OFFICE OF THE MAYOR
CITY OF CHICAGO
RAHM EMANUEL
MAYOR
September 6, 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 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 is the owner of the vacant parcel of property located at 1126 South Mozart Street, Chicago, Illinois 60612, which is legally described on Exhibit A attached hereto (the "Property"), which Property is located in the Midwest Corridor Redevelopment Project Area ("Area"), as amended, established pursuant to ordinances adopted by City Council of the City on May 17, 2000, published in the Journal of Proceedings of the City Council for such date at pages 30771 through 30953.
WHEREAS, Safer Corporate Endowment (the "Grantee"), who has a principal business of 571 West Jackson Boulevard, Chicago, Illinois 60661, has offered to purchase the Property from the City for the sum of Two Thousand Five Hundred and 00/100 Dollars ($2,500.00), such amount being the appraised fair market value of the Property with a "parking in perpetuity" deed restriction; and
WHEREAS, pursuant to Resolution No. 17-046-21 adopted on August 17, 2017, by the Plan Commission of the City (the "Commission"), the Commission approved the negotiated sale of the Property to the Grantee; and
WHEREAS, public notice advertising the City's intent to enter into a negotiated sale of the Property with the Grantee and requesting alternative proposals appeared in the Chicago Sun-Times, a newspaper of general circulation, on July 10, 2017, July 17, 2017 and July 24, 2017; and
WHEREAS, no alternative proposals were received by the deadline indicated in the aforesaid notice; now, therefore,
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
SECTION 1. The City Council of the City hereby approves the sale of the Property to the Grantee for the amount of Two Thousand Five Hundred and 00/100 Dollars ($2,500.00).
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 Property to the Grantee. Such deed shall include a covenant obligating the Grantee to use the Property only for use consistent with the land uses permitted under the redevelopment plan for the Area. Grantee's acceptance of the City's deed shall constitute Grantee's agreement to such covenant. The quitclaim deed shall also contain language substantially in the following form:
This conveyance is subject to the express condition that: (1) the Property is improved as a parking lot within twelve (12) months of the date of this deed, and (2) the Property is thereafter maintained and used as a parking lot in perpetuity. In the event that the condition is not met, the City of Chicago may re-enter the Property and revest title in the City of Chicago. Grantee, at the request of the City of Chicago, covenants to execute and deliver to the City a reconveyance deed to the Property to further evidence such revesting of title. This right of reverter and re-entry in favor of the City shall terminate 40 years from the date of this deed.
The Grantee acknowledges that if the Grantee develops the Property with a residential housing project, as defined under and that is subject to Section 2-45-115 of the Municipal Code of the City (the "2015 Affordable Requirements Ordinance"), the Grantee and such project shall be obligated to comply with the 2015 Affordable Requirements Ordinance.
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
Purchaser:
Purchaser's Address: Purchase Amount: Appraised Value:
Safer Corporate Endowment
571 West Jackson Boulevard, Chicago, Illinois 60661 $2,500.00 $2,500.00
Legal Description (Subject to Title Commitment and Survey):
Lot 11 in Block 2 in Helen Culver's Douglas Park Subdivision of Blocks 25, 26 & 27 in G. W. Clarke's Subdivision of the East 1/4 of the Southwest % of Section 13, Township 39 North, Range 13, East of the Third Principal Meridian, in Cook County, Illinois.
Address: 1126 South Mozart Street
Chicago, Illinois 60612
Property Index Number:
CITY OF CHICAGO ECONOMIC DISC TO SURE ST A'I EM EN I AND AFFIDAVIT
SEC'J ION I - GENERAL INFORMATION
A. Legal name of the Disclosing Party submitting this EDS. include d/lv'a/ if applicable.
Safer Corporate Endowment
Check ONE of the following three boxes:
indicate, whether the Disclosing Party submitting this EDS is-} tx] the Applicant OR
2 f j a legal entity hoiding a direct or indirect interest in the Applicant. State the legal name of the Applicant in which ihe Disclosing Pa;ty holds an mlcicsi: OR
3. | ] a legal entity with a right of control (see Section ll.B.l.) Stale the legal name of the entity in which the Disclosing Party holds a right of conttol:
