. J.-N r Ro U^7"e
Dec |5"(zoz(
ORDINANCE
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
SECTION I. Title 17 of the Municipal Code of Chicago, the Chicago Zoning Ordinance, is hereby amended by changing all ofthe RS2, Residential Single-Unit (Detached House) District symbols and indications as shown on Map No. 20-C in the area bounded by
A line 277.5 feet southeast of the intersection of South Anthony Avenue and South Bennett Avenue as measured at the Southwesterly right-of-way line of South Anthony Avenue and perpendicular thereto; South Anthony Avenue; a line 310 feet southeasterly line of the intersection of South Anthony Avenue and South Bennett Avenue as measured at the southwest right-of-way line of South Anthony Avenue and perpendicular thereto; and the alley next southwest of and parallel to South Anthony Avenue.
to those of a RT4, Residential Two-Flat, Townhouse and Multi-Unit District.
SECTION 2. This ordinance shall be in force and effect from and after its passage and due publication.
Common Address of Property: 8344 S. Anthony Ave., Chicago, Illinois 60617
CITY OF CHICAGO
APPLICATION FOR AN AMENDMENT TO THE CHICAGO ZONING ORDINANCE
J- rtrRo i>rre. Dec (c,zo2i
ADDRESS of the property Applicant is seeking to rezone:
8344 S. Anthony Ave, Chicago, Illinois 60617
Ward Number that property is located in: 8th Ward
APPLICANT Chandra Logan
ADDRESS.' "_ CITY_
STATE _ ZIP CODE PHONE
EMAIL: CONTACT PERSON Chandra Logan
Is the applicant the owner of the property? YES IE NO
If the applicant is not the owner of the property, please provide the following information regarding the owner and attach written authorization from the owner allowing the application to proceed.
OWNER NA
ADDRESS CITY
STATE ZIP CODE PHONE_
EMAIL CONTACT PERSON
5. If the Applicant/Owner of the property has obtained a lawyer as their representative for the rezoning, please provide the following information:
ATTORNEY N/A
ADDRESS
CITY STATE ZIP CODE
PHONE FAX EMAIL
Page 1
6. If the applicant is a legal entity (Corporation, LLC, Paltnership, etc.) please provide the names of all owners as disclosed on the Economic Disclosure Statements.
N/A
On what date did the owner acquire legal title to the subject property? 4/29/2003
Has the present owner previously rezoned this property? If yes, when?
No
Present Zoning District RS2 Proposed Zoning District RT4
Lot size in square feet (or dimensions) 25' x 125'
Current Use of the property Residential single family
Reason for rezoning the property To meet the bulk and density requirements ofthe RT4 to allow
a new 2 story, 3 dwelling unit residential building with basement
Describe the proposed use of the property after the rezoning. Indicate the number of dwelling units; number of parking spaces; approximate square footage of any commercial space; and height of the proposed building. (BE SPECIFIC)
Residential 2 story; 3 dwellings/units with basement apartment with rear 3 on site parking spaces; no commercial space indicated; approximate square footage 3366 sq. ft.; maximum building height 28 ft.
14. The Affordable Requirements Ordinance (ARO) requires on-site affordable housing units and/or a financial
contribution for residential housing projects with ten or more units that receive a zoning change which, among
other triggers, increases the allowable floor area, or, for existing Planned Developments, increases the number of
units (see attached fact sheet or visit www.cityofchicago.org/ARO for more information). Is this project subject to
the ARO?
YES NO M
Page 2
COUNTY OF COOK STATE OF ILLINOIS
Chandra Logan ., being first duly sworn on oath, states that all of the above statements
and the statements contained in the documents submitted herewith are true and correct.
