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This record contains private information, which has been redacted from public viewing.
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Type:
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Ordinance
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Status:
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Introduced
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Title:
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Zoning Reclassification Map No. 8-I at 3151 S California Ave - App No. 20540
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Topic:
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ZONING RECLASSIFICATIONS - Map No. 8-I
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Attachments:
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1. O2020-5621.pdf
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ORDINANCE /?£ JT 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 M3-3 Heavy Industry District, symbols and indications as shown on Map No. 8-1 in the area bounded by Beginning at the centerline of West 31st Street or the line thereof if extended where no street exists; a line 1,964.72 feet east of and parallel to the centerline of South California Avenue; the Sanitary Drainage & Ship Canal Main Channel; the centerline of South California Avenue; and the southerly line of the Chicago & Illinois Western Railway right-of way running northeast to the point of beginning, to those of a Waterway-Industrial Planned Development No. which is hereby established in the area described above, subject in such use and bulk regulations as are set forth in the Planned 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. 3151 South California Avenue WATERWAY-INDUSTRIAL PLANNED DEVELOPMENT No. PLAN OF DEVELOPMENT STATEMENTS 1. The area delineated herein as Waterway-Industrial Planned Development No. , (the "Planned Development") consists of five hundred sixteen thousand, and two (516,002) squat t feet oi eleven point eight fuur nine (11.849) acres of land which is depicted on the attached Planned Development Boundary and Property Line Map (the 'Property") and is owned by the Metropolitan Water Reclamation District of Greater Chicago (the "MWRD"), and leased to (the "Applicants") Lakeshore Recycling Systems (Sub-Area A) and Ozinga Materials and Logistics (Sub-Area B). 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 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 of the Chicago 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 adjustments of the right-of-way shall require a separate submittal to the Department of Transportation on behalf of the Applicant or its successors, assigns or grantees. Any requests for grants and/or privilege, or any items encroaching on the public way, shall be in compliance with the Planned Development. Ingress or egress shall be pursuant to the Planned Development and may be subject to the review and approval of the Department of Planning and 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 Dept. 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 of any Part II approval, the submitted plans must be approved by the CDOT. Applicants: Lakeshore Recycling Systems and Ozinga Materials and Logistics Address: 3151 South California Avenue Introduced: November 00, 2019 Plan Commission: (2) This Plan of Development consists of seventeen (17) Statements: a Bulk Regulations and Data Table; an Existing Zoning Map; a Planned Development Boundary and Property Line Map, Existing Land-Use Map, Existing Site Plan, Streetscape Plan, Ruilding Flevations: Existing Floor Plans, Construction and Demolition Processing, Elevations: Pedestrian & Connectivity Map, Elevations: Vehicular & Loading/Unloading Access Plan, and proposed Sub-Area Map prepared by Hutter Architects, Ltd. and dated November 00, 2019 submitted herein. 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 allowed in the area delineated herein as Waterway-Industrial Planned Development: Sub-Area A: Storage, repair and maintenance of waste industry storage containers and vehicles; material storage and equipment storage; administrate offices; off-street parking and loading; and all other use permitted in the M3-3 Heavy Industry District. Sub-Area B: Re-processable construction and demolition material facility; recycling, transfer and material storage: such as stone, brick, block, sand, soils, and deicing salts (seasonal); storage and transfer of scrap metals; vehicle parking and maintenance; continued barge terminal operations which includes the loading, unloading, and storage of bulk materials. On-Premise signs and temporary signs such as construction and marketing signs shall be permitted within the Planned Development subject to the review and approval of the Department of Planning and Development. Off-premise signs are prohibited within the boundary of this Planned Development. For purposes of height of any measurement, the definitions in the Zoning Ordinance shall apply. The height of any building shall also be subject to height limitations established by the (FAA) Federal Aviation Administration. The maximum permitted floor area ratio (F.A.R.) for the site shall be in accordance with the attached Bulk Regulations and Data Table. For the purposes of FAR Applicant: Lakeshore Recycling Systems and Ozinga Material and Logistics Address: 3151 South California Avenue Introduced: November 00, 2019 Plan Commission: (3) calculations and floor area measurements, the definitions in the Zoning Ordinance shall apply. The permitted FAR identified in the Bulk Regulations and Data Table has been determined using the Net Site Area of 516,002 square feet (11.849 acres) and a maximum FAR of 0.50. 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 Planning and 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 corresponding regulations and guidelines including Section 17-13-0880. Final landscape plan review and approval will be by the Department of Planning and Development. Any interim review 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 Street and Sanitation and Fleet, and Facility Management and Buildings, under Section 13-32-085, or any other provision of the Municipal Code of Chicago. 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 Administrator upon the application for such modification by the applicant, its successors and assigns and, if different than the Applicant, the legal titleholders 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 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 maximizes the preservation of natural resources. At the time of a hearing before the Chicago Plan Commission, all development Applicant: Lakeshore Recycling Systems and Ozinga Materials and Logistics Address: 3151 S outh California Avenue Introduced: November 00, 2019 Plan Commission: (4) must be in substantial compliance with the current City of Chicago Sustainable Development Policy set forth by the Department of Planning and Development. List all aspects of the proposed Planned Development that bring it into compliance with the Sustainable Development Policy, including other major sustainable elements of the project. 15. The Applicant acknowledges that it is the policy of the City to maximize opportunities for Minority and Woman-owned Business Enterprises ("M/WBEs") and city residents to compete for contracts and jobs on construction projects approved through the planned development process. To assist the city promoting and tracking such M/WBE and city resident's participation, an applicant for planned development approval shall provide information at three points in the city approval process. First, the applicant must submit to DPD, as part of its application for planned development approval, an M/WBE Participation proposal. The M/WBE participation Proposal must identify the applicant's goals for participation of certified M/WBE firms in the design, engineering and construction of the project, and of city residents in the construction work. The city encourages goals of (i) 26% MBE and 6% WBE participation (measured against the total construction budget for the project or any phase thereof), and (ii) 50% city residents hiring (measured against the total construction hours for the project or any phase thereof). The M/WBE participation proposal must include a description of the Applicant' proposed outreach plan designed to inform M/WBEs and city residents for job and contracting opportunities. Second, at the time the Applicant's submission for a Part II permit review for the project or any phase thereof, the Applicant must submit to DPD (a) updates (if any) to the Applicant's preliminary outreach plan, (b) a description of the Applicant's outreach efforts and evidence of such outreach, including without limitations, copies of certified letters to M/WBE contractor associations and ward the offices of the alderman in which the project is located and receipts thereof; (c) responses to the Applicant's outreach efforts and (d) updates (if any) to the applicant's M/WBE and city resident participation goals. Third, prior to issuance of a Certificate of Occupancy for the project or any phase thereof, the Applicant must provide DPD with the actual level of M/WBE and city residents participation in the project or any phase thereof, and evidence of such participation. In addition to the forgoing, DPD may request such additional information as the department determines may be necessary or useful in evaluating the extent to which M/WBEs and city residents are informed of utilized in planned development projects. All such information will be provided in a form acceptable to the Zoning Administrator. DPD will report the date it collects regarding projected and actual employment of M/WBEs and city residents in planned development projects twice yearly to the Chicago Plan Commission and annually to the Chicago City Council and the Mayor. Applicant: Lakeshore Recycling Systems and Ozinga Materials and Logistics Address: 3151 South California Avenue Introduced: November 00, 2019 Plan Commission: (5) The Applicant acknowledges the importance of the Chicago River as a resource for both commerce and recreation and also acknowledges the City's goals of improving the appearance, quality and accessibility of the river, as contained in the waterways planned development guidelines contain in the Zoning Ordinance (Sec. 17-8-091?) and the Chicago River Corridor Guidelines and Standards. This Planned Development shall be governed by Section 17-13-0612 of the Zoning Ordinance. Should this Planned Development lapse, the Commissioner of Planning and Development shall initiate a Zoning Map Amendment to rezone the property to a M3-3 Heavy Industry District. Applicants: Lakeshore Recycling Systems and Ozinga Materials and Logistics Address: 3151 South California Avenue Introduced: November 00, 2019 Plan Commission: WA TER WA Y-IND US TRIAL PLANNED DEVELOPMENT No. BULK REGULATIONS AND DATA TABLE Gross Site Area (1): Right-of-Way and Waterway Areas (2): Net Site Area: Net Site Area of Sub-Areas: Maximum Floor Area Ratio: Minimum Number of Off-Street Parking Spaces to be provided: Minimum Setbacks: Minimum Off-Street Loading Spaces: Setbacks from Property Line: Maximum Percent Site Coverage: 831,982 square feet (19.09 acres) 315,980 square feet (7.25 acres) 516,002 square feet (11.84 acres) 318,087 sq. ft. (Sub-Area A) 197,915 sq. ft. (Sub-Area B) 0.50 13 off-street spaces West boundary of property: 0 feet South boundary of property: 0 feet North boundary of property: 0 feet two (2) spaces @ 10' x 50' each In substantial conformance with the attached Site Plan In accord with Attached Site Plan Gross Site Area = Net Site Area plus Right-of-Way and Waterway Areas. Right-of-Way and Waterway areas are measured from the centerline of the Sanitary and Ship Canal and the center line of South California Avenue. Applicants: Lakeshore Recycling Systems and Ozinga Materials and Logistics Address: 3151 South California Avenue Introduced: November 00, 2019 Plan Commission: CITY OF CHICAGO APPLICATION FOR AN AMENDMENT TO THE CHICAGO ZONING ORDINANCE ADDRESS of the property Applicant is seeking to rezone: 3151 S. California Ave Chicago, Illinois Ward Number that property is located in: 12 CO-APPLICANT: Lakeshore Recycling Systems, LLC ADDRESS: 6132 Oakton St. CITY: Morton Grove STATE: Illinois ZIP CODE: 60053 PHONE: 312-782-1983 EMAIL: nick@sambankslaw.com CONTACT PERSON: Nicholas J. Ftikas
CO-APPLICANT: Ozinga Materials, Inc.
ADDRESS: 19001 Old LaGrange Rd. ; CITY: Mokena
STATE: Illinois ZIP CODE: 60448 PHONE: 312-782-1983
EMAIL: nick@sambankslaw.com CONTACT PERSON: Nicholas J. Ftikas
Are the Co-Applicants the ownersof the property? YES NO X
If the Applicant is not the owner of the property, please provide the following information regarding the owner and attach written authorization from the owner allowing the application to proceed.
OWNER: Metropolitan Water Reclamation District of Greater Chicago ;
ADDRESS: 100 E.Erie St. ; CITY: Chicago
STATE: Illinois ZIP CODE: 60611 PHONE: 312-751-5600
EMAIL: murravc@mwTd.org CONTACT PERSON: Christopher Murray. Attorney
If the Applicant/Owner of the property has obtained a lawyer as their representative for the rezoning, please provide the following information:
ATTORNEY: Nicholas Ftikas, Law Offices of Samuel V.P. Banks
ADDRESS: 221 North LaSalle Street. 38th Floor
STATE: Illinois FAX: 312-782-2433
ZIP CODE: 60601
EMAIL: nick@sambankslaw.com
If the 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 EDS
On what date did the owner acquire legal title to the subject property?
The Co-Applicants will continue leasing the subject property from the Metropolitan Water
Reclamation District of Greater Chicago
Has the present owner previously rezoned this property? If Yes, when? No
Proposed Zoning District: Industrial-Waterway Planned
Development
Lot size in square feet (or dimensions): 831,982 sq. ft. (19.09 acres per Survey)
Current Use of the Property: The subject property is currently used for truck and container storage and repair.
Reason for rezoning the property: The Applicant is seeking to establish a Planned Development in order to allow industrial uses including vehicle, container, and recyclable waste storage, a construction and demolition material recycling facility, a transfer station, barge terminal operations, off-street parking, and administrative offices.
Describe the proposed use of the 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 establish a Planned Development in order to allow industrial uses including vehicle, container, and recyclable waste storage, a construction and demolition material recycling facility, a transfer station, barge terminal operations, off-street parking, and administrative offices. The subject zoning lot will be divided into two (2) subareas. The uses proposed within the Planned Development will be generally consistent with the allowed uses within the M3-3 Zoning District.
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?
NO X
COUNTY OF COOK STATE OF IT.T.TNOTS
I. ALft/J T. H*aiQL&
_, on behalf of Lakeshore Recycling Systems,
Signature of Applicant
LLC, an Illinois limited liability company, 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.
Subscribed and Sworn to before me this lPTU day of fEfcfiURRlj , 2020.
Notary Public
DEENAPEDERSEN OFFICIAL SEAL S^P&^ls! Notary Public, State ol Illinois Mv Con-mission Expires \y^~€^// r- :0;:8f 25 202
Date of Introduction: File Number:
Ward:
PUBLIC NOTICE
Via USPS First Class Mail October 23, 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 October 23, 2020, I, the undersigned, intend to file an application for a change in zoning from M3-3 Heavy Manufacturing District to an Industrial-Waterway Planned Development, on behalf of the Co-Applicants, Lakeshore Recycling Systems, LLC, and Ozinga Materials, Inc., for the property located at 3151 South California Ave., Chicago, Illinois.
The Applicant is seeking to establish a Planned Development in order to allow industrial uses including vehicle, container, and recyclable waste storage, a construction and demolition material recycling facility, a transfer station, barge terminal operations, off-street parking, and administrative offices. The subject zoning lot will be divided into two (2) subareas. The uses proposed within the Planned Development will be generally consistent with the allowed uses within the M3-3 Zoning District.
Co-Applicant, Lakeshore Recycling Systems, LLC, is located at 6132 Oakton St., Morton Grove, Illinois 60053.
Co-Applicant, Ozinga Materials, Inc., is located at 19001 Old LaGrange Rd., Mokena, Illinois 60448.
The Property Owner, the Metropolitan Water Reclamation District of Greater Chicago is located at 100 East Erie St., Chicago, Illinois 60611.
I am the attorney for the Co-Applicants. I will serve as the contact person for this zoning application. My address is 221 North LaSalle Street, 38th Floor, Chicago, Illinois 60601. My telephone number is (312)-782-1983.
Sincerely,
Law Offices of Samuel V.P. Banks
Nicholas J. Ftikas Attorney for the Applicant
**Pleasc note that the Applicant is NOT seeking to purchase or rezone your property.
**The Applicant is required by the Chicago Zoning Ordinance to send this notice to you because you are shown to own property located within 250 feet of the property subject to the proposed Zoning Amendment.
Written Notice, Form of Affidavit: Section 17-13-0107
October 23, 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 of the 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 3151 S. California Ave., Chicago, Illinois; a statement of intended use of said property; the name and address of the Applicant and Owner; and a statement that the Applicant intends to file an application for a change in zoning on approximately October 23, 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
Subscribed and Sworn to before me
3151 S. California Ave., Chicago, IL
Narrative for Planned Development Intake Meeting
Date: 11/13/2019
The subject property is located at 3151 S. California Ave., Chicago, IL, which is located within the Little Village Industrial Corridor. The subject site consists of 516,002 sq. ft. (11.849 acres) of land area located on the east side of S. California Ave., adjacent to the Chicago Sanitary and Ship Canal ("Canal"). The subject property is currently used for the storage of various industrial waste containers, vehicles, and equipment. The existing two-story building at the subject site is used for the general maintenance and repairing of the waste containers and equipment kept on site. The area proposed as Sub-Area B in the proposed Industrial Waterway Planned Development is relatively inactive, except for intermittent overflow container storage. Current operations also include the use of the waterway barges located along the Canal.
The Co-Applicants, Ozinga Materials and Logistics ("Ozinga") and Lakeshore Recycling Systems, LLC ("LRS"), are proposing to establish an Industrial Waterway Planned Development at the 11.849-acre site. The proposed Planned Development would allow the Co-Applicants to expand the industrial and waste related uses at the subject property. Specifically, LRS is proposing to allow for the storage, repair, and general maintenance of waste industry containers, equipment, and vehicles, waste material and equipment storage, and other waste related uses generally permitted in the M3-3 zoning district in what will be Sub-Area A of the Planned Development. LRS also intends to recycle and transfer solid waste and construction and demolition waste within Sub Area A. Ozinga is proposing to operate a recycling facility mat will specifically include the receipt, storage, crushing and transfer of clean broken concrete, the receipt, storage, and transfer of scrap metals, aggregate materials, and deicing salts, the receipt, storage, and transfer of clean soils, the receipt, storage, recycling, and transfer of asphalt material, as well as vehicle and equipment parking and storage, and the continued operation of the barge terminal along the Canal. Ozinga's plans for Sub Area B also contemplate the operation of a concrete batch plant. Although new mobile equipment will be provided at the subject site, no new support or administrative buildings are proposed within the boundaries of the Planned Development at this time.
GEORGE CARDENAS ALDERMAN, 121 H WARD
¦ 3476 SOUTH ARCHER AVENUE CHICAGO, ILLINOIS 60608 PHONE: 773-S23-82S0 FAX: 773-523-B440 LMAIL. \VAHbl2£'CWYOI-CHICAeO.UkCJ
CITY OF CHICAGO
CITY COUNCIL
COMMITTEE MEMBERSHIPS
ENVIRONMENTAL PROTECTION AND ENERGY (CHAIRMAN!
COMMITTEES AND RULES
FINANCE
PEDESTRIAN AND TRAFFIC SAFETY
COUNCIL CHAMBER CITY" HALL ROOM 300
121 NORTH LASALLE STREET CHICAGO, ILLINOIS G0602
PHONE: 312-744-3040
LICENSE AND CONSUMER PROTECTION
ECONOMIC, CAPITAL. AND TECHNOLOGY DEVELOPMENT
CONTRACTING OVERSIGHT AND EOUITY
BUDGET AND GOVERNMENT OPERATIONS
July 16, 2020
Zoning Administrator Patrick Murphy Department of Planning and Development 212 N LaSalle St. Room 905 Chicago, IL. 60602
RE: Planned Map Amendment 3151 S California Ave.
Dear Mr. Murphy,
The Co-Applicants, Ozinga Materials and Lakeshore Recycling LLC, are proposing to establish an Industrial Waterway Planned Development at the above referenced 11.849 acre site to continue their individual business development activities in accordance with the Narrative for the Planned Development previously submitted.
