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This record contains private information, which has been redacted from public viewing.
Record #: O2019-7765   
Type: Ordinance Status: Passed
Intro date: 9/18/2019 Current Controlling Legislative Body: Committee on Economic, Capital and Technology Development
Final action: 12/18/2019
Title: Tax levy, budget and service provider agreement for Special Service Area No. 28-2014, Six Corners (Year 2020)
Sponsors: Lightfoot, Lori E.
Topic: SPECIAL SERVICE AREAS - S.S.A. No. 28-2014 (Six Corners)
Attachments: 1. O2019-7765.pdf
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OFFICE OF THE MAYOR
CITY OF CHICAGO
LORI J- LIGH'l'I OOT
MAYOI!
September 18, 2019










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


Ladies and Gentlemen:

At the request of the Commissioner of Planning and Development, I transmit herewith ordinances authorizing public hearings for, and renewals of, various Special Service Areas.

Your favorable consideration of these ordinances will be appreciated.


Very truly yours.

Mayor
ORDINANCE

WHEREAS, special service areas may be established pursuant to (i) Article VII, Sections 6(1) and 7(6) of the Constitution of the State of Illinois, (ii) the provisions of the Special Service Area Tax Law, 35 ILCS 200/27-5 et seq., as amended from time to time (the "Act"), and (iii) the Property Tax Code, 35 ILCS 200/1-1 et seq., as amended from time to time; and
WHEREAS, on December 10, 2014, the City Council of the City of Chicago (the "City Council") enacted an ordinance (the "Establishment Ordinance") which was published in the Journal of Proceedings of the City Council for such date at pages 99222 through 99308, and which established an area known and designated as City of Chicago Special Service Area Number 28-2014 (the "Area") and authorized the levy of an annual tax, for the period beginning in 2014 through and including 2028, not to exceed an annual rate of 0.750 percent (0.750%) of the equalized assessed value of the taxable property therein (the "Services Tax") to provide certain special services in and for the Area in addition to the services provided by and to the City of Chicago (the "City") generally (the "Special Services"); and

WHEREAS, certain funds in Fund 0D19 ("Fund 0D19") in the amount of $14,151 are available for use in connection with the Area; and

WHEREAS, the Establishment Ordinance established the Area as that territory consisting approximately of the properties at and near the intersection of Irving Park Road and Milwaukee Avenue, extending west along Irving Park Road to Lavergne Avenue, with the inclusion of two commercial properties at the northwest and southwest corners of Irving Park Road and Lavergne Avenue; south along Cicero Avenue and Milwaukee Avenues to Byron Street, with the exception of residential properties located along Byron Street between service alleys just south of the former Bank of America parking areas and other commercial uses between Cicero and Milwaukee Avenues; north along Cicero Avenue to Warner Avenue excluding the residential properties on the east.side of the street; Milwaukee Avenue south to Byron Street and incorporating the parking lots to the Canadian Pacific/Metra train tracks to the east; Milwaukee Avenue north to Warner Avenue and extending to Lavergne Avenue to the west including the condominium parcels in the Klee Plaza Building and the commercial parcel northwest of the Milwaukee Avenue and Warner Avenue intersection while excluding the Lavergne Avenue parking lot and residential properties along West Cuyler Avenue; and east along Irving Park Road to the Canadian Pacific/Metra railroad viaduct and north to Belle Plaine Avenue and the alley servicing the Six Corners Shopping Center Development; and

WHEREAS, the Special Services authorized in the Establishment Ordinance include, but are not limited to: customer attraction, public way aesthetics, sustainability and public place enhancements, economic/business development, safety programs, and other activities to promote commercial and economic development; and

WHEREAS, the Establishment Ordinance provided for the appointment of the Six Corners Special Service Area Commission (the "Commission") to advise the City Council regarding the amount of the Services Tax to be levied and for the purpose of recommending to the City Council: (1) a yearly budget based upon the cost of providing the Special Services; (2) an entity to serve as a service provider (the "Service Provider"); (3) an agreement between the City and the Service Provider for the provision of Special Services to the Area (the "Service Provider Agreement"); and

2019 SSA28-2014 ORD.DOC
(4) a budget to be included in the Service Provider Agreement (the "Budget") (the aforementioned items 1 through 4 shall be known collectively herein as the "Recommendations"); and

WHEREAS, the Commission has heretofore prepared and transmitted to the Commissioner of the Department of Planning and Development (the "Commissioner") its Recommendations to the City Council, including the Budget attached hereto as Exhibit A and hereby made a part hereof; now, therefore,

Be It Ordained by the City Council of the City of Chicago:

SECTION 1. Incorporation of Preambles. The preambles of this ordinance are hereby incorporated herein as if set out herein in full.

