OFFICE OF THE MAYOR
CITY OF CHICAGO
LORI E. LIGHTFOOT
MAYOR
October 16, 2019
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 a scope of service, budget and management agreement for various Special Service Areas.
Your favorable consideration of these ordinances will be appreciated.
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 October 31, 1983, the City Council of the City of Chicago (the "City Council") enacted an ordinance which was published in the Journal of Proceedings of the City Council (the "Journal") for such date at pages 2741 through 2775, as amended by an ordinance enacted by the City Council on May 30, 1984, which was published in the Journal for such date at pages 6619 through 6650, as further amended by an ordinance enacted by the City Council on July 27, 1988, which was published in the Journal for such date at pages 15760 through 15773, as further amended by an ordinance enacted by the City Council on September 14, 1988, which was published in the Journal for such date on page 17201, as further amended by an ordinance enacted by the City Council on November 15, 1995 which was published in the Journal for such date at pages 12075 through 12110, (collectively, the "Establishment Ordinance") and which established an area known and designated as City of Chicago Special Service Area Number 4 (the "Area") and authorized the levy of an annual tax not to exceed an annual rate of two percent (2%) 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 332 ("Fund 332") in the amount of $1,832 are available for use in connection with the Area; and
WHEREAS, the Establishment Ordinance established the Area as that territory approximately bounded by the area fronting in whole or in part on 95th Street between Ashland Avenue on the east and Western Avenue on the west; and
WHEREAS, the Special Services authorized in the Establishment Ordinance included recruitment of new businesses to the Area, rehabilitation activities, maintenance, private security services, coordinated promotional and advertising activities for the Area, and other technical assistance activities to promote economic development; and
WHEREAS, the Establishment Ordinance provided for the appointment of the 95th Street 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 (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|1010|2019 SSA4-Levy Ord.doc
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:
95TH STREET SPECIAL SERVICE AREA COMMISSION SPECIAL SERVICE AREA BUDGET
For the fiscal year beginning January 1, 2020 and ending December 31, 2020.
EXPENDITURES
Service Provider Agreement for the provision of Special
Services $90,935
TOTAL BUDGET REQUEST $90,935
SOURCE OF FUNDING
Tax levy at an annual rate
not to exceed two percent (2%) of the
equalized assessed value of
taxable property within
Special Service Area Number 4 $85,119
Carryover funds currently available
from prior years $843
Fund 332 $1,832
Late collections received by the City attributable to the levy of the Services Tax in prior years, along with interest income
thereon, if any. : $3,141
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 $85,119 as the
2019 SSA4-Levy Ord doc
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 to 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 of Chicago, 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 The 95th Street Beverly Hills Business 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.
|1010|2019 SSA4-Levy Ord.doc
Exhibit A Budget
V Special Service Area #|99|
SSA Name: 95th Street Business Association
2020 BUDGET SUMMARY
Budget and Services Period: January 1, 2020 through December 31, 2020
2019 Levy
CATEGORY Collectable Levy Estimated Loss Collection Carryover Funds TIF Rebate Fund #332 Estimated Late Collections and Interest Total All Sources
1.00 Customer Attraction $21,594 $1,641 $843 $1,832 $3,141 $29,051
2.00 Public Way Aesthetics $36,456 $1,500 $0 $0 $0 $37,956
3.00 Sustainability and Public Places $0 $0 $0 $0 $0 $0
4.00 Economic/ Business Development $0 $0 $0 $0 $0 $0
5.00 Safety Programs $0 $0 $0 $0 $0 $0
6.00 SSA Management $10,041 $0 $0 $0 $0 $10,041
7.00 Personnel $13,887 $0 ¦ : "v . vv'-^rfO-SW $0 $0 $13,887
Sub-total $81,978 $3,141 ¦J .'f'-.v^V. '"f.1
GRAND TOTALS Levy Total $85,119 $843 $1,832 $3,141 $90,935
LEVY ANALYSIS
Estimated 2019 EAV:
Authorized Tax Rate Cap:
Maximum Potential Levy limited by Rate Cap
$10,690,737 2.000%
$213,815
Requested 2019 Levy Amount:
Estimated Tax Rate to Generate 2018 Levy
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I - CENTRAL INFORMATION
Legal name ofthe Disclosing Pany submitting this FDS. Include d b a if applicable:
"The t>Vc-eeV 'fees a WAH V) ^.ay, j A^ca^W-q
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this FDS is:
[V\ the Applicant
OR
[ ] a legal entity currently holding, or anticipated to hold within six months after City action on
the contract, transaction or other undertaking to which this FDS pertains (referred to below as the
"Matter"), a direct or indirect interest in excess of 1.5% in the Applicant. State the Applicant's legal
name:
OR ' ¦ " "
| | a legal entity with a direct or indirect right of control ofthe Applicant (see Section II(B)( I)) State the legal name ofthe entity in which the Disclosing Party holds a right of control:
Business address of the Disclosing Party: Q\C'C- '^N' {\5Vh ^ \ ¦<
Telephone: lib ' H"'^ Fax: — Email: cName of contact person. tl- <~ \ - ~> N^cS j
F. Federal Employer Identification No. (if you have one):
F. Brief description of the Vlalter to which this FDS pertains. (Include project number and location of property, if applicable):
(j. Which Cily anonev or department is roquosiinii this CDS ? \' \ <_¦. , -. y t^'-^j U<- v ¦~V.ls>U
3 " !