Their proposed use of the site will involve various waste handling and recycling activities inherent to the nature of their businesses and resulting in substantial community benefits including truck transportation volume reduction, landfill space use reduction and preservation, and the return of recycled materials to the economic mainstream along with the preservation of natural resources.
The continued use of the site as a barge terminal with loading, unloading, and site storage activities create an even greater reduction in the volume of local and long distance truck traffic. The preservation of waterway commerce which not only played an important part in the development of the City, continues to benefit the local economy and will do so well into the future. I am in support of this proposed Planned Development, and I respectfully request your approval. Should you have any questions, please contact my office at 312-744-3040.
George A. Cardenas Alderman - Ward 12
Sincerely,
To whom it may concern:
, on behalf of Lakeshore Recycling
Its: C&»
Systems, LLC, an Illinois limited liability company, a tenant and co-Applicant concerning the subject property located at 3151 S. California Ave., Chicago, IL, authorize the Law Offices of Samuel V.P. Banks to file a Zoning Map Amendment Application with the City of Chicago's Department of Planning and Development for that property.
FORM OF AFFIDAVIT
Chairman, Committee on Zoning Room 304 - City Hall Chicago, IT, 60602
To Whom It May Concern:
I, f{L^ T HH^Oi-fi } on behalf of Lakeshore Recycling Systems,
LLC, an Illinois limited liability company, understand that the Law Offices of Samuel V.P. Banks has filed a sworn affidavit identifying Lakeshore Recycling Systems, LLC, as a Tenant and Co-Applicant holding interest in land subject to the proposed zoning amendment for the property identified as 3151 S. California Ave., Chicago, IL.
I, ftCH*> T- J^rt*/PLe*j , on behalf of Lakeshore Recycling Systems,
LLC, an Illinois limited liability company, being first duly sworn under oath, depose and say that Lakeshore Recycling Systems, LLC, holds that interest for itself and no other person, association, or shareholder.
Lakeshore Recycling Systems, LLC
Subscribed and Sworn to before me
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I GENERAL INFORMATION
A. Legal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable:
LRS Holdings, LLC d/b/a Lakeshore Recycling Systems, LLC
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
[X] 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:
B. Business address of the Disclosing Party: 6132 Oakton Street
Morton Grove, Illinois 60053
Telephone: 847-779-7500 Fax. 773-685-6043 Email. RGolf@LRSrecycles.com
Name of contact person: Rich Golf
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):
Zoning on rental property at 3151S. California
G. Which City agency or department is requesting this EDS? De^- of P|anninB & Development
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification # and Contract #
Ver.2018-1 Page 1 of 15
SECTION II - DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY
1. Indicate the nature of the Disclosing Party:
] Person [x] Limited liability company
] Publicly registered business corporation [ ] Limited liability partnership
] Privately held business corporation [ ] Joint venture
] Sole proprietorship [ ] Not-for-profit corporation
] General partnership (Is the not-for-profit corporation also a 501 (c)(3))?
] Limited partnership [ ] Yes [ ] No
] Trust [ ] Other (please specify)
2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
Delaware
3. For legal entities not organized in the State of Illinois: Has the organization registered to do
business in the State of Illinois as a foreign entity?
[x ] Yes [ ] No [ ] Organized 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
Alan Handley . CEO & Chairman
Rich Golf Director & Managing Member
Jerry Golf Director & Managing Member
Josh Connell Director & Managing Member
2. Please provide the following information concerning each person or legal entity having a direct or
indirect, current or prospective (i.e. within 6 months after City action) beneficial interest (including
ownership) in excess of 7.5% of the Applicant. Examples of such an interest include shares in a
corporation, partnership interest in a partnership or joint venture, interest of a member or manager in a
Page 2 of 15
limited liability 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
Goldman Sachs & Co, LLC 200 West St. 26th Fl. NY, NY 10282 to 46.81%
Golf, Inc. 2174 S. Vista Ave, Lombard, IL 60148 16\22%
Lakeshore Waste Services, LLC 6132 Oakton St. Morton Grove, IL 60053 16.22%
Hillfort LRS, LP 53 Maple Ave. Morristown, NJ 07960 8.6%
SECTION III -- INCOME OR COMPENSATION TO, OR OWNERSHIP BY, CITY ELECTED OFFICIALS
Has the Disclosing Party provided any income or compensation to any City elected official during the
12-month period preceding the date of this EDS? [ ] Yes [ x] No
Does the Disclosing Party reasonably expect to provide any income or compensation to any City
elected official during the 12-month period following the date of this EDS? [ ] Yes [ x] No
If "yes" to either of the above, please identify below the name(s) of such City elected official(s) and describe such income or compensation:
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 of the Municipal Code of Chicago ("MCC")) in the Disclosing Party? [ ]Yes [x]No
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).
^
SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist (as defined in MCC Chapter 2-156), accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature of the relationship, and the total amount of the fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who are paid solely 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.
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
not an acceptable response.
(Add sheets if necessary)
jx ] Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V - CERTIFICATIONS
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 [ x] No [ ] 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
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 of 15
The Disclosing Party and, if the 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 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 cornmitting 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) terminated for cause or default; and
have not, during the 5 years before the date 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 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 TV, "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; cornmon 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 of the Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official of the Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Page 5 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 of Illinois, or any agency of the federal government or of any state or local government in the United States of America, in that officer's or employee's official capacity;
agreed or colluded with 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 similar offense of any state or of the 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] of the Applicant is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any "sister agency"; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If MCC Chapter 1-23, Article I applies to the Applicant, that Article's permanent compliance timeframe supersedes 5-year compliance timeframes in this Section V.
9. [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 of the 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:
Ml 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 of the Disclosing Party who were, at any time during the 12-month period preceding the date of this EDS, an employee, or elected or appointed official, of the City of Chicago (if none, indicate with "N/A" or "none").
NjA
13. To the best of the 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 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 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)
[ ] is [x] is not
a "financial institution" as defined in MCC Section 2-32-455(b).
If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will not become a predatory lender as defined in MCC Chapter 2-32. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in MCC Chapter 2-32. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
Page 7 of 15
If the 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):
tJlAz
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.
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 of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
[ ]Yes [x]No
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 of any other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit 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 of this Part D.
Does the Matter involve a City Property Sale?
[ ] Yes W 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 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.
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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 information required by (2). Failure to comply with these disclosure requirements may make any contract entered into with the City in connection with the Matter voidable by the City.
x 1. 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:
SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. If the Matter is not federally funded, proceed to Section VH. For purposes of this 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):
Mj/V
(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 entities registered under the Lobbying Disclosure Act of 1995, as amended, have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay
any person or entity listed in paragraph A(l) above for his or her lobbying activities or to pay any
person or entity to influence or attempt to influence an officer or employee of any agency, as defined
by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee
Ver.2018-1 Page 9 of 15
of a member of Congress, in connection with the award of any federally funded contract, making any federally 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 of the 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) of the 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 the Lobbying Disclosure Act of 1995, as amended.
If the Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equal in form and substance to paragraphs A(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. K | (
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 of the Office of Federal Contract Compliance Programs, or the Equal Employment Opportunity Commission all reports due under the applicable filing requirements?
[ ] Yes [ 3 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:
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SECTION Vn - 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, Cily assistance, 01 other City action, and aie material inducements to Ihe 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 of the 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. If the Matter is a contract being handled by the City's Department of Procurement Services, the Disclosing Party must update this EDS as the contract requires. NOTE: With respect to Matters subject to MCC Chapter 1-23, Article I (imposing PERMANENT INELIGIBILITY for certain specified offenses), the information provided herein regarding eligibility must be kept current for a longer 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 of the date furnished to the City.
LRS Holdings, LLC d/b/a Lakeshore Recycling Systems, LLC (Print or type exact legal name of Disclosing Party)
(Sign here)
Alan T. Handley (Print or type name of person signing)
Chief Executive Officer (Print or type title of person signing)
Signed and sworn to before me on (date) 2 / ii>
County, \lHk|0y\ (state).
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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 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 half-brother or half-sister.
"Applicable Party" means (1) all executive officers of the Disclosing Party listed in Section JJ.B.l.a., if the Disclosing Party is a corporation; all partners of the 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, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5% ownership interest in the Disclosing Party. "Principal officers" means the president, chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority.
Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
[ ] Yes W No
If yes, please identify below (1) the name and title of such person, (2) the name of the legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
mJA.
Page 13 of 15
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 diiecL 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 MNo
If the Applicant is a legal entity publicly traded on any exchange, is any officer or director of the Applicant identified as a building code scofflaw or problem landlord pursuant to MCC Section 2-92-416?
[. ] Yes [ ] No [ *f| 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.
Ad/V
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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX C
PROHIBITION ON WAGE & SALARY HISTORY SCREENING - CERTIFICATION
Tliis Appendix is to be completed only by an Applicant that is completing this EDS as a "contractor" as defined in MCC Section 2-92-385. That section, which should be consulted (www.amlegal.comV 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.
[VfYes [ ]No
[ ] N/A -1 am not an Applicant that is a "contractor" as defined in MCC Section 2-92-385. This certification shall serve as the affidavit required by MCC Section 2-92-3 85(c)(1). If you checked "no" to the above, please explain.
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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I - GENERAL INFORMATION
A. Legal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable: Golf, Inc.
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
1. [?] the Applicant
OR
2. 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
3. Q 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:
B. Business address of the Disclosing Party: 2174 South Vista Avenue
Lombard, Illinois 60148
Telephone: 312-782-1983 pax. Email- nick@sambankslaw.com
Name of contact person: Nicholas J. Ftikas - Attorney
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):
The Applicant is seeking to establish an Industrial Waterway Planned Development at 3151 S. California.
G. Which City agency or department is requesting this EDS? DPD/ZBA
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification # and Contract #
Ver.2018-1 Page 1 of 15
SECTION II - DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY
Person
Publicly registered business corporation
Privately held business corporation
Sole proprietorship
General partnership
Limited partnership
Trust
| [ Limited liability company
| | Limited liability partnership
| | Joint venture
| | Not-for-profit corporation
(Is the not-for-profit corporation also a 501(c)(3))?
? Yes ?No ? Other (pi ease specify)
2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable: Illinois
3. For legal entities not organized in the State of Illinois: Has the organization registered to do business in the State of Illinois as a foreign entity?
Yes ? No {?] Organized 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
Jerry Golf President & Secretary
2. Please provide the following information concerning each person or legal entity having a direct or indirect, current or prospective (i.e. within 6 months after City action) beneficial interest (including ownership) in excess of 7.5% of the Applicant. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture, interest of a member or manager in a
Page 2 of 15
limited liability 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
Jerry Golf 2174 South Vista Avenue 100%
Lombard, Illinois 60148
SECTION III INCOME OR COMPENSATION TO, OR OWNERSHIP BY, CITY ELECTED OFFICIALS
Has the Disclosing Party provided any income or compensation to any City elected official during the
12-month period preceding the date of this EDS? r~J Yes [?] No
Does the Disclosing Party reasonably expect to provide any income or compensation to any City
elected official during the 12-month period following the date of this EDS? r~J Yes [?] No
If "yes" to either of the above, please identify below the name(s) of such City elected official(s) and describe such income or compensation:
N/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 of the Municipal Code of Chicago ("MCC")) in the Disclosing Party? []Yes 0No
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).
N/A
SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist (as defined in MCC Chapter 2-156), accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature of the relationship, and the total amount of the fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who are paid solely 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.
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
not an acceptable response.
Law Offices of 221 N. LaSalle St., 38th Floor Attorney $11,500 (est.)
Samuel VP Banks Chicago, IL 60601
(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 0No []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?
[TJYes []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.
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The Disclosing Party and, if the 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 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) terminated for cause or default; and
have not, during the 5 years before the date 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 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 of the Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official of the Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
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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 of Illinois, or any agency of the federal government or of any state or local government in the United States of America, in that officer's or employee's official capacity;
agreed or colluded with 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 similar offense of any state or of the 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] of the Applicant is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any "sister agency"; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If MCC Chapter 1-23, Article I applies to the Applicant, that Article's permanent compliance timeframe supersedes 5-year compliance timeframes in this Section V.
[FOR APPLICANT ONLY] The Applicant and 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 of the 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:
None
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 of the Disclosing Party who were, at any time during the 12-month period preceding the date of this EDS, an employee, or elected or appointed official, of the City of Chicago (if none, indicate with "N/A" or "none").
None
13. To the best of the 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 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 (hi) 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.
None
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
The Disclosing Party certifies that the Disclosing Party (check one)
| | is [?! is not
a "financial institution" as defined in MCC Section 2-32-455(b).
If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will not become a predatory lender as defined in MCC Chapter 2-32. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in MCC Chapter 2-32. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
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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):
None
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.
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 of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
Yes 0 No
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 of any other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit 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 of this Part D.
Does the Matter involve a City Property Sale?
Yes 0No
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
. N/A
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
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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 information required by (2). Failure to comply with these disclosure requirements may make any contract entered into with the City in connection with the Matter voidable by the City.
1. 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:
SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. If the Matter is not federally funded, proceed to Section VII. For purposes of this 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):
(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 entities registered under the Lobbying Disclosure Act of 1995, as amended, have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay
any person or entity listed in paragraph A(l) above for his or her lobbying activities or to pay any
person or entity to influence or attempt to influence an officer or employee of any agency, as defined
by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee
Ver.2018-1 Page 9 of 15
of a member of Congress, in connection with the award of any federally funded contract, making any federally 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 of the 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) of the 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 the Lobbying Disclosure Act of 1995, as amended.
If the Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equal in form and substance to paragraphs A(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.
? No
Is the Disclosing Party the Applicant?
? Yes
If "Yes," answer the three questions below:
? No
1. Have you developed and do you have on file affirmative action programs pursuant to applicable federal regulations? (See 41 CFR Part 60-2.)
? Yes
2. 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?
3. 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:
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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 contiact 01 taking othei action with lespecL 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 of the 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. If the Matter is a contract being handled by the City's Department of Procurement Services, the Disclosing Party must update this EDS as the contract requires. NOTE: With respect to Matters subject to MCC Chapter 1-23, Article I (imposing PERMANENT INELIGIBILITY for certain specified offenses), the information provided herein regarding eligibility must be kept current for a longer period, as required by MCC Chapter 1-23 and Section 2-154-020.
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CERTIFICATION
Under penalty of perjury, the person signing below: (J) warrants that he/she is. authorized to execute •tins. 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, aire true, accurate
. arid complete as of the date furnished to the City.
A. v fecf,: lfJ£ . ::ly^ Vt:'.:;. J?rultor type, exact legal name of Disclosing Party) .
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 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 half-brother or half-sister.
"Applicable Party" means (1) all executive officers of the Disclosing Party listed in Section II.B.l.a., if the Disclosing Party is a corporation; all partners of the 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, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5% ownership interest in the Disclosing Party. "Principal officers" means the president, chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority.
Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
[~jYes 0No
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.
N/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 0 No
If the Applicant is a legal entity publicly traded on any exchange, is any officer or director of the Applicant identified as a building code scofflaw or problem landlord pursuant to MCC Section 2-92-416?
[ | Yes r~J No |7/J The Applicant is not publicly traded on any exchange.
If yes to (1) or (2) above, please identify below the name of each person or legal entity identified as a building code scofflaw or problem landlord and the address of each building or buildings to which the pertinent code violations apply.
N/A
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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 ('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 2-92-3 85(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.
[J Yes
? No
N/A -1 am not an Applicant that is a "contractor" as defined in MCC Section, 2-92-385. This certification shall serve as the affidavit required by MCC Section 2-92-385(c)(l). If you checked "no" to the above, please explain.
N/A
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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I - GENERAL INFORMATION
A. Legal name of Ihe Disclosing Paity submitting this EDS-. Include d/b/a/ if applicable: Lakeshore Waste Services, LLC
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
[?] the Applicant
OR
Q 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
|~~J 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:
B. Business address of the Disclosing Party: 6132 West Oakton Street
Morton Grove, Illinois 60053
Telephone: 312-782-1983 pax- Email: nick@sambankslaw.com
Name of contact person: Nicholas J. Ftikas - Attorney
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):
The Applicant is seeking to establish an Industrial Waterway Planned Development at 3151 S. California.
G. Which City agency or department is requesting this EDS? DPD/ZBA
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification # and Contract #
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SECTION II - DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY
1. Indicate the nature of the Disclosing Par | | Person
I Publicly registered business coiporation
I Privately held business coiporation
I Sole proprietorship
General partnership
I Limited partnership
I Trust
\y\ Limited liability company
[ | Limited liability partnership
| | Joint venture
[ | Not-for-profit corporation
(Is the not-for-profit coiporation also a 501(c)(3))?
? Yes QNo | | Other (please specify)
2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
Illinois
3. For legal entities not organized in the State of Illinois: Has the organization registered to do business in the State of Illinois as a foreign entity?
| | Yes ? No [?] Organized 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"); (hi) 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 Joshua Connell Manager
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 coiporation, partnership interest in a partnership or joint venture, interest of a member or manager in a
Page 2 of 15
limited liability 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
Joshua Connell 6132 West Oakton Street 100%
Morton Grove, Illinois 60053
SECTION III -- INCOME OR COMPENSATION TO, OR OWNERSHIP BY, CITY ELECTED OFFICIALS
Has the Disclosing Party provided any income or compensation to any City elected official during the
12-month period preceding the date of this EDS? |~~J Yes [?] No
Does the Disclosing Party reasonably expect to provide any income or compensation to any City
elected official during the 12-month period following the date of this EDS? j~~J Yes [7/j No
If "yes" to either of the above, please identify below the name(s) of such City elected o'fficial(s) and describe such income or compensation:
N/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 of the Municipal Code of Chicago ("MCC")) in the Disclosing Party?
[] Yes [?] No
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).
N/A
SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist (as defined in MCC Chapter 2-156), accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature of the relationship, and the total amount of the fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who are paid solely 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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Law Offices of
retained or anticipated Address (subcontractor, attorney,
to be retained) lobbyist, etc.)
221 N. LaSalle St., 38th Floor
paid or estimated.) NOTE: "hourly rate" or "t.b.d." is not an acceptable response. $11,500 (est.)
