This record contains private information, which has been redacted from public viewing.
Record #: SO2011-5141   
Type: Ordinance Status: Passed
Intro date: 6/8/2011 Current Controlling Legislative Body: Committee on Zoning, Landmarks and Building Standards
Final action: 3/14/2012
Title: Zoning Reclassification Map No. 2-L at 5117 W Lexington Ave and 735 S Laramie Ave - App No. 17288
Sponsors: Misc. Transmittal
Topic: ZONING RECLASSIFICATIONS - Map No. 2-L
Attachments: 1. O2011-5141.pdf, 2. SO2011-5141.pdf
ORDINANCE
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
SECTION 1. Title 17 of the Municipal Code of Chicago, the Chicago Zoning Ordinance, is hereby amended by changing all of the Ml-2 Limited Manufacturing/Business Park District and RS3 Residential Single-Unit (Detached House) District symbols and indications as shown on Map No. 2-L in the area bounded by
West Lexington Avenue; a perpendicular line to West Lexington Avenue 58 feet east of and parallel to the public alley next east of and parallel to South Laramie Avenue; the public alley next south of and parallel to West Lexington Avenue; the public alley next east of and parallel to South Laramie Avenue; a perpendicular line to South Laramie Avenue 132 feet south of and parallel to West Lexington Avenue; South Laramie Avenue,
to those of a C2-1 Motor Vehicle-Related Commercial District.
SECTION 2. This ordinance takes effect after its passage and approval.
Common Address of Property:
5117 W. Lexington Avenue/735 S. Laramie Avenue
 
CITY OF CHICAGO
APPLICATION FOR AN AMENDMENT TO THE CHICAGO ZONING ORDINANCE
ADDRESS ofthe property Applicant is seeking to rezone:
5117 W.  Lexington St. 735 S. Laramie Avenue' _____' '
Ward Number that property is located in:   24 ' _-
APPLICANT   Poulos Construction Company__
ADDRESS      735 S. Laramie Avenue ,____
CITY Chicago    ._STATE    IL        ZIP CODE 60644
PHONE 312-782-7320 CONTACT PERSON   Spero Poulos______
Is the applicant the, owner of the property? YES _.     NO X______
■ if the appHcantis not me owner ofthe proper^, ple^
regarding the owner and attach written authomation from the owner allowing the application to proceed. .     1 ";'' T'.
OWNER      Irene Poulos .& Andrew Poulos
 
PHONE^H_HHV„ CONTACT PERSON Kenneth F. Theisen
If the Applicant/Owner of the property has obtained a lawyer as their representative for the rezoning, please provide the following information:
ATTORNEY    Kenneth F. Theisen_____
ADDRESS   One N. LaSalle SrrP.Pf _CITY Chicago_
CITY  Chicago____ STATE   IL_ZIP CODE 60602_
PHONE 312-782-7320_ FAX 312-782-7138
 
6.
If the applicant is a legal entity (Corporation, LLC, Partnership, etc.) please provide the names of all owners as disclosed on the Economic Disclosure Statements.
Poulos Construction Company Spero Poulos, President
7. On what date did the owner acquire legal title to the subject property? 1/29/2010
8. Has me present owner previously rezoned this property? If yes, when?
No
•u__
—1—7—
-'v .'-   "v MI-2
9.      Present Zoning District RS.~.3_Proposed Zoning District   c-2 -1
• 735 S. Laramie: 122 x 132
10. , Lot size in square feet (or dimensions)    5117 w. Lexington: 56 x 124_^
735 S. Laramie: Construction Office & Storage Yard
11. Current Use ofthe property 5117 W- Lexington: Burned out vacant building ,
12. Reason for rezoning the property  make 5117 w- Lexington into accessory parking
lot to 735 S. Laramie
13    Describe the proposed use of the property after the rezoning. Indicate the number of dwelling units; number of parking spaces; approximate square footage of any commercial space; and height ofthe proposed building. (BE SPECIFIC)
Burned but vacant building on 5117 W. Lexington will be demolished and turned into parking lot with 13 parking spaces.    It will serve the construction
i,S" 4--:—
office and storage yard located at wBSgfc>$. Laramie
14.     On May 14th, 2007, the Chicago City Council passed the Affordable Requirements Ordinance (ARO) that requires on-site affordable housing units or a financial contribution if residential housing projects receive a zoning change under certain circumstances. Based on the lot size of the project in question and the proposed zoning classification, is this project subject to the Affordable Requirements Ordinance? (See Fact Sheet for more Mormation)
YES NO
x
 
COUNTY OF COOK STATE OF ILLINOIS
_spero Poul os_, being first duly sworn on oath, states that all of the above
statements and the statements contained in the documents submitted herewith are true and correct.
 
For Office Use Only
Date of Introduction:_____
File Number:
Ward:
 
HERBERT R. TEWS (DEC.) HERBERT J. THEISEN KENNETH F. THEISEN
BLAIR R. THEISEN MICHAEL D. THEISEN
OF COUNSEL THOMAS L. BREJCHA MARK J. VOGEL KATHRYN L. WITT
TEWS, THEISEN Sc THEISEN ATTORNEYS AND COUNSELLORS
SUITE 3000 ONE NORTH LA SALLE STREET
CHICAGO, ILLINOIS 60602
(312) 762-7-320 FAX (312) 782-7138
SUBURBAN OFFICE 1701 LAKE AVENUE GLENVIEW, ILLINOIS 60025 (8-47) 724-3464
SMITH & KOHLSAAT
leer-ieoo
SMITH, HELMER & MOULTON IB00-I003 HELMER. MOULTON & WHITMAN IOO3-I023 HELMER. MOULTON. WHITMAN B> HOLTON IOZ3-IB37 WHITMAN. HOLTOH & TEWS 1037-1040 HOLTON. TEWS & ABBEY
1040-1077 TEWS. ABBEY & THEISEN I077-108Z TEWS. THEISEN & THEISEN
I ©02-2000 TEWS. THEISEN S. LAWLER 2OO0-E0O3
WRITTEN NOTICE FORM OF AFFIDAVIT
(Section 17-13-0107)
Honorable Daniel S. Solis Chairman, Committee on Zor 121 North LaSalle Street Room 304, City Hall Chicago, Illinois 60602
Re: Address: Change: Address: Change:
5117 West Lexington Street From RS-3toC-2-l 735 S. Laramie Avenue From MI-2 to C-2-1
May 24, 2011
The undersigned, Kenneth F. Theisen, Attorney for the Applicant Poulos Construction Company, being first duly sworn on oath deposes and states the following:
The undersigned certifies that he has complied with the requirements of Section 17-13-0107 of the Chicago Zoning Ordinance, by sending written notice to such property owners who appear to be the owners of the property within the subject area not solely owned by the applicant, and to the owners of all property within 250 feet in each direction of the lot line ofthe subject property, exclusive of public roads, streets, alleys and other public ways, or a total distance limited to 400 feet.
Said "written notice" was sent by First Class U.S. Mail, no more than 30 days before filing the application.
 
m
The undersigned certifies that the notice contained the address of the property sought to be rezoned; a statement of the intended use of the property; the name and address of the applicant; the name and address of the owner; and a statement that the applicant intends to file the application for a change in zoning on approximately June 2011.
l,
The undersigned certifies that the applicant has made a bona fide effort to determine the addresses of the parties to be notified under Section 17-13-0107 of the Chicago Zoning Ordinance, and that the accompanying list of names and addresses of surrounding property owners within 250 feet of the subject site is a complete list containing the names and addresses of the people required to be served.
 
