state farm proposed day care center

8/6/2019 State Farm Proposed Day care center

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Office of Chicago City ClerkOffice of the City Clerk

City Council Document Tracking SheetO2011-3980

Meeting Date:Sponsor(s):Type:Title:Committee(s) Assignment:

5/4/2011Clerk Del ValleOrdinanceZoning Reclassification App. No. 17265Committee on Zoning


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ORDINANCE

BE IT ORDAINED BY TH E CITY COUNCIL OF TH E CITY OF CHICAGO:

SECTION 1. Tit le 17 of the Mu nicipa l Cod e of Chicago, the Chicago Zoning Ord inanc e, ishereby ame nde d by changing al l o f th e M l- 1 Light Manufactur ing/B usiness Park Dis t r ic tsymbols and ind icat ions as shown on Ma p N o. 9-1 in the area bounded by\Nest Ad dison S treet ; North Rockwel l St reet ; a line 174.98 feet south of and para l le l to W estAdd ison S tree t; a l ine 338.38 feet we st of and paral lel to No rth R ockw ell Stree t to a point 50feet east of the eas terly dock line of the No rth B ranch of the Chicago River to a line 174 fee tsouth of and paral le l to We st Addison st reet ; a l ine for a dis tance of 72.77 feet north (asme asured along a point 50 feet east and paral le l o f th e Easter ly dock line of t he No rth B ranch ofthe Chicago River) and north o f th e l ine 338.38 feet west of and paral le l to N orth Ro ckwel lStreet and 174 feet south of West Addison Street; a l ine 157.99 feet east of easterly dock l ine ofthe No rth B ranch o f th e Chicago River to a point 20 feet so uth of and paralle l to We st Ad disonStreet ; a l ine 20 feet south of and paral le l to West Ad dison Street and 259.01 feet west of andparal le l to No rth Rockw el l St reet

to those of a C2-2 M oto r V ehic le Related Com me rc ial Dis t ric t.

SECTION 2. This ordin anc e takes effect after its passage and appro val.

Com mon Address o f Proper ty : 2601-2633 W. Add ison , Chicago, IL


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C I T Y O F C H I C A G OA P P L IC A T IO N F O R A N A M E N D M E N T TO

T H E C H I C A G O Z O N IN G O R D I N A N C E1. A D D R E S S o f the property Applicant is seeking to rezone:

2601-2633 W. A D D I S O N , C H I C A G O , IL2. Ward Number that property is located in :3. A P P L I C A N T C O L I N B RY A R

A D D R E S S

P H O N E ^ H H H M H k C ON TA CT P E R S O N LAW RENCE L U S K3-1 2-327-3409Is the applicant the owner of the property? YES NO x_

If the applicant is not the owner ofthe property, please provide the following informationregarding the owner and attachwritten authorizationfrom he owner allowing the application toproceed.O W N E R STATE FARM MUTUAL AUTOM OBILE INSURANCE COMPANYA D D R E S S 1 S T A T E F A RM P L A Z AC I T Y B LO O M IN G TO N S T A T E IL ZIP CODE 61710.P H O N E 309-766-3469 C O N T A C T P E R S O N M AT T W ISD OMIf the Applicant/Owner of the property has obtained a lawyer as their representative fo r therezoning, please provide the following information:A T T O R N E Y LAWRENCE M. L U S KA D D R E S S _ 2 N . L A S A L L E , STE 1 250 C I T YC I T Y C H IC A G O S T A T E IL Z I P C O D E 60602P H O N E 312-327-3409 FAX 31 2-466-0808


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6. If the applicant is a legal entity (Corporation, L L C , Partnership, etc.) please provide the namesof all owners as disclosed on the Economic Disclosure Statements.

7. O n what date did the owner acquire legal title to the subject property? 9/28/29708. Has the present owner previously rezoned this property? If yes, when?

NO

9. Present Zoning District Ml-1 Proposed Zoning District C 2 - 210. L o t size in square feet (or dimensions) 55,853 SQUARE FEET11. CurrentUse of the property VACANT COMMERCIAL B U I L D I N G12. Reason for rezoning the property E S T A BL I S H M E N T OF EARLY CHILDHOOD

DEVELOPMEHT DAY CARE C E N T E R .13. Describe the proposed use o f the property after the rezoning. Indicate the ntraiber of dwelling

units; number of parking spaces;approximate square footage of any commercial space; andheight ofthe proposed building. (B E SPECIFIC)TWO STORY COMMERCIAL BUILDING. APPROXIMATLY 15.000 SQUARE FEETWITH 83 EXTERIOR PARKING SPACES TQ BE DEVELOPED AS A DAYC A R E r ^ E N T E T ? -

14. O n M a y 14* 2007, the Chicago City Council passed the Affordable Requirements Ordinance( A R O ) that requires on-site affordable housing units or a financial contribution i f residentialhousing projects receive a zoning chaise under certain circumstances. Based on the lot size ofthe project in question and the proposed zoning classification, is this project subject to theAffordable Requirements Ordinance? (See Fact Sheet formore infonnation)Y E S NO X


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COUNTY OF-eOOK ^STATE O F IL U N O I S L - J Af-

C O L I N B R Y A R beingfirstduly swom on oath, states that all of the abovestatements and the statements contained in the documents submitted herewith are true and correct.

