OFFTCE OF THE MAYOR
CITY Ol- CHICAGO
LORI li. LIGHTFOOT
MAYOR
October 14. 2021
TO THE HONORABLE, THE CITY COUNCIL OF THE CITY OF CHICAGO
Ladies and Gentlemen:
At the request ofthe Commissioner of Planning and Development, I transmit herewith ordinances authorizing the budget, scope of services and service provider agreements for various Special Service Areas.
Your favorable consideration of these ordinances will be appreciated.
Mayor
ORDINANCE REGARDING SPECIAL SERVICE AREA #26
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; and
WHEREAS, the City Council (the "City Council") of the City of Chicago (the "City") has previously enacted a certain ordinance on the date specified on Exhibit A attached hereto and hereby made a part hereof and published in the Journal of Council Proceedings (the "Journal") for such date at the pages specified on Exhibit A hereto, and amended on the date(s) specified on Exhibit A hereto and published in the Journal for such date(s) as specified on Exhibit A hereto (as amended from time to time, the "Establishment Ordinance") which established a certain special service area as indicated therein and as identified on Exhibit A hereto (the "Area") and authorized the levy of certain annual taxes, not to exceed the annual rate (the "Levy Cap") indicated therein and as described on Exhibit A hereto, of the equalized assessed value of the taxable property therein (the "Services Tax") to provide certain special services in and for the Area in addition to the services provided by and to the City generally as specified in the Establishment Ordinance (the "Special Services"); and
WHEREAS, the Establishment Ordinance provided for the appointment of a certain special service area commission for the Area (the "Commission") to advise the City Council regarding the amount of the Services Tax for the Area to be levied and for the purpose of recommending to the City Council for the Area: (i) a yearly budget based upon the costs of providing the Special Services; (ii) an entity to serve as service provider (the "Service Provider"); (iii) an agreement between the City and the Service Provider for the provision of Special Services to the Area (the "Service Provider Agreement"); and (iv) a budget to be included in the Service Provider Agreement (the "Budget") (the aforementioned items (i) through (iv) shall be known collectively herein as the "Recommendations"); and
WHEREAS, the Commission identified on Exhibit A hereto has heretofore prepared and transmitted to the Commissioner of Planning and Development (the "Commissioner") their Recommendations to the City Council, including the Budget attached hereto as Exhibit A; now, therefore,
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO AS FOLLOWS:
SECTION 1. Incorporation of Preambles. The preambles of this ordinance are hereby incorporated into this text as if set out herein in full.
SECTION 2. Appropriations. There is hereby appropriated the sum in the amount and for the purposes necessary to provide the Special Services in and for the Area, the estimated amount of miscellaneous income and the amount required to be raised by the levy ofthe Services Tax indicated on Exhibit A hereto: Collectable Levy, Estimated Loss Collection, Carryover Funds, TIF Rebate Fund, and Estimated Late Collections and Interest.
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SECTION 3. Levy of Taxes. There is hereby levied pursuant to the provisions of (i) Article VII, Sections 6(a) and 6(l)(2) of the Constitution of the State of Illinois; (ii) the Act; and (ni) the Establishment Ordinance, the sum of the "Total Requested Levy" indicated on Exhibit A hereto as the amount of the Services Tax for the Area for the tax year 2021.
SECTION 4. Filing. The City Clerk of the City (the "City Clerk") is hereby ordered and directed to file in the Office of the County Clerk of Cook County, Illinois (the "County Clerk") a certified copy of this ordinance on or prior to December 28, 2021, 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 tax year 2021 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 5. - Service Provider Agreement. 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 as authorized herein with the entity indicated on Exhibit A hereto as the Service Provider, for a one-year term in 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 shall 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 sum appropriated pursuant to Section 2 above to the Service Provider in consideration for the provision of the Special Services described in the Budget. The Department of Planning and Development shall promptly make a copy of the executed Service Provider Agreement (and any amendments thereto) readily available for public inspection. The Authorized Officer is also authorized to sign amendments to the Service Provider Agreement entered into pursuant to this Section 5 so long as such amendments do not alter the identity of the Service Provider and/or the amounts appropriated and/or levied pursuant to Sections 2 and 3 hereof.
