OFFICE OF THE MAYOR
CITY OF CHICAGO
RAHM EMANUEL
MAYOR
March 29, 2017
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 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 Article VII, Section 6(a) 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 Council of the City ("City Council") by ordinance adopted May 20, 1992 and published in the Journal of the Proceedings of the City Council of the City ("Journal") for such date at pages 16333 - 16335, established the Chicago Abandoned Properties Program ("CAP Program"), pursuant to which the City has acquired numerous abandoned properties either through statutory abandonment proceedings, or through the foreclosure of municipal liens, and conveyed such abandoned properties to developers for rehabilitation, and worked with such developers to successfully rehabilitate such abandoned properties; and
WHEREAS, the City Council, by ordinance adopted February 6, 2008 and published in the Journal for such date at pages 20654 - 20657, renamed the CAP Program as the "Preserving Communities Together Program" (the "PCT Program") and expanded the acquisition authority for such program; and
WHEREAS, there are a substantial number of abandoned, deteriorated and dangerous buildings in the City which threaten the health, safety, economic stability and general welfare of the citizens of the City, and which are the subject of certain housing court proceedings; and
WHEREAS, the City has created the PCT Program to help abate the dangers posed by abandoned, deteriorated and dangerous buildings in the City through the acquisition and subsequent conveyance of the buildings to parties who have proposed to rehabilitate them; and
WHEREAS, the City is the owner of the property commonly known as 2440-52 E. 75th Street/7445-47 S. Phillips Avenue, Chicago, Illinois, and legally described on Exhibit A hereto (the "Property"), which is improved with a mixed-use building with five (5) commercial units and twelve (12) residential units ("Building") in need of substantial repair and is qualified to be included in the PCT Program; and '
WHEREAS, Copper Realty Investments, LLC - 75th Street Series, an Illinois limited liability company (the "Developer"), has proposed to purchase the Property from the City and rehabilitate the twelve (12) residential units in the Building for residential housing in accordance with the provisions of the PCT Program; the five (5) commercial units will be rehabilitated and remain commercial; and
WHEREAS, the Developer has further proposed to rent the twelve (12) rehabilitated residential units in the Building to residents with a household income, adjusted for family size, at or below eighty percent (80%) of the Chicago Primary Metropolitan Statistical Area median income, as determined by the U.S. Department of Housing and Urban Development, for a period of fifteen (15) years; and
WHEREAS, by Resolution No. 16-083-21, adopted by the Plan Commission of the City (the "Plan Commission") on September 15, 2016, the Plan Commission recommended the sale of the Property; and
WHEREAS, public notices advertising the intent of the City's Department of Planning and Development (the "Department") to enter into a negotiated sale with the Developer and requesting alternative proposals appeared in the Chicago Sun-Times, a newspaper of general circulation, on March 2, 9 and 16, 2017; and
WHEREAS, no alternative proposals have been received by the deadline indicated in the aforesaid notice; and
WHEREAS, the Department has reviewed the Developer's .application and has recommended that the City Council approve the conveyance of the Property to the Developer for the purposes of: (1) rehabilitating the Building in accordance with the provisions of the PCT Program; and (2) renting the twelve (12) rehabilitated residential units in the Building to residents with a household income, adjusted for family size, at or below eighty percent (80%) of the Chicago Primary Metropolitan Statistical Area median income, as determined by the U.S. Department of Housing and Urban Development, for a period of fifteen (15) years; now, therefore,
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
SECTION 1. The sale of the Property to the Developer for the sum of One Dollar ($1.00), plus holding costs incurred by the City during its period of ownership of the Property, is hereby approved. This approval is expressly conditioned upon the City entering into an agreement for the Sale and Redevelopment of Land ("Redevelopment Agreement") with the Developer. The Redevelopment Agreement shall require that the twelve (12) residential units of the Building be rented affordably to residents with household incomes, adjusted for family size, at or below eighty percent (80%) of the Chicago Primary Metropolitan Statistical Area median income, as determined by the U.S. Department of Housing and Urban Development, for a period of fifteen (15) years. The Commissioner of the Department or any successor department thereto (the "Commissioner") or a designee of the Commissioner is each hereby authorized to negotiate and execute the Redevelopment Agreement with the Developer, and such other documents which may be required or necessary to implement the intent and objectives of the PCT Program, subject to the approval of the Corporation Counsel.
SECTION 2. The Mayor is authorized to execute, and the City Clerk or Deputy City Clerk is authorized to attest, a quitclaim deed conveying the Property to the Developer, or to a land trust of which the Developer is the sole beneficiary, or to a business entity of which the Developer is the sole controlling party, subject to the approval of the Corporation Counsel.
