OFFTCE OF THE MAYOR
CITV OF CHICAGO
LORI li. LIGHTFOOT
MAYOB
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) ofthe Constitution ofthe State of Illinois, (ii) the provisions ofthe 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 12, 2012, 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 43344 through 43427, and which established an area known and designated as City of Chicago Special Service Area Number 55 (the "Area") and authorized the levy of an annual tax, for the period beginning in 2012 through and including 2021, not to exceed an annual rate of 0.85 percent of the equalized assessed value ofthe 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 546 ("Fund 546") in the amount of $13,000 are available for use in connection with the Area; and
WHEREAS, the Establishment Ordinance established the Area as that territory consisting approximately ofthe area fronting the north side of 111th Street starting from and including 3004 W. 111th Street to Drake Avenue; the south side of 111th Street from Sacramento Avenue up to and including 3551 W. 111th Street; the east side of Trumbull Avenue starting from and including 11107 S. Trumbull Avenue to 111th Street; the west side of Christiana Avenue starting from and including 11108 S. Christiana Avenue to 111th Street; the west side of Sawyer Avenue starting from and including 11040 S. Sawyer Avenue to 111th Street; the east side of Sawyer Avenue starting from and including 11043 S. Sawyer Avenue to 111th Street; the west side of Kedzie Avenue starting from and including 11020 S. Kedzie Avenue to 11118 S. Kedzie Avenue; the east side of Kedzie Avenue starting from 10953 S. Kedzie Avenue to 11125 S. Kedzie Avenue; the east side of Albany Avenue starting from and including 11033 S. Albany Avenue to 111th Street; and the west side of Whipple Street starting from and including 11028 S. Whipple Street to 111th Street; and
WHEREAS, the Special Services authorized in the Establishment Ordinance include, but are not limited to: recruitment of new businesses to the Area, rehabilitation activities, maintenance and beautification activities, new construction, security, promotional and advertising activities, strategic planning for the Area, and other technical assistance activities to promote commercial and economic development (which may include, but are not limited to, streetscape improvements, strategic transit/parking improvement including parking management studies and enhanced land use oversight and control initiatives); and
WHEREAS, the Establishment Ordinance provided forthe appointment ofthe 111th/Kedzie 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
|1010|2019 SSA55-Ord FINAL 100219.doc
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:
111TH/KEDZIE 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 $49,643
TOTAL BUDGET REQUEST $49,643
SOURCE OF FUNDING Tax levy at an annual rate not to exceed 0.85 percent ofthe equalized assessed value of the taxable property
within Special Service Area Number 55 $31,250
Carryover funds currently available
from prior years $4,000
Fund 546 $13,000
Late collections received by the City attributable to the levy of the Services Tax in prior years, along with interest income
thereon, if any $1,393
SECTION 3. Levy of Taxes. There is hereby levied pursuant to (i) the provisions of Article VII, Sections 6(a) and 6(l)(2) ofthe Constitution ofthe State of Illinois, (ii) the provisions of the Act, and (iii) the provisions of the Establishment Ordinance, the sum of $31,250 as the amount of the
|1010|2019 SSA55-Ord FINAL 100219.doc
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, 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 ofthe 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 Mount Greenwood Community and 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 ofthe 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 ofthe Special Services described in the Budget. The Department of Planning and Development shall promptly make a copy ofthe 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 SSA55-Ord FINAL 100219.doc
Exhibit A Budget
55
SSA Name: 111th/Kedzie
Budget and Services Period: January 1, 2020 through December 31, 2020
2019 Levy
CATEGORY Collectable Levy Estimated Loss Collection Carryover Funds TIF Rebate Fund #546 Estimated Late Collections and Interest Total All Sources
1.00 Customer Attraction $9,194 $233 $0 $2,710 $534 $12,671
2.00 Public Way Aesthetics $11,294 $1,160 $4,000 $10,290 $859 $27,603
3.00 Sustainability and Public Places $0 $0 $0 $0 $0 $0
4.00 Economic/ Business Development $0 $0 $0 $0 $0
5.00 Safety Programs $0 $0 $0 $0 $0 $0
6.00 SSA Management $6,669 $0 $0 $0 $0 $6,669
7.00 Personnel $2,700 $0 $0 $0 $2,700
! Sub-total $29,857 $1,393
GRAND . T TOTALS Levy T°tal $31,250 $4,000 $13,000 $1,393 $49,643
;. LEVY ANALYSIS
Estimated 2019 EAV: $11,359,178
Authorized Tax Rate Cap: 0.850%
Maximum Potential Levy limited by Rate Cap: $96,553
Requested 2019 Levy Amount: j 331,250
Estimated Tax Rate to Generate ! „.,,..„, 2018 Levy: °-2™%
CnY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I - CENERAL INFORMATION
A. Legal name of the Disclosing Party submitting this EDS. Include d/b/a/' if applicable:
Check ONE of the following three boxes.
