This record contains private information, which has been redacted from public viewing.
Record #: O2020-5875   
Type: Ordinance Status: Passed
Intro date: 12/7/2020 Current Controlling Legislative Body: Committee on Economic, Capital and Technology Development
Final action: 12/16/2020
Title: Tax levy, scope of special services, budget and management agreement for Special Service Area No. 75, Oak Street
Sponsors: Dept./Agency
Topic: SPECIAL SERVICE AREAS - S.S.A. No. 75 (Oak Street)
Attachments: 1. O2020-5875.pdf
Department of Planning and Development city of chicago



December 4, 2020



TO THE HONORABLE CHAIRMAN, GILBERT VILLEGAS AND MEMBERS OF THE COMMITTEE ON ECONOMIC, CAPITAL, AND TECHNOLOGY DEVELOPMENT


Ladies and Gentlemen:
I transmit herewith 27 ordinances for Special Service Areas.
Your favorable consideration of these ordinances will be appreciated.


Very truly yours,

...A X

Maurice Cox Commissioner



















121 NOKTII LASALLE STltKKT. KOOM 1000. CHICAGO, ILLINOIS f,0602

ORDINANCE
WHEREAS, special service areas may be established pursuant to (i) Article VII, Sections 6(1) and 7(6) of the Constitution of the State of Illinois, (ii) the provisions of the Special Service Area Tax Law, 35 ILCS 200/27-5 et seq., as amended from time to time (the "Act"), and (iii) the Property Tax Code, 35 ILCS 200/1-1 et seq., as amended from time to time (the "Code"); and
WHEREAS, the City Council of the City of Chicago (the "City Council") determines that it is in the best interests of the City of Chicago (the "City") to establish a special service area to be known and designated as Special Service Area Number 75 (the "Area") to provide certain special governmental services in addition to services provided generally by the City, all as further provided in this ordinance (the "Special Services"), and further determines to authorize the levy of an annual ad valorem real property tax in the Area for a period of ten (10) years sufficient to produce revenues required to provide those Special Services (the "Services Tax"); and
WHEREAS, the City Council desires to authorize the execution of an agreement with a service provider for the provision of the Special Services in and for the Area in fiscal year 2021.; now, therefore,
Be It Ordained by the City Council of the City of Chicago:
SECTION 1. Incorporation of Preambles. The preambles of this ordinance are hereby incorporated herein as if set out herein in full.
SECTION 2. Findings. The City Council finds and declares as follows:
The Area, as established by this ordinance, consists of contiguous territory in the
City;
The City Council adopted an ordinance on October 7, 2020 authorizing a public hearing (the "Public Hearing") to consider the establishment of the Area and the levy of the Services Tax on the taxable property located in the Area to provide the Special Services;
Notice of the Public Hearing was given by publication at least once not less than fifteen days prior to the hearing in the Chicago Tribune, a newspaper published in and of general circulation within the City, and notice of the Public Hearing was also given by depositing said notice in the United States mail addressed to the person or persons in whose name the general taxes for the last preceding year were paid on each property lying within the Area, not less than ten days prior to the time set for the Public Hearing. For any properties for which



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2020 SSA 75-EstOrd

taxes for the last preceding year were not paid, the notice was sent to the person last listed on the tax rolls prior to that year as the owner of the property;
The notice complied with all of the applicable provisions of the Act;
The Public Hearing was held on November 13, 2020 by the Committee on Economic, Capital and Technology Development of the City Council. All interested persons, including all persons owning real property located within the Area, were given an opportunity to be heard at the Public Hearing regarding any issues embodied in the notice and have had an opportunity to file with the City Clerk of the City of Chicago (the "City Clerk") written objections on such issues;
The Committee on Economic, Capital and Technology Development of the City Council has heard and considered all of the comments, objections, protests and statements made at the Public Hearing with regard to the issues embodied in the notice and has determined to recommend to the City Council that it is in the public interest and in the interest of the City and the Area to establish the Area and to authorize the levy of the Services Tax, all as provided in this ordinance;
The Public Hearing was finally adjourned on November 13, 2020;
The sixty-day period as described in Section 27-55 of the Act, in which an objection petition to this ordinance may be filed, commenced on November 13, 2020; and
(i) The City Council hereby finds and determines that it is in the best interests of the City
that the Area be established, and the Services Tax be authorized, all as set forth herein.
SECTION 3. Area Established. There is hereby established a special service area located within the City to be known and designated as City of Chicago Special Service Area Number 75. The approximate street location of said territory consists of the area on both sides of Oak Street between Rush Street and Michigan Avenue. A legal description of the Area is attached as Exhibit 1 hereto and hereby incorporated herein. A map of the Area is attached as Exhibit 2 hereto and hereby incorporated herein. A list of Permanent Index Numbers for the properties in the Area is attached hereto as Exhibit 3 and hereby incorporated herein.
SECTION 4. Special Services Authorized. The Special Services authorized hereby include, but are not limited to: customer attraction, public way aesthetics, sustainability and public place enhancements, economic/business development, public health and safety programs, and other activities to promote commercial and economic development. The Special Services may include new construction or maintenance. Some or all of the proceeds of the proposed Services Tax are anticipated to be used by an entity other than the City of Chicago to provide the Special Services to the Area, which such entity shall be a "service provider"





