RICHAED M. DALEY
MAYOR
OFFICE OF THE MAYOR
CITY OF CHICAGO
March 9,2011
TO THE HONORABLE, THE CITY COUNCIL OF THE CITY OF CHICAGO
Ladies and Gentlemen:
At the request of the Commissioner of Housing and Economic Development, I transmit herewith ordinances authorizing the sale of city-owned property.
Your favorable consideration of these ordinances will be appreciated.
ORDINANCE
WHEREAS, the City of Chicago ("City") is a home rule unit of government by virtue of the provisions of Article VII, Section 6(a) of the Constitution of the 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 Council of the City ("City Council") by ordinance adopted May 20, 1992 and published in the Journal of the Proceedings of the City Council of the City of Chicago ("Journal") for such date at pages 16333 - 16335 (the "Program Ordinance"), established the Chicago Abandoned Properties Program ("CAP Program"), pursuant to which the City has acquired numerous abandoned properties either through statutory abandonment proceedings, or through the foreclosure of municipal liens, and conveyed such abandoned properties to developers for rehabilitation, and worked with such developers to successfully rehabilitate such abandoned properties; and
WHEREAS, the City Council, by ordinance adopted February 6, 2008 and published in the Journal for such date at pages 20654 - 20657, renamed the CAP Program as the "Preserving Communities Together Program" (the "PCT Program") and expanded the acquisition authority for such program; and
WHEREAS, there are a substantial number of abandoned, deteriorated and dangerous buildings in the City which threaten the health, safety, economic stability and general welfare of the citizens of the City, and which are the subject of certain housing court proceedings; and
WHEREAS, the City has created the PCT Program to help abate the dangers posed by abandoned, deteriorated and dangerous buildings in the City through the acquisition and subsequent conveyance of the buildings to parties who have proposed to rehabilitate them; and
WHEREAS, the City is the owner of the property commonly known as 8730 South Morgan Avenue, Chicago, Illinois, and legally described on Exhibit A hereto (the "Property"), which is improved with a single family residence in need of substantial repair, and is qualified to be included in the PCT Program; and
WHEREAS, Property Holdings, LLC, an Illinois limited liability company (the "Developer"), has proposed to purchase the Property from the City and rehabilitate it for residential housing in accordance with the provisions of the PCT Program; and
WHEREAS, the Department of Housing and Economic Development ("HED") of the City has reviewed the Developer's application and has recommended that the City Council approve the conveyance of the Property to the Developer for the purpose of rehabilitating the building located thereon in accordance with the provisions of the PCT Program; now, therefore,
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
SECTION 1. The sale of the Property to the Developer in an amount to be determined by the Commissioner of HED or of any successor department thereto (the "Commissioner"), such amount not to exceed Two Thousand Five Hundred and 00/100 Dollars ($2,500.00), plus any holding costs incurred by the City during its period of ownership, is hereby approved. This approval is expressly conditioned upon the City entering into a redevelopment agreement with the Developer. The redevelopment agreement shall require that the rehabilitated property be sold to an owner-occupant with a household income, adjusted for family size, at or below eighty percent (80%) of the area median income, as determined by HED; provided, however, that the Commissioner shall have the discretion to waive such requirement. The Commissioner is authorized to negotiate and execute a redevelopment agreement with the
Developer, and such other documents which may be required or necessary to implement the intent and objectives of the PCT Program, subject to the approval of the Corporation Counsel.
SECTION 2. The Mayor is authorized to execute, and the City Clerk or Deputy City Clerk is authorized to attest, a quitclaim deed conveying the Property to the Developer, or to a land trust of which the Developer is the sole beneficiary, or to a business entity of which the Developer is the sole controlling party, subject to the approval of the Corporation Counsel.
SECTION 3. If any provision of this ordinance shall be held to be invalid or unenforceable for any reason, the invalidity or unenforceability of such provision shall not affect any of the other provisions of this ordinance.
SECTION 4. All ordinances, resolutions, motions or orders inconsistent with this ordinance are hereby repealed to the extent of such conflict
SECTION 5. This ordinance shall take effect upon its passage and approval.
EXHIBIT A
Legal Description
(subject to final title commitment and survey)
LOT 35 IN KANE'S SUBDIVISION OF BLOCK 21 OF COLE'S SUBDIVISION OF THE NORTH 90.37 ACRES OF THAT PART OF THE NORTHEAST 1/4 OF SECTION 5, TOWNSHIP 37 NORTH, RANGE 14, EAST OF THE THIRD PRINCIPAL MERIDIAN, LYING WEST OF THE OF WAY OF CHICAGO.ROCK ISLAND AND PACIFIC RAILROAD, IN COOK COUNTY, ILLINOIS.