SECTION 2. Appropriations. There is hereby appropriated the following sums in the amounts and for the purposes necessary to provide the Special Services in and for the Area, the estimated amounts of miscellaneous income and the amounts required to be raised by the levy of the Services Tax indicated as follows:
SIX CORNERS SPECIAL SERVICE AREA COMMISSION SPECIAL SERVICE AREA BUDGET

For the fiscal year commencing January 1, 2020 and ending December 31, 2020.

EXPENDITURES

Service Provider Agreement for the provision of Special Services

TOTAL BUDGET REQUEST

SOURCE OF FUNDING

Tax levy at an annual rate not to exceed 0.750 percent of the equalized assessed value of the taxable property within Special Service Area Number 28-2014

Fund 0D19

Carryover funds currently available from prior years

Late collections received by the City attributable to the levy of the Services Tax in prior years, along with interest income thereon, if any.


2019 SSA28-2014 ORD.DOC

SECTION 3. Levy of Taxes. There is hereby levied pursuant to (i) the provisions of Article VII, Sections 6(a) and 6(l)(2) of the Constitution of the State of Illinois, (ii) the provisions of the Act, and (iii) the provisions of the Establishment Ordinance, the sum of $299,521 as the amount of the Services Tax for the year 2019.

SECTION 4. Filing. The City Clerk of the City (the "City Clerk") is hereby ordered and directed tb file in the Office of the County Clerk of.Cook County, Illinois (the "County Clerk") a certified copy of this ordinance on or prior to December 31, 2019, and the County Clerk shall thereafter extend for collection together with all other taxes to be levied by the City, the Services Tax herein provided for, said Services Tax to be extended for collection by the County Clerk for the year 2019 against all the taxable property within the Area, the amount of the Services Tax herein levied to be in addition to and in excess of all other taxes to be levied and extended against all taxable property within the Area.

SECTION 5. Service Provider Agreement. The Commissioner, or a designee of the Commissioner (each, an "Authorized Officer"), are each hereby authorized, subject to approval by the Corporation Counsel as to form and legality, to enter into, execute and deliver a Service Provider Agreement as authorized herein with Six Corners Association, an Illinois not-for-profit corporation, as the Service Provider, for a one-year term in a form acceptable to such Authorized Officer, along with such other supporting documents, if any, as may be necessary to carry out and comply with the provisions of the Service Provider Agreement. The Budget shall be attached to the Service Provider Agreement as an exhibit. Upon the execution of the Service Provider Agreement and the receipt of proper documentation, the Authorized Officer and the City Comptroller are each hereby authorized to disburse the sums appropriated in Section 2 above to the Service Provider in consideration for the provision of the Special Services described in the Budget. The Department of Planning and Development shall promptly make a copy of the executed Service Provider Agreement readily available for public inspection.

SECTION 6. Enforceability. If any section, paragraph or provision of this ordinance shall be held to be invalid or unenforceable for any reason, the invalidity or unenforceability of such section, paragraph or provision shall not affect any of the remaining provisions of this ordinance.

SECTION 7. Conflict. This ordinance shall control over any provision of any other ordinance, resolution, motion or order in conflict with this ordinance, to the extent of such conflict.

SECTION 8. Publication. This ordinance shall be published by the City Clerk, in special pamphlet form, and made available in her office for public inspection and distribution to members of the public who may wish to avail themselves of a copy of this ordinance.

SECTION 9. Effective Date. This ordinance shall take effect 10 days after its passage and publication.







2019 SSA28-2014 ORD.DOC|1010|




















































2019 SSA28-2014 ORD.DOC

Exhibit A Budget

A Special Service Area # 28-2014
SSA Name: Six Corners
2020 BUDGET SUMMARY A
Budget and Services Period: January 1, 2020 through December 31, 2020

2019 Levy
CATEGORY Collectable Levy Estimated Loss Collection Carryover Funds TIF Rebate Fund #0D19 Estimated Late Collections and Interest Total All Sources
1.00 Customer Attraction $85,160 $374 $1,000 $14,151 $374 $101,059
2.00 Public Way Aesthetics $103,050 $0 $26,700 $0 $0 $129,750
3.00 Sustainability and Public Places $2,000 $0 $0 $0 $0 $2,000
4.00 Economic/ Business Development $9,000 $0 $5,000 $0 $0 $14,000
5.00 Safety Programs $12,000 $0 $7,000 $0 $0 $19,000
6.00 SSA Management $25,472 $0 $0 liilliilii TO6BB& $0 $0 $25,472
7.00 Personnel $62,465 » $0 $0 $62,465 ¦7T hi***} tw i ~i
Sub-total $299,147 $¦ 1
GRAND TOTALS Levy Total $299,521 $39,700 $14,151 $374 $353,746

LEVY ANALYSIS
Estimated 2019 EAV: $42,956,123
Authorized Tax Rate Cap: 0.750%
Maximum Potential Levy limited by Rate Cap: $322,171
Requested 2019 Levy Amount: $299,521
Estimated Tax Rate to Generate 2018 Levy 0.6973%