2020 SSA 75-EstOrd

pursuant to a "services contract," each as defined in the Act. The Special Services shall be in addition to services provided to and by the City of Chicago generally.
SECTION 5. Authorization, of Levy. There is hereby authorized to be levied in each year beginning in 2020 through and including 2029 the Services Tax upon the taxable property within the Area to produce revenues required to provide the Special Services, said Services Tax not to exceed an annual rate of 0.62% of the equalized assessed value of the taxable property within the Area. The Services Tax shall be in addition to all other taxes provided by law and shall be levied pursuant to the provisions of the Code. The levy of the Services Tax for each year shall be made by annual ordinance, commencing with this ordinance.
SECTION 6. Appropriations. Based on the recommendation of the Department of Planning and Development, there is hereby appropriated the following sum in the amount and for the purposes necessary to provide the Special Services in and for the Area indicated as follows:
and ending December 31, 2021.
EXPENDITURES
$272,292
SPECIAL SERVICE AREA NUMBER 75 SPECIAL SERVICE AREA BUDGET Forthe fiscal year beginning January 1, 2021


Service Provider Agreement for the provision of Special Services

TOTAL BUDGET REQUEST $272,292

SOURCE OF FUNDING
Tax levy not to exceed an annual rate of 0.62% ofthe equalized assessed value, of taxable property within
Special Service Area Number 75 $272,292


SECTION 7. Levy of Taxes. There is hereby levied pursuant to (i) Article VII, Sections 6(a) and 6(l)(2) of the Constitution of the State of Illinois, (ii) the provisions of the Act, and (iii) the provisions of this ordinance, the sum of $272,292 as the amount of the Services Tax for the year 2020.

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2020 SSA 75-Est Ord

SECTION 8. Commission Authorized. There is hereby established the Oak Street Special Service Area Commission (the "Commission") which shall consist of five (5) members. The Mayor, with the approval of the City Council, shall appoint the initial Commission members. Of the initial Commission members, three (3) members shall be appointed to serve for three-year terms, and two (2) members shall be appointed to serve for two-year terms. Upon the expiration of the term of any Commission member, the Mayor, with the approval of City Council, shall appoint a successor Commission member. Other than the initial Commissioners, each Commission member shall be appointed to serve for a term of two years and until a successor is appointed. In the event of a vacancy on the Commission due to resignation, death, inability to serve, removal by the Mayor, or other reason, the Mayor, with the approval of City Council, shall appoint a successor. Each successor so appointed shall serve for the remaining term for which he/she was appointed. The Commission shall designate one member as the Chairman of the Commission, and he/she shall serve not more than two successive two-year terms. The Commission may establish bylaws for its procedural operation.
The Commission shall have the powers delegated to it in Section 9 hereof. The terms and powers of the Commission members shall cease upon the termination of the time period for which the levy of the Services Tax is authorized. The members of the Commission shall serve without compensation.
SECTION 9. Powers of the Commission. The Commission is hereby granted the following powers:
to recommend the rate or amount of the Services Tax and an annual budget to the City Council; and
to recommend a sole service provider contract, including a scope of services and a contractor therefor, to the City Council for the provision of the Special Services.
SECTION 10. Service Provider Agreement. The Commissioner of the Department of Planning and Development (the "Commissioner"), or a designee of the Commissioner (each, an "Authorized Officer"), are each hereby authorized, subject to approval by the Corporation Counsel as to form and legality, to enter into, execute and deliver a service provider agreement (the "Service Provider Agreement") as authorized herein with Oak Street Council, an Illinois not-for-profit corporation, as the service provider (the "Service Provider"), for a one-year term in a form acceptable to such Authorized Officer, along with such other supporting documents, if any, as may be necessary to carry out and comply with the provisions of the Service Provider Agreement. The budget attached as Exhibit 5 hereto and hereby incorporated herein (the "Budget") shall also be attached to the Service Provider Agreement as an exhibit. Upon the execution of the Service Provider Agreement and the receipt of proper documentation the Authorized Officer and the City Comptroller are each hereby authorized to disburse the sums appropriated in Section 6 above to the Service Provider ^consideration for the provision of the
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2020 SSA 75-Est Ord

