This record contains private information, which has been redacted from public viewing.
Record #: O2022-3404   
Type: Ordinance Status: Passed
Intro date: 10/26/2022 Current Controlling Legislative Body: Committee on Economic, Capital and Technology Development
Final action: 11/16/2022
Title: Tax levy, scope of services, budget and service provider agreement for Special Service Area No. 75, Oak Street
Sponsors: Lightfoot, Lori E.
Topic: SPECIAL SERVICE AREAS - S.S.A. No. 75 (Oak Street)
Attachments: 1. O2022-3404.pdf
OFFICE OF THE MAYOR
CITY OF CHICAGO
LORI E. LIGH TFOOT
MAYOR
October 26. 2022










TO TIIK HONORABLE, THE CITY COUNCIL OF TIIE CITY OF CHICAGO


Ladies and Gentlemen:

At the request ofthe Commissioner of Planning and Development, I transmit herewith ordinances authorizing the scope ol'services, budget, and the execution of service provider agreements with regard to specified Special Service Areas.

Your favorable consideration of these ordinances will be appreciated.


Very truly yours,

Mayor
ORDINANCE REGARDING SPECIAL SERVICE AREA #75
WHEREAS, special service areas may be established pursuant to: (i) Article VII, Sections 6(1) and 7(6) of the Constitution of the State of Illinois; (ii) the provisions of the Special Service Area Tax Law, 35 ILCS 200/27-5 et seq., as amended from time to time (the "Act"); and (iii) the Property Tax Code, 35 ILCS 200/1-1 et seq., as amended from time to time; and

WHEREAS, the City Council (the "City Council") of the City of Chicago (the "City") has previously enacted a certain ordinance on the date specified on Exhibit A attached hereto and hereby made a part hereof and published in the Journal of Council Proceedings (the "Journal") for such date at the pages specified on Exhibit A hereto, and amended on the date(s) specified on Exhibit A hereto and published in the Journal for such date(s) as specified on Exhibit A hereto (as amended from time to time, the "Establishment Ordinance") which established a certain special service area as indicated therein and as identified on Exhibit A hereto (the "Area") and authorized the levy of certain annual taxes, not to exceed the annual rate (the "Levy Cap") indicated therein and as described on Exhibit A hereto, of the equalized assessed value of the taxable property therein (the "Services Tax") to provide certain special services in and for the Area in addition to the services provided by and to the City generally as specified in the Establishment Ordinance (the "Special Services"); and

WHEREAS, the Establishment Ordinance provided for the appointment of a certain special service area commission for the Area (the "Commission") to advise the City Council regarding the amount of the Services Tax for the Area to be levied and for the purpose of recommending to the City Council for the Area: (i) a yearly budget based upon the costs of providing the Special Services; (ii) an entity to serve as service provider (the "Service Provider"); (iii) an agreement between the City and the Service Provider for the provision of Special Services to the Area (the "Service Provider Agreement"); and (iv) a budget to be included in the Service Provider Agreement (the "Budget") (the aforementioned items (i) through (iv) shall be known collectively herein as the "Recommendations"); and

WHEREAS, the Commission identified on Exhibit A hereto has heretofore prepared and transmitted to the Commissioner of Planning and Development (the "Commissioner") their Recommendations to the City Council, including the Budget attached hereto as Exhibit A; now, therefore,
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO AS FOLLOWS:

SECTION 1. Incorporation of Preambles. The preambles of this ordinance are hereby incorporated into this text as if set out herein in full.

SECTION 2. Appropriations. There is hereby appropriated the sum in the amount and for the purposes necessary to provide the Special Services in and for the Area, the estimated amount of miscellaneous income and the amount required to be raised by the levy ofthe Services Tax indicated on Exhibit A hereto: Collectable Levy, Estimated Loss Collection, Carryover Funds, TIF Rebate Fund, and Estimated Late Collections and Interest.

