This record contains private information, which has been redacted from public viewing.
Record #: O2016-7996   
Type: Ordinance Status: Passed
Intro date: 11/1/2016 Current Controlling Legislative Body: Committee on Housing and Real Estate
Final action: 12/14/2016
Title: Sale of City-owned property at 438 N Monticello Ave to Michael Repel under Adjacent Neighbors Land Acquisition Program
Sponsors: Emanuel, Rahm
Topic: PROPERTY - Sale
Attachments: 1. O2016-7996.pdf
OFFICE OF THE MAYOR
CITY OF CHICAGO
RAHM EMANUEL MAYOR
November 1, 2016










TO THE HONORABLE, THE CITY COUNCIL OF THE CITY OF CHICAGO


Ladies and Gentlemen:

At the request of the Commissioner of Planning and Development, I transmit herewith ordinances authorizing the sale of city-owned property.

Your favorable consideration of these ordinances will be appreciated.

Mayor

Very truly yours,
ORDINANCE

WHEREAS, the City of Chicago ("City") is a home rule unit of government by virtue of the provisions of the Constitution of the State of Illinois of 1970, and, as such, may exercise any power and perform any function pertaining to its government and affairs; and
WHEREAS, the City, through the foreclosure of demolition liens, tax sales and other methods of acquisition, has acquired title to numerous parcels of real property which are of minimal value and costly to clean up and maintain, and because title to such properties was vested in the City, the properties were exempted from real estate taxes, thus depriving the City of revenue; and
WHEREAS, pursuant to an ordinance (the "Original Program Ordinance") adopted by the City Council of the City ("City Council") on March 6, 1981 and published on pages 5584 -5585 of the Journal of Proceedings of the City Council ("Journal") for such date, the City established a program for the disposition of certain vacant real property owned by the City known as the Adjacent Neighbors Land Acquisition Program; and

WHEREAS, the Original Program Ordinance was amended by ordinances adopted on July 23, 1982 and published in the Journal for such date at pages 11830 - 11833, and on January 7, 1983 and published in the Journal for such date at pages 14803 - 14805 (the Original Program Ordinance and such two amending ordinances, collectively, the "Original AN LAP Ordinances"); and
WHEREAS, pursuant to an ordinance adopted by the City Council on September 14, 1994 and published in the Journal for such date at pages 56195 - 56198, the City Council repealed the Original AN LAP Ordinances, and established a new program, also known as the Adjacent Neighbors Land Acquisition Program, for the disposition of certain vacant real property owned by the City, which ordinance was subsequently amended by ordinances adopted on September 4, 2002 and published in the Journal for such date at pages 92771 - 92773, and on July 28, 2010 and published in the Journal for such date at pages 97370 - 97374, and on June 25, 2014 and published in the Journal for such date at pages 83533 - 83535 (such new program, as amended, the "ANLAP Program"); and

WHEREAS, pursuant to the ANLAP Program, as codified at Municipal Code Chapter 2-159-010 et seq. (the "ANLAP Program Ordinance"), a qualified City-owned parcel may be sold if it has an appraised value of not more than Fifty Thousand Dollars ($50,000); and

WHEREAS, pursuant to the ANLAP Program: (i) if the property appraises at or for less than Ten Thousand Dollars ($10,000.00) the minimum acceptable bid must be at least One Thousand Dollars ($1,000.00); or (ii) if the property appraises at or for less than Twenty Thousand Dollars ($20,000.00) but more than Ten Thousand Dollars ($10,000.00) the minimum acceptable bid must be at least Two Thousand Dollars ($2,000.00); or (iii) if the property appraises for more than Twenty Thousand Dollars ($20,000.00) the minimum acceptable bid must be Two Thousand Dollars ($2,000.00), plus fifty percent (50%) of the appraised value which exceeds Twenty Thousand Dollars ($20,000.00); and
WHEREAS, pursuant to the ANLAP Program, an Adjacent Neighbor means a person who owns one parcel, or two or more contiguous parcels, of real property that is immediately




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adjacent to a city-owned parcel and at least one ofthe parcels is an improved parcel which the person occupies as his primary residence; and