Special Services described in the Budget. The Department of Planning and Development shall make a copy of the executed Service Provider Agreement readily available for public inspection.
SECTION 11. Protests And Objections. If a petition of objection is filed with the Office of the City Clerk signed by at least fifty-one percent (51%) of the electors residing within the boundaries of the Area and by at least fifty-one percent (51%) of the owners of record of the property included within the boundaries of the Area within sixty (60) days following the adjournment of the Public Hearing, all as provided for in Section 27-55 of the Act, as a result of such filing this ordinance shall be deemed to be null and void, the Area shall not be created, the Services Tax shall not be levied, and the Service Provider Agreement shall not be entered into or shall be deemed to be null and void and no compensation in connection therewith shall be provided to the Service Provider.

SECTION 12. Severability. If any provision of this ordinance or the application of any such provision to any person or circumstances shall be invalid, such invalidity shall not affect the provisions or application of this ordinance which can be given effect without the invalid provision or application, and to this end each provision of this ordinance is declared to be severable.
SECTION 13. Filing. The City Clerk is hereby ordered and directed to file in the Office of the County Clerk of Cook County, Illinois (the "County Clerk"), in accordance with Section 27-75 of the Act, a certified copy of this ordinance containing an accurate map of the Area and a copy of the public hearing notice attached as Exhibit 4. The City Clerk is hereby further ordered and directed to file in the Office of the Recorder of Deeds of Cook County, in accordance with Section 27-40 of the Act a certified copy of this ordinance containing a description of the Area within 60 days of the effective date of this ordinance. In addition, the City Clerk is hereby further ordered and directed to file in the Office of the County Clerk, in accordance with Section 27-75 of the Act, a certified copy of this ordinance on or prior to December 29, 2020, and the County Clerk shall thereafter extend for collection together with all other taxes to be levied by the City, the Services Tax herein provided for, said Services Tax to be extended for collection by the County Clerk for the year 2020 against all the taxable property within the Area, the amount of the Services Tax herein levied to be in addition to and in excess of all other taxes to be levied and extended against all taxable property within the Area.
SECTION 14. Conflict. This ordinance shall control over any provision of any other ordinance, resolution, motion, or order in conflict with this ordinance, to the extent of such conflict.
SECTION 15. Publication. This ordinance shall be published by the City Clerk, in special pamphlet form, and made available in her office for public inspection and distribution to members of the public who may wish to avail themselves of a copy of this ordinance.

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2020 SSA 75-Est Ord

SECTION 16. Effective Date This ordinance shall take effect 10 days after its passage and publication.















































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2020 SSA 75-Est Ord

EXHIBIT 1 Legal Description See attached pages.











































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Proposed SSA #75 Oak Street - Legal Description



ALL THAT PART OF THE WEST HALF OF THE SOUTHWEST QUARTER OF SECTION 3, TOWNSHIP 39 NORTH, RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN, BOUNDED AND DESCRIBED AS FOLLOWS:

BEGINNING AT THE INTERSECTION OF THE CENTERLINE OF OAK STREET WITH THE CENTERLINE OF RUSH STREET;

THENCE NORTHWESTERLY ALONG SAID CENTERLINE OF RUSH STREET TO THE WESTERLY EXTENSION OF THE NORTH LINE OF LOT 1 IN COLLINS' SUBDIVISION OF THE SOUTH HALF OF BLOCK 7 OF CANAL TRUSTEE'S SUBDIVISION OF THE SOUTH FRACTIONAL QUARTER OF FRACTIONAL SECTION 3 AFORESAID;
THENCE EAST ALONG SAID WESTERLY EXTENSION AND THE NORTH LINE OF LOT 1 IN COLLINS' SUBDIVISION AND THE EASTERLY EXTENSION THEREOF TO THE CENTERLINE OF THE VACATED 10 FOOT WIDE ALLEY EAST OF RUSH STREET;