Commonly known as: 8730 SOUTH MORGAN AVENUE
CHICAGO, ILLINOIS 60620
Property Index Number: 25-05-203-024-0000
CITY OP CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION 1 - GENERAL INFORMATION
A. Legal name of tbe Disclosing Party submitting this EDS. Include d/b/a/ if applicable:
Pnfwiy Mli*$f LLC
Check ONE of the following three boxes:
Indicate whether the Disclosing Pafty submitting this EDS is:
1. fl$ the Applicant
OR
2. [ ] a legal entity holding a direct or indirect interest in the Applicant. State the legal name of the Applicant in which the Disclosing Party holds an interest:_. . . _
OR
3. [ ] a legal entity with a right of control (see Section Il.B. I.) State the legal name of the entity in which the Disclosing Party holds a right of control: _
B. Business address of the Disclosing Party:
f
C. Telephone: 70^930-1791 Fax: 7t>Y-t£(.-im<f Email: *u.ki£ l»tUQ*»\
D. Name of contact person: ttijchlkeA Of$z.A«<&Mt_
6. Federal Employer Identification No. (if you have one): j
F. Brief description of contract, transaction or other undertaking (referred to below as the "Matter") to which this EDS pertains, (include project number and location of property, if applicable): .
0. Which City agency or department is requesting this EDS?/!^ /yC H-tlfo^4 fr'ttftm'r (If'bf
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete tbe following:
Specification #_ and Contract M_'
VV.0M1-H
Page 1 of 13
SECTION II -- DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY
1. Indicate the nature of the Disclosing Party:
] Person
] Publicly registered business corporation
] Privately held business corporation
] Sole proprietorship
] General partnership
] Limited partnership
] Trust
hT Limited liability company
(] ^Limited liability partnership
[ ] Joint venture
[ ] Not-for-profit corporation
(Is the not-for-profit corporation also a 501 (c)(3))?
[] Yes [ ]No
[ ] Other (please specify)
2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
\CHindis________
3. For legal entities not organized in the State of Illinois: Has the organization registered to do business in the State of Illinois as a foreign entity?
[ ] Yes [ ] No [ ] N/A
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
1. List below the full names and titles of all executive officers and all directors of the entity. NOTE: For not-for-profit corporations, also list below all members, if any, which are legal entities. If there are no such members, write "no members." For trusts, estates or other similar entities, list below the legal titleholder(s).
If the entity is a general partnership, limited partnership, limited liability company, limited liability partnership or joint venture, list below the name and title of each general partner, managing member, manager or any other person or entity that controls the day-to-day management of the Disclosing Party. NOTE: Each legal entity listed below must submit an EDS on its own behalf.
Nanrie ,
Title
2. Please provide the following information concerning each person or entity having a direct or indirect beneficial interest (including ownership) in excess of 7.5% of the Disclosing Party. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture,
Page 2 of 13
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal Code"), the City may require any such additional information from any applicant which is reasonably intended to achieve full disclosure.
Name Business Address . Percentage Interest in the
i _. . Disclosing Party
Ta hi q.ra Dlszcw K{ (0910 & W 3/*^.
SECTION HI -- BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship," as defined in Chapter 2-156 of the Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?
[]Yes
If yes, please identify below the name(s) of such City elected official(s) and describe such relationship(s): 1
SECTION IV -- DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature of the relationship, and the total amount of the fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who are paid solely through the Disclosing Party's regular payroll.
"Lobbyist" means any person or entity who undertakes to influence any legislative or administrative action on behalf of any person or entity other than: (1) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means any person or entity any part of whose duties as an employee of another includes undertaking to influence any legislative or administrative action.
If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must either ask the City whether disclosure is required or make the disclosure.
Name (indicate whether Business retained or anticipated Address to be retained)
Relationship to Disclosing Party Fees (indicate whether (subcontractor, attorney, paid or estimated.) NOTE:
lobbyist, etc.) "hourly rate" or "t.b.d." is
not an acceptablg
acceptable response.
mnsmwemmm
V
nap ffs-ft
{ ] Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities.
SECTION V CERTIFICATIONS
A, COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
[ J Yes tjO No [ ] No person directly or indirectly owns 10% or more of tbe
Disclosing Party.
If *cYes,** has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with lhat agreement?