If the VI a iter is a contract being handled by the City's Department ol'Procurement Services, please complete the fo!lowing:
Specification "¦• __ _ and Contract - __ _
SECTION II - DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY
1. Indicate the naiure ofthe Disclosing Party:
f ] Person [ ] Limited liability company
[ J Publicly registered business coiporation [ J Limited liability partnership
[ ] Privately held business corporation [ 1 Joint venture
[ ] Sole proprietorship [v^ Not-for-profit corporation
[ ] General partnership (Is the not-for-profit corporation also a 501(c)(3))?
[ ] Limited partnership | ^ Yes [ ] No
[ J Trust [ 1 Other (please specify)
For legal entities, the stale (or foreign country) of incorporation or organization, if applicable:
lU.QQ.^
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?
I J Yes [ ] No L/| Organized in Illinois
B. IF THF DISCLOSING PARTY IS A LEGAL ENTITY:
1. List below the full names and titles, if applicable, of: (i) all executive officers and all directors of the entity; (ii) for not-for-profit corporations, all members, if any, which are lega! entities (if there arc no such members, write "no members which are legal entities"); (iii) for trusts, estates or other similar entities, the trustee, executor, administrator, or similarly situated party; (iv) for general or limited partnerships, limited liability companies, limited liability partnerships or joint ventures, each general partner, managing member, manager or any other person or legal entity that directly or indirectly controls the day-to-day management ofthe Applicant.
NOTE; P.ach legal entity listed below must submit an FDS on ils own behalf.
Name ' f Title , / j
:5e^ uVtacW V.-bV ( nn nif.\4^ys i\;mr.M m ma Mh
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% ofthe 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
PiiiiC 2 ol 15
BUSINESS ASSOCIATION
95th Street Beverly Hills Business Association 2019-2020 Board of Directors
Officers
President Chris Coccaro
Vice President Patrick Heywood
Secretary Mike Heywood
Treasurer Katie Speh
Directors
Jim Quigley i Mike Geary Monica Hayes Eleanor Hollander Victoria Nolan
limited liability company, or i filLji c^t of a beneficiary oi a trust, estate or other similar eniuy If none, state "None."
NOTE: Finch legal entity listed below may be required to submit an EDS on its own behalf.
Name Business Address Percentage Interest in the Applicant
N 2> »vi~
SKCTION 111 - INCOME OR COMPENSATION TO, OR OWNERSHIP B\, CITY ELECTED OFFICIALS
lias the Disclosing Party provided any income or compensation to any City elected official during the
12-month period preceding the date ofthis EDS? [ J Yes [vf No
Does the Disclosing Party reasonably cvpect to pro\ ide any income or compensation to any City
elected official during the 12-month period following the date ofthis EDS'.' | ] Yes ["/( No
If "yes" to either ofthe above, please identify below the naine(s) of such City elected ofllctal(s) and describe such income or compensation:
Does any City elected official or, to the best ofthe Disclosing Parly's knowledge after reasonable inquiry, any City elected official's spouse or domestic partner, have a financial interest (as defined in Chapter 2-156 ofthe Municipal Code ofChicago ("MCC")) in the Disclosing Party? | ] Yes ¦ {/.No
If "yes." please identify below the name(s) of such City elected official(s) and or spousefs (/domestic partner/s) and describe the financial interest! s).
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 entitv whom the Disclosing Parly has retained or expects to retain in connection with the Matter, as well as the nature ofthe relationship, and the total amount ofthe 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. If ihe 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.