Samuel VP Banks
(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 [j/jNo QNo 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 of 15
The Disclosing Party and, if the 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 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 theiii 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 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 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 of the Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official of the Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Page 5 of 15
Neither 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 Slate of Illinois, 01 any agency of the fedeial 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 similar offense of any state or of the 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] of the Applicant is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any "sister agency"; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If MCC Chapter 1-23, Article I applies to the Applicant, that Article's permanent compliance timeframe supersedes 5-year compliance timeframes in this Section V.
[FOR APPLICANT ONLY] The Applicant and 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 of the 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:
None
If the letters MNA," 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 of the Disclosing Party who were, at any time during the 12-month period preceding the date of this EDS, an employee, or elected or appointed official, of the City of Chicago (if none, indicate with "N/A" or "none").
None
13. To the best of the 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 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 (hi) 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.
None
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
1. The Disclosing Party certifies that the Disclosing Party (check one)
| | is [?] is not
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 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):
None
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.
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 of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
Yes g No
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 of any other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit 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 of this Part D.
Does the Matter involve a City Property Sale?
Yes [?[No
If you checked "Yes" to Item D(l), provide the names and business addresses 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
N/A
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
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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 information required by (2). Failure to comply with these disclosure requirements may make any contract entered into with the City in connection with the Matter voidable by the City.
1. The Disclosing Patty verifies thai the Disclosing Pally has seaiched any and all lecords 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:
SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. If the Matter is not federally funded, proceed to Section VII. For purposes of this 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):
(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 entities registered under the Lobbying Disclosure Act of 1995, as amended, have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
2: The Disclosing Party has not spent and will not expend any federally appropriated funds to pay
any person or entity listed in paragraph A(l) above for his or her lobbying activities or to pay any
person or entity to influence or attempt to influence an officer or employee of any agency, as defined
by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee
Ver.2018-1 Page 9 of 15
of a member of Congress, in connection with the award of any federally funded contract, making any federally 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 of the 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) of the 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 the Lobbying Disclosure Act of 1995, as amended.
If the Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equal in form and substance to paragraphs A(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?
? Yes
If "Yes," answer the three questions below:
1. Have you developed and do you have on file affirmative action programs pursuant to applicable federal regulations? (See 41 CFR Part 60-2.)
? Yes
2. 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?
3. Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
? Yes ? No
If you checked "No" to question (1) or (2) above, please provide an explanation:
Page 10 of 15
SECTION VII - FURTHER ACKNOWLEDGMENTS 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 of the 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.
Ei The information provided in this EDS must be kept current. In the event of changes, the Disclosing Party must supplement this EDS up to the time the City takes action on the Matter. If the Matter is a contract being handled by the City's Department of Procurement Services, the Disclosing Party must update this EDS as the contract requires. NOTE: With respect to Matters subject to MCC Chapter ,1-23, Article I (imposing PERMANENT INELIGIBILITY for certain specified offenses), the information provided herein regarding eligibility must be kept current for a longer period, as required by MCC Chapter 1-23 and Section 2-154-020.
Page 11 of 15
CERTIFICATION ¦ ' / .
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SEDS, anlall applicable ^^^^^^m^, -e true, accurate
certifications and ^^J^^^^r " :
andcomplete as. of the date ftimislied to,the City
;pgJrSr^e^an>e of person signing). ^;
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Page li 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 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 half-brother or half-sister.
"Applicable Party" means (1) all executive officers of the Disclosing Party listed in Section II.B.l.a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general parmership; 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, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5% ownership interest in the Disclosing Party. "Principal officers" means the president, chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority.
Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
If yes, please identify below (1) the name and title of such person, (2) the name 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.
N/A
Page 13 of 15
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 2-1.54-010, is the Applicant or any Owner identified as a building code scofflaw or problem landlord pursuant to MCC Section 2-92-416?
? Yes 0 No
If the Applicant is a legal entity publicly traded on any exchange, is any officer or director of the Applicant identified as a building code scofflaw or problem landlord pursuant to MCC Section 2-92-416?
r~J Yes r-J No rT£J The Applicant is not publicly traded on any exchange.
If yes to (1) or (2) above, please identify below the name of each person or legal entity identified as a building code scofflaw or problem landlord and the address of each building or buildings to which the pertinent code violations apply.
N/A
Page 14 of 15
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 (www.atnlegal.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 2-92-3 85(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.
[J Yes
? No
[^| N/A -1 am not an Applicant that is a "contractor" as defined in MCC Section 2-92-385. This certification shall serve as the affidavit required by MCC Section 2-92-385(c)(l). If you checked "no" to the above, please explain.
N/A
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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION 1 - GENERAL INFORMATION
A. Legal name of the Disclosing PurLy submiLLing this EDS. Include d/b/a/ if applicable:
Hillfort LRS, LP
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
[?] 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:
B. Business address of the Disclosing Party: 251 Little Falls Drive
Wilmington, Delaware 19808
Telephone: 312-782-1983 Fax: Email: nick@sambankslaw.com
Name of contact person: Nicholas J. Ftikas - Attorney
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):
The Applicant is seeking to establish an Industrial Waterway Planned Development at 3151 S. California.
Which City agency or department is requesting this EDS? DPD/ZBA
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification # and Contract #.
Ver.2018-1 Paget of 15
SECTION II - DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY
1. Indicate the nature of the Disclosing Party:
| | Person ? Limited liability company
| Publicly registered business coiporation f~J Limited liability partnership
| Privately held business coipoiation Q Joint ventute
Sole proprietorship Not-for-profit corporation
General partnership (Is the not-for-profit corporation also a 501(c)(3))?
Limited partnership Q Yes [~_~J No
Trust ? Other (please specify)
For legal entities, the state (or foreign country) of incorporation or organization, if applicable: Delaware
For legal entities not organized in the State of Illinois: Has the organization registered to do business in the State of Illinois as a foreign entity?
| [ Yes [?] No [~~J Organized 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
Manager
2. Please provide the following information concerning each person or legal entity having a direct or indirect, current or prospective (i.e. within 6 months after City action) beneficial interest (including ownership) in excess of 7.5% of the Applicant. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture, interest of a member or manager in a
Page 2 of 15
limited liability 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
SECTION III - INCOME OR COMPENSATION TO, OR OWNERSHIP BY, CITY ELECTED OFFICIALS
Has the Disclosing Party provided any income or compensation to any City elected official during the
12-month period preceding the date of this EDS? [~~J Yes {?] No
Does the Disclosing Party reasonably expect to provide any income or compensation to any City
elected official during the 12-month period following the date of this EDS? |~~J Yes [T/J No
If "yes" to either of the above, please identify below the name(s) of such City elected official(s) and describe such income or compensation:
N/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 of the Municipal Code of Chicago ("MCC")) in the Disclosing Party?
[] Yes p\ No
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).
N/A
SECTION IV -- DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist (as defined in MCC Chapter 2-156), accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature of the relationship, and the total amount of the fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who are paid solely 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.
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
not an acceptable response.
Law Offices of 221 N. LaSalle St., 38th Floor Attorney $11,500 (est.)
Samuel VP Banks Chicago, IL 60601
(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
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?
j | Yes j7/] No Q 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?
[~J Yes [~J No
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 of 15
The Disclosing Party and, if the Disclosing Parly 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 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 hud 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) terminated for cause or default; and
have not, during the 5 years before the date 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 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 of the Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official of the Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Page 5 of 15
Neither 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 of Illinois, oi 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 similar offense of any state or of the 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] of the Applicant is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any "sister agency"; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If MCC Chapter 1-23, Article I applies to the Applicant, that Article's permanent compliance timeframe supersedes 5-year compliance timeframes in this Section V.
[FOR APPLICANT ONLY] The Applicant and 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 of the City, use any such
Vcr.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 tmthful 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:
None
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 of the Disclosing Party who were, at any time during the 12-month period preceding the date of this EDS, an employee, or elected or appointed official, of the City of Chicago (if none, indicate with "N/A" or "none").
None
13. To the best of the 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 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 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.
None
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
The Disclosing Party certifies that the Disclosing Party (check one)
| | is [?] is not
a "financial institution" as defined in MCC Section 2-32-455(b).
If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will not become a predatory lender as defined in MCC Chapter 2-32. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in MCC Chapter 2-32. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
Page 7 of 15
If the 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):
None
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.
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.
1. 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 of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
Yes
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.
2. Unless sold pursuant to a process of competitive bidding, or otherwise permitted, no City elected official or employee shall have a financial interest in his or her own name or in the name of any other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit 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 of this Part D.
Does the Matter involve a City Property Sale?
? Yes 0No
3. 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
N/A
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 information required by (2). Failure to comply with these disclosure requirements may make any contract entered into with the City in connection with the Matter voidable by the City.
1. 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.
I I 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:
SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. If the Matter is not federally funded, proceed to Section VII. For purposes of this 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):
(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 entities registered under the Lobbying Disclosure Act of 1995, as amended, have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay
any person or entity listed in paragraph A(l) above for his or her lobbying activities or to pay any
person or entity to influence or attempt to influence an officer or employee of any agency, as defined
by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee
Ver.2018-1 Page 9 of 15
of a member of Congress, in connection with the award of any federally funded contract, making any federally 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 of the 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 50r(c)(4) of the 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 the Lobbying Disclosure Act of 1995, as amended.
If the Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equal in form and substance to paragraphs A(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.
? No
Is the Disclosing Party the Applicant?
? Yes
If "Yes," answer the three questions below:
? No
1. Have you developed and do you have on file affirmative action programs pursuant to applicable federal regulations? (See 41 CFR Part 60-2.)
? Yes
2. 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?
3. Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
? Yes ? No
If you checked "No" to question (1) or (2) above, please provide an explanation:
Page 10 of 15
SECTION VII -- FURTHER ACKNOWLEDGMENTS 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 Tarty 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, citvofchicago. or g/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 of the 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. If the Matter is a contract being handled by the City's Department of Procurement Services, the Disclosing Party must update this EDS as the contract requires. NOTE: With respect to Matters subject to MCC Chapter 1-23, Article I (imposing PERMANENT INELIGIBILITY for certain specified offenses), the information provided herein regarding eligibility must be kept current for a longer 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 P.artyi.and(2); warrants'that all-
certifications and statements contained in this EDS, and all. applicable Appendices, are true,' accurate -
arid complete as of the date famished to the City. ' .
;fJPririt br type exact legal name/of^Dlsclosing Party)- ~i
;r;^f :Avr-:
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 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 half-brother or half-sister.
"Applicable Party" means (1) all executive officers of the Disclosing Party listed in Section II.B.l.a., if the Disclosing Party is a corporation; all partners of the 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, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5% ownership interest in the Disclosing Party. "Principal officers" means the president, chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority.
Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
? Yes [?JNo
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.
N/A
Page 13 of 15
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.
1. 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?
2. If the Applicant is a legal entity publicly traded on any exchange, is any officer or director of the Applicant identified as a building code scofflaw or problem landlord pursuant to MCC Section 2-92-416?
T^j The Applicant is not publicly traded on any exchange.
3. 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.
N/A
Page 14 of 15
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 (www.amlcgal.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
[7^| N/A -1 am not an Applicant that is a "contractor" as defined in MCC Section 2-92-385. This certification shall serve as the affidavit required by MCC Section 2-92-385(c)(l). If you checked "no" to the above, please explain.
N/A
Page 15 of 15
FORM OF AFFIDAVIT
Chairman, Committee on Zoning Room 304 - City Hall Chicago, IL 60602
To Whom It May Concern:
I, iSfeAlC ^vjmb ^ on behalf of Ozinga Materialsf3^c .
an Illinois corporation, understand that the Law Offices of Samuel V.P. Banks has
filed a sworn affidavit identifying Ozinga Materials,.~Xy-*£ - as a Tenant and
Co-Applicant holding interest in land subject to the proposed zoning amendment for the
property identified as 3151 S. California Ave., Chicago, IL.
I, "tSr£Mt£ rM^6> t on behalf of Ozinga Materials <
•v.
an Illinois corporation, being first duly sworn under oath, depose and say that
Ozinga Materials^ Xnc • holds that interest for itself and no other person,
association, or shareholder.
Ozinga Materials % J C. Date
Subscribed and Sworn, to before me
thisfffcrttiay of W**Crl , 2020.
Notary Public
|109|OFFICIAL SEAL
BARRY N. VOORN
< Notary Public - State of Illinois
< My Cdmrriission Expires 10/11/2020]
( ¦ 111) If W m" l^^itf ImJ «U) u
COUNTY OF COOK STATE OF ILLINOIS
j on behalf of Ozinga Materials,"X»oc.
an Illinois 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.
Signature of Applicant
MAW
Notary Public
Subscribed and Sworn to before me this _26rl*day of , flflifelH. , 2020.
OFFICIAL SEAL BARRY N. VOORN Notaiy Public - Stale of Illinois J My Commission Expires 10/11/2020
Date of Introduction:
File Number:
Ward:
To whom it may concern:
I, 1f$T, an Illinois corporation, a tenant and co-Applicant concerning the subject property located at 3151 S. California Ave., Chicago, IL, authorize the Law Offices of Samuel V.P. Banks to file a Zoning Map Amendment Application with the City of Chicago's Department of Planning and Development for that property.
Ozhig^
Its: &£C V)T/WrVP^rjosTRy¦
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT and AFFIDAVIT Related to Contract/Amendment/Solicitation EDS # 149617
SECTION I -- GENERAL INFORMATION
Legal name of the Disclosing Party submitting the EDS:
Ozinga Materials, Inc. d/b/a Ozinga Materials & Logistics Enter d/b/a if applicable:
The Disclosing Party submitting this EDS is:
the Applicant
Business address of the Disclosing Party:
19 001 Old LaGrange Road Mokena, IL 60448 United States
Telephone:
708-326-4210 Fax:
708-326-4211
Email:
nicoleramsay@ozinga.com
Name of contact person:
Nicole Ramsay
Federal Employer Identification No. (if you have one):
Brief description of contract, transaction or other undertaking (referred'to below the "Matter") to which this EDS pertains:
Application for an amendment to the zoning ordinance Which City agency or department is requesting this EDS?
DEPT OF PLANNING AND DEVELOPMENT
Specification Number
Contract (PO) Number
Revision Number
Release Number
User Department Project Number
SECTION II -- DISCLOSURE OF OWNERSHIP INTERESTS
NATURE OF THE DISCLOSING PARTY
1. Indicate the nature of the Disclosing Party:
Privately held business corporation
Is the Disclosing Party incorporated or organized in the State of Illinois?
Yes
DISCLOSING PARTY IS A LEGAL ENTITY:
1 .a.1 Does the Disclosing Party have any directors?
Yes
1 .a.3 List below the full names and titles of all executive officers and all directors, if any, of the entity. Do not include any directors who have no power to select the entity's officers.
Officar/Director: Martin Ozinga TV
Title: President
Role: Both
Officer/Director: Aaron Ozinga
Title:
Role: Director
Officer/Director: Donald L. Van Dyk
Title: Assistant Treasurer
Role: Both
Officer/Director: Barry N. Voorn
Title: Secretary
Role: Both
Officer/Director:
Title:
Role:
Officer/Director:
Title:
Role:
Edward Van Poucke Chief Operating Officer Officer
Kimberly Herlihy
Treasurer
Officer
2. Ownership Information
Please provide ownership information concerning each person or entity that holds, or is anticipated to hold (see next paragraph), a direct or indirect beneficial interest 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 limited liability company, or interest of a beneficiary of a trust, estate, or other similar entity. Note: Each legal entity below may be required to submit an EDS on its own behalf.
Please disclose present owners below. Please disclose anticipated owners in an attachment submitted through the "Additional Info" tab. "Anticipated owner" means an individual or entity in existence at the time application for City action is made, which is not an applicant or owner at such time, but which the applicant expects to assume a legal status, within six months of the time the City action occurs, that
-3 -
would render such individual or entity an applicant or owner if they had held such legal status at the time application was made.
• Ozinga Bros., Inc. - 100% - EDS 150106
° Jeffrey Ozinga Revocable Trust dated April 3, 2015 -
7.96% - EDS 150107 o Martin Ozinga IV GST Separate Trust - 15.34% - EDS
150108
o Karl S. Ozinga GST Separate Trust - 15.34% - EDS 150109 ° Justin A. Ozinga GST Separate Trust - 15.34% - EDS 150110
° Aaron C. Ozinga GST Separate Trust - 15.34% - EDS 150111
o Paul Andrew Ozinga GST Separate Trust - 15.34% - EDS 150112
° Timothy J. Ozinga GST Separate Trust - 15.34% - EDS 150113
Owner Details
Name
Aaron C. Ozinga GST Separate Trust
Jeffrey Ozinga Revocable Trust dated April 3, 2015
Justin A. Ozinga GST Separate Trust
Karl S. Ozinga GST Separate Trust
Martin Ozinga IV GST Separate Trust
Ozinga Bros., Inc.
Business Address 19001 Old LaGrange Mokena, IL 6 044 8 United States
19001 Old LaGrange Mokena, IL 6 044 8 United States
190 01 Old LaGrange Mokena, IL 60448 United States
19 001 Old LaGrange Mokena, IL 6 044 8 United States
-190 01 Old LaGrange Mokena, IL 60448 United States
19001 Old LaGrange Mokena, IL 60448
United States
Paul Andrew Ozinga GST Separate Trust
19001 Old LaGrange Road Mokena, IL 60448
United States
Timothy J. Ozinga GST Separate Trust
19 0 01 Old LaGrange Road Mokena, IL 60448
United States
SECTION III INCOME OR COMPENSATION TO, OR OWNERSHIP BY, CITY ELECTED OFFICIALS
A. Has the Disclosing Party provided any income or compensation to any City elected official during the 12-month period preceding the date of this EDS?
No
B. Does the Disclosing Party reasonably expect to provide any income or compensation to any City elected official during the 12-month period following the date of this ED,S?
No
D. 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 of the Municipal Code ("MCC")) in the Disclosing Party?
No
SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist (as defined in MCC Chapter 2-156). accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature of the relationship, and the total amount of the fees paid or estimated, to be paid. The Disclosing Party is not required to disclose employees who are paid solely through the Disclosing Party's regular payroll.
-5-
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.
Has the Disclosing Party retained or does it anticipate retaining any legal entities in connection with the Matter?
Yes
List below the names of all legal entities which are retained parties.