CITY OF CHICAGO
EcbN^Mie jbisiiLo
AND AFFIDAVIT SECTION l - GENERAL INFORMATION
A., Mgal nariieof the Disclosing Party su^ Ir/cliM§^(i^' i^pplic^ble:
€liecki 01^^ th^ follow
I^e'alte;wl%tbgr-th0 DTs^losing^Parry-subriutting ^tirtis^EJ^S-is:
name
i. f^J; t^e'^piUcarit :"' ;"-v' )' ¦¦¦ ;¦ -Vv>f ' • :
OR
3-. ;| 1 aj^al ehtity wim
;S|ate tirle;legaMam -. y


B: Business-address of the Disclosing Party: %4M



C, Telephone: ygr4£5-°! 2>oC> Fax. [4 ' iEnri^^)^
E>. Name of contact person: c3e&S> ca Vo.^ u^z., - Uofi&% '
E. Federal Employer Identification No. (if you have one): _ i
Brief description of the Matter to which this EDS pertains. (Include project number arid location of
property, if applicable): USoCa^V) \o ^/^Coy^
(o^Vv 4vu. oP CjArco^ ^ ^rgvS-cU. S^f Vtl^S Vur4Mcri ^-a, -frag
Which City agency or department is requesting this EDS? ^1^Qk>'>i^ ^ T^Lp.vMI Qj^v^H^f
If the Matter is a contract being handled by the City's Department Of Procurement Services, please complete the following:

Specification # and Contract #
Ver.2018-1 Paget of 15

SECTION II -- DISCLOSURE OF OWNERSHIP INTERESTS

A. NATORE OF THE DISCLOSING PARTY

1. Indicate the nature of the Disclosing Party :
[ .] Person [ ] Limited liability company v
[ ] Publicly registered business corporation [ ] Limited liability pafaeiiship
[ ] Privately held business corporation [ ] Joint venture
[] Sole proprietorship ^ Not-forrprofit corporation
¦[. ] General partnership (Is tnemot-forrprbfit ¦cpi|fora]ti^-also a 501(c)('3))?
!f ] Limited partnership [ ] Yes [^W>
i ] Trust [ ] OtJier^e;a^ special ^ .....
For legal entities, the state (or foreign country) of incorporationvOr organization, if applicable:

lU\ t'YlCTCS ' - — .-.^ , - ¦
' ' ¦ ¦ : ;—; : .... . •.¦v-^-t" -
F^r legal,entities not organized in ^ business in the State -of Illinois as a foreign entity?

[ ] Yes [ ] No j^fPrgaruzed^m
B> IF THE DISCLOSING PARTY IS A LEGA^llNTlW; ! ' \;:

i. List bejpw the full names and titles, if applicable, of (fyaU^eixS^ all direet'ors?of
trie entity;, (iiffor not-for-profit corporations, all members, i|^y.; wWeh^^^ are nonsuch members, write "no members which.axe legal entities}%^
similar entities, the trustee, executor, administrator or similarly sitti^^^|i^j^^^e^«ocr limited partnerships, limited liability companies, limited Habijh^pa^ each genefal'partner, managing member, manager or any other person or leg^l-entity tha^t .directly or indirectly controls the day-to-day management of the Applicant.

NOTE: Each legal entity listed below must submit an EDS on its own behalf. y.

Name Title
qHcuSVvcGl




2. Please provide the following information concerning each person or legal entity having a direct or indirect, current or prospective (i.e. within 6 months after City action) beneficial interest- (including ownership) in excess of 7.5% of the Applicant. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture, interest of a member or manager in a

Page 2 of 15

^limited liability c^mpany/pr iriterestidf avberi If rione;
*s$ite "Nolne/ V ~'.
•N^E^la^&iegal-'iESitity listed-b^elow may b&refgiraa.to^sul&hlt ah F^S bn1its\owrrb'ehaif-
Na'mev Business Address Percentage Interest in the Applicant





SECTION IH »INCOME ©RfCOMPENSATION TO^OR1^^
OFFICIALS f" v rt^*.--

H^tftg^is^^ provided any income or4spmpehs"atlon^
f2-rhdh'th period preceding the date of this EDS? ' ,, [ Jj^es) J^'^'"

P^es the-I^'iseldsihg Party reasohablyvexpect to provideaiij' iheome or'^^pe^j&^t^&^^iS^
li^^^iifal-:-(iiinng the 12-month period fbliowingSme die^of t&E#s1f; " ' M No

ii?ps?;tp¦eimefWthe ab.pye, please identify bfelo^mfcfir^ f
^escmD^such income or compensation: t " '¦