SECTION 3. Levy of Taxes. There is hereby levied pursuant to the provisions of: (i) Article VII, Sections 6(a) and 6(l)(2) of the Constitution of the State of Illinois; (ii) the Act; and (iii) the Establishment Ordinance, the sum of the "Total Requested Levy" indicated on Exhibit A
|1010|
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 ofthe Services Tax herein levied to be in addition to and in excess of all other taxes to be levied and extended against all taxable property within the Area.
SECTION 5. Service Provider Agreement. The Commissioner, or a designee of the Commissioner (each, an "Authorized Officer"), are each hereby authorized, subject to approval by the Corporation Counsel as to form and legality, to enter into, execute and deliver a Service Provider Agreement as authorized herein with the entity indicated on Exhibit A hereto as the Service Provider, for a one-year term in form acceptable to such Authorized Officer, along with such other supporting documents, if any, as may be necessary to carry out and comply with the provisions of the Service Provider Agreement. The Budget shall be attached to the Service Provider Agreement as an exhibit. Upon the execution of the Service Provider Agreement and the receipt of proper documentation, the Authorized Officer and the City Comptroller are each hereby authorized to disburse the sum appropriated pursuant to Section 2 above to the Service Provider in consideration for the provision of the Special Services described in the Budget. The Department of Planning and Development shall promptly make a copy of the executed Service Provider Agreement (and any amendments thereto) readily available for public inspection. The Authorized Officer is also authorized to sign amendments to the Service Provider Agreement entered into pursuant to this Section 5 so long as such amendments do not alter the identity of the Service Provider and/or the amounts appropriated and/or levied pursuant to Sections 2 and 3 hereof.
SECTION 6. Enforceability. If any section, paragraph or provision of this ordinance shall be held to be invalid or unenforceable for any reason, the invalidity or unenforceability of such section, paragraph or provision shall not affect any ofthe remaining provisions of this ordinance.
SECTION 7. Conflict. This ordinance shall control over any provision of any other ordinance, resolution, motion or order in conflict with this ordinance, to the extent of such conflict.
SECTION 8. Publication. This ordinance shall be published by the City Clerk, in special pamphlet form, and made available in her office for public inspection and distribution to members of the public who may wish to avail themselves of a copy of this ordinance.
SECTION 9. Effective Date. This ordinance shall take effect 10 days after its passage and publication.








|1010|
EXHIBIT A

SPECIAL SERVICE AREA #75

Area Levy Cap Total Requested Levy Commission Service Provider
75 0.62% $403,200 Oak Street Special Service Area Commission Oak Street Council

Establishment Ordinance
Date: December 16, 2020
Journal pages: pages 25240 through 25251


See attached Budget.



































|1010|
Exhibit A Budget

Special Service Area # 75
SSA Name: Oak Street
2023 BUDGET SUMMARY
Budget and Services Period: January 1, 2023 through December 31, 2023

2022 Levy
CATEGORY (Funded Categories Comprise Scope of Services) Collectable Levy Estimated Loss Collection Carryover Funds TIF Rebate Fund #0D38 Estimated Late Collections and Interest Total AM Sources
1.00 Customer Attraction $166,200 $0 $14,000 $0 $0 $180,200
2.00 Public Way Aesthetics $117,000 $0 $0 $0 $0 $117,000
3.00 Sustainability and Public Places $0 $0 $0 $0 $0 $0
4.00 Economic/ Business Development $8,000 $0 $0 $0 $0 $8,000
5.00 Public Health and Safety Programs $62,000 $0 $0 $0 $0 $62,000
6.00 SSA Management $50,000 $0 $0 $0 $0 $50,000
7.00 Personnel $0 $0 $0 $0 $0
Sub-total $403,200 $0 !:.rv:!;,y !.;,• ; .2;;.GRAND TOTALS Levy Total $403,200 $14,000 $0 $0 $417,200

LEVY ANALYSIS
Estimated 2022 EAV: I $104,221,762
Authorized Tax Rate Cap' 0.620%
Maximum Potential Levy limited by Rate Cap: $646,175
Requested 2022 Levy Amount: $403,200
Estimated Tax Rate to Generate 2021 Levy: 0.3869%
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMEN'* AND AFFIDAVIT
SECTION I - GENERAL INFORMATION

A. Legal name of the Disclosing
Party submitting this EDS. Include d/b/a
CQ()r\CJL$
Check ONE of the following three boxes:

Indicate whether the Disclosing Party submitting this EDS is:
City
action on as the 's legal
months after (« fe red to belo^ State the Appl:
\}X the Applicant
[ ] a legal entity currently holding, or anticipated to hold within six
idant
the contract, transaction or other undertaking to which this EDS pertains "Matter"), a direct or indirect interest in excess of 7.5% in the Applicant.
name:
3. [ ] a legal entity with a direcl State the legal name of the entity in "
OR
or indirect right of control of the AppSic
B. Business address of the Disclosir g Party: (I ( . C^l k. S*/" ¦

J'


Email: (p k&jfcefcfhb irfsec^b^j&
Federal Employer Identification No. (if you have one):
Brief description of me Matter to which this EDS pertains. (Include pro property, if applicable): j|10 10|ToaUW Oak-sited (towM \oci\krrtka.t*ifadW/y
is requesting this EDS? P/fl fl MM
G. Which City agency or departmenl
ed by the City's Department of Procur
If the Matter is a contract being hand complete the following:
and Contract #
Pagel of 15
Specification # Ver.2018-1
SECTION II -- DISCLOSURE Of OWNERSHD? INTERESTS
A. NATURE OF THE DISCLOSING PARTY
1. Indicate the nature of the Disclosing
[ ] Person
[ ] Publicly registered business corporation
[ ] Privately held business corporation
[ ] Sole proprietorship
[ ] General partnership
[ ] Limited partnership
[ ] Trust
Party:
[ ] Limited liability compbry [ ] Limited liability partnership [ ] Joint venture
Not-for-profit corporal ion (Is the not-for-profit corpo ation also a 501(c)(3))?
&
2. For legal entities, the state (or foreign country) of incorporation or orgai dzalion, if app!



