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This record contains private information, which has been redacted from public viewing.
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Type:
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Ordinance
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Status:
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Passed
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Title:
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Tax levy, scope of services, budget and service provider agreement for Special Service Area No. 2, Belmont-Central Parking
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Topic:
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TAX INCREMENT FINANCING DISTRICTS - Belmont/Central T.I.F.
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Attachments:
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1. O2022-2979.pdf
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OFFICE OF THE MAYOR CITY OF CHICAGO LORI E. LIGHTFOOT MAYOR September 21. 2022 TO THE HONORABLE, THE CITY COUNCIL OF THE CITY OF CHICAGO Ladies and Gentlemen: At the request of the Commissioner of Planning and Development, 1 transmit herewith ordinances authorizing the establishment, reconstruction, term and boundary expansion and 2023 budget and services of .specified Special Service Areas, and the execution of service provider agreements with various entities. Your favorable consideration of these ordinances will be appreciated. Very truly yours, ORDINANCE REGARDING SPECIAL SERVICE AREA #2 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 of the Services Tax indicated on Exhibit A hereto: Collectable Levy, Estimated Loss Collection, Carryover Funds, TIF Rebate Fund, and Estimated Late Collections and Interest. SECTION 3. Levy of Taxes. There is hereby levied pursuant to the provisions of (i) Article |1010|S:\SHARED\Finance\SSA\SSA-2022\Randall - 2, 7, 22, 39, 43, 51\SSA #2\2022 SSA2 Levy Ord v2.docx
VII, Sections 6(a) and 6(l)(2) of the Constitution of the State of Illinois; (ii) the Act; and (iii) the Establishment Ordinance, the sum of the "Collectable Levy" indicated on Exhibit A hereto as the amount of the Services Tax for the Area for the tax year 2022.
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 27, 2022, 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 2022 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 of the 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.
|1010|S:\SHARED\Finance\SSA\SSA-2022\Randall - 2, 7, 22, 39, 43, 51\SSA #2\2022 SSA2 Levy Ord v2.docx
EXHIBIT A
SPECIAL SERVICE AREA #2
Area Levy Cap Collectable Levy Commission : Service Provider |109|1.5% $280,000 Belmont-Central Parking Special Service Area Commission Belmont-Central Chamber of Commerce
Establishment Ordinance
Date: June 30, 1982
Journal pages: pages 11140-11144
Amendments) to Establishment Ordinance
Date: March 25, 1983
Journal pages: pages 16487-16511
Date: September 18, 1984 Journal pages: pages 9173-9174
Date: June 14, 1995
Journal pages: pages 2280-2337
See attached Budget.
|1010|S:\SHARED\Finance\SSA\SSA-2022\Randall - 2, 7, 22, 39, 43, 51\SSA#2\2022 SSA2 Levy Ord v2.docx
Exhibit A
Budget
SSAName: ; Belmont Central
r~. 'I.' ¦
Estimated
Loss Collection
CATEGORY
(Funded Categories Comprise Scope ot Services)
1.00 Customer ! Attraction
Budget and Services Period January 1, 2023 through December 31. 2023
£ 2022 Levy j
Collectable Levy
Estimated
Carryover ' TIF Rebate Late
Funds Fund* Collections
$0
$100
$0; I
$0:
and Interest
$182,309. $21,287!
$10,769
$o.
$17,108 $0
$0.
i
i
$o; $o:
$0
$0:
$0 $0 $0
$0,
;r''r U
2.00 Public Way ; Aesthetics
$o
$0 $0
$100.
$100 $19,570 $39,426 $262,892
"3.00 Sustainabilrty and 'public Places
¦4.00 Economic/ Business Development :
5.00 Public Health and Safety Programs
_h :
$17,108\-
6.00 SSA Management 7.00 Personnel
$280,000
$10,769;
Sub-total:
" GRAND " . TOTALS LevVTotal
Total All Sources
$100 $210,186 $38,395 $100 $100 $19,570 $39,426^
$307,877
..-•'.V. . TW'< ¦
Estimated 2022 EAV'
'Authorized fax Rate Cap:
Maximum Potential Levy : 'irnrted. fay Rate Cap.
Roquastsd 2022 Levy Amount
¦ Estimated Tax Rate to Generate 202' Levy:
J28,275.715j
1.500%!
$424,136 $280,000!