\-.-r ;hO'-. '
Name (indicate v.\ helhor liusines--retained or anticipated Address to he retained)
¦ 5^ vUM W
Relationship to Disclosing Party (subcontractor, attorney, lobbyist, etc.)
Fees (indicate whether 1?aid. or estimated.) NOTE: "hourly rate" or "t.b.d." is
not an acceptable response.
(Add sheets if necessary)
[ J Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities.
SECTION V - CERTIFICATIONS
COI J R T-OR D E R F D CHILD SUPPORT COMPLIANCE
Under MCC Section 2-02-415, 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 ofthe Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
f 1 Yes | I No \j{ No person directly or indirectly owns 10% or more ofthe 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'.'
[ 1 Yes [ j No
FURTHER CERTIFICATIONS
[This paragraph 1 applies only if the Matter is a contract bemg handled by the City's Department of Procurement Services.) In the 5-year period preceding the date ofthis EDS. neither the Disclosing Party nor any Affiliated Entity [see definition in (5) below] has engaged, in connection with the performance of any public contract, the sen ices of an integrity monitor, independent private sector inspector genera!, or integrity compliance consultant (i.e . an individual or entitv with legal, auditing, investigative, or oilier similar skills, designated by a public agency to help the agenev monitor the activity (if specified agency \endors as well as help the \endors reform their business practices so they can he considered for agenev contracts in the future, or continue w ith a contract in progress).
The Disclosing Party and its Affiliated Entities are not delinquent in the payment of anv (inc. fee. tax or other source of indebtedness owed to die City ofChicago. including, but not limited to. water and sewer charges, license fees, parking tickets, property taxes and sales taxes, nor is die Disclosing Party delinquent in me payment of an_\ tax administered by the Illinois Department of Revenue.
2020 Proposed Retained Parties
Auditor: Desmond & Ahem Anticipated/ Retained: Retained Business Address: 10827 S. Western Ave. Chicago, IL 60643 United States Relationship: Accountant Fees ($$ or %): $5,000.00 Estimated/Paid: Estimate
Banners: Bannerville Anticipated/ Retained. Retained Business Address: 8164-66 S. Madison Burr Ridge, IL 60527 United States Relationship: Other Fees ($$ or %): $3,500.00 Estimated/Paid: Estimated
Flags: W.G.N. Flags Anticipated/ Retained- Retained - 6 - Business Address: 7984 S. Chicago Ave. Chicago, It 60617 United States Relationship: Other Fees ($$ or %): $1,000.00 Estimated/Paid: Estimated
Holiday Decorations: Doran Landscaping Anticipated/ Retained: Retained Business Address. 2119 135th Place Blue Island, IL 60406 United States Relationship: Other Fees ($$ or %): $13,000.00 Estimated/Paid: Estimated
Web Site Maintenance: Argus/ Retained: Retained Business Address: 10138 S. Bell Chicago IL 60643 United States Relationship Other Fees ($$ or %): .00 Estimated/Paid: $3,600.00 Estimated
Street Maintenance and Snow Plowing: B & K Landscaping Anticipated/ Retained: Retained Business Address: P.O. Box 113 Oak Lawn, IL 60454 United States Relationship: Other Fees ($$ or %): $30,000.00 Estimated/Paid: Estimated
I
.v i he Disclosing Patty and. ifdie Disclosing Party is a legal entity, all ol" those persons or entities identified in Section 11(13)(1) of this EDS:
are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from any transactions by any federal, state or local unit of government;
have not, during the 5 years before the date ofthis EDS, been convicted of a criminal offense, adjudged guilty, of had a civil judgment rendered against them in connection with: obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under a public transaction; a violation of federal or state antitrust statutes; fraud: embezzlement: theft; forgery; bribery; falsification or destruction of records: making false statements; or receiv ing stolen property;
are nol presently indicted for. or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any ofthe offenses set forth in subparagraph (b) above;
have not, during the 5 years before the date ofthis F.DS, had one or more public transactions (federal, state or local) terminated for cause or default; and
have not, during the 5 years before the date ofthis FDS, 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 Disclosing Party understands and shall comply with the applicable requirements of MCC Chapters 2-56 (Inspector General) and 2-156 (Governmental Ethics).
Certifications (5), (6) and (7) 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 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, directly or indirectly: controls the Disclosing Parly, 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 thai directly or indirectly controls the Contractor, is controlled by it. or. with ihe Contractor, is under common control of another person or entity:
any responsible official ofthe Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee of ihe Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible ofiicial of the Disclosing Party, any Contractor or anv Affiliated Eniiiv (collectiv el\ "Assents").