3. For legal entities not organized in the State of Illinois: Has the organizalioiji registered business in the State of Illinois as a foreign entity?
Organized in Illinois
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
entity that directly or

1. List below the full names and t ties, if applicable, of: (i) all executive i >fficers and allj directors of the entity; (ii) for not-for-profit corporations, all members, if any, which i ire! legal entities (if there are no such members, write "no men bers which are legal entities"); (iii) foij trjusts, estates or other similar entities, the trustee, executor, administrator, or similarly situated partyj; (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 lef ;al i indirectly controls the day-to-day management of the Applicant.

NOTE: Each legal entity listed below must submit an EDS on its own behai f.
Name k lt , • Tide - .





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) benef cial interest (including ownership) in excess of 7.5% of the Applicant. Examples of such an intcres t include sh are 5 in a corporation, partnership interest in a partnership or joint venture, interest of i member pr manager in a

Page 2 of 15

Oak Street Council 2022 Board Ust

Name TMe
Alex Kats President
Abigail Stockwell Vice President
Kristen Kerch Treasurer
Robert Lopez At Large
Tricia Kaiser At Urge
limited liability company, or interest of a beneficiary of a trust, estate or state "None."
f.
>Jame
NOTE: Each legal entity listed below may be required to submit an EDS oh its own beha :
Name Business Address Percentage interest in die Applicant





SECTION III -- INCOME OR COMPENSATION TO, OR OWNERSHIP BY, CITY ELECTED OFFICIALS

of this EDS?
Has the Disclosing Party provided any income or compensation to any City
12-month period preceding the date
No
I ]Yes j |c1 offi<
Does the Disclosing Party reasonably expect to provide any income or com jensation to any City
elected official during the 12-month period following the date of this EDS?

If "yes" to either of the above, pleasd identify below the name(s) of such Ci y elected offidial( s) and describe such income or compensation:
Does any City elected official or, to he best of the Disclosing Party's know inquiry, any City elected official's spouse or domestic partner, have a financial
Chapter 2-156 of the Municipal Code of Chicago ("MCC")) in the Disclosing [ ] Yes No
reasonable (as defined in

If "yes," please identify below the name(s) of such City elected official(s) ajid/or spousb(s)/domestic partners) and describe the financial interest(s).


SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER! RETAINED PARTIES
i
as well as The
The Disclosing Party must disclose the name and business address of each s ubcontractor, attorney, lobbyist (as defined in MCC Chapteij 2-156), accountant, consultant and any o her person or entity whom the Disclosing Party has retained or expects to retain in connection v, itt the Matter, the nature of the relationship, and the| total amount of the fees paid or estims ted to be paid. Disclosing Party is not required to disclose employees who are paid solely t irough the Disclosing Party's regular payroll. If the Disclosing Party is uncertain whether a disclo siuje is required under this Section, the Disclosing Party must either ask the City whether disclosure is equired orjma te the disclosure.

Page 3 of 15
Name (indicate whether retained or anticipated to be retained)
Sp(7 /llhtdvA
Business Address
Relationship to Disclosing Party (subcontractor, attorney, lobbyist, etc.)
I'eejs (indicate whether raid or estimaljed.) NOTE;
hourly rata" oj- "t.b.d." is r|otjan acceptable response.
persons or entities.


(Add sheets if necessary)
[- ] Check here if the Disclosing Pariy has not retained, nor expects to retail^ any such
SECTION V - CERTIFICATIONS
A. COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under MCC Section 2-92-415, subslantial owners of business entities that < ontract with trie City must remain in compliance with their child support obligations throughout the cc nfcract's term

Has any person who directly or indirectly owns 10% or more of the Disclos ing Party b :en arrearage on any child support obligations by any Illinois court of competei t jiirisdiction?

[ ] Yes [ ] No J>r^No person directly or indirectly owns 10% or mon: of the Dis :losing Party.
If "Yes," has the person entered into ja court-approved agreement for payment pf all suflpo 1 owed and is the person in compliance with that; agreement?