0.9902%;
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:
"V^>j? ,\ rvxoiAf-CjL'-v-V'S^ CjS&.t-vb'g- ' of Co^/^e ^Cc
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
JJxj 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
3 [ ] a legal entity with a direct or indirect right of control of the Applicant (see Section 11(B)(1)) Srate tlie legal name ol'the entity in which ihe Disclosing Party holds a right of control:
;i. Business address of the Disclosing Party: U \. ^gl ro^Xj" Avg. .
Telephone, ITh-^.l- F.;x m/A Email: ^ ~>\tc.gtnV»Ic,c_(&''
Name of contact personfT^oi^a. S R C. i & Mo-CK / v\ '
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):"-^ *JV*v>j tir»c ^A^c-v-T-Cjl-~ir«A C_Uci^W^ c£ C ^^--t^ct-
Which City agency or department is requesting this EDS? pi ^K.^'.kv F/ Ottv-i op^t ti_..
If the. Manor is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification # and Contract #
VV.20IS 1 Page 1 of 15
SECTION H - DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY
1. Indicate the nature of the Disclosing Party:
I ] Person f ] Limited liability company
[ j Publicly registered business corporation [] Limited liability partnership
[ i Privately held business coiporation [ J Joint venture
[ Sole proprietorship Not-for-profit corporation
[ General partnership (Is the not-for-profit corporator also a 501(c)(3))
[ ; Limited partnership [ ] Yes £xJNo
[ .' Trust [ ] Other (please specify)
2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
¦—lixi$£st.iS _ . , ___ _ _
?. For legal entities not organized in the State of Illinois: Has the organization registered to do business in the Stale of Illinois as a foreign entity''
I ! Yes f ] No J>3 Organized in Illinois
B. If THE DISCLOSING PARTY IS A LEGAL ENTITY:
I. List below the full names and titles, if applicable, of: (i) all executive officers and all directors of the entily; (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 ofthc Applicant.
NOTE: Facii legal entity listed below must submit an EDS on its own bcha'f
Name Title
_IS fc <= t=rVCX.C |-» Jj.o\ . K) O i/\ c- <^ t> *-/ 3 u i p i r if, G/1 1 .<- Cy.cJ, g r\~V yjh|g_\.....
2. Please provide the following infonnation concerning each person or legal entity having a direct or mdiiect, current or prospective (i.e. within 6 months after City action) beneficial interest (including ownership) in excess of 7.5% of the Applicant. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint ventuxe, interest of a member or manager :n a
Page 2 of 15
[wt tocai • Ihop [ccat • Grow %qou
ELMOflT-CEIITRdi
'Chamber of Commerce
1 ™' <•* —" ".nmw— IW.lTlfH" I . III.-, I— ¦ I I .Mil. i -I.
5j4 Li) fiitaoitr /Iveniii • Cmcaso. U tost! « (//J? 6 6ti.vofirci/riisi>icct*ifceiOBei.iTi/
2022 CHAMBER BOARD OF DIRECTORS (redacted)
Mr. Lawrence Lynch
Rev. David Potete
Ms. Danieia Durand
Mr. Riccardo Martinez
Mr. Cesar Lopez
Executive Director Mr. Thomas Reid Mackin
limited liability company, or interest of a beneficiary of a trust, estate or otbeT similar entity. If none, stare "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
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 W'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.' [ JYes P>djNo
If "yes" to cither of the above, please identify below the name(s) of such City elected officialfs) and describe such income or compensation:
Does any City elected official 01, to the best of llie Disclosing Parly's knowledge after reasonable inquiry, any City elected official's spouse or domestic partner, have a financial interest (as defined h: Chapter 2-156 of the Municipal Code of Chicago ("MCC")) in the Disclosing Party? [ ] Yes J>If "yes," please identity below the name(s) of such City elected official(s') and/or spouse(s)/domestic psrtnerfs) and describe the financial interests).
SECTION IV - DISCLOSURE Or SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, nnorney. 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 Maher. as well as the nature of Ihe relationship, and the local amount ofthc foes 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 cither ask the City whether disclosure is required or make ihc disclosure.
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 iespouse.
5*-*- Cv.-lVcvChg-^, ..
(Add sheets if necessary)
I ] 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 die contract's term.
Has any person who directly cr indirectly owns 10% or more of the Disclosing Party besn declared in arrearage on any child stippor: obligahons by any Illinois court of competent jurisdiction?