SECTION 3. If any provision of this ordinance shall be held to be invalid or unenforceable for any reason, the invalidity or unenforceability 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.
EXHIBIT A Legal Description
(Subject to final title and survey)
LOTS 25, 26, 27, 28 AND THE WEST 17 FEET OF LOT 29 IN HIGH RIDGE SUBDIVISION OF LOTS 41 TO 52, INCLUSIVE, IN THE FOURTH DIVISION OF SOUTH SHORE SUBDIVISION OF THE NORTH FRACTIONAL 1/2 OF SECTION 30, TOWNSHIP 38 NORTH, RANGE 15 EAST OF THE THIRD PRINCIPAL MERIDIAN, IN COOK COUNTY, ILLINOIS.
Commonly known as: 2440-52 E. 75TH STREET/7445-47 S. PHILLIPS AVE.
CHICAGO, ILLINOIS 60628
Property Index Number: 21-30-117-011-0000
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I-GENERAL INFORMATION
A Legal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable-
wppa %alki JmdmnU LLC 75lh3ree£Series
Check ONE of the following three boxes.
indicate whether the Disclosing Party submitting this EDS is;|109|Sf/'the Applicant
OR|109|j ) a legal entity holding a direct or indirect interest in the Applicant State the legal name of the
Applicant in which the Disclosing Party holds an interest:
OR
mS AJPineGiot/z *M
ChitnQO/L 606ft
3. [ | a legal entity wirh a right of control (see Section 11.B.I.) State the legal name of the entity in which the Disclosing Partv holds a riaht of control:
B Business address of the Disclosing Panv:
c i-cM,o„c: MD. Name of contact person: CO/71
t. 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):
G. Which City agency or department is- requesting this EDS?
uisihon ol diuH'nQ
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following: j[/
Specification # and L ontract #
Page I of 13
SUCTION II -- DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE Or I 111: DISCLOSING PAKTY
I. Indicate Ibe nature ot the Disclosing Party ,
\ ] Person Vj Limited liability company
( f'Publicly registered business corporation [] Limited liability partnership
I) Privately held business corporation |] .loint venture
j ] Sole proprietorship | ] Not-for-profit corporation
r ] General partnership (Is the not-for-profit corporation also a 50i(c((3))?
f j Limited partnership ( ] Yes I) No
[] Trust [] Other (please specify)
M
2. For legal entities, the slate (oi 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?
[ 1 Yes []No VjN'A
B. IF THE DISCLOSING PAR TY IS A LEGAL ENTITY:
1. List below the full names and titles of all executive officers and all directors of the entity. NOTfc: 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 titleholdcr(s).
If die entity is a general partnership, limited partnership, limned liability company, limited liability partnciship 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.
Nann* » Title
lMM?L. J^emeJ . iJ^k^a^^
2. Please provide the following information concerning each person or entity having a direct or indirect henefit:itil interest (including ow nership) in excess of 7.5% of the Disclosing Party. Examples of such an interest include shares in u 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. It none, state "None.'' NOTE".: Puisiiani to Section 2-154-030 of the Municipal C ode of Chicago ("Municipal Code"), the City may require any such additional information from arty applicant which i;. reasonably intended to achieve full disclosure.
Name Business Address Percentage Interest in the
J^mel — - ditto {?6a/e -~ - — ^ %
SUCTION III - BUSINESS RELATIONSHIPS W 11 H CITY ELECTED OFFICIALS
Has the Disclosing Party bad a "business relationship." as defined in Chapter 2-156 of the Municipal ("ode. with any City elected official in the 12 months before the date this EDS is signed?
[ j Yes KNo
If yes. please identify below the nametsi of such City elected official(s) and describe such relationship^):
A I ff
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 expect;- io retain in connection with the Mailer, 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 aciion on behalf of any person or entity other than: 11) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means any person or entity any part ol whose duties as an employee of another includes undertaking to influence any legislative or administrative aciion.
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 unether Busmen Relationship to Disclosing Part;. Fees (indicate whether
retained or anticipated Address (subcontractor, attorney, paid or estimated.) NOTE:
to be retained) lobbyist, ete.l "hourly rate" or "i b d." is
nol an acceptable response.
.AM
(Add sheets if necessary)
\f/fchcck here tf the Disclosing Party has not retained, nor expects to retain, any such persons or entities SEC TION 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 dircctlv or indirectly owns !()% or more of the Disclosing Party been declared in arrearage on anv child support obligations by any Illinois court of competent jurisdiction'.'
j j Yes Vl No [ ] No person directly or indirectly owns 10% or more of the
Disclosing Party.