[ ] Yes [ ] No

B. FURTHER CERTIFICATIONS
5 Department of
neither the Disclosing connectionj with the
s).

1. [This paragraph 1 applies only if the Matter is a contract being handled 1 >y the City' Procurement Services.] In the 5-year period preceding the date of this EDS Party nor any Affiliated Entity [see definition in (5) below] has engaged, in performance of any public contract, ihe services of an integrity monitor, independent private sector inspector general, or integrity compliance consultant (i.e., an individual or e ntily with legai, auditing, investigative, or other similar skills, designated by a public agency to help t le agency mor ilor the activity of specified agency vendors is well as help the vendors reform theii business prac ices so they
can be considered for agency contracts in the future, or continue with a cont ract in progjres.
2. The Disclosing Party and its Afft
jayment of any fine, fee, to, water
mt not limited
iated Entities are not delinquent in the
tax or other source of indebtedness owed to the City of Chicago, mcluding,
and sewer charges, license fees, parking tickets, property taxes and sales tax ssj nor is the Enclosing Party delinquent in the payment of any tax administered by the Illinois Deps rtment of Revenue.


Page 4 of 15

List of 2023 Retained Parties for SSA #75

Name Business Address Scope of Work Estimated Retained Status
SalonClouds+ 219 Winterwood Lane Mullica Hill, NJ 80862 Website Hosting $1,200 Retained
To be determined Website Content Management $5,000 Anticipated to be retained
Big Buzz Idea Group 4055 W Peterson Ave #105, Chicago, IL 60646 Special Events -Management $80,000 Anticipated to be retained
To be determined Social Media Management $18,000 Anticipated to be retained
llluminight Lights 1954 1st. Street, Ste. 394 Highland Park, IL 60035 HolidayDecorations $50,000 Retained
To be determined Print Materials $8,000 Anticipated to be retained
Ripson Group 220 N. Green St Chicago, IL 60607 Media Relations $18,000 Anticipated to be retained
Christy Webber Landscapes 2900 W Ferdinand St, Chicago, IL 60612 Landscaping $52,000 Retained
To be determined Sidewalk Maintenance supplies and labor $21,000 Anticipated to be retained
Christy Webber Landscapes 2900 W Ferdinand St, Chicago, IL 60612 Snow Removal $24,000 Retained
To be determined Sidewalk Pressure Washing $20,000 Anticipated to be retained
Lakota Group 116 W Illinois St floor 7, Chicago, IL 60654 Placemaking Planning $8,000 Anticipated to be retained
To be determined Security Cameras $35,000 Anticipated to be retained
To be determined Street Barriers $12,000 Anticipated to be retained
Christy Webber Landscapes 2900 W Ferdinand St, Chicago, IL 60612 SSA Annual Report $5,000 Anticipated to be retained
Eilts & Associates 3729 N Ravenswood Ave #117, Chicago, IL 60613 SSA Audit $4,000 Retained
Big Buzz Idea Group 4055 W Peterson Ave #105, Chicago, IL 60646 Bookkeeping $6,500 Retained
Constant Contact 1601 Trapelo Road Waltham, MA 02451 $2,000 Retained
Survey Monkey One Curiosity Way, San Mateo, CA 94403 $800 Retained
Drop box 1800 Owens St San Francisco, CA 94158 $500 Retained
The Lord Companies, LLC 1225 W Morse Ave Suite 100 Chicago, IL 60626 SSA Management $30,000 Retained
3. The Disclosing Party and, if the identified in Section 11(B)(1) of this
Disclosing Party is a legal entity, all of those EDS:

a. are not presently debarred, suspended, excluded from any transactions by

proposed for debarment, declare i ineligible federal, state or local unit of government;
a criminal offense,
with: obtaining, ion or contrac j under a
b. have not, during the 5 years before adjudged guilty, or had a civil judgment attempting to obtain, or performing public transaction; a violation of bribery; falsification or destruction

the date of this EDS, been convictec i rendered against them in connects n' i public (federal, state or local) transac :
federal
ec;eiving stolen property;
Of
or state antitrust statutes; fraud; enib^zzlemenjt; tljieft; forgery; records; making false statements; oi ^ ; ! ~' ^
c. are not presently indicted for, or state or local) with conimitting any
:riminally or civilly charged by, a governmental entity (federal, of the offenses set forth in subparagraph (h) above;
d. have not, during the 5 years before (federal, state or local) terminated for

