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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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Sale of City-owned property at 4232 S Wells St to Maria Teresa Dominguez under Adjacent Neighbors Land Acquisition Program
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Attachments:
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1. O2022-4010.pdf
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OFFICE OF THE MAYOR CITY OF CHICAGO LORI E. LIGHTFOOT MAYOR December 14. 2022 TO THE HONORABLE, THE CI TY COUNCIL OF THE CITY OF CIIICAGO Ladies and Gentlemen: At the request ofthe Commissioner of Planning and Development, I transmit herewith an ordinance authorizing the sale of City-owned property located at 4232 South Wells Street under the Adjacent Neighbors Land Acquisition Program. Your favorable consideration ofthis ordinance will be appreciated. ORDINANCE WHEREAS, the City of Chicago ("City") is a home rule unit of government by virtue of the provisions of the 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 ("City Cpuncil") 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 ofthe parcels is an improved parcel which the person occupies as his primary residence; and |1010| 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 ofthe Municipal Code of Chicago. The covenants shall terminate ten (10) years after the date ofthe conveyance ofthe 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 Maria Teresa Dominguez (the "Purchaser"), who has a principal residence of 4234 South Wells Street, Chicago, Illinois 60609, and WHEREAS, the ANLAP parcel is located in the 47th/Halsted Redevelopment Project Area ("Area") established pursuant to ordinances adopted by the City Council ofthe City of Chicago on May 29, 2002, published in the Journal of Proceedings ofthe City Council for such date at pages 85676 through 85904; 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 July 20, 2022; and WHEREAS, Purchaser's proposal was the highest ANLAP bid amount proposal received by the deadline indicated in the aforesaid notice; and WHEREAS, by Resolution Number 22-034-21 adopted on August 18, 2022, the Plan Commission approved the sale ofthe ANLAP Parcel to the Purchaser; now, therefore BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO: 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 the Mayor's proxy is authorized to execute, and the City Clerk or Deputy City Clerk is authorized to attest, a quitclaim deed conveying the ANLAP Parcel to the Purchaser for the purchase price of $2,000.00. 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 ofthe ANLAP Program Ordinance. |1010| 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 ofthis 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. |1010|EXHIBIT A Bidder: Maria Teresa Dominguez Bidder's Address: 4234 South Wells Street, Chicago, Illinois 60609 Appraised Value ("as is"): $15,000.00 Bid Amount: $2,000.00 Legal Description (Subject to Title Commitment and Survey): Lot 27 in Block 3 in Superior Court subdivision of Lot 2 in Superior Court Partition of the south % ofthe northeast % of Section 4, Township 38 North, Range 14, East ofthe Third Principal Meridian, In Cook County, Illinois. Address: 4232 South Wells Street Chicago, Illinois 60609 Property Index Number: 20-04-222-063-0000 |1010|ci i y or ciik"aco KCONOMK. DISU.USl.W SI M l-'.MKNT AM) ,'.1TIDAVI I" si ( I .'( i\ I - I :i< [Ml KAI. INMIH.M.-W'liiN •\ i-sn.e. i iiu-Diiclii'.iii!; I'.i-.i. .¦¦.ii'.ti'.iiiiji.- ;! -.:lv :" ^pi.*^^- ( liaU')NJ: ;if ihc f.illunini; iln-ci-i'l.ii', . I'Xicj'.: llw iliv I ':sclu?n;j; i'prl;. sub::.:ilint: !'«:.'¦ i = . 1 IK' ¦ -VYi" "'I ;'K :.(] ¦! kgm ¦_¦•-)(;0" cuircniiy holdini:. oi anticipated ic !v.i! OR . .
l»n-inCTTad(lu'»s fn"lhc [Ji^lnsi-ig Parly
.1. : ) a legal entity wilh a direct or indirect ligjii »r control u:':he Applicanl (bee Section lt(B)0» ' Stale the legal" nsmr ofthe entity in which the Disclosing Parly hold? a -ighi of control:
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r f:':Jsr,.l Etij!i'-vc; Identificr-linn No. (if you have wic)
r /Iricf i.'l-s.-i:j.h.¦o;! iu'lhc i'v!.-i!l-.-i '.vhi^h this F.DS pertains. (Include ;:roj;c: number ;;r\d ioc:\t:i::i .jf croacr'.y, i:'applicable';.
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G. V.'i.-ch Ciiy ifenoy «• department is requesting this KDSV ^(ja/afic) a ftA'tWpfYUftK li the Matte-i is.t:«ntr8« being handled by the City's Ocpartnient ofFtocuiemeiU Services, please
:>! •: : ;')\ ii -. ihsc; i^.R:-: or ovinlrshiij' iN'i v.at.srs
A NA ['HPT. OF TH1- DISCI.USING i'VICI'Y
;. Indicate the nature ot the Discio-hr^ bari.v.
