OFFICE OF THE MAYOR
CfTY OF CHICAGO
l.ORI F. I.1GHTFOOT
MAYOR
June 25, 2021
TO THE HONORABLE, THE CITY COUNCIL OF THE CITY OF CHICAGO
Ladies and Gentlemen:
At the request of the Commissioner of Planning and Development, 1 transmit herewith ordinances authorizing the sale of City-owned properties.
Your favorable consideration of these ordinances will be appreciated.
ayor
Very truly yours
AN ORDINANCE OF THE CITY OF CHICAGO, ILLINOIS AUTHORIZING THE CONVEYANCE OF CITY LAND TO NEIGHBORSPACE
WHEREAS, the City of Chicago ("City") is a home rule unit of government by virtue of the provisions of the Constitution of the State of Illinois of 1970, and, as such, may exercise any power and perform any function pertaining to its government and affairs; and
WHEREAS, there is a lack of sufficient open space in the City for recreational and aesthetic uses, as documented in the comprehensive plan entitled "CitySpace: An Open Space Plan for Chicago" (the "CitySpace Plan"), and as a result there is a need to develop small open spaces as parks, gardens and natural areas for public use; and
WHEREAS, the CitySpace Plan sets forth certain goals and objectives for increasing open space in the City; and
WHEREAS, the City Council of the City (the "City Council") finds that the establishment of additional public open space and parkland is essential to the general health, safety and welfare of the City; and
WHEREAS, the City owns nine (9) vacant parcels of land (approximately 0.76 acres) commonly known as 5136-52 & 5156-58 South Carpenter Street, Chicago, Illinois, which is legally described on Exhibit A attached hereto (subject to final survey and title commitment, the "Property"): and
WHEREAS, by ordinance adopted on March 26, 1996, and published at pages 18969 to 18979 in the Journal of the Proceedings of the City Council of such date (the "NeighborSpace Ordinance"), the City authorized the execution of an intergovernmental agreement between the City, the Chicago Park District and the Forest Preserve District of Cook County (the "NeighborSpace IGA") to establish NeighborSpace, a not-for-profit corporation, to address the lack of sufficient open space in the City for recreational and aesthetic uses; and
WHEREAS, NeighborSpace was incorporated under the laws of the State of Illinois on May 29, 1996, exclusively for charitable, scientific and educational purposes, including, but not limited to, the preservation of open space and parks within the City; and
WHEREAS, the City, the Chicago Park District and the Forest Preserve District of Cook County entered into the NeighborSpace IGA on or as of January 16, 1997; and
WHEREAS, on September 9, 1998, the City approved a 20-year extension of the NeighborSpace IGA; and
WHEREAS, on October 16, 2018, the City, the Chicago Park District and the Forest Preserve District of Cook County extended the NeighborSpace IGA to December 1, 2020; and
WHEREAS, it is anticipated that the City, the Chicago Park District and the Forest Preserve District of Cook County will renew the NeighborSpace IGA; and
WHEREAS, the primary mission of NeighborSpace is to acquire small open spaces to ensure their continued survival for community use; and
WHEREAS, the NeighborSpace Ordinance contemplates that the City would donate, sell
or lease land to NeighborSpace, and that NeighborSpace, in turn, would enter into agreements with local groups to use and maintain the land as community gardens or other public open space; and
WHEREAS, the City desires to convey the Property to NeighborSpace for the expansion of a community-managed garden known as the Stockyards Community Garden (the "Garden"); and
WHEREAS, after transfer of the Property to NeighborSpace, NeighborSpace will own the Property and the Property will be managed by the community as an expansion of the Garden; and
WHEREAS, the City Council finds that the conveyance of the Property to NeighborSpace is in the best interests of the City and is consistent with the CitySpace Plan; and
WHEREAS, the Board of Directors of NeighborSpace approved the acquisition of the Property on December 3, 2019; and
WHEREAS, on March 18, 2021, the Chicago Plan Commission approved the sale of the Property to NeighborSpace; and
WHEREAS, public notices advertising the intent of the Department of Planning and Development to enter into a negotiated sale of the Property with NeighborSpace and requesting alternative proposals appeared in the Chicago Tribune on May 28, June 4 and June 11, 2021; now, therefore,
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
SECTION 1. The foregoing recitals, findings and statements of fact are hereby adopted as the findings of the City Council.