[ j Yes [ ] No £xf No person directly or indirectly owns 10% or more of die Disciosing Party.
If "Yes," has the person entered into a court-approved agreement for payment of al! support owed and is the person in compliance with lhat agreement'.'
J Yes [ ] No
FURTHER CERTIFICATIONS
I : f his paragraph L applies only if the Matter is a contract being handled by the City's Department of Procurement Services/ In the Syear period preceding the date of this EDS, neither the Disclosing Party nor any Affiliated Emily [see definition in'(5) below] has engaged, in connection with the performance of any public contract, the serv ices of an integrity monitor, independent private sector inspector general, or integrity compliance consultant (i.e., an individual or entity with legal, auditing, investigative, ot other similar skills, designated hy a public agency to help the agency monitor the artvity of specified agency vendors as well as help the vendors reform their business practices so they can be considered for agency contracts ic the tuture, or continue with a contract in progress).
2. The Disclosing Party and its Affiliated Entities arc not delinquent in the payment of ;r»y fine. ice. ur\ or other source of indebtedness owed tc the City of Chicago, including, but not limited to, water and sewer charges, license fees, parking tickets, property taxes and sale* taxes, not is the-Disclosing Party delinquent in the payment of any tax administered by the Illinois Department of Revenue.
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BeimonTCEtirRiHCCG>S3CGlOB4l.n(T
CITY OF CHICAGO CONTRACTS LIST (anticipated for 2023)
YEAR DEPARTMENT PROGRAM AMOUNT
2023 BACP NBDC $40,000
2023 DPD SSA $280,000
The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities idcntilied in Section 11(B)(1) of this EDS:
a. aie nor presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from any transactions by any federal, state or local unit of government;
li. have not, during the 5 years before tlie date of this EDS. been convicted of a criminal offense, adjudged guilly, or had a civil judgment rendered against them in connection with: obtaining, attempting lo oblaui. or performing a public (federal, state or local) transaction or contract under a public transaction; a violation of federal or state antitrust statutes; fraud; embezzlement, theft; forgery; bribery; Falsification or destruction of records; making false statements: or receiving stolen property;
e. are not presently indicted for. or criminally or civilly charged by, a governmental entity-(federal, state or local) with committing any of the offenses set forth in subpaiagraph (b) above,
d have nor. during the 5 years before tne date of this EDS, had one or more public transactions (federal, state or local) terminated forcause or default; and
e. have not, during the 5 years before the dale of this cDS, 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 trie City or by the federal government, any state, or any other uni: 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).
Ceniiications (5i, (6) and (?') concern:
the Disclosing Party;
any "Contractor" (meaning any contractor or sjoeorilutctoi used by the Disclosing Party in connection v. ith the Matter, including but not limited to Ml persons or legal entities d.solosed under Section IV. "Disclosure cf Subcontractors and Other Retained Parries");
any ' Affiliated Fruity" (meaning a person or entity that, directly or indirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is. with the Disclosing Patty, under common control of another person or entity). Indicia of control inc'udc, without limitation: interlocking management or ownership; ideality 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, deluding the City, using substantially the same management, ownership, or principals as the ineligible entity. With respect to Contractors, the term Affiliated Entity means a pet son or entity that directly or indirectly controls the Contractor, is controlled b> it. or, with the Corilraclo:, is under common control of another person or entity;
» any responsible official ofthc Disclosmi? Party, any Contractor or any Affiliated Entity or any other official, agent or employee ofthc Disclosing Party, any Contractor or any Affiliated Entiry, acting pursuant tc the direction or authorization of a responsible official of the Disclosing Pa:.iy. any Coniraetor or any Affiliated Entity (collectively "Agents").
Neither tlie 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 mis EDS, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the 5 yeais before the dale of such Contracior's 01 Affiliated Entity's contract or engagement in connection v.i'h the Matter:
bribed or attempted to bribe, or been convicted 01 adjudged guilty of bribery or attempting to bribe, a public officer or employee of the City, the State of Illinois, or any agency of the federal government or of any state or local government in the United States of America, in that officer's or employee's official capacity;
agreed or colluded with other bidders or prospective bidders, or been a party to any such agreement, or been convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom of competition by agreement u 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
d violated the provisions referenced in MCC Subsection 2-92-320(a}(4Contracts Requiring a Base Wage), {a)(5)(Debarment Regulations); or (a)(6)(Minimum Wage Ordinance).
