |
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? ' j
IJ Yes
B. FURTHER CERTIFICATIONS
3 1 ,j j
1. Pursuant to Municipal Code Chapter 1-23, Article I ("Article l")(which the Applicant should consult for defmetij terms (e.g., "doing business") and lcgalrcquircments), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as followjs: (i) neither the Applicant nor. any controlling person is currently indicted or charged wilh, or has admitted guilt of, or has ever been convicted of, br 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 Artibfc I supersedes some five-year compliance timeframes in certifications 2 and 3 below.
Page 4 of 13
2. The Disclosing Party and, if the Disclosing Party is a 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 o|r local unit of government;
of this EDS, been convicted of a criminal
b. have not, ^yithin a five-year period preceding the date
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;
destruction of records; making false
embezzlement; theft; forgery; bribery; falsification or statements;|or receiving stolen property;
forth in clause B.2.b. of this Section V;
3 :i i 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
of this EDS, had one or more public or default; and
have not, within a five-year period preceding the date transactions; (federal, state or local) terminated for catlse
e. have not,, within a five-year period preceding the date of this EDS, been convicted, adjudged guilty, or jjound 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.
. 3!
3. The certifications in subparts 3, 4 and 5 concern:
ii
the Disclosing Party;|1010|? any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in connection withjjthe Matter, including but not limited to all persons or legal entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties");
any "Affiliated Entity1' (meaning a person or entity that, pircctly 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 mariagemcnt or ownership; identity of interests among family members, shared facilities and cquipmcntj common use of employees; or organization-of a business entity following the
or state or local government, including
ineligibility ofappusincss entity to do business with federal
the City, using'jsubstantially the same management, owner: hip, or principals as the ineligible entity); with respect tojfjontractors, the term Affiliated Entity mea is a person or entity that directly or indirectly controls the Contractor, is controlled by it, or, w th 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, ahy 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
before the date this EDS is signed, or, with Bntity of a Contractor during the five years
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 respect to a Contractor, an Affiliated Entity, or an Affiliated
before the date offuch Contractor's or Affiliated Entity's contract or engagement in connection with the Matter:
United States of America, in that officer's
bribed or attempted to bribe, or been convicted or adji dged 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 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 prospecu'vjerbidders, in restraint of freedom of compel tion by agreement to bid a fixed price or otherwise;! ox
made an admission of such conduct described in a. orb. above that is a matter of record, but have not Keen prosecuted for such conduct; or
ii
d. violated titiejiprovisions 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.fis barred from contracting with any unit or state or local government as a result of engaging in or be|ng convicted of (1) bid-rigging in violation of 720 ILCS 5/33E-3; (2) bid-rotating in violation of 720 HiCS 5/33E-4; or (3) any similar offense of ;iny state or of the United States of America that contains the same elements as the offense of bi( -rigging or bid-rotating.
) and 2-156 (Governmental Ethics) ofthe
i I 'i i
Neither the Disclosing Party nor any Affiliated Entityis listed on any of the following lists maintained by thej Office of Foreign Assets Control of the U.S. Department of the Treasury or the Bureau of Industrjyfand 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. : \ 1
The Disclosing Party understands and shall comply with the applicable requirements of Chapters 2-55 (Legislativellhspector General), 2-56 (Inspector Genera Municipal Code, j |
7. If the Disclosing Party is unable to certify to any of the above statements in this Part B (Further Certifications), thclDisclosing 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.
:i .'
8. To the best.;of the Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all.current employees of the Disclosing Party who were, at any time during the 12-month period preceding the execution date of this EDS, an employee, or elected or appointed official, of the City of Chicago (if none, indicate with "N/A" or "none").
9. To the best'of the Disclosing Party's knowledge after
an employee, or elected or appointed
complete list of alLgifts lhat 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, tc
official, of the City of Chicago. For purposes of this statement, a "gift" does not include: (i) anything
made generally a||ilablc to City employees or to the general public, or (ii) food or drink provided in the course of officialij(|iry business and having a retail value of leiss than S20 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.