H. Business address of ehe Disclosing Pasty. • ...571 West Ja.Cks.00 B'vd.
Chicago, IL 60661
Telephone: _ 312 415 4701 „ Fax: 312 922 7640 . Email: steve.gomy.@saferfo.undation.org
Name of contact person: Stephen.Ggrny
E. TedeiaJ HmpJoyei 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):
1126 S. Mozart, Chicago, to be used as parking for Safer Foundation employees
G. Which City agency or department is requesting this EDS'- panning & Development
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification »? _ and Contract ii
Page i of I ?
SECTION II - DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OI: '1 HI; DISCLOSING PAR
I Indicate the nature of the Disclosing [ j Person
[ ] Publicly registered business corporation { ] Pnvately he-Id business corporation ! ] Side proprietorship j ] General partnership f ] Limited partnership [ j Trust
Party.
| ] Limited liability company ' ] Limited liability partnership [ ] Joint venture [xj N o t - fo r ¦¦ p : o f 11 c o rp n ra i i o n (Js the not-for-profit corporation also a 501(c)(3))?
[Xj Yes [ ] No
f J Othei (please specify)
2. Lor legal entities, (he state (or foreign country) of incorporation or organisation, if applicable: Illinois - 7/12/93
3. Pot 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?
fJ Ves (| No [JJN/A
M. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
I. 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 arc. legal entities. If there arc no such members, wine "no members.'' For lru.s's, estates or other similar entities, list below the legal lit)eholdci(s). NO MEMBERS
If the entity is a general partnership, limited partnership, limited liability company, limited liability partnciship or joint venture, list below ihe 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 iis own behalf.
Name Title
John Levin President/Treasurer - Director
Elhsn Erenberg _ Vjce Pre^wt/Secrejary - Director
Raymond "Bernie" Curran Member. Director
Marianne Woodward Member " Director
Don Goens Member, Director
2. Please provide the following information concerning each person or entity having a direct or indirect beneficial interest (including ownership) in excess of 7.5% of the Disclosing Party. Examples of such an interest include shares m a corporation, pai lnciship interest in a partnership or joint venture,
Page 2 of 13
interest oi h mem be i or manage) in « r.miled liability company, 01 mtcrcs: of a beneficiary of a tins;, estate or other similar entiiy if none, stale "None " NO J F: Pursuant to Section 2- i 54-030 of the ?i1unicipal Code of Chicago ("Municipal Code''), the City mav icqmre any such additional information
f:o;n any applicant which is reasonably intended to achieve full disclosure.
Name Business Address Peicemagc Inteies; in the
Disclosing Party
No Members - N^A
SECTION 111 - BUSINESS RELATIONSHIPS WITH CJ EV ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship." as defined in Chapter 2-156 of die Municipal Code, with any City elected official in the 12 months bcfoic the date this EDS is signed?
[ ] Yes |XjNo
If yes, please identify below the ncme;'s) of such City elected official(s) and describe such relationship^)'
SECTION JV - 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 Mattci, as well as the nature of the relationship, and the total amount of ihc fees paid or estimated to be paid. The Disclosing Party is not. required lo disclose, employees who arc paid solely through the Disclosing Parly's legulai payioll.
'"Lobbyist" means any pcison or entity who undertakes to influence any legislative or administrative action on behalf of any person or entity other than: (1) a not-for-profit entity, on an unpaid basis, or (2j himself. '"Lobbyist" also means any pcison or entity any part of whose duties as an employee of another includes undertaking to influence any legislative or administrative action
If the Disclosing Party is uncertain whcthei a disclosure is required undei this Section, the Disclosing Parly must cithci ask ihc City whcthei disclosure is required or make the disclosure.