Indicate whether the Disclosing Party submitting this EDS is:
y<[. the Applicant
OR
[ ] a legal entity currently holding, or aiuicipaied to hold within six monihs'after City action on
the contract, transaction or other undertaking to which this EDS penains (referred to below as ihe
"Matter"), a direct or indirect interest in excess of 7.5% in the Applicant. State the Applicant's legal
name:
OR
[ ] a legal entity with a direct or indirect right of control ofthe Applicant (see Section 11(B)(1)) State the legal name of the entity in which the Disclosing Party holds a right of control:
Business address of tho Disclosing l\uty ^fc'^ J ill^-S1 i f 'I'lu
( \x.\in 'j
Telephone: 113~-'<$! -ftL-^-X Fax: Email. f\) ^Ctf&CjZitijMUi i i ... <
Name of contact person:
Federal Employer Identification No. (if you have one): _
Brief description of the Matter to which this EDS pertains (Include project number and location of
property, if applicable): Tu ,} Hf^- Mu'»t-t h\u< » ut.-7.<. > i\,i->,-}A>n! h tv^^'v--''
]-v W v ;/!';.:¦ [X Qj_ >i Vi.xx.'r i.^ . rti H' . C\ . • - .: • ». ) >. r <_ *"i|-i'--C>-<.~>:
>-h;.< \j. i-'J i Hi., vi ':v> A i-r y '
Which City agency or department is requesting this EDS? 1 \,\;\.I r; ),,\ : { >i,t L\:' \. r'L- •OrV'-i-'ii.T
If the Matter is a contract being handled by '.he City's Department of Procurement Services, please complete the following:
Specification # and Contract #
SECTION TI - DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OFTHE DISCLOSING PARTY
I. Indicate the nature ofthe Disclosing Party:
[ J Person [ ] Limited liability company
[ ] Publicly registered business coiporation [ ] Limited liability partnership
[ ] Privately held business corporation [ ] Joint venture
[ ] Sole proprietorship Not-for-profit corporation
[ ] General partnership Os the not:for-piofu corporation also a 501(c)(3)')?
[ ] Limited partnership i^Yes [ ] No
[ ] Trust [ J Other (please specify)
2. For legal entities, the stale (or foreign country) of incorporation 'or organization, if applicable
"> ilirtt;»S
3. For legal entities nol organized in the State of Illinois: Has the organization registered to do business in the State of Illinois as a foreign entity'1
[ 1 Yes [ ] No J><{ Organized in Illinois
Fi. !F THE DISCLOSING PARTY (S \ ! !-'(i VI E\' I'P.'Y:
!. L.!M. helou ihe lull lunnes and i:iL\v if applic iMc. of. iu .ill c\ooui:\e officer-, and a!! directors of the entity; (ii) for not-for-profit corporations, all members, if any, which are legal entities (if there are no such members, write "no members which are legal entities"); (m) 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' Each legal entity listed below must submit an F.DS on its own behalf.