WHEREAS, pursuant to the ANLAP Program, any deed conveying a parcel pursuant thereto shall contain covenants which: (1) prohibit the grantee from conveying, assigning or otherwise transferring the parcel except in conjunction with the sale of the real estate on which grantee's primary residence is located, including the adjacent side yard if any; and (2) require that the parcel be improved with landscaped open space within six (6) months of the conveyance of such parcel and prohibit the construction of any permanent improvements on the parcel, excluding only improvements made by the grantee on the parcel that constitute an integrated addition to the grantee's primary residence, or a garage appurtenant thereto; and (3) require the grantee to maintain the parcel in accordance with the provisions of the Municipal Code of Chicago. The covenants shall terminate ten (10) years after the date of the conveyance of the parcel to the grantee; and

WHEREAS, the Department of Planning and Development ("DPD") of the City desires to convey the vacant parcel of real property identified on Exhibit A to this ordinance (the "ANLAP Parcel") to Michael Repel (the "Purchaser"), who has a principal residence of 440 North Monticello Avenue, Chicago, Illinois 60612, which ANLAP Parcel is located in the Chicago/Central Park Redevelopment Project Area ("Area") established pursuant to ordinances adopted by the City Council on February 27, 2002 and published in the Journal for such date at pages 79794 through 80025; and

WHEREAS, DPD has caused notice of the proposed sale of the ANLAP Parcel to be sent to all eligible adjacent neighbors (if any) and has also caused public notice advertising the City's intent to enter into the sale of the ANLAP Parcel to the Purchaser to be published in the Chicago Sun-Times on October 6, 2016 and October 13, 2016; and
WHEREAS, Purchaser's proposal was the only proposal received by the deadline indicated in the aforesaid notice; and
WHEREAS, pursuant to Resolution Number 16-087-21 adopted on October 20, 2016, by the Plan Commission ofthe City of Chicago ("Commission"), the Commission approved the sale of the ANLAP Parcel to the Purchaser; now, therefore

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

1 SECTION 1. The City hereby accepts the bid of the Purchaser to purchase the ANLAP Parcel, which purchase shall be subject to all of the terms, conditions, covenants and restrictions ofthe ANLAP Program and the ANLAP Program Ordinance.

SECTION 2. The Mayor or his proxy is authorized to execute, and the City Clerk or Deputy City Clerk is authorized to attest, a quitclaim deed conveying the ANLAP Parcel to the Purchaser for the purchase price of One Thousand Four Hundred Forty and 00/100 Dollars ($1,440.00). Such deed shall include a covenant obligating the Purchaser to use the ANLAP Parcel only for a use consistent with the land uses permitted under the redevelopment plan for the Area and consistent with the requirements ofthe ANLAP Program Ordinance.






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SECTION 3. If any provision of this ordinance shall be held to be invalid or unenforceable for any reason, the invalidity of such provision shall not affect any of the other provisions of this ordinance.
SECTION 4. All ordinances, resolutions, motions or orders inconsistent with this ordinance are hereby repealed to the extent of such conflict.

SECTION 5. This ordinance shall take effect upon its passage and approval.















































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EXHIBIT A


Bidder: Michael Repel
Bidder's Address: 440 North Monticello Avenue, Chicago, Illinois 60612
Appraised Value ("as is"): $2,800.00
Bid Amount: $1,440.00


Legal Description (Subject to Title Commitment and Survey):

Lot 9 in Van Wyck's Subdivision of Block 15 in W. J. Morton's Subdivision of the East V2 of the Northwest % of Section 11, Township 39 North, Range 13, East of the Third Principal Meridian in Cook County, Illinois.

Address: 438 North Monticello Avenue
Chicago, Illinois 60612

Property Index Number: 16-11-132-030-0000
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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT t AND AFFIDAVIT

SECTION I C.'ENEUAL, INFORMATION
A . Lcfial name cf the Disclosing Patty submitting, this EDS. Include d/b/s/ if applicable;
M!^z^S^£e^^ ^.^
Check ONE of Uio following three boxes';

Indicate whether the Disclosing Party submitting this EDS is:
p£ the Applicant
OR
{ ] a icpat entity balding a direct of indirect interest in the Applicant. State the legal nnme of the
Applicant in which the Disclosing Party holde an interest: , • ,
OR
3. {) e Legal entity with a right of control (see Section II.B.l.) Stat© the legal name of the esuity in
-which the Disclosing Party holds 6 right of control: Vl. .,.,,,„.,,., y ,
J3.AS&Middr0ss ofthe Disclosing Party: .y4Q (±_^Jjg^.\^.\9. ftV '
Telephone;^S'7t>6;S"p^ v&x. _ .Email:'
Name of contact persons- ffa^ jA-ytA" , , ^kf e;>^<^~- ,- —
B. Federal Bmployej Identification No. (if you have one);'„^_. xr, ..........^ „ .„, .j/ ,
P. Rricf description of contract, transaction or other undertaking (refsncd to below cs the "Mattar") to which this BDS pertains. (Include project number and location of property, if applicable):