SECTION 6. Enforceability. If any section, paragraph or provision of this ordinance shall be held to be invalid or unenforceable for any reason, the invalidity or unenforceability of such section, paragraph or provision shall not affect any ofthe remaining provisions of this ordinance.
SECTION 7. 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 8. 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.
SECTION 9. Effective Date. This ordinance shall take effect 10 days after its passage and publication.
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EXHIBIT A
SPECIAL SERVICE AREA #26
Total Requested Levy
Edgewater Commercial District Special Service Area Number 26 Commission
East Edgewater Chamber of Commerce, Inc., d/b/a Edgewater Chamber of Commerce
Establishment Ordinance Date: December 17, 2003 Journal pages: pages 15330-15415
Amendment(s) to Establishment Ordinance Date: November 15, 2012 Journal pages: pages 41464-41642
See attached Budget.
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Exhibit A Budget
Special Service Area # 26
SSA Name: Broadway
2022 BUDGET SUMMARY
Budget and Services Period. January 1, 2022 through December 31, 2022
2021 Levy
CATEGORY (Funded Categories Comprise Scope of Services) Collectable Levy Estimated Loss Collection Carryover Funds TIF Rebate Fund #937 Estimated Late Collections and Interest Total All Sources
1.00 Customer Attraction $111,200 $0 $0 $24,215 SO $135,415
2.00 Public Way Aesthetics $192,186 SO $55,000 $45,000 $0 $292,186
3.00 Sustainability and Public Places $100 $0 $0 $0 $0 $100
4.00 Economic/ Business Development $20,500 $0 $25,000 $5,000 $0 $50,500
5.00 Public Health and Safety Programs $1,600 $0 $0 $0 $0 $1,600
6.00 SSA Management $26,914 $0 $0 $0 so $26,914
7.00 Personnel $112,500 $0 $0 $0 $112,500
Sub-total $465,000 $0
GRAND TOTALS Levy Total $465,000 $80,000 $74,215 $0 $619,215
LEVY ANALYSIS
Estimated 2021 EAV: $110,021,312
Authorized Tax Rate Cap: 0.550%
Maximum Potential Levy limited by Rate Cap: $605,117
Requested 2021 Levy Amount- $465,000
Estimated Tax Rate to Generate 2020 Levy: 0.4226%
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I - GENERAL INFORMATION
Legal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable:
Check ONE ofthe following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
[vf the Applicant
OR
[ ] a legal entity currently holding, or anticipated to hold within six months after City action on
the contract, transaction or other undertaking to which this EDS pertains (referred to below as the
"Matter"), a direct or indirect interest in excess of 7.5% in the Applicant State the Applicant's legal
name: -'*
OR
[ ] a legal entity with a direct or indirect right of control of the Applicant (see Section n(BXl)) State the legal name of the entity in which the Disclosing Party holds a right of control:
Business address ofthe Disclosing Party: 10. °$a$edLi}e
Telephone: 17Z-g&h&oa3 Fax: - . Email: rMrtlS^^^euMxhx-.ef^
Name of contact person: (^jUri-zfiuA. T?£~-hzji*.*jej~ •'* *'*
Federal Employer Identification No. (if you have one): _
Brief description of the Matter to which this EDS pertains. (Include project number and location of property, if applicable):
Which City agency or department is requesting this EDS? y*ptA<#^-0^Y\wui*Q £ fet/g^XM^x}--
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification # and Contract #
Vo\2018-1 Pagel of 15
SECTION n - DISCLOSURE OF OWNERSHIP INTERESTS A. NATURE OF THE DISCLOSING PARTY
[ ] Person
[ ] Publicly registered business corporation [ ] Privately held business corporation [ ] Sok proprietorship [ ] General partnership [ ]Limh^rwrtaerehip [ ] Trust
[ ] Limited liability company
[ ] Linritedliabuitypafo
[ ] Joint venture
[vj Not-for-profit corporation
(Is the not-for-profit corporation also a S01(cX3))?