THENCE NORTH ALONG SAID CENTERLINE OF THE VACATED 10 FOOT WIDE ALLEY EAST OF RUSH STREET AND THE NORTHERLY EXTENSION THEREOF TO THE CENTERLINE OF THE 17 FOOT WIDE ALLEY NORTH OF OAK STREET;

THENCE EAST ALONG SAID CENTERLINE OF THE 17 FOOT WIDE ALLEY NORTH OF OAK STREET AND THE EASTERLY EXTENSION THEREOF TO THE EAST LINE OF THE WEST 115 FEET 2 INCHES OF LOT 21 IN COLLIN'S SUBDIVISION OF THE SOUTH HALF OF BLOCK 7 IN CANAL TRUSTEE'S SUBDIVISION AFORESAID;

THENCE SOUTH ALONG SAID EAST LINE OF THE WEST 115 FEET 2 INCHES OF LOT 21 IN COLLIN'S SUBDIVISION AND THE SOUTHERLY EXTENSION THEREOF TO THE CENTERLINE OF OAK STREET;

THENCE WEST ALONG SAID CENTERLINE OF OAK STREET TO THE NORTHERLY EXTENSION OF THE EAST LINE OF THE WEST 25 FEET OF LOT 5 IN LAWRENCE'S SUBDIVISION OF PART OF LOT 7 IN THE SUBDIVISION OF THE NORTH HALF OF BLOCK 8 OF CANAL TRUSTEE'S SUBDIVISION AFORESAID;

THENCE SOUTH ALONG SAID NORTHERLY EXTENSION AND THE EAST LINE OF THE WEST 25 FEET OF LOT 5 IN LAWRENCE S SUBDIVISION TO THE CENTERLINE OF THE 10 FOOT WIDE ALLEY NORTH OF WALTON STREET;

THENCE WEST ALONG SAID CENTERLINE OF THE 10 FOOT WIDE ALLEY NORTH OF WALTON STREET TO THE SOUTHERLY EXTENSION OF THE EASTERLY LINE OF LOT 5 IN WETZLER'S SUBDIVISION OF PARTS OF LOTS 1 TO 4, INCLUSIVE, IN THE SUBDIVISION OF THE NORTH HALF OF BLOCK 8 IN CANAL TRUSTEE'S SUBDIVISION OF THE SOUTH FRACTIONAL QUARTER OF FRACTIONAL SECTION 3 AFORESAID;




Page 1 of 2

Proposed SSA #75 Oak Street - Legal Description

THENCE NORTHWESTERLY ALONG SAID SOUTHERLY EXTENSION AND THE EASTERLY LINE OF LOT 5 IN WETZLER'S SUBDIVISION TO THE NORTH LINE THEREOF;

THENCE WEST ALONG SAID NORTH LINE OF LOT 5 IN WETZLER'S SUBDIVISION TO THE WEST LINE THEREOF;

THENCE SOUTH ALONG SAID WEST LINE OF LOT 5 IN WETZLER'S SUBDIVISION AND THE SOUTHERLY EXTENSION THEREOF TO THE CENTERLINE OF THE 10 FOOT WIDE ALLEY NORTH OF WALTON STREET;

THENCE WEST ALONG SAID CENTERLINE OF THE 10 FOOT WIDE ALLEY NORTH OF WALTON STREET AND THE WESTERLY EXTENSION THEREOF TO THE CENTERLINE OF RUSH STREET;

THENCE NORTHWESTERLY ALONG SAID CENTERLINE OF RUSH STREET TO ITS INTERSECTION WITH THE CENTERLINE OF OAK STREET AFORESAID, AND THE POINT OF BEGINNING,

ALL IN THE CITY OF CHICAGO, COOK COUNTY, ILLINOIS.

































Page 2 of 2

EXHIBIT 2 Map See attached.
CEDAR ST



Proposed Oak Street SSA

NORTH

EXHIBIT 3 Permanent Index Numbers See attached pages.