Page 3 of 13
Name (indicate whcthei retained oi anticipated to be retained)
Business .Address
Relationship to Disclosing Party Fees (indicate whether
(subcontractor, attorney. paid or cslimaled ) NOTE:
lobbyist, etc.) ''hourly rate" or "t.b.d." is
not an acceptable response.
(Add sheets if necessary)
(X) Check here if the Disclosing Parly has not rciaincd. nor expects to retain, any such persons or entities. SECTION V -- CERTIFICATIONS
A. COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
(>§ No pcison 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 1 ("Article P')(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Parly certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of. or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article 1 supersedes some Eve-year compliance timeframes in certifications 2 and 3 below.
Page 4 of 13
.' The Disclosing Party and. if ihc Disclosing Party ;s ;j it-gal c.mi'.y. all of ilio.*;.- persons or cruirics :on d :r; Se; ;!.B.!. of ir--s EDS:
a arc not presently debarred, suspended, proposed for debarment, declared ineligible or' voluntai i'v excluded f:oii; any transactions by any fedeuU. staic or loc;;! nnii v-f govt-.;nr.if ni;
b have net. within a fivc-yeai period ptccedmg the date of this EDS. been convicted of a criminal fiffensc. adjudged guilty, or had 2 civil judgment rendered against them in connection with: obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or ciur.raci under a public transaction: a violation of federal or state antitrust statutes: fraud: embezzlement: the ft; forgery; biibery: falsification or desli uction iT'iecoids; making false statements; or receiving stolen property;
c are not presently jnriictcd for. or criminally or civilly charged by. a governmental entity (federal, state 01 local) with committing any of the* offenses set forth in clause B.?b. of this Section V;
d. have not. within a five-year period preceding the date oi tins EDS, had one or more public transactions (federal, stale 01 local') terminated for cause or default; and
e have not, within a five-year period preceding the date of this EDS, been convicted, adjudged guilty, or found liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any stale, in any othei unit of local government.
3 The certifications in subparts 3, 4 and 5 concern-
the Disclosing Party;
any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Paity in connection with the Matter, including but not limited to all persons or legal entities disclosed under Section !V. "Disclosure of Subcontractors and Other Retained Parties");
any "Affiliated Entity' (meaning a person or entity that, directly or indirectly: controls the Disclosing Party. ;s controlled by the Disclosing Party, or is. with the Disclosing Parly, 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 siate or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity); with respect 10 Conn actors, the term Affiliated Entity means a pcison or entity that directly or indirectly controls the Contractor, is controlled by it, or, with the Contractor, is under common control of another person or entity,
any responsible official of the Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent 01 employee of the Disclosing Parly, any Contractor 01 any Affiliated Entity, acting pursuant 10 the direction or authorization of a responsible official of the Disclosing Parly, any Contractor or any Affiliated Entity (collectively "Agents").
?vc:tbei ihc Disclosing Far.\. He: a ii y Con t; 'acto:. uoi any Affiliaicd Entity of cr.hc! ihc Disclosing Party or any Contincnv r.oi any A gems have, dnrmg ihc five ye a is before ihc date inn j - J J> S 15 signed, ui. with respect u; ;•. Con'.nieior, an Affiliated Entity, oi an Affiliated Entity of a Comraotoi dining ihc five years before the date ol Mien Contractor's or Affiliated Entity's connan cs engagement in connection with ihe M atter:
bribed or attempted to bribe, ot been convicted or adjudged guilty o: bnbeiy 01 aitemplisig ;o bribe, a public officer or employee of the Cin, the State of Illinois, or any agency of the federal go\ eminent 01 of any state or local government :i: ihe Untied States of America, in that officer 's or employees official capacity;
agreed or colluded with other bidders or prospective bidders, 01 been a paiiy to any such agreement, or been convicted ot adjudged guilty of agreement or collusion among biddets 01 prospective bidders, m restraint of freedom of competition by agreement to hid a lixed price or othei wise: 01
e. made an admission of such conduct described in a. or b. above that is a matter of record, bui have not been prosecuted fui such conduct; ot
violated the pro\ ist'ons of Municipal Code Section 2-92-61 ft (I iving Wage Oidinance).
