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Record #: O2022-1697   
Type: Ordinance Status: Passed
Intro date: 5/23/2022 Current Controlling Legislative Body: Committee on Housing and Real Estate
Final action: 6/22/2022
Title: Sale of City-owned property at 1254 S. Albany Ave to Natashee Scott
Sponsors: Lightfoot, Lori E.
Topic: PROPERTY - Sale
Attachments: 1. O2022-1697.pdf


May 23, 2022


Ladies and Gentlemen:

At the request ofthe Commissioner of Planning and Development, I transmit herewith ordinances authorizing the sale of City-owned properties.

Your favorable consideration of these ordinances will be appreciated.

Very truly yours.


WHEREAS, the City of Chicago ("Citv") is a home rule unit of government by virtue of the provisions ofthe Constitution ofthe State of Illinois of 1970, and, as such, may exercise any power and perform any function pertaining to its government and affairs; and

WHEREAS, the City, through the foreclosure of demolition liens, tax sales and other methods of acquisition, has acquired title to numerous parcels of real property which are of minimal value and costly to clean up and maintain, and because title to such properties is vested in the City, the properties were exempted, from real estate taxes, thus depriving the City of revenue; and

WHEREAS, pursuant to an ordinance (the "Original Program Ordinance") adopted by the City Council ofthe City ("Citv Council") on March 6, 1981 and published on pages 5584 - 5585 of the Journal of Proceedings of the City Council ("Journal") for such date, the City established a program for the disposition of certain vacant real property owned by the City known as the Adjacent Neighbors Land Acquisition Program; and

WHEREAS, the Original Program Ordinance was amended by ordinances adopted on July 23, 1982 and published in the Journal for such date at pages 11830 - 11833, and on January 7, 1983 and published in the Journal for such date at pages 14803 - 14805 (the Original Program Ordinance and such two amending ordinances, collectively, the "Original ANLAP Ordinances"); and

WHEREAS, pursuant to an ordinance adopted by the City Council on September 14,1994 and published in the Journal for such date at pages 56195 - 56198, the City Council repealed the Original ANLAP Ordinances, and established a new program, also known as the Adjacent Neighbors Land Acquisition Program, for the disposition of certain vacant real property owned by the City, which ordinance was subsequently amended by ordinances adopted on September 4, 2002 and published in the Journal for such date at pages 92771 - 92773, and on July 28, 2010 and published in the Journal for such date at pages 97370 - 97374, and on June 25, 2014 and published in the Journal for such date at pages 83533 - 83535 (such new program, as amended, the "ANLAP Program"); and

WHEREAS, pursuant to the current ANLAP Program, as codified at Municipal Code Chapter 2-159-010 et seq. (the "ANLAP Program Ordinance"), a qualified City-owned parcel may be sold if it has an appraised value of not more than Fifty Thousand Dollars ($50,000); and

WHEREAS, pursuant to the ANLAP Program: (i) if the property appraises at or for less than Ten Thousand Dollars ($10,000.00) the minimum acceptable bid must be at least One Thousand Dollars ($1,000.00); or (ii) if the property appraises at or for less than Twenty Thousand Dollars ($20,000.00) but more than Ten Thousand Dollars ($10,000.00) the minimum acceptable bid must be at least Two Thousand Dollars ($2,000.00); or (iii) if the property appraises for more than Twenty Thousand Dollars ($20,000.00) the minimum acceptable bid must be Two Thousand Dollars ($2,000.00), plus fifty percent (50%) of the appraised value which exceeds Twenty Thousand Dollars ($20,000.00); and

WHEREAS, pursuant to the ANLAP Program, an Adjacent Neighbor means a person who owns one parcel, or two or more contiguous parcels, of real property that is immediately adjacent to a city-owned parcel and at least one of the parcels is an improved parcel which the person occupies as his primary residence; and

WHEREAS, pursuant to the ANLAP Program, any deed conveying a parcel pursuant thereto shall contain covenants which: (1) prohibit the grantee from conveying, assigning or otherwise transferring the parcel except in conjunction with the sale ofthe real estate on which grantee's primary residence is located; and (2) require that the parcel be improved with landscaped open space within six (6) months of the conveyance of such parcel and prohibit the construction of any permanent improvements on the parcel, excluding only improvements made by the grantee on the parcel that constitute an integrated addition to the grantee's primary residence, or a garage appurtenant thereto; and (3) require the grantee to maintain the parcel in accordance with the provisions of the Municipal Code of Chicago. The covenants shall terminate ten (10) years after the date of the conveyance of the parcel to the grantee; and
WHEREAS, the City's Department of Planning and Development ("DPD") desires to convey the vacant parcel of real property identified on Exhibit A to this ordinance (the "ANLAP Parcel") to Natashee Scott (the "Purchaser"), who has a principal residence of 1250 South Albany Avenue, Chicago, Illinois 60623; and