Signature of ApplicsmtSubscribed and Swom to before me thisday of A ^ ^ [ , 20_y_

Notary Public

Date of Introduction:

F or Office Use Only

File Number:_Ward:


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AFFIDAVITDate: April 27.2011

H o n o r a b l e D a n i e l S . Sol isC h a i r m a n , C o m m i t t e e o n Z o n i n g1 2 1 N . LaSal le S t.R o o m 304 , C i t y Ha l lCh ica g o , I l l i no is 60602G e n t l e m e n :The undersigned, Lawrence M. Lusk _, bein g first d u l y s w o r n o r i o a t h , d e p o s e sa n d s a y s t h e f o l l o w i n g :T h a t t h e u n d e r s i g n e d c e r t i fi e s that h e h a s c o m p l i e d with t h e r e q u i r e m e n t s o f S e c t i o n 1 7 - 1 3 -0 1 0 7 A o f t h e C h i c a g o Z o n i n g O r d i n a n c e , T i tl e 1 7 o f t h e M u n i c i p a l C o d e o f C h i c a g o , b ys e r v i n g written n o t i c e t o s u c h p r o p e r t y o w n e r s w h o a p p e a r t o b e th e o w n e r s o f t h epro per ty w i th i n the sub jec t a rea no t so l e l y ow ne d by the a pp l i can t , and to the ow ne rs o f a l lp r o p e r t y w i t h i n 2 5 0 f e e t i n e a c h d i r e c t i o n o f t h e l o t li n e o f 2 6 0 1 - 2 6 3 3 W . A d d i s o n , C h i c a g o ,I ll ino i s ( the " sub jec t p ro per ty " ) , exc lus i ve o f pub l i c road s , s t ree ts , a l l eys , o th e r pub l i c ways ,o r a to ta l d i s tan ce l im i ted to 4 00 fee t . Sa id "written no t i ce " was sen t by F i rs t Class U . S .M a i l , n o m o r e t h a n 3 0 d a y s b e f o r e f i li n g t h e a p p l i c a t i o n .T h e u n d e r s i g n e d c e r t i f i e s that t h e n o t ic e c o n t a i n e d t h e a d d r e s s o f t h e p r o p e r t y s o u g h t t ob e r e z o n e d ; a s t a t e m e n t o f t h e i n t e n d e d u s e o f t h e p r o p e r t y ; t h e n a m e a n d a d d r e s s o f t h ea p p l i c a n t ; t h e n a m e a n d a d d r e s s o f t h e o w n e r ; a n d a s t a t e m e n t that t h e a p p l i c a n t i n t e n d sto f i l e an app l ica t ion


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A p r i l 2 7 , 2 0 1 1

D e a r P r o p e r t y O w n e r :I n a c c o r d a n c e with t h e r e q u i r e m e n t s f o r a n A m e n d m e n t t o t h e C h i c a g o Z o n i n g O r d i n a n c e ,spec i f i ca l ly 17 -13-01 07 , p l ease be in fo rm ed that on o r abou t the 27 th o f A pr i l , 20 11 , theu n d e r s i g n e d w i l l fi le a n a p p l i c a t io n f o r a c h a n g e in z o n i n g f r o m M l - 1 (light m a n u f a c t u r i n g /bus in e ss park d i s tr i c t ) t o C2-2 (mo to r ve h i c l e - re l a ted com m erc i a l d i s t r ic t ) on be ha l f o f Co l i nB r y a r f o r t h e p r o p e r t y l o c a t e d a t 2 6 0 1 - 2 6 3 3 W . A d d i s o n , C h i c a g o , IL .The applicant intends to use the subject property as a two story comm ercial building that isapproximately 15,000 square feet with 83 exterior parking spaces to establish an earlychildhood de velopmen t day care center.T h e c u r r e n t o w n e r o f t h e s u b je c t p r o p e r t y is S t a t e F a r m I n s u r a n c e , w h o s e a d d r e s s is 1 S t a t eF a r m Plaza, B loo m ing ton , IL 61 710 . The app l i can t is Co l i n B rya r wh os e add ress is 820 37*^A v e , S e a t t l e , W A 9 8 1 2 2 . I a m t h e a t t o r n e y f o r t h e A p p l i c a n t . M y a d d r e s s is 2 N . LaSal le St . ,Su i te 12 50 , Ch i cago , I ll ino i s 606 02 .Please n o t e that t he A pp l i can t is no t see k ing to acqu i re o r rezon e you r p rop er ty . Y ou a rer e c e i v i n g t h i s n o t i c e b e c a u s e t h e C h i c a g o M u n i c i p a l C o d e r e q u i r e s that a l l p roper ty taxpayers within 2 5 0 f e e t o f t h e s u b j e c t p r o p e r t y b e n o t i f i e d .

S in ce re ly ,

La wr en ce M . LusdiNCfe fAT>AHY(Print or type name of Disclosing Party) Date:

(Print or type name of person signing)

(Print or type title of person signing)

Signed and swom to before me on (date) _ ^'21-1011 .by Mki l\.lmat f^^Ul\ ,{ \ County, J - L U m i (state).

Commission expires;_Notary Public.