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C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
(check one)
j!
1. The Disclosing Party certifies that the Disclosing Partv
I [Vj'lJMlOt
a "financial institution" as defined in Section 2-32-455(b) of tie Municipal Code.
II 1 2. If the Disclosing Party IS a financial institution, then ti e Disclosing Party pledges:
understand that becoming a predatory t in the loss ofthe privilege of doing
"We are not and will not become a predatory lender as definec in Chapter 2-32 of the Municipal Code. We furtherlp^edge that none of our affiliates is, and node of them will become, a predatory lender as dcfinedinfchapter 2-32 of the Municipal Code. Wc lender or becomingjan affiliate of a predatory lender may resu business with the City."
If the Disclosing Pjarty is unable to make this pledge because i: or any of its affiliates (as defined in Section 2-32-455(||of the Municipal Code) is a predatory lenjier within the meaning of Chapter 2-32 ofthe Municipal Code, explain here (attach additional pages if necessary):
Page 7 of 13
If the letters "NAj,f the word "None," or no response appears conclusively presumed that the Disclosing Party certified to
D. CERTIFICATION REGARDING INTEREST IN CITY
.If
Any words or terms that are defined in Chapter 2-156 of the meanings when tjsjed in this Part D.
on the lines above, it will be he above statements.
BUSINESS
Municipal Code have the same
Code: Does any official or employee in the name of any other person or
NOTE: If you qhfccked "Yes" to Item D.l., proceed to Item!! D.2. and D.3. If you checked "No" to Item D.l.,proceed!;to Part E.
2. Unless sojcV pursuant to a process of competitive bidd hg, or otherwise permitted, no City elected official of Employee shall have a financial interest in his or her own name or in the name of any other personjjor entity in the purchase of any property thi t (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 Sile"). 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 j |
Does the Matter-involve a City Property Sale?
[3 Yes
and business addresses of the City
3. If you ch$}|eed irYesH to Item D.l., provide the names
officials or employees having such interest and identify the nature of such interest:
Nature of Interest
4. The Diseasing Party further certifies that no prohibi ted financial interest in the Matter will be acquired by aihy City official or employee.
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Please check jeither 1. or 2. below. If the Disclosing Party disclose below q(rlin an attachment to this EDS all in
I : Page 8 of 13
comply with these disclosure requirements may make any contract entered into with the City ir connection with' (he Matter voidable by the City.
1. The Disclosing Party verifies that the Disclosing Party has searched any and all records of
the Disclosing fairly 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
or injury or death of their slaves), and
issued to slaveholders that provided coverage for damage tc 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 Partjj has found records ofinvestments 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 4 CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
I ^
NOTE: If the IVlatter 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 ofijdlbt obligations of the City are not federal (unding.
A. CERTIFICATION REGARDING LOBBYING
¦¦j ii
1. List below|the names of all persons or entities registered under the federal Lobbying Disclosure Act off 1995 who have made lobbying contacts oil behalf of the Disclosing Party with
respect to the Matter: (Add sheets if necessary):
(If no cxplanatidniappears or begins on the lines above, or if appear, it will be conclusively presumed that the Disclosing registered underfthe Lobbying Disclosure Act of 1995 have: Disclosing Partyij\yith respect to the Matter.)
the letters "NA" or if the word "None" Party means that NO persons or entities nadc lobbying contacts on behalf of the
agreement, or to extend, continue, renew, or cooperative agreement.
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 oi 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 federalllaw, 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 amend, or modif-yiany federally funded contract, grant, loan;
I !; Page 9 of 13
Internal Revenue Code of 1986 but has not < ngaged and will not engage in "Lobbying
The Disclosing Party will submit an. updated certification at the end ofeach calendar quarter in which there occurs any event that materially affects the'accuracy of the statements and information set forth in paragraphs A.). and A.2. above.