©oesiahy <|ity elected official or, to the best of the Disclosing'Party's ta^ mqui|^,vahy City elected official's spouse or domestic partner, have a finariciaHrijtere^ <|n§ter '2-156 of the Municipal Code ofChicago ("MCC"))-in the Disclosmg fa^?;' ' ' '
' '[ ] Yes ^No ¦ - V:? •¦ '•• '

If "yes," please identify below the name(s) of such City elected* officials) an^
partner(s);and,:deseribe the financial interest(s). ' ' ^ t t , <



SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAiNED/PARTIES

The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist (as defined in MCC Chapter 2-156), accountant, consultant and any other person or entity, whom the Disclosing Party has retained or expects to retain in connection with the Matter^ as well as the nature of the relationship, and the total amount of the fees paid or estimated to be paid*. The Disclosing Party is not required to disclose employees who are paid 'Solely'tnrougli^theJ^clbsmg' Party's regular payroll. If the Disclosing Party is uncertain whetheha 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 15

N^me, (-indii(^^higi1ii% Busjfoess Relationship to piselbsriigjParfe. .Fees^indicate whemer^ %
re^ined% hititifc^ft, Addrfes (sub\c^htrafeWr,*attorh^3j», pai&oEesthu^
tb^e retaLnea) ' lobbyist, etc.) ir^^|ag^b^^i]i>.d>'is''
....... . , ; hQt M:r^^$^^B^^;:.-.
n 'W<*&V^t&A. ' • ' "' " ' > .....


(Add sheets; if necessary) r '[ ]/(3IeJk-:injere if the: Disclosing Party has nof retained, hbrexpe
SECTIOlW--^ ' ' <-i*> ,^>.¦ ^
MlsTR€r©RDERED CHILD SUPPORT COMPLIANCE; . r ¦ % ., ¦ .

:LJfiaeF]vlfe Section 2-92-415, substantial owners of business entities remain im compliance with their child support obligations. fcoughbuL^^

Has any persbh who directly or indirectly owns 10% or more of me:©iiscio^^ arT^age-On any; child sup^
[ ] Yres [ ]*No No person directly or mdhrectly owns^f^O^ If "Yres,'-has the perspm.entered into a court-apprOved;;agreerhehtTor
is theip^ersonvin compliance with that agreement? • ¦ 7 :;v.,.- ^ t . : j
[ ] Yes [ ]No A, . '¦
FURTHER CERTIFICATIONS v.vv ^> -

[This paragraph 1 applies only if the Matter is a contract being handled^y the G Bepartmehtiof-Proeurement Services.] In the 5-year period preceding the date of this EDS, neither the Disclosing-Party nor any Affiliated Entity [see definition in (5) below] has eng^g^^MCe6nneiQti6h with the performance of any public contract, the services of an integrity monitorj 'independenfprivateiseetor inspector'general, or integrity compliance consultantfi.e., an mdividuaf 6s m^^i^leg^^atiditing^. investigative, or other similar skills, designated by a public agency to. help the agency monitbr'the activity of specified agency vendors as well as help the vendors refonn-'them'b.]^iness;pl^^'ces' so they : can be considered for agency contracts in the future, or contmue withvafcbhtraGt m progress). .
The Disclosing Party and its Affiliated Entities are not delinquent in thepayment of any fine, fee, tax or other source of indebtedness owed to the City of Chicago, including, but; not limited-to, water and sewer charges, license fees, parking tickets, property taxes and sales taxes, nor is the Disclosing Party delinquent in the payment of any tax administered by the lllmois Departmentof Revenue.


Page 4 of 15
3. Tlie'Mscl^smgrParty and; if melfe^ allpfth^#p^
iaentifieim*ScctiGh II(BO(l>of this EDS: ¦; _'r;;_"
a: ;are>hpt preYen'tly debarred, suspMe^pr^
re^ciude^-fcSarijahy transactions by any federal, s&fc&l:^»unit .o^g^'^nmentf


>'d. are not presently indicted for, or criminally or civilly charged by, a^^rni^t^^^/ (federal-- ' state or local) with committing any of the offenses set forth msubparag^a^
Wv^.iioXMimM'-.S years before the£ife-$mfy£@!js hai-.Qn#i^S^M|l?^^^#f Iffe^er^sfefebHotxil) terminated for cause or defaults and' .-<•
have not, during the 5 years beforethe date of mis EDS^beeme^
liable m a*eryd proceeding, or m anj — "— -•
environmental violations, -instituted unit of local government.
The Disclosing Party understands and shall comply-lwifr ' Chapte:rs2-56 (Inspector General) and 2-156 (Governmental Ethics). ;^v^:-.-^w-;'t^^:.^>?''--- : •
Certifications (5), (6); and (7) concern:

the Disclosing Party; ;' '' ' n
any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Parryin - '* connection with the Matter, including but not limited to all persons or-legal ^entities^disclosed under Section IV, "Disclosure of Subcontractors and Other Retained" Parties")^ . ¦ " - '
any "Affiliated Entity" (meaning a person or entity that; directlyor 1^recjtiyr<^nQ^51sW&:' Disclosing Party, is controlled by the Disclosing Party, or is, with the Disclosing Partyf under common control of another person or entity). Indicia of control include, '^]|^()iii^li^^tiany responsible official of the Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee of the Disclosing Party, any Contractor-or-any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official of the Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").

