•:r^'.' 'i/':
OFFICE OF THE MAYOR
CITY OF CHICAGO
LORI E. LIGHTFOOT
MAYOR
July 22, 2020
TO THE HONORABLE, THE CITY COUNCIL OF THE CITY OF CHICAGO
Ladies and Gentlemen:
Al the request ofthe Commissioner of Planning and Development, I transmit herewith ordinances authorizing the sale of City-owned property.
Your favorable consideration of these ordinances will be appreciated.
Very truly yours,
ORDINANCE
WHEREAS, the City of Chicago ("City") is a home rule unit of government by virtue of the provisions of the Constitution of the State of Illinois of 1970 and, as such, may exercise any power and perform any function pertaining to its government and affairs; and
WHEREAS, the City is the owner of the real property located at 2840-44 West Roosevelt Road, Chicago, Illinois 60612, which is legally described on Exhibit A attached hereto (the "Citv Land"); and
WHEREAS, pursuant to ordinances adopted by the City Council of the City ("City Council") on May 17, 2000, and published in the Journal of Proceedings of the City Council ("Journal") for said date at pages 30775 through 30953, as amended on May 9, 2012, and published in the Journal for said date at pages 25884 through 26069, the City Council approved a certain redevelopment plan and project ("Redevelopment Plan") for the Midwest Redevelopment Project Area ("TIF Area"): and
WHEREAS, the City Land is located in the TIF Area and the North Lawndale Community Area and is comprised of approximately 6,250 square feet; and
WHEREAS, Wincorps Ventures LLC, an Illinois limited liability company (the "Grantee"),has offered to purchase the City Land from the City for the sum of $25,000, such amount being the appraised fair market value of the City Land; and
WHEREAS, Grantee owns the real property located adjacent to the City Land at 2838 West Roosevelt Road, Chicago, Illinois 60612, which is improved with a two-story, mixed-use building ("Building") containing commercial space on the ground floor and residential space on the second floor; and
WHEREAS, Grantee has received a grant in the amount of $250,000 from the City's Neighborhood Opportunity Fund for the interior renovation of the Building for a healthy food grocer; and
WHEREAS, Grantee intends to develop the City Land as open space in accordance with the plan attached hereto as Exhibit B, to complement the renovation of the Building and to create a safe place for the grocery store's customers and for community use, which use is consistent with the purposes and objectives of the Redevelopment Plan; and
WHEREAS, at the request of the Department of Planning and Development (the "Department"), the Grantee has previously obtained and paid for a Phase I Environmental Site Assessment ("Phase I") of the City Land; and
WHEREAS, the Phase I disclosed no "recognized environmental conditions" that required further investigation; and
WHEREAS, the Department wishes to give Grantee a credit against the purchase price in
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the amount of $1,950 for the cost of the Phase I and a reliance letter in favor the City ("Environmental Credit") at the closing of the sale of the City Land; and
WHEREAS, the City Council finds that the conveyance of the City Land to Grantee, or to an entity of which Grantee is the sole controlling party, is in the best interests of the City; and
WHEREAS, pursuant to Resolution No. 20-004-21 adopted on May 21, 2020, the Chicago Plan Commission approved the conveyance of the City Land to Grantee; and
WHEREAS, public notices advertising the Department's intent to enter into a negotiated sale of the City Land with Grantee and requesting alternative proposals appeared in the Chicago Sun-Times on February 10 and February 17,2020; and
WHEREAS, no alternative proposals were received by the deadline indicated in the aforesaid notices; now, therefore,
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
SECTION 1. The City Council hereby approves the sale ofthe City Land to Grantee or to an entity of which Grantee is the sole controlling party in its "as is" condition for $25,000, subject to the Environmental Credit.
SECTION 2. The Mayor or her proxy is authorized to execute, and the City Clerk or Deputy City Clerk is authorized to attest, a quitclaim deed conveying the City Land to Grantee or to an entity of which Grantee is the sole controlling party. The quitclaim deed shall contain language in substantially the following form:
This conveyance is subject to the express condition that: the City Land is improved with landscaped open space within one (1) year of the date of this deed. In the event that the condition is not met, the City of Chicago may re-enter the City Land and revest title in the City of Chicago. Grantee, at the request of the City of Chicago, covenants to execute and deliver to the City a reconveyance deed to the City Land to further evidence such revesting of title. This right of reverter in favor of the City of Chicago shall terminate upon the issuance of a certificate of completion, release or similar instrument by the City of Chicago.