WHEREAS, the ANLAP Parcel is located in the Midwest Redevelopment Project Area ("Area") established pursuant to ordinances adopted by the City Council on May 17, 2000, and published in the Journal for such date at pages 30775 through 30953; and

WHEREAS, DPD has caused notice ofthe proposed sale ofthe ANLAP Parcel to be sent to all eligible adjacent neighbors (if any) and has also caused public notice advertising the City's intent to enter into the sale ofthe ANLAP Parcel to the Purchaser to be published in the Chicago Tribune on March 31, 2022; and

WHEREAS, Purchaser's proposal was the only proposal received by the deadline indicated in the aforesaid notice; and

WHEREAS, by Resolution No. 22-008-21, adopted on April 21, 2022, the Chicago Plan Commission approved the sale ofthe ANLAP Parcel to the Purchaser; now, therefore


SECTION 1. The City hereby accepts the bid ofthe Purchaser to purchase the ANLAP Parcel, which purchase shall be subject to all ofthe terms, conditions, covenants and restrictions ofthe ANLAP Program and the ANLAP Program Ordinance.

SECTION 2. The Mayor or her proxy is authorized to execute, and the City Clerk or the Deputy City Clerk is authorized to attest, a quitclaim deed conveying the ANLAP Parcel to the Purchaser for the purchase price of One Thousand Dollars ($1,000.00). Such deed shall include a covenant obligating the Purchaser to use the ANLAP Parcel only for a use consistent with the land uses permitted under the redevelopment plan for the Area and consistent with the requirements of the ANLAP Program Ordinance.
SECTION 3. The Commissioner of DPD (the "Commissioner"), or a designee of the Commissioner, is each hereby authorized, with the approval ofthe City's Corporation Counsel as to form and legality, to negotiate, execute and deliver such documents as may be necessary or appropriate to carry out and comply with the provisions of this ordinance, with such changes, deletions and insertions as shall be approved by the Commissioner or the Commissioner's designee. Such documents may contain terms and provisions that the Commissioner or the Commissioner's designee deems appropriate, including indemnification, releases, affidavits and

other documents as may be reasonably necessary to remove exceptions from title with respect to the Property or otherwise may be reasonably necessary or appropriate to consummate the transaction contemplated hereby

SECTION 4. If any provision of this ordinance shall be held to be invalid or unenforceable for any reason, the invalidity of such provision shall not affect any of the other provisions of this ordinance.

SECTION 5. All ordinances, resolutions, motions or orders inconsistent with this ordinance are hereby repealed to the extent of such conflict.

SECTION 6. This ordinance shall take effect upon its passage and approval.


Bidder: Natashee Scott
Bidder's Address: 1250 South Albany Avenue, Chicago, Illinois 60623

Appraised Value ("as is"): $7,000.00 Bid Amount: $1,000.00

Legal Description (Subject to Title Commitment and Survey):

Lot 19 in Block 1 in subdivision of Blocks 1 to 4 in Balestier's Douglas Park Addition to Chicago in the northwest % of Section 24, Township 39 North, Range 13, East ofthe Third Principal Meridian, In Cook County, Illinois.

Address: 1254 South Albany Avenue
Chicago, Illinois 60623

Property Index Number: 16-24-101-041-0000

A. Legal name oflhe Disclosing Party submitting this EDS. Include d/b/a? if applicable:
...KcMshte SCeV'V
Check ONE oflhe f'ollowin» three boxes.
Indicate whether the Disclosing Party submitting this EDS is:
1. the Applicant
2. [ ] a legal entity currently holding, or anticipated to hold within six months after City action on
the contract, transaction or other undertaking to which this EDS pertains (referred to below as the
"Matter"), a direct or indirect interest in excess of 7.5% in the Applicant. State the Applicant's legal
name: _
"or "[
.3. [ j a legal entity with a direct or indirect right of control ofthe Applicant (see Section 11(B)(1)) State the legal name ofthe entity in which the Disclosing Party holds a right of control:

B. Business address ofthe Disclosing Party
Telephone. \ [?. _$1 {i: V/oS _ Fax. __Email-
Name of contact person: t>lt\!f^.Vs«- Jl^CU'A 5c&V-4 F Federal Employer Identification No (it you have one): Kj/F Brief description ofthe Matter to which this EDS pertains. (Include project number and location of
property, i I" applicable)-
U--6V 9 3

G. Which City agency or department is requesting this EDS? D^^t". (A- ?ktnn ¦ ** ]X;v^
If the Matter is a contract being handled by the City's Department of Procurement Sei vices. please complete -he foiiowme.
Specification k
[ ] Not-for-profit corporation (Is ihe noi-tbr-profit corporal!on also a 50i(c)(3))?
f 1 Yes f 1 No
[ ] Other (please specify)
loint venture

2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable:

3. For legal entities not organized in the Slate of Illinois: Has the organization registered to do business in the Stale of Illinois as a foreign entity?
[ ] Organized in Illinois
I List below the luii names and titles, if applicable, of l i) all executive officers and all directors of the entily; (ii) for not-for-profit corporations, al! members, if any. which arc legal entities (if there are no such members, write "no members which are legal entities"): (iii) for trusts, estates or olher 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

2. Please provide the following infonnation concerning each person or legal entity having a direct or indireel, current or prospective (i.e. within 6 months after City action) beneficial interest (including ownership) in excess ot 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

P;; 2 of 15
limned liability company, or interest oi' a beneficiary of a trust, estate or other similar enlity. If none, state "None."
NOTE- Each legal entity listed below may be required to submit an EDS on its own behalf.
Name , ,, Business Address Percentaue Interest in the Applicant

Has the Disclosing Party provided any income or compensation to any Citv-elected official during, the
12-month period preceding the date of this EDS? f | Yes l/l No
Does the Disclosing Party reasonably expect to provide any income or compensation to any City elected official during the i 2-month period lollowmg the date ofthis EDS'? f | Yes (IfNo
If "yes'' to either ofthe above, please identify below the namc(s) of such City elected officiai(s) and describe such income or compensation*

Does any City elected ofllcial cr, to the best ofthe Disclosing Party's knowledge after reasonable inquiry, any City elected official's spouse or domestic partner, have a financial interest (as defined in Chapter 2-156 ofthe Municipal i^ode of Chicago ("MCC")) in the Disclosing Party? i J Yes [x^No
If''yes.'' please identify below the name(s) of such City elected oi'ficial(s) and/or spouse(sydomeslic partner's) and describe the linancial interest(s)

Ihe 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 ofthe relationship, and the total amount ofthe fees paid or estimated to be paid. The Disclosing Party ts 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.

I3;ip,e 3 i.n' 15
Name (indicate whether Business Relationship to Disclosing Party Fees (indicate whether
retained or anticipated Address (subcontractor, attorney, paid or estimated.) NOTE:
to be retained) lobbyist, etc.) '¦hourly rate" or "t.b.d." is
not an acceptable response.

(Add sheets il'necessary)
j "fcheck here it'the Disclosing Party has no; retained, nor expects to retain, any such persons or entities
Under MCC Section 2-92-415, substantial owners oi" business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term
Has am person who directly or indirectly owns 10% or more ofthe Disclosing Party- been declared in arrearage on any chiid support obligations by any Illinois court of competent jurisdiction?
! | Yes | \\ No [ -^C person directly or indirectly owns 10% or more ofthe Disclosing Party
If "Yes." has the person entered into a court-approved iigrocmcn: for payment of ail support owed and is the person in compliance wilh that agreement?
| ] Yes [ | No
L [This paragiaph i applies only if the Matter is a contract feme handled by the City's Department of Procurement Services. I In the 5->ear period preceding the date ofthis EDS. neither the Disclosing Pany nor any Affiliated Entity [see definition in (5) below] has engaged, in connection with the performance ofany 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, di other similar skilis. designated by a public agency to help ihe agency monitor die 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 wilh a contract in progress).
2 The Disclosing Party and its Affiliated Entities arc not delinquent in the payment or any tine, 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 saies taxes, nor is the Disclosing Party delinquent in the payment ofany tax administered by the niinois Department of Revenue

