This document provides a summary of a contract between Patrick Engineering Inc. and the Chicago Department of Transportation. The contract number is C029725 for professional services with a maximum compensation of $4,543.51. It includes a certification that no city officials have a financial interest in the contract.
This document is Plaintiff Trai Buduveanu's brief response opposing Defendants' motion to strike Plaintiff's motions to compel supplemental motions and motion to stay discovery from Plaintiff. It argues that:
1. Defendants filed a motion to strike Plaintiff's motions on October 12, 2011.
2. Defendants have not fully answered written interrogatories or produced requested documents, invoking vague reasons without a protective order. Plaintiff argues Defendants should be compelled to fully respond.
3. The motion does not violate scheduling orders and deadlines as Defendants claim, and discovery disputes should adhere to the discovery procedures in the court's orders.
1) The document is a certificate of death for Maria Buduveanu, who passed away on March 4, 2022 in Broward County, Florida.
2) The immediate cause of death was listed as heart failure due to hypertension.
3) Traian Buduveanu is listed as the informant on the certificate.
1. The plaintiff, Traian Bujduveanu, filed a motion for summary judgment in a civil case against Dimas Charteris House and employees Derek Thomas, Lashanda Adams, and Ana Gipert.
2. The plaintiff alleges that while residing at Dimas Charteris House halfway house, a residential reentry center, he was constantly harassed, intimidated, and humiliated without regard to his medical conditions or religious beliefs in violation of his civil rights.
3. Specifically, the plaintiff argues that he was denied religious accommodations, discriminated against due to his religion and national origin, and that his requests for medical documentation were ignored constituting mistreatment.
This inventory and receipt form documents personal belongings given to an inmate named Jose Rodriguez upon intake at Dismas Charities, including clothing, shoes, hygiene items, address book, and legal documents. The inmate signed acknowledging receipt of the listed items and the reason for inventory was noted as intake.
Movant was incarcerated at FDC Miami with various medical conditions including Hepatitis C, diabetes, and chronic fatigue syndrome. While imprisoned, Movant's conditions limited his ability to engage in physical activity and work duties. Movant provided over 1,000 pages of medical records from various healthcare providers to prison officials documenting his conditions. Defendant was aware of Movant's medical conditions but denied him reasonable accommodations.
This document is a response by the plaintiff to the defendants' reply in support of their supplemental motion for summary judgment. It contains:
1) A statement that the defendants rely only on statements made by Dimas in their motion, who had access to records as an employee.
2) An assertion that the plaintiff seeks examination of the Federal agency responsible for his detention and the records of his grievances, which he says were destroyed by the defendants.
3) A request that the court issue an order for an independent investigation into the alleged criminal activities of Dimas and his company regarding destruction of records and denial of the plaintiff's constitutional rights.
This document is a motion requesting permission to travel outside the United States to seek medical treatment. It summarizes the plaintiff's various medical conditions including Hepatitis C, liver cirrhosis, and diabetes. It details recent medical treatment received in Europe and describes a new treatment program in Ukraine. The motion requests the court's permission to travel abroad for this medical care, as the proposed treatment has not been approved by the FDA and is therefore not available in the US.
This document is Plaintiff Trai Buduveanu's brief response opposing Defendants' motion to strike Plaintiff's motions to compel supplemental motions and motion to stay discovery from Plaintiff. It argues that:
1. Defendants filed a motion to strike Plaintiff's motions on October 12, 2011.
2. Defendants have not fully answered written interrogatories or produced requested documents, invoking vague reasons without a protective order. Plaintiff argues Defendants should be compelled to fully respond.
3. The motion does not violate scheduling orders and deadlines as Defendants claim, and discovery disputes should adhere to the discovery procedures in the court's orders.
1) The document is a certificate of death for Maria Buduveanu, who passed away on March 4, 2022 in Broward County, Florida.
2) The immediate cause of death was listed as heart failure due to hypertension.
3) Traian Buduveanu is listed as the informant on the certificate.
1. The plaintiff, Traian Bujduveanu, filed a motion for summary judgment in a civil case against Dimas Charteris House and employees Derek Thomas, Lashanda Adams, and Ana Gipert.
2. The plaintiff alleges that while residing at Dimas Charteris House halfway house, a residential reentry center, he was constantly harassed, intimidated, and humiliated without regard to his medical conditions or religious beliefs in violation of his civil rights.
3. Specifically, the plaintiff argues that he was denied religious accommodations, discriminated against due to his religion and national origin, and that his requests for medical documentation were ignored constituting mistreatment.
This inventory and receipt form documents personal belongings given to an inmate named Jose Rodriguez upon intake at Dismas Charities, including clothing, shoes, hygiene items, address book, and legal documents. The inmate signed acknowledging receipt of the listed items and the reason for inventory was noted as intake.
Movant was incarcerated at FDC Miami with various medical conditions including Hepatitis C, diabetes, and chronic fatigue syndrome. While imprisoned, Movant's conditions limited his ability to engage in physical activity and work duties. Movant provided over 1,000 pages of medical records from various healthcare providers to prison officials documenting his conditions. Defendant was aware of Movant's medical conditions but denied him reasonable accommodations.
This document is a response by the plaintiff to the defendants' reply in support of their supplemental motion for summary judgment. It contains:
1) A statement that the defendants rely only on statements made by Dimas in their motion, who had access to records as an employee.
2) An assertion that the plaintiff seeks examination of the Federal agency responsible for his detention and the records of his grievances, which he says were destroyed by the defendants.
