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ORDINANCE
£E 7T ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICA GO:
SECTION 1. Title 17, of the Municipal Code of Chicago, the Chicago Zoning Ordinance
be amended by changing all the Institutional Planned Development No. 1009 Districts symbols
and indications as shown on Map No. 13-G in the area bounded by
A line 225.21 feet south of and parallel to West Berwyn Avenue; the alley next east of and parallel to North Ashland Avenue; a line 250.21 feet south of and parallel to West Berwyn Avenue; and North Ashland Avenue,
to those of a B2-3 Neighborhood Mixed-Use District.
SECTION 2. This ordinance shall be in force and effect from and after its passage and due publication.
SECTION 3. Further, Title 17, of the Municipal Code of Chicago, the Chicago Zoning Ordinance be amended by changing all the Institutional Planned Development No. 1009 District symbols and indications as shown on Map No. 13-G in the area bounded by
West Berwyn Avenue; the alley next west of and parallel to North Ashland Avenue; a line 225.21 feet south of and parallel to West Berwyn Avenue; and North Ashland Avenue,
to the designation of Institutional Planned Development No. 1009, as Amended which is hereby established in the area above described, subject to such use and bulk regulations as set forth in the Planned Development herewith attached and made a part of and to no other.
SECTION 4. This ordinance shall be in force and effect from and after its passage and due publication.
5255-5239 North Ashland Avenue and 5237 North Ashland Avenue
REPORTS OF COMMITTEES
to those of a B2-2 Neighborhood Mixed-Use District and a corresponding use district is hereby established in the area above described.
SECTION 2. This ordinance shall be in force and effect from and after its passage and due publication.
Reclassification Of Area Shown On MppTNumber 12-M. (Application Number 1£S15)
Be It Ordained by the City Council of/Che City of Chicago:
SECTION 1. Title 17 of the MuiGbipal Code of Chicago, the Chicago Zoning Ordinance, is hereby amended/by changing all the RS2 Residential Single-Unit (Detached House) District symbols «nd indications as shown on Map Number 12-M in the area bounded by:
a line 97 feet south ofand parallel to West 51" Su^eet; South Massasoit Avenue; a line 147 feet south of and parallel to West 51st Street; and the alley next west of and parallel t^r South Massasoit Avenue,
to those of ajt' RS3 Residential Single-Unit (Detached Hoxi^e) District and a correspondLrfg use district is hereby established in the area abovVdescribed.
SECTION 2. This ordinance shaU be in force and effect from and after it and due publication.
Reclassification Of Area Shawn On Map Number 13-G.
(As Amended) ~ r(Application Number 15344) £ IOC> I
Be It Ordained by the City Council of the City of Chicago:
SECTION 1. Title 17 of the Municipal Code, the Chicago Zoning Ordinance, be amended by changing all the RS3 Residential Single-Unit (Detached House) District symbols and indications as shown on Map Number 13-G in the area bounded by:
JOURNAL—CITY COUNCIL-CHICAGO 2/8/2006
West Berwyn Avenue; the alley next east of and parallel to North Ashland Avenue; a line 250 feet south of and parallel to West Berwyn Avenue; and North Ashland Avenue,
to those of a B2-5 Neighborhood Mixed-Use District and a corresponding use district is hereby established in the area above described.
SECTION 2. That the Chicago Zoning Ordinance be amended by changing the B2-5 Neighborhood Mixed-Use District established in Section 1 above to the designation of an Institutional Planned Development which is hereby established in the area above described, subject to such use and bulk regulations as are set forth in the Plan of Development herewith attached and made a part hereof and to no others.
SECTION 3. This ordinance shall be in force and effect from and after its passage and due publication.
Plan of Development Statements referred to in this ordinance read as follows:
Plan Of Development Statements.
The area delineated herein as Institutional Planned Development consists approximately twenty-five thousand two hundred fifty (25,250) square feet (zero and fifty-seven hundredths (0.57) acre) and is owned or controlled by the applicant, First Evangelical Free Church (the "Applicant").
All applicable official reviews, approvals or permits are required to be obtained by the Applicant or its successors, assignees or grantees. Any dedication or vacation of street or alleys, or easements, or adjustments of rights-of-way, or consolidation or resubdivision of parcels, shall require a separate submittal on behalf of the Applicant or its successors, assignees or grantees and approval by the City Council.
The requirements, obligations and conditions contained within this' planned development shall be binding upon the Applicant, its successors and assigns and, if different than the Applicant, the legal titleholder and any ground lessors. All rights granted hereunder to the Applicant shall inure to the benefit of the Applicant's successors and assigns and if different than the Applicant, then to the owners of record title to all ofthe
REPORTS OF COMMITTEES
property and any ground lessors. Furthermore, pursuant to the requirements of Section 17-8-0400 ofthe Chicago Zoning Ordinance, the property, at the time any application for amendments, modifications or changes (administrative, legislative or otherwise) to this planned development are made, shall be under single ownership or under single designated control. Single designated control for the purpose of this paragraph shall mean any application to the City for any amendment to this planned development or any other modification or change thereto (administrative, legislative or otherwise) shall be made or authorized by all the owners of the property and any ground lessors.