Page 4 ot" 15
The Disclosing Party and. if the Disclosing Party is a legal entity, all of those pei sons or entities identified m Section 1I(B)(! ) ofthis EDS-
a. 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:
b have noi, during the 5 yeais before the date of this EDS. been convicted of a criminal offense, adjudged guilty, or had a civil judgment rendered against then: in connection vwih. obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under a public uansaction, a violation of federal or slate antitrust statutes: fraud; embezzlement; theft, forgery, bribery: falsification or destruction of records; making false statements, or receiving stolen property:
c 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.
d. have nol. during the 5 years before the dare of this EDS. had one or more public transactions (federal, state or local) terminated for cause or default, and
e have not. during the 5 years before the date ofthis EDS. been convicted, adjudged guilty, or found liable :n 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
fhe Disclosing Party understands and shall comply with the applicable requirements of MCC! Chapters 2-56 (Inspector Genera!) and 2-156 (Governmental Ethics).
5. Certifications (5). (6) and (7) concern.
the Disclosing Party:
any "Contractor" (meaniiiL; any contractor or subcontractor used by the Disclosing Party in connection with the Matter, including but not limited to all persons or iega! entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parlies"):
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 miftide, 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 tlie same manageineni, 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. w ith ihe Contractor, is under common control oi'another person or entity;
any responsible official ofthe Disclosing Party, any Contractor or any Affiliated Entily or any other official, agent or employee ofthe Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official ofthe Disclosing Party, any Contractor or any Affiliated Entity (collect!'.ciy "Agents'").
Neither the Disclosing Pa:ty, 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 10 a Contractor, an Affiliated Entity. 01 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:
a bribed or attempted to bribe, or been convicted or adjudged guilty ot 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 ofany stale 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 tin admission of such conduct desenbed m subparagraph (a ) or (b.) above that is a matter of tecord. but have not been prosecuted for such conduct, or
a. violated the provisions referenced in MCC Subsection 2-92-32<)(a)(4)(Contraeis Requiring a Base Wage); (a)(5)(Debarmeni Regulations); or (a)(6)(Minimum Wage Ordinance).
6. Neither the Disclosing Party, nor any Affiliated Entity or Contraclor. 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 (i ) bid-rigging in violation of 720 IECS 5/331--3; (2) bid-rotating in violation of 720 ILCS 5/33E-4. or (3) any simiiar offense of any state, or of the Uniled States of America that contains the same elements as the offense of bid-rigging or bid-rotating.
7 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.
S. j FOR APPLICAN T' ONLY] (i) Neither the Applicant nor any "controlling person" [see MCC Chapter 1-23. Article I for applicability and defined terms] ofthe Applicant is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of. or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit an officer or employee ofthe City or any "sister agency"; and r.i) the Applicant understands and acknowledges thai compliance with Article I ts a continuing, requirement for doing business with the Cily. NOTE It MCC Chapter I -23, Article I applies lo the Applicant, lhat Article's permanent compliance timeframe supersedes 5-year compliance timeframes in this Section V.
9. [FOR APPLICANT ONLY | The Applicant and its Affihated Entities will not use, nor permit their subcontraciois to use. any facility listed as having an active exclusion by ihe U.S EPA on the federal System for Award Management ("SAM")
10 [FOR APPLICANT ONLY] i he Applicant will obtain from any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in Certifications (2) and (9) above and will not. without the prior written consent ofthe City, use any such
contractor/subcontractor that docs not provide- such certifications or that tlie Applicant has reason m believe has not provided or cannot provide truthful certifications
1 i. If the Disclosing Party is unable to certify to any ofthe above statements in this Part B (further Certificationst. ^(Pisclosinn Partv must exnlain below
- _i

li the letters "NA," the word "None." or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party cert!fieri to ihe above statements.
I 2. To the best oflhe Disclosing Party's knowledge after reasonable inquiry, 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 F.DS. an employee, or elected or appointed official, of the City of Chicago (if none, indicate with "N/A" or "none").
. v/k . . .

i3.To the besi 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 lime during the 12-month period preceding the execution date ofthis EDS. to an employee, or elected or appointed official, ofthe City oi Chicago, For purposes of this statement, a "gift" does not include, (i) anything made generally a\ ai lable to City employees or to the genera! 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 (nil a political contribution otherwise duly reported as required by law (if none, indicate wilh "N/'.V or ¦'none'-U As to any gift listed below, please also list the name of ihe City recipient.

The Disclosing Party i^rtifies that the Disclosing Party (check one)
[ j is |\/is not
a "financial institution" as defined m MCC Section 2-32-455(0")
If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will noi become a piedaiory lender as delined in MCC Chaptei 2-32. We further pledge that none of our affiliates is. and none of them will become, a predatory lende: as denned 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 oflhe privilege of doing business with the ("ity."