3) A request that the court issue an order for an independent investigation into the alleged criminal activities of Dimas and his company regarding destruction of records and denial of the plaintiff's constitutional rights.
This document is a motion requesting permission to travel outside the United States to seek medical treatment. It summarizes the plaintiff's various medical conditions including Hepatitis C, liver cirrhosis, and diabetes. It details recent medical treatment received in Europe and describes a new treatment program in Ukraine. The motion requests the court's permission to travel abroad for this medical care, as the proposed treatment has not been approved by the FDA and is therefore not available in the US.
This letter from the IRS informs Kids Voting Mecklenburg County that its business name has been changed as requested. The letter provides the organization's new Taxpayer Identification Number and notes corrected tax forms will arrive in 5-6 weeks. The letter also states that the organization has been determined to be a private foundation under Section 501(c)(3) of the tax code.
The article discusses the installation of a new fueling system at Faro Blanco Resort & Yacht Club in Marathon, Florida by Petroleum Marine Consultants. The system was designed to serve both diesel and gasoline fueled boats while meeting environmental regulations. It included a 20,000 gallon above-ground double-walled tank anchored on a concrete slab to withstand hurricanes. Safety features like leak detection sensors and secondary containment ensure protection against spills or leaks into the sensitive coral reef environment.
This document provides information about mocktail products from Crystal Light Mocktails, specifically an Appletini mocktail and a Margarita mocktail. It includes details like the product description, product number, packaging, shelf life, storage conditions, dimensions, weight, and kosher certification for each mocktail product.
This document provides background information and rationale for proposed modifications to an excise duty exemption notification regarding waste and scrap. It notes that the current notification allows full exemption for waste/scrap generated during manufacture of exempted goods, even when intermediate goods used in dutiable final products are exempted. This could allow some unintended benefits. The proposed modification is to provide exemption only when the entire factory's production is exempted, not just intermediate goods. Extracts from the Finance Minister's budget speech support exempting waste/scrap only when the factory itself is fully exempted from excise control.
The document discusses ambient air quality monitoring that was conducted for a mining project. Seven monitoring stations were established, including one in the core zone and others in buffer zones based on a modeling approach. Parameters monitored included suspended particulate matter, sulfur dioxide, nitrogen oxides, and carbon monoxide. High volume air samplers were used to collect particulate matter on filters and impingers to collect gaseous pollutants. Monitoring was carried out over four seasons to determine baseline ambient air quality and quantify the impact of mining activities on air quality in the study area.
The document discusses ambient air quality monitoring that was conducted for a mining project. Seven monitoring stations were established, including one in the core zone and others in buffer zones based on a modeling approach. Parameters monitored included suspended particulate matter, sulfur dioxide, nitrogen oxides, and carbon monoxide. High volume air samplers were used to collect particulate matter on filters and impingers to collect gaseous pollutants. Monitoring was carried out over four seasons to determine baseline ambient air quality and quantify the impact of mining activities on air quality in the study area.
The document discusses HP's converged infrastructure portfolio, which brings together servers, storage, networking, power and cooling, and management software. It notes that traditional IT infrastructures split these functions, taking up too much resources and limiting business innovation. HP aims to address this with integrated solutions that improve efficiency and agility.
Running head CONSIDERATION FOR OPERATION1CONSIDERATION BY.docxsusanschei
Running head: CONSIDERATION FOR OPERATION
1
CONSIDERATION BY OPERATION
2
Unit II
General Consideration for Operations
Quienna Jackson
MEE 6501
April 1, 2016
Abstract
The paper outlines the surface coating requirements that must be met to receive a permit from Texas Commission on Environmental Quality. It outlines the general consideration that must be reviewed to meet the requirements. The maintenance of safety data sheets and the assigned coating and solvent coatings per week are necessary.
Keywords: permit by rule, safety, solvent, coating
General Considers for Operations
Texas Car Body Repairs is constructing a facility with an interior lining that has been carefully designed. The Texas laws and EPA regulations require the facility to have an air permit before any construction starts. The written Air permit must align the interior surface coating of the facility with the federal laws on air quality. The information presented in the table is crucial in determining the requirements that must be met in the written air application permit.
Interior Liner Coating Material
10 gallons coating/vehicle
2 gallons of solvent/vehicle
Vehicle Lining Application
Apply interior liners to two (2) vehicles/day
Work five (5) hours/day and four (4) days/week Vehicle Lining Curing
Vehicle Lining Curing
Cure interior liners of two (2) vehicles/day
Work five (5) hours/day and four (4) days/week
Interior Liner Cure
Heater fuel source is natural gas-fired drying oven
Heater generates 2.1 million (MM) Btu/hr at maximum 2,500 hrs/year
Vehicle Lining Design
Cross-draft air plenum
Vehicle interior is the spray area
Exhaust Fan
10,000 ft3/min (CFM)
1 exhaust fan
Air Makeup Unit
5760 ft3/min (CFM)
1 air makeup
Filter Openings
20.0 ft2 each
Two (2) filter openings
Coating WV
VOC content
2.8 lb/gal coating Coating VM
Water Content
Per gal/coating
1.0 lb/gal
Water Density
Per gal/water
8.34 lb/gal
Coating VW
Water volume
Calculation
Exempt-solvent Content
Per gal/coating
0.5 lb/gal
Exempt-solvent Density
Per gal/exempt solvent
6.64 lb/gal
Coating Ves
Exempt solvent volume
Calculation
The facility must meet the requirements outlined in the surface coating PBR as explained in 30 TAC 106.433. Based on the spray that the company intends to use it is necessary to maintain impeccable housekeeping practices to keep the facility safe. The immediate cleaning of all spills is mandatory. The company has a 10,000 ft3/min exhaust fan that will always run when spray equipment is being cleaned. The interior liner cure uses a heater powered by natural gas. The heater does not exceed the limit 40 million British thermal units per hour as stipulated in the law. The facility heater emits a heat of 2.1 Btr/hr.