the date of this EDS, had one or more public transactions cause or default; and
e. have not, during the 5 years liable in a civil proceeding, or in an> environmental violations, instituted unit of local government.
the date of this EDS, been convicted, adjudged guilty, or found criminal or civil action, including acti >ns concerning >y the City or by the federal government, any state, or any other
The Disclosing Party understand:; and shall comply with the applicable i equiremeni s of MCC Chapters 2-56 (Inspector General) and 2-156 (Governmental Ethics).
Certifications (5), (6) and (7) concern:
controls the
the Disclosing Party, or is, with the Disclosing Party] under
the Disclosing Party;
any "Contractor" (meaning any contractor or subcontractor used by tht Disclosing Party in connection with the Matter, including but not limited to all persons or le jal entities jdisplosed under Section IV, "Disclosure of Subcontractors and Other Retained Pai tiejs");
any "Affiliated Entity" (meariing a person or entity that, directly or indirectly:
common control of another perso n or entity). Indicia of control include, interlocking management or ownership; identity of interests among fami
Disclosing Party, is controlled by
without limitation: y members, shared
facilities and equipment; common use of employees; or organization of i business entiiy following the ineligibility of a business entity to do business with federal or state cr local government, including the City, using substantially the same management, ownership, oj 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, viti the Contractor, is under common control of another person or entity;
Affiliated Entity or any
or any Affilia
:ed Entity,
osing Party,
Df ithe Disc
any responsible official of the Disclosing Party, any Contractor or any other official, agent or employee if the Disclosing Party, any Contractor acting pursuant to the direction oi authorization of a responsible official any Contractor or any Affiliated Entity (collectively "Agents").

PageS of 15

of jeither the D isclosing
date of this El }S, or, with
dulling ¦ ¦ . . i engagement in conn
Neither the Disclosing Party, nor Party or any Contractor, nor any respect to a Contractor, an Affiliate<, before the date of such Contractor's Matter:
Contractor, nor any Affiliated Entity Agents have, during the 5 years before th«
Entity, or an Affiliated Entity of a Contractor ar Affiliated Entity's contract or
a. bribed or attempted to bribe, or I een convicted or adjudged guilty of a public officer or employee of the (pty, the State of Illinois, or any agency or of any state or local government in the United States of America, in that official capacity;
r, or attempting to bribe, ofjthc federal government officer's or employee's
such agreement,

b. agreed or colluded with other bidders or prospective bidders, or been a j larty to any i or been convicted or adjudged guiltv of agreement or collusion among biddeijs or prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; pr

described in subparagraph (a) or (b for such conduct; or
c. made an admission of such conduct record, but have not been prosecutec
ontracts Reflating a Base

d. violated the provisions referenced in MCC Subsection 2-92-320(a)(4)(C Wage); (aX5)(Debarment Regulations); or (a)(6)(Minimum Wage Ordinant e)i
6. Neither the Disclosing Party, nor
any of their employees,

any Affiliated Entity or Contractor, or
officials, agents or partners, is barret from contracting with any unit of state or local government as a result of engaging in or being convicted of (1) bid-rigging in violation of 720 ILCS 5/3j3E 3; (2) bid-rotating in violation of 720 ILCS 5/33E-4; or (3) any similar offense of any state o^ of the United States of America that contains the same elements as the offense of bid-rigg ing or bid-rotating

7. Neither the Disclosing Party nor; iny Affiliated Entity is listed on a Sane Lions List mail tained by the United States Department of Commerce, State, or Treasury, or any success< r ijederal agency.
see
supervision fraud
MCC
or for, , forgery, ; and (ii) requirement
,that Section V.
8. [FOR APPLICANT ONLY] (i) Neither the Applicant nor any "controlli lg person" Chapter 1-23, Article I for applicability and defined terms] of the Applicant is'currently indicted charged with, or has admitted guilt of, or has ever been convicted of, or pla( ed under ^ any criminal offense involving actua, attempted, or conspiracy to commit b ribery, theft, perjury, dishonesty or deceit against in officer or employee of the City or ai ty ''sister agency the Applicant understands and acknowledges that compliance with Article I is ja continuing for doing business with the City. NOTE: If MCC Chapter 1-23, Article I applies to thej Applicant Article's permanent compliance timeframe supersedes 5-year compliance timeframes in this
9. [FOR APPLICANT ONLY] The subcontractors to use, any facility listed System for Award Management ("SAM").

Applicant and its Affiliated Entities wi 1 riot use, nor permit their as having an active exclusion by th< Ui.S. EPA on the federal
those
10. [FOR APPLICANT ONLY] The or to be hired in connection with the Certifications (2) and (9) above and
Ver.2018-1

Applicant will obtain from any contrat tors/subcontractors Matter certifications equal in form and substance to will not, without the prior written conse at pf the City,
Page 6 of 15
contractor/subcontractor that does believe has not provided or cannot
not provide such certifications or that thf provide truthful certifications.
11. I f the Disclosing Party is unable Certifications), the Disclosing Party

to certify to any of the above statemeijitsiin this Part jB (Further must explain below:

If the letters "NA," the word "None, presumed that the Disclosing Party




or no response appears on the lines above, it will certified to the above statements.
Party
ees
12. To the best of the Disclosing complete list of all current employ month period preceding the date of t of Chicago (if none, indicate with "

's knowledge after reasonable inquirjl, the following is a of the Disclosing Party who were, at iny time dirin \ the 12-us EDS, an employee, or elected or ap jointed officia, of the City N/A" or "none"). !