Grantee acknowledges that if Grantee develops the City Land with a residential housing project, as defined under and that is subject to Section 2-44-080 of the Municipal Code of the City (the "2015 Affordable Requirements Ordinance"), Grantee and such project shall be obligated to comply with the 2015 Affordable Requirements Ordinance.
Grantee acknowledges and agrees that the City Land is being conveyed, and Grantee accepts the City Land, in its "as is," "where is" and "with all faults" condition without any covenant, representation or warranty, express or implied, of any kind, as to the structural, physical or environmental condition of the City Land or the suitability of the City Land for any purpose whatsoever. Grantee, on behalf of itself and its successors and assigns, shall release, relinquish and forever discharge the City of Chicago and its officers, employees, agencies, departments and officials, from and against any and all claims, causes of action, demands, legal or administrative proceedings, losses, damages, liabilities, judgments,
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amounts paid in settlement, interest, fines, penalties, costs and expenses (including, without limitation, reasonable attorney's fees and expenses and court costs) based upon, arising out of or in any way connected with, directly or indirectly, the structural, physical or environmental condition of the City Land. This covenant shall be construed as running with the land and shall be binding on Grantee and Grantee's successors and assigns with no limitation as to time.
SECTION 3. The Commissioner of the Department (the "Commissioner") or a designee of the Commissioner, is each hereby authorized, subject to the review and approval of the City's Corporation Counsel as to form and legality, to negotiate, execute and deliver such other documents and take such other actions as may be necessary or appropriate to carry out and comply with the provisions of this ordinance.
SECTION 4. If any provision of this ordinance shall be held to be invalid or unenforceable for any reason, the invalidity or unenforceability of such provision shall not affect any of the other provisions of this ordinance.
SECTION 5. All ordinances, resolutions, motions or orders inconsistent with this ordinance are hereby repealed to the extent of such conflict.
SECTION 6. This ordinance shall take effect upon its passage and approval.
Attachments: Exhibit A - Legal Description of City Land Exhibit B - Open Space Plan
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EXHIBIT A
LEGAL DESCRIPTION
(SUBJECT TO FINAL SURVEY AND TITLE COMMITMENT)
LOT 21 IN BLOCK 2 IN HELEN CULVER'S DOUGLAS PARK SUBDIVISION OF BLOCKS 25, 26, AND 27 IN G.W. CLARKE'S SUBDIVISION OF THE EAST lA OF THE SOUTHWEST Va OF SECTION 13, TOWNSHIP 39 NORTH, RANGE 13, EAST OF THE THIRD PRINCIPAL MERIDIAN, IN COOK COUNTY, ILLINOIS.
COMMON ADDRESS: 2840 West Roosevelt
Chicago, Illinois 60612
PROPERTY INDEX NUMBER: 16-13-330-026
LOT 22 IN BLOCK 2 IN HELEN CULVER'S DOUGLAS PARK SUBDIVISION OF BLOCKS 25, 26, AND 27 IN G.W. CLARKE'S SUBDIVISION OF THE EAST V2 OF THE SOUTHWEST % OF SECTION 13, TOWNSHIP 39 NORTH, RANGE 13, EAST OF THE THIRD PRINCIPAL MERIDIAN, IN COOK COUNTY, ILLINOIS.
COMMON ADDRESS: 2844 West Roosevelt
Chicago, Illinois 60612
PROPERTY INDEX NUMBER: 16-13-330-025
EXHIBIT B OPEN SPACE PLAN
(ATTACHED)
PLANNED IMPROVEMENTS
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I - GENERAL INFORMATION
A. Legal name ofthe 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;
INJ'lhc Applicant
OR
[ ] a legal entity currcnuy holding, or anticipated to hold within six months after City action on
the contract, transaction or other undertaking to which this EDS pertains (referred to below as the
"Matter"), a direct or indirect interest in excess of 7.5% in ihe Applicant. State the Applicant's legal
name: _
"or
| | a legal entity with a direct or indirect right of control ofthe Applicant (see Section II(R)<1)) State the legal name ofthe enrity in which the Disclosing Party holds a right of control:
B. Business address of the Disclosing Party: "7-.T3 S~ ft.flt»te ^
C. Telephone: 7~7?> frffr 3 H Ho Fax: _JU/A.
li. Federal Employer Identification No. (ifyou have one): _
F. Brief description of the Matter to which (his EDS pertains. (Include project number and location of properly, if applicable):
If the Matter 13 a contract being, handled by the City's Department of Procurement. Services, please
complete the following:
Sped tie itiori tl /U//V
Page I of 15
SECTION II -- DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY
1. Indicate the nature of the Disclosing Party r
; f Person K^LimiteU liability company
[ j Publicly registered business corporation | ] Limited liability partnership
[ } Privately held business corporation | ] Joint venture
[ ] Sole proprietorship [ 1 Not-for-profit corporation
[ J General partnership (Is the not-for-profit corporation also a 50! (c)(3))?