This plan of development consists of these fifteen (15) statements; a Bulk Regulations and Data Table; an Existing Zoning Map; a Land-Use Map; a Boundary and Property Line Map; Master Plan-Site and Landscape Plan; and Elevations dated January 12, 2005 prepared by Griskelis, Young, Harrell Architects, which are incorporated herein. Full size sets ofthe Site Plan/Rooftop Plan, Landscaping Plan and Building Elevations are on file with the Department of Planning and Development. This planned development is in conformity with the intent and purposes ofthe Chicago Zoning Ordinance (Title 17 of the Municipal Code of Chicago) and all requirements thereof and satisfies the established criteria for approval of a planned development. These and no other zoning controls shall apply to the area delineated herein. In any instance where a provision of this planned development conflicts with the Chicago Building Code, the Building Code shall apply.
The following uses shall be permitted within the area delineated herein as Institutional Planned Development NumberJ&$which will be developed in phases consisting of (5) five phases as follows: I) construction of a new Family Life Center building replacing the existing building at 5249 - 5251 North Ashland Avenue; 2) renovate the existing Sanctuary building at 5255 North Ashland Avenue; 3) expand the existing recreational facilities and CE building at 5245 ~ 5247 North Ashland Avenue; and phases 4) and 5) will expand the Outreach Center and recreational facilities. (The general uses are religious assembly uses, schools, community and cultural uses, business and administrative offices, residential uses a3 an interim use of the existing residential buildings, accessory uses, accessory parking and loading.)
On-premise signs shall be permitted within the planned development subject to the review and approval of the Department of Planning and Development. Temporary signs such as construction and marketing signs shall be permitted, subject to the review and approval of the Department of Planning and Development.
JOURNAL-CITY COUNCIL-CHICAGO 2/8/2006
Off-street parking shall be provided in compliance with this planned development subject to the review of the Department of Transportation and the approval of the Department of Planning and Development. A minimum of two percent (2%) of all guest parking spaces shall be accessible parking.
Ingress and egress shall be subject to the review and approval of the Department of Transportation and the Department of Banning and Development. Closure of all or part of any public streets or alleys during demolition or construction shall be subject to the review and approval of the Chicago Department of Transportation. All work proposed ih the public way must be designed and constructed in accordance with the Chicago Department of Transportation Construction Standards for Work in the Public Way and in compliance with the Municipal Code of the City of Chicago.
The height of any building and any appurtenance hereto shall not exceed the height established in the Bulk Regulations and Data Table and Building Elevations and shall also be subject to height limitations approved by the Federal Aviation Administration.
The maximum permitted floor area ratio for the parcel shall be in accordance with the attached Bulk Regulations and Data Table. For the purposes of floor area ratio ("F.A.R.") calculations and floor area measurements, the definition in the Chicago Zoning Ordinance shall apply.
Improvements to the property, including landscaping and all entrances and exits to the parking and loading areas, shall be designed and installed in substantial conformance with the Bulk Regulations and Data Table, the Site Plan and the Landscape Plan attached hereto and made a part hereof. In addition, parkway trees and other landscaping shall be installed and maintained at all times in accordance with the applicable standards ofthe Chicago Zoning Ordinance and corresponding regulations and guidelines.
The terms, conditions and exhibits of this planned development may be modified administratively by the Commissioner of the Department of Planning and Development upon the application for such a modification by the Applicant and after a determination by the Commissioner of the Department of Planning and Development that such modification is minor, appropriate and consistent with the nature of the improvements contemplated in this planned development and the purposes underlying the provisions hereto. Any such modification of the requirements of this statement by the Commissioner of the Department of Planning and Development shall be deemed to be minor change in the planned development as contemplated by Section 17-13-0611-A of the Chicago
REPORTS OF COMMITTEES
Zoning Ordinance. Such minor changes may include a reduction in periphery setbacks and minimum required setbacks between buildings and an increase in the maximum percentage of land covered.
The Applicant acknowledges that it is in the public interest to design, construct and maintain all buildings in a manner that promotes and maximizes the conservation of natural resources. The Applicant shall use best and reasonable efforts to design, construct and maintain all buildings located within the property in a manner generally consistent with the Leadership in Energy and Environmental Design Green Building Rating System ("L.E.E.D.''). The Applicant will provide an energy star rated roof on all new construction but designed to sustain a green roof system at a later date as the churches fund-raising efforts allow.
The Applicant acknowledges that it is in the public interest to design, construct and maintain the project in a manner which promotes, enables and maximizes universal access throughout the property. Plans for all buUdings and improvements on the property shall be reviewed and approved by the Mayor's Office for People with Disabilities ("M.O.P.D.") to ensure compliance with all applicable laws and regulations related to access for persons with disabilities and to promote the highest standard of accessibility.