[>/Per:>cn j j Limited lubiluy company
l ! Publicly registered hu-siu.::-;.- ¦; eporanoa [ ] Linii-.sd |].-«b:Ii:y partnership
j i Fi ivateb he!J business corporation ( j Joint venture
! j Sole proprietorship [ j N o t - fo r - p r o H i c o r p o r a 11 o n
[ j General partnership 'is the not-'br-proiat er;;-poranon also a 501 (cH }))''.
| | Limited pjrtnership ¦ [ j Yes ! ] No
{ } Trust | j Other (please specify)
2 Pur iegal entities, the suite (or Loreigu country'! of incorporation or organization, Cappilcabk
3. For legal entities nol organized in the State of Illinois: [-[athe organization regis'eied to do business In ihe Stale of Huncis a;- a foreitm erahv/
! '! Ves [ ; No j j O-v. •••.:>'?:.•; at Illinois
b. ir- tut disclosing parly is -\ llgm. lntity.
!. ITit helov-. ifve i'tiil iianiCj and It! ies. it' app he ab le. of • <) nil exeuaT. e urtkers and a!! direct-. >i sol' the enti'.y . ¦: i;) for no!-fur-pro LA corporations: Ai members, ii" ar:y. a iarc legal entities I i:' there a;c no such tncmbets, v.rite "tio incnioers which aic legal entities";: ¦'iiij for trusts, estates t»r oilier similar entitle the trustee, executor, administrator, o: similarly situated party. iv'i for genera! or liini^d partnerships, limited liability companies, limited iiubiiuv - r^v-rAT» or p.bn! ventures each general partner, managing member, manager or any oilier person or legal entity ih.n direcov or indirectly conuols the day-to-da;. nianagemeni ofthc Arm lie am
\0'TL: 1'h.Kh legal em by listed reDw rr.o,t submit an LDS on Us e'.!-n behalf
Name TiJc
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 Ciiy action) beneficial interest (including ownership.) in excess of 7.5% ofthe Applicant. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture, interest of a member or m anager in a
homed h a ~ i L' co:''ma:o. ¦ '•! :i.iv: js" o I a hencd; ,a; v "fa v. u. estate oa ^ ¦ L1.vr s: mIiar entit; if non
, . , ¦IV'.. i'
:•-.a!'." : ¦ ¦ I i i 1
NOTE: Each legal enlity 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
11 elcctet
omens a*
nun
'LR
lias the Disclosing Party provided any income ca ! •-month period ptecedmg the date of ibis LDS'
Does the Disclosing Party reasonably expect to ni uvide any income or curnpensa! ton to an' C:iy elected official during the iAanoioh pencil i'Ahovira the date of tho LDS'-' I j Ye- L-f'No
It 'yes" to either of the above, please idem! I \ be hoc.- the namei's i of sac h dp. eieaed official; s i and describe '-mcf income ;"a' cc mpeusaoon:
IL:o;: any t 'oy decree! mfhroal or. m the bes: of rhe !;.sch.:s:ng Pr.ny's bo-:
mjuirv, any Ciiy elected -official's apotoe oi don;c-o:c partner, Have a im<
("harder 2 1 ^6 e: tiie Mamcipm Code oi Ckcaeo ;'¦'.VlCt"." 11 in the Dis- m
', I 1 \\A No
it yes.' please aceooty re low ttie nsrne:.^ or
SECTION IV DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist (as defined in MCC Chapter 2-156), accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature ofthe relationship, and the total amount ofthe fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who arc paid solely through the Disclosing Party's regular payroll, [('the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must either ask the City whether disclosure is lequired or make the disclosure.
V'er.20 18-1
Name (indicate whether Fiusincss Relationship lo Disclosing Party I ces (indicate whether
retained or anticipated Audi ess (subcontractor, attorney. paid i»r esten m d) NOTE:
lo be retained) lobbyist, etc.) "hourly rate" or "t.b.d." is
not an acceptable response.
(Add sheets if necessary)
fv/fCheck here it" the Disclosing Part)' has not retained, nor expects to retain, any such persons or coin SECTION V - CERTIFICATIONS
A. COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under MCC Section 2-V2-4 I 5, subsiunliai owners of business entities that contract with the Citv mu.>t remain in compliance with their child support obligations throughout ihe contract's term
l ias any person who directly 01 indirectly owns 10° • or more, of the Disclosing Parly been declared in arrearage on an> Juid support obligations hv any Illinois court of competent jurisdiction?