Kennpth r^j^eisen' Attorney for Applicant
Subscribed and Sworn to before me this 24th Day of May, 2011
 
 
HERBERT R. TEWS (DEC.) HERBERT J. THEISEN KENNETH F. THEISEN
BLAIR R. THEISEN MICHAEL D. THEISEN
OF COUNSEL THOMAS L. BREJCHA MARK J. VOGEL KATHRYN L. WITT
TEWS, THEISEN <& THEISEN
ATTORNEYS AND COUNSELLORS
SUITE 3000 ONE NORTH LA SALLE STREET
CHICAGO, ILLINOIS 60602
(312) 782-73EO FAX (312)732-7138
SUBURBAN OFFICE 1701 LAKE AVENUE GLENVIEW, ILLINOIS ©0025 (847) 724-3-464
SMTTH & KOHLS A AT ISS7-1890 SMITH, HELMER & MOULTON '1000-1003 HELMER. MOULTON & WHITMAN 1003-102.3 HELMER, MOULTON, WHITMAN & HOLTON I0Z3-1037 WHITMAN, HOLTON & TEWS 1037-1049 HOLTON, TEWS & ABBEY I04O-IO77 " TEWS, ABBEY _ THEISEN
IQ77-I08Z TEWS, THEISEN & THEISEN
I86E-2000 TEWS, THEISEN & LAWLER 2000-2009
AFFIDAVIT OF MAILING
The undersigned Kenneth F. Theisen certifies that he placed into an envelope a copy of a letter dated 5/24/2011 which was a notification of an application for a zoning amendment change.
Each letter had sufficient first class mail postage and posted it in the U.S. Mail at or before midnight on 5/24/2011 and addressed to:
See Attached Service List
 
STATE OF ILLINOIS ' . )
) ss. COUNTY OF COOK    . )
The above named c^'yE'V being personally known to me, did
appear before me and then and there did affix his/her signature to the above attached document.
Witness my hand and official seal.
Date
 
Notary Public
OFFICIAL SEAL HERBERT J. THEISEN Notary Public - State of IHinote My Commission Expires Feb 05,2014
 
HERBERT R. TEWS < DEC.) HERBERT J. THEISEN KENNETH F. THEISEN
BLAIR RTHEISEN MICHAEL D. THEISEN
OF COUNSEL. THOMAS L. BREJCHA MARK J. VOGEL KATHRYN L. WITT
TEWS, THEISEN & THEISEN ATTORNEYS AND COUNSELLORS
SUITE 3000 ONE NORTH LA SALLE STREET
CHICAGO, ILLINOIS 60602
<3 12) 762-7-320 FAX (312)782-7138
SUBURBAN OFFICE 170t LAKE AVENUE GLENVIEW, ILLINOIS 60025 (847) 724-3464
SMITH & KOHLSAAT 1867-IBSO SMITH, HELMER & MOULTON 1800-1003 HELMER, MOULTON & WHITMAN 1003-1023 HELMER, MOULTON, WHITMAN 5. HOLTON I9Z3-I037 WHITMAN, HOLTON & TEWS IS37-/CM© HOLTON, TEWS & ABBEY
10-4Q-1077 TEWS, ABBEY & THEISEN 1077--l»8a TEWS, THEISEN & THEISEN
I082-20OO TEWS, THEISEN & LAWLER EOOO-EOOS
LETTER TO SURROUNDING PROPERTY OWNERS Re:    Zoning Amendment Application
Address:      5117 West Lexington PIN: 16-16-405-006-0000 Change:       From RS-3 to C-2-1
Address:      735 S. Laramie Avenue PIN: 16-16-405-001-0000 Change:       From MI-2 to C-2-1
Dear Property Owner:
May 24, 2011
In accordance with the requirements for an Amendment to the Chicago Zoning Ordinance, specifically Section 17-13-0107, please be informed that on or about June 1, 2011, the undersigned will file an application for a zoning change to two parcels.
735 S. Laramie, Chicago, Illinois 60644
The first zoning amendment application is made by Poulos Construction Company for 735 S. Laramie, Chicago, Illinois 60644 from MI-2 to C-2-1. The property is owned by Irene Poulos. Currently, Poulos Construction Company uses the property as a . construction office and storage yard. The applicant does not intend to use the property in a different manner than it is currently being used. Instead, it seeks to make its current use a conforming use. Andrew & Irene Poulos are the owners of this property. The contact person for this application is Spero Poulos, President of Poulos Construction Company, 735 South Laramie Chicago, Illinois 60644.
5117 W. Lexington, Chicago, Illinois 60644
 
The second zoning amendment application is made by Poulos Construction Company for the property located at 5117 West Lexington, Chicago, Illinois 60644 from RS-3 to C-2-1. The applicant is the,tenant on this property. The property is owned by Irene Poulos of 7801 Arquilla Dr., Palos Heights, Illinois. The applicant intends to use 5117 W. Lexington as accessory off-site parking that is serving the construction office and storage yard at 735 S. Laramie. Poulos Construction Company plans to make this property into a parking lot with 13 spaces, with a 36" wrought iron fence on the north property line, and 5' of landscaping along the north and east property line, and decorative landscaping. The contact person for this application is Spero Poulos, President of Poulos Construction Company, 735 South Laramie Chicago, Illinois 60644.
Please note that the applicant is not seeking to rezone or purchase your property. The applicant is required by law to send this notice because you own property within 250 feet of the property to be rezoned.
Very truly yours,
 
Kenneth F. Theisen
On behalf of Poulos Construction Company
 
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I - GENERAL INFORMATION
A. Legal name of Disclosing Party submitting this EDS. Include d/b/a/ if applicable: Poulos Construction Company
Check ONE of the following three boxes:
Indicate whether Disclosing Party submitting this EDS is:
1. P3 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 Disclosing Party holds an interest:_
OR
3. [ ] a specified legal entity with a right of control (see Section II.B.l .b.) State the legal name of the entity in which Disclosing Party holds a right of control:___.
B. Business address of Disclosing Party: 735 S. Laramie _' _
Chicago, IL 60644
C. Telephone:   773-626-5224       Fax: 773-626-8646 Email:_ .
D. Name of contact person:    Spero Poulos _
E. Federal Employer Identification No. (if yon have one):    - _ .
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):
735 S. Laramie Avenue Zoning amendment application for 5117 W. Lexington Street
' G. Which City agency or department is requesting this EDS?   Zoning - Land Use Planning
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification #_and Contract #     '_'
Ver. 11-01-05
Page 1 of 13
 
SECTION II - DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF DISCLOSING PARTY
1.  Indicate the nature of the Disclosing Party:
[ ] Person [ ] Limited liability company*
[ ] Publicly registered business corporation [ ] Limited liability partnership*
Dc] Privately held business corporation [ ] Joint venture*
[] Sole proprietorship [] Not-for-profit corporation
[ ] General partnership* (Is the not-for-profit corporation also a 501(c)(3))? [ ] Limited partnership* [ ] Yes [ ] No
[] Trust [] Other (please specify)
* Note B.l.b below.
2.  For legal entities, the state (or foreign country) of incorporation! or organization, if applicable:
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:
l.a.        List below the full names and titles of all executive officjers and all directors ofthe entity. 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).
Name Title
Spero Poulos_. Prpr.iflpnf
1 .b.        If you checked "General partnership," "Limited partnership," "Limited liability company," "Limited liability partnership" or "Joint venture" in response to Item A.l. above (Nature of Disclosing Party), list below the name and title of each general partneij, managing member, manager or
Page 2 of 13
 
any other person or entity that controls the day-to-day management ofthe Disclosing Party. NOTE: Each legal entity listed below must submit an EDS on its own behalf. ;
Name Title
_N/A___- N/A_I
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% ofthe Disclosing Party. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture, interest of a member or manager in a 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 ofthe 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
Disclosing Party
SECTION III - BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship," as defined in Chapter 2-156 ofthe Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?
[] Yes |>^No
If yes, please identify below the name(s) of such City elected officials) and describe such relationship(s):
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 lie Disclosing Party has retained or expects to retain in connection with the Matter, as well as the naturd ofthe relationship, and the total
Page 3 of 13
 
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 Business Relationship to Disclosing Party Fees
(indicate whether Address (subcontractor, attorney, (indicate whether
retained or anticipated lobbyist, etc.) paid or estimated)
to be retained)
Tews?Theisen & Theisen,  1 N. LaSalle, Attorney_. _$2,000_■
Suite 3000
_ Chicago, IL 60602 ,_^__
(Add sheets if necessary)
\ '\ 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 term of the contract.
Has any person who directly or indirectly owns 10% or more ofthe Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
[ ] Yes '    No [ ] No person owns 10% or more ofthe Disclosing Party.
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with that agreement?
[]Yes []No
Page 4 of 13
 