Name s Title
(I >U;xUfr* hvi .
f
2. Please provide the following information concerning each person or iegal 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 corporaiion, partnership interest in a partnership or joint venture, interest of a member or manager iu a
Pnge 2 of 15
M'GCBA BOARD OF DIRECTORS
President
Theresa O'Rourke
Director Roger McGinty
Director Pat Gleascn
Director Philip Maher
Director
Mary Carol Flynr.
Director
June Eastman
Director
Tom Walsh
Executive Director
Mary Gill
limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None."
NOTE: Bach legal entity listed below may be required lo submit an EDS on its own behalf.
Name ... Business Address Percentage Interest in the Applicant
/MflAOtf
SECTION III -- INCOME OR COMPENSATION TO, OR OWNERSHIP BY, CITY ELECTED OFFICIALS
Has the Disclosing Party provided any income or compensation to any City elected official during die
12-month period preceding the date of this EDS'? [ ] Yes W) No
Does the Disclosing Party reasonably expect to provide any income or compensation to any City elected official during the 12-month period following the date of this EDS? [ ] Yes k/fNo
If •'yes" to either of the above, please identify below the namc(s) of such City elected officialls) and describe such income or compensation-:
Dooi an> Cit> elected official or, to tho he->t of (ho Disclosing Party's know ledge after reasonable inquiry, any Cily elected official's spouse or domestic partner, have a financial interest (as defined in Chapter 2-156 ofthe Municipal Code of Chicago (''MCC")') in the Disclosing Party'/ [ J Yes TxNo
If "yes" please identify below the name(s) of such City elected official(s) and/or spouse(s)/domestic partner(s) and describe the financial interests).
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 2-1 56), accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection w ith 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. Ifthe Disclosing Party is uncertain wherher a disclosure is required under this Section, the Disclosing Party must either ask the City whether disclosure is required or make the disclosure
Page 3 of 15
Name (indicate whether Business Relationship to Disclosing Party Fees (indicate whether
retained or anticipated Address (subcontractor, attorney, paid or estimated.) NOTE:
to be retained) lobbyist, etc.) "hourly rate" or "t b.d." is
i. not an acceptable response.
' ^ (XMr\, .a j ¦/y:
(Add sheets ifnecessary)
[ J Check here ifthe Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V - CERTIFICATIONS
A. COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under MCC Section 2-92-415, substantial owners of business entities thai 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?
f ] Yes [ ] No _jXI[No person directly or indirectly owns 10% or more ofthe Disclosing Party. .
.(lie neiM>n in iimnhaiice wiui i,-ai '.ureciiie'ii
[ ] Yes [ ] No
B. FURTHER CERTIFICATIONS
[This paragraph I applies only ifthe Matter is a contract being 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 ir (5) below] has engaged, in connection with the performance of any public contract, the services of an integrity monitor, independent private sector inspector general, or integrity compliance consultant (i.e , an individual or entity with legal, auditing, investigative, or other similar skills, designated by a public agency to help the agency monitor the activity of specified agency vendors as well as help the vendors reform their business practices so they can be considered for agency contracts in the future, or continue with a contract in progress).
The Disclosing Party and its Affiliated Entities are not delinquent in the payment 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 Illinois Department of Revenue,
Page 4 of I 5
2020 Retained Parties for SSA 855
Street Maintenance- Cleanslate Chicago, LLC 1540 S. Ashland, Suite 105 Chicago, IL 60608 > Fee Estimate- $4,000
i
Snow Plowing- Semmer Landscape 11630 S. Cicero Ave., Alsip, IL 60803. 773-633-4858 Fee Estimate- $8,384
Holiday Decorations- Semmer Landscape 11630 S. Cicero Ave., Alsip, IL 60803. 773-633-4858 Estimate- $7,500
Watering- Semmer Landscape 11630 S. Cicero Ave., Alsip, IL 60803. 773-633-4S58 Fee Estimate- $6,769
Planting- 5emmer Landscape 2259 W. 136"1 St. Clue Island, IL 60406 708-926-2304 Fee Estimate- $6,950
Banners- Bannerville USA 8164 S. Madison Burr Ridge, IL 60527 Fee Estimate- $2,619
The Disclosing Parry and. ifthe Disclosing Party is a legal entity, all ot'those persons or entities identified in Section 11(B)(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, or 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 receiving stolen property;
e. arc not presently indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any of the offenses set forth in subparagraph (b) above;
have not, during the 5 years before the date ofthis EDS, 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 EDS, been convicted, adjudged guilty, or found liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other unit of local government.