Unless substantial construction of the improvement contemplated within phase 1 of this planned development has commenced within six (6) years following adoption of this planned development, and unless completion thereof is diligently pursued, then this planned development shall expire and the property shall automatically convert to that of B2-5 Neighborhood Mixed-Use District. This six (6) year period may be extended for up to one (1) additional year if, before expiration of the six (6) year period, if the Commissioner of Planning and Development determines that good cause for an extension is shown.
[Existing and Zoning Map; Land-Use Plan; Planned Development Boundary and Property Line; Site , and Landscape Plan; Building Elevations; and Topographic Survey referred to in these Plan of Development Statements printed on pages 70535 through 70542 of this Journal]
Bulk Regulations and Data Table referred to in these Plan of Development Statements reads as follows:
JOURNAL-CITY COUNCIL-CHICAGO 2/8/2006
Institutional Planned Development Number I0C$. Table Of Bulk Regulations And Controls.
Gross Site Area:
Public Street and Alleys:
Net Site Area:
Maximum Floor Area Ratio (for total net site area):
Permitted Uses:
Minimum of Off-Street Parking Spaces:
Maximum Percent of Land Covered:
Maximum Building Height:
Minimum Periphery Setbacks:
North Property Line:
East Property Line:
South Property Line:
West Property Line:
Minimum Setbacks between Buildings:*
40,186 square feet (0.92 of an acre) 14,936 square feet (0.35 of an acre) 25,250 square feet (0.57 of an acre)
5.0
Institutional uses, mterim uses, related and accessory uses as listed in Statement Number 5
20 parking spaces 100%
96 feet to the top of the Sanctuary spire
Ofeet 0 feet 0 feet 0 feet
0 feet (excluding setbacks on existing building)
* Setbacks and yard requirements may be adjusted where necessary to pennit conformance to the pattern of, or architectural arrangement related to and when necessary because of technical reasons, subject to the approval of the Commissioner of the Department of Planning and Development.
Narrative Information relating to the Proposed Amendment to Planned Development No. 1009 PARKING
The only available parking for the church is currently street parking, except for parking available on a private parking lot in the vicinity through arrangements that have been made with a local bank. There is no parking on site for the church to use currently; any onsite parking accessed from the alley is dedicated to the existing residential buildings and not used by congregants. The parking situation will be alleviated by the incorporation of underground parking established in the Planned Development: 11 dedicated parking stalls (including 1 accessible stall). There is an existing bus stop (Ashland Avenue #50) immediately in front of the main entry to the Sanctuary Building, which many congregation members use, as well as the Clark Street #22 which has a stop on Clark Street behind the church. The subject property is a Transit Served Location based on its close proximity to the Ashland Bus Line. There are two (2) existing bike racks on Berwyn which are regularly used by church congregants. The proposed Planned Development will increase the number of bike racks on the property by at least four (4). Moreover, many of our congregants live in the immediate neighborhood, and simply walk to church. Street parking will be augmented by the proposed 60'-0" standing / loading zone that will help to alleviate temporary standing / loading on Sunday mornings.
FACILITY USAGE
The primary church assembly time is Sunday morning at 10:00 am, where services are held in the Sanctuary ofthe Sanctuary building; average attendance is currently almost 150 (including kids). A Latino church (CCDA Iglesia Nuevo Amanacer) holds their services in the late afternoon on Sunday starting around 3:00 pm, with an attendance of about 50. Various community-based groups and organizations hold meetings in our facilities throughout the week, including Business Network International (BNI) Chicago, Alcoholics Anonymous, the Berwyn Avenue Farmer's Market, and a local Girl Scout Troop. Events have been held in our facility where those in our neighborhood and surrounding communities can receive free assistance: "Community Care Clinics", where school supplies are distributed to school-age children, dentists have been able to perform routine check-ups, as well as a mini-grocery have been made available. These have been held on a Saturday prior to the beginning of religious education classes, and do not impact our regular Sunday Service attendance rates. The Community Center included in the Planned Development with the basketball / volleyball court and elevated running track is intended for use by those in our neighborhood and surrounding communities during the week, and not as an expansion of religious assembly. The offices currently housed in one of the residential buildings would be relocated to the second floor of the Community Center upon construction completion. Classroom space would be used as conference space during the week for groups that use our facilities, and then as expanded classroom space for Sunday morning classes which are all currently held in smaller rooms in the recently completed Family Life Center, which was Phase 1 of the Planned Development.
PLANNED DEVELOPMEN T STATEMENTS
The area delineated herein as Planned Development Number No. 1009, as Amended, ("Planned Development") consists of approximately 22,685.7 square feet of property which is depicted on the attached Planned Development Boundary and Property Line Map ("Property") and is owned or controlled by the Applicant, the First Evangelical Free Church, an Illinois not-for-profit corporation.