Neither the Disclosing Party, nor any C ontractor, nor any Affiliated lint.it v of either the Disclosing Party or any Contractor, nor any Agent.s have, during the 5 years before the date of litis F.DS. or. with respect lo a Contractor, an Affiliated Entity, or an Affiliated Fruity of a Contractor during the 5 years before the date of such Contractor's or Affiliated Entity's contract or engagement in connection with the Matter:
bribed or attempted lo bribe, or been com icted or adjudged guilty of bribery or attempting to bribe, a public officer or employee ofthe City, the State of Illinois, or any agency ofthe federal government or of any state or local government in the United States of America, in that officer's or employee's official capacity;
agreed or colluded with other bidders or prospectn e bidders, or been a party to any such agreement, or been convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherw ise; or
made an admission of such conduct described in subparagraph (a) cir (b) above that is a matter of
record, but have not been prosecuted for such conduct; or
v
violated the provisions referenced in MCC Subsection 2-02-320(a)(4)( Contracts Requiring a Base Wage); (a)(5)( Debarment Regulations); or (a)(6)(Minimum Wage Ordinance).
Neither the Disclosing Party, nor any Affiliated Entity or Contractor, 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 of (1) bid-rigging in violation of 720 1UCS 5 33E-3; (2) bid-rotating in violation of 720 ILCS 5'330-4; or (3) any similar offense of any state or ofthe United States of America that contains the same elements as the offense of bid-rigging or bid-rotating.
Neither the Disclosing Party nor any Affiliated Entity is listed on a Sanctions List maintained by the United States Department of Commerce, State, or Treasury, or any successor federal agency.
[FOR APPLICANT ONLY] (i) Neither the Applicant nor any "controlling person" ("see MCC Chapter 1-23, Article I for applicability and defined terms] ofthe Applicant 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 ofthe City or any "sister agency"; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement fordoing business with the Cily. NOTE: If MCC Chapter 1-23, Article I applies to the Applicant, thai Article's permanent compliance timeframe supersedes 5-year compliance timeframes in this Section V.
[FOR APPLICANT ONLY) The Applicant and ils Affiliated Entities will not use. nor permit their subcontractors lo use, any facility listed as having an active exclusion bv the U.S. EPA on the federal System for Award Management ("SAM").
[FOR APPLICANT ONIY| The Applicant will obtain from any contracts.subcontractors hired or !o be hired in connection with the Matter certifications equal in form and Subsianee io those in Certifications. (2) and'(9) above and will not. without the prior written consent of the Oa. use an\ such
contractor,suhcoutrauor lha! does not provide Mich ecrulieanons or thai the Appliearn has reason to believe has not provided or cannot provide truthful certifications.
1 1. If the Disclosing Party is unable to certify lo any ofthe above statements in this Part fi (Further Certifications), the Disclosing Party must explain below:
If the letters "NA." the word "None," or no response appears on the line* above, it will he conclusively presumed that the Disclosing Parly certified to the above statements.
12. To the best ofthe Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all current employees ofthe Disclosing Party who were, at any time during the 12-month period preceding the date ofthis EDS, an employee, or elected or appointed official, ofthe City ofChicago (if none, indicate with "N/A" or "none").
Nl,:; __
13. To the best ofthe 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'lime during the 12-month period preceding the execution date ofthis EDS. to an employee, or elected or appointed official, ofthe City ofChicago. For purposes ofthis statement, a "gift" does not include: (i) anything made generally available to City employees or to the general public, or (ii) food or drink provided in the course of official City business and having a retail value of less than $25 per recipient, or (iii) a political contribution otherwise duly reported as required by law (if none, indicate with "N/A" or "none"). As to any ui tl listed below, please also list the name ofthe Citv recipient.
Vbiii^ |99|
C. CERTIFICATION OF STATE'S AS FINANCIAL. INSTITUTION
The Disclosing Party certifies thai the Disclosing Parly (check one)
f 1 is L'1 is not
a "financial institution" as defined in VICC Section 2-32-455(b).
If the Disclosing'Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will nol become a-predatory lender as defined in MCC Chapter 2-32. We further pledge thai none of our affiliates is. and none of them will become, a predatory lender as defined iu 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 oi" doing business with the Citv
If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in MCC Section 2-32-455(b)) is a predatory lender within the meaning of MCC C hapter 2-32, explain here (attach additional pages if necessary):
If the letters "NA." the word "None," or no response appears on the lines above, tt will be conclusively presumed that the Disclosing Party certified lo the above statements.