The Disclosing Part> understands and shall compl> v. ith the applicable requirements of MCC
r'!n - .-„- ' ,„• r „.-,i, ,., i ~> i^, ir>i .-v.i im.;vCertifications (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 D locloouig Partv, io coiiuxillod by die Disclusing Fauy, ui is. wiili die Disclosing Party, under common control of another person ov 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 entily following the ineligibility of a business entity to do business with federal or state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity. With respect to Contractors, the term Affiliated Entity means a person or entity that directly or indirectly controls the Contractor, is controlled by it, or. with the Contractor, is under common control of another person or entity;
any responsible official of tiie Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee ofthe Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official ofthe Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Page 5 of 15
Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor, n'or any Agents have, during tlie 5 years before the date ofthis EDS, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the 5 years before the dale of such Contractor's or Affiliated Entity's contract or engagement in connection with the Matter:
bribed or attempted to bribe, or been convicted or adjudged guilty of bribery or attempting to bribe, a public officer or employee of the City, the State of Illinois, or any agency of the federal 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 oUter bidders or prospective bidders, or been a party to any such agreement, or been convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; or
made an admission of.such conduct described in subparagraph (a) or (b) above that is a matter of record, but have not been prosecuted for such conduct; or
violated the provisions referenced in MCC Subsection 2-92-320(a)(4)<'Contracts Requiring a Base Wage); (a)(5)(Debarment Regulations), or (a)(6)(Minimurn 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 (I) bid -rigging :r. violation of 720 ILCS 5/33E-3: (?.)
i,. i iNt-"-)n H re s nn i-.v/ii , „it„, ,, ^ . t.,,, „• ,r >i,, i
States of America that contains the same elements as the offense of hid-ngg-ng or bid-roiaiing.
Neither the Disclosing Party nor any A ft! hated 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 I -23, Article I for applicability and defined terms] of the 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 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 MCC Chapter 1-23, Article I applies to the Applicant, that. Article's permanent compliance timeframe supersedes 5-year compliance timeframes in this Section V.
[FOR APPLICANT ONLY! The Applicant and us Affiliated Entities wilt not use. nor permit their subcontractors to use. any facility listed as having an active exclusion b> the U S EPA on the federal System for Award Management ("SAM").
10. [FOR APPLICANT ONLY] The Applicant will obtain from any contractors/subcontractors hired
or to be hired ui connection with the Matter certifications equal m form and substance to those m
Certifications (2) and (9) above and will not, without the prior written consent ofthe City, use any such
Ver.2018-, Page 6 oft 5
contractor/subcoucraocor that does not provide such certifications or that the Applicant has reason to believe has noi provided or cannot provide truthful certifications
1 I. Ifthe Disclosing Party is unable to certify to any ofthe above statements in this Part B (Further Certifications), the Disclosing Party must explain below:
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
12. To the best ofthe Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of ali current employees of the Disclosing Party who were', at any time during the 12-month period preceding the date of this EDS, an employee, or elected or appointed official, ofthe City of Chicago (if npne, indicate with "N/A" or "none").
I 3. 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 time during the 12-month period preceding the execution date ofthis EDS, to an employee, or elected or appointed official, ofthe Cily of Chicago. For purposes of (his statement, a 'gift" does no. include: (i) anything
the course o! official Cuv business and h a rcluii \akic of less iliau S25 r»oi recimenl. oi iiih a
political contribution otherwise duly reported as required by law (if none, indicate with "N/A" or
"none"). As to any gift listed below, please also list the name of the City recipient.
iMfjNc'
C. CERTIFICATION OF STATUS AS FINANCIAL. INSTITUTION
The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is [>a "financial institution" as defined in MCC Section 2-32-455(b).