The requirements, obligations and conditions contained within this Planned Development shall be binding upon the Applicant, its successors and assigns and, if different than the Applicant, the legal title holders and any ground lessors. All rights granted hereunder to the Applicant shall inure to the benefit of the Applicant's successors and assigns and, if different than the Applicant, the legal title holder and any ground lessors. Furthermore, pursuant to the requirements of Section 17-8-0400 of the Chicago Zoning Ordinance, the Property, at the time of application for amendments, modifications or changes (administrative, legislative or otherwise) to this Planned Development are made, shall be under single ownership or designated control. Single designated control is defined in Section 17-8-0400 ofthe Zoning Ordinance.
All applicable official reviews, approvals or permits are required to be obtained by the Applicant or its successors, assignees or grantees. Any dedication or vacation of streets or alleys or grants of easements or any adjustment of the right-of-way shall require a separate submittal to the Department of Transportation on behalf ofthe Applicant or its successors, assign or grantees. Any requests for grants of privilege, or any items encroaching on the public way, shall be in compliance with the Plans. Ingress or egress shall be pursuant to the Plans and may be subject to the review and approval of the Departments of Housing and Economic Development and Transportation. Closure of all or any public street or alley during demolition or construction shall be subject to the review and approval of the Department of Transportation. All work proposed in the public way must be designed and constructed in accordance with the Department of Transportation Construction Standards for Work in the Public Way and in compliance with the Municipal Code of the City of Chicago. Prior to the issuance ofany Part II approval, the submitted plans must be approved by the Department of Transportation.
This Plan of Development consists of 15 Statements: a Bulk Regulations Table; an Existing Zoning Map; an Existing Land-Use Map; a Planned Development Boundary and Property Line Map; Site Plan; Landscape Plan; a Green Roof Plan; Building Elevations (North, South, East and West) and Chicago Builds Green form prepared by Griskelis Young Harrell and dated XXXX submitted herein. Full-sized copies of the Site Plan, Landscape Plan and Building Elevations are on file with the Department of Housing and Economic Development. In any instance where a provision of this Planned Development conflicts with the Chicago Building Code, the Building Code shall control. This Planned Development conforms to the intent and purpose of the Zoning Ordinance, and all requirements thereto, and satisfies the established criteria for approval as a Planned Development. In case of a conflict between the terms of this Planned Development Ordinance and the Zoning Ordinance, this Planned Development Ordinance shall control.
The following uses are permitted within the area delineated herein as a Planned Development No. 1009, as Amended: religious assembly uses, schools, community and cultural uses, recreational facilities, business and administrative offices, residential uses as an interim use ofthe existing residential buildings, accessory support uses, and accessory parking and loading.
Cm-Premise signs and temporary signs, such as construction and marketing signs, shall be permitted within the Planned Development, subject to the review and approval ofthe Department of Housing and Economic Development. Off-Premise signs are prohibited within the boundary of the Planned Development.
For purposes of height measurement, the definitions in the Zoning Ordinance shall apply. The height of any building shall also be subject to height limitations, if any, established by the Federal Aviation Administration.
The maximum permitted Floor Area Ratio ("FAR") for the site shall be in accordance with the attached Bulk Regulations Table. For the purposes of FAR calculations and measurements, the definitions in the Zoning Ordinance shall apply. The permitted FAR identified in the Bulk Regulations Table has been determined using a Net Site Area of 22,685.7 square feet.
Upon review and determination, "Part II Review", pursuant to Section 17-13-0610 of the Zoning Ordinance, a Part II Review Fee shall be assessed by the Department of Housing and Economic Development. The fee, as determined by staff at the time, is final and binding on the Applicant and must be paid to the Department of Revenue prior to the issuance of any Part II approval.
The Site and Landscape Plans shall be in substantial conformance with the Landscape Ordinance and any other corresponding regulations and guidelines. Final landscape plan review and approval will be by the Department of Housing and Economic Development. Any interim reviews associated with site plan review or Part II reviews, are conditional until final Part II approval.
The Applicant shall comply with Rules and Regulations for the Maintenance of Stockpiles promulgated by the Commissioners of the Departments of Streets and Sanitation, Environment and Buildings, under Section 13-32-125 of the Municipal Code, or any other provision of that Code.
The terms and conditions of development under this Planned Development ordinance may be modified administratively, pursuant to section 17-13-0611-A of the Zoning Ordinance by the Zoning Administrator upon the application for such a modification by the Applicant, its successors and assigns and, if different than the Applicant, the legal title holders and any ground lessors.
The Applicant acknowledges that it is in the public interest to design, construct and maintain the project in a manner which promotes, enables and maximizes universal access throughout the Property. Plans for all buildings and improvements on the Property shall be reviewed and approved by the Mayor's Office for People with Disabilities to ensure compliance with all applicable laws and regulations related to access for persons with disabilities and to promote the highest standard of accessibility.
The Applicant acknowledges that it is in the public interest to design, construct, renovate and maintain all buildings in a manner that provides healthier indoor environments, reduces operating costs and conserves energy and natural resources. The Applicant acknowledges that the proposed development will be in substantial compliance with the current City of Chicago Sustainable Development Policy set forth by the Housing and Economic Development.