Name:
Anticipated/ Retained:
Business Address:
Relationship: Fees
($$ or %): Estimated/Paid;
Sandman Inc. Retained
19657 W Sharp Road
Elwobd, IL 60421 United States
Consultant
Estimated
Name:
Anticipated/ Retained:
Business Address:
Relationship: Fees
($$ or %): Estimated/Paid:
Law Offices of Samuel V.P. Banks Retained
221 N LaSalle St #3800
Chicago, IL 60601 United States Attorney
Estimated
3. Has the Disclosing Party retained or does it anticipate retaining any persons in connection with the Matter?
No
SECTION V - CERTIFICATIONS
A. COURT-ORDERED CHILD SUPPORT COMPLIANCE
-6-
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 of any child support obligations by any Illinois court of competent jurisdiction?
No
B. FURTHER CERTIFICATIONS
[This certification 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 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).
This matter is not a contract handled by the Department of Procurement Services
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.
I certify the above to be true
The Disclosing Party and, if the 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 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;
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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) terminated for cause or default; and
have not, during the 5 years before the date 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 of local government.
I certify the above to be true
The Disclosing Party understands and shall comply with the applicable requirements of MCC Chapter 2-56 (Inspector General) and Chapter 2-156 (Governmental Ethics).
I certify the above to be true
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 of Illinois, or any agency of the federal government or of any state or local government in the United States of America, in that officer's or employee's official capacity;
agreed or colluded with 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).
I certify the above to be true
-8-
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
bid-rigging in violation of 720 ILCS 5/33E-3:
bid-rotating in violation of 720 ILCS b/33b-4: or
any similar offense of any state or of the United States of America that contains the same elements as the offense of bid-rigging or bid-rotating. 1
I certify the above to be true
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.
I certify the above to be true
[FOR APPLICANT ONLY]
Neither the Applicant nor any "controlling person" [see MCC Chapter 1-23. Article I for applicability and defined terms] of the Applicant is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any "sister agency"; and
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.
I certify the above to be true
[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")
I certify the above to be true
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 of the City, use any such
contractor/subcontractor that does not provide such certifications or that the
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Applicant has reason to believe has not provided or cannot provide truthful certifications.
I certify the above to be true
To the best of the Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all current employees of the Disclosing Party who were, at any time during the 12-month period preceding the date of this EDS, an employee, or elected or appointed official, of the City of Chicago.
None
To the best of the 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 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 as required by law.
None
CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
The Disclosing Party certifies, as defined in MCC Section 2-32-455(b). the Disclosing Party
is not a "financial institution"
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.
1. 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 of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
No
CERTIFICATION REGARDING SLAVERY ERA BUSINESS
If the Disclosing Party cannot make this verification, the Disclosing Party must disclose all required information in the space provided below or in an attachment in the "Additional Info" tab. Failure to comply with these disclosure requirements may
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make any contract entered into with the City in connection with the Matter voidable by the City.
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.
I can make the above verification
SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
Is the Matter federally funded? For the purposes of this Section VI, tax credits allocated by the City and proceeds of debt obligations of the City are not federal funding.
No
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.
I acknowledge and consent to the above The Disclosing Party understands and agrees that:
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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 of the 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. If the Matter is a contract being handled by the City's Department of Procurement Services, the Disclosing Party must update this EDS as the contract requires. NOTE: With respect to Matters subject to MCC Article I of Chapter 1-23 (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.
I acknowledge and consent to the above
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 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
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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 corporate officers of the Disclosing Party, if the Disclosing Parly is a corporation; all partners of the 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, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5% ownership interest in the Disclosing Party. "Principal officers" means the president, chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority.
Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
No
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??
No
APPENDIX C-PROHIBITION ON WAGE & SALARY HISTORY SCREENING
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 (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.
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On behalf of an Applicant that is a contractor pursuant to MCC Section 2-92-385, I hereby certify that the Applicant is in compliance with MCC Section 2-92-385(b)(1) and (2), which prohibit: (i) screening job applicants based on their wage or salary history, or (ii) seeking job applicants' wage or salary history from current or former employers. I also certify that the Applicant has adopted a policy that includes those prohibitions.
This certification shall serve as the affidavit required by MCC Section 2-92-385(c)(1).
N/A - I am not an Applicant that is a "contractor" as defined in MCC Section 2-92-385.
ADDITIONAL INFO
Please add any additional explanatory information here. If explanation is longer than 1000 characters, you may add an attachment below. Please note that your EDS, including all attachments, becomes available for public viewing upon contract award. Your attachments will be viewable "as is" without manual redaction by the City. You are responsible for redacting any non-public information from your documents before uploading.
The response above to Section V B-2 and B-ll are based upon the best of the Disclosing Party's knowledge after reasonable inquiry.
List of vendor attachments uploaded by City staff
None .
List of attachments uploaded by vendor None.
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS, and Appendices A and B (if applicable), on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS, and Appendices A and B (if applicable), are true, accurate and complete as of the date furnished to the City. Submission of this form constitutes making the oath associated with notarization.
/s/ 03/16/2020 Nicole Ramsay Legal Assistant
Ozinga Materials, Inc. d/b/a Ozinga Materials & Logistics
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This is a printed copy of the Economic Disclosure Statement, the original of wh is filed electronically with the City of Chicago. Any alterations must be made electronically, alterations on this printed copy are void and of no effect.
-15-
Metropolitan Water Reclamation District of Greater Chicago
100 EAST ERIE STREET CHICAGO, ILLINOIS 60611-3154 312.751-.5600
Susan T. Morakalls
General Counsel
February 21,2020
312.751.6557 (: 312.751.6598 morakaliss@rnwrd.org .
By First Class U.S. Mail and email to: iiksandrnan@grnail.com
Comoron Davio Klmberly Du Buclet Marcolino Garcia .lostoa Morlta Dobra Shore Marlyfina T. Spyropoulos
. John Kbty, Presideiit ¦"' . : ;Sana%iah Inc.
Elwood, XL 60421
Re: Request by Lakeshore Recycling Systems, LLC ("Lakeshore?') and Ozinga Materials, Inc.
("Ozinga") that die Metropolitan Water Reclamation District of Greater Chicago
(district") Sign a Letter Stating No: Objection t^ Zoning Map Amendment
:' Application on Lakestefefs 11^ Acre: Leasehoja Located> at 3151 South California • Avenuera^
;S.19CM^ .'v.
DeaJ^Ir.Kpty: -/ .'-
6h ,thiL-^J^'-^^'ct real esliite.
, Flease Aote mat riothih in the Executive director's .letter should b^ £is authorizing any
use of the leaisehpld for any pu0pses other than thos^ Article 3.07 of the Lease
Agreerhent dated November 17,20.16 between the^ bistriQt^dLilffishote and Paragraph 3 of the Consent to Sublease dated April 5 ,, 2018. between the District, Lakeshore arid Ozinga.
Please contact fne at i312 V 751 -6569 or at murravc@.mwd;6fg should vou have any questions.
Christopher M, Murray Head Assistant Attorney
Sincerely yours,.
Attachment
ce; Rich Golf (rgolf@lrsrecvcles.com^ (w/ Attachment) J.R. Wydra "(j rwvdra@oziriga.com ) (w/ Attachment)
- Kimborly-Du Buclot
Metropolitan Water Reclamation. District of Greater Chicago ^ZtT*
100 EAST ERIE.STREET CHICAGO. ILLINOIS 60611-3154 312.751.5600 ^brashoro
Marlyana T. Spyropoulos
Susan T. Morakalis
General Counsel
312.751.6557 f: 312.751.6598 morakafiss®. rnwrd.org
February 18,2020
Git^ d^CbJcago , ... 'X:---.-'~XX.:
I)ep&tfffie^^
12lMjia^a]l^ St, 10",?Floor 'XXX:' . : Chicago; it 60602
Rii Lan3pWner,3SLetter of No Objection, to a z^ningMap Amendment Application .to; be Filed
. . pri Behalf of the Respective tenants arid do-Applicants, LaKe^hpre Recyclirig Systems,
;i^: p^ Ozinga Materials, Inc., an
. Xei^ of'eHc^ of* planning and
V-:": .v!-TJ^^ Illinois;
T6 Wtiofe It May ; Concern:
Mejtee^he;kdyi&d that the Metidgbh^ ,l^iReclar^pB,iDj^fiipt of greater Chicago
\:jf^^P} is'^ejp\#er:^ 1 ;97 aeres pflaiid located
¦ .
- Siit|^ 11 #7 acre site from.
•¦ 'jt^sftpre';^ tS:bei filed, pfr
Sincerely,
^?iah:A. Pferkoyich Executive Director
STM:GMM;vp
' be^^ to estabUsih. an Industrial
1$afei^^
Department of Buildings
CITY OF CHICAGO
DATE:
TO:
FROM: SUBJECT:
05/28/2020
Patrick Maloney, PE, Assistant Chief Engineer Andrew Billing, PE, Lead Stormwater Reviewer Determination Based on Design Plans, dated: 05/06/2020
Project Name: Project Address: Tracking Number:
Ozinga Materials—Driveway Apron Replacement 3151 S California Ave
N/A
Designer/Developer: Landmark Engineering
0 Not a Regulated Development. The above referenced project is not a regulated development under the stormwater ordinance for the following reasons:
The project does not disturb a land area or substantially contiguous land areas of 15,000 square feet or more.
The project does not create an at-grade impervious surface of 7,500 or more substantially contiguous square feet.
The project does not result in discharges of stormwater into any waters or separate sewer system.
Departmental requirements are subject to change. This record of determination is valid for one year from the date of issue indicated above. It is .the designer's/developer's responsibility to field check the size, location, and invert elevation of existing sewers and other city-owned or private utilities prior to the start of construction.
Andrew Billing, PE, CFM, Lead Stormwater Reviewer Mackie Consultants, LLC
Brad Hensley, PE, Landmark Engineering
121 "North LaSalle Street, Chicago, Room 900, Chicago, Illinois 60602
i
Ozinga Materials & Logistics
19001 Old LaGrange Road, Mokena, IL 60448
708.326.4300
June 8, 2020
Department of Planning and Development Attn: Commissioner Patrick Murphy City Halt
121 N LaSalle St., RM 905 Chicago, IL.60602
RE: Ozinga Materials - PD Application at 3151S. California Avenue Dear Commissioner Murphy,
Regarding the PD application at location noted above, Ozinga Materials & Logistics (OML) and its consultant team (Consultant) participated in a pre-intake meeting with various City Departments on November 27, 2019. The following are OML's responses to comments received at the meeting:
OML will provide a mobile water spraying unit for surface dust control in all unloading, loading and process areas;
OML will provide a mobile water assisted sweeping device to clean and maintain the driveway surface;
OML will publish a policy to all customers using the site that engine idling time must be limited to 5 minutes or less to assist in the reduction of greenhouse gas emissions. A sign stating this policy will be posted near the entrance to the property.
OMt will enforce truck tarping policy for all loaded trucks, both inbound & outbound.
OML will enforce the following noise controls:
o 6:00 AM to 6:00 PM during working days
o Crushing equipment and mobile yard equipment to meet all noise suppression
standards
o All arriving materials will be free flowing from truck trailers and will not require tailgate slamming to discharge material - to be posted as company yard policy.
As our desire to serve the local economy and communities, OML is dedicated to lowering environmental impacts at our facilities. Please do not hesitate to contact me if you have any questions.
Sincerely,
Isaac Yun, P.E.
Director of Project Development Ozinga Materials & Logistics 312-343-9434 lsaacYun@Ozinga.com
www.6zinga.com
¦I'.r^iSpqi'Old LaGrahge Rpad.-Mokerra,- IL.60448
708.326.4300 ' ' ¦
hebruary 21, 2020
Department of Planning and Development Attn: Commissioner Patrick Murphy City Hall
121 N LaSalle St, RM 905 Chicago, IL60602
RE: PD Application at 3151S. California Avenue
Dear Commissioner Murphy,
Regarding the PD application at location noted above, Ozinga Materials & Logistics (OML) and its consultant team (Consultant) participated in a pre-intake meeting with various City Departments on November 27, 2019. The following are OML's responses to comments received at the meeting:
OMt will provide a mobile water spraying unit for surface dust control in all unloading, loading and process areas;
OML will provide a mobile water assisted sweeping device to clean and maintain the driveway surface;
OML will publish a policy to all customers using the site that engine idling time must be limited to 5 minutes or less to assist in the reduction of greenhouse gas emissions. A sign stating this policy will be posted near the entrance to the property.
As our desire to serve the local economy and communities, OML is dedicated to lowering environmental impacts at our facilities. Please do not hesitate to contact me if you have any questions.
Sincerely,
Isaac Yun, P.E.
Director of Project Development Ozinga Materials & Logistics 312-343-9434 lsaacYun@Ozinga.com
Ozinga Materials - Applicant IM Crushing - Operator
3151 South California Avenue Chicago, IL 60608
Fugitive Particulate Matter Control Plan
Table of Contents
1.0 Introduction|910|2.0 Source Information|910|3.0 Description of Unloading and Transportation Equipment with Pollution Control Equipment|910|Unloading Operations|910|Transporting Operations|910|Best Management Practices|910|4.0 Emission Sources Equipment |910|Truck Loading and Unloading .'|910|Barge Loading and Unloading|910|Material Storage Bins|910|Transfer Points and Conveyors|910|Crusher Spraying Equipment|910|Traffic Areas and Roadway Cleaning|910|5.0 Periodic Inspections|910|6.0 Fugitive Particulate Matter Control Plan Amendments 9
Appendix A - Site Map
1.0 Introduction
This document serves as the Fugitive Particulate Matter Control Plan (The Plan) for the OML site located al 3151 South California Avenue, Chicago, Illinois (the Site). I his Plan is used as the primary reference for controlling particulate matter, or dust. Guidance for the format of this Plan is provided in Illinois Administrative Codified Regulations 35 IAC 212.309 and 310, and Section 12.5.13 of the City of Chicago Transfer Station Application Requirements and Location, Operating and Design Standards. The activities listed in this Plan shall not be required when the wind speed exceeds 25 mph, pursuant to 35 IAC 212.314. However, IM Crushing will continue to perform dust control measures where feasible when wind speeds exceed 25 mph.
IM Crushing performs the crushing of concrete for recycling purposes. Uncrushed concrete and Recycled CA-6 (crushed concrete) are placed in storage areas at the site. IM Crushing also provides the continuing operation of the barge terminal activities which include the inbound (unloading) receipt and storage of various aggregate materials and the outbound (loading) of various aggregate and other approved waste materials.
Particulate matter emission sources at the site .include the following:
One primary crusher, one secondary crusher, stacking conveyor(s)
Concrete Storage area and aggregates storage bins
Roads, including entrances and exits, at the site.
Continuing Barge terminal activities
Observations of potential particulate matter emissions will be performed by site personnel. Visible emission observations will generally follow the guidelines typical of USEPA Method 22 procedures. The person performing the observation should have a clear view of the activity and be at least 15 feet away from that activity. The sun should be positioned at the back of the observer. The observation period shall be a minimum of six minutes, or the length of the observation process being observed.
Edits to this plan are reflected in the Amendments section.
2.0 Source Information
IM Crushing - 31st Street Facility 3151 South California Avenue Chicago, Illinois 60608 Owner of the Site: Ozinga materials Operator of the Site: IM Crushing LLC
Map of the Site: The map of the Site includes site boundaries, structure locations, internal roads, entrance and exit ways, and potential emission points. The map is in Appendix A.
3.0 Description of Unloading and Transportation Equipment with Pollution Control Equipment
3.1 Unloading Operations
The Site receives previously used, broken concrete from demolition projects. This material is stored on the site, then crushed into Recycled CA-6 concrete aggregates. The concrete aggregates are stored in a holding bin on the property.
Trucks which transport concrete to and from the site are tarped except during unloading operations when they deliver the material directly to the raw material storage area. The material storage bins on the site are surrounded by three walls, and only have one open side for access by material handling loaders. Loaders and trucks also operate within the facility to transport the material throughout the site.
Process Operations
Pre breaking of the broken concrete is accomplished using hydraulic excavators equipped with hydraulic breakers to reduce the size of the broken concrete to meet the size requirement for introduction to the primary crusher.
Articulating front end Loaders are used to transport broken concrete from the raw material storage bin to the crushers. Conveyor systems transport the product(s) from the crusher to the holding bins.
Fugitive dust generated by delivering concrete to the crusher is controlled by limiting the free fall of the raw material into the crusher.
Continuing Barge Terminal Operations
Barges are essential to the operations of the site. Old concrete can be shipped to the site on the barges while crushed concrete can be loaded and shipped from the site.
Miscellaneous aggregates are shipped to the site by barge and held in bins to be sold and shipped from the site by truck.
A Material Handler equipped with a clamshell bucket is used to move materials to and from the barge. Fugitive dust generated by delivering materials to and from the barge is controlled by limiting the free fall of materials.
Best Management Practices
The following is a table which shows the Best Management Practices for each potential dust emission source:
Emission Source Best Management Practice
Tiuck Loading and Unloading A non-accelerating dump speed is applied • during truck unloading and loading Trucks delivering material remain tarped until unloading material at the site Periodic inspection of all dust control equipment
Barge Loading and Unloading Limiting the free fall distance of material when loading or unloading barges.
All materials Storage Bins Material does not overflow or escape storage bin walls Water or other dust suppressant is applied to materials when needed Periodic inspection of all material storage bins
Transfer Points A minimal free fall distance be used when transferring material into the feed hopper A minimal free fall distance will be used when transferring material from conveyors Periodic inspections to ensure best management practices are sustained
Conveyors Maintain constant speed of conveyors to limit dust Periodic inspections to ensure best management practices are sustained
Crusher Spraying Equipment Water spray for crusher is continually operating except during precipitation events Periodic inspections to ensure best management practices are sustained
Traffic Areas/Roadway Cleaning Paved plant roads are maintained using a water assisted sweeper truck during Site operation (weather permitting). Entrances/Exits are maintained using a water assisted sweeper truck during Site ¦ operation (weather permitting). Maintain and post a 5-mph speed limit for the Site Periodic inspections to ensure best management practices are sustained
Section 4.0 Emission Sources
Truck Loading and Unloading
4.1.1 Activity: Brokon ooncrctc (raw material) Unloading and miscellaneous aggregates loading.
Codified Regulation(s): 35 IAC 212.315
Best Management Practices Associated with Activity
A non-accelerating dump speed and limited free fall distance is practiced during truck unloading and loading
Trucks transporting material remain covered until loading/unloading material at the site
Scheduled Performance of Practice: Daily
Monitoring Practice: Daily
Broken concrete is transported to and from the site with the use of trucks and barges. The concrete is transported within the site with the use of loaders. The trucks transporting the material must be tarped until the process of unloading or loading takes place.