G. Which City agency or department is requesting this EDST^s^^.^^^
if the Matter is a contract being handled by the City's Department of Procurement Services, please complete the. following:

Specification if . .... . t ____ t ^ and Contract Htr . ^



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SECTION JI DISCLOSURE OF OWNERSHIP INTERESTS

A. NATURE OF THC DISCLOSING PARTY *
S. Indicate the nature ofthe Disclosing Party:
J^^crcor) (] Limited liability company
[} Publicly registered business corporation [] Limited liability partnership
(] Privately held business corporation [ j Joint venture
( ] Sole proprietorship [ ] Not-for-profit corporation
I ] Genoa! partnership (Is the not-for-profit coipor&tion also a 5Ql(c)(3))?
f ] Limited partnership ( 1 Yes [ ] No
f] Trust \) Other (please specify)


2. For legai entiticE, the state (or foreign country) of incorporation or organization, if applicable:



3, For legs] entities not organized in the Stats of Illinois: Han the organization registered lo do business in the State of Illinois as a foreign entity?

{] Yes (]No ^N/A
13. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
3. List below the fu|f names end titles ofsll executive officers and all directors ofthe entity. NOTE: For not-for-profit corporations, also list beiow ai! members, if any, which are legal entities. If there arc no such members, write "no members." For trusts, estates or other similar entities, list below the legal utleholder(s).
If the entity is a general partnership, limited partnership, limited liability company, limited iinbi-Hy partnership or joint venture, list below the nsnte and Lille of each general partner, managing member, manager or any other person or entity thai controls the day-to-day management of the Disclosing Party, NOTE; Each legal entity listed below must submit an EDS on its own behalf.

Name Title



2. Please provide the following information concerning each person or entity having a direct or indirect beneficial inteiest (ioclurfmg ownership) in excess ol" 7.5% of the Disclosing Party. Examples of such an mtciest include shares iii b corporation, partnership imcresf m a partnetship oi joint vcnluie,

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ir.if.rcft of t, member or manager in a limited liability company, or interest of a be.neficifiry of a trust, estate or other similar entity, if none, stale "None." NOTE: Poison! to Section 2.-154-020 of the Municipal Code of Chicago ("Municipal Code"), the City may requite any such additional information from any applicant which ie reasonably intended to echieve full disclosure.
Name Business Address Percentage Interest in the
Disclosing Patty
!SW&' ^ ^ ^^^^ . u .—w



SECTION-OT - BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Hen the Disclosing Party had a "business relationship," hs defined in Chapter 2-156 ofthe Municipal Cods, with any City elected official in the 12 months before the. date this H.DS is 5igncd7

! J Yes iNNo
If yes. picasc identify below the name(s) of such City elected official(s) and describe such relationship^):
— i AJ*.


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 P^rty lias retained or expects to s-claui in connection witli the Matter, as wcil as the nature of the relationship, sod Use 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 payioll.
"Lobbyifc-C means any person or entity who undcrlakes'to influence any legislative or administrative action on behalf of sny person or entity other than: (I) a not-for-profit entity, on an unpaid basis, or (2) himself "Lcbbyisf" slso means any person or entity any pari of whose duties as an employee of another includes undertaking to influence any legislative oi" adminisliative fiction.
J r ilia Disclosing Party is uncertain whether a disclosure is required under tbip Section; the Disclosing party must cither ask the City whether disclosuic is required or make the disclosure.