This Planned Development shall be governed by Section 17-13-0612 of the Zoning Ordinance. Should this Planned Development ordinance lapse, the Commissioner of the Department of Housing and Economic Development shall initiate a Zoning Map Amendment to rezone the subject property to the B2-3 Neighborhood Mixed-Use Zoning District.
Extract for Planned Development 1009
Journal of the Proceedings of the City Council of the
City of Chicago, Illinois
Portions of this document are taken directly from The City of Chicago's Office of the City Clerk, City Council's Journal of the Proceedings.
Related documentation pertaining to this Planned Development may also be included.
Bulk Regulations and Controls - Planned Development No. 1009, as Amended
Gross Site Area:
Public Streets and Alleys:
Net Site Area:
Maximum Floor Area Ratio: (for total net site area)
Permitted Uses:
37,621.7 square feet 14,936 square feet 22,685.7 square feet 5.0
Institutional uses, interim residential uses, related and accessory uses listed in Statement No. 5.
Minimum Number of
Off-Street Parking Spaces:
Maximum Building Height:
11 parking spaces
96 feet (as measured to the top ofthe existing sanctuary spire)
Minimum Building Setbacks:
North Property Line: South Property Line: East Property Line: West Property Line:
Ofeet Ofeet Ofeet Ofeet
2/8/2006 REPORTS OF COMMITTEES 70535
Existing Zoning Map.
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5249 N. ASHLAND AVE, CHICAGO, IL 606403&1
JOURNAL—CITY COUNCIL-CHICAGO 2/8/2006
Land-Use Plan.
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REPORTS OF COMMITTEES
Planned Development Boundary And Property Line.
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JOURNAL—CITY COUNCIL-CHICAGO 2/8/2006
Master Plan — Site And Landscape Plan.
REPORTS OF COMMITTEES
Master Plan — East Elevation.
JOURNAL-CITY COUNCIL-CHICAGO Master Plan -- South Elevation.
REPORTS OF COMMITTEES
Master Plan — West Elevation.
JOURNAL—CITY COUNCIL-CHICAGO Topographic Survey.
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EXISTING PD 1009 - BOUNDARY
5237-5255 N Ashland Ave, Chicago, IL 60640
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PROPOSED PD 1009 - BOUNDARY
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CURRENT ZONING MAP
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CURRENT ZONING MAP
PROPOSED PD 1009 - LAND USE PLAN
5239-5255 N Ashland Ave, Chicago, IL 60640
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CITY OF CHICAGO ^X-^Tf%0 &/fT£L
APPLICATION FOR AN AMENDMENT TO THE CHICAGO ZONING ORDINANCE
ADDRESS ofthe property Applicant is seeking to rezone:
5237-5255 N. Ashland Ave Chicago, Illinois
Ward Number that property is located in: 40
APPLICANT: First Evangelical Free Church
ADDRESS: 5255 N. Ashland Ave. CITY: Chicago
STATE: Illinois ZIP CODE: 60640 PHONE: 312-782-1983
EMAIL: nick@sambankslaw.com CONTACT PERSON: Nicholas J. Ftikas :
Is the Applicant the owner of the property? YES X NO
If the Applicant is not the owner ofthe property, please provide the following information regarding the owner and attach written authorization from the owner allowing the application to proceed.
OWNER: N/A -
ADDRESS: CITY:
STATE: ZIP CODE: PHONE:
EMAIL: CONTACT PERSON:
If the Applicant/Owner of the property has obtained a lawyer as their representative for the rezoning, please provide the following information:
ATTORNEY: Law Offices of Samuel V.P. Banks, Nicholas Ftikas
ADDRESS: 221 North LaSalle Street. 38th Floor
CITY: Chicago STATE: Illinois ZIP CODE: 60601
PHONE: OH') 782-1983 FAX: 312-782-2433 EMAIL: nick(a),sambankslaw.com
6. Ifthe Applicant is a legal entity (Corporation, LLC, Partnership, etc.), please provide the names of
all owners as disclosed on the Economic Disclosure Statements.
See attached.
On what date did the owner acquire legal title to the subject property? 1986
Has the present owner previously rezoned this property? If Yes, when? Yes - 3/9/2005
Present Zoning District: PD 1009 Proposed Zoning Disirict(s): PD 1009, as Amended, and
B2-3 Zoning District.
Lot size in square feet (or dimensions): 25,250 sq. ft. existing / 22,685.7 sq. ft. proposed
Current Use of the Property: The subject propertv is improved with a sanctuary building (place of
religious assembly), a family life center, and four (4) multi-unit residential buildings.
Reason for rezoning the property: The Applicant is proposing to remove the propertv located at
5237 N. Ashland Ave, from the Planned Development boundaries, and modify the program for
developing the community center and recreational facilities at 5239-5255 N. Ashland Ave.