B. FURTHER CERTIFICATIONS
1. The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section H.B.l. 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 unijt of government;
b. have not, within a five-year period preceding the date of this EEjS, been convicted of a criminal offense, adjudged guilty, or had 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 pub he 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 otherwise criminally or civilly charged by a governmental entity (federal, state or local) with commission of any of the offenses enumerated in clause B.l.b. of this.Section V; I
d. have not, within a five-year period preceding the date of this EEjS, had one or more public transactions (federal, state or local) terminated for cause or default; and
e. have not, within a five-year period preceding the date of this EDjS, been convicted, adjudged guilty, or found liable in a civil proceeding, or in any criminal ot 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.
2. The certifications in subparts 2, 3 and 4 concern:
• the Disclosing Party;
• any "Applicable Party" (meaning any party participating in the performance of the Matter, including but not limited to any 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 th^ Disclosing Party, under common control of another person or entity. Indicia of control incluSde, without limitation: mterlocking management or ownership; identity of interests among family members, shared facilities and equipment; common use1 of employees; or organization of a business entity following the inehgibility of a business entity to do business with federal or state or local government, including the Gity, using substantially the same management, ownership, or principals as the ineligible entity); with respect to Applicable Parties, the term Affiliated Entity means k person or entity that directly or indirectly controls the Applicable Party, is controlled by it, or, with the Applicable Party, is under common control of another person or entity;
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• any responsible official of the Disclosing Party, any Applicable Party or any Affiliated Entity or any other official, agent or employee ofthe Disclosing Party, any Applicable Party or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official ofthe Disclosing Party, any Applicable Party or any Affiliated Entity (collectively "Agents").
Neither the Disclosing Party, nor any Applicable Party, nor any Affiliated Entity of either the Disclosing Party or any Applicable Party nor any Agents have, during the five years before the date this EDS is signed, or, with respect to an Applicable Party, an Affiliated Entity, or an Affiliated Entity of an Applicable Party during the five years before the date of such Applicable Party's or Affiliated Entity's contract or engagement in connection with the Matter:
a. bribed or attempted to bribe, or been convicted or adjudged guilty of bribery or attempting to bribe, a public officer or employee of the City, the State of Dlindis, or any agency ofthe 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 been convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; or
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).
3. Neither the Disclosing Party, Affiliated Entity or Applicable Party, 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 jof 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.
4. 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 ofthe 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.
5. The Disclosing Party understands and shall comply with (1) the- applicable requirements of the Governmental Ernies Ordinance of the City, Title 2, Chapter 2-156 of the Municipal Code; and (2) all the applicable provisions of Chapter 2-56 of the Municipal Code (Offipe of the Inspector General).
Page 6 of 13
 
6. If the Disclosing Party is unable to certify to any of the above statements in this Part B (Further Certifications), the Disclosing Party must explain below:
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
For purposes of this Part C, under Municipal Code Section 2-32~455(b), the term "financial institution" means a bank, savings and loan association, thrift, credit union, mortgage banker, mortgage broker, trust company, savings bank, investment bank, securities broker, municipal securities broker, securities dealer, municipal securities dealer, securities underwriter, municipal securities underwriter, investment trust, venture capital company, bank holding company, .financial services holding company, or any licensee under the Consumer Installment Loan Act, the Sales Finance Agency Act, or the Residential Mortgage Licensing Act. However, "financial institution" specifically shall not include any entity whose predominant business is the providing of tax deferred, defined contribution, pension plans to public employees in accordance with Sections 403(b) and 457 of the Internal Revenue Code. (Additional definitions may be found in Municipal Code Section 2-32-455(b).)
1. CERTIFICATION
The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is gc] is not
a "financial institution" as defined in Section 2-32-455(b) ofthe 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 defined in Section 2-32-455(b) ofthe Municipal Code) is a predatory lender within the meaning of Chapter
Page 7 of 13
 
2-32 ofthe Municipal Code, explain here (attach additional pages if necessary):
If the letters "NA," the word "None," or no response'appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
D. CERTIFICATION REGARDING 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.
1. In accordance with Section 2-156-110 ofthe Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
[ ] Yes M 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.L, proceed to Part E.
2. Unless sold pursuant to a process of competitive bidding, or otherwise permitted, no City elected official or employee shall have a financial interest in his or her own name or in the name of any other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit ofthe City (collectively, "City Property Sale"). Compensation for property taken pursuant to the City's eminent domain power does not constitute a financial interest within the meaning of this Part D.
Does the Matter involve a City Property Sale?
[]Yes []No
3. If you checked "Yes" to Item D.L, 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 the Matter will be acquired by any City official or employee.
Page 8 of 13
 
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
The Disclosing Party has searched any and all records ofthe Disclosing Party and any and all predecessor entities for records of investments or profits from slavery, the slave industry, or slaveholder insurance policies from the slavery era (including insurance policies issued to slaveholders that provided coverage for damage to or injury or death of their slaves) and has disclosed in this EDS any and all such records to the City. In addition, the Disclosing Party must disclose the names of any and all slaves or slaveholders described in those records. Failure to comply with these disclosure requirements may make the Matter to which this EDS pertains voidable by the City.
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing Party must disclose below or in an attachment to this EDS all requisite information as set forth in that paragraph 2.
x  1. The Disclosing Party verifies that (a) the Disclosing Party has searched any and all records of the Disclosing Party and any and all predecessor entities for records of!investments or profits from slavery, the slave industry, or slaveholder insurance policies, and (b) the Disclosing Party has found no records of investments or profits from slavery, the slave industry, or slaveholder insurance policies and no records of names of any slaves or slaveholders.
2. The Disclosing Party verifies that, as a result of conducting the search in step 1(a) above, the
Disclosing Party has found records relating to investments or profits from slavery, the slave industry, or slaveholder insurance policies and/or the names of any slaves or slaveholders. The Disclosing Party verifies that the following constitutes full disclosure of all such records:
SECTION VI - CERTIFICATIONS FOR FEDERALLY-FUNDEt) MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. • If the Matter is not federally funded, proceed to Section VII.
A. CERTIFICATION REGARDING LOBBYING
1.  List below the names of all 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: (Begin list here, add sheets as necessary):
N/A _;_'_■__
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(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 Np persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will 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 and information set forth in paragraphs A.l. and A.2. above.
If the Matter is federally funded and any funds other than federally appropriated funds have been or will be paid to any person or entity for influencing or attempting 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 Matter, the Disclosing Party must complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. The form may be obtained online from the federal Office of Management and Budget (OMB) web site at http://www.whitehouse.gov/omb/grants/sflllin.pdf, linked on the page http://www.whitehouse.gov/omb/grants/grants_forms.html.
4. The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) ofthe Internal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) of the Internal Revenue Code of 1986 but has not engaged and will 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.
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
Page 10 of 13
 
Is tie Disclosing Party the Applicant?
[JYes []No N/A
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 []No n/a
2. Have you filed with the Joint Reporting Committee, the Director ofthe Office of Federal Contract Compliance Programs, or the Equal Employment Opportunity Commission all reports due under the applicable filing requirements?
[]Yes []No n/A
3. Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
[]Yes []No n/a
If you checked "No" to question 1. or 2. above, please provide an explanation:
SECTION VH - ACKNOWLEDGMENTS, CONTRACT INCORPORATION, COMPLIANCE, PENALTIES, DISCLOSURE
The Disclosing Party understands and agrees that:
A. By completing and filing this EDS, the Disclosing Party acknowledges and agrees, on behalf of itself and the persons or entities named in this ED S, that the City may investigate the creditworthiness of some or all of the persons or entities named in this EDS.
B. The certifications, disclosures, and acknowledgments contained in this EDS will become part of any contract or other agreement between the Applicant and the City in connection with the Matter, whether procurement, City assistance, or other City action, and are material inducements to the City's execution of any contract or taking other action with respect to the Matter. The Disclosing Party understands that it must comply with all statutes, ordinances, and regulations on which this EDS is based.
C. The City's Governmental Ethics and Campaign Financing Ordinances, Chapters 2-156 and 2-164 of the 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 line at www.citvbfchicago.org/Ethics, and may also be obtained from the City's Board of Ethics, 740 N. Sedgwick St., Suite 500, Chicago, IL 60610, (312) 744-9660. The Disclosing Party must comply fully with the applicable ordinances.
Page 11 of 13
 