If "Yes." has ihe person entered into a court-approved agreement for payment of all support owed and is ihc person in compliance with that agreement'1
f J Yes [ i No
B FURTHER CERTIFICATIONS
! Pursuant m Municipal Code Chapter 1-23. Article 1 ("Article l")(whtch the Applicant should consult for defined terms (e.g "doing business") and legal requirements), if the Disclosing Party submitting this FDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follow s. iii 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 f ii) the Applicani understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE. If Article I applies io 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. it'the Disclosing Party is a legal entity, all of those persons or entitle-, identified in Section II.B !. ot this EDS-
a are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily c.neluded from any transactions by any federal, slate or local unit of government:
b. 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 w 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 slate antitrust statutes: fraud: .embezzlement: theft: forgery: bribery: falsification or destruction of records; making false statements: or receiving stolen property:
e are not presently indicted for. or criminally or civilly charged by. a governmental entity (federal, state or local ) with committing anv of the offenses set forth in clause B.2.b. of this Section V :
d have not. within a five-year period preceding the date of this EDS. had one or more public transactions t federal, state or local) terminated for cause or default; and
e. have not. v. ithin 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 .5. 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 ail 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 Disc losing 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 Parly, any Contractor or any Affiliated Entity or any other official, ageni or employee of (he Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official of the Disclosing Party, any C ontractor or any Affiliated Entity (collectively "Agents")
Page 5 of 13
Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Pan.) or any Contracior nor any Agcnis have, during ihe five years before the date this EDS is signed, or. with respect to a Contractor, an Affiliated Entity, oi an Affiliated Entity of a Contractor during the five years before- the date of such Contractor''* or Affiliated Lmity'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 govcrnmeni or of any siate or local government in ihe 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 beer, convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom ol 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 Contracior, 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 oft I) bid-rigging in violation of "720 ILCS 5-33E-3: (2) bid-rotating in violation of 720 IL CS 5 33F-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 Panv nor any Affiliated Entity is listed on any of die following lists maintained by the Office of Foreign Assets Control of the U.S. Department of the Treasury or the Bureau of Industry and Sccumy 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 I Legislative inspector General). 2-56 (Inspector General) and 2-156 (Governmental Ethics) of the Municipal Code.
~i. 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:
aJM * • *
Page 6 of 13
If ihe letters "NA." ihe word "None." or no response appears on the lines above, it w ill be conclusively presumed that the Disclosing Party certified to the above statements.
S To the best of the Disclosing Party 's know ledge after reasonable inquiry, the following is a complete list of all current employees of the Disclosing Party who were, at any lime during the 12-monrh period preceding the execution date of this CDS. an employee, or elected or appointed official, of the City of Chicago (if none, indicate with ''N jV* or "none")
°. 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, l-nr purposes of this statement, a "gift" does not include: (i) anything made generally av 3ilable to City employees or to the general public, or (it) food or drink provided in the course of official City business and having a retail value of less 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.
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
The Disclosing Panv certifies that the Disclosing Party (check one)
[ ] is Vf^> n01
a "financial institution'' as defined in Section 2-32-455(h) of the Municipal Code.
If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"Wc are not and w ill 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 h unable to make this pledge because ii or any of iis affiliates (as defined in Section Z-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 Pan D.
I. In accordance with Section 2-156-1 10 of the Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter? /
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.
2 Unless sold pursuant to a process of competitive bidding, or otherwise permitted, no City elected official or employee shall have a financial interest in his or her own name or in the name of any other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit of the City (collectively. "City Property Sale"). Compensation for property taken pursuant to the City's eminent domain power does not constitute a financial interest within the meaning of this Part D.
Does the Matter involve a City Property S3le?
[]No
3. If you checked "Yes" to Item D.L. provide the names and business addresses of the City officials or employees having soch interest and identify ihe nature of such interest:
Business Address
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 w ith these disclosure requirements may make any contract entered into with the City in connection with the Matter \ oidable by the City.
v 1. The Disclosing Party verifies that the Disclosing Party has searched any and all records of the Disclosing Parly and any and all predecessor entities regarding records of investments or profits from slaver,- 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. I'ariy verifies that, as a result of conducting the search in step 1 above, the
Disclosing Party has found records or investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including she names of any and all slaves or slaveholders described in those records:
SECTION VI - C ERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. If the Matter is not federally funded, proceed 10 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 ihe 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 thai NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Panv 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 io 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 ihe award of any federally funded contract, making any federally funded gram 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 Pain will subnin 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.