Signature of Applicant
Subscribed and Sworn to before me this
N day ofb&C-embrey , 20 _2J
JOCELYN ANDRADE OFFICIAL SEAL Notary Public - State of Illinois >
My Commission Expires
August ^e'.2P2_3
Date of Introduction:
File Number:
Ward:
TOPOGRAPHICAL SURVEY BOUNDARY SURVEY ALT A SUHVEY CONDOMINIUM SURVEY PLAT OF SUKVKY MORTGAGE INSPECTION
HYLTON E. DONALDSON
PROFESSIONAL LAND SURVEYOR
10040 SOUTH HAI.STED STREET, CHICAGO. IL GOG20 TF.l. (773) liS3-HG3tf OFFICE CE1J. (706) 697-779G WAYJ-SUHVF.Yw>YAHO0 COM
PLAT OF SURVEY
THE SOUTHEASTERLY 10 FEET OF LOT 9 AND LOT 10 (EXCEPT TUF. SOUTHEASTERLY 2 1/2 FEET THEREOF) IN HLOCK 3. IN CONSTANCE. BEING A SUBDIVISION BY WALLACE C CLEMENT OF THE EAST HALF OF THE SOUTIFWEST QUARTER OF SECTION 20. TOWNSHIP 3B NORTH. RANGE 14. EAST OF THE THIRD PRINCIPAL MERIDIAN. IN COOK COUNTY. ILLINOIS
LAND TOTAL AREA' 4063 SQ FEET - 0 093 ACRE
COMMONLY KNOWN AS. 8344 SOUTH ANTHONY AVENUE. CHICAGO. ILLINOIS
LEGEND:
M=MEASURED DISTANCE R=RECORDED DISTANCE (DEED)
PROPERTY UNE
-n-o-o-o- .
" CHAIN LINK FENCE ~WOOD FENCE " rRON FENCE " PLASTIC FENCE
UPDATED. OCTOBER 15. 2021
FIELD WORK WAS COMPLETED ON MARCH 17. 2021 OCTOBER 14. 2021
CAD JJ FIELD WORK RA CHECK BY. HD
ORDER NO. 2021-3432
SCALE 1 INCH =- 20 FEET
DATE: MARCH 10, 2021
ORDERED BY. CHANDRA LOGAN
NOTES:
-NO TITLE INSURANCE POLICY PROVIDED FOR SURVEYOR.
—THE LEGAL DESCRIPTION SHOWN ON THE PLAT HEREON DRAWN IS A COPY OF THE ORDER. AND FOR ACCURACY IT SHOULD BE COMPARED WITH THE TITLE OR DEED.
-DIMENSIONS ARE NOT TO BE ASSUMED FROM SCALING
-FOR BUILDING LINES, EASEMENTS AND OTHER RESTRICTIONS NOT SHOWN HEREON. REFER TO YOUR DEED. TITLE POLICY AND LOCAL ZONING ORDINANCE. ETC.
I, HYLTON F DONALDSON, DO HEREBY CERTIFY THAT I HAVE SURVEYED THE ABOVE DESCRIBED PROPERTY AND THAT THE PLAT HEREON DRAWN IS A CORRECT REPRESENTATION OF SAID SURVEY.
MY LICENSE EXPIRES NOVEMBER 30. 2022.
"WRITTEN NOTICE" FORM OF AFFIDAVIT (Section 17-13-0 I 07)
Date: November 30, 2021
Honorable Thomas M. Tunney Chairman, Committee on Zoning 121 North LaSaile Street Room 304, City Hall Chicago, Illinois 60602
The undersigned, Chandra Logan , being first duly sworn on oath deposes
and states the following:
The undersigned certifies that he has complied with the requirements of Section 17-1 3-0 I 07 of the Chicago Zoning Ordinance, by sending written notice to such property owners who appear to be the owners ofthe propelty within the subject area not solely owned by the applicant, and to the owners of all property within 250 feet in each direction ofthe lot line ofthe subject property, exclusive of public roads, streets, alleys and other public ways, or a total distance limited to 400 feet. Said "written notice" was sent by First Class U.S. Mail, no more than 30 days before filing the application. The undersigned certifies that the notice contained the address ofthe property sought to be rezoned; a statement ofthe intended use of the property; the name and address of the applicant; the name and address of the owner; and a statement that the applicant intends to file the application for a change m zoning on approximately December 15, 2021.
The undersigned certifies that the applicant has made a bona fide effort to determine the addresses of the parties to be notified under Section 17-13-0 I 07 of the Chicago Zoning Ordinance, and that the accompanying list of names and addresses of surrounding property owners within 250 feet ofthe subject site is a complete list containing the names and addresses ofthe people required to be served.
Signature
Subscribed and Sworn to before me this
M day of DtCfmbCK , 20 JA
November 3D, 2D2I
Dear Property Owner:
In accordance with the requirements for an Amendment to the Chicago Zoning Ordinance, specifically Section 17-13-0107, please be informed that on or about December 15,2021, the undersigned will file an application for a change in zoning from RS2 to RT4. residential two flat, townhouse, and multi-unit district on behalf of Chandra Logan for the property located at 8344 S. Anthony, Chicago, Illinois, G0GI7.