[]Yes MNo [ ] Other (please specify)
For legal entities, the state (or foreign country) of incorporation or organiratirm, if applicable:
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 |V3^gs-uzed m Illinois
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
1. List below the full names and tides, if applicable, of: (i) all executive officers and all directors of the entity; (ii) for not-for-profit corporations, all members, tf any, which are legal entities (if there are no such members, write "no members which ate legal entities"); (iii) for trusts, estates or other similar entities, the trustee, executor, adrmnistrator, or similarly situated party; (iv) for general or limited partnership*, limited liability companies, limited liability partnerships or joint ventures, each general partner, managing member, manager or any other person or legal entity mat directly or indirectly controls the day-to-day management ofthe Applicant
NOTE: Each legal entity listed below must submit an EDS on its own behalf.
Name A Tide
Name n Tide
2. Please provide the following information COTcerning each person or legal entity having a direct or mdirect, current or prospective (Le. within 6 months after City action) beneficial interest (including ownership) in excess of 7-5% ofthe Applicant Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture, interest ofa member or manager in a
Page 2 of 15
EDGEWATER CHAMBER OF COMMERCE
2021 East Edgewater Chamber of Commerce, Inc. D/B/A Edgewater Chamber of Commerce List
of Officers and Directors
Chair
Sean Connolly
Vice Chair Troy McMillan Treasurer Michael Caramagno Secretary Maria Signman Director Dave Frederickson Director Tim Harrington
Director Cecilia Rodriguez Director Tom Welch Director Adam Gertsacov Director Kelly Stoltz Executive Director Christina Pfitzinger
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
A)oiaJI .
SECTION m - 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 [vfNo
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 [v/JNo
If "yes" to either of the above, please identify below the name(s) of such City elec^*_£ficial(8) and describe such income or cc^npensation:
Does any City elected official or, tome best ofthe Disclosing Party's knowledge after reasonable inquiry, any City elected official's spouse or domestic partner, have a fiwmrial interest (as defined in Chapter 2-156 ofthe Municipal Code of Chicago ("MCC")) in the Disclosing Party? [ ]Yes [v_No
If "yes," please identify below the name(s) of such City elected officials) and/or spouse(sydoms8ac partner^) and describe the financial interests).
SECTION 1Y - 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 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 roust either ask the City whether disclosure is required or make the disclosure.
Page 3 of15
Name (indicate whether Business Relationship to Disclosing Party Fees (indicate whether
retained or anticipated Address (subcontractor, attorney, paid of estimated.') NOTE;
to be retained) lobbyist, etc.) "hourly rate* or "tb.d." is
I, r / not an acceptable response.
See. tsdnrajcX^ca,
(Add sheets if necessary)
[ ] Check here if the Disclosing Party has not retained, nor exp^ 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 directiy or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Dlmois court of competent jurisdiction?
[ ]Yes [ ]No M^o person directly or iixlirectly owns 10% or more of the Disclosing Party.
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with that agreement?
[ ]Yes [ ]No
FURTHER CERTIFICATIONS
(This paragraph 1 applies only if the Matter is a wmtract being handled by the City's Department of Procurement Services.] In the 5-year period preceding the date of this EDS, neither the Disposing Partv nor anv Affiliated Entity fsee definition in (5) below] has engaged, in connection wilh the performance ofany public contract, the services of an integrity morutor, independent private sector inspector general, or integrity compliance consultant (i.e., an rndrvidual or entity with legal, auditing, mvestigative, or other similar skills, designated by a public agency to help the agency monitor the activity of specified agency vendors as well as help the vendors reform their business practices so they can be considered for agency contracts in the future, or continue with a contract in progress).
The Disclosing Party and its Affiliated Entities are not delinquent in the payment of any fine, fee, tax or other source of indebtedness owed to the City of Chicago, including, but not limited to, water and sewer charges, license fees, parking tickets, property taxes and sales taxes, nor is the Disclosing Party delinquent in the payment of any tax administered by the Illinois Department of Revenue.
Page 4 of15
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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 HfBXl) of this EDS:
are not presently debarred, suspended, proposed for debarment, declared ineligible or vohmtarily excluded from any transactions by any federal, state or local unit of government;
have not, during the 5 years before the date of mis 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; cmbezzlenraafcrtheft; forgery; bribery; falsification or destruction of records; malting false statemflnts^or receiving stolen property;
are not presently mfrViflH for, or criminally or civilly charged by, a governmental entity (federal state or local) with coinmitting 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 die applicable requirements of MCC Chapters 2-56 (Inspector General) and 2-156 (Qoveinmental Ernies).