Describe the proposed use ofthe property after the rezoning. Indicate the number of dwelling unit number of parking spaces; approximate square footage of any commercial space; and height of the proposed building. (BE SPECIFIC): The Applicant is seeking to amend Planned Development No. 1009 by removing the propertv located at 5237 N. Ashland Ave, from the boundaries of Planned Development No. 1009. The propertv located at 5237 N. Ashland Ave, will be zoned B2-3 Neighborhood Mixed-Use District. The existing four (4) unit residential building located at 5237 N. Ashland Ave, will remain without change. The program for developing the community center and recreational facilities at 5255-5239 N. Ashland Ave, will be modified to Fit the amended Planned Development boundaries. The already established uses, including but not limited to, a place of religious assembly, recreational facilities, accessory support services including schooling and administrative offices, and interim residential uses will remain without change.
The Affordable Requirements Ordinance (ARO) requires on-site affordable housing units and/or
a financial contribution for residential housing projects with ten or more units that receive a zoning change which, among other triggers, increases the allowable floor area, or, for existing Planned Developments, increases the number of units (see attached fact sheet or visit www.cityofchicago.org/ARO for more information). Is this project subject to the ARO?
YES NO X
COUNTY OF COOK STATE OF ILLINOIS
Signature
I, Timothy Wilkin, in my capacity as Secretary of the FIRST EVANGELICAL FREE CHURCH, an Illinois not-for-profit corporation, being first duly sworn on oath, state that all of the above statements and the statements contained in the documents submitted herewith are, to the best of my knowledge, true and correct. ^
^j" day of July,
fotary Public
Subscribed and Sworn to before me this 2020.
OFFICIAL SEAL NICHOLAS FTIKAS NOTARY PUBLIC - STATE OF ILLINOIS « My Commission Expires September 28.2020
Date of Introduction:
File Number:
Ward:
Written Notice, Form of Affidavit: Section 17-13-0107
August 28, 2020
Honorable Thomas Tunney
Acting Chairman, Committee on Zoning
121 North LaSalle Street
Room 304 - City Hall
Chicago, Illinois 60602
To Whom It May Concern:
The undersigned, Nicholas Ftikas, being first duly sworn on oath, deposes and says the following:
That the undersigned certifies that he has complied with the requirements of Section 17-13-0107 ofthe Zoning Code of the City of Chicago, by sending written notice to such property owners who appear to be the owners of the property within the subject area not solely owned by the Applicant, and on the owners of all property within 250 feet in each direction of the lot line of the subject property, exclusive of the public roads, streets, alleys and other public ways, or a total distance limited to 400 feet. That said written notice was sent by USPS First Class Mail no more than 30 days before filing the application.
That the undersigned certifies that the notice contained the address of the property sought to be rezoned as 5237-5255 N. Ashland Ave., Chicago, Illinois; a statement of intended use of said property; the name and address of the Applicant and of the Property Owner; and a statement that the Applicant intends to file an application for a change in zoning on approximately August 28,
2020.
That the Applicant has made a bonafide effort to determine the addresses of the parties to be notified under Section 17-13-0107 of the Zoning Code of the City of Chicago and that the Applicant certifies that the accompanying list of names and addresses of surrounding property owners within 250 feet is a complete list containing the names and last known addresses of the owners of the property required to be served.
Law Offices of Samuel V.P. Banks
Nicholas J. Ftikas ^ Attorney for Applicant
< i
OFFICIAL SEAL
VINCENZO SERGIO NOTARY PUBLIC, STATE OF ILLINOIS My Commission Expires JANUARY 6. 2024
PUBLIC NOTICE
Via USPS First Class Mail August 28, 2020
Dear Sir or Madam:
In accordance with the Amendment to the Chicago Zoning Code enacted by the City Council, Section 17-13-0107-A, please be informed that on or about August 28, 2020, I, the undersigned, intend to file an application for a change in zoning from Planned Development No. 1009 to Planned Development No. 1009, as Amended, and B2-3 Neighborhood Mixed-Use District, respectively, on behalf of the Applicant and Property Owner, First Evangelical Free Church, an Illinois not-for-profit corporation, for the property located at 5237-5255 N. Ashland Ave, Chicago, Illinois.
The Applicant is seeking to amend Planned Development No. 1009 by removing the property located at 5237 N. Ashland Ave. from the boundaries of Planned Development No. 1009. The property located at 5237 N. Ashland Ave. will be zoned B2-3 Neighborhood Mixed-Use District. The existing four (4) unit residential building located at 5237 N. Ashland Ave. will remain without change. The program for developing the community center and recreational facilities at 5255-5239 N. Ashland Ave. will be modified to fit the amended Planned Development boundaries. The already established uses, including but not limited to, a place of religious assembly, recreational facilities, accessory support services including schooling and administrative offices, and interim residential uses will remain without change.
The Applicant and Property Owner, the First Evangelical Free Church, an Illinois not-for-profit corporation, is located at 5255 N. Ashland Ave., Chicago, Illinois 60640.
I am the attorney for the Applicant. I will serve as the contact person for this zoning application. My address is 221 N. LaSalle St., 38th Floor, Chicago, Illinois 60601. My telephone number is (312)-782-1983.