PIN LIST - SSA #75 OAK STREET
17-03-204-009-0000 17-03-204-035-0000 17-03-204-039-0000 17-03-204-040-0000 17-03-204-041-0000 17-03-204-042-0000 17-03-204-043-0000 17-03-204-044-0000 17-03-204-045-0000 17-03-204-046-0000 17-03-204-047-0000 17-03-204-048-0000 17-03-204-051-0000 17-03-204-052-0000 17-03-204-053-0000 17-03-204-054-0000 17-03-204-055-0000 17-03-204-057-0000 17-03-204-059-0000 17-03-207-007-0000 17-03-207-008-0000 17-03-207-009-0000 17-03-207-010-0000 17-03-207-011-0000 17-03-207-014-0000 17-03-207-015-0000 17-03-207-016-0000 17-03-207-017-0000 17-03-207-018-0000
17-03-207-019-0000 17-03-207-020-0000 17-03-207-022-0000 17-03-207-023-0000

Page 1 of 1

EXHIBIT 4 Public Hearing Notice See attached pages.











































-10-





Sold To:
Oak Street Council - CU80096292 1030 N Clark St, Ste 300 Chicago.lL 60610


Bill To
Oak Street Council - CU80096292 1030 N Clark St, Ste 300 Chicago.lL 60610


Classified Advertising. 6792937 Purchase Order- SSA75
Certificate of Publication-State of Illinois - Cook
Chicago Tribune Media Group does hereby certify that it is the publisher ofthe Chicago Tribune. The Chicago Tribune is a secular newspaper, has been continuously published Daily for more than fifty (50) weeks prior to the first publication of the attached notice, is published in the City of Chicago, State of Illinois, is of general circulation throughout that county and surrounding area, and is a newspaper as defined by 715 IL CS 5/5.
This is to certify that a notice, a true copy of which is attached, was published 1 time(s) in the Chicago Tribune, namely one time per week or on 1 successive weeks. The first publication of the notice was made in the newspaper, dated and published on 10/26/2020, and the last publication of the notice was made in the newspaper dated and published on 10/26/2020.
This notice was also placed on a statewide public notice website as required by 715 ILCS 5/2. 1. On the following days, to-wit: Oct 26. 2020.
Executed at Chicago, Illinois on this 28th Day of October, 2020, by

Jeremy Gates

Chicago Tribune Company














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THEMCE EAST AUIK SAO (ZlfTEflUNE tIF THE 17 FOOT WIDE ALLEY NORTH Of OAK STREET AND THE EASTEH.Y EXTQC90H THEREOF TO THE EAST UNE OF THE WEST 1 IS FEET 2 KDCS OF LOT 21 IN COLLWS SiEOVCTH OF THE SOUTH HtLF OF HLXXX 7 IN CAHAL TRUSTEE'S SUBOnODH ArOCSAO;
THENCE SOUTH ALONG 5ADD EAST IBtt Of THE WEST 11S Hf T ? INCtfS Or LOT ?1 M Cam's SUBDMStDN AND TIE S0UTIIQ1LY EXTERSOI TKEflEOF TO THE CEKTERJ1E OF OAK STTtEFJ,
THENCE WEST ALONG SAO CENTERLME OF CUX STHEET TTJ THE WOHTHGtl EXTENSOM OF IHE EAST LHE OF THE WEST S FEET OF LOT E « LAWRENCE'S SUBOM30K OT PAFTT Of LOT JIV THE SUEfjnBSM OF THE NORTH HALF OF ELfXX B OF CAKAL IRlSTEfTS SUBCQITSBN AfDRESAD;
THENCE SOUTH ALWG SAO KOffi>|[HT FXTEKtOH AMD THE EAST LBE OF TTE WEST 25 fFcT OF LOT h IK LAWRENCE'S SUDOVSOI TO THE CEKTTHLM Or THE 10 rOOI WDE ALLEY NORTH OF'UUJOK STREET;
THENCE WEST ALOW SAD CENIET4I1C OFTHE 10 FOOT WDE ALLEY NORTH OF WJUOH STTtTT TO TIE BOLfTHETEf EXTtKSICM OF THE EASTERLY LINE OF LOT S IN WETZLtffS SLBDW30N OF MHTS OF UOTS 1 TO 4, INaUWE, H TIC SUGDMSICM OF THE NORTH HALF OF ROCX 8 H CWAt TRUSTEE'S EUCMSiCN Of TW SOUTH rRACnDML GliWTf R OF ITttCTIOkAL SECTION 3 AFORESAID;
THENCE NORTHWSTERLY ALONE SKO SOUTHERT FJOTJtSICM AND Ht LASTtflLY UK OF LOT 5 IK WETZLER'S SUGOMSION TO TTC KOiTIHLH nSJIOF;
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EXHIBIT 5 Budget See attached pages.











