Page 5 of 15
Neither tjie.^isclps nor. any Contractor, ndr^fny Affiliated;Eritity; o£^ifhejf the Disclosing
Party/or any:Gpp^ any Ag^n&have, duru^ with
respect Jo#.Cohrraetor, an Affiliated Entity, Or an Affiliated Entity of atContractbr d thevS -years
before the date of snch .Contractor's: or AfM engagement in connection with the
Matter: ' " ''. ".' : ' <' N '"'^t'^ ^y'"-''' ''' "

a. bribed or attempted to brib^, pr ,been,.corivicted' or, adjudged; gtiih^pjhj^e^ o^attempting to bribe,
apuDli^p;^ the StalePf iilih^
or of any state«o.r^oc^al. gpyte;Enment. in ;the;U]ru^edj^^
^fficiahcapacfS;, - , - -. , , ?-.Y! I '
b': a^eed pr coiluded ^
or beeni;ebnYi^e|i^ ;pr*adjudged guilty, of agreement,pr;collusioh|amp^ in restraint offreedom rjf competition.by agreement to. bid^a^ixeB^rie^

:e; made an admissioni of suphv conduct deserib)ed|m ,
reeora,* but. have not been prosecuted for sucn.conduct; of ; > . : r


6. Neither the Disclosing Party, nor any Affiliated Entity 9b$b^^ xflKv.:^i„ * i. :„ u„_^_j c __.^;.ii_K~~-._-&iMi__^^ -

bid-rotating; in violation of 720 ILCS 5/33E-4; or $)(^y,sffilaF
States of America that contains the. same elements aslthe bfiehse or " ''Neither the Disclosing Party nor any Affiliated Entity is listed'on a'S^ctiohs.Lisf United States .Department of Commerce, State, or Treasury, or. any successor federai -agehcy. V "
[FOR APPLICANT ONLY] (i) Neither the Applicant nor any ''cpntrolh^^ Chapter 1-23, Article I for applicability and defined terms] of the Applicantis current^ charged with, or has admitted guilt of, or has ever been convicted of, orpjaeeUuhder sup^
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 Ci^x^^ny "sister agency";. and (ii) theApplicant understands and acknowledges that compliance with Article I is a.conti^ for doing business with the City. NOTE: If MCC Chapter 1-23, Article I appiiis tpthVAppJ^ Article's permanent compliance timeframe supersedes 5-year'cpmplianw.t|mefp^^.'iri.this S^ctibrifV.
[FOR APPLICANT ONLY] The Applicant and its Affiliated Entities will hpt use, nor permit ,tHeir
subcontractors to use, any facility listed as having an active exclusion by ithe U.S. EPA oh Ihe federal
System for Award Management ("SAM"). y ,
[FOR APPLICANT ONLY] The Applicant will obtain from any contractors/subcoritraetors hired or to be hired in connection with the Matter certifications equal in form and; substance to those in Certifications (2) and (9) above and will not, without the prior written consent of the City, use any such
Ver.2018-1 Page 6 of 15

ebn%a^t©f su^bn^eTbrvt|^pes not prbvidevsueh certifications^
believeJhasnp^;prov , : ^ , v v -
" *"*"•••'' ¦• -j. , . •¦ •'• -
111 % thirDisfeldSm^P^^ of me ;ate&^
^Gjgrtifi^ti^nsJ %e ©isel^sirig Barry must explain Moyy;



4 >. ttji£i> *J ••:/-q;"t.v3Jduj.>
Ifthe'letters '^^^e^ird/^loiief' or no/respSns^'a^
pre§ume^^ ; . . -
com
mMtft-per
of eiiicago;,(if nOne,,iridicate with "N/A" or "none")
yiA "
Vl


13. To ffie best of the Disclosing Party's knowledge after reasonably
complete list of all gifts that the Disclosing Party has given of causeiktp^
trie 12-rhoriffi pm date\pf th'is^b§,
bfr^ial, of the^it^pf Chicago. For purposes of this statemen&a .^ftf^^^^]^^^|^^^^|^,
made, generally available to City employees or to the general p;ublic,.;prl(di
^the:cburee^o/'-qMciai'"'€.ity- business and having a retail value of lessrtihah;3^p^^
political confributipnsOtherwise duly reported as required by ,law (if nprie&j^
"none"). As to anysgift listed-below, please also list the name of the ^i^reci^ibnt;^.^. Y t*'-l, .-.
"sn* : ; Y/; ;•



C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION : . \V .
The Disclosing Party- certifies that the Disclosing Party (check- one) ; ^ . r ¦'
[ ] is is not
a "financial institution" as defined in MCC Section 2-32-455(b).
If the Disclosing Party IS a financial institution, then the Disclosing Party pledges-:
"We are not and will not become a predatory lender as defined in MCC Chapter 2-32. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in MCC Chapter 2-32. 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."