Neither the Disclosing Party, nor any Affiliated Entity or Contractor, or any of their employees, officials, agents or partners, is barred from contracting with any unit of stale or local government as a result of engaging in or being convicted of (I) bid-ngging in violation of 720 ILCS 5/33 E-3; 12} bid-rotating in violation of 720 ILCS 5-33E-4; or (3) any simitar offense of any stale or of the United States of America that contains the same elements as the offense of bid-ngging or bid-rotating.
Neither the Disclosing Party nor. any Affiliated Entity is listed on a Sanctions List maintained by ihe United States Department of Commerce, Srate, or Treasury, or any successor federal agency.
[FOR APPLICANT ONLY] (i.) Neither the Applicant nor any "controlling peison" [see MCC Chapter ! -23. Article i for applicability and defined terms] of the Applicant is currently indicted or charged with, or has admittrd guilt of. or has ever been convicted of. oi placed under supervision for. any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an offcer or employee of the City or any "sister agency'; and (ji) the Applicant understands and acknowledge? that compliance with Article I is a continuing •.•cquire.mf.m for doing business with the Cuy NOTE: If MCC Chapter I -T>. Article I applies to the Applicant, thai
Article's permanent compliance timeframe supciseries 5-year compliance liiueframes in ibis Section v.
9 (TOR APPLICANT ONLY] The Applicant and its Affilimcd Entities will not use, nor permit their subcontractors to use, any facility listed as having an active exclusion by ihe U.S. EPA on the federal System for Award Management ("SAM").
10. [TOR APPLICANT ONLY] The Applicant will obtain from any contractoi^/subcontractors hired or •<.) be hired m connection vvltn the Malic certifications equal in form and substance to those m Certifications (2) and (9) above and will not, without the prior written consent of the City, use any such
contractor/subcontractor tbat does not provide such certifications or that the Applicant has reason to believe has not provided or cannot provide truthful certifications.
! 1. If the Disclosing Party is unable to certify to any of the above statements in this Pan B (Further Certifications), the Disclosing Party must explain below:
If the letters "NA," the word 'None." or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
12. To the best of the Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all current employees of the Disclosing Party who were, at any time during the 12-month period preceding the date of this EDS, an employee, or elected cr appointed official, of the City of Chicago (if none, indicate with a\'/A* or "none").
! 3. To the best of the Disclosing Party's knowledge: after reasonable inquiry, the following is a complete list of all gifts that the Disclosing Paity 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 die City of Chicago. For purposes of this statement, a "gift" does tiot include: (i) anything ir.arie generally available to City employees or lo the general pub'ic, or (ii) food or drink provided in the course of official City business and having a retail value of less than S25 per recipient, or (.») a political contribution otherwise duly reported as required by law (tf none, indicate with "N/A" or "none'1). As to any gift listed below, please also list the name of the City recipient
C. CERTIFICATION OF STATES AS FINANCIAL INSTITUTION
1. The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is fxj b not
a "financial institution" as defined in MCC Section 2-32-45S(b).
2. If the Disclosing Patty IS a financial institution, then the Disclosing Party pledge?
"We are not and will not become a predatory lender as defined in MCC Chapter 2-32. We furthet pledge thai 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 ihe loss of the privilege of doing business with the City."
Page 7 of 15
Tf the Disclosing Patty is unable to make this pledge because ii or any of its affiliates (as defined in MCC Section 2-32-455(b)) is a predatory lender within the meaning of MCC Chapter 2-32, explain here (attach additional pages if necessary ):
¦m — :—. . '. .
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.
D. CERTIFICATION REGARDING FINANCIAL INTEREST IN CH Y BUSINESS
Any words or terms defined in MCC Chapter 2-156 have the same meanings if used in this Part D.
1. In accordance with MCC Section 2-156-110: To the best of the Disclosing Party's knowledge after reasonable inquiry, does any official or employee of the City have a financial interest in his or her own name or in Ihe qamc of any other person or entity in the Matter?
( ] Yes fxjNo
NOTE: If you checked "Yes" to Item D(l), proceed to Items D(2) and D(3). Ifyou checked "No" to Item D( I), skip Items D(2) and D(3) and proceed to Part E.