The components of the Material Safety Data Sheet can help in checking if the company meets the limits specified for volatile uncontrolled organic compounds (Godish, Davis & Fu, 2015). The company uses 1,040 gallons (per because it ...
The document provides an overview of the status and activities of Work Package 10 of the LOD2 project, which focuses on training, dissemination, community building, and cross-fertilization efforts. It describes the tasks, timeline, deliverables, dissemination channels, training activities, and PubLink consulting service that have been carried out so far by the 10 partners involved in Work Package 10. Short tutorials are also provided on contributing to the LOD2 blog and wiki.
This document outlines simplified procedures for issuing Stamp Duty Exemption Eligibility Certificates (SDECs) to MSMEs under the Package Scheme of Incentives 2013. Key points:
1. Land/premises assessment will be done automatically if within specified caps of 3,000/12,000/25,000 sq meters for micro/small/medium enterprises. Assessment only required for larger plots.
2. Process will have maximum 2 levels (inspector, manager) and 2 working days for SDEC issuance.
3. SDEC will cover all six acts of Bombay Stamp Act and be valid for 3 years for first issuance. Amendments can be filed for project
This document summarizes 6 court cases related to payments and prices in construction contracts:
1. Bengal Nagpur Railway Company vs Ruttanji Ramji (1937) - Contractor was paid Rs. 66,980 for work completed after original rates were abandoned by mutual consent, though new rates were not agreed upon.
2. Salwan Construction vs Union of India (1977) - Contractor was awarded Rs. 5.20198 lakhs plus interest for additional costs due to owner's breach of contract by delaying site possession and drawings.
3. Associated engineering co. vs Government of AP (1991) - Arbitrator's award on price escalation of some items was rejected as being outside
The document discusses a presentation about a 300 kW MW transmitter by R.Narasimha Swamy. It describes how RF power is generated by connecting RF amplifier modules in series and parallel combinations. The functional blocks of the transmitter include a high voltage DC power supply, RF driver amplifier, 255 RF power amplifiers arranged on racks, an RF adaptation unit, filter, and control electronics. It also discusses the principles of serial, parallel and mixed combinations of modules and provides examples of Thales solutions.
Gb2013 frank goodwin_ international zinc associationGalvabrasil
This document discusses shipbuilding and port infrastructure in Brazil. It notes that Brazil has 47 shipyards employing 59,000 workers, with 6.2 million DWT under order. The most important ports are listed. Details are provided on some of the largest shipyards and their areas of specialization. The document also discusses port facilities and investments in several ports. Case studies of galvanized structures in ports around the world are presented, showing corrosion protection of 20 years or more. It concludes that galvanized steel could be an important material for Brazilian ports but often a duplex coating system would be needed for the severe marine environments.
TCEQ REGULATORY GUIDANCE Small Business and Environmental As.docxssuserf9c51d
TCEQ REGULATORY GUIDANCE
Small Business and Environmental Assistance Division
RG-404 ● February 2011
T E XA S C O MMIS SI O N O N EN V I RO N ME N TA L Q UA LI TY • P O BO X 1 3 0 8 7 • A U ST I N, T X 7 8 7 1 1 - 3 0 8 7
T h e T C E Q i s a n e q u a l o p p o r t u n i t y e m p l o y e r . T h e a g e n c y d o e s n o t a l l o w d i s c r i m i n a t i o n o n t h e b a s i s o f r a c e , c o l o r , r e l i g i o n , n a t i o n a l o r i g i n , s e x , d i s a b i l i t y , a g e ,
s e x u a l o r i e n t a t i o n , o r v e t e r a n s t a t u s . I n c o m p l i a n c e w i t h t h e A m e r i c a n s w i t h D i s a b i l i t i e s A c t , t h i s d o c u m e n t m a y b e r e q u e s t e d i n a l t e r n a t e f o r m a t s b y c o n t a c t i n g
t h e T C E Q a t 5 1 2 - 2 3 9 - 0 0 2 8 , f a x 5 1 2 - 2 3 9 - 4 4 8 8 , o r 1 - 8 0 0 - R E L A Y - T X ( T D D ) , o r b y w r i t i n g P O B o x 1 3 0 8 7 , A u s t i n T X 7 8 7 1 1 - 3 0 8 7 . W e a u t h o r i z e y o u t o u s e o r
r e p r o d u c e a n y o r i g i n a l m a t e r i a l c o n t a i n e d i n t h i s p u b l i c a t i o n — t h a t i s , a n y m a t e r i a l w e d i d n o t o b t a i n f r o m o t h e r s o u r c e s . P l e a s e a c k n o w l e d g e t h e T C E Q a s y o u r
s o u r c e . P r i n t e d o n r e c y c l e d p a p e r .
Surface Coating Facilities
A Guide for Obtaining Air Authorization in Texas
Contents
Introduction ...................................................................................................................................................... 2
Which Air Authorization Applies to You? ............................................................................................... 2
De Minimis ......................................................................................................................................................... 2
Permit by Rule .................................................................................................................................................... 3
New Source Review Permit................................................................................................................................. 7
Title V Federal Operating Permit....................................................................................................................... 7
Other Requirements ....................................................................................................................................... 8
General Air Quality Rules (30 TAC 101) ........................................................................................................... 8
Nonattainment and Near-Nonattainment Areas (30 TAC 115) .......................................................................... 9
New Source Performance Standards (40 CFR, Par ...