[JYes UNo
B. FURTHER CERTIFICATIONS
I. Pursuant to Municipal Code Chapter I -23, Article I ("Article PXwhich the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if tbe Disclosing Party submitting this EDS is tbe Applicant and is doing business with the City, then tbe Disclosing Party certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admined guilt of, or has ever been convicted of, or placed under supervision for. any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or aay sister agency; and (ii) tbe Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article I supersedes some five-year compliance timeframes in certifications 2 and 3 below.
Page4 of 13
2. The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons identified in Section H.B. 1. of this EDS:
a. are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from any transactions by any federal, state or local unit of government;
b. have not, within a five-year period preceding the date of this EDS. been convicted of a criminal offense, adjudged guilty, or bad a civil judgment rendered against them in connection with: obtaining, attempting to obtain, 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;
c. 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 clause B 2.b. of this Section V;
d. have not, within a five-year period preceding the date of this EDS, had one or mOTe public transactions (federal, stale or local) terminated for cause or default; and
e. have not, within a five-year period preceding the date of this EDS. been convicted, adjudged guilty, or found liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other unit of local government.
3. The certifications in subparts 3,4 and 5 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 disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties");
any "Affiliated Entity" (meaning a person or entity that, directly or indirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is, with the Disclosing Party, under common control of another person or entity. Indicia of control 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 bashless entity following tbe ineligibility of a business entity to do business with federal or suite or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity); with respect to Contractors, the term Affiliated Entity means a person or entity that directly or indirectly controls the Contractor, is controlled by it, or, with the Contractor, is under common control of another person or entity;
> any responsible official of the Disclosing Party, any Contractor or any Affiliated Entity or any other official, ageot or employee of die Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official of the Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Page 5 of 13
Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor nor any Agents have, daring the five years before the date this EDS is signed, or. w.th respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the five years before the date of such Contractor's or Affiliated Entity's contractor engagement in connection with ihe Matter.
a. bribed or attempted to bribe, or been convicted or 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;
b. agreed or colluded with other bidders or prospective bidders, or been a party to any such agreement, or beeo convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; or
c made an admission of such conduct described in a. or b. above that is a matter of record, but have not been prosecuted for such conduct; or
d. violated the provisions of Municipal Code Section 2-92-610 (Living Wage Ordinance).
4. Neither tbe Disclosing Party, Affiliated Entity or Contractor, or any of their employees, officials, agents or partners, is barred from contracting with any unit of state or local government as a result of engaging in or being convicted of (1) bid-rigging in violation of 720 ILCS 5/33E-3; (2) bid-rotating in violation of 720 ILCS 5/33E-4; or (3) any similar offense of any state or of the United States of: America that contains the same elements as the offense of bid-rigging or bid-rotating.
5. Neither the Disclosing Party nor any Affiliated Entity is listed on any of the following lists maintained by the Office of Foreign Assets Control of the U.S. Department of the Treasury or the Bureau of Industry and Security of the U.S. Department of Commerce or their successors: the Specially Designated Nationals List, the Denied Persons List, the Unverified List, the Entity List and the Debarred List.
j
i
6. The Disclosing Party understands and shall comply with the applicable requirements of Chapters 2-S5 (Legislative Inspector General), 2-S6 (Inspector General) and 2-156 (Governmental Ethics) of the Municipal Code.
7. If tbe Disclosing Party is unable to certify to any of the above statements in this Part B (Further Certifications), the Disclosing Party must explain below:
__,______
Page 6 of 13
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that tbe Disclosing Party certified to the above statements.
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
1. The Disclosing Party certifies that the Disclosing Party (check one) [ ] is (0 is not
a "financial institution" as defined in Section 2-32-455(b) of the Municipal Code.
2. If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will not become a predatory lender as defined in Chapter 2-32 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as detined in Section 2-32-455(b) of the Municipal Code) is a predatory tender within tbe meaning of Chapter 2-32 of the Municipal Code, explain here (attach additional pages if necessary):
If the letters 'NA,* the word "None," or bo response appears on the lines above, 'rt will be conclusively presumed that the Disclosing Party certified to the above statements.
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
I. In accordance with Section 2-156-110 of tbe Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in tbe name of any other person or entity in the Matter?
[JYes ft No
NOTE: If you checked "Yes" to Item D.l., proceed to Items D.2. and D.3. If you checked "No" to Item D. 1., proceed to Part E.
Page 7 of 13
2 Unless sold pursuit to a process of competitive bidding, or otherwise V^"*
~TT r ___,,. --/jkv Sl>id hv virtue of legal process at the suit ot tne cuy icotiecuvoy.
docs not constitute a financial interest within the meaning of this Part D. Does the Matter involve a City Property Sale7 [)Yes l)N«>
3. If you checked "Yes" to Item D. 1., provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest:
Name
Business Address Nature of Interest
4. The Disclosing Party further certifies that no prohibited financial interest in tbe Matter will be acquired by any City official or employee.