-11-

Exhibit A Budget

Special Service Area # 75
SSA Name: Oak Street
2021 BUDGET SUMMARY
Budget and Services Period: January 1, 2021 through December 31, 2021

2020 Levy
CATEGORY (Funded Categories Comprise Scope of Services) Collectable Levy Estimated Loss Collection Carryover Funds TIF Rebate Fund # Estimated Late Collections and Interest Total All Sources
1.00 Customer Attraction $24,000 $0 $0 $0 $0 $24,000
2.00 Public Way Aesthetics $72,500 $0 $0 $0 $0 $72,500
3.00 Sustainability and Public Places $0 $0 $0 $0 $0 $0
4.00 Economic/ Business Development $20,000 $0 $0 $0 $0 $20,000
5.00 Safety Programs $123,542 $0 $0 $0 $0 $123,542
6.00 SSA Management $32,250 $0 $0 $0 $0 $32,250
7.00 Personnel $0 $0 $0 r'.--:-:.jX~:--.i-: '
Sub-total $272,292 $0 r. -Lvvc±-!k - 1' ^ t r...
GRAND TOTALS Levy Total $272,292 $0 $0 $0 $272,292

LEVY ANALYSIS
Estimated 2020 EAV: $114,408,370
Authorized Tax Rate Cap: 0.620%
Maximum Potential Levy limited by Rate Cap: $709,332
Requested 2020 Levy Amount. $272,292
Estimated Tax Rate to Generate

CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I -- GENERAL INFORMATION
Legal name of the Disclosing Parly submitting this EDS. Include d/b/a/ if applicable:
Qct VS S V (.nu*\<-\ \
Check ONE ofthe following three boxes:

Indicate whether the Disclosing Party submitting this EDS is: L M 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 ofthe Applicant (see Section 11(B)(1)) State the legal name ofthe entity in which the Disclosing Party holds a right of control:
Business address of the Disclosing Party:
C-^c^^o ^ ~X u &>oG>\[
Telephone:l Fax: Email:' ^|1010|-J
Name of contact person: j> -^c,^ ^ cj 7 i/E. Federal Employer Identification No. (ifyou have one):
Brief description ofthe Matter to which this EDS pertains. (Include project number and location of
property, if applicable): \\ -V* c^f "1-> A"*>
w-, m*,^ SS k ? 5 ' _ I
Which City agency or department is requesting this BPS'? ^ 1^ tr*'"^ ^< w<~ ^0 pnc» f
Ifthe Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:

Specification f- and Contract ft
Ver.2018-1 Pasu: 1 of 15 .
SECTION II -
- DISCLOSURE OF OWNERSHIP INTERESTS

A. NATURE OF THE DISCLOSING PARTY
] Person
] Publicly registered business corporation ] Privately held business coi poration ] Sole proprietorship ] General partnership ] Limited partnership ] Trust
[ ] Limited liability company [ J Limited liability partnership [ ] Joint venture
Not-for-profit coiporation (Is the not-for-profit corporation also a 501(c)(3))?
k/Yes [ ] No [ ] Ottfer(please specify)
For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
Hl'^oli
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 U Title v





2. Please provide the following infonnation concerning each person or legal entity having a direct or indirect, current or prospective (i.e. within 6 months after City action) beneficial interest (including ownership) in excess of 7.5% ofthe Applicant. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture, interest of a member or manager in a