Massey ferguson mf390 tractor parts catalogue manualfjjskqweekfsmem
This document provides a parts book index for a tractor. It includes 3 sections:
1. General information section with symbols, group indexes and notes on parts numbering.
2. Illustrations section with part numbers and references.
3. Numeric index of parts.
The index categorizes parts into groups such as engine, transmission, lighting equipment, front and rear axles, and mechanical accessories to allow users to easily find the relevant information. Special notes provide additional explanation on parts quantity and changes.
Massey ferguson mf383 tractor parts catalogue manualfjjskqweekfsmem
This document provides a parts book index for a tractor. It includes 3 sections:
1. General information section with symbols, group indexes and notes on parts numbering.
2. Illustrations section with part numbers and references.
3. Numeric index of parts.
The index categorizes parts into groups for various tractor systems and components to allow users to easily find the relevant parts illustrations and information. Special notes provide details on parts quantity and the meaning of symbols used in the book.
Massey ferguson mf360 tractor parts catalogue manualfjjkskefmsemwe
This document provides a parts book index for a tractor. It includes 3 sections:
1. General information section with symbols, group indexes and notes on parts numbering.
2. Illustrations section with part numbers and references.
3. Numeric index of parts.
The index categorizes parts into groups such as engine, transmission, lighting equipment, front and rear axles, and mechanical accessories to allow users to easily find the relevant information. Special notes provide additional details on parts numbering and quantity required.
Massey ferguson mf375 tractor parts catalogue manualfjjskqweekfsmem
This document provides a parts book index for a tractor. It includes 3 sections:
1. General information section with symbols, group indexes and notes on parts numbering.
2. Illustrations section with part numbers and references.
3. Numeric index of parts.
The index categorizes parts into groups for various tractor systems and components to allow users to easily find the relevant parts illustrations and information. Special notes provide details on parts quantity and the meaning of symbols used in the book.
Massey ferguson mf399 tractor parts catalogue manualfjjskkdmnsme
This document provides a parts book index for a tractor. It includes 3 sections:
1. General information section with symbols, group indexes and notes on parts numbering.
2. Illustrations section with part numbers and references.
3. Numeric index of parts.
The index categorizes parts into groups such as engine, transmission, lighting equipment, front and rear axles, and mechanical accessories to allow users to easily find the relevant information. Special notes provide additional explanation on parts quantity and changes.
This letter from the IRS informs Kids Voting Mecklenburg County that its business name has been changed as requested. The letter provides the organization's new Taxpayer Identification Number and notes corrected tax forms will arrive in 5-6 weeks. The letter also states that the organization has been determined to be a private foundation under Section 501(c)(3) of the tax code.
The article discusses the installation of a new fueling system at Faro Blanco Resort & Yacht Club in Marathon, Florida by Petroleum Marine Consultants. The system was designed to serve both diesel and gasoline fueled boats while meeting environmental regulations. It included a 20,000 gallon above-ground double-walled tank anchored on a concrete slab to withstand hurricanes. Safety features like leak detection sensors and secondary containment ensure protection against spills or leaks into the sensitive coral reef environment.
This document provides information about mocktail products from Crystal Light Mocktails, specifically an Appletini mocktail and a Margarita mocktail. It includes details like the product description, product number, packaging, shelf life, storage conditions, dimensions, weight, and kosher certification for each mocktail product.
This document provides background information and rationale for proposed modifications to an excise duty exemption notification regarding waste and scrap. It notes that the current notification allows full exemption for waste/scrap generated during manufacture of exempted goods, even when intermediate goods used in dutiable final products are exempted. This could allow some unintended benefits. The proposed modification is to provide exemption only when the entire factory's production is exempted, not just intermediate goods. Extracts from the Finance Minister's budget speech support exempting waste/scrap only when the factory itself is fully exempted from excise control.
The document discusses ambient air quality monitoring that was conducted for a mining project. Seven monitoring stations were established, including one in the core zone and others in buffer zones based on a modeling approach. Parameters monitored included suspended particulate matter, sulfur dioxide, nitrogen oxides, and carbon monoxide. High volume air samplers were used to collect particulate matter on filters and impingers to collect gaseous pollutants. Monitoring was carried out over four seasons to determine baseline ambient air quality and quantify the impact of mining activities on air quality in the study area.
The document discusses ambient air quality monitoring that was conducted for a mining project. Seven monitoring stations were established, including one in the core zone and others in buffer zones based on a modeling approach. Parameters monitored included suspended particulate matter, sulfur dioxide, nitrogen oxides, and carbon monoxide. High volume air samplers were used to collect particulate matter on filters and impingers to collect gaseous pollutants. Monitoring was carried out over four seasons to determine baseline ambient air quality and quantify the impact of mining activities on air quality in the study area.
The document discusses HP's converged infrastructure portfolio, which brings together servers, storage, networking, power and cooling, and management software. It notes that traditional IT infrastructures split these functions, taking up too much resources and limiting business innovation. HP aims to address this with integrated solutions that improve efficiency and agility.