Page 7 of 15

If the letters "NA," the v^or.d "None," orinpirjesppn|e ?appMrs, Qn fitelme^ab^

©VCEM^A^QN^ -#ny^orfls?qr%:rms defi^ ,
N0TE: If you cheeked "Yes" to Item D(l) to- Item ©(-1); sk'ipTtemsiDC2). and*D(3) and prdceed tp/PartiE
, proceed to Items ©(2) affl#i:3|»#Pw prdceed tO;PartiE: ' ' ¦$-ffi%^$®%$u'* >'U'> -









Does.the Matter involved City Property Sale? .,¦-.^ ¦.¦ ,

' [ ] Yes [ ]No ¦ ir : ¦ :y-V:
3v If you checked' " Yes" to Item D(l), provide the names and business addressesof^^e^CityA officials or employees having such financial interest and identify the hature'MW^^ia^i&^P^i| '

Name Business Address Nature of ^Finaneia^Ihteresf






4. The Disclosing Party further certifies that no prohibited financial interest in;'th'&Matter will be acquired by any City official or employee.

Ver.2018-1 Page 8 of 15

E. CERTIFICATION SLAVERY ERA BUSINESS;

Please cheek either (1) or (2) below. If the Di's^losmg^P'arr^c^fe'^X'me Disclosing Party must disclose below or in an attachment to this E©S>all,mf6r^ti6h:>req|pr^ b»y>(2). Failure to comply with these disclosure requirements may make any contract ehtered'intd with me City fn connection with the Matter voidable by the City.

v/ 1. The Disclosing Party*veriffes that the Disclosing Party has searched any andiall records of
th'e Disclosing- Party and any and alt predecessor dhhlies reg^dingv^
from slavery or sla^'eAbider m policies during the slavery eraiihrc^
issueo%^slaw p'royide;d coverage for darnage to. or injury -brje^ ¦'
the Disclosing PaftymasToundn^ • .\v" Y l\ '-

¦2. TheDisclosing Party-verifies-that, as a result Of cpndueting-theVsea^
Disclbsmg Party h^fpitodJetoirds of investments&or profits from slavef^iorisiM '
policies.' "T^e^iscltSnig^P'arry verifies that the following eonstimtes '<¦
records, including the names of any and all slaves or slaveholders-describea^ . ''
~. . V:: : . -:¦ • . .•• u •• -• .

_< ¦ " ». . .. , < ¦ 't f . .- i y :

SE(El?i0N VI — CERTTFIGATIONS FOR FEDERALLY PUND^E^I^^^ElfcS:' f
NOTE: If the Matter is federally funded, complete mis-Section^ '(
federally funded, proceed to Section VII. For purposes ofithis S'ecti'oh^
the City' and- proceeds-of debt-obligations of the-'City are not fedeW fu^^ J .

A. CERTIFICATION REGARDING LOBBYING ^ s .- : ;r

L List below the names of all persons or entities registered under uhe-fedefal L , , ,
Disclosure Act of 1995, as amended, who have made lobbying contacts oh1 behalf of the Disclosing
Party with respect to, the Matter: (Add sheets if necessary): :.: ,]\,.
... k. - s-v ¦• ¦¦ ¦ ¦ * ~ ~
¦ '»¦ 'e : t f .


(If no explanation appears or begins on the lines above, or if the letters "NA" dr. if the word "fVone" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995, as amended, have made lobbying contacts, on behalf of the Disclosing Party with respect to the Matter.)

2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay
any person or entity listed in paragraph A(l) above for his or her lobbying activities or to pay any
person or entity to influence or attempt to influence an officer or employee of any agency, as defined
by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee
Ver.2018-1 Page 9 of 15




/"
of a member of Congress, in connection with the award of any federally funded .contract, making any federally fundedjgrarit pr-loah, entering into any cooperative ajgreement, .otto'el^nq^ contmue, renew, amende or modity.any federally funded contract^graht,,loah,,or codperative agreement,
The.DisplosiiSg Party will submit-an updated certification at the end Q|e^ch.^h^q"uail^iii which mere^OGcurs any event that materially affects the accuracy of the statements ahd'mfofmation set forth in paragraphs A(l) and A(2) above.
The Diselpsmg Party certifies that either: (i) it is not arr 6rg%iizati6md
of the&terrial R^veh Code of 1986; or (ii) it is :aftorgan&^ SOlfcjfp) of die;Triternal Revenue Code of 1986 but has not engaged and' wilfri^ Activities;"that term is defined in the Lobbying Disclosure Act of 1995i.aX'^"endJ^
If the Disclosing Party is the Applicant, the Disclosing Party must pj#am^§r#f^^
form^dfsubs^ A(l) through A(4)rabo.ye.-r^
any -su|!#n|j^ Party must maihti^-4l>su^
duration ofithe Matter and.must make such certifications promptly-avatja|>^^