OFFICIALSEALJULYMFIKENOTARY PUBUC-STATE OF ILLINOIS'*S^wS0NEXPRES:11m

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CITY OF CHICAGOECONOMIC DISCLOSURE STATEMENT AND AEnDAVIT

APPENDIX A

FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS ANDDEPARTMENT HEADS

ThisAppendix istobe completed only by (a) theApplicant, and (b) any legal entitywhich hasa directownership interest intheApplicant exceeding 7.5 percent It isnot tobecompletedby any legal entity which has only an indirect ownership interest in theApplicant

Under Municipal Code Section 2-154-015, the Disclosing Party must disclose whethersuch Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereofcurrently 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"Apphcable Party" or any Spouse or DomesticPartner thereof is related, by blood or adoption, tothe mayor, any alderman, the city clerk, the city treasurer or any city department head as parent,child, brother or sister, aimtor 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 stepsisteror half-brother orhalf-sister."Applicable Party" means (1) all corporate officers of the Disclosing Party, if the

Disclosing Party is a corporation; al l partners of the Disclosing Party, if the Disclosing Party is ageneral partnership; all general partners and limited partners of the Disclosing Party, i f theDisclosing Party is a limited partnership; al l managers, managing members and members oftheDisclosing Party, if the Disclosing Party is a limited Uability company; (2) al l principal officersof the Disclosing Party; and (3) any person having more than a 7.5percent ownership interest inthe Disclosing Party. "Principal officers" means the president, chief operatmg officer, executivedirector, chief fmancial officer, treasureror secretary of a legal eiitity or any person exercisingsimilar authority/.Does the Disclosing Party or any "Apphcable Party" or any Spouse or Domestic Partnerthereof currently have a "familial relationship" witii an elected city official or department head?D Y e s ^ ^ ^ 0If yes, please identify below (1) the name and itleof such person, (2) the name of thelegal entity to which such person is coimected; (3) the name and title of the elected city official ordepartment head to whomsuch person has a familial relationship, and (4) the precise nature of


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such familial relationship.

C E R T I F I C A T I O NUnder penalty of perjury, the person signing below: (1) warrants that he/she is authorized toexecute this ED S on behalf ofthe Disclosing Party, and (2) warrants that all certifications andstatements contained in this E D S are true, accurate and complete as of the date fiimished totheCity.t ? T A T B F ^ P - * ^ (SAUTUAL-hXVoiA oy^ue, l^^gA^>ce dgtAyi^u Date: 7'21-/ '(Print or type name of Disclosing Party) /

Services(Print or type name of person signing)

(Print or type titie of person signing)

Signed and swom to before me on (date) _at f()t-LiM^ County. jlUA/


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C I T Y OF C H I C A G OE C O N O M I C D I S C L O S U R E S T A T E M E N T

A N D A F F I D A V I TS E C T I O N I - G E N E R A L I N F O R M A T I O NA . L e g a l name of Disclosing Party submitting this E D S . Include d/b/a/ if applicable:

COLIN BRYARCheck O N E of the f o l l o v r i n g three boxes:Indicate whether Disclosing Party submitting this E D S is:

1. the ApplicantO R

2. [] a legal entity holding a direct or indirect interest in the Applicant. State the legal name of theApplicant in which Disclosing Party holds an interest:O R

3. [] a specified legal entity with a right of control (see Section II.B.l.b.) State the legal name ofthe entity in which Disclosing Party holds a right of control: .

B . Business address of Disclosing Party:

C . Telephone: J I I I H I ^ H I B B ^ L . F^x: flflMHiiHHL__ ^ i i i ^ i i : ^D . Name of contact person: C O L I N B R Y A RE . Federal Employer Identification N o . ( i f y o u have one): N / AF . B r i e f description of contract, transaction or other undertaking (referred to below as the "Matter") towhich this E D S pertains. (Include project number and location o f property, i f applicable):

;E , REZONE PROPERTY ijjj^gimmMmMmmiamp'ammG . W h i c h C i t y agency or department is requesting this E D S ? Z O N I N G

If the Matter is a contract being handled by the C i t y ' s Department of Procurement Services, pleasecomplete the f o l l o w i n g :Specification # N / A and Contract # N / A

Ver. 11-01-05 Page 1 of 13


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SECTION II ~ DISCLOSURE OF OWNERSHIP INTERESTSA . N A T U R E OF D I S C L O S I N G P A R T Y

1. Indicate the nature of the Disclosing Party:5(1 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 entities, the state (or foreign country) of incorporation or organization, i f applicable:

N / A3. For legal entities not organized in the State o f Illinois: Has the organization registered to do

business in the State of Illinois as a foreign entity?[]Yes []No MN / A

B . IF T H E D I S C L O S I N G P A R T Y IS A L E G A L E N T I T Y :1 .a. Lis t below the fu l l names and titles of all executive officers and a ll directors of the entity.