[ ] Limited partnership f ] Yes f ] No
[ ] Trust [ ] Other (please specify)
For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
:tlUnci*
For legal entities not organized in the Slate oflllinois: Has the organization registered to do business in the State oflllinois as a foreign entity?
f | Yes [ | No (v^6rgani7£d in Illinois
B. IF THF DISCLOSING PAR TY IS A LEGAL ENTITY:
I. List below the full names and titles, if applicable, of: (t) all executive officers and all 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 mcmhers which arc legal entities"); (iii) for trusts, estates or othev 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 of die Applicant.
Name . . f i \ * ll'e
NOTE: Each legal enlily listed below must submit an EDS on its own behalf.
Title *
Jkuajkhty €C -
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 ofa member or manager in a
Page 2 of IS
limited liability company, or interest of a beneficiary ofa (rust, estate or other similar entity. If none, slate "None."
NOTE: Each legal entity listed below may be required to submit an EDS on its own behalf.
Name Business Address Percentage Interest in the Applicant
_ Mo^*z : _
C^kUtv, 2Q^u_,i4dg^f^ /£o.K
SECTION III - INCOME OR COMPENSATION TO, OR OWNERSHIP BY, CITY ELECTED OFFICIALS
lias ihe Disclosing Party provided any income or compensation to any City elected official duriru^the
12-momh period preceding the date of this EDS? [ ] Yes f\fN°
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 ofthis EDS': [ | Yes
If "yes" to either ofthe above, please identify below the name(s) of such City elected official(s) and describe such income or compensation:
.JII&.
Does any City elected official or, to the best of the Disclosing Party's knowledge alter reasonable inquiry, any City 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? [ ] Yes [\ftfo
If "yes," please identify below the name(s) of such City elected officials) and/or spoitse(s)/domestic partnerts) 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 2-156), 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 ore paid solely through the Disclosing Party's regular payroll. If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must either ask the City whether disclosure is required or make the disclosure.
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Name (indicate whether Business Relationship lo 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
not an acceptable response.
(Add sheets if necessary)
jyfChcck here if the Disclosing Party has nol 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 that contract wilh the Cily must remain in compliance with their child support obligaiions '.liroughout 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 ofcompetent jurisdiction?
f ] Yes M*No f ] No person directly or indirectly owns 10% or more of the Disclosing Party.
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with lhal agreement?
( ] Yes [ J No
B. FURTHER CERTIFICATIONS
[This paragraph 1 applies only if the 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 in (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 he 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, (ax 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 ofany tax administered by the Illinois Department of Revenue.
Page 4 of 15
The Disclosing Party and, if die Disclosing Party is a legal entity, all of those persons or entities identified in Section 11(B)(1) of this EDS:
are not presently debarred, suspended, proposed for debarment, declared ineligible of voluntarily excluded from any uansactioris by any federal, stats 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; embe?zlement; theft; forgery; bribery; falsification or destruction of records; making false statements; or receiving stolen property;
arc not presently indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) wilh committing any ofthe 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, stale or local) terminated for cause or default; and
c. have nol, during the 5 years befora the dale of this EDS. been convicted, adjudged guilty, or found liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other unit ot" 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 lhal, directly or indirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is, wilh ihe Disclosing Parly, under common control of another person or entity). Indicia of con;rol 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 ofa 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 control* the Contractor, is controlled by it, or, with the 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 the Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization ofa responsible officinl ofthe Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Page 5 ot" 15
Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor, nor any Agents have, during the 5 years before the date of this EDS, or. with respect lo a Contractor, an Affiliated Emily, or an Affiliated Entity 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 to bribe, or been convicted or adjudged guilty of bribery or attempting lo bribe, a public officer or employee ofthe City, the State oflllinois, or any agency ofthe federal government or ofany state or local government in the United States of America, in that officer's or employee's official capacity;
agreed or colluded with other bidder? 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(d)(4)(Conti-acts Requiring a Base Wage): (a)(5)(Dcbarmcnl 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 slate or iocal government as a result of engaging in or being convicted of (I) bid-rigging in violation of 720 ILCS 5/33B-3; (2) bid-rotating in violation of 720 ILCS 5/33E-4; or (3) any similar offense ofany 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" [sge MCC Chapter 1-23, Article I for applicability and defined terms] ofthe Applicant is currently indicted or charged with, or has admitted guilt of, cr has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy lo commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the Cily or any "sister agency"; arid (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 its Affiliated Entities will not use. nor permit their subcontractors to use, any facility listed as having an active exclusion by the U.S. EPA on the federal System for Award Management ("SAM").