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Please check either 1. or 2. below. If the Disclosing Party checks 2., tbe Disclosing Party must disclose below or in an attachment to this EDS all infonnation required by paragraph 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.
X I- The Disclosing Party verifies that the Disclosing Party has searched any and all records of the Disclosing Party and any and all 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 Disclosing Parly has found no such records.
_2. The Disclosing Party verifies that, as a result of conducting the search to step 1 above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including tbe names of any and all slaves or slaveholders described in those records:
PageS of 13
SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter it federally fended, complete this Section VI. If the Matter Is not federally
loaded, proceed to Section VII. For purposes of this Section VI, tax credits allocated by the City and proceeds of debt obligations of tbe City are not federal funding
A. CERTIFICATION REGARDING LOBBYING
1. List below the names of aU persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter. (Add sheets if necessary):
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to tbe Matter.)
2. The Disclosing Party has not spent and wilt not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to 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 of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement
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 of the statements aad information set forth in paragraphs A.l. and A.2. above.
4. The Disclosing Party certifies that either (i) h is not an organisation described in section 301(c)(4) of the Internal Revenue Code of 1986; or (ii) it is an organization described m section 501(c)(4) of the internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities".
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 Disclosing Party must maintain all such subcontractors' certifications for the duration of the Matter and must make such certifications promptly available to the City upon request.
Page 9 of 13
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
If me Matter » federaty funded, fcdenatzguU^BStt^btibc Afrplicantn^Mftopos^ subcontractors to submit tbe following information with their bids or in writing at the outset of negotiations.
Is the Disclosing Party me Applicant?
[JYes l]No If "Yes," answer the three questions below:
1. Have you developed and do you have on file affirmative action programs pursuant to applicable federal regulations? (See 41 CFR Part 60-2.)
[JYes [JNo
2. Have you filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance Programs, or the Equal Employment Opportunity Commission all reports due under the applicable filing requirements?
(JYes I JNo
3. Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
[JYes [JNo
If you checked "No" to question 1. or 2. above, please provide an explanation:
SECTION VII - ACKNOWLEDGMENTS, CONTRACT INCORPORATION, COMPLIANCE, PENALTIES, DISCLOSURE
The Disclosing Party understands and agrees that:
A. The certifications, disclosures, and acknowledgments contained in this EDS will become part of any contract or other agreement between the Applicant and tbe City in connection with the Matter, whether procurement, City assistance, or other City action, and arc material inducements to the City's execution of any contract or taking other action with respect to tbe Matter. The Disclosing Party understands that it must comply with all statutes, ordinances, and regulations on which this EDS is based.
B. The City's Governmental Ethics and Campaign Financing Ordinances, Chapters 2-156 and 2-164 of tbe Municipal Code, impose certain duties and obligations on persons or entities seeking City contracts, work, business, or transactions. The full text of these ordinances and a training program is available on tine at wwwxityofchicago.org/Ethics. and may also be obtained from tbe City's Board of Ethics, 740 N.
Page 10 of 13
Sedgwick St Suite 500, Chicago, IL 60610. (3 J2> 744-9660. Tbe Disclosing Party roust comply fully with the applicable ordinances.
C. If the City determines that any information provided in this EDS is false, incomplete or inaccurate, any contract or other agreement in connection with which it is submitted may be rescinded or be void or voidable, and the City may pursue any remedies under the contract or agreement (if not rescinded or void), at law, or in equity, including terminating the Disclosing Party's participation in tbe Matter and/or declining to allow tbe Disclosing Party to participate m other transactions with the City. Remedies at law for a false statement of material fact may include incarceration and an award to the City of treble damages.
D. It is the City's policy to make this document available to the public on its Internet site and/or upon request. Some or all of the infonnation provided on this EDS and any attachments to this EDS may be made available to the public on the Internet, m response to a Freedom of Information Act request, or otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it may have against the City in connection with the public release of information contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS.
E. The infonnation provided in this EDS must be kept current In the event of changes, the Disclosing Party must supplement this EDS up lo tbe time the City takes action on the Matter. If the Matter is a contract being handled by the City's Department of Procurement Services, the Disclosing Party must update this EDS as tbe contract requires. NOTE: With respect to Matters subject to Article 1 of Chapter 1-23 of the Municipal Code (imposing PERMANENT INELIGIBILITY for certain specified offenses), the information provided herein regarding eligibility must be kept current for a longer period as required by Chapter 1-23 and Section 2-154-020 of the Municipal Code.