For not-for-profit corporations, also list below all members, ifany, which are legal entities. If there areno such members, write "no members." For trusts, estates or other similar entities, list below the legaltitleholder(s).Name TitleN / A

l.b. Ifyou checked "General partaership," "Limited partnership," "Limited liabilitycompany," "Limited liability partnership" or "Joint venture" in response to Item A . l . above (Nature ofDisclosing Party), list below the name and title of each general partner, managing member, manager or

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any other person or entity that controls the day-to-day management ofthe Disclosing Party. N O T E :Each legal entity listed below must submit an E D S on its own behalf.Name TitleN / A

2. Please provide the following information concerning each person or entity having a direct orindirect beneficial interest (including ownership) in excess of 7.5% of the Disclosing Party. Examplesof such an interest include shares in a corporation, partnership interest in a partaership 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." N O T E : Pursuant to Section 2-154-030 of theMunicipal Code of Chicago ("Municipal Code"), the City may require any such additional informationfrom any applicant which is reasonably intended to achieve full disclosure.Name Business Address Percentage Interest in the

DisclosingPartyN / A

SECTION III - BUSINESS RELATIONSHIPS WITH CITY E L E C T E D OFFICIALSHas the Disclosing Party had a "business relationship," as defmed in Chapter 2-156 of the Munic ipa l

Code, with any City elected off ic i a l in the 12 months before the date this E D S is signed?[]Yes [^No

If yes, please identify below the name(s) of such City elected official(s) and describe suchrelationship(s):

SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIESThe Disclosing Party must disclose the name and business address of each subcontractor, attomey,

lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retainedor expects to retain in connection with the Matter, as well as the nature ofthe relationship, and the total

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amount of the fees paid or estimated to be paid. The Disclosing Party is not required to discloseemployees who are paid solely through the Disclosing Party's regular payroll.

"Lobbyist" means any person or entity who undertakes to influence any legislative or administrativeaction 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 ofanother includes undertaking to influenceany legislative or administrative action.

If the Disclosing Party is uncertain whether a disclosure is required under this Section, theDisclosing Party must either ask the City whether disclosure is required or make the disclosure.Name(indicate whetherretained or anticipatedto be retained)

BusinessAddress

Relationship to Disclosing Party(subcontractor, attomey,lobbyist, etc.)

Fees(indicate whetherpaid or estimated)

L A W R E N C E M. L U S K 2 N . L A S A L L E A T T O R N E Y $6 ,500 .00R E T A I N E D S T E 1250C H I C A G O , I L 60602

(Add sheets i f necessary)[ ] Check here i f the Disclosing party has not retained, nor expects to retain, any such persons orentities.SECTION V - CERTIFICATIONSA . C O U R T - O R D E R E D C H I L D S U P P O R T C O M P L I A N C E

Under Munic ipa l Code Section 2-92-415, substantial owners of business entities that contract withthe City must remain in compliance with their child support obligations throughout the term of thecontract.Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared inarrearage on any child support obligations by any Illinois court of competent jurisdiction?

[ ] Yes [2 N o [ ] N o person owns 10% or more ofthe Disclosing Party.If "Y es , " has the person entered into a court-approved agreement for payment of all support owed andis the person in compliance with that agreement?

[]Yes [ iNo

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B . F U R T H E R C E R T I F I C A T I O N S1. The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities

identified in Section I I . B . l . of this E D S :a. , are not presently debarred, suspended, proposed for debarment, declared ineligible orvoluntarilyexcluded from any transactions by any federal, state or local unit of govemment;b. have not, within afive-yearperiod preceding the date of this E D S , been convicted of a criminal

offense, adjudged guilty, or had a civi l judgment rendered against them in connection with:obtaining, attempting to obtain, or performinga public (federal,state or local) transaction orcontract under a public transaction; a violation of federal or state antitmst statutes; fraud;embezzlement; theft; forgery; bribery; falsification or destraction of records; making falsestatements; or receiving stolen property;

c. are not presently indicted foror otherwise criminally or civilly charged by a govemmental entity(federal, state or local) with commission of any of the offenses enumerated in clause B . l . b . ofthis Section V ;d. have not, within afive-yearperiod preceding the date of this E D S , had one or more public

transactions (federal, state or local) terminated for cause or default; ande. have not, within afive-yearperiod preceding the date of this E D S , been convicted,adjudged

guilty, or found liable in a civi l proceeding, or in any criminal or civi l action, including actionsconceming environmental violations, instituted by the City or by the federal govemment, anystate, or any other unit of local govemment.

2. The certifications in subparts 2, 3 and 4 concem: the DisclosingParty; 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 I V , "Disclosure ofSubcontractors and Other Retained Parties"); any "Aff i l i a ted Entity" (meaning a person or entity that, directly or indirectly: controls the

Disclosing Party, is controlled by the Disclosing Party, or is , with fhe Disclosing Party, undercommon control of anotherperson or entity. Indicia of control include, without limitation:interlocking management or ownership; identity of interests among family members, shared facilitiesand equipment; common use of employees; or organization of a business entity following theineligibility of a business entity to do business with federal or state or local govemment, includingthe City, using substantially the same management, ownership, or principals as the ineligible entity);with respect to Applicable Parties, the term Aff i l i a ted Entity means a person or entity that directly orindirectly controls the Applicable Party, is controlled by it, or, with the Applicable Party, is undercommon control of anotherperson or entity;

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any responsible off ic i a l of the Disclosing Party, any Applicable Party or any Affi l iated Entity orany other off ic i a l , agent or employee of the Disclosing Party, any Applicable Party or any Aff i l i a tedEntity, acting pursuant to the direction or authorization of a responsible off ic i a l of the DisclosingParty, any Applicable Party or any Aff i l i a ted Entity (collectively"Agents").