Pagc7 of IS
If the Disclosing Party is unable to make this pledge because ii or any of its affiliates (as defined >n MCC Section 2-32-455(b)) is a predatory lender vvithtn the meaning of MCC Chapter 2-32. explain here (attach additional paaes if necessarvy

if the letters "NA." the word "None," or no response appears on the lines abo\ e. it wilt be conclusively presumed that the Disclosing Party certified, to the above statements
Any words or terms defined in MCC Chapter 2-156 nave the same meanings if used in this Part D.
In accordance with MCC Section 2-156-11(.)¦ To the best ot she Disclosing Party's knowledge after reasonable inquiry, docs any official or employee ofthe City have a financial interest in his or her own name or in the name of any other person or entity in the .Matter?
1 ] Yes k/No
NOTE Ifyou checked "Yes" to Item DM), proceed to Items D(2) and DO). If you checked "No" to hem Di'l). skip Items D(2) and D(3) and proceed to Part E.
Unless sold pursuant to a process of competitive bidding, or otherwise permitted, no City elected official or employee shall have a financial interest in his or her own name or m the name of any-other person or entity in the purchase ofany propeity thai (i) belongs to the Cily. or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit ofthe City (collectively. "City Property Sale") Compensation for property taken pursuant to the City's eminent domain power does not constitute a financial interest within the meaning ofthis Part D.
Does the Mauer involve a City Property Sale'1

1 Yes
3. Ifyou checked "Yes" to item D(i j. provide the names and business addresses ofthe Cily 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 thai no prohibited financial interest in the Matter will be acquired by any City official or employee.

PMC S ot 15
Piease check either (I) or (2) below IF the Disclosing Party checks (2). the Disclosing Parly 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 wilh the Matter voidable by the City

_y_ 1 • The Disclosing Party verities thai the Disclosing Party has searched any and ail records of the Disclosing Parly and any and ail predecessor entities regarding records of investments or profits from slavery or slaveholder insurance policies during the slavery era (including insurance policies issued to slaveholders thai provided cove: age for damage to or injury or death, of their slaves), and lite Disclosing Party has found no such records.
2 The Disclosing Party verities thai, 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 Parly 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:

NOTE If the Mailer is federally funded, complete this Section V! II" the Matter is not federally funded, proceed to Section VU For purposes of this Section VI, tax credits allocated by the City and proceeds of debt obligations ofthe City are not federal funding.
1. List below the names of all persons er entities registered under tlie 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 thai the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995, as amended, have made lobbying contacts on behaif oi'the Disclosing Party wilh respect to the Matter )
2 lhe Disclosing Party has not spent and will not expend any federally appropriated funds to pay
any person or entity listed in paragraph A( I) above for his or her lobbying activities or to pay any
person or entity to in Hue nee ur attempt io inlluence an oiT.cer or employee ofany agency, a.\ defined
by applicable federal 'aw. a member of Congress, ap officer or employee iii'Congress, or an employee
Vet 201 S-I Paw?.)!" 15
of a member of Congress, in connection with the award of any federal !y funded contract, making any federally landed 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 certi ileal ion ai the end of each calendar quarter in which there occurs any event that materially affects lhe accuracy ofthe statements arid information set forth m. paragraphs A(i) and A(2.) above.
The Disclosing Party certifies that either: (i) It is not an organization described in section 501(c)(4) ofthe Internal Revenue Code of !9Sd: nr (ii) it is an organization described in section
501(c)(4) ofthe Interna! 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 At I) throueh Ai'4) above from ail subcontractors before it awards any subcontract and the Disclosing Party must maintain all such subcontractors' certifications for the duration ofthe Matter and must make such certifications promptly available io the City upon request.
If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or iu writing at the outset of negotiations.
Is the Disclosing Pany the Applicant0
[ i Ves ~ l'| No
If "Yes," answer the three questions below:
Ha1, e you developed and do you have on tile affirmative action programs pursuant to applicable federal reeulations? (See 41 CFR Pari 60-2.1
f 1 Yes ! I No
Flave you filed with the Joint Reporting Committee, the Director ofthe Office of Federal Contract Compliance Programs, or the Equal Emplovmeni Opportunity Commission all reports due under the applicable filing requirements?
[ | Ye.-, j | No I 1 RepuiUi not required
3 Have you participaied in any previous coniraets or subcontracts subject to the equal opportunity clause'!'
I j Yes ' [ 1 Mo
If you checked "No" to question t1) or (2) above, please provide an explanation:

Piijju; 10 of 15
The Disclosing Party understands and agrees
The certifications, disclosures, and acknowledgments contained ;n 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 oflhis ordinance and a training program is available or. line at w^vw.citvoiVmcaao.ora'Ethics, and may also be obtained from ihe City's Board of Ethics. 740 N Sedgwick St Suite 500, Chicago. IE 60610, (a 12) 744-9660. The Disclosing Partv must comply fully with this ordinance
C If the Cuy determines thai any information provided in this EDS is false, incomplete or inaccurate. a:i\ contract or olher agreement in connection with which it is submitted may be rescinded oi be void or voidable, and the City may pursue any remedies under the contract or agreement (if not rescinded or void), at law, or in equity, including terminating the Disclosing Party's participation in the Matter and/or declining to allow the Disclosing Party to participate in other City transactions. Remedies at law for a false statement oi'material fact may include, incarceration and an award to the City of treble damages
D It is the City 's policy to make this document available to the public on us Internet site and/or upon request. Some or all ofthe 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 authorises the City to verily the aecuiacy ofany information submitted in this EDS.
E The information provided in ihis EDS must be kept current In the event of changes, the Disclosing Panv must supplement this EDS up to the time the City takes action on the Matter If the Matter is a contract being handled by lhe 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 :._v 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

P:te. 11 of 15
Under penalty of perjury, the person signing below: (!) 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 al! applicable .Appendices, are true, accurate and complete as ofthe date furnished to the Citv.

< ex
(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 (6o'\f~ _ County. iLuwc^

MARICELA ZAPIAN OFFICIAL SEAL Notary Public - State of Illinois « My Commission Expires Oct 19. 2025 1
This Appendix is to be eompleted only by (u) 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-i 54-015. the Disclosing Party 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 the date this FDS is signed, the Disclosing Parly or any "Applicable Parly ' 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 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. daughter-in-law. stepfather or stepmother, stepson or stepdaughter, stepbrother or stepsister or halt-brother or half-sister.
"Applicable Party" means (1) all executive officers ofthe Disclosing Party listed in Section il B La . if the Disclosing Party is a corporation; all partners ofthe Disclosing Patty, if the Disclosing Paity is a general partnership; all general partners and limited partners of ihe Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members ofthe Disclosing Party, if the Disclosing Party is a limited liability company. (2) ai! principal officers ofthe Disclosing Party; and (3) any person having more than a 7.5% ownership inierest in die Disclosing Party. "Principal officers'' means the piesident, 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 airrentlv/fcave a "familial relationship" with an elected city official or department head?

If yes. please identify below (1) the name and title of such person. (2) the name ofthe legal entity to which such person is connected. (3) ihe name and title ofthe elected cuy official or department head to whom such person has a familial relanonship. and (4) the precise nature of such familial relationship.

Page 13 of 15
This Appendix is to he completed only by (a) the .Applicant, and (b.) any legal entity which has a direct ownership interest in lhe Applicant exceeding 7 5% (an "Owner"). It is not to be completed hy any legal entity which has only an indirect ownership interest m the Applicant.
I. Pursuant to MCC Section 2-154-010. is the Applicant or any Owner identified as a building code scofflaw or problem landlord pursuant to MCC' Section 2-92-416?

2. If the Applicant is a legal entity publicly traded on any exchange, is any officer or director of the Applicant identified as a building code scofllaw or problem landlord pursuant to MCC Section
[^Pne Applicant is not publicly traded on any exchange.

5. 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 the address of each building or buildings to which the pertinent code violations apply

Pagf I 4 or" 15
This Appendix is to he eoir.plo.ted only by an Applicant that is completing, this EOS as a ''contractor' as defined in MCC Section 2-92-3S5. That section, which should he consulted (www.airileiiai.cotn ). generallv covers a partv to any agreement pursuant to which they: ii) receive City ol'Chicago lunds in consideration for services, work' or goods provided (including i'or legal or other professional services), or (ii.! pay ihe 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, I hereby certify that ¦he Applicant is In compliance with MCC Section 2-92-5S5t ! Ves
j jNo
; ] N/A.- 1 am not an Applicant that is a ••contractor'' as delined in MCC Section 2-92-385.
This certification shall serve as the affida-. i; required by MCC Section 2-92-335ic)(! >.
Ifyou checked "no" to the above, please explain.