Ifthe 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 ofthe privilege of doing business with the City."
Ver.2018-1 Pa^e7oi"15
Ifthe 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 Chapter 2-32, explain here (attach additional pages ifnecessary):
Ifthe letters "NA," the word "None," or no response appears on the lines above, if will be conclusively presumed that the Disclosing Tarty certified to the above statements.
D. CERTIFICATION REGARDING FINANCIAL INTEREST fN CITY BUSINESS
Any words or terms defined in MCC Chapter 2-156 have the same meanings if used in this Part D.
In accordance with MCC Section 2-156-110: To the best of the Disclosing Party's knowledge after reasonable inquiry, does any official or employee ofthe City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
[ JYes KfNo
NOTE: If you cheeked "Yes" to Item D(l), proceed to Items D(2) and D(3). If you etiecked "No" to hem D( 1), skip Items D(2) and D(3) and proceed to Part E.
Unless sold pursuant to a process of competitive bidding, or otherwise nemiiiled no City elected officio! or emplovee shall l»>ivo ;* financial ip.'eresi in his or he'1 own name o» in tbe name of anv other person or entity m the purchase of anv property that (11 heioiiL's to the ( iiV or ( u) is sold for taxes or assessments, oi (inj is sold by virtue or legal process at me suit or the Lity (collectively, "City Property Sale"). Compensation for property taken pursuant to the City's eminent domain power does nor constitute a financial interest within the meaning ofthis Part D.
Does the Matter involve a City Property Sale?
[ ] Yes [ ] No
If you checked "Yes" to Item D(l), provide the names and business addresses ofthe City officials or employees having such financial interest and identify the nature ofthe financial interest.
Name Business Address Nature of Financial Interest
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee
¦Paa;e 8 of 15
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Please cheek 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 infonnation 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 City.
>C i. The Disclosing Party verifies that the Disclosing Patty has searched any and all records of the Disclosing Party and any and all piedecessor 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 slaves), and the Disclosing Party has found no such records.
2. The Disclosing Party verities that, as a result of conducting the search in sTep (1) above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies 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 VT CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
fed era I h funded, proceed u> .section VII. Km nurr»o:»o-. ol th.-> Seciion VI. ui\ vr_-d.il.- . allocated h\ 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 I .obbying Disclosure Act of 1995. as amended, who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter- (Add sheets ifnecessary):
(If no explanation appears of begins on the lines above, or if the letters "NA" or ifthe word "None" appear, it will be conclusively presumed that the Disclosing Party means thai NO persons or entities registered under the Lobbying Disclosure Act of 1995. as amended, have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
2.v The Disclosing Party has nol spent and will not expend any federally appropriated funds to pay
any person or entity- listed in paragraph A( i) 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 off ongresi, or an employee
Ver 2018-1 P .ge 9 of 15
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 cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
The Disclosing Party will 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(l) 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 "Lobbymg Activities," as that term is defined in the Lobbying Disclosure Act of I 995, as amended.
If the Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equal in form and substance to paragraphs A(l) through A(4) above from all subcontractors before it awards any subcontract and the-Disclosing Party must maintain all such subcontractors' certifications for the duration ofthe Matter and must make such certifications promptly available to the City upon request.
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
Ifthe Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
"c -i,, rv.-. .1,,-;.-,... p ,,-t, h. . \ ,
I ; Yes ' f ] \;0
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 the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance Programs, or the Equal Employment Opportunity Commission all reports due under the applicable filing requirements'.'
[ ] Yes [ ] No [ ] Reports nor required
Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause''
[ ] Yes [ 1 No
If you checked "No" to question (1) or (2) above, please provide an explanation
SECTION VII - FURTHER ACKNOWLEDGMENTS AND CERTIFICATION
The Disclosing Party understands and agrees that:
The certifications, disclosures, and acknowledgments contained in this EDS will become part of any contract or other agreement between the Applicant and the City in connection with the Matter. wheLher 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 www.citvotchicauo.org/Ethics , and may also be obtained from the City's Board of Ethics, 740 N. Sedgwick St., Suite 500, Chicago, 11. 60610,
( 312) 744-9660. The Disclosing Party must comply fully with, this ordinance.