B. CERTITICATI0N-REGARDING EQUAL EMPLOYMENT OPRORTUNITf^

Ij|the Mat$er is federally funded, federal regulations-require ^ su^ontr^tor^>td':submit-me;f6iiowing information wim*: their bids or in writm^a^e^^e^oS' negotiations.

Is'me>©i^losingP
[ 1 Yes ' " [ ]No ' : "-^ :

If "Yes," answer the three questions below:

, 1. Ha#e you developed and do you have on file affirmative action programip^u^a^^ap^p^e^fe; federahregulations? (See 41 CFR Part 60-2.)
[ ] Yfs [ ]No • ¦'; -
Have you filed with the Joint Reporting Committee, the Director of the Q^^0tj^^§^T&_%^. Compliance Programs, or the Equal Employment Opportunity Commission ail-repb^due imder the applicable filing requirements?
[ ] Yes [ ] No [ ] Reports not required
Have you participated in any previous contracts or subcontracts subject to-the-equal opportunity clause?
[ ] Yes [ ] No

If you checked "No" to question (1) or (2) above, please provide an explanation:




Page 10 of 15
SECTION VII FURTHER ACKNOWLEDGMENTS AN& CERTIFICATION

fh'e©is'clb;smg'Pafty ra^^

A. %e^ e'ertificati0n% disclosures; and acknowledgments cpntamed in this EDS^
contract or other* agreement between the Applicant-arid'^ whether
procurement, City assistance, or other City action, and are materialrmducemen^tp. the^ity's^ekeeu'fion
of. any contract or taking. other action with respect to the Matter. T^ej©is^
itimust^complyvwith. all statute's, ordinances, and regulations on which tMs^


of "this ordinance alspijbe obtained
(M^044^9i6j$O. iThe"5Discfosmg.Party must comply fully with ulisior^iriahee:^•*¦'¦'- >.X.Y--'o; ^ . - >
v _ ¦?"* .%'/"',.^ f'';rv
C. If the.City determines that any information provided in this ED'Sls felse, to
any contractor--other agreement in connection with which it is subrmtted;ma^b^res&^
or voMble^aridirae City may pursue any remedies under thecbntractlo;^
void), af law, or in equity, including terminating the Disclosing Party's participation; in the-Matt^
¦'anpqir rJeelirimg.to allow the Disclosing Party to participate in other Cjfyv-tr^^acti.gnSf. -R^in^ies^a^ ,
lawTor a false stateriient Of material fact may include incarceratiotii '"
It is;the (Sityjs; policy to make1 this documentavailableto the-public;bnV;te^ request. Some or ali of me information provided in, and appended;to> thi'sjEDSima^ availableiiori the Internet,, in response to a Freedom of information Act;request$^^ completing and signing^is EDS, the Disclosing Party waives arid releases any possible rights or claims* wMch-frmay have against the City in connection with the public release:pfinfprjrnatipn contained in this EDS and also authorizes the City to verify the accuracy of any-irifdrmatiori submitted in this EDS.
The information provided in this EDS must be kept current. In the event of changes, the Disclosing Party must supplement this EDS up to the time the City takes action on the Matter. If the Matter is a contract being handled by the City's Department of Procurement Services, the Disclosing Party must update this EDS as the contract requires. NOTE: With respect to Matters-subject to MCC Chapter 1-23, Article I (imposing PERMANENT INELIGIBILITY for certain specified.offenses); the information provided herein regarding eligibility must be kept current for a longer periodYas required by MCC Chapter 1 -23 and Section 2-154-020.








Page 11 of 15
CERTIFICATION





(Print 'or typefexaet'll^ Dis^tiosirig-Party^ ''


(Prinfapr-typ^mjam signing) ^r^^r-^e'tiipef of%e|spn ^signirig).




^-.epuntyi ^f U i AOi S (state).

CYNTHIA BURKEUg&IUiALOBOS?:> 7^ . NOfAlYWi&tf^ATCi^^l^Sf! :ff i'/VV'?;' ¦« toYCOMMISSibN^^

Cpmrm^sion expires: 5- \ ~~ 2.CT23



















Page 12 of 15

CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDTXA

FAMILIAL RELATIONSHIPS WITITELECf E^ AND DEPARTMENT HEADS

TWs Appendix is to be completed only by (a) the Applicant, and |b^ariy legal entity wlu^h has a: direct ownership interest in the Applicant exceeding 75 % . It is riot to be completed by any legal entity which has. only an indirect ownership interest in the Applicant.