[FOR APPLICANT ONLY] The Applicant will ohtRin from any contractors/subcontractors 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 IS
contractor/subcontractor that docs nol provide such certifications or that the Applicant has reason to beiieve has not provided or cannot provide truthful certifications.
IL. It* the Disclosing Parly is unable Lo certify to any ofthe above statements in this Part B (Further Certifications), ihe Disclosing Party must explain below:
1/A
If the letters "NA," the word "None,1' 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 b«t ofthe Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all current employees ofthe Disclosing Parly who were, at any time during the 12-month period preceding the date of this EDS, ar. employee, or elected or appointed official, of the Cily of Chicago (if none, indicate with 'N/A" or "none").
13. To the best ofthe Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of al! gifts that the Disclosing Party has given or caused to be given, al any time during the 12-month period preceding the execution date of this EDS, to an employee, or elected or appointed official, of the City of Chicago. For purposes of this 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 ns required by law (if none, indicate with ''N/A" or •'none"). As to any gift listed below, please also list tlie name ofthe City recipient.
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
a "financial institution" as defined in MCC Section 2-32-455(b).
2. If the Disclosing Party IS a financial institution; then the Disclosing Party pledge?:
"We aro not ;md will not become a predatory lender ns defined in MCC Chapter 2-32. We further pledge that none ofour affiliates is, raid none of them will become, a predatory lender as defined in MCC Chapter 2-32. We understand that becoming a predatoiy lender or becoming on affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
Ver.20)S-l Page 7 of IS
It 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 Chapter 2-32, explain here (a^cluidditj'onal pages if necessary):
If the letters "NA," the word "None," or no iespouse appears on the lines above, il will be conclusively presumed that the Disclosing Party certified to the above statements.
D. CERTIFICATION REGARDING FINANCIAL INTEREST IN CT'I Y BUSINESS
Any words or terms defined in MCC Chapter 2-156 have the same meanings if used in this Part D.
1. In accordance with MCC Section 2-156-110: To the best of the Disclosing Parry'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 ofany other person or entity in the Matter?
NOTE: Ifyou checked "Yes'* to Item D(l), proceed to Items D(2) and D(3). Ifyou checked "No" to Item D(l). skip Items D(2) and D(3) and proceed to Part E.
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 ofany other person or entity in the purchase ofany 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 nol constitute a financial interest within the meaning ofthis Part D.
Does the Matter involve a City Property Sale?
[ | Yes f j No
If you checked "Yes" to Item D(l). provide the names and business addresses of the City officials or employees having such financial interest and identify the nature ofthe financial interest:
Name Business Address Nature of Financial Interest
4. Ifie Disclosing Patty further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
Page-Softs
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Please check either (1; or (2) below. If ihe Disclosing Party checks (2), ihe Disclosing Party must disclose; below or in an attachment lo 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 Mailer voidable by the City.
The Disclosing Party verities that the Disclosing Party 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 thai provided coverage for damage to or injury or death of ihcir slaves), and the Disclosing Party has found no such records.
2. The Disclosing Party verifies that, as a result of conducting the search in step (I) above, the
Disclosing Party has found records of investments or profits from slavery ot 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 VI - CERTIFICATIONS FOR FEDERALLY JFVNDRD MATTERS
City »^v>V ^tArcAi> P^NOTE: If Ihe Matter is federally funded, complete this Section VI. If the Matter Is not federally funded, proceed to Section VII. For purposes ofthis Section VI, tax credits allocated by the City and proceeds of debt obligations of the City aro not federal funding.
A. CERTIFICATION REGARDING LOBBYING
1. List below tho names of all persons or entities registered uuder 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):
fit" no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will bo conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Aci of 1995, as amended, have made lobbying contacts on behalf ofthe Disclosing Party with respect to Ihe Matter.)
2. The Disclosing Parly has not spent and will not expend any federally appropriated fuacs to pay-
any person or entity listed in paragraph All) above for his or tier lobbying activities or Ic pay any
poison or entity to influence or attempt to influence an officer or employee ofany agency, as defined
by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee
Ve; .2'JtS-i Page 9 of 15
ofa member of Congress, in connection with Ihe award ofany 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 even', that materially affect3 the accuracy ofthe statements and information set forth in paragraphs All) and A(2) above.