The applicant intends to use the subject property to establish a new 3 dwelling unit residential build, building size 3366 sq.ft.
I am the owner, Chandra Logan and the provided contact information for this application is Deer Property
LLC. I East Erie, Chicago, Illinois 60GII. 312-300-8523.
Please note that the applicant is not seeking to rezone or purchase your property. The applicant is required by law to send this notice because you own property within 250 feet of the property to be rezoned.
Very truly yours.
Chandra Logan
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: Chandra Logan
Check ONE ofthe following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
[/] the Applicant
OR
Q a legal entity currently holding, or anticipated to hold within six months after City action on
the contract, transaction or other undertaking to which this EDS pertains (referred to below as the
"Matter"), a direct or indirect interest in excess of 7.5% in the Applicant. State the Applicant's legal
name:
OR
[] 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:
Telephone: - - . .J Fax: Email: . ...
Name of contact person: Chandra Logan
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):
I seek a zoning change from RS2 to RT4 at 8344 S. Anthony AveChicago, Illinois 60617
G. Which City agency or department is requesting this EDS? D P D Bureau of Zoning and Land
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification # and Contract #
Ver.2018-1 Page 1 of 15
- DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY
Person
Publicly registered business corporation
Privately held business corporation
Sole proprietorship
Genera] partnership
Limited partnership
Trust
| | Limited liability company
| | Limited liability partnership
| | Joint venture
| | Not-for-profit corporation
(Is the not-for-profit corporation also a 501(c)(3))?
? Yes QNo | | Other (please specify)
2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable: N/A
3. For legal entities not organized in the State of Illinois: Has the organization registered to do business in the State of Illinois as a foreign entity?
( | Yes Q No | | Organized in Illinois
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
1. List below the full names and titles, if applicable, of: (i) all executive officers and all directors of the entity; (ii) for not-for-profit corporations, all members, if any, which are legal entities (if there are no such members,, write "no members which are legal entities"); (iii) for trusts, estates or other similar entities, the trustee, executor, administrator, or similarly situated party; (iv) for general or limited partnerships, limited liability companies, limited liability partnerships or joint ventures, each general partner, managing member, manager or any other person or legal entity that directly or indirectly controls the day-to-day management of the Applicant.
NOTE: Each legal entity listed below must submit an EDS on its own behalf.
Name Title
N/A
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% 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
Page 2 of 15
limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None."
NOTE: Each legal entity listed below may be required to submit an EDS on its own behalf.
Name Business Address Percentage Interest in the Applicant
Chandra Logan 9155 S. Kingston Ave., Chicago, Illinois 60617 100%
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 [/j No
If "yes" to either of the above, please identify below the name(s) of such City elected official(s) and describe such income or compensation:
Does any City elected official or, to the best of the Disclosing Party's knowledge after reasonable
inquiry, any City elected official's spouse or domestic partner, have a financial interest (as defined in
Chapter 2-156 ofthe Municipal Code of Chicago ("MCC")) in the Disclosing Party?
[] Yes f7| No
If "yes," please identify below the name(s) of such City elected official(s) and/or spouse(s)/domestic partner(s) and describe the financial interest(s).
SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist (as defined in MCC Chapter 2-156), accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature of the relationship, and the total amount of the fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who are paid solely through the Disclosing Party's regular payroll. If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must either ask the City whether disclosure is required or make the disclosure.
Page 3 of 15
Name (indicate whether Business retained or anticipated Address to be retained)
N/A
Relationship to Disclosing Party (subcontractor, attorney, lobbyist, etc.)
Fees (indicate whether paid or estimated.) NOTE: "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
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 QJ 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?
Q Yes Q No
FURTHER CERTIFICATIONS
[This paragraph 1 applies only if the Matter is a contract being handled by the City's Department of Procurement Services.] In the 5-year period preceding the date of this EDS, neither the Disclosing Party nor any Affiliated Entity [see definition in (5) below] has engaged, in connection with the performance of any public contract, the services of an integrity monitor, independent private sector inspector general, or integrity compliance consultant (i.e., an individual or entity with legal, auditing, investigative, or other similar skills, designated by a public agency to help the agency monitor the activity of specified agency vendors as well as help the vendors reform their business practices so they can be considered for agency contracts in the future, or continue with a contract in progress).