D. 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, void or voidable), at law, or in equity, including termmating the Disclosing Party's participation in the Matter and/or declining to allow the Disclosing Party to participate in 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.
E. It is the City's policy to make this document available to the public on its Internet site and/or upon request. Some or all of the information provided on this EDS and any attachments to this EDS may be made available to the public on the Internet, in response to a Freedom of Information Act request, or otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it may have against the City in connection with the public release of information contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS.
F. The information provided in this EDS must be kept current. In the event of changes, the Disclosing Party must supplement this EDS up to the. 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 the contract requires.
The Disclosing Party represents and warrants that:
G. The Disclosing Party has not withheld or reserved any disclosures as to economic interests in the Disclosing Party, or as to the Matter, or any information, data or plan as to the intended use or purpose for which the Applicant seeks City Council pr other City agency action.
For purposes ofthe certifications in H.l. and H.2. below, the term "affiliate" means any 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 business entity following the ^eligibility of a business entity to do business with the federal government or a state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity.
H. l.   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 affiliates delinquent in paying any fine, fee, tax or other charge owed to the City. This includes, but is not limited to, all water charges, sewer charges, license fees, parking tickets, property taxes or sales taxes.
H.2    If the Disclosing Party is the Applicant, the Disclosing Party and its affiliates will not use, nor permit their subcontractors to use, any facility on the U.S. EPA's List of Violating Facilities in connection with the Matter for the duration of time that such facility remains on the list.
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H.3    If the Disclosing Party is the Applicant, the Disclosmg Party will obtain from any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in H.l. and H.2. above and will not, without the prior written consent of the City, use any such contractor/subcontractor that does not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
NOTE: If the Disclosing Party cannot certify as to any of the items in H.L, H.2. or H.3. above, an explanatory statement must be attached to this EDS.
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS are true, accurate and complete as ofthe date furnished to the City.
Poulos Construction Company (Print or type name of Disclosing Party)
By:
(sign here)
Spero Poulos, President (Print or type name of person signing)
(Print or type title of person signing)
 
Date:
 
Page 13 of 13
 
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND
DEPARTMENT HEADS
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5 percent. It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant
Under Municipal Code Section 2-154-015, the Disclosing Party must disclose whether such Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently has a "familial rektionship" with any elected city official or department head. A "familial relationship" existsif, as of the date this EDS is signed, the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof is related, by blood or adoption, to the mayor, any alderman, the city clerk, the city treasurer or any city department head as 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.
"Applicable Party" means (1) all corporate officers ofthe Disclosing Party, if the Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members ofthe Disclosing Party, if the Disclosing Party is a limited hability company; (2) all principal officers ofthe Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. 'Trincipal officers" means the president, chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority. .
Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner ■ thereof currently have a "familial relationship" with an elected city official or department head?
Q Yes fl :No
If yes, please identify below (1) the name and title 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 familial relationship, and (4) the precise nature of
 
H.3    If the Disclosing Party is the Applicant, the Disclosing Party will obtain from any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in H.l. and H.2. above and will not, without the prior written consent of the City, use any such contractor/subcontractor that does not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
NOTE: If the Disclosing Party cannot certify as to any ofthe items in H.L, H.2. or H.3. above, an explanatory statement must be attached to this EDS.
CERTIFICATION
Under penalty of perjury, the person sigrung below: (1) warrants that he/she is authorized to execute this EDS on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS are true, accurate and complete as ofthe date furnished to the City.
Poulos Construction Company Date-       ^ j IT. / \ \_
(Print or type name of Disclosing Party)
By:
 
(sign here)
Spero Poulos
(Print or type name of person signing)
President (Print or type title of person signing)
Signed and sworn to before me on (daftey fol —2-Q f \  , by
County,/  C\jQtK ' (state).
Notary Public.
 
Commission Expires
Page 13 of 13
 
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I - GENERAL INFORMATION
A. Legal name bf Disclosing Party submitting this EDS. Include d/b/a/ if applicable: Andrew & Irene Poulos_
Check ONE of the following three boxes:
Indicate whether Disclosing Party submitting this EDS is: 1. [] 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 Disclosing Party holds an interest: Son, Spero Poulos. owns Poulos Cons t. Co. OR i
3. [] a specified legal entity with a right of control (see Section H.B.l.b.) State the legal name of the entity in which Disclosing Party holds a right of control:_' _;_
B. Business address of Disclosing Party:
 
C. Telephone:   773-626-8600   Fax:_' Email:_
D. Name of contact person:    Andrew & Irene Poulos
E. Federal Employer Identification No. (if you have one):      '_ ■
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):
735. S. Laramie Ave., Chicago, IL 60644 Zoning amendment application for 5117 W. Lexington StreaChicago. IL 60644
G. Which City agency or department is requesting this EDS? Dept. of Zoning & Land Use
Planning
If the Matter is a contract being handled by the City's Department of Procurement Services, please ' complete the following:
Specification #__and Contract #_\_:__
Ver. 11-01-05
Page 1 of 13
 
SECTION II - DISCLOSURE OF OWNERSHD? INTERESTS
A. NATURE OF DISCLOSING PARTY
1.  Indicate the nature of the Disclosing Party:
x| Person [ ] Limited liability company* .
] Publicly registered business corporation [ ] Limited liability partnership*
] Privately held business corporation [ ] Joint venture*
] Sole proprietorship [ ] Not-for-profit corporation
] General partnership* (Is the not-for-profit corporation also a 501(c)(3))? ] Limited partnership* [ ]Yes []No
] Trust [ ] Other (please specify)
* Note B.l.b below.
2.  For legal entitles, the" state (or foreign country) of incorporation or organization, if applicablei
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 [x] N/A
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
1 .a.        List below the full names and titles of all executive officers and all directors ofthe entity. 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).
Name Title
Lb.        If you checked "General partnership," "Limited partnership," "Limited liability company," "Limited liability partnership" or "Joint venture" in response to Item A.l. above (Nature of Disclosing Party), list below the name and title of each general partner, managing member, manager or
Page 2 of 13
 
any other person or entity that controls the day-to-day management ofthe Disclosing Party. NOTE: Each legal entity listed below must submit an EDS on its own behalf.
Name Title
N/A
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, • 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 applieantwhich is reasonably intended to achieve full- disclosure.- ..... •
Name Business Address Percentage Interest in the
Disclosing Party
N/A
SECTION HI - BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship," as defined in Chapter 2-156 ofthe Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?
[ ] Yes [| No
If yes, please identify below the name(s) of such City elected official(s) and describe such relationship(s):
N/A
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
Page 3 of 13
 
amount ofthe 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 pkyroll.
"Lobbyist" means any person or entity who undertakes to influence ^ny 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 Business Relationship to Disclosing Party Fees
(indicate whether Address (subcontractor, attorney,     - (indicate whether
retained or anticipated lobbyist, etc.) paid or estimated)
to be retained)
(Add sheets if necessary)
D£ Check here if the Disclosing party has not retained, nor expects to rejtain, 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 term ofthe contract.
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?
[ ] Yes [x] No [ ] No person owns 10% or .more ofthe Disclosing Party.
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with that agreement?
[]Yes []No
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B. FURTHER CERTIFICATIONS
1. The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities 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 had 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 otherwise criminally or civilly charged by a governmental entity ""'"(federal, state brlocal) with comnusluraof any oFtheToffenses enumerateTuTcTauseBTLbTof
this Section V;     . ...
d. have not, within a five-year period preceding the date of this EDS, had one or more public transactions (federal, state 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.
2. The certifications in subparts 2, 3 and 4 concern:
• the Disclosing Party;
• any "Applicable Party" (meaning any party participating in the performance of the Matter, including but not limited to any 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 business entity following the inehgibility 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 Applicable Parties, the term Affiliated Entity means a person or entity that directly or indirectly controls the Applicable Party, is controlled by it, or, with the Applicable Party, is under common control of another person or entity;
Page 5 of 13
 