Neither the Disclosing. Party, Affiliated Entity or Contractor, or any of their employees, officials, agents or panneis. is barred fioin conn acting with any unit of stale 01 local government as a result of engaging in or being convicted of (I) bid-rigging in violation of/20 IPCS 5/33E-3; (2) bid-rotating in violation ui 720 ILCS 5/331:-4; or (3) any sirnilai offense of any stale or of the United States of America that contains the same elements as the offense of bid-rigging 01 bid-rotating.
Neither the Disclosing Party nor any Affiliated Entity is listed on any of the following lists maintained by the Office of Foreign Assets Control of the U.S. Depattment of the Treasury or the Bureau of Industry and Security of the U.S. Department of Commerce or their successors: ihe Specially Designated Nationals List, ihc Denied Persons List, the Unverified List, ihc Eniity List and the-Debarred List.
The Disclosing Parly understands and shall comply with the applicable requirements of Chapters 2-55 (Legislative Inspector General), 2-56 (Inspector General) and 2 156 (Governmental Ethics) of the Municipal Code.
If the Disclosing Party is unable to certify io any of the above statements in this Part B (Further Certifications), the Disclosing Party must explain below;
N/A
Page 6 of 13
I! the letters "NA .' no. woid "Ko:;;:.1 oi m> : espouse appears on the linos above, it will be civ preyu:>:od ilia; ii:c Disclosing Party certified to the above siaicmcnis.
8 To the Lest of tiie Disclosing Parly s knowledge after icasonnbic inquiry, die following is a complete lis! of all curicnl employee:- of ihc Disclosing Patty who were, ai anv time during the : 2-i:ion'.h period preceding ihe execution date of this EDS. an employee, or elected or appointed official, of the C:iy of Chicago (if none, indicate wiih "N/A'' oi "none"). N/A
To the best of the Disclosing Party's knowledge after reasonable inquiry, the following is a complete lis! of all gifts tin.; the Disclosing Party has given oi caused to be given, at anytime during the 12-inoi:;h period pieceding the execution dr.-.e of this EDS, io an employee, or elected o; appointed official, of (he City of Chicago. Tor purposes of this statement, a "gift"' docs no; include: (i) anything made generally available 10 Cny employees or to. the gcncial public, or (ii) 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" oi "none "). As io any gift listed below, please also list the name of the City recipient. N/A
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
L 1 he Disclosing Patty cenifies thai the. Disclosing Paiiy (check one)
( ] is [>3 is not
a "financial institution" as defined in Section 2-32-4 55(b) of the Municipal Code.
2. If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"Yv'c arc not and will not become a predatory lender as defined in Chapter 2-32 of the Municipal Code. We further pledge that none of our affiliates is. and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code We understand that becoming a predatory lender or becoming an affiliate oi a predatory lender may result m the loss of the privilege of doing business with ihe City."
If the Disclosing Party is unable to make this pledge because, it or any of its affiliates (as defined in Section 2-32-455(b) of the Municipal ('ode) 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 Paity 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.
1. hi accordance with Section 2-156-11 0 of the Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
[ ] Yes (>S No
NOTE: If you checked "Yes" to Item D.l., proceed to Items D.2. and D.3. If you checked "No" to Item D.E, proceed io 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 (j) belongs to the City, or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit of the City (collectively, "City Property Sale"). Compensation for property taken pursuant to the City's eminent domain power does not constitute a financial interest within the meaning of this Part D.
Docs the Matter involve a City Property Sale?
fjYes [3 No
3. If you checked "Yes" to Item D.E, provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest:
Name Business Address Nature of Interest
A. The Disclosing Parly 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 I. 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
c on;•!y k\ )'.':) ihi sc d ise iosui e :dnb)e. by : 11 c City.