Running head CONSIDERATION FOR OPERATION1CONSIDERATION BY.docxsusanschei
Running head: CONSIDERATION FOR OPERATION
1
CONSIDERATION BY OPERATION
2
Unit II
General Consideration for Operations
Quienna Jackson
MEE 6501
April 1, 2016
Abstract
The paper outlines the surface coating requirements that must be met to receive a permit from Texas Commission on Environmental Quality. It outlines the general consideration that must be reviewed to meet the requirements. The maintenance of safety data sheets and the assigned coating and solvent coatings per week are necessary.
Keywords: permit by rule, safety, solvent, coating
General Considers for Operations
Texas Car Body Repairs is constructing a facility with an interior lining that has been carefully designed. The Texas laws and EPA regulations require the facility to have an air permit before any construction starts. The written Air permit must align the interior surface coating of the facility with the federal laws on air quality. The information presented in the table is crucial in determining the requirements that must be met in the written air application permit.
Interior Liner Coating Material
10 gallons coating/vehicle
2 gallons of solvent/vehicle
Vehicle Lining Application
Apply interior liners to two (2) vehicles/day
Work five (5) hours/day and four (4) days/week Vehicle Lining Curing
Vehicle Lining Curing
Cure interior liners of two (2) vehicles/day
Work five (5) hours/day and four (4) days/week
Interior Liner Cure
Heater fuel source is natural gas-fired drying oven
Heater generates 2.1 million (MM) Btu/hr at maximum 2,500 hrs/year
Vehicle Lining Design
Cross-draft air plenum
Vehicle interior is the spray area
Exhaust Fan
10,000 ft3/min (CFM)
1 exhaust fan
Air Makeup Unit
5760 ft3/min (CFM)
1 air makeup
Filter Openings
20.0 ft2 each
Two (2) filter openings
Coating WV
VOC content
2.8 lb/gal coating Coating VM
Water Content
Per gal/coating
1.0 lb/gal
Water Density
Per gal/water
8.34 lb/gal
Coating VW
Water volume
Calculation
Exempt-solvent Content
Per gal/coating
0.5 lb/gal
Exempt-solvent Density
Per gal/exempt solvent
6.64 lb/gal
Coating Ves
Exempt solvent volume
Calculation
The facility must meet the requirements outlined in the surface coating PBR as explained in 30 TAC 106.433. Based on the spray that the company intends to use it is necessary to maintain impeccable housekeeping practices to keep the facility safe. The immediate cleaning of all spills is mandatory. The company has a 10,000 ft3/min exhaust fan that will always run when spray equipment is being cleaned. The interior liner cure uses a heater powered by natural gas. The heater does not exceed the limit 40 million British thermal units per hour as stipulated in the law. The facility heater emits a heat of 2.1 Btr/hr.
The components of the Material Safety Data Sheet can help in checking if the company meets the limits specified for volatile uncontrolled organic compounds (Godish, Davis & Fu, 2015). The company uses 1,040 gallons (per because it ...
The document provides an overview of the status and activities of Work Package 10 of the LOD2 project, which focuses on training, dissemination, community building, and cross-fertilization efforts. It describes the tasks, timeline, deliverables, dissemination channels, training activities, and PubLink consulting service that have been carried out so far by the 10 partners involved in Work Package 10. Short tutorials are also provided on contributing to the LOD2 blog and wiki.
This document outlines simplified procedures for issuing Stamp Duty Exemption Eligibility Certificates (SDECs) to MSMEs under the Package Scheme of Incentives 2013. Key points:
1. Land/premises assessment will be done automatically if within specified caps of 3,000/12,000/25,000 sq meters for micro/small/medium enterprises. Assessment only required for larger plots.
2. Process will have maximum 2 levels (inspector, manager) and 2 working days for SDEC issuance.
3. SDEC will cover all six acts of Bombay Stamp Act and be valid for 3 years for first issuance. Amendments can be filed for project
This document summarizes 6 court cases related to payments and prices in construction contracts:
1. Bengal Nagpur Railway Company vs Ruttanji Ramji (1937) - Contractor was paid Rs. 66,980 for work completed after original rates were abandoned by mutual consent, though new rates were not agreed upon.
2. Salwan Construction vs Union of India (1977) - Contractor was awarded Rs. 5.20198 lakhs plus interest for additional costs due to owner's breach of contract by delaying site possession and drawings.
3. Associated engineering co. vs Government of AP (1991) - Arbitrator's award on price escalation of some items was rejected as being outside
The document discusses a presentation about a 300 kW MW transmitter by R.Narasimha Swamy. It describes how RF power is generated by connecting RF amplifier modules in series and parallel combinations. The functional blocks of the transmitter include a high voltage DC power supply, RF driver amplifier, 255 RF power amplifiers arranged on racks, an RF adaptation unit, filter, and control electronics. It also discusses the principles of serial, parallel and mixed combinations of modules and provides examples of Thales solutions.
Gb2013 frank goodwin_ international zinc associationGalvabrasil
This document discusses shipbuilding and port infrastructure in Brazil. It notes that Brazil has 47 shipyards employing 59,000 workers, with 6.2 million DWT under order. The most important ports are listed. Details are provided on some of the largest shipyards and their areas of specialization. The document also discusses port facilities and investments in several ports. Case studies of galvanized structures in ports around the world are presented, showing corrosion protection of 20 years or more. It concludes that galvanized steel could be an important material for Brazilian ports but often a duplex coating system would be needed for the severe marine environments.