[ i Yes No Vf^No person directly o>- indirecthe owns 10uoj or more ofthc Disclosing Party
It "Yes." has the person: entered into a court-approved agreement for payment of all support owed and is the person m compliance with that agreemenf?
I ] Ves | ] No
B FURTHER CERTIFICATIONS
i Tins paragraph i applies only if the Matter is a contract being handleu by the City's Department ¦ Procurement Services.] In the 5-year period preceding the date ofthis EDS, neither the Disclosing Party nor any Affiliated Entity [sec definition in (fib below] has engaged, in connection with the performance of any public contract, the services of an integrity monitor, independent private sector inspector general, or integrity compliance consultant (be , an individual or enlity with legal, auditing investigative, or other similar skills, designated by a public agency to help the agency monitor t activity of specified agency vendors as wed as heir the vendors reform the'u business practices so the ear. be considered for agency contracts in the future, or continue with a contract in progress).
The Disclosing Party and its Affiliated Entities are not delinquent in the payment of any fine, fee, tax or other source of indebtedness owed to the City of Chicago, including, but not limited to, water and sewer charges, license fees, parking tickets, property taxes and sales taxes, nor is the Disclosing Party delinquent in the payment of any tax administered by the Illinois Department of Revenue.
Page 4 ol"l5
3. "I !:¦-* Disclosing Pa; !v and. if the Dtsef--sing Poo- is a leeal ent::.y: al! ol' timsc person., or enrihes dentifed in Seoi'Mi! IKBu ii of Ihb Lido
o;a,p:s.,.d ha dcNoao .a,:, dei la rod loehgilde •.<;¦ v,.,i niton,.' daray suae or mo! ana of gocei :;rr enl
i raw- no1., donna 'he 5 year- he fete the o^e ol EDS. been com. ;Cted oi'a omen fl mum>e. ¦id.piGg'ed gaihy, a: na:' a c:\ii jo.ogmcm rendered against them in conned .on v. ilh obtaining, demoting ra .-.htam. oi' pc'dormmg a ridAe I lederal. state r.\ ie od; n rirsaef ci oi coii'.i act unde; a ¦:abhc tian^aetioa a violation of fcooio: ei state ami1.: us! statutes: head, em'ne/vdcincn:; theft; forge: v aahe; ;,, I ais; tk :iti¦¦"¦r: ui dc.tia::;! ion et leo.aais. :n;f.ir;g false Oate:nems. oi' rccco. insc so'icn prooert.'
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lilie
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.ath m
ern rt: eoi a' en'. i t v [ted e ra i. ph ib.i alvne.
f loc-e ;iot d i.i nng the 5 yoais before tisr date ofthis i'DS, had -.aie or more pubhe Ira: i.s \ciions tederai. -itate m local': terminated tor cause or dofauli.; nr.d
mo. e ii.il . dm itltt !iu a -. : e'-
before tiie Oato uf lias ': DS. m-e": convicted, adiudged :c.ud:y, o: fmir.d i an}' erioiiaai or c;\ il action:, ir.cl.iding aciiom- ¦.uiicemmg iteti ry the Cio. oi i ;¦¦ the federal tjcvei nmcm. any state, o: ,iny othc:
:tb. th: sorficaide i ^quircmeiiO ca f Nl C:.'
Certifications (5), (6) and (7) concern:
the Disclosing Party;
any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in connection with the Matter, including but not limited to all persons or legal entities disciosed under Section IV, "Disclosure of Subcontractors and Other Retained Parlies");
any "Affiliated Entity" I meaning a person or entity that, directly or indirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is, with the Disciosing Party, under common control of another person or entity). Indicia of control include, without limitation: interlocking management or ownership; identity of interests among family members, shared facilities and equipment; common use of employees; or organization of a business entity following the ineligibility of a business entity to do business with federal or state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity. With respect to Contractors, the tern-. Affiliated Entity means a person or entity thai directly or indirectly controls the Contractor, is controlled by it, or, with the Contractor, is under common control of another person or entity;
» any responsible official ofthe Disclosing Party, any Contractor or any Affiliated Entity 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 Disciosing Parly, any Contractor or any Affiliated Entity (collectively "Agents").
Pii^e 5 of 15
Nebherthc Ihsch.eoivu PaAy, no; any Comr tciur, nor am. Affiliated I'mtily ui'oilhot the Disclosing Party or anv Contractor, nor any Agents have, duiing the 5 year: before the date ofihis f.DS, or, with respect to a Cuntiactor. an Afilhau-.d booty, or an Affiliated fniiiy of a Comractoi dui ing the 5 years before the date of sum Contractors or Affiliated fnlity s contract or engagement in connection with die Matter.
a- breed -,.r .-.r.cmpic.! to bribe, or beer: c->m. icied or adjudged guilty i.-f bribery .a aticmprmg lo bnbe. a publo: officer or employee ofthe City, foe State oi iihuois or any agency ofthe federal go- ernment or Of any state o: Oca! governmeni in the 1 mitcd States of Ameiiea. in lhal ofucor's or emplovoc's offend capacity.