Pago 2 of 15

Oak Street District 2020 Board List
Name Positions
Stan Razny President, Street Beautification/Landscaping Committee
Joe Lombardo Vice President, Marketing Co-Chair
Alex Katz Treasurer
Kristen Kerch Secretary, Marketing Committee, Hotel Liaison Committee
Marit Bohbot Marketing Co-chair, Street Beautification/Landscaping Committee
Carson Muir Marketing Co-chair, Hotel Liaison Committee
Laura Soto Membership Co-chair, Marketing Committee, Hotel Liaison Committee
Duncan Smith Landlord Liaison Co-chair, Street Beautification/Landscaping Committee
Jerry Cohen Landlord Liaison Co-chair, Street Beautification/Landscaping Committee
TihanaZubak Membership Co-chair
Abby Stockwell Restaurant Liaison Chair, Membership committee
Benjamin Bope Hotel Liaison Chair
Eve Rogers Member at Large
Heather Engstrom Member at Large
Tricia Kaiser Member at Large
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
f^onc :




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 ^ 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 ofthe 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 ofthe Disclosing Party's knowledge after reasonable inquiry, any City elected official's spouse or domestic partner, have a financial interest (as defined in Chapter 2-156 ofthe Municipal Code of Chicago ("MCC")) in the Disclosing Party? [ ] Yes "[)4No
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 ha.s retained or expects to retain in connection with the Matter, as well as the nature ofthe relationship., and the total amount ofthe fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who are paid solely through the Disclosing Party's regular payroll. If 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
^ . % 1) not an acceptable response.
^ Sec £\ \ cL


(Add sheets if necessary)
[ ] Check here ifthe 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 [ J 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 ifthe 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 ofany 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 ofany tax administered by the Illinois Department of Revenue.


Page 4 of 15

List of 2021 Retained Parties for SSA #75

Name Business Address Scope of Work Estimated Notes
To be determined Website Management $3,000 Anticipated upon board approval
To be determined Social Media Management $8,000 Anticipated upon board approval
To be determined Street Pole Lighting $13,000 Anticipated upon board approval
To be determined Landscaping $15,000 Anticipated upon board approval
To be determined Streetscape Elements $10,000 Anticipated upon board approval
To be determined Sidewalk Maintenance $40,000 Anticipated upon board approval
To be determined Snow Removal $7,500 Anticipated upon board approval
To be determined Security Cameras $30,000 Anticipated upon board approval
To be determined Security Patrol $93,542 Anticipated upon boa'rd approval
To be determined SSA Annual Report $1,000 Anticipated upon board approval
To be determined Bookkeeping $3,600 Anticipated upon board approval
To be determined SSA Management $24,000 Anticipated upon board approval
i
The Disclosing Party and, ifthe 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 ofthe Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee ofthe Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official ofthe Disclosing Party, anv Contractor or any Affiliated Entity (collecthely "Agents").

Pace 5 ot" 15

Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor, nor any Agents have, during the 5 years before the dale 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 ofthe City, the State of Illinois, or any agency ofthe federal government or of any state or local government in the United States of America, in that officer's or employee's official capacity;
agreed or colluded with other bidders of 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 ofany 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] ofthe Applicant is currently indicted or charged with, or has admitted guilt of. or has ever been convicted of. or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any "sister agency"; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If MCC Chapter 1-23, Article I applies lo the Applicant, that Article's permanent compliance timeframe supersedes 5-year compliance timeframes in this Section V.
[FOR APPLICANT ONLY] The Applicant and its Affiliated Entities will not use, nor permit their subcontractors to use, any facility listed as having an active exclusion by the U.S. EPA on the federal System for Award Management ("SAM").
[FOR APPLICANT ONLY] The Applicant will obtain from any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in Certifications (2) and (9) above and will not. without the prior written consent ofthe City, use any such

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. ifthe Disclosing Party is unable to certify to any ofthe above statements in this Part B (Further Certifications), the Disclosing Party must explain below:





Ifthe letters "NA," the word "None," or no response appears on the lines above, it will be conclusively-presumed that the Disclosing Party certified to the above statements.

12. To the best of the Disclosing Parly'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, ofthe City of Chicago (if none, indicate with "N/A" or "none").
^ Vo<\c "



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, ofthe 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 Partv certifies that the Disclosing Party (check one)
[ ] is "D*x's not
a "financial institution" as defined in MCC Section 2-32-455(b).
Ifthe Disclosing Party IS a financial institution, then the Disclosing Party pledges:

"We are not and will not become a predatory lender as defined in MCC' Chapter 2-32. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in MCC Chapter 2-32. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss ofthe privilege of doing business with the City."

PiU'e 7 of 15
Ifthe Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in MCC Section 2-32-455(b)) is a predatory lender within the meaning of MCC Chapter 2-32, explain here (attach additional pages if necessary):




Ifthe letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.