Certifications (5), (6) and (7) concenu
the Disclosing Party;
any "Contractor" (mramrng any «mrractor or subi^mtractor 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" (rnmrtrng 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: inreriocking 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 die same management, ownership, or principals as time ineligible entity. With respect to Contractors, the term Affiliated Entity means a person or entity that directly or mdirectry controls the Qmtractor, is controlled by it, or, with the Contractor, is under common control of another person or entity;
any responsible official of the Disclosing Party, any Contractor or any Affiliated Entity or any
. other official, agent or employee of the Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official of the Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Page 5 of15
Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any (Contractor, nor any Agents have, during the 5 years before the date of this EDS, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity ofa Ckmtractor 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 attenroting to bribe, a public officer or employee of the City, the State of Illinois, or any agency of die federal government or of any state or local government in die 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(aX4XContracts Requiring a Base Wage); (aX5)(Debannent Regulations); or (aXoXMhumum Wage Ordmance).
Neither the Disclosing Party, nor any Affiliated Entity or Contractor, or any of their ermployees, officials, agents or partners, is barred from contnicting with any unit of state or local government as a result of engaging in or being convicted of (1) bid-rigging in violation of720 ILCS 5/33E-3; (2) bid-rotBting in violation of720 ILCS 5/33E-4; or (3) any similar offense ofany state or ofthe United States of America that contains the same elements as the offense of bid-rigging or bid-rotating.
Neither the Disclosing Party nor any Affiliated Entity in listed «n n Sanntimm T.int maintained lny thf United States Department of C^nunerce, State, or Treasury, or any successor federal agency.
[FOR APPLICANT ONLY] (i) Neither the Applicant nor any "controlling person" [gee. MCC Chapter 1-23, Article I for applicability and defmed 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 mvoWing actual, attempted, or conspiracy to commit bribery, theft fraud, forgery, perjury, dishonesty or deceit against an officer or employee ofthe City or any "sister agency*; and(ii) the Applicant understands and aclmowlcdges mat «mipliance with Article I is a (jcatfmuing requirement for doing business with die City. NOTE: If MCC Chapter 1 -23, Article I applies to die Applicant, that Article's permanent compliance timeframe supersedes 5-year compliance tirnefiames 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 an die federal System for Award Management ("SAM").
10. [FOR APPLICANT ONLY] The Applicant will obtain from any contractora/subcam hired
or to be hired in connection with the Matter certifications equal in form and substance to those in
Certifications (2) and (9) above and will not, without the prior written consent ofthe City, use any such
Ver.2018-1 Page 6 of 15
ccmtiactoiysubcontractor that does not provide such certifications or that1 the Applicant has reason to believe has not provided or cannot provide truthful certifications.
11. If the Disclosing Party is unable to certify to any of the above statements in this Part B (Further Certifications), the Disclosing Party must explain below:
If the letters "NA," die word "None," or no response appears on die lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
12. To die best of the Disclosing Party's knowledge after reasonable mquiry, the following is a complete list of all current employees ofthe Disclosing Party who were, at any time during the 12-month period preceding the date of this EDS, an employee, or elected or appointed official, of the City of Chicago (if none, indicate with "N/A* or "none*).
Mokc,|99|
13. To the best of the Disclosing Party's knowledge after reasonable inquiry, the foltowmg 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 die execution date of this EDS, to an employee, or elected or appointed
official oflhe City of Chicago. For purposes of this gtaty"f"tt a "gift" does not mclude: (i) anything
made generally available to City employees or to the general public, or (ii) food or drink provided in
die 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, "iri'Vutf with "N/A* or
"none"). As to any gift listed below, please also list the name of the City recipient
NOVlC
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
The Disclosing Party certifies that the Disclosing Party (check one)
[]is |V]isnot
a "fmancial institution" as defmed in MCC Section 2-32-455(b).