Ii agieed or colluded v.-no. othei bidder.- or prospective bidders, or been a party lo any such agreement oi been com. icied or adjudged guilty ot' agreement ca collusion among biddeis or pi :opec:ibidders, in resirami or freedom of competition by agreement to bid a fixed price or otherwise; oi
c made an admission olAu-ch conduct described m subparagraph ia'i or ib; ;:v\e that is a matter oi record. h.;t 'nave r.
d vacated tiie pro-, ision.-. referenced m if A. SubscrAm 2-92 A 20i a n 4 a f umracts Reunifm" a b Wagei. (abcADehai inert Regulation:-;) or iauuHMinimum Wage Ordinance!
|10 9|Neither th.- DrA.-'oue Party, nor any off dated [may or Contractor, or any o:'h-,eu employees oiiacials. age-its or p ¦¦: oie:s. :¦; beared irom contracting -.«¦ of- any- unit ot state or ioca! ¦mvornm.m! o^ a result ot eugagiog ir. oi heme convicted o! [)) bidoiggme; in vioiai.ior of ~20 [i_t''S " 3 31: •'- (2'; hid-rmaimg in violation oi 72c' ILCS ':.'13h-4. oi ;3] any simdar offense m anv .oate or of tlie ' 'oboe ¦State.) u! Amerca ti salt contain, the .- coo.- element- as the offense of bid rigging or tod-rotaimg
Neither (he Disclosing Party nor an;. Affiliated Lou A is listed on a Sanctions fist maintained by IN Coked States Deparmien! ¦ ¦¦!" Commcr,e. State, c-i-'] rensury. m any ^accessor iedcral agency
¦S. ihOp APPI.K.A o f ON'i.Yl ii; Neiihc:- die Applicant nor any "couiroilmg person'- ; -p \ H A ' Chapter 1-23. ArticY i lor anphcabibi v and defmed terns] ofthe Arpii-mm is cmTCr-lA im! icied or charge 0 with, oi hi as adamied gudi -of or has ever been convicted of or piaccc! under super-, icion for. any criminal oitense iovai'.aiig actual, attempted. m mis Section V
b il (d:l APPITC A N'T ONLY] Tne Applicant and m Affiliated Cm bios will ma i,-.e nor pcimii then subeoiit.ra.ctoio to use. any facility INted as hnvmg an active exclusion by the C S Lf \ on the federal System tor Aw.ad Management ("SAM A.
io. [FOR A P Pint -a Nf ON! A'| Tbe Appii.a: I wdl oho.m Ami any couiRV.t m s-'subc.mti acorns hired or to he lured ;u ."iiiiCOco 0.1 th the Maitei ce: 1;ilca:io.\.: .equal in form and mb-anm::; ic ticoc ir|109|,-.:rn; 1 a.m ? ; 2 j ar J ¦' 0 , rf :,,. 0 and w;li 0 a. wbhotit the m lor e. rin en c-msoni of tic: Ciiy. 10: am-, yyj
contractor/subcontractor thai does not provide'such certifications or that the Applicant has reason tn believe has not provided or cannot provide truthful certifications.
11. If the Disclosing Party is unable to certify to any ofthe above statements in this Part B (Further
Certifications), the Disclosing Patty must explain below:
If the leiteis "NA." tlie word "None." or no response appears o!; the hives above, ;t will be conclusive presumed that the Disclo-dng Pat p. certified to the above Mouenienis
12. To the best ofthe Disclosing Party's knowledge after reasonable, inquiry, the following is a
complete h.si of all current employees ofthe Disclosing Party who were, at any time during rhe 1 2-
month period preceding the date ofthis f_DS, an employee, or elected oi appointed official, of the Ci
of i. 'Iiicui'o id none, indie ate w :ih "N V or "none",
HA,
I 3. To tbe best ofthe D; soiosmg Party's knovAedgo after reasonable inquiry, die AHowmg is a complete lot ot ad gift.-, lhat tbe Disclosing Party fas given or caused to be gcen, a', any lime durmg live ! ?-month period preceding the execution, date o! this FDS. m an employee, or elected or appoint oiiiciai. ot me City cT Chicago for purposes ofihis statement a "gilt" doec not include: ii) anylhim made generally available to Ciiy employee* or to tlie general public, or A) me.rj or drink provided ,r. toe ; oursc of otficiai City Push-ess and h.r. ;ng a retail value of less than 525 per recipient, or (m) a political contribution otherwise duly reported as required hy law uf iv-nc. indicate with "N/A" or ' none"). At to any giil bated below, pi ease, also hst the name oi'the OP.v recipient.