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Name (indicate whether Business Relationship to Disclos'uig Party Fees (indicate whether
retained or anticipated Address (subcontractor, attorney, ^ paid or estimated.) NOTE:
to be retained) lobbyist, ac.) ' "hourly jate" or "l.b.'d," is
not an acceptable response,





(Add sheets if necessary)
[ ] Check here if the Disclosing Party has not retained, nor expects to retain: 'any such persons or entities. SECTION V -- CERTIFICATIONS
A . COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-4 15, substantial owners of business entities thai contract with the City must remain in compliance with their child support obligations throughout the. confroct's term.
Has any person who directly or indirectly owns IQ% or more ofthe Disclosing Pony been declared in arrearage on nny child support obligations by any Illinois court of competent jurisdiction?
f%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

B. FURTHER CERTIFICATIONS
j. Pursuant to Municipal Code Chapter 1-23, Article I ("Ailiclo D(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), tf the Disclosing Parly submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither (he Applicant nor any controlling person is currently indicted or charged with, or has admitted &"ih of, or has ever been convicted of, or placed under supervision ior, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty dj deceit against an officer or employee ofthe City or any sistci agency; end (»;) the Applicant understands and acknowledges thM compliance with Article I is a continuing tcqvuement for doing business with the City NOTE: If Article I nppliss. to the Applicant, the permanent compliance rinieframt in Atticle J supersedes some five-year compliance timeframes in certifications 2 and 3 below.


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2. The, Disclosing Party nnd, if the. Disclosing Pasty is e legal entity, all of thoae persons ot entities identified in Section llJi, 5. of (his ED S:
' *
arc not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from any transactions by any fcdciai, Ktate 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 eonneciion v-'ith; 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 RtaSut.es ; fraud; embezzlement; Ihcil; forgery; bribery; falsification or destruction of recoida; making false siotcrncnts; or receiving stolen properly:
arc not presently indicted for, or criminally or civilly charged by, a governmental entity (federal,
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

c. have not,-within a five-year period preceding the date of this BUS, been convicted, adjudged guilty, or found liable in a civil proceeding, or hi any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other nnit of local govsroment.
3. The certifications in subparts 3, 4 and 5 coneonr:1 - the Disclosing Party;
any "Contractor" (mcen/ag any contractor or subcontractor used by the Disclosing Party in connection with the Matter, including but not limited to fill persons-or legal entities disclosed under Section IV, "Disclosure of Subcontractors mid Other Retained Parties");
any "Affiliated Entity" (meaning a person or entity that, directly or indijcctly: 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 u;:e. of employees; or organization of a business entity following the ineligibility of a buNiness entity to do business villi federal or state or local government, including (hs-Cily, using substantially the same management, ownership, or principals as ma ineligible entity), with respect to Conlraclois, the term Affiliated Entity means a person or entity th»t directly or indirectly controls the Conliactoi, is controlled by it, or, with the Contractor, is under common -control of another pcriicn or entity;
' any responsible official ofthe Disclosing Paily, any Contractor or any Affiliated Entity or any other official, agent or employee of «he Disclosing Party, any Contractor or any Affiliated Enti:y, actsng pursuant to the direction or auiiiorizfttion of a responsible official ofthe Disclosing Party, any Contiactoi or any Affiliated Entity (collectively "Agents").

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Nei ther the Disclosing Parly, nor any Contractor, nor any Affiliated Britity of cither die Disclosing P&ny or sny Contmctor r.or any Agents hfivc, during the five years before the dale this EDS is signed, or, wnh respect to a Contractor, an-Affiliated Entity, or an Affiliated Entity of a Contractor during the five yeass belbie the dale of'such Contractor's or Affiliated Emily's contract or engagement in connection with the Mattel':
bribed or attempted to bribe, ox 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 rests aim of freedom of competition by agreement to bid a fixed price 01 otherwise; or
made an admission of such conduct described in a, or b. above that is a matter of record, but have not been proseevted for such conduct; or

a. 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, agentf or partners, is barred t'rorn contracting with any unit of state or local government as a jcsuIi of engaging in or being conviotcd of (I) bid-rigging in violation of 720 ILCS 5/33E-3; (2) bid-rotating In violation of 720 ILCS S/33E-4; or (3) any similar offense of any state or of the United States of America that contains the same elements as the offense of bid-rigging or bid-rotating.
Neither the Disclosing Party nor any Affiliated Entity is listed on any ofthe following lists maintained by the Office of Foreign Assets Control ofthe 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 Pcrncna List, the Unverified List, tbs Entity List and tne Debarred List.
The Disclosing Party understands and shall comply.with the applicable requirements of Chapters 2 55 (Legislative Inspector Central), 2-56 (Inspector General) and 2-136 (Governmental Ethics) of the Municipal Code.
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7. If the Disclosing Parly is unable to certify to any ofthe above state-means in this Part 0 (I-'urther Certifications), the Disclosing Party tnusl explain below:


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If (.he letters '"SSA." the word "None," oi j>o response appears on the lines above, it will be conclusively presumed thaf die Disclosing Party certified to the above Riatcmenls¦
5. To the host of the Die-closing Party's knowledge after reasonable inquiry, the following is a complete lift of all curicnt employees of the Disclosing Party who were, at any time during iht» 12-moiilh period preceding the execution date of this EDS, an employee, or elected ot appointed official, of the City of Chicago (if none, i»dicaic with "N/A" or "none1*).