SECTION 2. The City hereby approves the conveyance of the Property to NeighborSpace in its "as is" condition for the sum of One Dollar ($1.00) per parcel.
SECTION 3. Subject to a renewal of the NeighborSpace IGA, pursuant to separate ordinance, the Mayor or her proxy is authorized to execute, and the City Clerk or Deputy City Clerk, is authorized to attest, a quitclaim deed or deeds conveying the Property to NeighborSpace. The quitclaim deed(s) shall include the following covenant running with the land, or language substantially similar and acceptable to the Corporation Counsel:
NeighborSpace shall use, or permit the use, of the Property as open space only, including, without limitation, as a community garden. The City, acting through the Commissioner of the City's Department of Planning and Development, or any successor department thereto, shall have authority to release this covenant upon the request of NeighborSpace. If NeighborSpace uses, or permits the use, of the Property for any other purpose, without first obtaining a release of this covenant, the City may re-enter and take possession of the Property, terminate the estate conveyed to NeighborSpace, and revest title to the Property in the City.
SECTION 4. If any provision of this ordinance shall be held to be invalid or unenforceable for any reason, the invalidity or unenforceability of such provision shall not affect any of the other provisions of this ordinance.
SECTION 5. All ordinances, resolutions, motions or orders in conflict with this ordinance are hereby repealed to the extent of such conflict.
SECTION 6. This ordinance shall be in full force and effect immediately upon its passage and approval.
Exhibit A - Legal Description of Property
EXHIBIT A LEGAL DESCRIPTION OF PROPERTY
(SUBJECT TO FINAL SURVEY AND TITLE COMMITMENT)
LOTS 8, 9, 10, 11, 12, 13, 14, 16 AND 17 IN BLOCK 2 IN PLOWDEN STEVENS RESUBDIVISION OF LOTS 1 TO 10 AND 31 TO 37 INCLUSIVE IN HINCKLEY'S SUBDIVISION OF THE NORTHWEST 1/4 OF THE SOUTHEAST 1/2 OF SECTION 8, TOWNSHIP 38 NORTH, RANGE 14, EAST OF THE THIRD PRINCIPAL MERIDIAN IN COOK COUNTY, ILLINOIS.
ADDRESS: 5136-52 & 5156-58 SOUTH CARPENTER STREET CHICAGO, ILLINOIS 60609
PIN(s): 20-08-402-036 20-08-402-037 20-08-402-038 20-08-402-039 20-08-402-040 20-08-402-041 20-08-402-042 20-08-402-044 20-08-402-045
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
Check ONE of the following three boxes.
Indicate whether the Disclosing Party submitting this EDS is
jxJ the Applicant
OR
[ j 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. [ ] 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: '-j S ^.1 ^Vr-r /?v /VNPrOrO ft f fit
C Telephone: 9 ? 3 - ft .2 & '3 U ? Fax: QQ3 ' rV- - C&- ? 1 Email: h /\£ if hinAQ> rta.,J nifir- Space
D. Name of contact person fi-p ff ? (jJ f\r\ ,\$ ^
E Federal Employer Identification No (if you have one):
F Brief description of the Matter to which this EDS pertains. (Include project number and location of property, if applicable):
5136-58 South Carpenter Street
G. Which City agency or department is requesting this EDS? J^f^I"61? °tLPl^^i??_^_^J''e.l0f>ment
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
[ ] Person
[ ] Publicly registered business corporation [ ] Privately held business corporation [ ] Sole proprietorship [ J General partnership [ ] Limited partnership [ J Trust
f ] Limited liability company
[ ] Limited liability partnership
[ ] Joint venture
£(Is the not-for-profit corporation also a 501(c)(3))?
rXYes [ ]No [ ] Other (please specify)
For legal entities, the state (or foreign country) of incorporation or organization, if applicable.
_LT/((n ._.
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 p^OiganxzsA in Illinois
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY
I. 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
_5V?p ('-t.il . _
(\.0_ nse.M.b.-gjrs ujkicL ax^ (e^\ potties
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
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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
/i . • - - - - -
SECTION III - INCOME OR COMPENSATION TO, OR OWNERSHIP BY, CITY ELECTED OFFICIALS
Mas 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 /H^No
Does ihe Disclosing Party reasonably expect to provide any income or compensatewi to any City elected otTtciiil dtinin; the 1 2-nwnfb period following ihc chite of this EDS'* f [Yes /KT^0
If "yes" to either of the above, please identify below the name(s) of such City elected officials) 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? f {Yes >
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.