C. CERTIFICATION OF STA PUS AS FINANCIAL INSTlTLfTION
1. The Disclosing Party certifies that ihe Disclosing Parly (check or.e.i
[ ] is i/j' is not
a "financial institution" as defined in MCC Section 2-32-455(b).
2 If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will not become a predatory tender as defined in MCC Chapter 2-32. Wc further pledge that none of our affiliates is, and nor.e of them will become, a predatory lender as defmed in MCC Chapter 2-32. We understand that becoming a Dredatory lender or becoming an affiliate of a predatory lender may result in the loss, of the piivilc-ge of doing business with the City."
Pa.ae 7 of 15
[¦ ti:: I 'V u;>¦• Pany is vj: ml, i ¦ ;: ¦ <.i-_- i¦ ¦ i - r xuee: A-c ;m - :; i am. ¦. ¦! m '.:' i\h :ucs ; ! m-ar or 2- "(2. ex phi:, hi.:- i .1:1.1 h a.lda-o/u!. ; io ¦¦ ,! nc-.c.s.sa"; '
II" the letters A, \." the wo id "Nar.;" or ro respo-so appears on Id: line:, ahe ,e, ;t will be conclusively presume;: that the Disclosing bane, certified to the ahos.- statements
D CERTIFICATION' REGARDING FINANCIAL IN TERES "I IN CITY IK SINESS
Any wurds or terms defmed in MCC Chapter 2-i 5^ lew e the same meaning* it used m tot? Part f).
h; accordance with MCC Section 2-156-1 SO: To the best ofthe Disclosing PartyA knowledge
•atier reasonable suquiiy, does aim i-fficiai or employee of tne CH*. have a financial ::uerost m his or her own name or in the name of any other pet son or entity in the Matter'',
i j Yes k/f Na
Nu if. ifyou cheeked "YcA to Rem DC), proceed to items Dt2) and Df.'A Ifyou ciiecked 'No" to Per IN if skip Items DAN- and Di 3'; and p:o:ee.d m Part 0.
inks" so id pui s; :a tu to a pro.: ess of com petite ¦¦:. Addon:, or .-.the; wise pei :n it tea, no City eiccied ofi^ciai or employee snail Nice a flpanci d inteiest m bis ¦:•¦¦ her own. name or ;u the name -oAmy other person or cmtitv m tlie puroiiase of anv prooeit;. ma' ff) bolones. to the s.tty, or Ci: i ¦, sold fm ta.\es or tissessrnem;r- ot iiii: o sold by 1 ir1 tie ot logo: process at foe suit of tiie City 1 codeci 1 \ eh-, ''Cos Property Sale") Conipensa Aan fo: property mheu pursuant to the CA.'y eminent domain
poo _•< does nor comA mi.o a pnamoa; interest weliio the nveamrm of the- Par; A
Doe-' rhe oA-ier mvob-e a City Piupea? Sa;e"
i j Ves ; 1 No
!f voit checked "Yes" 10 hem Di I "c pr-w'.de tlie names mo business and- Msc- of the City ofT;labor employees having such: fm inchtl interest and identify toe nature ofthe nu.mcial micros!'
Name |o.ismess Address Nclure oi financial Inteicst
4. The Disclosing Party further certifies thai no prohibited financial interest in the Matter will be acquired by any City official or employee.
Ver 20IS-
i: i'LKMi h.A ! b.AMiba. iAKDINC SL.AYKK V 1 KA BDSINESS
Pie il j :h.oc.-, either ( i i or A ; he! I: 'Al I >.;•.<. I^sn^. Poly ch. ...ks A). the ! V: so in s.ug iA; :y i i"i li : di-ehoe i-cAw or m an ot L .1 oj:! n o ¦: i libs i-i A nil i ufa in.iliou : equm.oi h-y i2). ( a.hire comply with thco. i!bb.i;i!i; ;¦;:¦.] .luoiticnis may make any contract cnterou inro o, i r! > the. (A;, in cciinecm ai with the Mailer \ oidahic by the C i;v.
/ _ i I bo Dmclosinc Pari) \ciiHe-s that (be DiscAong P.iOy has searched any and aii records of the DiscAsing Pari)- and any .aid ail predecosso; entities regarding, records ot' invesmvems oi nod it ; Prom slavery or slavehofici insurance, pohcies durmg the sloe cry era ('including insurance policies issued lo slaveholders that posAdou coverace At damage to or injure or death of their slave-.A. and ihe Disclosmg Party ha.-> found no such reco-aA
_ _2 The Disclosing Party verlf.es that, as a result of conductum the search in step (;) above, the Disclosmg Party has found records of mo estmcnts or profits bom si jvery or slaveholdei insurance cohcoss. Ihe Dbclosmg Party verifies thai rite fAiowmn constitutes full disclosure of aii such records, including the names ¦¦farm, and ail. siace.-. or s'meholders described in those recotds.