'arjy's
or (iii) a
per recipient,
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 employ ee, or elected ar appointed official, of the City of Chicago. For purposes of this statement, a "gift" doe i njjt include: (i) anything made generally available to City employees or to the general public, or (ii): bod or drink provided in
"N/A" or
the course of official City business aiid having a retail value of less than $2'.
"none"). As to any gift listed below,
political contribution otherwise duly reported as required by law (if none, ir dieate with
please also list the name of the City recipient.




C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
The Disclosing Party certifies tha : the Disclosing Party (check one)
[ ] is J^i is not !
a "financial institution" as definec in MCC Section 2-32-455(b).
If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
i
"We are not and will not become a predatory lender as defined in MCC Cha Jtejr 2-32. >rVe 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 be< orbing an affil iate of a predatory lender may result in the loss of the privilege of doing business wit l the City."j

Page 7 of IS
I
If the Disclosing Party is unable to make this pledge because it or any of it:
MCC
MCC Section 2-32-455(b)) is a predjatory lender within the meaning of here (attach additional pages if necessary):
If the letters "NA," the word "None, conclusively presumed that the Disc
1 or no response appears on the lines atioye, it will osing Party certified to the above statements

FINANCIAL INTEREST IN CITY BUSINESS
i
Chapter 2-156 have the same meanings if used in
Irnowledge in his or
other person or entity in the Matter?
1. In accordance with MCC Sectioq 2-156-110: To the best of the Disclosing Party's after reasonable inquiry, does any official or employee of the City have a fi laocial interes;
her own name or in the name of any
[ ] Yes
NOTE: If you checked "Yes" to Item to Item D(l), skip Items D(2) and D(b)
D(l), proceed to Items D(2) and D(3|). jlf you checked "No" and proceed to Part E.
permitted, no City elected ¦ in the name of any City, or (iij is sold for leiCity (co lecjtively, '•cio^xont domain
2. Unless sold pursuant to a process official or employee shall have a other person or entity in the purchasi taxes or assessments, or (iii) is sold "City Property Sale"). Compensation power does not constitute a financial
by
s j eminent D
of competitive bidding, or otherwise r financial interest in his or her own name o of any property that (i) belongs to the r virtue of legal process at the suit of the . for property taken pursuant to the Cir f interest within the meaning of this Par:
Does the Matter involve a City Property Sale?

[ JYes

Name
3. Ifyou checked "Yes" to Item D(l) or employees having such financial

Business
I j
Nature of Financial Interest





4. The Disclosing Party further certifies that no prohibited financial interest in the Matter|will be acquired by any City official or employee.

Page 8 of 15





i
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS

the Disclosing Party
by (2). Failure to ntp with the C ity in
Please check either (1) or (2) below. If the Disclosing Party checks (2), must disclose below or in an attachment to this EDS all infonnation required comply with these disclosure requirements may make any contract entered connection with the Matter voidable by the City
>f investments
that the Disclosing Party has searchec aijiy and all records of
or profits policies es), and
predecessor entities regarding records
policies during the slavery era (inclw ling insurance :overage for damage to or injury or death;of their s^ records

A 1 ¦ The Disclosing Party vcrifie 5 the Disclosing Party and any and all from slavery or slaveholder insurance issued to slaveholders that provided the Disclosing Party has found no
such
iin step (1) above, the slaveholder insurance ;lpsure of all iuch in those records:

' search
Disclosing Party has found records policies. The Disclosing Party verifi records, including the names of any
2. The Disclosing Party verified that, as a result of conducting the
Qfi
investments or profits from slavery o: es that the following constitutes full disclosure and all slaves or slaveholders described





SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
Matter iq not
ax credits allocated by

NOTE: If the Matter is federally funded, complete this Section VI. If th)e federally funded, proceed to Section VII. For purposes of this Section VI, 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 fe ie^al Lobbying Disclosure Act of 1995, as amended, who have made lobbying contacts on \ eHalf of the Disclosing
Party with respect to the Matter: (Add sheets if necessary)
' or if the wore NO persons
or
"None" entities on




(If no explanation appears or begins on the lines above, or if the letters "NA appear, it will be conclusively presumed that the Disclosing Party means thajt registered under the Lobbying Disclosure Act of 1995, as amended, have rm del lobbying contacts behalf of the Disclosing Party with respect to the Matter.)