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Name (indicate whether Business Relationship to Disclosing Party Fees (indicate whclhei
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)
^(Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities
SECTION V -- CERTIFICATIONS
A COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under MCC Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
[ } Yes [ ] No ^^No person directly or indirectly owns 10% or more of the Disclosing Party.
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with that agreement?
[ ] Yes [ ] No
B FURTHER CERTIFICATIONS
[This paragraph I 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, investigati ve, 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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3. 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 locali) 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 recei ving 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 fiabfe 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.
4 The Disclosing Party understands and shall comply with the applicable requirements of MCC Chapters 2-56 (Inspector General) and 2-156 (Governmental Ethics).
5. 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 I V, "Disclosure of Subcontractors and Other Retained Parties'1);
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)(4XContracts 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 1 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
Page6ofl5
contractor/subcontractor that does not provide such certifications or that the Applicant has reason to believe has not provided or cannot provide truthful certifications.
II 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.
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")
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 empl oyee, 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 (iii) foodior drink provided in the course of official1 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.
4-aA£__ . ... . . ...
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION 1. The Disclosing Party certifies that the Disclosing Party (check one)
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."
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It'the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in MCC Section 2-32-455(b)) is a predatory lender within the meaning of MCC Chapter 2-32, explain here (attach additional pages if necessary)
ff the letters "NA/ the word "None," or no response appears on the lines above, it wilt 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
I. 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( 1), proceed to Items D(2) and D(3). If you checked "No" to Item D(I), skip Items E>(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 (i ii) is sold by virtue of legal process at the suit of the City (collecti vely, "City Property Sale"). Compensation for property taken pursuant to the City's eminent domain power docs not constitute a financial interest within the meaning of this Part D.
Does the Matter involve a City Property Sale?
I lYes
3. If you checked "Yes" to Item D( 1), provide the names and business addresses of the 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.
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E CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Please check either (I) or (2) below. If the Disclosing Party checks (2), the Disclosing Party must disclose below or in an attachment to this EDS all 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.
' Pne 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
I. 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 IS
of a member of Congress, tn 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( 1) 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?
( 1 Yes [ 1 No
If "Yes," answer the three questions below:
Have you developed and do you have on file affirmative action programs pursuant to applicable federal regulations? (See 41 CFR Part 60-2.)
[ ] Yes [ 1 No
Have you filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance Programs, or the Equal Employment Opportunity Commission all reports due under the applicable filing requirements?
[ ] Yes [ ] No [ ] Reports 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 (I) or (2) above, please provide an explanation.
Vcr.2018-1 Page 10 of 15
SECTION VII -- FURTHER ACKNOWLEDGMENTS AND CERTIFICATION
The Disclosing Party understands and agrees that:
A. 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.citvofchtcavto-.Ofu/Ethics . and may also be obtained from the City's Board of Ethics, 740 N. Sedgwick St Suite 500, Chicago; IL 60610, (3 Ii2) 744-9660: The Disclosing, Parry must comply fully with this ordinance.
If the Giiy 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 (aw; of 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/br upon request. Some or all of the information provided1 in, and appended to, this EDS- may be, made publicly available on the Internet, in response to a Freedom of Information Acfcrequesfi 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. I f 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 I -23 and Section 2-154-020
Page 11 oflS
CERTIFICATION
Under penalty of perjury, the person signing below: (I) 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.
"Disclosing Party)
(I' By:
M^Lho^f.a.^^..
Print or type exact! lettal iianie„q{?Di.sc
^Sign here)
(Print or type name of person signing) (Print or type title of person signing)
Signed and sworn to before me on (date)
at —CfltS lC County, JT-f 11 no( s._ (state).