D. CERTIFICATION REGARDING FINANCIAL INTEREST IN CITY BUSINESS
Any words or terms defined in MCC Chapter 2-156 have the same meanings if used in this Part D.
I. In accordance \\ ith MCC Section 2-156-1 10: To the best of the Disclosing Parly's knowledge after reasonable inquiry, 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( 1), proceed to Items D(2) and D(3). If you checked "No" to Item D( 1). skip Items D(2) and D(3) and 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 ofthe 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 ofthis Part D.
Does the Matter involve a City Property Sale?
[ | Yes
3. If you checked "Yes" to Item D( I ), provide the names and business addresses ofthe Cily officials or employees having such financial interest and identify the nature ofthe financial interest:
Nature of Financial 1
4 The Disclosing Party further certifies thai no prohibited financial interest in the Mailer will be acquired by an\ City official or empknee.
F. C 'FR Hi ¦IL Al ION REGARDING SLAVERY ERA BUSINESS
Please cheek 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 (2). Failure to comply with these disclosure requirements may make any contract entered into with the City in connection with the Matter voidable by the Cily.
v/ 1. The Disclosing Party verifies that the Disclosing Parly has searched any and all records of the Disclosing Party and any and all predecessor entities regarding records of investments or profits from slavery or slaveholder insurance policies during the slavery era (including insurance policies issued to slaveholders that provided coverage for damage to or injury or death of their slav es), and the Disclosing Party has found no such records.
2. The Disclosing Party v erifies that, as a result of conducting the search in step (1) abov e, the
Disclosing. Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verities that the following constitutes full disclosure of all such records, including the names of any and all slaves or slaveholders described in those records:
SECTION V! - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. If the Matter is not federally funded, proceed to Section VIE For purposes ofthis Section VI, tax credits allocated by the City and proceeds of debt obligations ofthe 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, as amended, who have made lobbying contacts on behalf of the Disclosing Parly with respect to the Matter: (Add sheets if necessary):
(If no explanation appears or begins on the lines above, or if ihe letters "NA" or if the word "None" appear, il vv ill be conclusively presumed that the Disclosing Party means that NO persons or entities registered under (lie Lobbying Disclosure Act of 1995. as amended, have made lobbying contacts on behalf of ihe Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and wiii not expend any federally appropriated funds to pav any person or entity listed in paragraph At 1) above for Ins 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 bv applicable federal law. a meniber of Congress, an officer or employee td'Congress, or an employee
V Z'.i ! h ¦ ! f.Ui l) ni' I ?
oi a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or lo extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
The Disclosing Party w ill submit an updated certification at the end of each calendar quarter in which there occurs any event that materially affects the accuracy ofthe statements and information set forth in paragraphs A( 1) and A(2) above.
The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) ofthe Internal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) ofthe Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities," as that term is defined in the Lobbying Disclosure Act of 1995. as amended.
If the Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equal in form and substance to paragraphs A( 1) through A(4) above from all subcontractors before it awards any subcontract and the Disclosing Parly must maintain all such subcontractors' certifications for the duration ofthe Matter and must make such certifications promptly available to the City upon request.
P>. CTRITFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with (heir bids or in writing at the outset of negotiations.
Is the Disclosing Partv the Applicant'7 [ ] Yes ~ ' [ ] No
If "Yes," answer the three questions below-:
Have you developed and do you have on file affirmative action programs pursuant to applicable federal regulations'? (See 41 CFR Part 60-2.)
[ | Yes [ ] No
Have you filed with ihe Joint Reporting Committee, the Director ofthe Office of Federal Contract Compliance Programs, or the Equal Employment Opportunity Commission all reports due under the applicable filing requirements?
| | Yes f j No | j Reports not required
Have yon participated in any previous contracts or subcontracts subject to the equal opportunity clause?
I ! Yes " | ! No
If you checked "No" to question (I) or (2) above, please pros idc an explanation:
SECTION VII -- FURTHER ACKNOWLEDGMENTS AND CERTIFICATION
The Disclosing Party understands and agrees thai:
The certifications, disclosures, and acknowledgments contained in this F.DS 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 action, and are material inducements to the City's execution of any contract or taking other action with respect to the Matter. The Disclosing Party understands that it must comply with all statutes, ordinances, and regulations on which this EDS is based.