SECTION VI - CEii'f'D if VTIONS FDR ELDERALLV FUNDED MATTERS
NOTE" If the Mutter i^ federally funded, comolete th.- Section Vi. if ihc VAtter is not federally funded, proceed tr? Section Vi! be purposes o f Da is. Section YE -ax o:odit- adeemed by. die foty and proceeds of debt ¦¦hhgane-ns ofthe Coy ate nor :edercu turdoao
A. ¦t.'ERVL'TCATIOM fA.OAioDiNci LOliBYINO
I I. ist below the names rd aii person.- or eat.tie:- recaste;cd under the feder.i: Lobby ing Disclostae Act of !9vA, as amended, who nave made hmbyiru; contacts or: behalf of ihc Disclosing Parte ¦¦¦ ith respect co the Matter: I.Add sheets A neces.ooy
(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 that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995. as amended, have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
2 The Disclosing Patty 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 hei lobbying activities or lo pay any
person or entity !o influence or aiiempi lo influence an officei 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 20 i 8-1 Page 9 of 15
m :.i member r, ogress, m .jr;;c!:n!! : si me ;iw--r.; ofar.y fed cm I ly ! i; ndci.i rouliact makinc; :ms federally Pa.sou csaut {=.oracrine i n? am. mepcom ve agi comem, or to e-oeod. cerliuuc, renew, amend, or modUv .iny md or ally funded :< mi: cir! mawr Ida!' or cooperm-re agreement
j ihc ihsJoong Party "A; submb an upontcd certification a: die cat d m each calendar quarter m u.Aeii there 'ccu:s any even: ma' materia!!;, affects U;a acoumcv ofthc st itcmem-; and information set h>r-\i m paragraph; Ai I ! and A(2i abm. c.
-I I he [ha Je.mig Parry certifies thai either iii b. ic not an otgamoaibm described in section -A> I (ci ii4j di ihe Internal Revenue Code m |oKA or (it) it is an organization described mseciion 50!ich4) oi'the Internal Revenue Code of hAy but ha.- no* engaged and will no; engage io "Lobbying Activities," as Aval term Is defined in the Lobbying Disclosure Act :d i 99A as amended.
A it the Disclosing Party- is the Applicant, the Di-.losing Parly must obtain certification;, equal tn form and substance to paragraphs Ai I) through A(4) above from all subcontractors before ii award-any subcontract and the Di-mlcsing Party must maimam all s.u,h subcontractor-;' certifcations for the Curahon ot the Matter ami mursl make such certiilcaticms promptly available to the City upon request.
B CLRriblCAl ION PvL-'Ci ARi'.)lNCi PQL A! f MPi OYMLN I" OPPAR PAN! PY
It tne Mali or tederAiy fmAed fedeial regu! a mans req.ore the Applicant and ad prmosed suOcoittractors to -.admit the following Information with ihcir bids o-. In wr-rdng at the outset cd' recoil it ions
Is the Di -,c!o-mt* pi;i iv the ApohcanA
i i Ves ; | No
[AA -i A ano-er tlie throe ooestioos below;
I xijce you developed and do you ha--e on hie afmnntive action program¦-" pursuant to apphoAie
reoeoN iogmatieiiS ' • Ae-.- d i CLR Pmt 'AS.7 )
I } Ves • ; ] No
A i fa1, e you filed wi;h mo Amo Reporting Committee, tiie Directo; of the Office of I edeod Contract Compkance Programs, o: toe fqutd fui.pioy moot Opportunity Commissicm ail report:-- do. e under tiie apphcable iumg reeuu emcms''
! i Ves t i Yo | j Reports not req d-bed
o. Have you participated m any previous contracts or subcontracts subject to tiie equal opportunity clause'."'
L J Yes ' [ ] No
Ifyou checked "No" to question (I) or (2) above, please provide an explanation:
Ver.2018-1
SECTION Vji - I LRinrR ACkNOVV EFDCMENTS AND C FR Ti {¦ ?f' A'i'iON
I he DiscCAug Poity \ i r.cJ-.-rsr ands and ngrees thm
A Da- ocruticatious. dodomus, and cck-iov. kU^menb conta ncd if; km, F.DS 'Aiii become pa:t ntAiuy contract or mhoi ugreenu-m between ihe Applicant and Cr.-. City ;-: connection with the Matter wpieAei procurement. Cuy assistance, or cmer Am action,, and are, maiei ia! mbuocmems to k;e (At A? execution ol a:t> ennfac:. 'or taking other action w ith respect to the Matter The Disclosing Pa; lo understands that it must comply with ai! statutes, rulmuncC' anc! reguiat.]ens on svhich this F.DS is ba-.e.i.