TCEQ REGULATORY GUIDANCE Small Business and Environmental As.docxssuserf9c51d
TCEQ REGULATORY GUIDANCE
Small Business and Environmental Assistance Division
RG-404 ● February 2011
T E XA S C O MMIS SI O N O N EN V I RO N ME N TA L Q UA LI TY • P O BO X 1 3 0 8 7 • A U ST I N, T X 7 8 7 1 1 - 3 0 8 7
T h e T C E Q i s a n e q u a l o p p o r t u n i t y e m p l o y e r . T h e a g e n c y d o e s n o t a l l o w d i s c r i m i n a t i o n o n t h e b a s i s o f r a c e , c o l o r , r e l i g i o n , n a t i o n a l o r i g i n , s e x , d i s a b i l i t y , a g e ,
s e x u a l o r i e n t a t i o n , o r v e t e r a n s t a t u s . I n c o m p l i a n c e w i t h t h e A m e r i c a n s w i t h D i s a b i l i t i e s A c t , t h i s d o c u m e n t m a y b e r e q u e s t e d i n a l t e r n a t e f o r m a t s b y c o n t a c t i n g
t h e T C E Q a t 5 1 2 - 2 3 9 - 0 0 2 8 , f a x 5 1 2 - 2 3 9 - 4 4 8 8 , o r 1 - 8 0 0 - R E L A Y - T X ( T D D ) , o r b y w r i t i n g P O B o x 1 3 0 8 7 , A u s t i n T X 7 8 7 1 1 - 3 0 8 7 . W e a u t h o r i z e y o u t o u s e o r
r e p r o d u c e a n y o r i g i n a l m a t e r i a l c o n t a i n e d i n t h i s p u b l i c a t i o n — t h a t i s , a n y m a t e r i a l w e d i d n o t o b t a i n f r o m o t h e r s o u r c e s . P l e a s e a c k n o w l e d g e t h e T C E Q a s y o u r
s o u r c e . P r i n t e d o n r e c y c l e d p a p e r .
Surface Coating Facilities
A Guide for Obtaining Air Authorization in Texas
Contents
Introduction ...................................................................................................................................................... 2
Which Air Authorization Applies to You? ............................................................................................... 2
De Minimis ......................................................................................................................................................... 2
Permit by Rule .................................................................................................................................................... 3
New Source Review Permit................................................................................................................................. 7
Title V Federal Operating Permit....................................................................................................................... 7
Other Requirements ....................................................................................................................................... 8
General Air Quality Rules (30 TAC 101) ........................................................................................................... 8
Nonattainment and Near-Nonattainment Areas (30 TAC 115) .......................................................................... 9
New Source Performance Standards (40 CFR, Par ...
Massey ferguson mf390 tractor parts catalogue manualfjjskqweekfsmem
This document provides a parts book index for a tractor. It includes 3 sections:
1. General information section with symbols, group indexes and notes on parts numbering.
2. Illustrations section with part numbers and references.
3. Numeric index of parts.
The index categorizes parts into groups such as engine, transmission, lighting equipment, front and rear axles, and mechanical accessories to allow users to easily find the relevant information. Special notes provide additional explanation on parts quantity and changes.
Massey ferguson mf383 tractor parts catalogue manualfjjskqweekfsmem
This document provides a parts book index for a tractor. It includes 3 sections:
1. General information section with symbols, group indexes and notes on parts numbering.
2. Illustrations section with part numbers and references.
3. Numeric index of parts.
The index categorizes parts into groups for various tractor systems and components to allow users to easily find the relevant parts illustrations and information. Special notes provide details on parts quantity and the meaning of symbols used in the book.
Massey ferguson mf360 tractor parts catalogue manualfjjkskefmsemwe
This document provides a parts book index for a tractor. It includes 3 sections:
1. General information section with symbols, group indexes and notes on parts numbering.
2. Illustrations section with part numbers and references.
3. Numeric index of parts.
The index categorizes parts into groups such as engine, transmission, lighting equipment, front and rear axles, and mechanical accessories to allow users to easily find the relevant information. Special notes provide additional details on parts numbering and quantity required.
Massey ferguson mf375 tractor parts catalogue manualfjjskqweekfsmem
This document provides a parts book index for a tractor. It includes 3 sections:
1. General information section with symbols, group indexes and notes on parts numbering.
2. Illustrations section with part numbers and references.
3. Numeric index of parts.
The index categorizes parts into groups for various tractor systems and components to allow users to easily find the relevant parts illustrations and information. Special notes provide details on parts quantity and the meaning of symbols used in the book.
Massey ferguson mf399 tractor parts catalogue manualfjjskkdmnsme
This document provides a parts book index for a tractor. It includes 3 sections:
1. General information section with symbols, group indexes and notes on parts numbering.
2. Illustrations section with part numbers and references.
3. Numeric index of parts.
The index categorizes parts into groups such as engine, transmission, lighting equipment, front and rear axles, and mechanical accessories to allow users to easily find the relevant information. Special notes provide additional explanation on parts quantity and changes.
Similar to Contract # C029725: Patrick Engineering Contract with City of Chicago (20)
Annual report of the Chicago Community Trust, a community foundation dedicated to improving our region through strategic grant making, civic engagement and inspiring philanthropy.
This document is authored by:
Mr. Glenn G. Wolcott
Mr. Matthew T. Crosby
Office of the General Counsel
U.S. Government Accountability Office
441 G. Street, NW
Washington, DC 20548
VIA EMAIL: crosbym@gao.gov, wolcottg@gao.gov
It is placed here for discoverability and convenience.