The City's Governmental Ethics Ordinance, MCC Chapter 2-156, imposes certain duties and obligations on persons or entities seeking City contracts, work, business, or transactions. The full text ofthis ordinance and a training program is available on line at w w w. e i ty o fc hicago.org/Ethics , and may also be obtained from the City's Board of Ethics, 740 N. Sedgwick St., Suite 500, Chicago. IL 60610, (3 1 2) 744-9660. The Disclosing Party must comply fully w ith this ordinance.
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), at 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 City transactions. Remedies at law for a false statement of material faet may include incarceration and an award to the City of treble damages.
It is the City's policy to make this document available to the public on its Internet site and or upon request. Some or all ofthe information provided in, and appended to. this EDS may be made publicly available on the Internet, in response to 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 may have against the City in connection w ith 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.
The information prov ided 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 Mailer 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 currenl for a longer period, as required by MCC Chapter 1 -23 and Section 2-154-020.
CERTIFICATION
Under penally of perjury, the person signing below: (I) warrants that he/she is authorized to execute this hUS. and all applicable Appendices, on behalf of Ihe Disclosing Party, and (2) warrants that all certifications and statements contained in this KDS, and all applicable Appendices, are true, accurate and complete as of the date Furnished to the City.
itu ^Skud. Hills BizsiKjO fcz>K\*k?K.
(Print or type exact legal name of Disclosing Party)
\iy V '-. ' ^ )
(Sign here) <. j
(
(Print or type name of person signing)
Cxcc-.^ \;. < .'wW h
(Prim or type title of person signing)
Signed and sworn to before me on (elate) •
at Ce<.U, County, (stale).
Notary Public-
Commission expires:
CITV OFCHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX A
FAMILI AL RELATIONSHIPS WITH ELECTED CITV 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%. It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
Under MCC Section 2-154-015, the Disclosing Party must disclose whether such Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently has a "familial relationship" with any elected city official or department head. A "familial relationship" exists if, as of the date this HDS is signed, the 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 ofthe following, whether by blood or adoption: parent, child, brother or sister, aunt or uncle, niece or nephew, grandparent, grandchild, father-in-law, mother-in-law, son-in-law, daughter-in-law, stepfather or stepmother, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister.
"Applicable Party" means (I) all executive officers of the Disclosing Party listed in Section lI.B.l.a., if the Disclosing Party is a corporation: all partners ofthe Disclosing Party, if the Disclosing Party is a general partnership; all genera! partners and limited partners ofthe Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members ofthe Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal officers ofthe Disclosing Party; and (3) any person having more than a 7.5% ownership interest in the Disclosing Party. "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 (1) the name and title of such person. (2) the name ofthe lega! entity to which such person is connected; (3) the name and title ofthe elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
Wi i S-i
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX B
BUILDING CODE SCOEFI.A\V7PROBLEM LANDLORD CERTIFICATION
This Appendix is to he completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5% (an "Owner"). It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
Pursuant to MCC Section 2-1 54-010, is the Applicant or any Owner identified as a building code scofflaw or problem landlord pursuant to MCC Section 2-92-4167
[ ] Yes I,/) No
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 scofllaw or problem landlord pursuant to MCC Section 2-92-416?
f } Yes | | No f j\ The Applicant is not publicly traded on any exchange.
If yes to (1) or (2) above, please identify below the name of each person or legal entity identified as a building code scofflaw or problem landlord and the address of each building or buildings to which the pertinent code v iolations apply.
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX C
PROHIBITION ON WAGE & SALARY HISTORY SCREENING - CERTIFICATION
>Tliis Appendix is to be completed only by an Applicant that is completing this HDo as a "contractor" as define-'.! in MCC Section 2-92-385. That section, which should be consulted . v v ^1 ¦.;::<). generally covers a party to any agreement pursuant to which they: (i) receive City ofChicago funds in consideration for services, work or goods provided (including for legal or other professional services), or (ii) pay the City money for a license, grant or concession allowing them to conduct a business on City premises.
On behalf of an Applicant thai is a contractor pursuant to iVICC Section 2-9'2-3o5. 1 hereby certify llun the Applicant ts in compliance with MCC Section 2-92~3R5ib)( i; and (2.), which prohibit-, u) screening job applicants based on their wage or salary history, or (ii) seeking job applicants' wage or salary history from current or former employers. I also certify that the Applicant has adopted a policy thai includes those prohibitions.
$ Yes
I JNo
[ ] N/A - I am not an Applicant that is ;i "contractor" as defined in MCC Section 2-92-385. This certification shall serve as the affidavit required by MCC Section 2-92-385(c)( I). If you checked "no" to the above, please explain