Tile Disclosing Paity vciifie> (hat ihc. Disclosing Pany has searched any and all lecoids of the J);st-iosinj: fa;:v and any and all predecessor entities : eeaiding iciorri1- oi investments o: puifits fion: slavery o: slaveholder insurance, policies dining the slavery era (tnc lading ins.ujance policies issued to s!a\ e!;<;!ders thai provided coverage for damage to or injnrx or death of their' slaves), and the Disclosing Party has found no such records
2. The Disclosing Parly verifies that, as a lesuk of c ondueiiug the seaicii in Step 1 above, tiie Disclosing r't.itv ha.s found records of.investments or profits bom slavcrv 01 slaveholder msuiancc-poliries. The Disclosing Part)' \ e: ifies thai the following constituies lui; disciosuie ot ali such record},, including die names of any and all slaves nt shn r.holricrs described in those records:
SI "CI ION VI -- CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE- if the Matter is ledoially funded, complete this Section VI If (lie Matter is not feder ally funded, piocccu to Section Vli. For pmposcs ofTin.-. Section VI, tax credits allocated by the City and proceeds of debt obligations ol the City are not federal funding.
A. CERTIFICATION REGARDING LOBBYING
1. List below the names of all persons or entities rcgislcted under the fedeia) Lobbying Disciosuie Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
(If no explanation appears oi begins on the lines above, or if ihe letters "NA" or if the word "None" appear, ii will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Puny with respect to ihc Matter.)
2. The Disclosing Paity has not spent and will not expend any fedeialiy appiopriated 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 in influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any coopeialive agreement, oi lo extend, continue, ic-new, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
Page 9 of 13
3 Tnc Disclosing Party v\ :)| submit a:i updated certification at the end ot e&ch calendar quarter m which theje orcnis any even; that mate;ialiy affects ihc accuracy of the statements and infoimalicm set u ii: parsgiaphs A.L and A.2 above.
4. The Disclosing Paily-ceriif'cs ilia: en he:: (i) i! is no! an Oigaiii/aiien described in section 501 (c)(4) of the h:le:nal Revenue Code of i 986; or (ii; it it an organization described in section 501 (o)(,;) of the E-.-.cruai Revenue Code of 1986 but has not engaged and will no: engage in 'Lobbying Activities".
: 11 the Disclosing P; rty is the Applicant, the Disclosing Party it:; .-: obtain certifications equal in form and subsinncr to patagraphs A.l through A.4. above from all subcontractors befoic it awards any si beontraci a:id lb; Disclosing Psny must naii-tain all such sertconttaeto-s' certifications for the duration of die Mattel and muji make such certifications picmptly available to the City upon tequest.
iv CPRT1P1CA J ION RHOARDING EQUAL EMPLOYMENT OPPORTUNITY
Jf the Matter is federally funded, federal regulations require the Applicant and ail proposed subcontractors to submit the following information with thci: bids or in writing at the outset of negotiations.
Is the Disclosing Pany the Applicant?
! j Yes | ] No
If "Yes," answer the three questions below.
1 Have you developed and do you have on file affnmative action programs pursuant to applicable
federal regulations? (See. 4) CFR Part 60-2.)
[ 1 Yes [ ] No
Have you filed with the Joint Reporting Committee, ihe Director of the Office of Eedcrai Contract Compliance Programs, or the Equal Employment Opportunity Commission all icports due under the applicable filing requirements?
i 3 Yes [ | No
Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
[lYes ' []No
if you checked "No" to question I. or 2. above, please provide an explanation:
Page 10 of 13
SIX DON VJI - ACKNOU ! FDGM E.VLS, COM RACT JN(.'() R FOR A TIO N. COMPLIANCE, PENALTIES, DISCLOSURE
The Disclosing Pany u:idei>ta:;ds a;id agrees thai:
A The cerlificatiom, disclosures, fend acknowledgment contained in this ):DS will become pars of any contract o: other apecmcnl between the Applies;!: and the City iii connection with the Matte:, whether procurement. City assistance, oi other City action. ;;nd ate material inducements to the Cin's ex cent ion of any ccritiact or taking other action wah respect to the Matter. The Disclosing Paiiy understands thai :' must comply with all statutes, ordinances, ar.d regulations on which this EDS is based.