SUBJECT: GAO Bid Protests of EDC Consulting, Cybermedia Technologies, Inc. (CTEC), Harmonia Holdings Group, Incentive Technology Group (ITG), Brillient Corporation, Citizant, Inc., Ventera Corporation, BC Digital Services (BCDS), and IntegrityOne Partners (IOP) - B-414175.10 et al. – Agency’s Motion to Dismiss Protests
City of Chicago Tech Plan 18 Month Progress UpdateDaniel X. O'Neil
The document outlines Chicago's 18-month progress report on its technology plan to establish the city as a center of innovation. Key accomplishments include expanding broadband access, especially affordable gigabit internet; increasing public access to technology through initiatives like free WiFi in parks and libraries; growing the tech sector through job growth and training programs; and improving digital education for youth. The plan aims to ensure all residents and communities can participate in and benefit from Chicago's growing digital economy.
The document appears to be a collection of tweets from Daniel X. O'Neil on December 24, 2016. The tweets discuss organizing a youth-led tech career day, sharing principles of open technology for everyone in Chicago, and include hashtags related to books, pictures, inventing things, and being from Chicago while also including Daniel's phone number and email.
This document discusses open data and is divided into three sections - Roots, Impact, and Promise. The Roots section explores the historical context and influences that have helped advance open data initiatives. The Impact section examines how open data has already created benefits. Finally, the Promise section considers the future potential of open data and additional opportunities it may enable.
Federal it-cost-commission-report accelerating-the mission-july 21.2016 Daniel X. O'Neil
This is the work of the FEDERAL COMMISSION ON IT COST, OPPORTUNITY, STRATEGY AND TRANSPARENCY (IT COST): http://tbmcouncil.org/get-involved/it-cost-commission.html
Press release: http://www.prnewswire.com/news-releases/new-report-uncovers-more-than-58-billion-in-potential-savings-from-us-government-technology-spending-300301925.html
CITY OF CHICAGO Office of Inspector General Audit and Program Review Section ...Daniel X. O'Neil
The City of Chicago Office of Inspector General (OIG) is an independent, nonpartisan oversight agency whose mission is to promote economy, efficiency, effectiveness, and integrity in the administration of programs and operation of City government.
The OIG Audit and Program Review (APR) section supports the OIG mission by conducting independent, objective analysis and evaluation of municipal programs and operations, issuing public reports, and making recommendations to strengthen and improve the delivery of public services.
APR audits of Chicago municipal programs and operations are conducted as performance audits in accordance with generally accepted Government Auditing Standards (GAS or “Yellow Book,” December 2011 revision) established by the United States Government Accountability Office. GAS defines “performance audits” as “audits that provide findings or conclusions based on an evaluation of sufficient, appropriate evidence against criteria” (GAS 2.10). In addition to performance audits, APR may also generate non-audit work such as descriptions of programs or other non-evaluative reports.
APR’s role is separate from but complementary to the OIG Investigations section. While Investigations primarily examines allegations of individual misconduct or wrongdoing, APR focuses on the effectiveness and efficiency of programs and processes—not individuals. APR is also distinct from the OIG Hiring Oversight unit, which performs legally mandated audits and reviews of the City’s hiring and employment practices to ensure compliance with the various City hiring Plans.
Smart Chicago is a civic organization that works to improve lives in Chicago through increasing access to technology, improving digital skills, and developing products from data. It focuses on creating infrastructure like hosting apps for civic hackers and providing co-working space. Some of its projects include Foodborne Chicago, which uses Twitter to identify possible food poisoning cases, and the Civic User Testing Group for user experience testing and skills development. Smart Chicago was founded with funding from the MacArthur Foundation and Chicago Community Trust and partners with the City of Chicago.
Smart Chicago is a civic organization devoted to improving lives in Chicago through technology. It works on increasing access to the internet, improving skills for using technology, and developing products from data that contribute to quality of life. Smart Chicago was founded by The John D. and Catherine T. MacArthur Foundation, The Chicago Community Trust, and the City of Chicago. It focuses on infrastructure projects like the Civic User Testing Group and creates software like Foodborne Chicago and Chicago Early Learning.
Smart Chicago is a civic organization that works to improve lives in Chicago through increasing access to the Internet, improving digital skills, and developing data products. It focuses on infrastructure projects like hosting apps and providing co-working space. Key projects include Foodborne Chicago, Chicago Early Learning, and Chicago Works For You. The organization is funded primarily by the MacArthur Foundation and also receives support from the Chicago Community Trust, Sprague Foundation, and Knight Foundation.
GIS Data Sharing Policies & Procedures of the City of Chicago Department of I...Daniel X. O'Neil
The City of Chicago creates and maintains extensive GIS databases to support citywide operations. This data is not subject to FOIA requests, per State of Illinois Bill 1706. Therefore, the distribution of GIS data to external entities, including commercial, educational, not-for-profit, and governmental organizations, is at the prerogative of the City of Chicago.
Data will be shared with external entities based on the following criteria:
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• Only geographical subset area will be distributed, not entire data sets
• Most attribute data will be removed prior to distribution
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• The authoring / business owner of the information shared must be consulted and notified.
The Chicago Police Department’s Information Collection for Automated Mapping...Daniel X. O'Neil
Computerized mapping is emerging as an effective tool to help police departments track criminal activity in neighborhoods. Combined with a technique known as geocoding (which verifies addresses and links other geographic information with them), computer mapping software can combine data sets to provide a multidi- mensional view of crime and its potential contributing factors.
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Smart Chicago is a civic organization that works to improve lives in Chicago through increasing access to the Internet, improving digital skills, and developing data products. It creates geographic information system (GIS) tools like Chicago Early Learning, Chicago Works For You, and the Chicago Health Atlas to help residents access services. Smart Chicago also assists the Cook County government with publishing open data and uses social media to identify possible food poisoning cases. The presentation emphasizes that GIS, data sharing, and past projects like EveryBlock have been important to the organization's work.