Very truly yours,
Law Offices of Samuel V.P. Banks
¦^Nicholas J. Ftikas Attorney for the Applicant
***PIease note that the Applicant is NOT seeking to purchase or rezone your property.
***The Applicant is required by law to send this notice because you own property located within 250 feet of the property subject to the proposed Zoning Amendment.
FORM OF AFFIDAVIT
Chairman, Committee on Zoning Room 304 - Cily Hall Chicago, IL 60602
To Whom It May Concern:
I, Timothy Wilkin, in my capacity as Secretary of the FIRST EVANGELICAL FREE CHURCH, an Illinois not-for-profit corporation, understand that the Law Offices of Samuel V.P. Banks has filed a sworn affidavit identifying the FIRST EVANGELICAL FREE CHURCH, an Illinois not-for-profit corporation, as Owner holding interest in land subject to the proposed zoning amendment for the property identified as 5237 N. Ashland Ave. and 5255-39 N. Ashland Ave., Chicago, IL.
I, Timothy Wilkin, in my capacity as Secretary of the FIRST EVANGELICAL FREE
CHURCH, an Illinois not-for-profit corporation, being first duly sworn under oath,
depose and say that the FIRST EVANGELICAL FREE CHURCH, an Illinois not-for-
profit corporation, holds that interest for itself and no other person, association, or
shareholder. /""'r~~ . . .
July 7, 2020
Tinrotny Wilkin Date Secretary for the FIRST EVANGELICAL FREE CHURCH, an Illinois not-for-profit corporation
Subscribed and Sworn to before me
this 1 day of July, 2020.
OFFICIAL SEAL NICHOLAS FTIKAS 1 NOTARY PUBLIC - STATE OF ILLINOIS ' My Commission Expires September 28. 2020
To whom it may concern:
I, Timothy Wilkin, in my capacity as Secretary of the FIRST EVANGELICAL FREE CHURCH, an Illinois not-for-profit corporation, the Owner of property located at 5237 N. Ashland Ave. and 5255-39 N. Ashland Ave., Chicago, IL, authorize the Law Offices of Samuel V.P. Banks to file a Zoning Amendment Application with the City of Chicago for that property.
Timothy Wilkin, Secretary FIRST EVANGELICAL FREE CHURCH, an Illinois not-for-profit corporation
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I -- GENERAL INFORMATION
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:
[vj 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 EDS pertains (referred to below as the
"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 of the 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 the Disclosing Party: S> *S S~ jO . rV&H-U^Ni^
Telephone:'h^-ltl^ l^g^, p^; gq-78?~- 3>*> Email: ^gj^ca) ^g^JogyL^S \cud -
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):
Which City agency or department is requesting this EDS? CL & 1 ^ P ^
Ifthe Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification # : and Contract #
Ver.2018-1 Page 1 of 15
- DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY
[ ] Person
[ ] Publicly registered business coiporation
[ ] Privately held business corporation
[ ] Sole proprietorship
[ ] General partnership
[ ] Limited partnership
[ ] Trust
[ ] Limited liability company
[ ] Limited liability partnership
[ ] Joint venture
k(Is the not-for-profit corporation also a 501(c)(3))?
WYes [ ] No [ ] Other (please specify)
2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
3. For legal entities not organized in the State oflllinois: Has the organization registered to do business in the State of Illinois as a foreign entity?
[ ] Yes [ ] No [Nonorganized in Illinois
B. IF THE 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 legal entities (if there are 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 of the Applicant.
NOTE: Each legal entity listed below must submit an EDS on its own behalf.
Name Title
SmuvitA: LAU6M£g- "TA-SA- :
, 2. Please provide the following information concerning each person or legal entity having a direct or indirect, current or prospective (i.e. within 6 months after City action) beneficial interest (including ownership) in excess of 7.5% of the Applicant. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture, interest of a member or manager in a
Page 2 of 15
limited liabili ty company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "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 SHA-tLgH/OuCEtF/M —
SECTION in - 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 the
12-month period preceding the date ofthis EDS? [ ] Yes [V^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 ofthis EDS? [ ] Yes [yTNo
If "yes" to either ofthe above, please identify below the name(s) of such City elected official(s) and describe such income or compensation:
/V/A :
Does any City elected official or, to the best of the Disclosing Party'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 of Chicago ("MCC")) in the Disclosing Party? [ ]Yes [vrfto
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 interest(s).
tijjc
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 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 whether 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
q not an acceptable response.
3->\ jQL*^*uje. , 3&'tK Fi- /VTT&n-^H 65T- 1 6,0^0
(Add sheets if necessary)
[ ] Check here if the 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 that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
[ ] Yes [ ] No [Vl'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 that agreement?