The Disclb^ing 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 2n organization described in section
501(c)(4) of the" " "~ " ' - . - -
Activities".
5. If the Disclosing Parly is the Applicant, the Disclosing Party must obtain certifications equal in form and substance to paragraphs A.l. through A.4. above frjom 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 pro mptly available to the City upon request.
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
I "
1he Applicant and all proposed bids or in writing at the outset of
If die Matter is federally funded, federal regulations require subcontractors to; submit the following information with thei negotiations. { |
Is the Disclosing^
rjYcs
If "Yes," answer 1. Have you;
Party the Applicant? I 3 No
the three questions below: developed and do you have on file affirmat; ve action programs pursuant to applicable
[]No
federal .regulations? (Sec 41 CFR Part 60-2.)
[3 Yes
the
[ ] No
2. Have you .filed with the Joint Reporting Committee, Contract Compliance Programs, or the Equal Employment Opport under the applicable filing requirements?
[]Ycs
3. Have you^jparticipatcd in any previous contracts or subcontracts subject to the equal opportunity clause?
[ ] Yes j ? [ ] No
If you checked "No" to question 1. or 2. above, please provide an explanation:
Page 10 of 13
SECTION VII i~ ACKNOWLEDGMENTS, CONTRACT INCORPORATION, COMPLIANCE!PENALTIES, DISCLOSURE
The Disclosing Party understands and agrees that:
The certificat ions, disclosures, and acknowledgments contained in this EDS will become part of any contract or other agreement between the Applicant and the Gity in connection with the Matter, whether procurement, Cilylassistance, or other City action, and are material inducements to the City's execution of any contract orltaking other action with respect to the Matter. The Disclosing Party understands thai it must comply with all statutes, ordinances, and regulations on which this EDS is based.
j I
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.citybfchicago.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 with the applicable ordinances.
C. If the City determines that any information provided in thjis EDS is false, incomplete or inaccurate, any contract or olher agreement in connection with which it is submitted may be rescinded or be void or voidable, and the] Oity may pursue any remedies under the cd ntract or agreement (if not rescinded or void), at law, or injequity, including terminating the Disclosing Party's participation in the Matter and/or declining to alloy'Ithe 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.
D. 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 arid 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 cqjmpleting and signing this EDS, the Disclosing Party waives and releases any possible rights or claims wliich it may have against the City in connection with the public release of information contained in this ^pDS and also authorizes the City to verify the accuracy of any information submitted in this EDS.
action on the Matter. If the Matter is a
E. The informaticir|providcd in this EDS must be kept curren:. In the event of changes, the Disclosing
Party must supplement this EDS up to the time the City takes
contract being handled by the City's Department of Procurers ent Services, the Disclosing Party must update this EDS asHhe contract requires. NOTE: With rcspeit to Matters subject to Article I of Chapter 1-23 of th| Municipal Code (imposing PERMANENT INELIGIBILITY for certain specified offenses), the information provided herein regarding eligibilily must be kept current for a longer period, as required by Chapter 1-23 and Section 2-154-020 of the Mi hicipal. Code.
The Disclosing Party represents and warrants that:
Page 11 of 13
F.l. The Disclosing Party is not delinquent in the payment of any tax administered by the Illinois Department of Revenue, nor are the Disclosing Parry or its Affiliated Entities delinquent in paying any fine, fee, tax or |>ther charge owed to the City. This includes, but is not limited to, all water charges, sewer charges, license fees, parking tickets, property taxes ot sales taxes.
11 I F.2 If the Disc|bsing Party is the Applicant, the Disclosing Party and its Affiliated Entities will not
use, nor permit thieir subcontractors to vise, any facility listed by the U.S. E.P.A. on the federal Excluded
Parties List Systjem ("EPLS") maintained by the U. S. General Services Administration.