^££ph^4A^i-^—^.~, „ , .—T . —.

9. To the best ofthe Disclosing Parly's knowledge after reasonable inquiry, the following is s complete list of all gifts that the Disclosing Party has given or caused to be given, at any time during the 12-moinh period preceding the execution date of ahis 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 tnacc generally available to City employees or to the genets! public, or (ii) food or drink provided in the course of official City business and having a retail value of less than $20 per recipient (if none, indicate with "N/A" or "none"). As to any gift listed below, please also list the name ofthe City recipient.
Ii - ^V?^^"C 'uMiHW*' ¦.Irt.J.y^'nJ'jfinluini ! .1 -, '.•.'.'J£t.«!.. w* S«. t *****—... ¦ . ¦ * f f'-Wvn « " >1 n«"fi-T Vy-fV'-fc-


C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION

i. The Disclosing Party certifies that the Disclosing Party (check one)
[ J is j^is not
a "financial institution" ss defined in Section 2-32-2. If the Disclosing Party IS a financial institution, then the Disclosing Parly pledges:
"We arc not end will not become a predatory lender as defined in Chapter 2-32 ofthe Municipal Code. We further pledge that, none of out affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of (he Municipal Code. We uudcrsifiud (hot becoming a predatory Icndcs or becoming an affiliate of a predatory Jcndct may result in the loss ofthe privilege of doing-business with the Cily."

If the Disclosing Patty is unable to make this pledge because ii oi any of its affiliates (as defined in S;;:t!on 2-??.-45i'(b) of die Municipal Code) is a piedatory lender within the meaning of Chapter 2-32 of (lie'Municipal Code, explain here (attach additional page* if ncceesary):




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If lb'i letters "NA," ihc word "None," or no response appears on iJic lines above, ;t will be conclusively presumed that the Disclosing Party certifiod to the above t,latevnen.ts.

CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
Any words or terms that arc defined in Chapter 2-156 ofthe Municipal Code have the- same meanings when used in this PartD.
1. In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee ofthe City have a financial interest in his or her own name or in the name of any other person or eqlily.ui the Visiter?
\4^s i 3 No
NOTE: If you checked "Yes" to Item D.l... proceed to Items D.2. and D.l If you checked "No*' to [tern D.lproceed to Part E.

elected official or employee shall hnve a fmencial 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
Does the Mailer involve a City Property Sale?



3. If you checked ,;V'cs" 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-

Na«i£ 3usaiess Address Nature of Interest





<3. The DiseloMog Party further certifies that no prohibited financial inlcreM in tho .Matter will be acquired by any City official or employee,

E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS

Ploasc check cither 1. or 2. below. If the Disclosing Party cheeks 2., the Disclosing Pasty must, disclose balow cn in sn nUachincnt to this EDS all information required by paragraph 2. Failure to
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comply with (i„>csc disc/omrc Tcqvimincnis may make any contract entered into with the City )c. ccnncciion with the Matter voidable by the City.
X»_L The Disclosing Party verifies that the Disclosing Party has searched, any and all records of (he Disclosing Party and any m\i ell predecessor entities regarding records of jiivostmcnts or profits from slavery or slaveholder insurance policies during the slavery era (including insurance policies issued 1o slave-holders that provided coverage for damage to or injury on death of their slaves;, -and the Disclosing Party h«s found no tittch records,
2, The Disclosing Party verifies that, as a result of conducting the search in stop 1 above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. Tins Disclosing Party verifier thai the following constitutes full disclosure of ail Such, records., including the names of any and all slaves or slaveholders described in those records:


-r*~. :—. ' ^



SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter Is federally funded, complete this Section VI. If the Matter ts not federally funded, proceed to Section VJF. For purposes of this Section VL lax credits allocated by the City and proceeds of debt obligations ol the City arc not federal funding-