The Disclosing Party and its Affiliated Entities are not delinquent in the payment of any fine, fee, tax or other source of indebtedness owed to the City of Chicago, including, but not limited to, water and sewer charges, license fees, parking tickets, property taxes and sales taxes, nor is the Disclosing Party delinquent in the payment of any tax administered by the Illinois Department of Revenue.
Page 4 of 15
3. The Disclosing Party and, if thc Disclosing Party is a legal entity, all of those persons or entities identified in Section 11(B)(1) of this EDS:
a. arc 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, stale or JocaJ) 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 ofthe 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 Parly;
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 indirectfy: 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 ofthe Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Ver.2018-1 Page 5 of 15
I
Neither ihe Disclosing Party, nor any Contractor, nor any Affiliated Entity of cither thc Disclosing Parly or any Contractor, nor any Agents have, during thc 5 years before the dale of this HDS, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during thc 5 years before thc date of such Contractor's or Affiliated Entity's contract or engagement in connection with thc 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 Stale of Illinois, or any agency of the federal government or of any stale or JocaJ government in the United Slates of America, in that officer's or employee's official capacity;
agreed or colluded with other bidders or prospective bidders, or been a party to any such agreement, or been convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; or
made an admission of such conduct described in subparagraph (a) or (b) above that is a matter of record, but have not been prosecuted for such conduct; or
violated the provisions referenced in MCC Subsection 2-92-320(a)(4)(Contracls Requiring a Base Wage); (a)(5)(Debarmenl Regulations); or (a)(6)(Minimum Wage Ordinance).
Neither thc 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 stale or local government as a result of engaging in or being convicted of (1) bid-rigging in violation of 720 ILCS 5/33 E-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 thc Applicant nor any "controlling person" [sec MCC Chapter 1-23, Article I for applicability and defined terms] ofthe Applicant is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any "sister agency"; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If MCC Chapter 1 -23, Article I applies to the Applicant, that Article's permanent compliance timeframe supersedes 5-year compliance timeframes in this Section V.
[FOR APPLICANT ONLY] The Applicant and its Affiliated Entities will not use, nor permit their subcontractors to use, any facility listed as having an active exclusion by the U.S. EPA on the federal System for Award Management ("SAM").
[FOR APPLICANT ONLY] The Applicant will obtain from any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in Certifications (2) and (9) above and will not, without the prior written consent of the City, use any such
Ver.2018-1 Page 6 of 15
contractor/subcontractor that docs not provide such certifications or that the Applicant has reason to believe has not provided or cannot provide truthful certifications.
11. If the Disclosing Party is unable to certify to any ofthe above statements in this Part B (Further Certifications), the Disclosing Party must explain below:
NONE
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
12. To the best of the Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all current employees of the Disclosing Party who were, at any time during the 12-month period preceding the date of this EDS, an employee, or elected or appointed official, of the City of Chicago (if none, indicate with "N/A" or "none").
NONE
13. To the best ofthe Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all gifts that the Disclosing Party has given or caused to be given, at any time during the 12-month period preceding the execution date of this EDS, to an employee, or elected or appointed official, of the City of Chicago. For purposes of this statement, a "gift" does not include: (i) anything made generally available to City employees or to the general public, or (ii) food or drink provided in the course of official City business and having a retail value of less than $25 per recipient, or (iii) a political contribution otherwise duly reported as required by law (if none, indicate with "N/A" or "none"). As to any gift listed below, please also list the name of the City recipient.
NONE
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
The Disclosing Party certifies that the Disclosing Party (check one)
[~~| is f/j is not
a "financial institution" as defined in MCC Section 2-32-455(b).
If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will not become a predatory lender as defined in MCC Chapter 2-32. We further - pledge that none of our. affiliates is, and none of them will become, a predatory lender as defined in MCC Chapter 2-32. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
Page 7 of 15
SECTION VII -- FURTHER ACKNOWLEDGMENTS AND CERTIFICATION
Thc Disclosing Party understands and agrees that:
A. Thc certifications, disclosures, and acknowledgments contained in this EDS will become part of any
contract or other agreement between thc Applicant and thc 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.
B. The City's Governmental Ethics Ordinance, MCC Chapter 2-156, imposes certain duties and
obligations on persons or entities seeking City contracts, work, business, or transactions. The full text
of this ordinance and a training program is available on line at www.cityofchicago.org/Ethics , and may
also be obtained from the City's Board of Ethics. 740 N. Sedgwick St., Suite 500, Chicago, IL 60610,
(312) 744-9660. The Disclosing Party must comply fully with this ordinance.