• any responsible official of the Disclosing Party, any Applicable Party or any Affiliated Entity or any other official, agent or employee ofthe Disclosing Party, any Applicable Party or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official ofthe Disclosing Party, any Applicable Party or any Affiliated Entity (collectively "Agents").
Neither the Disclosing Party, nor any Applicable Party, nor any Affiliated Entity of either the Disclosing Party or any Applicable Party nor any Agents have, during the five years before the date this EDS is signed, or, with respect to an Applicable Party, an Affiliated Entity, or an Affiliated Entity of an Applicable Party during the five years before the date of such Applicable Party's or Affiliated Entity's contract or engagement in connection with the Matter:
a.   bribed or attempted to bribe, or been convicted or adjudged guilty of bribery or attempting to bribe, a public officer or employee of the City, the State of Illinois, or any agency ofthe federal government or of any state or local government in the United States of America, in that officer's or employee's official capacity;
bT~ agre~ednor colluded with other bidders or pi^pective"bidders,^ oYbeen a^pltrfy to any sucfT agreement, or been convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; or
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).
3. Neither the Disclosing Party, Affiliated Entity or Applicable Party, 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 ELCS 5/33E-3; (2) bid-rotating in violation of 720 HCS 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.
4. 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 ofthe 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.
5. The Disclosing Party understands and shall comply with (1) the applicable requirements of the Governmental Ethics Ordinance of the City, Title 2, Chapter 2-156 of the Municipal Code; and (2) all the applicable provisions of Chapter 2-56 of the Municipal Code (Office of the Inspector General).
Page 6 of 13
 
July 13,2009
Andrew and Irene Poulos Poulos, Inc. Construction Company 735 South Laramie Avenue . Chicago, Illinois 60644
Re:    Negotiated Sale
5117 West Lexington Street P.I.N. 16-16-405-006-0000
Dear Mr. & Mrs. Poulos: .
Pursuant to your request, we are preparing the necessary paperwork to sell the above referenced property to you. Based upon a current appraisal of the-property, you have two options for purchasing this parcel:
Option. 1: Purchase, price of $8,400.00, subject to the express condition that a parking lot is constructed on the property within twelve (12) months of the date of purchase. .In the event that the condition is not met, the City of Chicago may re-enter the property and revest title in the City of Chicago. This right of reverter and reentry shall terminate upon the. issuance and recordation of a certificate of completion, release or similar instrument by the City of Chicago.
Option 2: Purchase price of $4,200.00, subject to the express conditions that:
(a) a parking lot is constructed on the property within twelve (12) months of the date of purchase;
and
(b) the property is thereafter maintained and used as a parking lot in perpetuity.
In the event that the conditions are not met, the City of Chicago may re-enter the property and revest title in the City of Chicago. This right of reverter and re-entry in favor ofthe City of Chicago shall terminate forty (40) years from the date of purchase.
Please be advised that the conveyance of the property shall be by quitclaim deed and shall be subject to City Council approval.
Please indicate, in writing, if you wish to proceed with the purchase of this property. You must choose one of the two purchase options described above. It is necessary for you to respond within 14 days of receipt of this letter.
 
6. If the Disclosing Party is unable to certify to any of the above statements in this Part B (Further Certifications), the Disclosing Party must explain below:
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.        ^ ....
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION      "'.• =
For purposes of this Part C, under Municipal Code Section 2-32-455(b), the term "financial institution" means a bank, savings and loan association, thrift, credit union, mortgage banker, mortgage broker, --tost^ompany^saving^bank^ia^^^ dealer, municipal securities dealer, securities underwriter, municipal securities underwriter, investment . trust, venture capital company, bank holding company, financial services holding company, or any licensee under the Consumer Installment Loan Act, the Sales Finance Agency Act, or the Residential Mortgage Licensing Act. However, "financial institution" specifically shall not include any entity whose predominant business is the providing of tax deferred, defined contribution, pension plans to public employees in accordance with Sections 403(b) and 457 ofthe Internal Revenue Code. (Additional definitions may be found in Municipal Code Section 2-32-455(b).)
1. CERTIFICATION
The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is |k] is not
a "financial institution" as defined in Section 2-32i-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 firrther pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 ofthe 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 defined in Section 2-32-45 5(b) ofthe Municipal Code) is a predatory lender within the meaning of Chapter
Page 7 of 13
 
2-32 ofthe Municipal Code, explain here (attach additional pages if necessary):
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS :.    -. .
Any words or terms that are defined in Chapter 2-15 6 of the Municipal Code have the same meanings when used in this Part D.
1. In accordance with Section 2-156-110 ofthe Municipal Code: Does any official or employee of the City have a fmahcial interest in his or her own name of in the name of any other person or entity in the Matter?
"      Yes" jxTNo " :" V
NOTE: If you checked "Yes" to Item D.l., proceed to Items D.2. and D.3. If you checked "No" to Item D.L, proceed to Part E.
2. Unless sold pursuant to a process of competitive bidding, or otherwise permitted, no City elected official or employee shall have a financial interest in his or her own name or in the name of any other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is sold for taxes of "assessments, of (iii) is soKt by virtue of legal process" at the suit of the City (collectively, "City Property Sale"). Compensation for property taken pursuant to the City's eminent domain power does not constitute a financial interest within the meaning of this Part D.
Does the Matter involve a City Property Sale?
[] Yes |k} No
3. If you checked "Yes" to Item D.L, 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 the Matter will be acquired by any City official or employee.
Page 8 of 13
 
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
The Disclosing Party has searched any and all records ofthe Disclosing Party and any and all predecessor entities for records of investments or profits from slavery, the slave industry, or slaveholder insurance policies from the slavery era (mcluding insurance policies issued to slaveholders that provided coverage for damage to or injury or death of their slaves) and has disclosed in this EDS any and all such records to the City. In addition, the Disclosing Party must disclose the names of any and all slaves or slaveholders described in those records. Failure to """ comply with these disclosure requirements may make the Matter to which this EDS pertains voidable by the City. .  ' .'
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing Party must disclose below or in an attachment to this EDS all requisite information as set forth in that paragraph 2.
x   1. The Disclosing Party verifies that (a) the Disclosing Party has searched any and all records of the Disclosing Party and any and all predecessor entities for records of investments or profits from slavery, the slave industry, or slaveholder insurance policies, and (b) the Disclosing Party has found no records of investments or profits from slavery, the slave'industry, oFsTaveholder insurance ~ policies and no records of names of any slaves or slaveholders. '....
2. The Disclosing Party verifies that, as a result of conducting the search in step 1(a) above, the Disclosing Party has found records relating to investments or profits from slavery, the slave industry, or slaveholder insurance policies and/or the names of any slaves or slaveholders. The Disclosing Party verifies that the following constitutes full disclosure of all such records:
SECTION VI - CERTIFICATIONS FOR FEDERALLY-FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. If the Matter is not federally funded, proceed to Section VH.
A. CERTIFICATION REGARDING LOBBYING
1.  List below the names of all 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: (Begin list here, add sheets as necessary):
N/A
Page 9 of 13
 
(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 the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A. I. above for his or her lobbying activities or to pay any person or entity to 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 and informatiori set forth in paragraphs A.l. and A.2. above.
If the Matter is federally funded and any funds other than federally appropriated funds have been or will be paid to any person or entity for influencing or attempting 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 Matter, the Disclosing Party must complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. The form may be obtained online from the federal Office of Management and Budget (OMB) web site at http://www.whitehouse.gov/omb/grants/sflllin.pdf, lirnted" on the page hr^^^
4. The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) of the Internal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) of the Internal Revenue Code of 1986 but has not engaged and will 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.
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
Page 10 of 13
 
Is the Disclosing Party the Applicant?
□ Yes []No n/a If "Yes," answer the three questions below:
1. Have you developed and do you have on file afErmative action programs pursuant to applicable federal regulations? (See 41 CFR Part 60-2.)
□ Yes []No N/A
2. Have you filed with the Joint Reporting Committee, the Director ofthe Office of Federal Contract Compliance Programs, or the Equal Employment Opportunity Commission all reports due under the applicable filing requirements?
[]Yes []No n/a
3. Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
.....I JYes   "[]No       n/a L~'.' '
If you checked "No" to question 1. or 2. above, please provide an explanation:
SECTION VH - ACKNOWLEDGMENTS, CONTRACT INCORPORATION, COMPLIANCE, PENALTIES, DISCLOSURE
The Disclosing Party understands and agrees that:
A. By completing and filing this EDS, the Disclosing Party acknowledges and agrees, on behalf of itself and the persons or entities named in this EDS, that the City may investigate the creditworthiness of some or all of the persons or entities named in this EDS.
B. The certifications, disclosures, and acknowledgments contained in this EDS will become part of any contract or other agreement between the Applicant and the City in connection with the Matter, whether procurement, City assistance, or other City action, and are material inducements to the City's execution of any contract or taking other action with respect to the Matter. The Disclosing Party understands that it must comply with all statutes, ordinances, and regulations on which this EDS is based. . "
C. The City's Governmental Ethics and Campaign.Financing Ordinances, Chapters 2-156 and 2-164 . of the 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 line at www.cityofchicago.org/Ethics, and may also be obtained from the City's Board of Ethics, 740 N. Sedgwick St., Suite 500, Chicago, IL 60610, (312) 744-9660. The Disclosing Party must comply fully with the applicable ordinances.
Page 11 of 13
 