A. CERTIFICATION REGARDING LOBBYING
1 List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf ofthe Disclosing Party with respect to the Matter: (Add sheets if necessary):
w--- ^-ti^Jii^.i-^-iL.H— —,\ , —j, .»•¦*-» •.-.•if.' ¦¦i\:."^rrJ.--—'r?T**~-^r-~r'~1r-' ~—-——
¦^-T-^-jJi,^)^^*^ -.^ —.-¦, r~.
—^-^^r^^. w^«^,w^.„.,^T,.;!.„_r^ , : ' ¦^;.*.^*j«v~-~r-'— —^-_,T_
(If no explanation appears or begin-; on. the lines above, or if the letleis "NA" or if the woid "None" appear, it will be- conclusively presum ed that the Disclosing Party means thai NO persons or entities registered under (he Lobbying Disclosure Act of 1995 have made lobbying contacts on bcha's' of the Disclosing Parly with respect to flic Mattel .)
2. The Disclosing Parly 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 io influence oi attempt, lo influence an officer or c-mploycc of any agency, defined by applicable federal lew. 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 grout or loan, entering into any coopeintivc agreement, or to extend, continue-., ,o>cw! hnicnd, or modify ;M?y federally fi-.r.oed coniicct, giant, loan, or e.oonciftUvc. agvecinr.iii.
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The D isclos-jr.fi Parly w;!i submit so updated certification at the end of each calender quarter in which there occurs sny event that materially affects the accuracy ofthe GUtcroenu and information Get fonb in paragraphs A.l. end A.?,. -.shove.
The Disclosing Party certifies that either: (i) i! is not an. organization described in sccticm 501(e)(4) ofthe Internal Revenue Code of 1986"; Gr(ii) it is an organization described in section 501(c)(1) of the Internal Revenue Cods ofJ95$6 hut 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 AA. above fiom all subcontractors before it a-w-mde any subcontract and the Disclosing Psrty must mp ininin all such subcontractors' certifications for the duration ofthe Matter and must make such ccttiCcations promptly available to the City upon request.


B. CERTIFICATION REGARDING BQUAL EMPLOYMENT OPPORTUNITY

If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bide or in writing at the outset nf negotiations.

Is the Disclosing Party the Applicant?
[JYcs []No ' If "Yes," answer the three questions below;
Have you developed, find do you hove on file effirmative action programs pursuant to applicable federal regulations? (See 41 CFR Part 60-2.)
[ ] Yes [ J 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?
(JYcs, H^o
Have you participated in any previous contacts or subcontracts subject to the cqusl opportunity clause?
[ J Yes [ ] No

If yuu checked "No" to question I. Or 2. nbovc, please provide an explanation:




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SECTION-VII- ACKNOWLEDGMENTS, CONTRACT INCORPORATION,
COMPLIANCE, PENALTIES, DISCLOSURE ' . -4';-'> '

The Disclosing Party understands and agices that:
A. The ¦ceuifjcatfonE, disclosures, and acknovvicdgmcrits contained in thin EDS will become pert 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 ere 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, ordinaticca, and regulations on which this EDS is hasea.

the Municipal Code, impose certain duties and obligations on pcrSDn.3 or Entities Becking City contracts, work, business, or transactions. The full text of these.ordinances and a train in g program is available on line at wvvw.citvoXchicago.orfi/Ethics, mid may also be obtained from the City's Board of Ethics, 740 N.
Sedgwick St,, Suite 500, Chicago, IL 60610, (312) ?<*4-966Q. The Disclosing Party must comply folly with tho applicable ordinances.

C. If the City determines thst any information provided in (his EDS is false, incomplete or Inaccurate, any contract or oilier agreement in connection with which it is submitted (nay bo rescinded or be void or voidable, and the City may pursue any temcdics under the contract or agreement (if not rescinded or void), at law, or ih equity, including terminating- the Disclosing Party's participation in the Matter and/or declining ic allow the. Disclosing Party to participate in other transactions with the City. Remedies at law for a false statement of material fact may include ineaieeistion and an award to the City of treble damages.