Neither the Disclosing Party, nor any Applicable Party, nor any Affi l iated Entity of either theDisclosing Party or any Applicable Party nor any Agents have, during the five years before the date thisE D S is signed, or, with respect to an Applicable Party, an Affi l iated Entity, or an Affi l iated Entity of anApplicable Party during the five years before the date of such Applicable Party's or Aff i l i a ted Entity'scontract or engagement in connection with the Matter:

a. bribed or attempted to bribe, or been convicted or adjudged guilty of bribery or attempting tobribe, a public officer or employee of the City, the State of Illinois, or any agency of the federalgovemment or ofany state or local govemment in the United States of America, in that officer'sor employee's offic ial capacity;

b. agreed or colluded with other bidders or prospective bidders, or been a party to any suchagreement, or been convicted or adjudged guilty of agreement or collusion among bidders orprospective bidders, in restraint of freedom of competition by agreement to bid a fixed price orotherwise; orc. 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; ord. violated the provisions of Municipal Code Section 2-92 610 (Living Wage Ordinance).3. Neither the Disclosing Party, Aff i l i a ted Entity or Applicable Party, or any of their employees,

officials, agents or partners, is barred from contracting with any unit of state or local govemment as aresult of engaging rn or being convicted of (I) bid-rigging in violation of720 I L C S 5/33E-3; (2)bid-rotating in violation of 720 I L C S 5/33E-4; or (3) any similar offense ofany state or of the UnitedStates ofAmerica that contains the same elements as the offense of bid-rigging or bid-rotating.

4. Neither the Disclosing Party nor any Aff i l i a ted Entity is listed on any ofthe following listsmaintained by the Office of Foreign Assets Control of the U .S . Department of the Treasury or theBureau of Industry and Security o f the U . S . Department of Commerce or their successors: the SpeciallyDesignated Nationals List , the Denied Persons List , the Unverified List , the Entity Lis t and theDebarred Lis t .5. The Disclosing Party understands and shall comply with (1) the applicable requirements of the

Govemmental Ethics Ordinance of the City, Title 2, Chapter 2-156 of the Munic ipa l Code; and (2) allthe applicable provisions of Chapter 2-56 of the Municipal Code (Office ofthe Inspector General).

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6. If the Disclosing Party is unable to certify to any of the above statements in this Part B (FurtherCertifications), the Disclosing Party must explain below; NONE

If the letters " N A , " the word "None," orno response appears on the lines above, it will be conclusivelypresumed that the Disclosing Party certified to the above statements.C . C E R T I F I C A T I O N O F S T A T U S A S F I N A N C I A L I N S T I T U T I O NFor purposes of this Part C , under Municipal Code Section 2-32-455(b), the term "fmancial institution"means a bank, savings and loan association, thrift, credit union, mortgage banker, mortgage broker,trast company, savings bank, investment bank, securities broker, municipal securities broker, securitiesdealer, municipal securities dealer, securities underwriter, municipal securities underwriter, investmenttrast, venture capital company, bank holding company, financial services holding company or anylicensee under the Consumer Installment Loan Act , the Sales Finance Agency Act , or the ResidentialMortgage Licensing Act . However, "financial institution" specificallyshall not include any entitywhose predominant business is the providing of tax deferred, defined contribution, pension plans topublic employees in accordance with Sections 403(b) and 457 of the Intemal Revenue Code.(Additional definitions may be found in Municipal Code Section 2-32-455(b).)

1. C E R T I F I C A T I O NThe Disclosing Party certifies that the Disclosing Party (check one)

[ ] is [}J is nota "financial institution" as defmed in Section 2-32-455(b) of the Municipal Code.

2. If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:"We are not and will not become a predatory lender as defined in Chapter 2-32 ofthe Munic ipa lCode. We further pledge that none of our affiliates is, and none of them will become, a predatorylender as defmed in Chapter 2-32 of the Municipal Code. We understand that becoming a predatorylender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doingbusiness with the City."If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined inSection 2-32-455(b) of the Municipal Code) is a predatory lender within the meaning of Chapter

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2-32 ofthe Munic ipa l Code, explain here (attach additional pages if necessary):NONE

If the letters " N A , " the word "None," or no response appears on the lines above, it will beconclusivelypresumed that the Disclosing Party certified to the above statements.D . C E R T I F I C A T I O N R E G A R D I N G I N T E R E S T I N C I T Y B U S I N E S SA ny words or terms that are defined in Chapter 2-156 of the Municipal Code have the samemeanings when used in this Part D .

1. In accordance with Section 2-156-110 ofthe Municipal Code: Does any off ic i a l or employeeof the City have a financial interest in his or her own name or in the name of any other person orentity in the Matter?[]Yes [^No

N O T E : Ifyou checked "Yes" to Item D . L , proceed to Items D.2. and D . 3 . Ifyou checked " N o " toItem D . L , proceed to Part E .

2. Unless sold pursuant to a process o f competitive bidding, or otherwise permitted, no C i t yelected of f i c i a l or employee shall have a financial interest in his or her own name or in the name ofany other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is soldfor 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 powerdoes not constitute a financial interest within the meaning of this Part D .Does the Matter involve a City Property Sale?

[ ] Yes [ i N o3. Ifyou checked "Yes" to Item D . L , provide the names and business addresses of the Ci ty

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 noprohibited financial interest in the Matter w i l lbe acquired by any City off ic i a l or employee.