'1 he Disclosing Parly certifies thai either. 01 it is not an organization described in section 5i)i(e)t4) of the Internal Revenue Code of 19X6: or oil it is an organization described in section 501(c)<4i of the Internal Revenue Code of |9Sf» but has not engaged and will not engage in "Lobbying Activ ities".
5 If the Disclosing Pan v is ihe Applicant, the Disclosing Panv must obtain certifications equal in form and substance to paragraphs A. I. 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 io 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 wiih their bids or in writing at the outset of negotiations.
Is the Disclosing Party the Applicant"'
I ] Yes | ] No
If "Yes." answer the ihree questions below:
1 Have you developed and do you have on file affirmative action programs pursuant to applicable
federal regulations" iSee 41 CFR Pan 60-2.)
[ 1 Ves" [ ] 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 '
f 1 Ves " f ] No
Have you participated in anv previous contracts or subcontracts subject to the equal opportunity clause'.'
I } Yes f ] No
If you checked "No" to question I. or 2. above, please provide an explanation:
Page 10 of 13
SUCTION VII — AC KNOW I F.IKLM LNTS. CONTRACT INCORPORATION. COMPLIANCE. PENALTIES, DISCLOSURE
The Disclosing Party understands and agrees that:
A The certifications, disclosures, and acknowledgments contained in this EDS will become part of anv contract or other agreement between the Applicant and the City in connection with the Matter, whether procurement. City assistance, or other City aciion. and are material inducements to the City's execution of anv contraci or taking other action with respect to the Matter. The Disclosing Parly understands that ii 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 fui! text of these ordinances and a training program is available on line at www.citvofchicatio.ore Ethics, and may also be obtained from the City's Board of Ethics. 740 N.
Sedgwick St Suite 500. Chicago. IL 60610. (312) 744-9660. The Disclosing Party must comply fullv 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), ai 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 ai 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 ro 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 requestor 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 FDS.
E. The information provided tu this EDS musi be kepi current. In the event of changes, the Disclosing Party must supplement this EDS up io 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 3s 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 !-23 and Section 2-1 54-020 of the Municipal Code.
The Disclosing Pany represents and warrants that:
Page 11 of 13
F.l The Disclosing Party is not dclinqticm in the payment til any tax administered by the Illinois Department oi Revenue.nor are (lie Disclosing Party or its Affiliated Entities delinquent in paying any fine. ice. tax or other charge owecl to the City. This includes, bin is not limited to. ail water charges, sewer charges, license fees, parking tickets, property nixes 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. Genera! Services Administration.
I .3 If the Disclosing Party is the Applicant, the Disclosing Party will obtain from any coniriietors/subeontraetors hired or to be hired in connection with the Mutter certifications equal in form and substance to those in F. 1 and F.2. above and will not. without the prior written consent of the City, use any such coiHiacior'Mibconiracior thai 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: (I) warrants that he/she is authorized to execute this EDS and Appendix A (if applicable) on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS and Appendix A (if applicable) are true, accurate and complete as of the date furnished to the City.
(Print or typc_namc^6f©isclosing Party)
b>': V~t- ^w^fer"^.
(Sign here)
;yhrm Ulna R ._.
(Print or type name of person signing) (Print or i.Vpt titles*person signing)
OFFICIAL SEAL
I AWRENCE STENGEL NOTARY PUBLIC
SinlR r,( Illinois. County of Cook Comm.vo'n 321260- Expirus Auq. 19, 201i
Signed and sworn to before me on (date) M-ftfv^ ' \k:'u>^ ,
aI Qp°Sr~ County, U i~, >/0jS (state).
i^-ypC-^IX^y^-^-^ Notary Public.
Commission expires: /\t>Q'l% Z-c> .j 7 •
Page 12 of 13
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIIMVII
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 2-154r015. the Disclosing Panv must disclose whether such Disclosing Party or any "Applicable Parry" 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, ihe 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 sieprnother. stepson or stepdaughter, stepbrother or stepsister or haif-broiher or half-sister.
"Applicable Party" means (1) all executive officers of the Disclosing Party listed in Section ILB.l.a if the Disclosing Party is a corporation: all partners of the Disclosing Panv. 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 Panv "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'.'
If yes. please identify below 11) the name and title of such person. (2) the name of the legal entity to which such person is connected: (31 the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
Page 13 of 13
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX B
BUILDING CODE SCOFFLAW/PROBLEM LANDLORD CERTIFICATION
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5 percent (an "Owner"). It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
I. Pursuant to Municipal Code Section 2-154-010. is file Applicant or any Owner identified as a building code scofflaw or problem landlord pursuant to Section 2-92-416 of the 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?
( JYes
3. If yes to (I) 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.