D h is the City's policy to make this document available to the public or. its Internet site and/or upon r«(ji.'C.st. Some or all ofthe information provided on this EDS and any attachments to this EDS may be marie available to the public an the Internet, in response to u Freedom of Information Act request, or otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible i ighls or claims which it may have against the City in connection with \hz public release of information contained m (his EDS and also authorizes the City to verify the accuracy of any information submitted m this EDS.
V. The information provided in this EDS must he kepi current. In the event of changes, the Disclosing Pauy inujr supplement this EDS up to the time the City loken action on the Matter, If the Matter ie a contract being handled by the City's Department of Procurement Services, the. Disclosing Parly must update this EDS ss the contract requires. NOTE: With sespccl to Matters subject to Article I of Chapter I-23 of the Municipal Code (imposing PERMANENT INELIGIBILITY .for certain speciiied offenses). The information provided herein regarding eligibility must be Ve.pt current for ii longer period, as required by Chapter 1-23 and Section 2-154-020 ofthe Municipal Code.

Tnc Disclosing Pnrty represents and warrants that:
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F.l. The inclosing Party is not delinquent in the payment of any ui.v administered by the ithnois }"¦'¦¦-!.-¦;•; n in on; cr charge owed to the City, This includes, but is no! limited lo. a!! water charges, sewer diaiges, license fens, 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 pennit their subcontractors to use, any facility listed by the U.S. CP.A. on the federal Exclude
j-- it two- Disclosing I arty i.s ihc Applicant, tin.- I.m.sUumi.m; t':t: t y wit! obtain iron; any
contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in
form and S(.:i\\iance to il'iose in F.l. and F.2. above and will nol, without ihe prior written consent of th
City, tise any such contractor/subcontractor that does not provide such ccrlifi Gallons or thai the
piyiio^yy^y/: r^ p:3t above, an.
explanatory statement must be attached to this EDS.

Ci:: KTIl-'lCA'HON

Under penalty of perjury, the person signing below: (!) wan ants that he/she is authorized ro execute this EDS and Appendix A (if applicable) on behalf of the. Disclosing Party, and (?) warrants that all certifications and statements contained in this EDS and Appendix A (if applicable) arc true, accurate and eomplcie as ofthe date furnished to the City.
J^c£hH^ Pj~P£t—
(Prim or type, name of Disclosing Party)

(Sign here)


(Print or lype name of person signing)


(priot or type title of person signing)
<-.j
Signed a minora to before rrwM3n-£4ate) \0
C if; fc_ ¦ ¦ Coun^' ..jjLii)!^^.. (stale)

NolMi'V Pubho

< OFFICIAL SEAL
< KIMBERLY LWKJSO?4 ^ NOTARY PUBOC, STATE OF /LLItiG!." ' " Jty ConwfeSlW Expires Ann, OS, 2017
yo:wy.-'.MOii expires: !\l.\/Z (ji/^jL'l t

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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT APPENDIX A


FAMITXaL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND DEPARTMENT HEADS

This Appendix k to be completed only by (a) Ihc Applicant, and (h) any legal entity whir.Ii has a direct ownership interest in the. Applicant exceeding 7.5 percent. It is not to be completed by my legal entity •which has only stt indirect ownership interest in flic 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, ss ofthe date this EDS is signed, the Disclosing Party or eny "Applicable Pfirty" or any Spouse or Domestic Partner thereof is related to the mayor, any alderman, the city clerk, the city treasurer Of any city department head as spouse ci domestic partner or as any fifths 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 (!) all executive officers ofthe Disclosing Party listed in Section fi.3.1.8., if the Disclosing Party is a corporation; oil partners ofthe Disclosing Party, if the Disclosing Parly is s general partnership; all genera! partners end limited partners ofthe Disclosing Party, if the Disclosing Party is 9 limited partnership; all managers, managing members and members of the Disclosing Party, if the Disclosing Party is s 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 officcrE" means the president, chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority.
Docs (he Disclosing Party nratiy "Applicable Party" or any Spouse or Domestic Partner th«ccf currently have a "femiliai relationship" with an elected city official or department head?
1 3 Yen \Sn No
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if yes, please identify below

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 lias only an indirect ownership interest in the Applicant.

1. Pursuant to Municipal Code Section 2-154-010, is the Applicant or any Owner identified as a building code scofflaw or problem landlord pursuant to Section 2-92-416 ofthe Municipal Code?

[ ]Yes
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?
[ ]Ycs [ ]No fJ^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 ofthe 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.