1 i. The City's Govern menial 1. lines and Campaign Financing Ordinances, Chapters: 2-156 and ?.- i 64 of the Municipal Code, impose certain clinics and obligations on persons ni ctvities seeking City contracts, e.ori . business, or transactions. 'I'he full tot! r', ;c; \e ordinances and a training program is available on line at w^'w.cii vofchicatio oi;r Ethics, ar.d may also be obtained liort: ihc City's Boaid of Ethics. 740 N.
Sedgwick Si., Suite 500, Chicago, IL 60610. (3 12) 7«4-9660. The Disclosing Parly must comply fully with the applicable oiriinrmecs.
If the C'ity determines thai any information pro\ ided in this EDS is false, incomplete oi inaecuiate, any contract o: other agreeinent m connecnon with which it is submitted may be rescinded or he void or voidable, and the City may put sue any iemedics undo: the contract oi agreement (if not rescinded ot void), at law. or in equity, including terminating ihe Disclosing Party's paificipation in the Mailer and/ei declining to allow the Disclosing Party to participate in othei transactions with the City. Remedies at law for a false statement of material fact may include incarceiation and an avvai d to the City of noble damages.
1; is the City's policy to make (his document available to Ihe public on ns Intcinei site and/or upon request. Some oi all of the information pjovided on this EDS and any attachments, to this EDS may be. made available to ihc public on the Internet, in iespouse U> a Freedom of Information Act request, or otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it mat}' have against ihe City in connection with the public release of information contained in this; EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS.
E. The information provided in this EDS must be. kept cuncnl. In the event of changes, '.lie Disclosing
Party must supplement this EDS up to the time the City takes action on the Matter. If the Matter is a
contract being handled by the City's Department of Procurement Services, (he Disclosing Party must
update this EDS as Ihe 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 hcicin regarding eligibility must be kept current for a longer period,
as rcquiied by Chanter 1 -?3 and Section 2-1 54-020 of the Municipal Code.
Tiie Disclosing Party icprescnts and warrants that.
Page 11 of 13
F.l. The Disclosing Party is no: delinquent in the payment of any tax administered by the Illinois Department of Revenue, nor are the Disclosing Party or its Affiliated Entities delinquent in paying any fine, fee, tax or other charge owed io the City. This includes, but is not iimited to, all water charges, sewer charges, license fees, parking tickets, property taxes or sales taxes.
F.2 If the Disclosing Party is (he Applicant, (he 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.
F.3 If the Disclosing Party is the Applicant, the Disclosing Party will obtain from any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in F. 1. and F.2. above and will not, without the prior written consent of the City, use any such contractor/subcontractor that does not provide such certifications or (hat the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
NOTE: If the Disclosing Party cannot certify as to any of the items in F. 1., F.2. or F.3. above, an explanatory statement must be attached to this EDS.
CERTIFICATION
Under penally 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.
. Safer Corporate Endowment
(Print or type name of Disclosing Party)
By:
Stephen T. Gorny
(Print or type name of person signing)
(Print or type title of person signing)
Page 12 of 13
(DO NOT SUBMIT THIS PAGE WITH YOUR EDS. The purpose of this page is for you to recertify your EDS prior to submission to City Council or on the date of closing. If unable to recertify truthfully, the Disclosing Party must complete a new EDS with correct or corrected information)
RECERTIFICATION
Generally, for use with City Council matters. Not for City procurements unless requested.
i
This reunification is being submitted in connection with 1124 South Mozart, Chicago [identify the Matter], Under penalty of penury, the person signing below: (1) warrants that he/she is authorized to execute this EDS recertification on behalf of the Disclosing Party, (2) warrants that all certifications and statements contained in the Disclosing Party's original EDS are true, accurate and complete as of (he date tarnished to the City and continue to be true, accurate and complete as of the date of this recertification, and (3) reaffirms its acknowledgments.