[ ] Yes [ ] 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 of this 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 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 of15
The Disclosing Party and, ifthe Disclosing Party is a legal entity, all of those persons or entities identified in Section 11(B)(1) ofthis 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 of this 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;
are 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 of this EDS, had one or more public transactions (federal, state or local) tenninated 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 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 Party, 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 that directly or indirectly controls the Contractor, is controlled by it, or, with the Contractor, is under common control of another person or entity;
any responsible official of the Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee ofthe Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official of the Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Page 5 of15
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 to a Contractor, an Affiliated Entity, 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 to bribe, a public officer or employee of the City, the State oflllinois, 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 other 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)(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 ILCS 5/33E-3; (2) bid-rotating in violation of 720 ILCS 5/33E-4; or (3) any srmilar offense ofany state dr 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 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 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").
10. [FOR APPLICANT ONLY] The Applicant will obtain from any contractors/subcontractors hired
or to be hired in connection with the Matter certifications equal in form and substance to those in
Certifications (2) and (9) above and will not, without the prior written consent ofthe City, use any such
Ver.2018-1 Page 6 of 15
contractor/subcontractor that does not provide such certifications or that the Applicant has reason to believe has not provided or cannot provide truthful certifications.
11. If the Disclosing Party is unable to certify to any of the above statements in this Part B (Further Certifications), the Disclosing Party must explain below:
s//A
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 of the 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 of Chicago (if none, indicate with "N/A" or "none").
N/A
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 time during the 12-month period preceding the execution date ofthis EDS, to an employee, or elected or appointed official, of the City of Chicago. 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 br 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 gift listed below, please also list the name of the City recipient.
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
The Disclosing Party certifies that the Disclosing Party (check one)
[ 1is IVj is not
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 of the privilege of doing business with the City."
Page 7 of 15
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 Chapter 2-32, explain here (attach additional pages if necessary):
jdjA
Ifthe 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.
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.
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?
[ ]Yes MNo
NOTE: If you checked "Yes" to Item D(l), proceed to Items D(2) and D(3). If you 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 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 of the City (collectively, "City Property Sale"). Compensation for property taken pursuant to the City's eminent domain power does not constitute a financial interest within the meaning ofthis Part D.
Does the Matter involve a City Property Sale?
[ ]Yes [vfNo
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 of the 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.
Page 8 of 15
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Please check 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 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.
\/^L The Disclosing Party verifies 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 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 verifies 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:
al/Al
SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: Ifthe Matter is federally funded, complete this Section VI. Ifthe 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 are not federal funding.
A. CERTIFICATION REGARDING LOBBYING
1. 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 Party with respect to the Matter: (Add sheets if necessary):
djA
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or .entiti.es registered under the Lobbying Disclosure Act of 1995, as amended, have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.) •
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay
any person or entity listed in paragraph A(l) above for his or her lobbying activities or to pay any
person or entity to influence or attempt to influence an officer or employee of any agency, as defined
by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee
Ver.2018-1 Page 9 of 15
of a member of Congress, in connection with the award of any federally funded contract, making any federally 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 "Lobbying Activities," as that term is defined in the Lobbying Disclosure Act of 1995, as amended.
Ifthe 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. j\j j
Is the Disclosing Party the Applicant?
[ ] 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 the 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 [ ] No [ ] Reports not required
Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
[ ] Yes [ ] No .
If you checked "No" to question (1) or (2) above, please provide an explanation:
A//A
Page 10 of 15
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, 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 of this ordinance and a training program is available on line at www.cityofchicago.org/Ethics , and may also be obtained from the City's Board of Ethics, 740 N. Sedgwick St., Suite 500, Chicago, IL 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 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.
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 with the public release of information contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS.
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 1-23 and Section 2-154-020.
Page 11 of 15
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute 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 ofthe date furnished to the City.
(Print or type ortlffi legal/iame^f)Disclosing Party)
Timothy Wilkin
(Print or type name of person signing)
Secretary, FIRST EVANGELICAL FREE CHURCH (Print or type title of person signing)
r
5 NOTA
Signed and sworn to before me on (date) n (n j >Q>a , at C*j
Notary/Public
¦»«««
Cornrnissibn. expires:.
OFFICIAL SEAL NICHOLAS FTIKAS NOTARY PUBLIC - STATE OF ILLINOIS J My Commission Expires September 28. 2020
Page 12 of 15
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 2-154-015, 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 Parmer 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 half-brother or half-sister.
"Applicable Party" means (1) all executive officers of the Disclosing Party listed in Section ILB.l.a., ifthe Disclosing Party is a corporation; all partners ofthe Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members of the Disclosing Party, ifthe 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 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?
[ ]Yes [VfNo
If yes, please identify below (1) the name and title of such person, (2) the name of the legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
AJ/A
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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX B
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?
[ ]Yes [V^No
Ifthe 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?
[ ]Yes [ ]No [V^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 violations apply.
MJA
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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 HDS as a "contractor" as defined in MCC Section 2-92-385. That section, which should be consulted (www.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 that 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)(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.
[ ]Yes
[ ]No
This certification shall serve as the affidavit required by MCC Section 2-92-385(c)(l).
If you checked "no" to the above, please explain.
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