Notary Public
Commission expires: . O/ / rH> 13^1
OFFICIAL SEAL SALLY EHAMANN NOTARY PUBLIC • STATE OF tUiNOS MY COMMISSION EXKRE&01O0Q2
Pago 12 of 15
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND DEPARTMENT HEADS
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5%. It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
Under MCC Section 2-154-015, the Disclosing Party must disclose whether such Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently has a "familial relationship" with any elected city official or department head. A "familial relationship" exists if as of the date this EDS is signed, the Disclosing Party or any "Applicable Party" or any Spouse or Domestic 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, aunC or uncle, niece or nephew, grandparent,.grandchild^ father-in-law, mother-in-law, sonrin-law, daughter-in-law, stepfather or stepmother, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister.
"Applicable Party" means (I) alii executive officers of the Disclosing Party listed in Section 11.B.I.a., if the Disclosing Party is a corporation; alt 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, executi ve 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 (I) 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.
Page 13 of 15
CITY OF CHICAGO ECONOMIC DISCLOSURE S TATEMENT AND AFFIDAVIT
APPENDIX B
BUILDING CODE SCOFFLAVWPROBLEM LANDLORD CER TIFICATION
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?
[ J Yes j4^o
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?
[ JYes [ | No J|>
3. If yes to (I) or (2) above, please identi fy 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.
Piigc 14 of IS
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 (uww aiiileiyiil.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.
[ JYes
( ]No
This certification shall serve as the affidavit required by MCC Section 2-92-385(c)(l).
If you checked "no" to the above, please explain.
Page 15 of 15
4 -15 i\ SACRAMENTO BLVD. SUITE 204. CHICAGO IL 606 12 , 7 T3 -828 - 32 40 I WWW NEIGHBOR SPACE 0 R«
BOARD Of DIRECTORS
PRESIDENT Cathy Breitunbach
CnioiiftO FillK Dtstnuc
VICE PRESIDE*! I Commissioner Gia Biagi
Chicago Departrnow oi Transportation
SECRETARY Wyllys Mann
MVAH partners. aC
TREASURER Cynthia A. Bergman
Freeoorn i Peters. LLC
Conirtiissroner Allison Arwady Chicago Depnilmer.i c' Fjrjlic Health
Walter Surneti. Jr.
Alderman 2'rti» «W3
Commissioner Dennis Deer
rorsst Preserve Oisiritf of~ CotiWCoumv
Dr. Shcmuel Israel
North Lri-Annnle Greening Comir.tuee
Michael Kelly
Chicago Pa.-n Disiric'
Arnold Randall
rorwst Preserve Oistntri im Cook Couh'.v
Christy Webber Christy Webl>:i LPresident
Cathy Breitenbach
Director of Cultural and Natural
Resources
Chicago Park District 541 North Fairbanks Court Chicago, IL 60611 (312)742-4946
cathy.breitenbach@chicagoparkdi8trict.com
Vice-President
Gia Biagi Commissioner
Chicago Department of Transportation
30 N. LaSalle Street
Suite 1100
Chicago, IL 60602
312.744.3600
gia.biagi@cityofchicago.org
Secretary
Wyllys Mann MVAH Partners, LLC Regional Development Director wyllysmann@gmail.com
Treasurer
Cynthia A. Bergmann Attorney
Freeborn & Peters, LLC
311 South Wacker Drive, Suite 3000
Chicago, IL 60606-6677
(312)360-6652
cbergmann@freebom.com
Walter Burnett Alderman, 27th Ward 4 N Western Ave, Unit 1C Chicago, IL 60612 312-432-1995
wbumett@citvofchicago.org Dennis Deer
Cook County Commissioner 2nd District
118 N. Clark St, Suite 567 Chicago IL 60602 312-603-3019
Dennis. deer@cookcountyil. gov
Shcmuel B. Israel, DC Healthy Habits By Design PO Box 802927. Chicago, Illinois 60680 773-722-2561
nlgreeningcommittee@gmail.com
Christy Webber President
Christy Webber Landscapes 2900 W. Ferdinand Street Chicago, IL 60612 (773) 533-0477 christy@christvwebber.com
Directors
Dr. Allison Arwady Commissioner
Chicago Department of Public Health 333 S. State Street. Room 200 Chicago, IL 60604 312-747-9870
allison.ai%vadv@citvo('chicago.oiK.