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E . C E R T I F I C A T I O N R E G A R D I N G S L A V E R Y E R A B U S I N E S SThe Disclosing Party has searched any and all records ofthe Disclosing Party and any and a llpredecessor entities for records of investments or profits firom slavery, the slave industry, orslaveholder insurance policies from the slavery era (including insurance policies issued toslaveholders that provided coverage for damage to or injury ordeath of their slaves) and hasdisclosed in this E D S any and all such records to the City. In addition, the Disclosing Party mustdisclose the names of any and all slaves or slaveholders described in those records. Failure tocomply with these disclosure requirements may make the Matter to which this E D S pertains voidableby the City.Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing Party mustdisclose below or in an attachment to this E D S 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 ofthe Disclosing Party and any and all predecessor entities for records of investments or profits fromslavery, the slave industry, or slaveholder insurance policies, and (b) the Disclosing Party has foundno records of investments or profits from slavery, the slave industry, or slaveholder insurancepolicies 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, theDisclosing 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 DisclosingParty verifies that the following constitutes f u l l disclosure of all such records:

SECTION VI ~ CERTIFICATIONS FOR FEDERALLY-FUNDED MATTERSN O T E : If the Matter is federally funded, complete this Section V I . If the Matter is not federallyfunded, proceed to Section V I I .A . C E R T I F I C A T I O N R E G A R D I N G L O B B Y I N G

I. List below the names of all persons or entities registered under the federal LobbyingDisclosure A ct of 1995 who have made lobbying contacts on behalf of the Disclosing Party withrespect to the Matter: (Begin list here, add sheets as necessary):

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(If no explanation appears or begins on the lines above, or i f the letters " N A " or i f the word "None"appear, it will be conclusively presumed that the Disclosing Party means that N O persons or entitiesregistered under the Lobbying Disclosure A ct of 1995 have made lobbying contacts on behalf oftheDisclosing Party with respect to the Matter.)

2. The Disclosing Party has not spent and will not expend any federally appropriated funds topay any person or entity listed in Paragraph A . 1. above for his or her lobbying activities or to pay anyperson or entity to influence or attempt to influence an officer or employee of any agency, as definedby applicable federal law, a member of Congress, an officer or employee of Congress, or anemployee 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 cooperativeagreement.

3. The Disclosing Party will submit an updated certification at the end of each calendar quarterin which there occurs any event that materially affects the acciiracy of the statements and informationset 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 orwill be paid to any person or entity fo r influencingor attempting to influencean officer or employeeof any agency (as defined by applicable federal law), a member of Congress, an officer or employeeof Congress, or an employee of a member of Congress in connection with the Matter, the DisclosingParty must complete and submit Standard F o r m - L L L , "Disclosure Form to Report Lobbying," inaccordance with its instractions. The form may be obtained online from the federal Office ofManagement and Budget ( O M B ) 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 section501(c)(4) ofthe Intemal Revenue Code of 1986; or (ii) it is an organization described in section501(c)(4) of the Intemal Revenue Code of 1986 but has not engaged and will not engage in"Lobbying Activi t ies".

5. If the Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equalin form and substance to paragraphs A . l . through A . 4 . above from all subcontractors before itawards any subcontract and the Disclosing Party must maintain all such subcontractors' certificationsfo r the duration of the Matter and must make such certifications promptly available to the City uponrequest.

B . C E R T I F I C A T I O N R E G A R D IN G E Q U A L E M P L O Y M E N T O P P O R T U N I T YIf the Matter is federally funded, federal regulations require the Applicant and all proposedsubcontractors to submit the following information with their bids or in writing at the outset ofnegotiations.

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Is the Disclosing Party the Applicant?M Y e s []No

If "Yes ," answer the three questions below:1. Have you developed and do you have on file affirmative action programs pursuant toapplicable federal regulations? (See 41 C F R Part 60-2.)[]Yes [^No2. Have you filed with the Joint Reporting Committee, the Director ofthe Office ofFederal

Contract Compliance Programs, or the Equal Employment Opportunity Commission all reports dueunder the applicable filing requirements?

[]Yes [2No3. Have you participated in any previous contracts or subcontracts subject to theequal opportunity clause?[]Yes [^No

Ifyou checked " N o " to question I. or 2. above, please provide an explanation:MATTER IS NOT F E D E R A L L Y F U N D E D .

SECTION VII - A C KN O W L E D GM E N T S , C O N T RA C T INCORPORATION,C O M P L I A N C E , PENALTIES, DISCLOSUREThe Disclosing Party understands and agrees that;A . B y completing and filing this E D S , the Disclosing Party acknowledges.and agrees, on behalf ofitself and the persons or entities named in this E D S , that the City may investigate thecreditworthiness of some or all of the persons or entities named in tbis E D S .B . The certifications, disclosures, and acknowledgments contained in this E D S wil l become part ofany 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'sexecution of any contract or taking other action with respect to the Matter. TheDisclosing Partyunderstands that it must comply with all statutes, ordinances, and regulations on which this E D S isbased.C . The City's Govemmental Ethics and Campaign Financing Ordinances, Chapters 2-156 and 2-164ofthe Munic ipa l Code, impose certain duties and obligations on persons or entities seeking Ci tycontracts, work, business, or transactions. The full text of these ordinances and a training program isavailable on line at www.citvofchicago.org/Ethics.and may also be obtained from the City's Boardof Ethics, 740 N . Sedgwick St., Suite 500, Chicago, IL 60610, (312) 744-9660. The Disclosing Partymust comply ful ly with the applicable ordinances.