D. CERTIFICATION REGARDING FINANCIAL INTEREST IN CITY BUSINESS

Any words or terms defined in MCC Chapter 2-156 have the same meanings if used in this Part D.

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 ofthe City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?

[ JYes
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

3. If you checked "Yes" to Item D(l), provide the names and business addresses ofthe City officials or employees having such financial interest and identify the nature of the financial interest:

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.

E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS

Please check either (1) or (2) below. If the Disclosing Patty 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 tne 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 ofany and all slaves or slaveholders described in those records:






SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS

NOTE: Ifthe Matter is federally funded, complete this Section VI. Ifthe Matter is not federally funded, proceed to Section VII. For purposes of this Section VI, tax credits allocated by the City and proceeds of debt obligations ofthe 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 ifthe letters "NA" or ifthe 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( I) above for his or her lobbying activities or to pay any
person or entity to influence or attempt to influence an officer or employee ofany 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 ofany federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
The Disclosing Party will submit an updated certification at the end of each calendar quarter in which there occurs any event that materially affects the accuracy ofthe statements and information set forth in paragraphs A(T) and A(2) above.
The Disclosing Party certifies that cither: (i) it is not an organization described in section 501(c)(4) ofthe Internal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) 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.
Ifthe Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equal in form and substance to paragraphs A(l) through A(4) above from all subcontractors before it awards any subcontract and the Disclosing Party must maintain all such subcontractors' certifications for the duration 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 [ ] 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 [ ] No [ I Reports not required
Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
[ ] Yes [ ] No

Ifyou checked "No" to question (1) or (2) above, please provide an explanation:




I'ngc 10 oi' 15

SECTION VII - FURTHER ACKNOWLEDGMENTS AND CERTIFICATION

The Disclosing Parly understands and agrees that:
The certifications, disclosures, and acknowledgments contained in this EDS will become part ofany 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 ofany 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.
i
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. T he full text of this ordinance and a training program is available on line at www.citvofchicago.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.
Ifthe City determines that any information provided in this EDS is false, incomplete or inaccurate, any contract or other agreement in connection with which it is submitted may be rescinded or be void or voidable, and the 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 publ icly available on the Internet, in response to a Freedom of Information Act request, or otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it may have against the City in connection with the public release of information contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS.
The information provided in this EDS must be kept current. In the event of changes, the Disclosing Party must supplement this EDS up to the time the City takes action on the Matter. Ifthe Matter is a contract being handled by the City's Department of Procurement Services, the Disclosing Party must update this EDS as the contract requires. NOTE: With respect to Matters subject to MCC Chapter 1-23, Article 1 (imposing PERMANENT INELIGIBILITY for certain specified offenses), the infonnation provided herein regarding eligibility must be kept current for a longer period, as required by MCC Chapter 1-23 and Section 2-154-020.








PLigC 11 of 15
CERTIFICATION

Under penalty of perjury, the person signing below: (1) warrants lhat 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.



(Print or type title of person signing)

at
Signed and sworn to before me on (date)
Co 0 ¦!< County, lU-'INoiS (state)
Commission expires:






GINA M CARUSO OFFICIAL ScAl. Notary Public, Sta'.eo: -*»=¦--My Commissi-.}!". Expi'i January 13, 2C24
















Page 12 of 15

CITV 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 ofthe Disclosing Party listed in Section II.B. 1 .a., ifthe Disclosing Party is a corporation; all partners of the Disclosing Party, ifthe Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members of the Disclosing Party, ifthe Disclosing Party is a limited liability company; (2) all principal officers 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
If yes, please identify below (1) the name and title of such person, (2) the name ofthe legal entity to which such person is connected; (3) the name and title ofthe elected city official or department head to whom such person has a familial relationship, and (4 ) the precise nature of such familial relationship.









Pauc 13 ot15
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIXB

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?

[ ] Yes
2. Ifthe Applicant is a legal entity publicly traded on any exchange, is any officer or director of the Applicant identified as a building code scofflaw or problem landlord pursuant to MCC Section
2-92-416?

[ ] Yes

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.

























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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 lhat 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 lo which they: (i) receive Ciiy 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)(l) 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.
JX^Yes L ]No
[ ] N/A -1 am hot 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)(1). If you checked "no''' to the above, please explain.