Ex Officio Directors
Arnold Randall
General Superintendent
Forest Preserve District of Cook County
536 North Harlem Avenue
River Forest, IL 60305
(708) 771-1511
Arnold.Randall@cookcountyil.gbv
Michael P. Kelly Superintendent Chicago Park District 541 North Fairbanks Court Chicago, IL 60611 (312)742-4200
Michael.Kelly@chicagoparkdistrict.com
Executive Director
Ben Helphand
Executive Director
NeighborSpace
445 N. Sacramento Blvd
Chicago, IL 60612
773-826-3127
helphand@gmail.com
i jjl neighborspace
4 4 5 \ SACRAMENTO BLVD. SUITE 204, CHICAGO, 1L 606 12 , 7 ? J -826- 3240 I WWW NEIGHBOR SPACE.ORG
DOARD OF DIRECTORS
PRESIDENT Cathy Breitenbach
Chicago ?;irK Otstrtc1.
VICE PRESIDED T Commissioner Gia Biagi
Chicago Oepjrtineiil of rransuonatlon
SEC RE TARY Wyllys Mann
MV'\h Fanners. LLC
Commissioner Allison Arwady Cmcjigo Department of' Public Health
Walter Burnett, Jr. Aider.-nan 2?ih wairt
Commissioner Dennis Deer Foost Pieserve Oistnc; of Coor. Covir.ty
Dr. Shemuel Israel Nortft Lawiumle Greening CoiPi^ilIcie
Michael Kelly
Criirra^p Paik District
Ari Krigel
Frerioorn ft Peters. L_C
Commissioner Jose Munoz
Chicago Park Dis:r.r.c
Arnold Randall
Forusi Preserve D strict of Cook County
Jacqui Ulricn
Forest Pr'.'s«'*.e Disirici or CouSv County
Christy Webber
Cluistv vVr:iii?ei Laruiscioe'-.
President
Cathy Breitenbach
Director of Cultural and Natural,
Resources
Chicago Park District 541 North Fairbanks Court Chicago, IL 60611 (312) 742-4946
cathy.breitenbach@chicagoparkdistrict.com
Vice-President
Gia Biagi Commissioner
Chicago Department of Transportation
30 N. LaSalle Street Suite 1100 Chicago, IL 60602 312.744.3600
gia.biagi@cityofchicago.org
Secretary
Wyllys Mann MVAH Partners, LLC Regional Development Director wyllysmann@gmail.com
Directors
Dr. Allison Arwady Commissioner
Chicago Department of Public Health 333 S. State Street, Room 200 Chicago, IL 60604 312-747-9870
altison.arwady@citvofchicago.org .
Walter Burnett Alderman, 27th Ward 4 N Western Ave, Unit 1C Chicago, IL 60612 312-432-1995
wbumett@cttvofchicago.org
Dennis Deer
Cook County Commissioner 2nd District
118 N. Clark St, Suite 567 Chicago IL 60602 312-603-3019
Dennis.deer@cookcountyil.jaov
Shemuel B. Israel, DC Healthy Habits By Design PO Box 802927. Chicago, Illinois 60680 773-722-2561
nlgreeningcommittee@gmail.com
Ari W. Krigel Partner
Freeborn & Peters, LLC
311 South Wacker Drive, Suite 3000
Chicago, IL 60606-6677
(312) 360-6726
akriget@freeborn.com
Commissioner Jose M. Munoz
Chicago Park District
541 North Fairbanks Court
Chicago, IL 60611
Jose@lacasanorte.otg
Jacqui Ulrich Director
Conservation & Experiential Programming
Forest Preserve District of Cook County
536 N. Harlem
River Forest, IL 60305
708-771-1573
Christy Webber President
Christy Webber Landscapes 2900 W. Ferdinand Street Chicago, IL 60612 (773)533-0477 christy(a),christvwebber.com
Ex Officio Directors
Arnold Randall
General Superintendent
Forest Preserve District of Cook County
536 North Harlem Avenue
River Forest, IL 60305
(708)771-1511
Amold.Randall@cookcountyiI.gov
Michael P. Kelly Superintendent Chicago Park District 541 North Fairbanks Court Chicago, IL 60611 (312) 742-4200
M ichael .Kel ly @chi cagoparkdistrict. com
Executive Director
Ben Helphand
Executive Director
NeighborSpace
445 N. Sacramento Blvd
Chicago, IL 60612
773-826-3127
helphand@gmail.com