The Disclosing Party certifies that either: (i) it is not nn 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) of the Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities," as that term is defined in die Lobby ing Disclosure Act of 1995, as amended.
If the Disclosing Party is the Applicant, the Disclosing Parly 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 of the Matter and must make such certifications promptly available to the City upon request.
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
Is the Disclosing Party the Applicant?
I ] Yes * (' 1 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 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 I ] No (] Reports not required
Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
l J Yes f I No
Ifyou checked "Nn" to question (1) or (2) above, please provide an explanation:
Page 10 of 15
SECTION VII - FURTHER ACKNOWLEDGMENTS AND CERTIFICATION
The Disclosing Party understands and agrees that:
The collifications, disclosures, and acknowledgments conuu'ned in this EDS will become part ol'any 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. I he 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 ww w. cit yc fch icago. ora/Ethi c s. and may also be obtained from the City's Board of Ethics, 710 N. Sedgwick St., Suite 500, Chicago, It. 60610, (312) 744-9660. The Disclosing Party must comply fully with 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 Uio Disclosing Parly's participation in the Matter
and 'or declining to allow the Disclosing Party lo participate in other City transactions. Remedies al law for a false statement of material fact 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 pubiicly available on the Internet, in response to a Freedom of Information Act request, or otherwise. Ry completing and signing this EDS, the Disclosing Party waives nnd 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.Cily to verify the accuracy of any information submitted in this EDS.
F. The information provided in this EDS must be kept current, ln tho event of changes, the Disclosing Party must supplement this EDS tip to the time the City takes action on tho Matter. Tf the Matter is a contract being handled by the City's Department of Procurement Services, tha Disclosing Party must update tliis EDS as the contract requires. NOTE: With respect to Mallets subject to MCC Chapter 1-23, Article I (imposing PERMANENT INELIGIBILITY for certain specified offenses), the information provided herein regarding eligibility must be kept cuirent for a longer period, as required by MCC Chapter 1-23 and Section 2-l,">4-020. '
Pass 11 ol15
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute (his 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 of the date furnished to the City.
(Print or type exact legal name of Disclosing Party) By:-
(Sign here)
person signing)
(Print or type name of person signing) (Print or type title of
Signed and sworn to before me on (date) jA/*k|_.l4.
at C£&j£ County, (slate).
Commission expires:
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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICLVLS AN D DEPARTM ENT 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 EDS 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 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 halt brother or half-sister.
"Applicable Party'" means (I) all executive officers ofthe Disclosing Party listed in Section 11.13.1 .a., if the Disclosing Parly is a corporation; all partners of the Disclosing Party, if ihe Disclosing Party is a general partnership; all general 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; t,2) all principal officers ofthe Disclosing Part)-; 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 ofa 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?
[ J Yes M^fo
If yes, please identify below (I) the name and title of such person, (2) the name ofthe legal entity lo which such person is connected; 1,3) the name and title of Ihe elected city official or department head lo whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
-Ath.
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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX 11
BUILDING CODE SCOFFLAW/PROBLEM LANDLORD CERTIFICATION
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5% (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 2-154-010, is the Applicant or any Owner identified as a building code scofflaw or problem landlord pursuant to MCC Section 2-92-416?
[ JYes M"No
If the Applicant is a legal entity publicly traded on any exchange, is any officer or director of the Applicant identified an a building code scofflaw or problem landlord pursuant to MCC Section
2-92-416?
{affile Applicant is not publicly traded on any exchange.
3. If yes to (I) or (2) above, please identify below the name of each person or legal entity identified as a building code scofllaw or problem landlord and the address of each building or buildings to which the pertinent code violations apply. !
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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX C
PROHIBITION ON WAGE & SALARY HISTORY SCREENING - CERTIFICATION
This Appendix is to be completed only by an Applicant that is completing this EDS as a "contractor" as defined in MCC Section 2-92-385. That section, which should be consulted fwww.amlegal.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 thai is a contractor pursuant to MCC Section 2-92-385, 1 hereby certify that the Applicant is in compliance with MCC Section 2-92-385(b)(l) and (2), which prohibit: (i) screening job applicants based on Ihcir wage or salary history, or(ii) seeking job applicants' wage or salary history from current or former employers. I also certify thai (he Applicant has adopted a policy that includes those prohibitions.
MfYes | ]No
| j N/A -1 am not an Applicant that is a "contractor1" as defined in MCC Section 2-92-385. This certification shall serve ns rhe affidavit required by MCC Section 2-92 -385(c)(1). If you checked "no" to the above, please explain.
_._j/ik :
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