and will not expend any federally A(l) above for his or her lobbying to influence an officer or employee of Congress, an officer or employee of Page 9 of 15

2. The Disclosing Party has not spent any person or entity listed in paragraph person or entity to influence or attempt by applicable federal law, a member Ver.2018-1
of a member of Congress, in connection federally funded grant or loan, enter ng amend, or modify any federally funded
contract, naking any lo jextend, continue, renew, agreement
with the award of any federally funded into any cooperative agreement, or contract, grant, loan, or cooperative

jf each calendar quarter in information set

3. The Disclosing Party will submit an updated certification at the end which there occurs any event that materially affects the accuracy of the statMents and forth in paragraphs A(l) and A(2) above.

described in section described ijn
4. The Disclosing Party certifies 501(c)(4) of the Internal Revenue 501(c)(4) of the Internal Revenue Activities," as that term is defined in

that either: (i) it is not an organization Code of 1986; or (ii) it is an organization Code of 1986 but has not engaged and w 11 not engage the Lobbying Disclosure Act of 1995, as: amended
5. If the Disclosing Party is the form and substance to paragraphs any subcontract and the Disclosing duration of the Matter and must make

Applicant, the Disclosing Party must ol itain certifications equal in
A(|l)
certifications for the to the City upon request.
through A(4) above from all subcon tractors befpre it awards P|arty must maintain all such subcontrac tors' such certifications promptly availabh: 1
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTT JNlTY
and all proposed - at the outset of

If the Matter is federally funded, federal regulations require the Applicant subcontractors to submit the following information with their bids or in wri'ing negotiations.

Is the Disclosing Party the Applicant?
[ ] Yes [ ] No

If "Yes," answer the three questions below

1. Have you developed and do you have on file affirmative action program
federal regulations? (See 41 CFR Part 60-2.)
[ ] Yes [ ] No

2. Have you filed with the Joint Reporting Committee, the Director of the (hffice of Fdderal Contract
Compliance Programs, or the Equal Employment Opportunity Commission all reports due under the
applicable filing requirements?
[ ] Yes [ ] No
[ ] Reports not required

tathe
3. Have you participated in any previous contracts or subcontracts subject equal opportunity clause?
[ ] Yes [ ] No

Ifyou checked "No" to question (1) or (2) above, please provide an explanat&on



Page 10 of 15
I
!
SECTION VII - FURTHER
The Disclosing Party understands


ACKNOWLEDGMENTS AND CERTIFICATION
and agrees that:
ifjjs will become part of any

A. The certifications, disclosures, and acknowledgments contained in this
City's execution
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 inducer teijts to the
of any contract or taking other actioi with respect to the Matter. The Disci jsijng Partyj understands that
it must comply with all statutes, ordjnances, and regulations on which this £D,S is based.
sj certain rjutifcs and transactions
[The full text ore/Ethics, and may
B. The City's Governmental Ethics Ordinance, MCC Chapter 2-156, impose: obligations on persons or entities seeking City contracts, work, business, oi of this ordinance and a training program is available on line at www.citvof
also be obtained from the City's Boaird of Ethics, 740 N. Sedgwick St., Suitfc 5;00, Chicago], IL 60610, (312) 744-9660. The Disclosmg Paijty must comply fully with this ordinan ;e.j
, incomplete or inaccurate be rescir decj or be void iepent (if Ration in isactions
not the
rescinded or Matter
Remedies at
C. If the City determines that any infonnation provided in this EDS is false any contract or other agreement in connection with which it is submitted m ly or voidable, and the City may pursue any remedies under the contract or ag e void), at law, or in equity, including .terminating the Disclosing Party's parti c and/or declining to allow the Disclosing Party to participate in other City tn _ law for a false statement of material Fact may include incarceration and an £ ward to the Ci y of treble damages.
. it>
i internet site and/or upon may be made publicly
EDS
By |hts or
D. It is the City's policy to make this request. Some or all of the information available on the Internet, in response completing and signing this EDS, the claims which it may have against the contained in this EDS and also authorizes in this EDS.
ur| possible ri
of inforrriajtion any information submitted

document available to the public on provided in, and appended to, this to a Freedom of Information Act request,; or otheijwisje Disclosing Party waives and releases City in connection with the public reldase the City to verify the accuracy of

EDS must be kept current. In the even
E. The information provided in this . r
Department of Procurement Services, t le 'Disclosing Party must NOTE: With respect to Matters s lbject to M|CC Chapter ~ INELIGIBILITY for certain spe cified offenses), the , eligibility must be kept current for a origer period, as required
Party must supplement this EDS up tD the time the City takes action on the ' Matter. If the flatter is a contract being handled by the City's update this EDS as the contract requires. 1-23, Article I (imposing PERMANENT information provided herein regarding < by MCC Chapter 1-23 and Section 2-154-020.