B i'he City's (Jove; nmeniai Ftiiics Ordinance, MCC Chapter 2A 5b. imposes ce:t mi duties and obligations oii persons or entities seeking Cits oumraets. work, business., oi transaction.-. The lull text oi this ordinance and a liaiumg program is avaiianle on hue at gyy_p. .v ity o'uu> son;; mi ¦ i hu and mjv also he obtained Com the City s Board m'Ethics. -40 N Sedgwick St Suite A)0, Chicago, II 606 10, iole) 744-9060 The Disclosing Party must comply Pali-,-with mis ordinance
t 11'the City determines that any mho;manor provided in ibis CDS is false. ;r.compietc or inaccurate, any contract or other sgi cement hi connection odd; winch il is submll Ad may revcmded or be void or voidable, and me Citv op ptusue any remedies under mo contract o .igrcemem n: not reminded '.t
o:d), at ia^v, or in equity, including termmafrng tiie Disclosing Pane's participation m the blatter iutd/o! declimtm to allow the I bsclo-ing P m.v to pmAcmrite m oilier ('<{¦¦; irurmetious Remedies at law tor a false siiUomotu. oi ncPcna; Pact may include incarceration and an aw.rd tbe Citv -A'treble d images
D- P r- lite ', ity s pohcy lo make tins docameni avail d;e_- to tiie public on its interne: sim ur.d-'ur upon request Some tm all cd the imormafiOii poo, ided m and appended to. fiiis LIDS may be made public m .o ailab.'e or. inc Imerref. m responoe to a I reodom of IniormauAi; Aef request, ar ottteiov i.e. By completing and signing this EDS, tne Disclosing Party wmves and releases any possmle rights or claims wind- u iv.ay have against too C;:y ;n ocmieetion .vrr. the pobi'C reiease of iriAomution couponed m tins iaDS and also aotliorlztes tiie City to verily ihe accuracy ojAmy ioi'mmama; subirutied in this EDS.
i... Die inturmatkMi provided ;n this EDS roust be kept current. In die event of change;, the Disclosmii Party mm-: supplement this PDS up m the time the City -ai-tes action nr. dm Ma'fer Edit Mattel o, i con'raJ. being handled by the City's Department ok Proememem Services, the Disclosmg Pary muu update this EDS as the contract requires. vO I E WAh re-nect to Matters subject m MCC Chapter i-23 Aiiicie I limpoAng PERMANENT IN E EICi HI i. i I Y Ao c.mmin specified oi.erse-u. Ac iruormaoon provided bercm repaid.ng eligibility must be Kept current Mi a mum:; pei :¦ A. as required cy MCC Chaptei 1-2^ and Section 2-15- 020
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 ofthe date furnished to the City,
[Sign here) (Print or type name of person signing)
(Print or type cvaci legal name of Disclosing Party)
( Simi here) ' --tif'U'Z
, f ¦ ' ¦ i < f>; .v /
I I •¦ • ' -
(Print or1' type title ot person signing)
Signed and swom to before me on (date) ';\W\V'\ CJUC^ 0V \x^\k£^
County,
A r.
< OFFICIAL SEAL
i
Commission expires:
Page .12 of 15
CITY OF CHiCAGO ECONDMPf iH^t COv.Ri vr.\Ti:.ME.YJ AN!) \!'Ei!).A\ id
AlTi-M.'iX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND DEPARTMENT HEADS
5 his Appendix is tn he completed only by fa) the Applicant, ami (b) an> legal aiiily which has a direct ownership interest in the .Applicant exceeding 7.5%, It is not tu be completed by anv legal entii} which has only an indirect ownership interest in the Applicant.
Under Y1CC Secum: 2-1 54-01 A the Disclosing Partv must disclose whether such Disclosing Party or any AApplicable Party" or any Spouse or Domestic Partnei thereof currently has a "hamdial relationship" wdth .my elected city official or department head. A "familial relationship' exists if, as of toe date this EDS is signed, the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof is related to the mayor, anv alderman, the city clerk, the city treasurer or any city department head a.s spouse or 'domestic partner cr as any ofthe following, whetuer by blood or admAiom parent, child, mother or sister, aunt or uncie. :e or nephew , grandparent, giandchiid, tather-m Aw. rno'her-m-Avv. son-ir-km, da:.mhter-m-lawo stepfather or stepmother, stepson or stepdaughter, stepbioihe; or stepsister or half-brother or half-sister.