The Disclosing Party represents and warrants that:
PA. The Disclosing Party is not delinquent in the payment of any tax administered by the Illinois Department of Revenue, nor are the Disclosing Party or its Affiliated Entities delinquent in paying any fine. fee. tax or other charge owed to the City. This includes, but is not limited to, all water charees sewer charges, license fees, parking tickets, property taxes or sales taxes. '
F2 If the Disclosing Party is the Applicant, the Disclosing Party and its Affiliated Entities will not us* nor perm.t theu subcontractors to use, any facility listed by the U.S. E.P.A- on the federal Excluded Pames List System CEPLS") maintained by the U. S. General Services Administration.
F3 If the Disclosing Party is the Applicant, the Disclosing Party will obtain from any c^ctors/snbcontractors hired or to be hired in connection with the Matter certifications equal in
cT IIT'° ,h°Se ? F.K *** FA lbOVC and wi« *» without the prior written consent of tire C,ty, use any such connactor/subcontractor that does not provide such certifications or lhat the Disclosmg Party has reason to believe has not provided or cannot provide truthful certifications
Page 11 of 13
F rom:312 742 B549
03/02/2011 11:55 #589 P.003/003
Fro«:3l2 742 8549
01/05/2011 12;35 #486 P.014/014
NOTB: If the Disclosing Party cannot certify as to any of the items in F. 1., P.2. or above, an explanatory statement must be attached to this EDS.
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she la authorized to execute this EDS and Appendix A (if applicable) on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this BDS and Appendix A (if applicable) are true, accurate and complete as of the date furnished to the City.
(Print or type ffttrte of person signing,
.....- /Wiiw^_.
(Print or type title of person signing)
1
04*ti***&4
omo^sttf.
Signed arid twpra to befjwt me on (dtto)_i?,i*^ S: Don . ' ^untv. Tjli^frC (Biate).
Notary Public.
Commissi
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND DEPARTMENT HEADS
This Append b to be tMmpteted only by (a) the Applicant, and (b) any legal entity which has a direct awBcnhip interest in the Aprjhca- exceeding 73 perccaL U boot mte which has only an indirect ownership interest in die Applicant,
Under Municipal Code Section 2-154-015, die Disclosing Party must disclose whether such Disclosing Parry 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, as of the date this EDS is signed, tbe Disclosing Party or any "Applicable Paity" or any Spouse or Domestic Partner thereof is related to tbe mayor, any alderman, the chy clerk, the city treasurer or any chy derailment bead as spouse or domestic partner or as any of the following, whether by blood or adoption: parent, child, brother or sister, aunt or uncle, niece or nephew, grandparent, grandchild, father-in-law, mother-in-law, son-in-law, daughter-in-law, stepfather or stepmother, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister.
"Appticjble Paity** means (1) all executive officers of tbe Disclosing Patty listed in Section IIJB.I a, if the Disclosing Party is a coiporotjoo; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of tbe Disclosing Patty, if the Disclosing Party is a limited partnership; all managers, managing members and members of the Disclosing Party, if the Disclosing Party is a limited liability company; (2) aD principal officers of the Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers'' means tbe 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 Parry or any "Applicable Party** or any Spouse or Domestic Partner thereof currently have a "familial refatienshrp" with an elected city official or department head?
[JYes pfjNo
If yes, please identify be low (1) tbe name and tide of such person, (2) the name of the legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a famiGal relatkmship, and (4) the precise nature of such familial relationship.
Page 13 of 13
(DO NOT SUBMIT THIS PAGE WITH YOUR EDS. The purpose of this page is for you to recertify your EDS prior to submission to City Council or on the date of closing. If unable to recertify truthfully, the Disclosing Party must complete .a new EDS with correct or corrected -information)
RECERTIFICATION
Generally, for use with City Council matters. Not for City procurements unless requested.
This recertification is being submitted in connection with fC I ~~ c?l30 /lAe^jti "i-[identify the Matter]. Under penalty of perjury, the person signing below: (1) warrants that 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 and complete as of the date furnished to the City and continue to be true, accurate and complete as of the date of this recertification, and (3) reaffirms its acknowledgments.
sclosing Party)
Date: jh&TcA l j 20/7-
d sw^rn to before me on [date] fYla irph I ,^6l I , by
OjlrltteWsKi, at tuolC County, X// /neij_ [state].
iae-
Commission expires:
fj Jl ilJ^ /U Notary public<
Ver. 11-01-05