Page 11 of 15
CERTIFICATION
• 11 ^ warrants lhat he/she is authorized to execute
Under penalty of perjury, ihc ^mA^^'^^J^ Party, and (2) warrants that all

and complete as of ihc dale furnished to the City.


(Prim or lypc exact legal name of Disclosing Party)
^r^/i/A - -
(Sign here) Kristen Kerch (Print or lypc name of person signing)
Secretary/Treasurer (Print or type title of person signing)



















I'iifc 12 of 15
I



CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AflFUDAVTT
APPENDIX A
FAMILIAL RELA'I
IONSIHPS WITH ELECTED CITY] AND DEPARTMENT HEADS

FICIA1LS
OjF

This Appendix is to be completed gnly 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 jelcompleied by any legal entity which has only an indirect ownership interest in the Applicant.

Under MCC Section 2-154-015, :he Disclosing Party must disclose whether such Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currei.tly has a "ramilial relationship" with any elected city olTicial or department head. A "familial relationship" exists if, as of the date this EDS is signed, the Disclosing Party or any "Applicable Party" ir ^ny Spouse pr Domestic Partner thereof is related to the mayor, any alderman, the city clerk, the city treasurer or any city department head as spouse or domesjtic partner or as any of the following, v 'hc|ther by ilood or adoption: parent, child, brother or sister, aunt or uncle, niece or nephew, grindparent, grandchild, father-in-law, mother-in-law, son-injlaw, daughter-in-law, stepfather or stepm'pther, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister.

"Applicable Party" means (1) all executive officers of the Disclosing Party ilistcd in Section II.B.La., if the Disclosing Party is a corporation; all partners ofthe Disclosiagj Party, if the; Disclosing Party is a general partnership; all general partners and limited partners of th; Disclosing P^rty, if the Disclosing Party is a limited parmership; all managers, managing members m^I members ofthe Disclosing Party, if the Disclosing Party is a limited liability company; (2) dl principal officers of the Disclosing Party; and (3) any person having more than a 7.5% ownership interiest in the Disclosing Party. "Principal officers" means the president, chief operating officer, exec itiye director, :hief financial officer, treasurer or secretary of a legal entity or any person exerci ;injg similai au hority.
Does the Disclosing Party or any
Applicable Party" or any Spouse or D >rricstic Partner thereof
currently have a "familial relationship" with an elected city official or depar ment head
pfNo
If yes, please identify below (1) the name and title of such person, (2) thi: name of tl le 1 :gal entity to which such person is connected; (3) t^ie name and title of the elected city of] ic^al or dep art nent head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.









Page 13 of 15

i
i
i
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX B

FLAW/PROBLEM LANDLORD C ERTIFICATlON
This Appendix is to be completed oidy by (a) the Apphcant, and (b) any lej;alj entity which has a direct
to; be completed by any
ownership interest in the Applicant exceeding 7.5% (an "Owner"). It is nol legal entity which has only an indirejct ownership interest in the Applicant
1. Pursuant to MCC Section 2-154-010, is the Applicant or any Owner identified as a scofflaw or problem landlord pursuant to MCC Section 2-92-4167

[ JYes
officer or director of to
2. If the Applicant is a legal entity _ the Applicant identified as a building 2-92-416?
p1 ublicly traded on any exchange, is any < code scofflaw or problem landlord pursuant to MCC; Section

The Applicant is not publicly 1 raded on any exchange.


3. 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 bui Iding or buildi igs to which the pertinent code violations apply.























Page 14 of 15
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX C
PROHIBITION ON WAGE & SALARY HISTORY SCREENING CERTIFICATION
contractor as
That section, which should be consulted fiwww.arflefial.com ).
defined in MCC Section 2-92-385.
o funds in services), business on
generally covers a party to any agreement pursuant to which they: (i) recei je City of Chicag consideration for services, work or goods provided (including for legal or c ther professional or (ii) pay the City money for a license, grant or concession allowing them |to iconduct a City premises.
92
385,1 hereby certify that ifvhich prohibits (i) screening icants' wag,e oj salary las adoptee- a policy that
On behalf of an Applicant that is a the Applicant is in compliance with job applicants based on their wage history from current or former includes those prohibitions.

contractor pursuant to MCC Section 2-MCC Section 2-92-385(b)(1) and (2), or salary history, or (ii) seeking job app employers. I also certify that the Applicant
M.Yes [ ]No
[ ] N/A -1 am not an Applicant that is a "contractor" as defined in MCC Sfection 2-92
i
This certification shall serve as the affidavit required by MCC Section 2-92-385(c)(1)
i
If you checked "no" to the above, please explain



















Page 15 of 15