Ifthe 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 Cily 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 fact may include incarceration and an award to the City of treble damages.
requcv. Some o'j.M of ilv information pro1 ided in. and appended to. this EDS 'nr, be made publicly available on the Internet, in response to a Freedom of Infonnation Act request, ot otherwise By completing and signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it may have against the City in connection with the public release of infonnation contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in diis EDS.
E. 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. Ifthe 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 period, as required by MCC Chapter I -23 and Section 2-154-020. '
Paae I ! of !5
CERTIFICATION
Under penalty ofperjur), (ho person signing bo!o\« (!) \> v.' h-:'>b: '¦¦ '.
this EDS, and all applicable Appendices, on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS, and all applicable Appendices, are true, accurate and complete as ot the date furnished to the dry.
(Print or typd name of person signing) (Print or type title of person signing)
Signed and swom to before me on (date) G^~t""~(C}"~2.CM^ Norarv ruhiic
U>r*na Hancra
Notary PublV: Slsto of Illinois
/ > My CommiMlon Explr6» 06/2872021
Commission expires (~) io f 2-Q> J 2C)2-|
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND DEPARTMENT HEADS
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5%. It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
Under MCC Section 2-) 54-015, 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 EDS is signed, tbe Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof is related to the mayor, any aldennan, the city cleric, the city treasurer or any city department head as spouse or domestic partner or as any of the following, whether by blood or adoption: parent, child, brother or sister, aunt or uncle, niece or nephew, grandparent, grandchild, father-in-law, mother-in-law. son-in-law, daughter-in-law, stepfather or stepmother, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister,
"Applicable Party" means (1) all executive officers ofthe Disclosing Party listed in Section II.B.l.a., if the Disclosing Party is a corporation; all partners ofthe Disclosing Party, ifthe Disclosing Party is a general partnership; all general, partners and limited partners ofthe Disclosing Party, ifthe
Disclosing Party, ifthe Disclosing Party is a limited liability company: (21 al! principal officers ofthe Disclosing Party; and (3) any person having more than a 7 5% ownership interest in the Disclosing Parly. "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 cun'ently have a "familial relationship" with an elected city official or department head?
[ ] Yes
If yes, please identify below ( 1) the name and title of such person, (2) the name ofthe legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
Page 13 of 15
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX B
BUILDING CODE SCO FFLAW7PROBLEM LANDLORD CERTIFICATION
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5% (an "Owner"). It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
1. Puisuant to MCC Section 2-154-010. is the Applicant or any Owner identified as a building code scofflaw or problem landlord pursuant to MCC Section 2-92-416?
[ ]Yes kj^No
2. 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 MCC Section
2-92-416?
,lKi The Applicant is not publicly traded on any exchange.
3. If yes to (1) or (2) above, please identity 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 whicl
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX C
PROFIIBITION ON WAGE & SALARY HISTORY SCREENING - CERTIFICATION
This Appendix is to be completed only by an Applicant that is completing this EDS as a "'contractor'7 as defined in MCC Section 2-92-385. That section, which should be consulted (w\\ \\.amleaal.com), generally covers a party to any agreement pursuant to which they, (i) receive City of Chicago 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 that is a contractor pursuant to MCC Section 2-92-385, I hereby certify that the Applicant is in compliance with MCC Section 2-92-385(b)( 1) and (2), which prohibit: (i) 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 that includes those prohibitions.
[ ]No
[ ] N/A -1 am not an Applicant that is a ''contractor" as defined in MCC Section 2-92-385.
This certification shall serve as the affidavit required by MCC Section 2-92-3 85(c)(1).
if you checked "no" to the above, please explain.
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