2 Unless sold pursuant to a process of competitive bidding, or otherwise permitted, no City elected official or employee shall have a financial interest it: his or her own name or in ihe name of any other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit of the City (collectively, "City Propei ty Sale"). Compensation for property taken pursuant to the City's eminent domain power does no: constitute a financial interest within the meaning of this Part D
Docs the Matter involve a City Property Sale'.'
[ ] Yes i ] No
3. If you checked "Yes" lo Ilern D( 1). provide the names and business addresses of the City officials or employees having such financial interest and identify the nature of the financial interest:
Name Business Address Nature of Financial Interest
4 T he Disciosing Party further certifies that no prohibited financial interest in the Matter wil' he acquired by any City official or employee.
PageS of 15
E CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Please check either (! ) or (2) below. If the Disclosing Party checks (2), the Disclosing Party mast disclose below or in an attachment to this EDS all information required by (2). Failure to comply with, these disclosure requirements may make any contract entered into with the City in connection with, the Matter voidable by the City.
Xl1 • The Disclosing Parly verifies that the Disclosing Party has searched any and al! records of the Disclosing Party 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 that provided coverage for. damage to or injury or death of their slaves), and the Disciosing Party has found no such records.
2. The Disclosing Party verifies that, as a result of conducting the search in step (1) above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies mat the following constitutes full disclosure of all such records, including the names of any and ail slaves or slaveholders described in those records:
SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. If the Matter is not federally funded, proceed to Section VII. For purposes of this Section VI, tax credits allocated by the City and proceeds of debt obligations of the City are not federal funding.
A. CERTIFICATION REGARDING LOBBYING
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 ihe 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 "Nor.e" appear, it will be conclusively presumed that the Disclosing Parry means that NO persons or entities registered under the Lobbying Disclosure Act of 1995, as amended, have made lobbying contacts en behalf of the Disclosing Party with respect to the Matter )
2. The Disclosing Paity 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 oi lo pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law. a member of Congress, an officer or employee of Congress, or an employee Ver.-yiS-; Pagv9ofI5
of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grantor loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, gram, loan, or cooperative agreement.
3. The Disclosing Party will submit an updated certification at the end of each calendar quarter in which there occurs any event that materially affects the accuracy ofthc statements and information set forth in paragraphs AH) and A(2) above.
4 I he Disclosing Party certifies that either: (i) it is not an organization described in section 501 (c)(4) of the Internal Re\enue Code of 1986; or (ii) it is an organization described in section 501(c)(4) of the Internal Revenue Code of 1986 but has not engaged and will nol engage :n "Lobbying Activities," as that term is defined in the Lobbying Disclosure Act of 1995. as amended.
5. If the Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equal in form and substance to paragraphs A(l) through A(4) above from all subcontractors before it awards any subcontract and the Disciosing Parly must maintain ail such subcontractors' certifications for the duration of the Mailer and must make such cerlificalions promptly available to the City upon request
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
If the Matter is federally fund ad, federal regulations require the Applicanl and all proposed subcontractors to submit the foliowing information with their bids or in writing at the outset of negotiations.
Is she Disclosing Party the Apnlicant-' I j Yes * ' ["; No
If "Yes." answer the three questions below:
!. Have yon developed and do you have on tile affirmative action programs pursuant to applicant
federal regulations? (See 4: CFR Part 60-2.;
; ] Yes ; ' No
2 Have you fi'ed with l'ie Joint Reporting Committee, the Direclor of fie Office of Fedeia. Couiiaci Compliance Programs, or the Equal Employment Opportunity Commission all reports due under ihe applicable filing requirements''
t JYes 1 j No [ j Reports not required
3. Have you participated in any previous contracts or subcontracts subject to the equa. opportunity clause-'
; j Ye; " ; ; No
Ifyou checked "No" to ques'ion 11) oi \.2) above, please provide an explanation
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SECTION VII - FURTHER ACKNOWLEDGMENTS AND CERTIFICATION
ihc Disclosing Party understands and agrees that:
A. The cert Rcations, disclosures, and acknowledgments contained in this EDS will become part of any contract or other agreement between the Applicant, and the City in connection with ihe Mattes, whether procurement. City assistance, or other City action, and are material inducements to the City's execution of any contract or raking 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.
D. Flic City's Giivciumeuial Ethics Ovdi nance, MCC Chapter 2-156, imposes certain duties and obligations on persons or entities seeking City contracts, work, business, oi transactions. The full text of this ordinance and a training program is available on line, at www.ciryofchicago.org/I7.thics . and may also be obtained from Ihe City's Board of Ethics, 740 N. Sedgwick St., Suite 500. Chicago. IL 60610, (312) 744-9660. The Disclosing Party must comply fully with ibis ordinance.