D. 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, void or voidable), at law, or in equity, including tenninating the Disclosing Party's participation in the Matter and/or declining to allow the Disclosing Party to participate in 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.
E. 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 ofthe information provided on this EDS and any attachments to this EDS may be made available to the public on the Internet, in response to a Freedom of Information Act request, or otherwise. By completing and signing thitf 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 submittedin this EDS.
TCThe information provideaTn thTs~EDS musTb^kepTcurrenT In the event of changes, the Disclosing Party must supplement this EDS up to the 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 the contract requires.
The Disclosing Party represents and warrants that:
G. The Disclosing Party has not withheld or reserved any disclosures as to economic interests in the Disclosing Party, or as tor the Matter, of any information, dSK or plan as to" 'the' ffiteMeff use of purpose for which the Applicant seeks City Council or other City agency action.
For purposes ofthe certifications in H.l. and H.2. below, the term "affiliate" means any 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 business entity following the meugibility of a business entity to do business with the federal government or a state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity.
H. 1.   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 affiliates delinquent in paying any fine, fee, tax or other charge owed to the City. This includes, but is not limited to, all water charges, sewer charges, license fees, parking tickets, property taxes or sales taxes.
H.2   If the Disclosing Party is the Applicant, the Disclosing Party and its affiliates will not use, nor permit their subcontractors to use, any facility on the U.S. EPA's List of Violating Facilities in connection with the Matter for the duration of time that such facility remains on the list.
Page 12 of 13
 
H.3    If the Disclosing Party is the Applicant, the Disclosing Party will obtain from any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in H.l. and H.2. above and will not, without the prior written consent of the City, use any such contractor/subcontractor that does not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
NOTE: If the Disclosing Party cannot certify as to any ofthe items in H.l., H.2. or H.3. above, an explanatory statement must be attached to this EDS.
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS are true, accurate and complete as of the date furnished to the City.
Andrew and Irene Poulos (Print or type name of Disclosing Party)
By:
_~ T^—-^-' *
(sign here)
Andrew Poulos (Print or type name of person signing)
(Print or type title of person signing)
5")lZ('H_, by
(state).
Notary Public.
Date:
Signed and sworn to before me on (date) at_^2___|__
 
Commission expires:
Page 13 of 13
 
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND
DEPARTMENT HEADS
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5 percent It is not to be completed by any legal entity which has onlyan indirect o^ership interest in the Applicant
Under Municipal Code Section 2-154-015, the Disclosing Party most disclose whether such Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently has a "familial relationship" with any elected city official or department head. A "familial relationship" exists if, as of the date this EDS is signed, the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof is related, by blood or adoption, to the mayor, any alderman, the city clerk, the city treasurer or any city department head as parent, child, brother or sister, aunt or uncle, niece or nephew, grandparent, grandchild, father-in-law, mother-in-law, son-in-law, daughter-k-law, stepfather or stepmother, stepson or stepdaughter, stepbromer or stepsistCT
"Applicable Party" means (1) all corporate officers ofthe Disclosing Party, if the Discloskg Party is a corporation; all partners of the Discloskg Party, if the Discloskg Party is a general partnership; all general partners and limited partners of the Disclosmg Party, if the Discloskg Party is a limited partnership; all managers, managing members and members ofthe Discloskg Party, if the Disclosmg Party is a limited habuity company; (2) all principal officers of the Disclosmg Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means the president, chief operatkg officer, exeoitive director, chief financial officer, treasurer or secretary of a legal entity or any person exerciskg similar authority.
Does the Discloskg Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
Q Yes gNo
If yes, please identify below (1) the name and title of such person, (2) the name of the legal entity to which such person is connected; (3) the name and title ofthe elected city official or department head to whom such person has a farnilial relationship, and (4) the precise nature of
 
such familial relationship.
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS are true, accurate and complete as of the date furnished to the City.
Andrew & Irene Poulos Date: i,__
(Print or type name of Disclosing Party)
By:
_^~7^^~ ~ _
(Sign here).
 
Andrew Poulos
(Print or type name of person signing)
(Print or type title of person signing)
 
 
AUTHORIZATION TO MAKE A ZONING AMENDMENT APPLICATION
Re:     Address:       5117 W. Lexington Street
Address:       735 S. Laramie
We, ANDREW AND IRENE POULOS, are the owners ofthe above referenced property. We authorize the applicant, POULOS CONSTRUCTION COMPANY, by and through their attorneys, TEWS THEISEN & THEISEN to make any and all applications for reasonable zoning changes for this property.
 
Andrew Poulos Irene Poulos
9-/3- /o_ ?-J3-?0
Date Date
 
HERBERT R. TEWS (DEC.) HERBERT J. THEISEN KENNETH F. THEISEN
BLAIR THEISEN TTTCOMB MICHAEL D. THEISEN
OF COUNSEL THOMAS L. BREJCHA MARK J. VOGEL KATHRYN L. WITT
TEWS. THEISEN & THEISEN ATTORNEYS AND COUNSELLORS
SUITE 3000 ONE NORTH LA SALLE STREET
CHICAGO. ILLINOIS 60602
<3I2> 783-7320 FAX (312)782-7138
SUBURBAN OFFICE 1701 LAKE AVENUE GLENVIEW. ILLINOIS 60025 (647) 724-3464
SMITH & KOHLSAAT 1067-1000 SMITH, HELMER & MOULTON 109O-IOO3 HELMER. MOULTON & WHITMAN 1003-1023 HELMER, MOULTON. WHITMAN & HOLTON I0Z3-I937 WHITMAN. HOLTON &TCWS 1037-1040 HOLTON, TEWS & ABBEY
I0-4O-IO77 TEWS. ABBEY & THEISEN 1077-1002 TEWS. THEISEN & THEISEN
I0B2-2000 TEWS. THEISEN & LAWLER 20O0-20OS
TYPE 1 ZONING AMENDMENT APPLICATION
NARRATIVE
Address: 5117 West Lexington PIN:
Requested Change: From RS-3 to C-2-1
Address: 735 S. Laramie Avenue PIN:
Requested Change: From MI-2 to C-2-1
May 24, 2011
Our law firm represents Poulos Construction Company (Business License #49966) in their application for zoning amendments to the above referenced properties. These properties are located in the 24th Ward, and Alderman Dixon approves of the proposed zoning amendments. Both properties are owned by Andrew and Irene Poulos. The tenant on 735 S. Laramie is their family business, Poulos Construction Company. The property immediately east of 735 S. Laramie is 5117 W. Lexington.
5117 W. Lexington:
Currently, this property contains a severely fire damaged two-flat frame built, abandoned residence. The lot is 58 x 124 for a total land square footage of 7,192 feet. The improvement is 20.9 x 39.75 for a square footage of 828.65 square feet. This results in a land to building ratio of 9-1.
Andrew and Irene Poulos purchased 5117 W. Lexington from the City of Chicago on January 29,2010 on the express condition that the burned out house be demolished, and a parking lot be constructed on the property. This property is currently zoned as an RS-3.
Now, Poulos Construction Company would like to demolish the burned-out house and improve the property with a small, thirteen space parking lot. It will have a setback of approximately 18 feet. The new parking lot will be bordered with 5 feet of decorative landscaping on the east and north perimeter. The landscaping will consist of Bradford Pear
 
will have no other improvement besides the parking lot. This parking lot will be used as an accessory to their current business headquartered immediately west at 735 South Laramie.
We request a change in the zoning from RS-3 to C-2-1.
735 S. Laramie:
The property located at 735 S. Laramie is currently used as a construction office and storage yard. Nothing will be done to alter either the use, or the appearance of this property.
Currently, the property contains46,170 square feet of land, and 3,232 of building, for a land to building ratio of 5 to 1. It has a setback of approximately 20 feet. It contains approximately 15 parking places for construction vehicles. It has a building height of approximately 18 feet. There is not much available off street parking. There are four concrete driveways on the premises. The improvement is a one-story brick building, with decorative planters lining the north and west perimeters.
The current zoning district for 735 S. Laramie property is MI -2. The business was operating at this location before the MI-2 designation applied. Because a zoning change is sought for a 5117 W. Lexington, a property which will be used as an accessory to 735 S. Laramie, this property must be properly zoned. We simply seek to make this use a conforming use.
We request changing the zoning from MI-2 to C-2-1.
If you have any questions or need any additional information, please do not hesitate to contact us.
 