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D . If the City determines that any information provided in this E D S is false, incomplete orinaccurate, any contract or other agreement in connection with which it is submitted may berescinded or be void or voidable, and the City may pursue any remedies under the contract oragreement (if not rescinded, void or voidable), at law, or in equity, including terminating theDisclosing Party's participation in the Matter and/or declining to allow the Disclosing Party toparticipate in other transactions with the City. Remedies at law fora false statement of material factmay 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 Intemet site and/or uponrequest Some or all of the information provided on this E D S and any attachments to this E D S maybe made available to the public on the Intemet, in response to a Freedom of Information A ct request,or otherwise. B y completing and signing this E D S , the Disclosing Party waives and releases anypossible rights or claims which it may have against the City in connection with the public release ofinformation contained in this E D S and also authorizes the City to verify the accuracy of anyinformation submitted in this E D S .F . The infonnation provided in this E D S must be kept current. In the event of changes, theDisclosing Party must supplement this E D S up to the time the City takes action on the Matter. If theMatter is a contract being handled by the City's Department of Procurement Services, the DisclosingParty must update this E D S 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 theDisclosing Party, or as to the Matter, or any infonnation, data or plan as to the intended use orpurpose for which the Applicant seeks City Counci l or other City agency action.For purposes of the certifications in H . l . and H . 2 . below, the term "affiliate" means any person orentity 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 controlinclude, without limitation: interlocking management or ownership; identity of interests amongfamily members; shared facilities and equipment; common use of employees; or organization of abusiness entity following the ineligibility of a business entity to do business with the federalgovemment or a state or local govemment, including the City, using substantially the samemanagement, ownership, or principals as the ineligible entity.H . l . TheDisclosing Party is not delinquent in the payment of any tax administered by the IllinoisDepartment 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 wil l not use, norpermit their subcontractors to use, any facility on the U . S . EPA 's Lis t o f Violating Facilities inconnection with the Matter for the duration o f time that such facility remains on the list.

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H.3 If the Disclosing Party is the AppHcant, the Disclosing Party wil l obtain from anycontractors/subcontractors hired or to be hired in connection with the Matter c^ertifications equal inform and substance to those in H . l . and H.2. above and wil l not, without the prior written consent ofthe City , use any such contractor/subcontractor that does not provide such certifications or that theDisclosing Party has reason to believe has not provided or cannot provide truthful certifications.N O T E ; If the Disclosing Party cannot certify as to any ofthe items in H . L , H . 2 . or H.3. above, anexplanatory statement must be attached to this E D S .

CERTI F I CA TI ONUnder penalty of perjury, the person signing below: (1) wanants that he/she is authorized to executethis E D S on behalf of the Disclosing Party, and (2) warrants that all certifications and statementscontained in this E D S are true, accurate and complete as ofthe date fumished to the City .

COLIN BRYAR Date: APRIL, 26, 2011(Print or type name of Disclosing Party)B y;

uien here'i /sign here)C O LI N B R Y A R

(Print or type name of person signing)A P P L I C A N T

(Print or type title of person signing)

Signed and swom to before me on (date)at ^ K y ^ County, 6- 0^ (state). ^

^ / ^ " ^ " Notary PublicCommission expires;li l 1 2 ^

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CITY OF CHICAGOECONOMIC DISCLOSURE STATEMENT AND AFFIDAVITAPPENDIX A

FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS ANDDEPARTMENT HEADS

ThisAppendix is to be completed only by (a) the Applicant, and (b)any legal entitywhich has adirect ownership interest in the Applicant exceeding 7.5 percent It is not to becompleted by any legal entitywhich has only an indirectownership interest in theApplicantUnder Municipal Code Section 2-154-015, fhe Disclosing Party must disclose whethersuch Disclosing Party or any "AppUcable Party" or any Spouse or Domestic Partner thereofcurrently has a "familial relationship" with any elected city official or department head. A"familial relationship" exists if , as of the date this ED S is signed, the Disclosing Party or any"Applicable Party" or any Spouse or Domestic Partner thereof is related, by blood or adoption, tothe mayor, any alderman, the city clerk, the city treasurer or any city department head as parent,child, brother or sister, aimt 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 (I) all corporate officers ofthe Disclosing Party, i f theDisclosing Party is a corporation; all partners ofthe Disclosing Party, if the Disclosing Party is ageneral partaership; all general partaers and limited partners ofthe Disclosing Party, i f theDisclosing Party is a limited partnership; all managers, managing members and members oftheDisclosing Party, if the Disclosing Party is a limited Uability company; (2) aU principal officersofthe Disclosing Party; and (3) any person having more than a 7.5 percentownership interest inthe Disclosing Party. "Principal officers" means the president, chief operating officer, executivedirector, chief financial officer, treasurer or secretary of a legal entity or anyperson exercisingsimilar authority.Does the Disclosing Party or any "AppUcable Party" or any Spouse or Domestic Partnerthereof currentiy have a "familial relationship" with an elected city official or department head? Yes ^ N oIf yes, please identify below (1) the name and itleof such person, (2) the name ofthelegal entity to which such person is connected; (3) the name and titie of the elected city official ordepartment head to whom such person has a famiUal relationship, and (4) the precise nature of


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such familial relationship.