If the City determines that any information provided in this EDS is false, incomplete or inaccurate, any contract or other agreement in connection with which it is submitted may be rescinded or be void or voidable, and the Cily may pursue any remedies under the contract or agreement (if not rescinded or void), al law, or in equity, including terminating the Disclosing Parly's participation in the Matter and/or declining to allow the Disclosing Party to participate in other City transactions. Remedies at law for a false statement of material fact may include incarceration and an award to the City of treble damages.
It is the City's policy to make this document available to the public on its Internet site and/or upon request. Some or all of the information provided in, and appended to, this EDS may be made publicly available on the Internet, in response to a Freedom of Information Act request, or otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it may have against the City in connection with the public release of information contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS.
The information provided in this EDS must be kept current. In the event of changes, the Disclosing Party must supplement this EDS up to the time the City takes action on the Matter. If the Mailer 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 L23, Article I (imposing PERMANENT INELIGIBILITY for certain specified offenses), the information provided herein regarding eligibility must be kept current for a longer period, as required by MCC Chapter 1-23 and Section 2-154-020.
Page 11 of IS
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 ofthe Disclosing Party, and (2) wan-ants 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.
Chandra Logan
(Print or type exact legal name of Disclosing Party)
(Print or type name of person signing)
(Print or type title of person signing)
JOCELYN ANDRADE OFFICIAL SEAL
Signed and sworn to before me on (date)
at _ County, XlVmolS (state).
srmorf Notary PuWic 'State of '"'nois '
u»wjsj My Commission Expires 1
^**XPr' August 28,2023
-¦¦*--*¦ - --
Page 12 of 15
CITY OK 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, thc Disclosing Parly must disclose whether such Disclosing Party or any "Applicable Parly" 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 thc dale this EDS is signed, thc Disclosing Parly or any "Applicable Parly" or any Spouse or Domestic Partner (hereof is related lo the mayor, any alderman, Ihe city clerk, the cily treasurer or any cily department head as spouse or domestic partner or as any ofthe 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, daughlcr-in-law, stepfather or stepmother, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister.
"Applicable Parly" means (1) all executive officers ofthe Disclosing Parly listed in Section II.B.I .a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, if thc Disclosing Party is a general partnership; all general partners and limited partners ofthe Disclosing Parly, if the Disclosing Party is a limited partnership; all managers, managing members and members of the Disclosing Parly, if thc Disclosing Parly is a limited liability company; (2) all principal officers ofthe Disclosing Parly; and (3) any person having more than a 7.5% ownership interest in the Disclosing Parly. "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 Parly or any "Applicable Parly" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
If yes, please identify below (1) thc name and title of such person, (2) the name of the legal entity lo which such person is connected; (3) the name and title ofthe elected cily 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 STATEMENT AND AFFIDAVIT
APPENDIX B
BUILDING CODE SCOI
Tin's Appendix is (o be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in thc Applicant exceeding 7.5% (an "Owner"). It is not to be completed by any legal entity which has only an indirect ownership interest in thc Applicant.
I. Pursuant to MCC Section 2-154-010, is (he Applicant or any Owner identified as a building code scofflaw or problem landlord pursuant lo MCC Section 2-92-4 16?
2. If ihe 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 lo MCC Section
2-92-416?
QYes
3. If yes to (I) or (2) above, please identify below ihe name of each person or legal entity identified as a building code scofflaw or problem landlord and thc address of each building or buildings to which thc pertinent code violations apply.
__N/A
1'agc 14 of 15
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX C
PROHIBITION ON WAGE & SALARY HISTORY SCREENING - CERTIFICATION
Tin's Appendix is lo be completed only by an Applicant that is completing this EDS as a "contractor" as defined in MCC Section 2-92-385. Thai section, which should be consulted (www.amleual.com ), generally covers a parly 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 thc City money for a license, grant or concession allowing them lo conduct a business on Cily premises.
On behalf of an Applicant thai is a contractor pursuant lo MCC Section 2-92-385, I hereby certify thai 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 thc Applicant has adopted a policy that includes those prohibitions.
Yes
No
This certification shall serve as the affidavit required by MCC Section 2-92-385(c)(l).
If you checked "no" lo ihe above, please explain.
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