Sincerely,
Kenneth F. Theisen For the Firm
 
Zarko Sekerez & Associates, I Land Surveyors & Lan4 Planners
DC
116 WEST CLARK STREET CROWN POINT. INDIANA 46307 ILL. PHONE: (312)726-1313 IND. PHONE: (219)663-3344 ILL. FAX (312) 236-9506      IND. FAX: (219) 663-7282 WWW.SEKERE2.COM
9173
OR.DER.NO. _ _____
5115-5117 W. Lexington Avenue Chicago. Illinois
LOTS 6 AND 7 IN MURRAY WOLBACK'S SUBDIVISION OF LOTS 197 AND 203 IN SCHOOL TRUSTEES'SUBDIVISION OF SECTION 16, TOWNSHIP 39 NORTH, RANGE 13, EAST Or THE THIRD PRINCIPAL MERIDIAN, IN COOK COUNTY, ILLINOIS-
W. LEXINGTON
66 FI. Rfcjl.t of Way One Way Tnffk
AVENUE
*Con<;. Quth 17.ns'N
~ Cone. Curb 18,55'N
Fin; Hydrant -
Cut Cross 3.0'N.-
and on line ext. "N „ 'concrete
I2X50'-R.
ir" < ■
Cut
■ &
Cjtch B3Sln.
58.0'
Walk
Cut Cross 3.0'N. and on line ext.
- Cone. Wild jtf'N and on liny
•Fwite 3 Porch fc
2 1/2 STY. FR. ■ ' •' 5V1LDINC', K ' W/BSMT.' 5 '-#5115 ■'/
1
a
ft*uken Cone. M
0.25 "W ami 3.25:5 .
 
6
Cone. Walk 1.43'N
•Fence 0.2CW ln4 1.<0'N
--Fence (MOT. /^-FenMCMSf
(N
^Fcnce! 15'E
/-Fence O.SOf / ind -1.50'N
Cross 3 in<2 ext.
0,/
.16 Ft.
58.0' y  ' ■
"\-GrtOo-w 3.05. .    and o*i tine ext.
Alley
To;       City of Chicago B)dg. Dept._
I. me undersigned, an Illinois Registered Land Surveyor, hereby certify lo ihc above named party |hat on the dated snttwn an inspection of Ihe real estate described Herejr>Y?S P)aCe antJ ^'°,he besl of my knowledge and belief this plat represents [he facts foy.^ ' ,ff
This professional servlce^oonforms to trie cumsrii iiitr^$j^%ij^£4^ applicable to
boundary surveys.   /   I Jit     /C'Ar-*" **• fyf*
ILLINOIS LAND SURVEYOR NuKiajS 3j*i&Sci-""f*,^r-' * * "/ I*
No dimensions should be assumed by sraleVrpe'as'uparpeJiujjjpon plat. "Vs'c Boundary dimensions are based on the public Ttztm&fffl&rfe^tfOSflipM&tl. This Diet is valid 'or six (6) months from the date showta^*sr0JTd 0WOe<efled on thereafter.
''frilH'^
 
Trie legal description noted on this plat was provided try the client and must be compared with deed anovor Nile policy. For building restrictions enovor easements refer to your daed. contract title policy, and/or zonule regulations. This plot Is valid only if it contains the original signature ana embossed seal o( Ihe surveyor, if you have any questions regarding mis plat do not hesitate lo contact us.
1
,IN =
20
.■vtay 27, 2010
SCALE DATE BOOK
ORDERED BY' Poulos Construction Company
FT.
9173
.PAGE.
 
W. LEXINGTON
66 Ft. Riqht of Way AspKaR Pavement One Way Traffic
AVENUE
Cone Co* 18.551^
Cut Cross 3.0'N. ancS on line ext.
 
 
JttW 5'-0'pi-UM 0)1 NEAT
ArUDr&j) FiApn:
OUTCffJE Of EXl6TlfJ& FlBB P4/WAGEP N00Ofttity\
jiuaiip&iPE/vce to Be
WAi-kS ApO ffifiO.
WE>V PAekltJG LOT (Q'1) COtfPAClEO GfAUULttf fi!
dcfJGfZB-TB PA06.
| : umopuios I
V5v. *°0'-OI0236 .•• I
 
XWl\{V
site plan - new parking lot
i-:-
scale: 1"=20'-0"
 
PROPOSED PARKING LOT
5115 - 5117 WEST LEXINGTON AVENUE CHICAGO, ILLINOIS
JAMES METROPULOS, ARCHITECT 1901 PALMGREN DRIVE GLENVIEW, ILLINOIS 60025 847-657-7230 . JULY 7,2010
1
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
WTS «. 9.10.11 AND 1Z IN MURRAY W0I.MC.K5 SUBDIVISION OF LOT 197 AND LOT 203 IN SCHOOL TRUSTEE3 SUBDIVISION OFTHE NORTH PART OF SECTION 1o. TOWNSHIP 39 NORTH, RANGE 13. EAST OF THE THIRD PRINCIPAL MERIDIAN. IN COOK COUNTY. ILLINOIS
 
SCALE: 1 inch = 15 feet 15 O 15 30
Graphic Sole
MFOOTROW. WUK ROAPWAV
WEST LEXINGTON- AVENUE
1-f<txvt>K)'N#OllOW <-Ov.e. 105-K A UtWW        Ai^M* Pw4
 
vf^'T?** MOO'...
 
U(||ttyt»s.le
 
Cut*. J.0tYN
e.lOO-N*0.2Of
1 STORY M.1CK. RUILPINC #755 i-X
8
ASPHALT PAVEMENT
10
11
12
122.50'
r j-
MaslEAN A VANPf RCO0K1 ROt*niVWON
36
Tft» topi dfMrtpMr) (MM 0» 0»» | MMkMMitiir -----
•MiWimUMtiiMdlMlnd
*#U OHh/ It It cwUnt (M (MtfMl ttBMMI Md
a. (ic >••-•
 
TO:
City of Chicago BtnLjlry pcpaKrnent
an *t d*M «Mmi m MtMCbm ol »• rMI arista dMcrftM IwvliiwniMdtKM.twitallMftM rinytat*i»t«ie«if«t»»
uu by «• sbeM HiNt petty only. ftr «• MM purpaM o< UMMuikMCriM«d>VMpnpaity fci Imopmp of ■ Mfetg pant* ftCptd property M» MbMri«M^MdltMi«^fwdrIih««kt •TmoU tM upitf to oonvkwdon or affMflrii^
2
MWUWMM
Ha amiNtom aiMuu b* mumM br ■«** mMNuranwott (vol) pf* CatraaylflNMMrtr •!Uu«i»wirtiaali*ig|lBW>to*alwiilna«Hy ni^iuiHnii«iidMtawaiwpartMydbui»a»«
SHEET 1
OF
1 .
Poulos Construction Company 735 5 Uremic Avenue Chiago, IL 60644
735 South Laramie Avenue Chicago, Illinois.
ZARKO SEKEREZ & ASSOCIATES; INC
LAND SURVEYORS * PLANNERS.
a SOUTH U0HKMH AtC. STC 1007    PHONG <3t2)7S«^tJI3'
CHtCAOtx iuM0n . fax (jia) 2S8-0SO8
PATE
l»HKl|»,3007.
Order no*
(H0W7)
 