Safer Corporate Endowment (Print or type legal name of Disclosing Party)
Stephen T. Gorny
Title of signatory:
Vice President & General Counsel
Signed and sworn to before me on [date] ^jL/r-c^C As' £-017 t by
Zc./U.^x. d^4-*-^- . at Oo-+}iO> CountYr^JU^^^^ [state].
_ Notary Public.
OFFICIAL SEAL LAURA MMCGEE NOTARY PUBLIC - STATE OF ILLINOIS MY COMMISSION EXPIRES 03/14/21
Ver. 1 \4Mt
C) I V OT CHICAGO ECONOMIC IHSCLOSLRE S I A CEMENT AND Al J IDA VE1 APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND DEPARTMENT HEADS
'Flu's Appendix is to be completed only by (a) the Applicant, and (b) any legal < ntity which has a direct ownership interest in the Applicant exceeding 7.5 percent. It is not ro be completed by any legal entity ^hioh has only an indirect ownership interest in the Applicant.
Undei Municipal Cudc Section 2-15< -(; 15. the Disclosing Party must disclose wlicihei such Disclosing Party oi any ''Applicable Pany" or any Spouse or Domestic Partner thereof cm rent l> has a "familial relationship" with any elected city official oi department head. A "familial relationship"' exists if. as of the date this EDS is signed, ihe Disclosing Pany or any "Applicable Pany" oi any Spouse or Domestic Parmer thereof is related to the mayor, ar.y aide: man, ihc. city clerk, the city treasurer or any city department head as spouse or domestic partner or as any of the following, whcthei by blood oi adoption: patent, 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 oi stepdaughter, stepbrother or stepsister or half-brother ot half-sister.
"Applicable Pany" means (J) ail executive officers of the Disclosing Party lasted in Section Il.M.La . if the Disclosing Parly is a corporation; all paitneis of ihe Disclosing Pany, if the Disclosing Party is. a general partnership: all genera! partners and limited partners of the Disclosing Part}', if the Disclosing Parly is a limited partnership; all managers, managing members and members of the Disclosing Party, if the Disclosing Pany is;; limited liability company; (2) all principal office-!s of the Disclosing Pany: ard ( ?) any person having more than a 7.5 percent ownership in.teiest in the Disclosing Party. "Principal officers" means the piesiuent, chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising .similar aethoiily.
Does the Disclosing Parly oi any "Applicable Party" o: any Spouse or Domestic Partnei thereof currently have a "familial relationship" with an elected city official or department head?
i Yes [ Xj No
If yes, please identify below (I) the name and title of such person, (2) the name of ihc legal entity to which such pcison is connected: (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (A) the. precise nature of such familial relationship.
Page. 13 of 13
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX B
BUILDING CODE SCOFFLA W7PROBLEM LANDLORD CERTIFICATIOjN
This Appendix is to be completed only hy (a) the Applicant, and (b) any legal entity which lias 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 stn indirect ownership interest in the Applicant.
Pursuant to Municipal Code Section 2-454-010, is the Applicant or any Owner identified as a building code scofflaw or problem landlord pursuant to Section 2-92-4 16 of the Municipal Code?
[ ]Ycs [XjNio
If the Applicant is a legal entity publicly traded on any exchange, is any officer or director of the Applicant identified as a building code scofflaw or problem landlord pursuant to Section 2-92-416 of the Municipal Code?
[ ]Yes [; No fyC] Not Applicable
3. If yes to (1) or (2) above, please identify below the name of the person or legal entity
identified as a building code scofflaw or problem landlord and the address of the building or buildings to which the pertinent code violations apply.
FILLING OUT THIS APPENDIX B CONSTITUTES ACKNOWLEDGMENT AND AGREEMENT THAT THIS APPENDIX B IS INCORPORATED BY REFERENCE INTO, AND MADE A PART OF, THE ASSOCIATED EDS, ' AND THAT THE REPRESENTATIONS MADE IN THIS APPENDIX B ARE SUBJECT TO THE CERTIFICATION MADE UNDER PENALTY OF PERJURY ON PAGE 12 OF THE ASSOCIATED EDS.