C If the City determines that any infonnation provided in this EDS is false, incomplete or inaccurate, any contract or olhei agreement in connection with which ii is submitted may be rescinded oi be void or voidable, and the City may pursue any remedies under the contract or agi cement (if not rescinded o-void), at law, or in equity, including terminating the Disclosing Party's participation in the Matter and/or declining to allow the Disclosing Parly to participate in other City transactions. Remedies at lav, for a false statement of mate; lai fact may include incarceration and an award to the Citv of Ircblc damage^.
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 icqucsl, or otiietwise. By-completing arid signing this EDS, the Disc osing I' irty waives and releases any possible rights or claims which, i: nuv have against the City in connection with tt.e public release of information rnr'ameci in tms EDS and also authorizes the City to v erify the accuracy of any information submitted in this EDS.
The information provided in this EDS must be kepi cuueni In the event of .thanges, the Disclosing Party mus« supplement this EDS up to the time the City takes action on the Matter If the Ma'ter is a contract being handled by the City's Department of Procurement Services, the Disclosing Party musi update this EDS as the contract requires. NOTE: With respect to Matters subject to MCC Chapter 1-23. Article I (imposing PERMANENT INELIGIBILITY for certain specified offenses), the ttifomatlon piovided herein regarding eligibility must be kept currem for a longer period, as requited
by MCC Chapter ! -23 and Section 2 -154-02.0
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)
XSign here)
(Print or type title of person signing)
at CoO*- County -I*- (state).
*2-
Commission expires: 3>| \^\ ? jp
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CITY OI CHICAGO ECONOMIC DISCJ-OSfRE STATEMENT AND AFFIDAVIT APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY Ol'FICLALS AND DEPARTMENT HEADS
This Appendix is to lie completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5%. It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
Under MCC Section 2-154-015, the Disciosing Party must disclose whelhei 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, cs o* the dale this EDS is signed, the Disclosing Paify 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 of the following, whether by blood or adoption: parent, child, brother or sister, aunt or uncb, niece or nephew, grandparcnr, 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) al! executive officers of the Disclosing Party listed in Section II.B. 1.a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; al! managers, managing members and members ofthc Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Parly, and H) 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 Party or any "Applicable Party" or any Spouse or Domestic Partner thereo* currently have a "famiiial relationship" with an elected city official or department head?
[ ] Vet; XI No
If yes, please identify below (1) the name and title of such person, (2) ihe name of the legal eutity to which such person is connected; (31 the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT APPENDIX B
BUILDING CODE SCOFFLAVV/PROBLEM LANDLORD CERTIFICATION
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5% (an "Owner"). It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
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^-16?
[ ] Yes JX) No
If the Applicant is a legal entity publicly traded on any exchange, is any officer or director of the Applicant identified as a building code scofflaw or problem landlord pursuant to MCC Section 2-92-416?
[ ] Yes f i No fxj The Applicant is not publicly traded on any exchange.
.1. If yes to (1) or (2) above, please identify below the name of each person or legal entity identified as a building code scofflaw or problem landlord and the address of each building or buildings to which the pertinent code violations apply.
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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT APPENDIX C
PROHIBITION ON WAGE & SALARY UiSTORY 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. Thai section, which should be consulted (www.amlegaj^cionj ), generally covers a party to any agreement pursuant lo which they: (i) receive City of Chicago funds in consideration for services, work or goods provided (including for legal or other professional services), or (ii) pay the City money for a license, giant or concession allowing tlicm to conduct a business on City premises.
On behalf of an Applicant that is a contractor pursuant to MCC Section 2-92-385,1 hereby certify that the Applicant is in compliance with MCC Section 2-92-385(b)(1) and (2), which prohibit: (i) screening job applicants based on their wage or salary history, or (ii) seeking job applicants' wage or salary history from current or former employers. 1 also certify that the Applicant has adopted a policy thai includes those prohibitions.
JXfYes [ ; No
[ ] N/A I an; not an Applicant that is a '¦contractor" as defined in MCC Section 2-92-3S5. This certification shall serve as the affidavit required by MCC Section 2-92-385(c)(l). Ifyou checked "no"' to the above, please explain.
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