AAppi icable Pmo;. means (!) ali executive officers ofthe Disclosing Paity noted m Section 11 B I a ,• A the :.b -d o.io Partv t . a c.orm all mo ai! portoers ot the Disc losing Party. if the Disciosinc Party is e, genera! partnership: a.l general partners and limited pai overs ofthe DisAmiug Party it tbe Disclosmg Party Is a limbed partnership, all managers, mauagmp members and members ofthe Disclosmg Party, tl me Disclosing Party N u limited habiety company; (2) all prmcioul officers of the Disclosing Party; and ¦'A ,aty pcrmo having more than a AA.j ownership in, t ernes' ;n the Disclosing Farcy. ' Principal officers" mean.- the pi esteem, cb.ief operating ...facer, executive director, cnief momon! •.{fleer, tivasurei or score la ry cf a legal enftv or nny per.-.oft exerci^mc similar authority.
Docs hie Disciositig Party or any Applicable Party" nr any Spouse or Domestic Partner thereo: currently have a "humhui leiationship'' with an elected city ofllcial or department head'?
If yes, pica- e idemi I'y below i i ; the name and title rd men pernor A i the name of the legal entity to which such person is connected, (A the name and ode of {he elected city offaaai o; department head to whom such person has a familial mbation-bcp. and id) the precise nature oi audi lamdia! relationship.
Pa&e 13 of 15
CH V OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX B
BUILDING CODE 8COFFLAW/PROBLEM LANDLORD CERTIFICATION
This Appendix is to he completed only by (a) the Applicant, and (h) any legal entily which has a direct ownership interest in the Applicant exceeding 1.5% (an "Owner"), It is not to be completed by any-legal entity which has only an indirect ownership interest in the Applicant,
1. 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. lt the Applicanl is a legal entily 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?
•plicanl is not publicly traded on any exchange.
CH i Ob CHICAGO ECONOiSEIC DISCI O.SURE STATEMENT AND \FFIDAVIT
APPENDIX C
PROHIBITION ON WAGE & SALARY HISTORY SCREENING - CERTIFICATION
1 Iii-; Appendix i.-: u- be cmvmictod oniy by on Applicant r¦ -,;: L; completing dm" I DS as u "v.om.raotof a-; defined in MCC Section 2A2-3k5. Thai secdom which should be consulted . \¦ wv. midomiht ma g generally covers a pari) to any agreement pursuant to which they: ti.) receive City of Chicago bunds in consideratiiiri for sere ;ces. work or goods provided (including for legal or other professional scrv ices j. or tin pay the City money for a license, grant or concession allowing then: 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)(h and Ay which prohibit: (A screemnc job applicants based on their wage or salary history, or (ii! seekmgjob applicants' wage or salary history from currem or former employers, [ also certify that the Applicant has adopted a policy that includes th"se prohibitions
I I Ves
i^j hi' \ - ! am noi at; Applicant that a "ceiuraemi" as defined m MCC Soction 2-92-'tii5 This ceiliticaiiou shall serve a-, ;ne atftdaA; reumred by MCC Section 2-kj2-3HofoA A if ymt; checked "no" to the abase picase explain.
DO NOT SUBMIT THIS PAGE WITH YOUR EDS. The purpose ofthis page is for you to recertify your EDS prior to submission to City Council or on the date of closing. If unabie v. recertify truthfully, the Disclosing Party must comolete a new EDS with correct or corrects: information)
RECERTIFICATION Generally, for use with City Council matters. Not for City procurements unless requested. This reccitificfltion i6 being submitted in connection with " q/
[identify the Matter). UndeT penalty of ^ \Jj\ he/she is authorized to execute this EDS recertification on behalf of the Disclosing Party, (2) warrants that all certifications and statements contained in the Disclosing Party's original EDS are true, accurate end complete as of the date furnished to the City nnd continue to be true, accurate end complete as ofthe date of this recertification, and (3) reaffirms its acknowledgments.
^anil X£/m hfTUmjtl Date: f\Wj 'l .2 ()/,?, .
(Print or type legal name of Disclosing Party) ^
hy.
(sign here) ' (J
Print or type name of signatory
Title of signatory:
- ftppliCanK
Signed and sviorn to before inc pn.fdate]0& I g- , pj
t J y\RD^V-hy r^P XtOlf^X'¦ ( ': -V: County, // _ [state].
'"" ~^,/^l~.C- ¦c'~~' . Notary Public.
[ ' /' " ,
Commission expires: ( 1 (' / I ?[ .
OF."! UAL SEAL JESSICA L ;t0F;DELEW3i
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