C E R T E F I C A T I O NUnder penalty of perjury, the person signing below: (1) warrants that he/she is authorized toexecute this EDS on behalf of the Disclosing Party, and (2) warrants that all certifications andstatements contained in this EDS are tme, accurate and complete as of the date fumished to theCity.

C O L I N B R Y AR(Print or type name of DisclosingParty)

Date: A P R I L 26, 201 1

By:

(Sign here) V

C O L I N B RY A R(Print or type name of person signing)

A P P L I C A N T(Print or type title of person signing)

Signed and swom tobefore me on (date) / A p A vj ^ "Z-Ce*at K - t ^ Coimty, 6 ^ 1 ^ (State).^ ^ T ^

Commission expires; 111NotaryPublic.

^by


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SURVE YO RS NO T E SJ) Area of property surveyed is 55,853 sq. ft. or 1.28 2 acres.2) Area of building as measured at the exterior w alls is 8,521 sq. ft., or 0.1 96 ac3) Total parking spaces are 79 regular and 4 handicappe d.

^4) Represents co rresponding letter Item in Schedule "B" of Chicago Title Compan y's Alta Commitme nt Order No. 1401 0088501 95 Dl, with an edate of February 17, 2011. (Plotted hereon)

5) Zoning of property is "Ml-1 " Limited Manufacturing/Business Park DYard Requi rements

Maximum Foo r Area Ratio (FAR) = 1.2Lot AreaThere are no minimum lot area standards in the M districts.

Lot frontageThere are no minimum lot frontage standards in the M districts.


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ALTA/ACSM LAND TLTLF SURVEYA parcel of land in Lot 2 of COUNTY CLERK'S DIVISON OF UNSUBDIVIDED LAND of the Southeast Quarter of Section 24, Township 40 North,Range 13 East of the Third Principal Meridian, bounded and described as follois: Comme ncing at the point of intersection in the Southline of West Addison Street (66 feet w ide) with the Easterly l ine of the North branch of the Chicago River as established by theSanitary District o f Chicago by deeds thence South 89 deg rees 10 minutes 30 seconds East along the South l ine of West Addison Street adistance of 157.99 feet to the point o f beginning of land to b e described: thence continue South 89 degrees 10 minutes 3 0 seconds Eastalong the South l ine of West Addison Street a distance of 259.01 feet to th e West l ine of North Rockw ell Street, thence South 00degrees 00 minutes 00 seconds East a distance of 174.98 feet, thence South 90 degrees 00 minutes 00 seco nds West a distance of 338.38feet to a l ine 50 feet N ortheasterly of and parallel with the Easterly l ine of the No rth branch of the Chicag o River as established bythe Sanitary District of Chicago by deeds, thence North 08 degrees 47 minutes 19 seconds West along said parallel l ine a distance of72.77 feet to the Southeaste rly l ine of property owned by the Commonwealth Edison Company, thence North 46 degrees 06 minutes 34seconds East along said Southeasterly l ine a distance of 125 .20 feet to a point 20.0 feet Southerly of the So uth l ine of West AddisonStreet then ce North 00 degrees 49 minutes 30 seconds East a distance of 20.0 fee t, to the point of beginning n Cook County, Il l inois.2633 W. Addison StreetStreet Chicago, IL

DEMISES DEEDED TO COMMONWEALTH EDISON COMPANY:R SPECIAL WARRANTY DEED DATED JULY 22. 1969 ANDXORDED JULY 31, 1069 flSDOCUNENT 20916094


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LEGEND

o

EXISTING WATER MAINEXISTING SAN ITARY SEWEREXISTING STORM SEWEREXISTING GAS MAINEXISTING UNDERGROU ND ELECTRICEXISTING UNDERGROUND TELEPHONEEXISTING MANHOLEEXISTING WATER VALVE VAULTEXISTING CURB INLETEXISTING INLETEXISTING CATCH BASINEXISTING FLARED END-SECTIONEXISTING HYDRANTEXISTING HYDRANT VALVEEXISTING LIGHT POLEEXISTING UTILITY POLE


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S SOVtyoa" W 338.3^(dmd measure)


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STATE OF ILLINOIS ))S.S

COUNTY OF LAKE )To:Chicago Title Insurance Company

This is to certify that this plat and the survey on which it is based was made in accordance with the"Minimum Standa rd Detail Requirements for ALTA/A CSM Land Title Surveys", jointly estab lished and adopted bythe American La nd Title Association, Am erican C ongress On Surveying and Mapping in 2005 and includes items1. 4, 7(a). 7(a), 7 (b). 7(c ). 8, 9. W, 11(a) . 11(b). 14, 16 and 18 of Table A the reofPursuant to the accuracy standa rds as adopted by ALTA and NSPS and in effect on the date of this certification,undersigned further certifies that in my professional opinion, as a land surveyor registered in the State of Illinois,the Relative Positional Accur acy of this survey does not exceed that which is specified there in.We further certify that the plat hereon drawn to a scale of 20 feet per 1 inch is a true representation of said survey.Dated at Beach Park. Lake County. Illinois this 21st day of April, A.D.. 2011

HOWARD SURVEYING CO..MC.

Douglas L H oward, P.L.S.


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SCALK- r= 20'

state farm proposed day care center

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