Under MGG Section 2-154-015, the Disclbsmg Party must disci
or any "Applicable Party" Or any Spouse or Domestic Partner thereof currently ti^-'i|-''-farhjlfel. t
relatio^hip^'^ith^any electedicity official or department-head. A^'familiaTr^Sti^
ti^datejth^ or any "Apjlfij^^^
Parmer ifjySebfe rhaydr, any alderrrian; the city ciefk^"fec^^ ; *H u
departmentshead as- spouse or domestic partner or as any of the following, whemer^by .blppd or adoption: parent, child, brother or sister, aunt or uncle, niece or nephe\vvgran^ father-in-law, mother-in-law, son-rin-law, daughter-in-law, stepfather or stepmother; steps'dri or stepdau'^iteri stepbrother Or stepsister or half-brother or half-sister.

'^A^pHcable^Party" means^l) all executive officers of the Disclosing
UB^ta., if th^l|& corporation;; allpar^repi^
Partyds.a-gerieral'pa^ejreriip; all general partners arid limite#paru^
Digeidsihg Party is? aUimited partnership; all managers, managingVm^mfrers^^ ; '
Disclolsing^Party-, if the Disclosing Party is a limited liability^company; (2<).|an Diselosing?Party; and (3) any person having more than a 7i-5% ownership'irrterestem
Party. "Principalofficers" means the president, chief operating officer, executive-directory chief
financial officer, treasurer or secretary of a legal entity or any persomexercisirig similar aumbrity.

Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?

[ ] Yes [£<] No

If yes, please identify below (1) the name and title of such person, (2) the name of the legal entity to which such person is connected; (3) the name and title of the elected city official or department headltO whom such person has a familial relationship, and (4) the precise nature of such familial relationship.










Page 13 of 15

<§ITY OF CHICAGp
APPENDIX^ BUHtDPG Cl>DE ^OEFL Av^
T^isAppendixis to be completed only by (a) the Applicant, and (.b^> any. legal-entity which'1 has a direct .olvnership interest in the Applicant exceeding 7.5% (an "Owper"), It is not to be cpffi*pleted\Hy,any legal entity which: has on}yA|n
Pursuantto MCG-Sectipn 2^i>54-0f 0; is the Applicant Or any ©>nerddentif^;e^^ sctffflajV^

[ ] Yes [££No
If Me Applicant is, a legaleritky publicly traded on arry exchange, is any officer;6^^^^^f0;^
the Applicant identified as a building code scofflaw or problem landlord pursuant tp M|"C SeeH
2-92-416? " ..

[ ] Yes [ ] N6 The Applicants, not publ^


f If yes]tpas a'buiidmg^ landlord and toeadaiess^
the pertinent code violations apply. , i : f

























Page 14 of!5

CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX C

PROHIBITION ON WAGE & SALARY HISTORY SlCREENINC-- - CER^FIFIC^ATION

This Appendix is to be1 completed only by an Applicant that is completing.^
defined in MG.C Section 2-92-3,85. That section, which should be' consulted^(tWAVw.afhlegal';tb
generally covers a-party to any agreement pursuantto-which they: (i) ree^iv^Giibjibf ^M^l^^fnnds^m
consideration for services, work Or. goods provided (including for legal: or othefcpi^
pr (ij) pay the City money for a license, grant or concession allowing them to conduct^^
City premises.

On behalf of an Applicant that is a contractor pursuant to MCC Section 2-92-385,1 hereby certify that the Applicant is iri compliance with MCC Section 2-92-385(b)(1) and.(2), whichprohibit: fT):screieningi job applieantsibased on their wage or salary history, or (ii) seeking job applieahts' wage or: salary history from current or former employers. I also certify that the Applicant has adopted'a policy that includes those prohibitions.
t^-Yes
[ ]No
[ ] N/A- I am not ah Applicant that is a "contractor" as defined in MCC Sectibn?2r92-385;. This certification shall serve as the affidavit required by MCC Section 2-92-385(c)(i)i If you checked "no" to the above, please explain.






















Page 15 of 15





4041 N. Milwaukee Ave. #301 Chicago, IL 60641
CORNERS
Live life hcuUij.




E h ello @s ixcorn ers. com P (773) 685-9300



Six Corners Association Board Mst

President
¦Mare Sussmah

Secretary.
Marissa' Strassel

Treasurer
John Jones

Director
Catherine Brenrian

Director
Daniel Ehle

Director
Shanna Karamaniolas

Director
Dominick Maino

Director
Amy Meadows

Director
Stephanie Rybandt

Director
Keili Wefenstette

Director
Amie Zander



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