If die Disclosing Party IS a fmancial institution, then the Disclosing Party pledges:
* We are not and will not become a predatory lender as defined in MCC Giapter 2-32. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defmed in MCC Chapter 2-32. We understand that becoming a predatory lender or becorning an affiliate ofa predatory lender may result in the loss of the privilege of doing business with the City."
Page 7 of15
If the Disclosing Party is unable to make this pledge because it or any of its nffiliaft-s (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):
If the letters "NA," die word "None," or no response appears on ihe 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 die same mreminga if used in tins Part D.
In accordance with MCC Section 2-156-110: To die best ofthe Disclosing Party's knowledge after reasonable inquiry, does any official or employee of the Chy have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
[ ]Yes [Vfk>
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), slop Items D(2) and D(3) and proceed to Part E.
Unless sold pursuant to a process of competitive bidding, or otherwise pennitted, no City elected official or employee shall have a fmancial interest in his or her own name or in the name ofany other person or entity in die purchase of any property that (f) belongs to the City, or(ii)is sold for taxes or assessments, or (iii) is sold by virtue of legal process at die suit ofthe City (coUectivery, "City Property Sale"). Compensation for property taken pursuant to the City's eminent domain power does not cor>jmtute a financial interest within the meaning of this Part D.
Does the Matter involve a City Property Sale?
[ ]Yes [ ]No
If you checked "Yes" to Item D(l), provide the names and business addresses ofthe Chy officials or employees having such financial interest and identify the nature ofthe financial interest
Name Business Address Nature of Financial Interest
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
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E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Please check dther (1) or (2) below. If the Diseasing Party checks (2), the Disclosing Party
must disclose below or in an attachment to this EDS all n^ Failure to
comply with these disclosure requfrements may make any contract entered into with the City in connection with the Matter voidable by the City.
The Disclosing Party verifies that the Disclosing Party has searched any and all records of the Disclosing Party and any and all predecessor entities regarding records of mvestrneats 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 mvestments or profits from slavery or slaveholder msurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, mchwtihg the names of any and aU slaves or slaveholders described in those records:
SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter Is federally funded, complete this Section VX If the Matter is not federally funded, proceed to Section VR For purposes of this Section VI, tax credits allocated by the City and proceeds of debt obttgations ofthe City are not federal funding.
A. CERTIFICATTON 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 die Disclosing Party with respect to the Matter. (Add sheets if necessary):
(If no explanation appears or begins on the lines above, or if die letters "NA" or if the ward "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 bebalfofthe 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 bis or her lobbying activities or to pay any
person or entity to influence or attempt to influence an officer or employee ofany agency, as defmed
by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee
Ver.2018-1 Page 9 of 15
of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, ccmtinue, renew, amend, or modify any federally firnded contract, grant, ban, or cooperative agreement
The Discktfing Party will submit an updated certification at the end of each calendar quarter in which there occurs any event that materially affects the accuracy of the statements and information set forth in paragraphs A(l) and A(2) above.
The Disclosing Party certifies that either, (i) it is not an organization described in section 501(cX4) ofthe Internal Revenue Code of 1986; or (if) it is an organization described in section 501(cX4) of the Internal Revenue Code of 1986 but has not engaged and will not engage in "lobbying Activities," as that term is defmed in the Lobbying Disclosure Act of 199S, as amended.
If the Disclosing Party is the Applicant, the Disclosing Party must obtain cxrtificatkms 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 forthe duration ofthe Matter and must make such (certifications prompfly 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 mfbrmation 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 [] Reports not required *' *
Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
[ ]Yes [ ]No
If you checked "No" to question (1) or (2) above, please provide an explanation:
Page 10 of IS
SECTION VH - FURTHER ACKNOWLEDGMENTS AND CERTIFICATION
The Disclosing Party understands and agrees that
The certifications, disclosures, and acknowledgments c^tained in this EDS wfll become part of any contract or other agreement between the Applicant and the Chy in connection with the Matter, whether procurement, City assistance, or other City action, and are material incmcements 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.
The City's Governmental Ethics Orumance, MCC Chapter 2-156, imposes certain duties and obhgations on persons or entities seeking City contracts, work, business, or transactions. The j5i11 text of mis cttumance and a trairung program is available on line at www.dtyof^^gff.arg/Ethic8 . 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 ordiriance.