The Best Management Practices listed above shall be performed daily. If visible emissions are observed, corrective action will be performed.
Barge Loading and Unloading
4.2.1 Activity: Material loading to and unloading from barges
Codified Regulation(s): 35 IAC 212.315
Best Management Practices Associated with Activity
A limited free fall distance is practiced during barge unloading and loading
Scheduled Performance of Practice: Daily
Monitoring Practice: Daily
Materials are transported to and from the site with the use barges. The materials are transported within the site with the use of loaders. Loaders will place materials throughout the site with a limited free fall distance.
The Best Management Practices listed above shall be performed daily. If visible emissions are observed, corrective action will be performed.
Raw Material Storage Bin
4.3.1 Activity: Broken Concrete Storage (raw material) Codified Regulation(s): 35 IAC 212.304 Best Management Practices Associated with Activity
Material does not overflow or escape storage bin walls
Water or other dust suppressant is applied to materials when needed
Scheduled Performance of Practice: Daily
Monitoring Practice:
Broken Concrete stored must not exceed the height of 30ft. In addition, the material must remain within the storage bin. The concrete does not generate dust. However, in the unlikely event that dust is observed, water or another dust suppressant shall be placed on the material.
The Best Management Practices listed above shall be performed daily. If visible emissions are observed, corrective action will be performed. Dust suppressant on the material shall only be placed on the material if visible emissions (dust) is observed.
4.3.2 Activity: Pre-Breaking
Best Management Practices Associated with Activity
Material remains in area of pre-breaking activity
Scheduled Performance of Practice: Daily
Concrete which arrives at the site undergoes a pre-breaking process before being transferred to the crusher. This is usually performed with the use of a jackhammer on a piece of mobile equipment. No dust is generated from this practice.
Transfer Points and Conveyors 4.4.1 Activity: Concrete Transfer
Codified Regulation(s): 35 IAC 212.305
Best Management Practices Associated with Activity
A minimal free fall distance will be used when transferring material into the feed hopper
A minimal free fall distance will be used when transferring material from conveyors
¦ Maintain constant speed of conveyors to limit dust Scheduled Performance of Practice: Daily Monitoring Practice: Daily
Concrete is delivered to the feed hopper using loaders. The loaders shall unload the material at a minimum free fall distance to prevent dust from being generated. In addition, conveyors will be placed to limit dust at transfer points. Finally, conveyors will operate at a constant speed.
The Best Management Practices listed above shall be performed daily. If visible emissions are observed, corrective action will be performed.
Crusher Spraying Equipment
4.5.1 Activity: Crusher Spray Operation
Codified Regulation(s): 35 IAC 212.308
Best Management Practices Associated with Activity
Water spray for crusher is operating continually during operation except during precipitation events
Scheduled Performance of Practice: Daily Monitoring Practice: Daily
A water spray or equivalent will always be applied to the point of crushing during operation. This will not be operational during precipitation events.
A determination for visible emissions from the point of crushing shall be observed. If visible emissions are observed, corrective action will be performed.
Traffic Areas and Roadway Cleaning
Activity: Operation on Site Roads Codified Regulation(s): 35 IAC 212.306
Best Management Practice Associated with Activity
Paved site roads are maintained using a wet sweeper truck during Site operation (weather permitting).
Scheduled Performance of Practice: Daily at a minimum
Monitoring Practice: Daily
The internal roads of the site shall be swept to mitigate dust generated from traffic. In addition, a determination for visible emissions from the plant road shall be observed. If visible emissions are observed, corrective action will be performed.
Activity: Entrance/Exit Operation
Best Management Practice Associated with Activity
Entrances/Exits are maintained using a wet sweeper truck during Site operation (weather permitting).
Scheduled Performance of Practice: Daily at a minimum
Monitoring Practice: Daily
The Entrances/Exits of the plant experience heavy volumes of traffic during a normal workday. These areas shall be swept daily at a minimum to control dust.
In addition, a determination for visible emissions from the Entrances/Exits shall be observed. If visible emissions are observed, corrective action will be performed.
Activity: Ancillary Roadway Activities
Best Management Practices Associated with Activity
Maintain and post a 5-mph speed limit for the Site
For safety and to prevent dust generation, all vehicles shall be limited to a speed of five miles per hour. This shall always be enforced. This shall be performed on an as-needed basis.
Section 5.0 Periodic Inspections
Routine inspections are necessary for the proper operation of all equipment at the Site. A weekly inspection shall be performed on the following equipment:
Crusher Spray Equipment Storage Bin Walls All Sweepers
Section 6.0 Fugitive Particulate Matter Control Plan Amendments
Date Amendment Name Signature
Appendix A - Site Plan
Concrete feusnmg®pe!ratiou
.Chicago,/ Illinois' . v ' '
ga Materials and Logistics
Prepared For:
1. Introduction
This report summarizes the methodologies, results, and findings of a traffic study conducted by Kenig, Lindgien, O'Huia, Aboona, Inc. (KLOA, Inc.) for a proposed concrete uubjpifig' 'tipeialion to be located in Chicago, Illinois. The concrete crushing operation is to be^lo'elated within the existing Lakeshore Recycling System (LRS) truck and container yard locatea^^the east side of California Avenue along the north side of the Chicago Sanitary and Sh^CaiM^RS,uses the western portion of the site for the storage, maintenance, and repair ofintfste mdullryteontainers.
r^- w_*__:_i J t .1 1 .1 . rJ^.: l^&Sj • 1
Ozinga Materials and Logistics currently leases the eastern portion^ofthejisite as a barg^^tpiinal. Access to the overall site is provided via a single access drive loqaf^dSon^the east side of CMitfSmia
Avenue at the north end of the site.
Ozinga Materials and Logistics is proposing to install aj^j^ete cruslrin^pperation on the eastern portion of the site where the barge terminal is locatea\^^^pncre|e^er^bing equipment will include both a primary Gaw) crusher and a secondary (rotary%^^^3sher that are used in series to produce finished materials (product). In addition, storage binl^wil]^be used to stockpile (1) the clean broken concrete transported to the site' from local constmc&orivand demolition (C&D)
until they are transported from the site. Th¥pia^ija|swill be transported^!^ dumD trucks or to the site via barees. W*2*5^^^^^. Jr
projects, street/highway projects, and otl^^o^nstruction projects and^p^e^finished materials
—*:1 4,1 — * t"J r ^' ™~ *-t---~1 1--¦•- '""^and from the site via
r^ound^affic icoMi^ns, assess the impact that the adjaetermine if any street or access accommodate traWc generated by the proposed operation.
dump trucks or to the site via barges.
The purpose of this study was to examine bacL — proposed operation will have on traffic conditioMuphe area, an improvements are necessars
Figure 1 shows theSIocation offlfe site in relation!
aerial view of th€$i|a. g|» ]
The sections ofA^^^^pi^^^^^^fete^
as'tiiYs
A descn|^^^f the pr^^^^L^encrete crushing operation
DirectionaMi|tribution ol|Jjje concrete crushing operation traffic Vehicle trip generation for the concrete crushing operation Future traffic conditions including access to the concrete crushing operation Traffic analysejpor the weekday morning and evening peak hours
iR^commendat^ons with respect to adequacy of the site access and adjacent street system
Concrete Crushing Operation Chicago, Illinois
Concrete Crushing Operation Chicago, Illinois
Concrete Crushing Operation Ch icago, IHit 10 i y
Traffic capacity analyses were conducted for the weekday morning and evening peak hours for the following; conditions:
Existing Condition - Analyzes the capacity of the existing street system using existing peak
hour traffic volumes in the surrounding area.
Future Condition - Analyzes the capacity of the existing street systernTbased on future projected traffic volumes that include the existing traffic volumes i^c^e"^^bv an ambient area growth factor (growth not attributable to any particular deyeTopmeritll^d^the traffic estimated to be generated by the proposed concrete crushing operation.
Concrete Crushing Operation Chicago, Illinois
2. Existing Conditions
Existing street and traffic conditions within the study area were documented based or£>field visits and traffic counts. The following provides a summary of the physical characteristic's'of tne streets including geometry and traffic control, public transportation available in the^a|ea, and the peak hour vehicle, pedestrian, and bicycle flows along area streets.
Site Location
area in^J^i^^ustrial^warehouse, distribution,
The concrete crushing operation is to be located within the existjfj|^RS truck and contaiq|r^ard located on the east side of California Avenue along the north side of the Chicago Sanitary and^ing: Canal. LRS uses the western portion of the site for the storage, maintenance, and repair of wafte' industry containers and Ozinga Materials and Logistic|<^|pitly leases^e^astern portion oj$he site as a barge terminal. Land uses in the _ _ construction, and trucking facilities.
festudy area are illustrated in Figure 3 and
The characteristics of the existing streets described below.
California Avenue is a north-south, major collector stieet that
partial interchange with 1-55 rection, except within proximity
Existing Street System Characteristics
(to and from the southwest). It generally has on^lane in each
to the 1-55 interchange^^^^^vo lanes in eac^i direction are provided. Parking is generally
prohibited on both J^es ofi^^^eet within the Wginity of the site. Separate left-turn lanes are
provided on Calif^^a Avenue||pts intersections w^J^he 1-55 on-ramp (dual left-turn lanes on
the northbound^^^ach) and 3^Street (single leftjsarn lanes on both approaches). A southbound
separate righf^turi^^^ at its intersection with the 1-55 on-ramp.
)T) volume
,900-veE
California Avenue is u%i^the jurfeHi^icin^^^e Cook County Department of Transportation and Highwa^^CDOTH) De^roe^n 1-55 and 31st Street and the Illinois Department of Transportation ^^^&|^p5, has apfjs|e^i speed limit of 30 mph, and has an Annual Average Daily Traffic
JOT 2018).
Street is an easrajj||t, minc^rterial street that generally has one lane in each direction with s^^KKing permitted online south side of the street. At its signalized intersection with California Street h||ll separate left-turn lane, a through lane, and a shared through/right-turn
/soar
i^^both approaches. 31st Street is under the jurisdiction of CDOT and has an AADT volume of 9,^»^cles;J||I)T 2018).
1-55 Off-^^j^kas dual left-turn lanes and a separate right-turn lane at its signalized intersection with California Avenue.
Concrete Crushing Operation Ch icago, IIlit i o is
Public Transportation
The area is served via the following bus routes:
Route 94 (South California) which has a stop at the site
Route 60 (Blue Island/26th) which has a local stop at the California M^nue/26^ Street intersection J^f^^,
Route 35 (3 lst/35th) which as a local stop at the California Aven^^^^Si^^jntersection
In addition, the CTA Rapid Transit Pink Line has a local stop on California Avenupi\V.ith 21st Street. ^
Existing Traffic Volumes
In order to determine the existing transportation conditic^|i^Sthe are^>v;elijcle, pedestrian, and bicycle traffic counts were performed at the following interse^f^^^
California Avenue with the 1-55 ramps
California Avenue with 31st Street^?*
California Avenue with the existingp[tpp|tee^sdrive
l^dufirtg the weekday morning "Sine results of the traffic counts
The traffic counts were performed on Thursug*, w^iuujwjKgs^^i (6:00 to 9:00 A.M.) and evening (3:00 to 6:00 I|M.)^^kpen ''^ show that the weekday morning peak hour occurred&rom 7:15 A^C to 8:15 A.M. and the weekday evening peak hour occ^ed||teirn 4:45 P.M. to ®^5 P.M. Figure 4 illustrates the existing peak hour traffic volumes^^^nCT^^^^ioted that the p^pstrian and bicycle activity in the area is very limited. Copies ofjtne traffic &vxmsummary sheetsWreJricluded in the Appendix
iir
Concrete Crushing Operation Chicago, Illinois
Crash Analysis
KLOA, Inc. obtained accident data for the most recent available past five years (2014 to 2018) for the intersections of California Avenue with the 1-55 ramps, California Avenue with the site access drive, and California Avenue with 31st Street. A summary of the crash data for the-^nierseotions are summarized in Table 1 through 4. It should be noted that no fatalities wer^eportecl at the studied intersections during the review period. ^
Table 1
CALIFORNIA AVENUE WITH 1-55 OFF-RAMP - CRASH SUMMARY ^jjlh
Year
Type of Accident Frequency Angle Object Rear End Sideswipe Turning Other Total
SH SUMMARY
Table 2
CALIFORNIA^I&NUE WITjf-55 ON-RAMP
Year
Type of Accident Frequency Angle Object Rear End Sideswipe Turning Other Total|10 10|
k 2016 %fg M|99 99|0 5
Average/^r <1.0 <1.0 2.4 <1.0|99|0 6.8
Concrete Crushing Operation Chicago. Illinois
Table 3
CALIFORNIA AVENUE WITH 31st STREET - CRASH SUMMARY
Year
Average/Year 1.4
Table 4
CALIFORNIA AVENUE WITH SITE A0M1
Type of Accident Frequency Angle Object Rear End Sideswipe Turning Other Total
Type of Accident Frequency Angle Object Rear End Sideswipe Turning Other Total
Concrete Crushing Operation Chicago, Illinois
3. Traffic Characteristics of the Proposed Facili
In order to properly evaluate future traffic conditions in the surrounding area, it waMiecessary to determine the traffic characteristics of the proposed concrete crushing operation^indiuding the directional distribution and volumes of traffic that it will generate.
Proposed Site and Facility Plan
The concrete crushing operation is to be located within the existingfLRS^uck and cmirt;ir?er yard located on the east side of California Avenue along the north side^Ptlie^Chicago Sanitary^Mphip Canal. LRS uses the western portion of the site for the storajje^rnaintenance, and repair of^tl^te^ industry containers and Ozinga Materials and Logistics currently leaseSvthe eastern portion ofMe site as a barge terminal. v
Ozinga Materials and Logistics is proposing to install a concrae^^^mg operation on the eastern portion of the site where the barge terminal is located. The cor|e||t.e crushing equipment will include both a primary Gaw) crusher and a secondary (rotary) style^uther that are used in series to produce finished materials (product). Irfedd-ition, storage bins wiirte^fe.d*t(^stockpile (1) the clean broken concrete transported to the^^^^fejocal construction^^aemolition (C&D) projects, street/highway projects, and otherWpnsti^^^febrajects and (2*/the finished materials until they are transported from the site.
According to the oper^ajr^^^concrete crushing^operation and the existing barge terminal will
i—vnya-fl.i:-*.iia!fck j J-~%truck trips per day. Approximately 70 percent
The materials will be transported to and from trje^te via duirrpnrucks or to the site via barges.
generate approximateJ^"l-0M(^»round-trip, dur
A.M. and 3:00 6:00 A.M. to
of the dump truckjjpps are proj^pd to arrive and^epaft the facility between the hours of 10:00 he operat|pn is estimated tojpave three employees and will operate from Mondawhjraugh^atujna^
trucS ide of (l^ve to Jloound
i the s parives provide
located in the Appendix.
Ition
ontainer yard and the subject site is provided via one access drive ia Avenue at the north end of the site. The access drive is aligned the^l^^raftsfer station and Connelly GPM material yard. Both access lanelmerone outbound lane.
The direetTOns^r^n which vehicles will approach and depart the site was estimated based on the projected c¥||^fion. According to the operator, approximately 80 percent of the traffic will be traveling tojirid from the south on California Avenue and 20 percent will be traveling to and from the north on California Avenue. Figure 5 illustrates the directional distribution of the concrete crushing operation.
Concrete Crushing Operation Chicago, Illinois
Estimated Site Traffic Generation
The volume of peak hour traffic to be generated by the proposed concrete crushing operation and barge terminal was estimated based on its operation. As discussed previously, the operator has indicated that the concrete crushing operation and the existing barge terminal^jpl^generate approximately 100 to 110 round-trip, dump truck trips per day. ApproximatelyJ|f^perccnt of the dump truck trips are projected to arrive and depart the site between the hour|p^,10:00 A.M. and 3:00 P.M. The operation is estimated to have three employees and will typi^iy^^|ile from 6:00 A.M. to 6:00 P.M. Monday through Saturday. Table 5 shows the estimaf^ traffie^||^e,generated by the proposed concrete crushing operation.
Table 5
PROJECTED PEAK HOUR TRAFFIC VOLUMES CONCRETE CRUSHING OPERATIONS AND BARGEJ^MLNAL V
Weekday Morning Peak Hour
In Out Total
Weekday Evening Peak Hour
In Out Total
20
Concrete Crushing Operation
Chicago, Illinois 13
4. Projected Traffic Conditions
The total projected traffic volumes include the existing traffic volumes, the traffic es.tHn.ated to be generated by the proposed concrete crushing operations, and the traffic estimated/tp'^b'e^generated by other planned developments in the nearby area.
The estimated by the proposed
the previously described directional distribution (Figure 5) the concrete crushing operation is illustrated in Figure
Development Traffic Assignment
d weekday morning and evening peak hour traffic yolume-s^that will Degenerated ;ed concrete crushing operation were assigned to the®r:el\^system in accordaM^^ith
fe total new traffic assignim
Planned Developments
the area, an ambient a six-year period to
Total Projected Traffic Volumes
The concrete crushing operation generated tr*uffic^j$ras added™*%e existing traffic volumes accounting for backgroundjgrowth to determin^|re Year 2025^otal projected traffic volumes, shown in Figure 7.
To account for any additional increase in traffic from growth factor of 0.5 percent per year was^also applied to the study represent Year 2025 conditions.
Concrete Crushing Operation Chicago, Illinois
5. Traffic Analysis and Recommendatjons,.^.;^a:@i^
The following provides an evaluation conducted for the weekday morning and eveningjpeak hours. The analysis includes conducting capacity analyses to determine how well the streef'system and
access drive are projected to operate and whether any street improvements oi^jmodifications are
required.