F.3 If the Disposing Party is the Applicant, the Disclosii g Party will obtain from any contractors/subcontractors hired or to be hired in contiectibr with the Matter certifications equal in form and substance to those in F.l. and F.2. above and will lot, without the prior written consent of the City, use any su|h: contractor/subcontractor that does not provide such certifications or that the Disclosing Parryjhas reason to believe has not provided or cannot provide truthful certifications.
1' 1 '
NOTE: If the Disclosing Party cannot certify as to any of thp 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 aq|| |tetements 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 hafa^of Disclosing Party)
(Sign her|);
(Print or type naMe of person sighing)
(Print or type title^of person signing)
Signed and swor^Tto before me on (date).
at d<3fc>(C 1 I. County, "37 V (state).
Commission exj^hres
amig.niiaiiii
! MICHELLE HOWSE
NOTARY PUBUC, STATE OF ILLINOIS
My Commission Expires Aug. 19. 2016
i w V v m ¦ m m >v
(DO NOT SUBMIT THIS PAGE WITH YOUR EDS. recertify your EDS prior to submission to City Council recertify truthfully, the Disclosing Party must complete irjtformation)
The purpose of this page is for you to or on the date of closing. If unable to a new EDS with correct or corrected
1 f RECERTIFICATION
i ¦
I '*<
Generally; for use with City Council matters. Not for Gity procurements unless requested
on behalf of the Disclosing Party, (2) in the Disclosing Party's original EDS to the City and continue to be true,
This recertification is being submitted in connection with QLyl \jcc<£-f~ £\ \ RuTT *~v [identify the Matter]. Under penalty of perjury, the person signing below: (1) warrants that
he/she is authorized to execute this EDS recertification warrants that all certifications and statements contained are true, accurate and complete as of the date furnished
accurate and complete as ofthe date of this recertification, and (3) reaffirms its acknowledgments.
(Print of'type legal name of Disclosing Party)
frO^/vcv.r 'td
4^
Print or type name of signatory:
i -
Title of signatory:
Signed arid sworn to before me on [date] "7~ "Wt* , by
•Pcckwk (i\\\J^ . at PodL County, ItU aK [state].
Gomrnission expires:_
'^rcIaL-seal ' ' 1 M1CRELLE HOWSE NOTARY PUBLIC, STATE OF ILLINOIS My Commission ExptegAug. 19,2016
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPEND DC A
the mayor, any alderman, the city clerk, the city treasurer or any; partner or as anybf the following, whether by blood or adoption niece or nephcw,*grandparcnt, grandchild, father-in-law, mother-
or stepmother, stepson or stepdaughter, stepbrother or stepsister: >r half-brother or half-sister.
"Applicable Paity" means (I) all executive officers of the Disclosing Party listed in Section ELB. 1 .a., if the Disclosing Party jis a corporation; all partners ofthe Disclosing E arty, if the Disclosing Party is a general partnership; all general partners and limited partners of the Discbsing 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 c'pmpany; (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 officerjeXecutive director, chief financial officer, treas jrer or secretary of a legal entity or any person exercising similajj 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 deps rtment head?
[ ]Yes
If yes, please identify below (1) the name and title of such per ;on, (2) the name of thje legal entity to which such person is coMfectcd; (3) the name and title of the elected city official or department head to whom such person has a fami ial relationship, and (4) the precise nature of such familial relationship.
Page 13 of 13
fLert* Xr^eco/T -iwc
iU CITY OF CHICAGO
¦t 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 hasii direct ownership interest in the Applicant exceeding 7.5 percent (an "Ovyncr"). It is not tojb'e completed by any legal entity which hasionly an indirect ownership interest in the Applicant.
Pursuant to Municipal Code Section 2-154-010, is the Applicant orany Owner identified as a building code scofflaw or problem landlord pursuant to Section 2-92-416 of the Municipal Code?
f ] Yes p(] No
If the Applicant is a legal entity publicly traded on any exchange, is any officer or director of the ^pplicant identified as a building code scofflaw or problem landlord pursuant to Section 2-92-416 of the Municipal Code?
[ ] Yes [ JNo [yj 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.