January 29, 2010
Andrew and Irene Poulos Pou]os, Inc. Construction Company 735 South Laramie Avenue Chicago, Illinois 60644
Re:     Negotiated Sale
5117 West Lexington Street P.I.N. 16-16-405-006-0000
Dear Mr. & Mrs. Poulos:
This is a letter of confirmation regarding the sale of the above referenced property to you. The City Council of the City of Chicago approved the ordinance for the conveyance of the property on December 16, 2009.
In accordance with the provision of the ordinance, the Department of Community Development shall prepare a deed to transfer title of the property. The deed has been prepared by our office and executed by the appropriate parties. Therefore, we are ready to close on the property.
According to the provisions of the sale, the agreed price is $8,400.00. Please make your draft payable to the CITY OF CHICAGO in the form of a CERTIFIED CHECK or CASHIER'S CHECK. In addition, please bring either $40.00 cash or a personal check in that amount payable to the Cook County Recorder of Deeds for recording fees.
Please contact me at (312) 744-7494 in order to arrange a time for the closing. Sincerely,
 
Kandalyn Hahn Real Estate Division
 
cc: File
 
If you have any questions or require additional information regarding this matter, please contact me at (312) 744-7494.
Sincerely,
 
Kandalyn Halm Real Estate Division
cc: File
 
PROPERTY INSIGHT, LLC.
A California Limited Liability Company
400 S JEFFERSON,  CHICAGO,   IL 60607 (312)223-2582
AUTHENTIC TAX RECORDS SEARCH
OrderNo.: 1404   S9664047 Ss
ATTORNEY AT LAW TEWS THEISEN & THEISEN Cover Date: 04/04/11
1 NORTH LASALLE STREET CHICAGO,   ILLINOIS 606.02 MIKE D. THEISEN
Ref:   RE:  735 SOUTH LARAMIE, CHICAGO
In accord with the application, a search of the authentic computerized records of cook County, Illinois, as ofthe above cover date, pertaining to all property within 250    feet, in every direction ofthe location ofthe property in question assigned permanent tax number(s) (P.I.N.S.):
(SEE ATTACHED)
by the appropriate office of cook County, Illinois, and reflected on the official tax maps,
as most currently revised, excluding all public roads, streets, alleys and other public ways and find the following names and addresses of the assessees as appear from said records:
SEE ATTACHED LIST plus map
ENCLOSURES PAGES; The information provided in this search is required, in part by 65 ILCS 5/11-13-7.
PROPERTY INSIGHT By:
 
SEE ATTACHED FOR TERMS AND CONDITIONS OF SEARCH This is hot a title insurance policy, guarantee, or opinion of title and should not be relied upon as such.
ZONSRCH CRP
 
Zarko Sekerez & Associates, Inc.
Unci Surveyors & Land Planners
116 WEST CLARK STREET CROWN POINT. INDIANA 46307 ILL. PHONE: (312)726-1313 IND. PHONE: (219)663-3344 ILL. FAX: (312) 236-9506      IND. FAX: (219) 663-7282 WWW.SEKERE2.COM
LOTS 6 AND 7 IN MURRAY WOLBACK'S SUBDIVISION OF LOTS 197 AND 203 IN SCHOOL TRUSTEES'SUBDIVISION OF SECTION 16, TOWNSHIP 39 NORTH, RANGE 13, EAST OF THE THIRD PRINCIPAL MERIDIAN, IN COOK COUNTY, ILLINOIS.
ORDER NO.
9173
5115-5117 W. Lexington Avenue Chicago, Illinois
W. LEXINGTON
66 Ft Rldht of Way Asphalt Pavement One Way Traffic
AVENUE
-Cone CurM7 85'N
Cone. Curb18 55'N
Fire Hydrant -
Cut Crass 3.0'N.-
and on line ext.   \_ Concrete
 
<
3
D.
Gltch Basin.
-. ¥
/~Coi
Broken Cone Pad
0 25'W ).25'S.
.2 1/2 STY FR
BUILDING" ! ••' W/BSMT, ' ;-V#5115-''.''.
 
6
/-Fence O lO'E '   Fence OA5X
o
CN
^Fence 0.50'E / and 4.50'N
Cross 3.0'S on line ext
16 Ft.
58.0'
Public
Cut Cross 3.0'S. and on line ext
Alley
TO
City of Chicago Bldg. Dept.
 
1. the undersigned, an Illinois Registered Land Surveyor, hereby cerlify to the above named party thai on the dated shown an inspection of the real estate described here^^s, njade and that to ihe best of my knowledge and belief this plat represents the facts fou^^s^TO?) ' This professional servlce^onforms to the current ininols^^W^^S/via^Si^^pr^yice applicable to boundary surveys-   /   j <       i   f *"\^j/^
n   / J/J Jm raw m.
The legal description noted on this plat was provided by the client and must be compared with deed and/or title policy. For building restrictions and/or easements refer to your deed, contract, title policy, and/or zoning regulations. This plat Is valid only If It contains the original signature and embossed seal of the surveyor If you have any questions regarding this plat do not hesitate to contact us.
1
ILLINOIS LAND SURVEYOR NUM
No dimensions should be assumed by scale/fyea^atftarfUjjpon plat. "VnV Boundary dimensions are based on the public reconfjrtyowjtow^
This plat is valid for six (6) months from the date showrf^nffshSifTd hWtavelted on thereafter
SCALE
DATE _
BOOK 9175
.IN =
20
FT.
May 27, 2010
.PAGE-
ORDERED BY: Poulos Construction Company
 
W. LEXINGTON
66 Ft Rwht of Way Asphalt. Pavement One Way Traffic
AVENWE
Cone. Curb 18.55'N
Cut Cross 3.0'N. and on line ext.
Cone Walk1.45'N
 
MpOUGHT /POU FE/JCE 36" HIGH
//V/W 5V/^W WNtiT PKOPZflY UUC
■V-P" W|UP#;apep ApeA
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'V Cut Cross 3.0'5. ., •'■ and on line ext.
Alley
site plan - new parking lot
scale: l"=20'-0"
 
1     PROPOSED PARKING LOT
5115-5117 WEST LEXINGTON AVENUE CHICAGO, ILLINOIS
JAMES METROPULOS, ARCHITECT 1901 PALMGREN DRIVE GLENVIEW, ILLINOIS 60025 847-657-7230 JULY 7,2010
 
LOTS 8. 9,10,11 AND 12, IN MURRAY WOLBACKS SUBDIVISION OF LOT -197 AND LOT203 IN SCHOOL TRUSTEE'S SUBDIVISION OF THE NORTH PARTOF SECTION 16, TOWNSHIP 39 NORTH, RANGE 13, EAST OF THE THIRDPRINCIPALMERIDIAN.lNCOOKCOUNTY.ILLINOIS. -
 
15
saints i
SCALE ■. T inch = 15 feet
0 15 30
66 FOOT R.O.W. PUBLIC ROADWAY
Asphalt Pavement One-Way Traffic
Graphic Scale :: ;
<t". WEST t-EXINGTON AVENGE
Back of Curb 11.77'N
 
 
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ASPHALT PAVEMENT
10
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122.50' : -'.
MCLEAN fi VANDERCOOK'S RESUBDIVISION
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36
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TrwteBaJdwrtpliw, nolM on mra pta     provUed   me *enf and
. ano/of casements roter to your (Joed, contract. BOe poUcy andtof roraw ^**«»- Thb plat b usltd only If it ccntalra the or^ signature and "P***^"* <* «f» «wveyof. If you nave any quesftons regarding thts pial do not hesitate to contact u*.
TO- °ty of Chicago Building ft^artnjent
»f ™ 'TZS2°" " «» «" "a* <l«*»t»a IwWi wa. ih« to
■ S TSSf    "v--"*    -P""™ «» ft* «wd a «» **TW im «»» pom* k, ■.
contaa surveyor to haw property staked ■ ^ ?"OB?TH\.
5 SURVEYOR NUMBER 35.1944^
 
 
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SHEET
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Poulos Consti-actiqii Company 736 S. lia^mieAyeuuc " :- Chicago, IL60644■ ■■}
765 South Laramie Avenue ^             Chicago, Illinois.
 
ZARKO SEKEREZ $ ASSOCIATES, INC
CMVNNBY    CHECKED BY-r '