Traffic Analyses
Street and adjacent or nearby intersection analyses were perforrn^-loRjhe weekday morM|||and evening peak hours for the existing (Year 2019) and Year 2025$rojected traffic volumes. NssiiSr
The traffic analyses were performed using the metliodolc^Ji.l^^tlined in thjI^Eransportation Research Board's Highway Capacity Manual (HCM), 2010 and*an^^^^sing^^S^chro/SimTndiic 10
software. The analysis for the traffic-signal controlled mtersecnori^^ere accomplished using field measured cycle lengths and phasings to determine the average owrMl^ehicle delay and levels of
service.
The analyses for the unsignalized inteKectio^p^^^gtihe average contf^plelay to vehicles at an intersection. Control delay is the elapsed timelrom^^^^^^oiiung the que^ue at a stop sign (includes the time required to decelerate to a stop) until it^epaito^romttlaerston^ign and resumption of free flow speed. The methodology analyzes each rl|ersectpn apprc^^ontrolled by a stop sign and considers traffic volumes on all approaches and lan^piaracteristic/r
The ability of an mtei^^ri6n^^#commodate traffife flow is expressed in terms of level of service, which is assignedydffetter froi^S) F based on theWy#page control delay experienced by vehicles passing throughJ^^itersection.Hie Highway Capacity Manual definitions for levels of service and the corresporiamg^oMcol dela^pbr^simalized^iniersections and unsignalized intersections are
included in the Apper
te'asured in se^h Jslkfor the e^Mng-i
Results showing the level of service and overall intersection delay ["total proj ected conditions are presented in Tables 6 through ^¦9. A discussion or^^mitersecticraSSllows. Summary sheets for the capacity analyses are included ^in the Appendix. Ipta
Concrete Crushing Operation Chicago, Illinois
Table 9
CAPACITY ANALYSIS RESULTS CALIFORNIA AVENUE WITH ACCESS DRIVES UNSIGNALIZED
Weekday Morning Weekday Evening
Peak Hour Peak Hour
Intersection LOS Delay LOS Delay
Concrete Crushing Operation Chicago, Illinois
Discussion and Recommendations
The following summarizes how the intersections are projected to operate and identifies any street and traffic control improvements necessary to accommodate the development-generated traffic.
California Avenue with 1-55 Off-Ramp
The results of the capacity analyses show that this signalized intersection^ulrrently operates at Level of Service (LOS) C during the weekday morning peak hour and LjC^jlrB'd^^^ie evening peak hour. Further, all of the intersection movements operate at a good ijjjj|el. of servic^^uring both peak hours. It should be noted that the northbound left-turn queu^^atthe^California A^nue^with 1-55 on-ramp intersection often extends past the subject interseefiSri^EJowever, it is impqrtar}tto note that the queue typically does not block the intersection jashnost motorists will stop anSMajfcp south of the subject intersection until the northbound left-|oih queue clears. However, this results in additional delay and queueing along the Califomia^A^^&i^northbou^sinside through lanlTat the subject intersection.
Assuming the Year 2025 projected traffic volumes, the intersSSSp^is projected to continue to operate at LOS C during the weekday morning peak hour and LOST^^png the weekday evening peak hour. Further, all of the intersection mb^ements are projected to^^^uej^operate at a good level of service. The proposed concrete cn^n^^^emtion is projectedlo^ive a limited impact on the intersection's operation as the addlSo^^^^fjfSG^generated bwthe concrete crushing
^^^e^istin^traffic volumes. As such,
|accon&odat^hfe%affic projected to be generated
TO street imr.
movements and/or traffic control
operation will represent less than a one perceE the intersection has sufficient reserve capacity 1 by the proposed concrete crushing operation modifications are required?
California Avenues
^umbou^^^it-tum movement. During the evening peak hour, the southbound
»K!M. : ii.-'aj'IS.i T /-VP T7 T?-._il il 1 _1 t1_t 1 1 ~A <
The results qf^trJe^plcity an^^^ow that this^signalized intersection currently operates at
LOS B during the wee^^^^^r^^g^e^^i^pn'd LOS C during the weekday evening peak hour.
Further, all of the intefs^tion movemeri®^perate at a good level of service during both peak
hours* -eflsr—™ 3-
rijpl^rn moi^ra^^is operafin^ayLCjS F. Further, as discussed above, the northbound left-turn /fmhene often exteri&s&rough the^o^^nstream intersection.
^I^LSSuming the Year 2^||projecfed traffic volumes, the intersection is projected to operate at LOS luring the weekdajgihorning peak hour and on the threshold between LOS C/D during the vreili|ay evening peaiiliour. Further, all of the intersection movements are projected to continue to op^p||^t a good hjpl of service, except the southbound right-turn movement which is projected to cormmi&|o operate at LOS F during the evening peak hour. The proposed concrete crushing operatiorr^^p^iected to have a limited impact on the intersection's operation as the additional traffic generatea by the concrete crushing operation will represent less than a one percent increase
in the existing traffic volumes. As such, the intersection has sufficient reserve capacity to accommodate the traffic projected to be generated by the proposed concrete crushing operation and no street improvements and/or traffic control modifications are required.
Concrete Crushing Operation Chicago, Illinois
California Avenue with 3151 Street
The results of the capacity analyses show that this signalized intersection currently operates at LOS C during the weekday morning and evening peak hours. Further, all of the intersection movements operate at a good level of service during both peak hours, except the;f-SQn1hho\ind
through movement. During the evening peak hour, the southbound through movement is"currently operating at LOS E. J0T
Assuming the Year 2025 projected traffic volumes, the intersection is^rojecre^^ontinue to operate at LOS C during the weekday morning and evening peakCalifornia Avenue with Site Access Drivers
juseess drives operate at LOS E or F during ¦is due to the higher traffic volumes along the traffic stream. This traffic is able to exit
Access to the LRS truck and container yard«»n
The-results of the capacity anawses show that the the weekday rnOMipg and evening peak hours. California Avemie^n^ithe reduce d,number of i
onto California AveiiuJ*^^pxp^li^|^^^ii^nal delay during the morning and evening peak periods. Assuming the^&£al!v2025 prqjecf^^T&affic volumes, the access drives are projected to contLatfe^o^^&ate at LOS^fe-JDsF. It should be noted that the inbound left-turn movements to the ai>^^^nves*a^^||ently anu^lojected to operate at a good level of service.
Avenue ani
through 20ll$$ias shown that vehicles exiting the existing access drive have experienced a limited number of crashes. As such, the review of the crash data indicates that the access drive is generally providing efficient and orderly access. Nevertheless, the City should consider installing an "Intersection Warning" sign with or without a flashing beacon along southbound California Avenue north of the viaduct.
le site is bounded^Jan abandoned railroad right-of-way on the north side of the site with the r.^„andon railroad rightflS-way having a viaduct that extends over California Avenue. The viaduct, ¦"vyjhjeh has columns in |lMmiddle of and on both sides of California Avenue, is located immediately flfg^fthe existing a)ffess drive. Field observations have shown that the viaduct eastern column canObstruct the view of vehicles traveling southbound on California Avenue. However, the columiisi^^jctio^ts reduced as vehicles pull closer to and/or slightly pull out onto California Iriver is able to see-around the column. Crash data for the past five years (2014
Concrete Crushing Operation Chicago Illinois
6. Conclusion ¦ ¦ .
Based on the preceding analyses and recommendations, the following conclusions^have been made: ^P^
The volume of traffic to be generated by the proposed concrete crushitig^eration will be reduced as some inbound materials will be transported to the site yia^b^rges^
be generated during the critical weekday morning ande^e'rting peak periods will be mwfed^-
Access to the concrete crushing operation facijjts|a^d the LRSj^ck and cnnt*in*r ^ will be provided via the existing access drive lo^tl*daon!ithe eas1&rcle\f Calif
Approximately 70 percent of the dump truck trips are projecteate) arrive anfdM|part the facility between the hours of 10:00 A.M. and 3:00 P.M^siiujgh, the volume orl||^c to
container ^.ard
provided via the existing access drive l^catl^^^he easj|59e^f California Avenue at the north end of the site. The access drive is aligneal^^sif^tne access drive to the LRS transfer station and Connelly GPM material yard. Both aeqi^drives provide one inbound lane and one outbound lane.
Field observations have shown that t^^^femi^column of the viadugpm California Avenue immediately north of the existing aci^s^^^^^b^struct the vjpw of vehicles traveling southbound on California Avenue. However, tlil^^lia^i&bstrue^tion is reduced as vehicles pull closer to and/or slightly pull out onto Calif^rnia^A^ijniiand the drivers are able to see
generally prra^fe^^^eient and orderly access. 1 in'stallin'g jp^Intersec^s Warning" ~ sigr^jjA
around the column. A review of the crasl^l^a has shownjiinat vehicles exiting the existing access drive havj^gx^rcsjenced a limited^jumber of crashes. As such, the access drive is
Nevertheless, the City should consider _ l^ft'iih or without a flashing beacon along southbouiMlSalifornia ywe'nue north of the wouct.
The results 6T#Ii^c^a^ify^li|i^^s
•jB^j^^pauityasiujgj^^plve shown that the street system generally has s^fjjrient reserve^^^ty to accommodate the limited volume of peak period traffic to be ^^^^E^^by the pro^^pfed concrete crushing operation. As such, no street and/or traffic
contrdi
Concrete Crushing Operation Chicago, Illinois
t
LEVEL OF SERVICE CRITERIA
Signalized Intersections
Level of Service
Average Control Delay
Favorable progression. Most vehicles arrive during the green indication and travel through the intersection^
without stopping
Intel pi etatiun (seconds pel velucle)
Individual cycle failures (i.e., one;,. .
vehicles are not able to depart as a je^^f insufficient
any out
capacity during the cycle)Number of vehicles stopping is significant, an^^|",-*s
vehicles still pass through the intersectio '
Unsignalized Intersections
Average Total Delay (SEC/VEH)
>35 -50
Source: Highway Capacity Manual, 2010.
Lanes, Volumes, Timings
V. California Avenue & 31st Street
Lane Configurations *j ^ f *j f- f *j f j* *j f j*
Future 'Volum's (vphj*62~228Tl6 T^T "l50 T 1GG~ 2~74G '~^''l2"l^^^.'401™' 27
Lane Width (ft) _ 12 J_2 12 _ 12 "l2 "* Tji 1T" J2 "*12 12 *~12
Taper Length (ft) 110 125 75'^s^K
IMajji^FacjoC
Ped Bike Factor 1.00 " ""*~^"' " 0-98 "' 0l98 "" LOO^^IiCTo^
- - • ¦ ¦ 0.950 A£ 0.950 V 0.950
Storage Length (ft) 50 110 60 _" 80" 65 5a^P560 70
0.950
Fit Protected
T"""""" ' "n "c ' 7C " ~JS&^ '
SatdgFlpw-fo^
Fit Permitted' 0.655 " "o 433 "'" ""
Right Turn on Red Yes Yes "^Nf^^ Yes Yes
Link Speed (mph) 30 ^30 ^?0^. \# 30
YelpPIs
;-38lQ|f^38Jfi ol6 "~036
Travel Time (s) 28.3' W^^^W ~ ""^jmj^ 10,3
38.0-0.36"
Recall Mode . ... Max Max Max Max Max Max Max Max Max
fotEffctGreMs);^
Actuated g/C Ratio " 030~0.30 048 0.39^~ 0.38 ' 0.38 0.55 " 0.53^" 0.61 "~
Existing Morning Peak 11/18/2019 Baseline
Lanes, Volumes, Timings
1: California Avenue & 31st Street
ControTDelay """ 25)1 J~~3.4"248 ' lfiS~*~j5sr "*13.8HT'C 5.422»9"33.8~"~0."l
TotalDelay 29.1 33.3 3.4 24.8 23.5 0.0 13.8 27.1_ 54^22^9 '331' 6.1
Approach Delay _ ' '24.0^ """"'237"^2.5^^CT~3^
Queue Length 50th (ft) _ 26 127 0 55 73 0 50 Mf j}9 ^^%._227|910|v^;374
927
illllii§$li£^^
X£%4.73
#581
Internal Link Dist (ft) 1167 »_/ ' NjpwWJ
" ' ^ 333 524 724 343 657 513>#465 965 813 171
Base Capacity (vph)
Spillback Cap Reductn 0 0 0 6 0 0 Ji^v 0 6 Reduced v/c Ratio 0.16 0.44 0.16 0.37 0.25 0.01 X0i:3i^'O79 0.15 0.04 0.65 0.05
Area Type: Other _____
Actuated Cycle Length: 105
s-OT-T^^KS'snTfrf
Natural Cycle: 105
fcon^l$ype;3p^
Maximum v/c Ratio: 0.79
Intersection Capacity Utilization 152Jffi
Intj^elihlSigr^^
Existing Morning Peak 11/18/2019 Baseline
Lanes, Volumes, Timings
2: California Avenue & 1-55 On Ramp/Access Drive
L'a^:Gfflup!SP^
Lane Configurations 4* *5*j -f^ ff- j*
FutureVolume(vp'hj 0 "o "" T "T~"l8"** " 69?" ~ 026 *""""'" """"""
6 _ 37 y0^\ 237 109 'WXWW-ltfviWX^M' '1900
Ideal Fl6w#;Hpl)V. .' , •. ,^1?Mi€P0; :.Vl900r^900 -\4l900}A^1900::: :t 1900;;;:;>1900r«19
Lane~widfh (ft) ~"_ "*'~~ J2~" J2'"7/ if12^T1^ 12 12 "^df?<" 12 12 12
Storage Length (ft) 0 0 0 0 325 ~W (^mo 150
Taper Length "(ft) 25 25 25 ^ N<£~ f^ll^
LaiielllMi^^
Ped Bike Factor ' " ""~ '^^'^ .T^"'" """" .
Fit Protected 0.996 0 950 \ }$T
Fit Permitted ".",7." 0.996 " J^*""' ~~ ~
£at3i:F1bMpW)l%^
Right Turn on Red _ ^ y J^l-,, ^ »«¦•¦,,^ ^&§||^ f , Y,es Yes
10.9W 8.4
LM Speed'(mph) ~ - ¦¦¦-^fe- ¦¦ ¦ »¦ ' ' " '"''"^^^^T*' J»~ '* ' 30 " ^|1010|Confl Bikes (#/hr)
100JT 100% 100% 100% 100% 100%
Growth Factor 100%
Bus Blockages (#/hr)
Mid-Block Traffic (%) Share^L^ne^rafg(%jg Lane Group Flow (vph1
Protected Phases
0 247 426
728 1108
. „|99|5 _2 6 6
^"IhFI 6.0 '"^"4Tr 71.0 ——-^2^q ^To
Detectgi^gg^P
||fnum_lj]itial_(s2
Travel Time (s)
1&|feiBlit(s) WSL-. _ 10.0 10.0 51.0 75.0 24.0 24.0
YeSow^Pl^ 'W _Z 30^ 3"?0 3.0' *"" 3.0~ ~3.cS
LosjTimeM^®\ , 0.0 0.0 0.0 - _ _0.£ 0.0
MLo^^^
Lead/Lag ,^P$P^ i-a9 Lead Lead
Recall Mode & None None Max C-Max C-Max C-Max
Actuated g/C Ratio
Existing Morning Peak 11/18/2019 Baseline
Lanes, Volumes, Timings
2: California Avenue & 1-55 On Ramp/Access Drive
Control Delay 40.2 20.6 3.6 _ y£v 26-1 22.3
IPIIPillllli^
Total Delay _ _ __ 40.2 20.6 _ 3.8 Xffi 26.1 22.3
Approach Delay 40.2" 10.5 /^v-?^ 23.7
Queue Length 50th (ft) 11 _ 162 <|0T 57 _84
Internal Link Dist (ft)
llssiifiriM^
i^ayie^^
1081 331 """
SlarVatio^CafeReducS
Spillback Cap Reductn _ _____________ O^^sjilA <0 _ 0
Reduced v/c Ratio
Area Type: Other
Actuated Cycle Length: 85
Natural Cycle: 85
# 95th percentile volume exceeds capacity^ugue may be longer.
i>Drive
t
m Volume for 95th peffiMil^^^e^mete^gy^s^r^m^nal. Splits and Phases: 2: CalHbrnla^^ije^^S^r^^8^
02 (Hi;
Existing Morning Peak 11/18/2019 Baseline
Lanes, Volumes, Timings
3: California Avenue & 1-55 Off Ramp
> > \ f f V
Lane Configurations ^ f
£_|_i_li^
Future Volume (vph) _ 485* 248 _ 0 _ 1277 240 J) _ ^pa^
Lane Width (ft)' " ""iT*" ^~~~i2 T3'*~""~12 ""12" *~M*L
!_j__i^^
Storage Length (ft) 0 0 0|9 9|'jw "^Mk
jSrlgliltef^
Taper Length (ft) 25 25 ^%
Ped Bike Factor _" ""* " *
0.950
jgjffiS'___^^
Fit Protected
»fl^(prot);|lli^
Fit Permitted 0.950 <^~^^W\
Right Turn on Red Yes Yes Nsjl^s.