If the City determines that any mformation provided in this EDS is false, incomplete or hmccurate, any contract or other agreement in connection with which it ia submitted may be rescinded or be void or voidable, and the City may pursue any remedies under the conu^
void), at law, or in equity, mcluding temrihating the Disposing Party's participation in the Matter and/or declming to allow tho Disclosing Party to participate in cmer City transactions. Remedies at law for a false statement of material fact may include incarceration and an award to die Chy of treble damages.
ft is the City's policy to make this document available to the public on its Internet site and/or upon
request Some or ah of the information and appended to, tiSds EDS may be made publicly
available) on the Iiilernet, in response to a Freedom of Information Act request, or otherwise. By
completing and signing tins 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 infonnation
, contained in this EDS and also authorizes the City to verify the accuracy of any mformation submitted m 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. IftheMatterisa 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 Bubjcct to MCC Chapter 1-23, Article I (imposing PERMANENT INELIGIBDLJTY for certain specified offenses), the information provided herein regarding ehgibiHty must be kept current for a longer period, as required by MCC Chapter 1-23 and Section 2-154-020.
Page 11 of 15
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS, and all applicable Appendices, on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS, and all applicable Appendices, are true, accurate and complete as of the date furnished to the City.
(Print or type exact legal name of Disclosing Party) ^ ^ uA
CU N^v; a^ *?£ \ *l w <*r
(Print or type name of person3igning) (Print or type title of person signing)
^
Signed and sworn to before me on (date) at ^Jto&tfifeKp County, /t~u*j0/Estate)
Commission expires
L
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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND DEPARTMENT HEADS
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership Interest tn die Applicant exceeding 7.5%. It is not to be completed by any legal entity which has only an Indirect ownership Interest in the AppHcant.
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 HB.l.a., if the Disclosing Party is a corporation; all partners ofthe Disclosing Party, if die Disclosing Party is a general partneiship; all general partners and limited partners ofthe DisclosingParty, if tho Disclosing Party is a limited partnership; all managers, managing members and members of the Disclosing Party, if die Disclosing Party is a Umhed liability company; (2) all prhicipal officers of the Disclosing Party; and (3) any person having more than a 7.5%. ownership interest in the Disclosing Party. "Principal officers" means die 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 [v^No
If yes, please identify below (1) the name and title of such person, (2) die name ofthe legal entity to which such person is connected; (3) die name and title ofthe elected city official or department head to whom such person has a familial relationship, and (4) die precise nature of such familial relationship.
Page 13 of 15
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX B
BUILDING CODE SCOFFLAW/PROBLEM LANDLORD CERTH^ATION
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 competed by any legal entity winch has only an indirect ownership interest in the Applicant *
Pursuant to MCC Section 2-154-010, is the Applicant or any Owner identified as a building code scofflaw or problem landlord pursuant to MCC Section 2-92-416?
[ ]Yes [v^No
If die Applicant is a legal entity publicly traded on any exchange, is any officer or director of the Applicant identified as a building code Bcofflaw or problem landlord pursuant to MCC Section 2-92-416?
[ JYes [ ] No (V^The Applicant is not publicly traded on any exchange.
If yes to (1) or (2) above, please identify below the name of each person or legal entity identified as a building code scofflaw or problem landlord and the address of each buikling or buildings to which the pertinent code violations apply.
Page 14 of 15
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX C
PROHIBITION ON WAGE & SALARY HISTORY SCREENING - CERTIFICATION
This Appendix is to be completed only by an Applicant that is completing this EDS as a "contractor* as defined in MCC Section 2-92-385. That section, which should be consulted fwww.arolegal.com)t generally covers a party to any agreement pursuant to which they: (i) receive City of Chicago funds in consideration far services, work or goods provided (including for legal or other professional services), or (if) 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(bXl) 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 mat inchides those prohibitions.
MYes
[]No
[ ] N/A -1 am not an Applicant that is a "contractor" as defined in MCC Section 2-92-385. This certification shall serve as the affidavit required by MCC Section 2-92-385(cXl). If you checked "no" to the above, please explain.
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