Link Speed (mph) 30 30 nI^v A
Travel Time (s) 12 6 ^Sffi-5>^ lif
100%
Minpum Initial (s) A^jja 5.0^£jF 40.0 29.0 ______
%^ppjit(s) flM 12.0 44.0 32.0 ~1 L
YelioW^^^" J-p' 2-°'_ 3i 3.0 '"" "~ " "
•Aii-i^fiffe
Lost Time Acj%ffs~^ yfo.0 0.0 ¦ 0.0 0.0 ¦
0M__lffliM
Lead/Lag .^^f^ Lag ^ Lead _^ ' ^
Recall Mode * Max Max Max Max
0.44 0.60
0.47 0.34
ftc];Effct:Gf^
Actuated g/C Ratio
Existing Morning Peak 11/18/2019 Baseline
Lanes, Volumes, Timings
3: California Avenue & 1-55 Off Ramp
> > «s t 1 v
Control Delay _ 26 6 1.8
Total Delayr _26.6_ 1.8
Approach Delay 18.2
Queue Length50th (ft) 214 "~'o"
InternalLinkWst(ftl' * 474
26.2 44.4 (/26.2 _44.4 _
__26.2 44.4 ^x|^V
315 77 <§#
253 401 ^ _
_ 1573 1090
Spillback Cap Reductn 0 0
Reduced v/c Ratio 0.71 0.28|10 9|0 ytMfMkK MK ^
0.85 0.23
Intersection Capacity Utilization 72.8fl_gggfe»". ICU E^el of Service C
"V 04 •
Existing Morning Peak 11/18/2019 Baseline
HCM 6th TWSC
4: California Avenue & Access Drive
Int Delay, s/veh 1.4
Lane Configurations 4* 4* 4*
illtil
6 1 29 3 0 1 27 1016
Storage Lei _
Grade, % 0 - - 0 - - 0
Conflicting Flow All 1772 1773 653 1789 1786 1060 666 0 0 106Qjgi^0 0
StageJ 1115 1116 - 673 670 ' " _
&it»awy^^
Critical Hdwy Stg 1 7.1 6 5 - 7.1 5.5
Follow-up Hdwy 4.4 4.9 4.11 ' 4.4 4 4.2^02 ^f?J
Bros*
Stage 1 326 339 ^^166 285 - W - ' \ „_,__„,.,
HCM LanllkBatio 0.Qj3j - - 0.295 0.113 0.005
HCM Lane LOS||;^ # B A - E F B A _
rHf|fr9,5ttt»
Existing Morning Peak 11/18/2019 Baseline
Capacity Aifaly^fs^Mr-mary Sheets
Existing WeekdawEvening f*eak Hour Conditions
Lanes, Volumes, Timings
1: California Avenue & 31st Street
Lane Configurations _1"iJfff*if,i*'1'ii'f(*^Jr'f'
Tj3ffic:v;pj^ 727;
Future Volume (vph) _ 19 190 308 271 315 10
202 _490 104 603 ?7
i&19.o]l^
Lane Width (ft) _ 12 12 12 12 12 12 """ ~12 '~u''~J$C 12 if 12
Taper Length (ft) Ped Bike Factor
StorageLengihjftjl 50 110 60 80 65 JfT 50%II$6 70
T ¦ ¦¦ »» 110" 125 75 v» x
_____________________ , . „ gj^y _
IM__i_I_I^^
" 0.98 1.00 6.98 /pO ^ 0.97 1.00 ^p^O^
:%18J35;iV:;i;84Sli;g553 W^'JBT.~^> "b.474 ~"~
Fit Protected 0.950 °-950 ^C°-950 0.950
Fit Permitted 0.553 0.503 ^M)98 0.474
Fit Permitted 0.553
0»_a
Right Turn on Red Yes Yes "^"Plj^ ¦ Yes Yes
Satj«f«^^
Link Speed (mph) 30 30 ^^30,"k s> 30
Travel Time (s) 28.3
EMir^^i_^_«i_iio^
Growth Factor 100% 100% 100% 100%
Bus Blockages (#/hr)
Mid-Block Traffic (%)
Lane Group Flow (vplr iTum;Typ>^;?;ff,;:# Protected Phases g|iflltted,;,Pl^^l Detecto]
5 2 3
5 A 3 8 8 5 2 3 6 6 6
R^^M^I) 43.0 ~12„ 53.0"""* 6.6" "38.0
_ 38-°
i'l3l6
Confl. Bikes (#/hr) % ^^^Mfewn^ 3 2
38.0_
"_43F" "41.0%""
Sjwitl
l/jnurn Initial (s) J^||»?0 J40 ^_ _____ _ _
43_0 31)%
^'"""H&lS^
3.0
3.0
_3.0
3.0
:_6"
"^15.0 ~'58~"b 9^0 43JD il4.3%£v5j5T2%^{"?p%f?41i0%"
3.0
Piiilyiastpi^ >.riafrg ¦_».(): g;yr-aQ;^^io - lOtV y.oo-.-. 2.6" ¦ ' "6.6 2:0
0.0
0.0
CToT; >5:0
Lag Lag
Lostfime^usj^" ^0"0~ Q-Q "' 0.0 "^1).0 *" ~O.O" 0.0 "• 0.6"" ""IT*" """6.0 "totalis
Lead/Lag Lag Lag Lead Lead ' Lead Lead Lag
Max ' Max Max
Max
Max Max Max Max Max Max Max Max
l^ad;Lag!0ptinp^
•;-3p "036
^38:0§
"ol"6
Actuated g/C Ratio '~ 0.32" 0.32 " 045* 0.42 04l' " O.Ti"""" 0.52 *" 0.50 "' 0758"6*!3T
Recall Mode Mav m^v m_v M-av M-av m^v Mov m.w
Existing Evening Peak 11/18/2019 Baseline
Lanes, Volumes, Timings
1: California Avenue & 31st Street
Control* Deiay 254 ' 28.911.9 32.0"2aT" 0A^~"'7€f"""26l5/f 2^|~55Abl
Total Deiay 25.4 28.9 1J.9 32.0 ' 24.8 0.1.' 42T "20.1' 5^^2Z2 "55.1 ' • O.'i'
ApproachJDelay 18.7 27.6 2li~4^^% 52.3
^^^^^^.<^^^^^^^^^^^^^^^^^^^^^^^^^^^$ Queue Length 50th (ft) _ 9 99 74 128 155 0 _ 84 J>23?~ _14* ^^isk_3}8 _ 0
Internal Link Dist (ft) 1167 "'"927 ~2mik0<* ^W^A"'
Base Capacity (vph)
;rU.:V.V.V:tlV/.
^266 922 840 325 6B^jgp93
324 586 774 418 733 570
sjiifiMe^
Spillback Cap Reductn 0 0 0 0 0 ^^mmk>. 0 0 0 pt6fageICM;|pgul^
Reduced v/c Ratio 0.06 033 6.41 0.67 6.44 0.02'*^^|^p0.5'5 6.13 0.03 0.93 6.05
Area Type: Other ^^{jp&v
Actuated Cycle LengthT"i05
Natural Cycle: 105 1|
IMl'y"^^
Maximum v/c Ratio: 0.93
Intersection Capacjjy Utilization 1^^^B||Z"^ ^ ^ ^l^^j^^pf Se^ceTT^^ ,-; ' ^
...# 95th percentile volume exgleas ^padty^^pe may belonger-'jiL^' - '- _ -
Splits and Phases: 1: Califorlrufjj^flue §mwsh&tM
Existing Evening Peak 11 /18/2019'Baseline Synchro 10 Report
Page 2
Lanes, Volumes, Timings
2: California Avenue & 1-55 On Ramp/Access Drive
Lane Configuration^ _ 4* V! ft* _ _. fjt •*
plrftjeffio'j^^
Future Volume (vph) 6 0 0 1_ 0 __ 0 763 800 3 ,J^0%. 414 77?
Lane Widthi (ft)i 12 ~~\ " "l2 ~ "12* ~ "~lf ~""j2 " ' if '^.£'''"1212 ~~"\2
Storage Length (ft)|9 9|0 6 0 325 ZJF Pjf^O 150
Taper Length (ft) 25 25 25^ ^ l^jlik
l^£P:li^f^
Ped Bike Factor "~* " jfpO " l"*oT ^pK^oi*
Fit Protected 0.950 0.950 ~C
^ifcFJ^tpB)!!^
Fit Permitted 0.950 ' ""'
^a;«»)^^
Right Turn on Red Yes Yes Njf^K Yes Yes
Link Speed (mph) 30 _ j^, 30 ^3°%,, „>» 30
_ihl^ista^(ft)i^
Travel Time (s) 26.4 \f^M&3>^ 10.9)s|>*_ 8.4
Confl Bikes (#/hr) .... jfL. .^j^^i^^i^^i^ 4 2
Growth Factor
100% 100% 100% 100% ^0^100% IOQEjr-100% 100% 100% 100% 100%
0%
Mid-Block Traffic (%).,. ilrea;i_^r^(%p^ Lane Group Flow (vph
0 0 0 0 0 0 0
.0%.
Protected Phases Detectoj^fjy^j^l Mjrynum Initial (s)
5 2 < 6 6
6.0 6.0 40.0 ""71.0 ~ 27.0 27.0
___ 10.0 10.0 44l0 75.0 31.0 310
iPjallilS^
Yello^m%)' ~~ jpf _ "*" 3 0 3!o""" " ' 3.0 "" ' 3.0~" ~"3.0~3.0
0 848 892 0 0 460 858
5 2 6 6
Recall Mode v _ ______ None None Max_ C-Max C-Max C-Max
get Effct^&%&'::. WX ^W^sM-^Mi : Mbf&h T"'" v"'l5:0gl^35.0
Actuated g/C Ratio ' "" 0.07"""0~47 "T.97~""' oil"041
Existing Evening Peak 11/18/2019 Baseline
11/18/2019
Lanes, Volumes, Timings
2: California Avenue & 1-55 On Ramp/Access Drive
> - > ^ T K ^ J I v *_ v
__§i££I^^
Control Delay_ 37.0 15.1 0.4 18.5 84.0
Approach Delay ' 37.0 ' " 7.5 61.2
i__i_________-___I___^^
Internal Link Dist (ft) 1081 _
Base Capacity (vph) 127 Jjfr 540 3315
Queue Length 50th (ft) 1 177 Internal Link Dist fm 1081 331 ¦ 3§1MP1 ^W^jL
Area Type: Other ns_bv
^*ctn "Actuated Cycle Length: 85
Natural Cycle: 105
Maximum v/c Ratio: 1.10
Intersection Capacity Utilization 96.5J^
Volume exceeds capacity^aeue isi theore|fea|y infinite. _ ___________ _
# 95th percentile volu^e^^eeafcxapacity, gu^ujemay be longer. fe**Queue;shoyynM$i^
Splits and Phas;es^?a2__alifornia Aveqi_ejfjijs55 On Ramp/Access Drive
\ 05
^ 08
Existing Evening Peak 11/18/2019 Baseline
Lanes, Volumes, Timings
3: California Avenue & 1-55 Off Ramp 11/18/2019
> > ^ _t_J ^
lane Configurations ^ ~ ff ^ " ~ ~"
Future Volume (vph) 449 606 0 1117 415 0 ™
mmm^mm'mmMmxMmmmm
Lane Width (ft) ^ J_2 _ 12 12 J2_ J2_ _12
mmmmmmm^Mm
Storage Length (ft) 0 0 0 " ~ 0 ~~
Taper Length (ft) 25 25 ^ ^ ^ V/>K
Ped Bie Factor " ****"" ~~"' ' '' *
Fit Protected 0.950 Pl
FlT Permitted 0.950 ^
Right Turn on Red Yes Yes
_H
Link Speed (mph) 30 ^0 30 ^mw^K s>
WM
Travel Time (s) 12.6 Confl. Bikes |
Growth Factor 100% 100% 100% 1C
i_l
Bus Blockages (Mir) AWm%W$&i\ 0 0 JU|9 10|
Mid-Block Traffic) §h'ar"f
Lane Group Flow (vphf ^M$3< GSg^SssB-jw^-L^e Jgfl . 0
Protected Phases _ ^ ^4fJ;^6 —^ay 5
Detedoj^Se^S^MSfe. 4 a 1 5
jswiM r. ^ _^
(s) W3;f|~","5.0 1^ 46.0 35.0
wmmmmm
ital$#(s) 3^0| 12.0 50.0 38.0
Yellow^mM?! M9f 2.0 ~~*"""~ 3.0 3.0
Lost Time Adjip(sX ^0.0 0.0 -0.0 0.0
Lead/Lag w~§?_ Lag Lead
Recall_Mode * Max Max Max Max
Si|ff(
Actuated g/C Ratio 0.36 0.53 0.54 0.41
Existing Evening Peak 11/18/2019 Baseline
Lanes, Volumes, Timings
3: California Avenue & 1-55 Off Ramp
> > ^ t 1 v
""^04
Pis _!~5~"_"2^3_"^^
Existing Evening Peak 11/18/2019 Baseline
HCM 6th TWSC
4: California Avenue & Access Drive
IrjtereeEtj^
Int Delay, s/veh 4.1
Lano Configurationo 4+ 4* 4* 4*-
Future Vol;_yeh/h 16 T 18 " 1|99|' 0 "20 " 780 * 0~* 0 Tl 67 ^#SC/"
gpnlffipP^
Sign Control _ _ Stop Stop _Stop __Stop Stop Stop "free Free Free _"Free~ FreWFree" 3P^iC
StorageLength _-_-__ - _- - - J?K ^ - ~73^#V
0 \2v 53
Grade. % 0 - -|9 9|- - 0 M - 0 - ^litM
Heavy Vehicles, % _ 56 0 22 100 0 0 20 A^mi
Stage 2 873 877 - 1259 1259 jPfl"_Sw -
gicaljpyM^^
Critical Hdwy Stg 1 6.66 5.5 ¦ 7.1 5.5 ^_^^^j_^a^ -
Follow-up Hdwy 4.004 • 4 3.498 4.4|99|3.3*
12.38
• Stage 1 165 246 ^^237 369 - ifF - - - - -
Platoon blocked, % _
lllll^^
Mov Cap-2 Maneuver ^2J§||^16 - $P 46
Stage 2 . 257 "SffiH """ ~ " _______
Hofros ^rIM
_aa_j_s___~^^
0.0437 - - 0.827 0.066
ftSM;6onii|^
HCM Lane LO^^y _ ______________„
^^•96tli^tili>(^i)
Existing Evening Peak 11/18/2019 Baseline
Lanes, Volumes, Timings
1: California Avenue & 31st Street
< t a v i, v
ilnlGroliggCfe
Lane Configurations *jf,j*^f-fr*iff'1'5'f ff
;I_I*_>__M
Future Volume (vph) 54 235 119 129 _163_ _ 4_ 161 769 126 414 28
ipi;F'l6w$pp^^
Lane Width "(fit) ~ ' 12 "~ ~12 ~12*12"~12IT 12 12"'~"l2 "l2 '1_
Storage Length (ft) 50 110 60 80 65 J% 50%^|60 70
taperLength (jft) 110 __ _____ _25 75 ^ J*^ '^%s
iif""Wi""i^^
PedBikeFactor" * 1.00**' ~* "~ *"" """"""'"0.98 ""*"*"~" "1-0° ^jll^S*
i"ri"iiii^^
Fit Protected „0-950 °-950 ^K.°:^0. . VV ...°-950
SafflSFIiMpf^^
Fit Permitted " "" 0.652 *""" " 0.423 *" "*%fl!-83"'T224
Right Turn on Red Yes Yes ^|pl*£\ Yes Yes
lMlFlpw.(RTOrl^
Link Speed (mph) 30 30 __3^'°%________ _30
10.3
28.3
Travel Time (s) Confl. Bikes (#/hr)
ii —i hi i in i illiniiiiii hhiii i -rr ir i inn n ill r n K^lT M*TJ_ ---- ¦-—, ¦-. j^rri- - — "—- - ¦ - •
iT 100% ioo% ioo% ioo% >pp^ioo% ioojs*" 100% 100% ioo% 100% 100%
MimK 1 o "po ooooooo
osJf^f - - o%- -0% —
Mid-Block-Traffic (%) _
4 164 _785 129 7 422 29
Lane Group Flow (vphf
Protected Phases ^f_Ss.„. 4
Detedoj^g^^^^^ 4* "^j_*_>_ 5 . 3|999|5 2|99|6 6|910|"jifpum Initial (s) lpllL_. 31-° J_f__-__J"-° 40 0 40.0 15.0 56.0 6.0 38.0 38.0 38.0
pnlp 8:o)"fp.lfe
"WgMt(s) " MM 35.0 18.0 "9.0 *44.0 " 44?0 "18.0 610 9.0 '"~43.(T 43.0" *43?6
P"f§"fjM
Yelo^w^lls) "" "m ~"ZJH " 3 0 1.0 _ 3.0 3.0~ JL0* ""3.0"*3.0_ 3*5" " 3.0* 3.6
Lost Time A^^sK" y^00 0-0 0.0 0.0 0.0 0 0 0.0__ 0.0 0.0 0.0 ¦ 0.0 0.0
jM^r —a —a Lead Lead Lead Lead _ _a ^ __3
j_f~3"kifi"^^
Recall Mode Max Max Max Max Max Max Max Max Max Max Max Max
ActEftct'GregnHsE^
Actuated g/C Ratio "" " """"0*30 *~0*30 048~ "5.39 0.38 " 0.38 ' 0.55"0.5*3*'*0.6l""036*" " 0.36"" 0*36
iF6WL^st:jl^^ "pflT'&sa
Lead/Lag Lag Lag Lead Lead Lead Lead Lag Lag Lag
Existing Morning Peak 11/18/2019 Baseline
Lanes, Volumes, Timings
1: California Avenue & 31st Street
Control Delay 29.2 33^6 3.4 25.3 23.6 0.0 14.0 28.6 5.5 23:0,. 34.5 _0.2
<^£|May?l_i^^
Queue Length 50th (ft)
27
131
75
52
20 N"%|\&s_ 236
0 58
"S3*
726
332
524
337
657
965
813
153
Total De[ay__ _ ' _ 29.2 316"' 3.4 Tif^'"23.6"''''6.0 14.6'28.65"0p^sT 34*5""6'.'2
Base Capacity (vph)
513^455
§taptjgnf@aM
Spilfback Cap Reductn*' ~ 0 '*"*" 0 ' * *TT "~ T" 0~ _J!^||i_7'*0' 1||_.oT"T" 0
&M^apJRlltfrl^^
Reduced v/c Ratio 0.17 0.46 0.17 0.39 0.25 0.01 ^p^^ff.81 6.16 0.05 0.67 0.05
•ea Type: Other Ni*il%_.
yclfllrlll^
IIIIIIIII^
Area Type fy^ellnltti
Actuated Cycle Length: 105
Natural Cycle: 105 W i6:e!^M^'
mmmmmmmmmm
Maximum v/c Ratio: 0.81 ^^^^
Intersection Capacity Utilization 152J?$i „ _______________
S^rseMfflS^
ICU levelI of Service;H
> "5*04
:;^jj;i_ti_:
Existing Morning Peak 11/18/2019 Baseline Synchro 10 Report
Page 2
Lanes, Volumes, Timings
2: California Avenue & 1-55 On Ramp/Access Drive
Lane Configurations 4* *\*\ ^t* tt1 f
Future Volume (vph) 0 0 0 3 19 19 720 1065 38 /W^. 247 426
iMJi^t'f'Rfe
LaneJWidtl^(ftj_ 12 J2 12 12 12 12 12 ~ ?2 '~''j$>L' '"li "l2 12
Storage Length (ft) 0 0 0 0 325 Jjf <$$0& 150
Ped Bike Factor ™ ^g'^ 0,3.9
Fit Protected 0.997 J%To$50 \i
Fit Permitted
Sata;FI»e^^
Right Turn on Red ¦ Yes Yes Yes Yes
Link Speed (mph) 30 ^ 30 £ _\
Travel Time (s) 26.4 _l|__lp%^>J_
Confl. Bikes (#/hr) ^r^m^^
Growth Factor ~ 100% 100% 100% 100% ^|"~"y 100% IQOM^ 100% 100% 100% 100% 100%
jjjeM»l^f[^^
Bus Blockages (#/hr)\ " 0 0 ^0 0 0 0 0 0 0 0
750 1149
257 444
Mid-Block_Traffic (%) J®?^O^^f ~ W$!$!ggf 0% 0% .
Lane Group Flow (vphf
Protected Phases ^
5 2 _ 6
5 2 6 6
10.0 10.0
24.0 24.0
___________ 6.0 6.0 47.0 71.0 20.0 20.0
51.0 75.0
Yello«tl^
—- ¦ If 3.0 3.0 3.0 3.6 3.6" 375
Lost Time Adj^j^ 0.0 0.0 . o.O ¦ 0.6 6.6
iTptal^LoMifne^^
Lead/Lag , .^t|y ... _ Lag Lead Lead
L^-L:aB^tjpze?^
Recall Mode ^ None None Max C-Max C-Max C-Max
lFEfMr?em(s^
Synchro 10 Report Page 3
Actuated g/C Ratio ----- - o.550.90"'~"6'_80.28
Existing Morning Peak 11/18/2019 Baseline
Lanes, Volumes, Timings
2: California Avenue & 1-55 On Ramp/Access Drive
Control Delay 41.2 20.6 3 6 _26 2 26.6
iiuepiliiiiii^
fotai Delay _ _ 41.2 20.6 3.8 JBT 26_2 26.6
Approach Delay 41.2 10.4 26.5
Queue Length 50th (_) . 12 168 Internal Link Dist (ft) Hi 081 331 "^I&T* "^Plll " *~
"" ' ""' . —- - —/Li***%iM-fH-T-yr-^awra:.— - — — ¦-
Base Capacity (vph) 93 jp'669 2974 91<^p53
Spillback Cap Reductn 0 yj^jpv 0 "~ "A&K # 0
Area iype: Other ^ ..
Actuated Cycle Length: 85 Natural Cycle: 85
Reduced v/c Ratio 0.46 X^ttfSyfih.59 0.28 0.80
loteM^tifti
Area Type
mm
Natural Uycie: tii> _ yflk _ ^^m^^i^^^ _^ ____
Maximum v/c Ratio: 0.80 ra, /W viy
Intersection Capacity Utilization 80.5ffiSlll*"ffo!_ - l"CUlj|»Vel of Service D
^al^islF^^
m Volume for 95th pe/ceWil|ifugije is mete[|_£!__upstrearn Splits and Phases: 2: California"!*!.^^
# 95th percentile volume ej^pds capacity^fjpes may be longer, llk-^ __
m Vnlnmo fnr QRth nof>crotii«nMHt to ic mptorc-fvrtv imQtroam cinnnl f-'*
Existing Morning Peak 11/18/2019 Baseline
Lanes, Volumes, Timings
3: California Avenue & 1-55 Off Ramp
> > A t W
Lane;Grpug.j£^
Lane Configurations *| f
Future VoTume (vpiiP505 ^ 255~ *o"""**T3T8""*^250'"""o""""™''*""
Lane Width (ft) ' '"12 12 ^ 12"72*"* Ti'^'TT**'" "
Storage Length (ft)_ |99||9 9|0 _ °_ _ ~JmL 3|PSy -
StoragfIarj^,"H:;
Taper Length (ft) "25' 25" " " *" ^ "
Ped Bike Factor
Fit Protected 0 950 /$£ V
Fit Permitted 0 950 ^""jj"f>.
SaldgFlbMplrjnTl"^
Right Turn on Red Yes
Link Speed (mph) 30 ^30 30 '""' ^
Travel Time (s) 12J3 7j^ial9li3^
100%
Bus Blockages (#/hr)
0%.
Protected Phases"
40.0 29.0 _ _
44.0 32.0
Yellow^*rmf '.'W ^ -1 J° _._____™_
LostfimeAa^(sK "* ]#0.b" " 6.0 "**" 0.0-'' '" 0.0 ' * ""**" ¦ " * ' _
Lead/Lag ^__#*^ Lag Lead
Max Max
Max Max
LjjgTLag QpTimize?>%r: RecaltMode ^~^EjTcf;Gr|elB(s):':^#v
Actuated g/C Ratio
&W#^*_ "^\40:0v;^>_9;0^ '" " 0.44 "'" 0.60 "677~1)'3T"
Existing Morning Peak 11/18/2019 Baseline
Lanes, Volumes, Timings
3: California Avenue & 1-55 Off Ramp
19.2 28.0 _ 44.6 _„,,. _
"_e_W_l_*__^^
Queue Length 50th (ft) 227 0 332 80 Internal Link Dist (ft) 474 253 401 _ J^SZ _K
iFm~f_<_^^
Base Capacity (vph) 707 934 1573 1090 /V _ _____________ _Jw^
Spillback Cap Reductn 0 0 0 ___/___if*%_ MK *
Reduced v/c Ratio 0.74 0.28 0.87 ' 0.24 ^Mptf
jrj_^b^6l3__Mr^
Area Type: Other *^§!I?L.
Actuated Cycle Length: 85 }||^P"^%a_-_ _ _
l__li_____^^
Natural Cycle: 85 _ J$l_ __
Maximum v/c Ratio: 0.87 ________ __________________
fnt&__o$Sffl^
# 95thpercentilevolume exmlfecapacif^jfejjei fjfrQuei^
Splits and Phases: 3: Califorhi%^aue &J,S^Mitlrf§*Bs
Existing Morning Peak 11/18/2019 Baseline
HCM 6th TWSC
4: California Avenue & Access Drive
__ _ _ ( __ _ _,
Int Delay, s/veh 2.8 j"$""~jg
Lane ConfigurationG 4» 4>_ _4V «$? ^^"Z-"""^
pillP'"!^
Future Vol, veh/h " 6 " "*130** TT' T 3 28_*"l047
Existing Morning Peak 11/18/2019 Baseline
Capacity ArjElYgj^^l^^arv Sheets
Total Projjected Weekdatevening 4*eak Hour Conditions
Lanes, Volumes, Timings
1: California Avenue & 31st Street
K ^ f A v \ V
-an^Grou^
Lane Configurations *j -f f j* *| f j* *j_ f
Future Volume (vph) 20 196 317 280 324 10 208 506 108 ^0'%, 622 28
12 '12 12 1*2 ~"l2 12 12 3¥k ~'2~" 12 12
ru reimiueu u.ati 0.495 ^ "^|6!098
Right Turn on Red Yes Yes
M>0;. £863U:^ Yes Yes
Link Speed (mph) 30 ^ 30
30
Mid-Block Traffic (%) Lane Group Flow (vphj Protected Phases
Lane Width (ft) _
J$°, 10 214 522 111 10 b4l zy
& 8 .5 2 3 R
5 ^^^^2**^ 8 5 2 3|910|K 5~ 38 8 5 2 3|99910|
i Initial
'•° 6.0 43.0 43.0 12.0 53.0 6.0 38.0 38 0 38.0
i®l"f"lft!lli^
15.0 9.0 47.0 47.0 15.0 58.0 ' 9 0 — 43 0 43 0 " 430
J38.0 15.0 9.0 47.0 ~47.0 "15 0 """58.0 "" 9.0 "" 43.0 ' 43.0 * 43~0
3.0
3.0
3.0
11
0.0
lillliii.^
0.0 0.0 0.0
il)^lI^o^Sl~io]^^g
Lead Lag Lag Lag
Yellr^j^^" "*""' ~~W rd"" " 3.iT "**3.0 "b ""3.0 3.0 3.0 " " """"""" ~
Lost Time A$ y^O.O 00 _0j0 0.0 ¦ 0.0 0.0 0.0 O.O
j.Yes >Yes ,;^i>^i;3:ilXes
Lead/Lag Lag Lag Lead Lead Lead
Max
Recall Mode ^ct€ffjC^G.reefr(s):^v Actuated g/C Ratio
^-aglQptj^
y-34:0-" ;s;,3.4;0- ^^7=0 ^-5^4;0; 43:0>v.v" 43.0£v.-* 55"0» 53V0^ •' 6_¥0
6732 "5.32 6745 "6.42 oaT"041 6752""olio6.58"
Max Max Max Max Max Max Max Max Max Max Max
.:^o;'^_|_p^p8:0
'" 6.36"'" 63 "6736
Existing Evening Peak 11/18/2019 Baseline
Lanes, Volumes, Timings
1: California Avenue & 31st Street
Control Delay _ Total Delay
Approach Delay
Q^u"eTe^thJOth (ft)
Inte'mafLink'prstlftr"" " "
Base Capacity (vph)
~2SlT 12.8" jS3.8_" 25.0 _"61 45.1*
iii_i_iii^
29.1 12.8 33.8 25.0 0.1 _ 45.1
-oTi'PMI
19.3 28.6
10 _ 103 82_ 133 160
927
:::28- ^?________________^
SS_
317
1167
"'586 "* 769" 413 733 '" '570^#"266''
JI_§____^
21.1 5.3 22>2% 60.4 0.1
"_1.i ' 530222 ' '60.4ai
25.1 ^y^;^ 57.3
^3J| __15
iM___siiii§Siii^,^iis
922 840 312 66^^893
Area Type: Other _________ ___
Actuated Cycle Length: 105 ^w*?ll*|j~§i_»_
*Mj^^
Natural Cycle: 105
Maximum v/c Ratio: 0.96
_gj_K_^7.T3K-7;:T.!?gyfgc
intef-ectibo"_]t~CT
Intersection Capacity Utilization 155ygj_^ll|^ ICU _l\el of Service H
# 95th percentile volume ejCpas capadty^q^ejup may be longer^^f}^.^
i"~~lufil&^
Splits and Phases: 1: Califoriiig^erjue &4
Existing Evening Peak 11/18/2019 Baseline
Lanes, Volumes, Timings
2: California Avenue & 1-55 On Ramp/Access Drive
Lane Configurations _ 4*- Vt ft* _ tt1 f
Future V^umT(vr^)' ' jf "o" T1 ' ' 0™ "*""o 786'"liiT*J 429 ' 800
Lane Width (ftf ' *' 12 "l2 12 ~ 12 ""'ll' "^"'"yf '7_''*12 _3'C^12 ~** "\T ~*Ti
Storage Length (ft)|9 9|0 0 0 325 /W O^ffSSO 150
Taper Length (ft) _ 25 _ 25_ 25^ % _ 1^^_
Fit Protected _.,_„_ 0.950 ^af 0.950
Fit Permitted 0.950 ^ ""^G'&SO JSatfrmMpl"^^
Right Turn on Red Yes Yes Yes Yes
MEIplMR^^
Link Speed (mph) 30 30 "* >P"fe». ^ 30
Einlpipn^ft)^
Travel Time (s) 264 M
Confl. Bikes ff/hr)~~ m ^^M^r^f 4 2
Growth Factor 100% 100% 100% 100% W0y 100% 100|r 100% 100% 100% 100% 100%
____ 873 929 0 0, 477 889
5 2 6 6|1010|6.0 6.0 40.0 71.0 27.0 27.0
J|l *10.0 1O0 " 75.0"3l".0 " 31.0
Yellow^mj^s) ' "'fy* ""'"'" "" ~ 3.0 3.0 ' '^~3Tr 3*0 ~ 3.0 "*" 3.0
Lost Time AdiOsfefs'k """/"F
'~"'*"p'^^
• o'T " oT6"6 "'""*"**" " o'o- o~o
Lead/Lag ^|p§y^ _ Lag ____ Lead Lead
Recall Mode None None Max C-Max C-Max C-Max
ActjEfe;G^(s)^
Actuated g/C Ratio 0*07 0.47 O.-f*** * 0.41 0.41
Existing Evening Peak 11/18/2019 Baseline
Lanes, Volumes, Timings
2: California Avenue & 1-55 On Ramp/Access Drive
$PPS77'7''P
Control'Deiay " *" 37.0 ' 15.2"' ' OA '* A. 18:6 101.2
85 -474
Vii i'_r*ix».>
Total Delay "*'"~ ~ 37*0 **15.20.4" ' "W " 18.6 101.2
181 <&0]
Queue Length 50th (ft) _ , ^ ____7
Internal Link Dist (ft) 1081 331 Jg^AOV*
Base Capacity (vph) 127 ^#^40 " 3318 14_fe^p776
St^atiofcCa^
Spillback Cap Reductn |99|0 JpwK Reduced v/c Ratio 0.01 ^57^0.28 0.33 1.15
Area Type: Other ^ _^
Actuated Cycle Length: 85 Hl^^-^^
Natural Cycle: 115 J.
Maximum v/c Ratio: 1.15 __ ________
mm.
{ntefjegtji^
^B?(®_w
¦«m_i-lr^B-_l§iM
Splits and^ggjgg|^_a!_a_nia Avenue%|^5.5_pn Ramp/Access Drive
Existing Evening Peak 11/18/2019 Baseline
Lanes, Volumes, Timings
3: California Avenue & 1-55 Off Ramp
12 12 12 12
467 624
Storage Length
gtxjT^eJpfjes^g Taper Length (ft
25 25
Ped Bike Factor ^ """" /^TT^''' ' ^^^T "
Fit Protected 0.950
Fit Permitted 0.950
Right Turn on Red Yes
Brik^Distance. (ft)' vti::X¥m^Mm^ ^ %iMl^3~|pi4.81
Travel Time fsj 12.6
Confl. Bikes (#/hr) . ' %
Growth Factor 100% 100% 100% 100%
Bus Blockages: (#/hr) " ' ytOj^f^pj^ 0 0 _j|0 0
mmmm
Link Speed (mph) 30
|#Tum Initial (s) _ .]*?jPjiiL„ 5 0 ...46 °: 35 0
^ll^^litj^ 12.0 50.0 "38.0'
YelioW^^s) If 2.0 3.0 3.0
wmmmmmmmmmmmmmmm
Lost'TirTO/Vo^t|(l^k " ' ,JH).0 °-° °^ 00
Recall Mode
Max Max 0.54 0.41
Max Msx
_T^'-'4 0.366.53
fcftEfjetgreejv Actuated g/C Ratio
Lead/Lag Lag "~ """'""""""" Lead"
mmmmmffimmmm
Existing Evening Peak 11/18/2019 Baseline
Lanes, Volumes, Timings
3: California Avenue & 1-55 Off Ramp
> > A t I V
Control Delay 38.1 13.5 15 8 7.2
Total Delay _ 30.1 115 T^""2_''7.27|F '__
Approach Delay 24.0 15.8 7.2
Alprolple^
QueuMHgth:95th:(ft}^:^9^402 > ^,27d3i^^^<¦• ,:-¦ ^ijii?':> '6^ -i^W^-V: H^a^fir r. .'.>.¦. \:;:-H: <•* ~j
internal Link Dist (ft) " " ' " ~""
Queue Length 50th (ft) 234 147 225 102 #f "^Sik
¦¦- --¦ ¦'• •-^,<-:--~r
internal LinK uisi (K) 4/4 _sj 4Ui X:__ix.
Base Capacity (vph) '"" """ -"¦¦•"**
Stgraoll^pM Reduced v/c Ratio
Area Type'' ' Other '^ ^^ ^ ^ ^^^.-^^ ^^P^r^^ 1
Actuated CycleLenglh": 85~' ~" ''"'"''^'i:b|^^'. •^•¦^_____v__j_^i^p^ ¦_>...__
Natural Cycle: 85 ^H, ^^^-^^^^fefe*^
Maximum v/c Ratio: 0.82
Jn|ejsect|on^Capx ^|^i^^^^^^-s<
# 95th percentile volume egggeas capacityTqueue may be longer. %%__#
Existing Evening Peak 11/18/2019 Baseline
HCM 6th TWSC
4: California Avenue & Access Drive
Int Delay, s/veh 7.5
Lane Configurations 4» 4* _ 4* 4* /$T*"
Future Vol, veh/h
16
1 18
JralcMlf^
0 2 21 804 8 2 1202
Sign Control Stop Stop Stop Stop JStop Stop Free Free Free Free Freje/ Free J^ffli^V
Rli^jMii^^
Storage Length - - - _- - - - - - y£§>> -
Grade, % __ _ ______________ _
Vehli^gjTfBt^^
- - o - - 0 - - 0 - 0 -
Heavy Vehicles, % 56 0 22 100 0 100 20 J$fl'00 100 )2y 53 J?
Ml_^______j^
Conflicting Flow All 2199 2206 1289 2210 2210 866 1297 0 0 8*3^^ 0
Stage 2 906 913 - 1301 1301 Mlfe^l " - ^0mF
acii-rjiawy^M
Critical Hdwy Stg 1 6.66 5.5 - 7.1 5.5 W^^llii&sw. - ? -
0ntic_jMa^Stg;_:d^
Follow-up Hdwy 4.004 4 3.498 4.4 4 4.2^.38 Jf- ^%3lF -
•r__g«i_-^^
Stage 1 155 235 226 357 - W - . '. '
Platoon blocked, % ^WllW_ - - - -
jyloyMrfllMje'Il^^
MovCap-2 Maneuver <^Q^|_40 ' - §13 40 ' . - - - ~. I."" "
Stage 2 2411 ^_lS3^S§l^i3l_§i_^r- - - ¦^¦¦¦¦^^
HCM^rj|ifeRatio ' ~" O-tj^ "~- o'.98**b.73i ~b.004" " - 7"*~" "~
HCMLaneLOSp|~x #B A F F B A ' ;
Existing Evening Peak 11/18/2019 Baseline
|