The Smart Chicago Model, Daniel X. O’Neil, Gigabit City Summit, January 2015Daniel X. O'Neil
Presentation to the Gigabit City Summit, the only event where you can learn how your city and your metro can prepare for the opportunity to become a Gigabit City. http://www.gigabitcitysummit.com/
Community Based Broadband Report by Executive Office of the PresidentDaniel X. O'Neil
Affordable, reliable access to high speed broadband is critical to U.S. economic growth and competitiveness. Upgrading to higher-speed broadband lets consumers use the Internet in new ways, increases the productivity of American individuals and businesses, and drives innovation throughout the digital ecosystem. As this report describes, while the private sector has made investments to dramatically expand broadband access in the U.S., challenges still remain. Many markets remain unserved or underserved. Others do not benefit from the kind of competition that drives down costs and improves quality. To help fill the void, hundreds of towns and cities around the country have developed their own locally-owned networks. This report describes the benefits of higher-speed broadband access, the current challenges facing the market, and the benefits of competition – including competition from community broadband networks.
\
Ordinance renaming plaza where Old Chicago Water Tower structure is located a...Daniel X. O'Neil
This resolution calls for renaming the plaza where the Old Chicago Water Tower sits as "Jane M. Byrne Plaza" to honor Chicago's first female mayor, Jane M. Byrne. It provides background on Byrne's career and accomplishments as the first woman appointed to the Chicago city cabinet and later as the first woman elected mayor of Chicago. Some of her achievements highlighted include expanding O'Hare airport, starting the Taste of Chicago festival, and announcing the Orange Line transit project. The resolution intends to commemorate Byrne's legacy through renaming the plaza in recognition of her service and achievements as mayor.
Ordinance renaming grand ballroom at Navy Pier as "Jane M. Byrne Grand Ballroom"Daniel X. O'Neil
This resolution calls for renaming the grand ballroom at Navy Pier the "Jane M. Byrne Grand Ballroom" in honor of Chicago's first female mayor. Jane M. Byrne served as mayor of Chicago from 1979 to 1983. Some of her major accomplishments as mayor included expanding O'Hare International Airport, starting the Taste of Chicago festival, and envisioning redevelopment plans for Navy Pier and the Museum Campus. The resolution aims to commemorate Byrne's legacy and ensure her achievements as Chicago's first woman mayor are not forgotten.
लालू यादव की जीवनी LALU PRASAD YADAV BIOGRAPHYVoterMood
Discover the life and times of Lalu Prasad Yadav with a comprehensive biography in Hindi. Learn about his early days, rise in politics, controversies, and contribution.
Federal Authorities Urge Vigilance Amid Bird Flu Outbreak | The Lifesciences ...The Lifesciences Magazine
Federal authorities have advised the public to remain vigilant but calm in response to the ongoing bird flu outbreak of highly pathogenic avian influenza, commonly known as bird flu.
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Slide deck with charts from our Digital News Report 2024, the most comprehensive exploration of news consumption habits around the world, based on survey data from more than 95,000 respondents across 47 countries.
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Find Latest India News and Breaking News these days from India on Politics, Business, Entertainment, Technology, Sports, Lifestyle and Coronavirus News in India and the world over that you can't miss. For real time update Visit our social media handle. Read First India NewsPaper in your morning replace. Visit First India.
CLICK:- https://firstindia.co.in/
#First_India_NewsPaper
12062024_First India Newspaper Jaipur.pdfFIRST INDIA
Find Latest India News and Breaking News these days from India on Politics, Business, Entertainment, Technology, Sports, Lifestyle and Coronavirus News in India and the world over that you can't miss. For real time update Visit our social media handle. Read First India NewsPaper in your morning replace. Visit First India.
CLICK:- https://firstindia.co.in/
#First_India_NewsPaper
16062024_First India Newspaper Jaipur.pdfFIRST INDIA
Find Latest India News and Breaking News these days from India on Politics, Business, Entertainment, Technology, Sports, Lifestyle and Coronavirus News in India and the world over that you can't miss. For real time update Visit our social media handle. Read First India NewsPaper in your morning replace. Visit First India.
CLICK:- https://firstindia.co.in/
#First_India_NewsPaper
केरल उच्च न्यायालय ने 11 जून, 2024 को मंडला पूजा में भाग लेने की अनुमति मांगने वाली 10 वर्षीय लड़की की रिट याचिका को खारिज कर दिया, जिसमें सर्वोच्च न्यायालय की एक बड़ी पीठ के समक्ष इस मुद्दे की लंबित प्रकृति पर जोर दिया गया। यह आदेश न्यायमूर्ति अनिल के. नरेंद्रन और न्यायमूर्ति हरिशंकर वी. मेनन की खंडपीठ द्वारा पारित किया गया
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Find Latest India News and Breaking News these days from India on Politics, Business, Entertainment, Technology, Sports, Lifestyle and Coronavirus News in India and the world over that you can't miss. For real time update Visit our social media handle. Read First India NewsPaper in your morning replace. Visit First India.
CLICK:- https://firstindia.co.in/
#First_India_NewsPaper
#WenguiGuo#WashingtonFarm Guo Wengui Wolf son ambition exposed to open a far...rittaajmal71
Since fleeing to the United States in 2014, Guo Wengui has founded a number of projects in the United States, such as GTV Media Group, GTV private equity, farm loan project, G Club Operations Co., LTD., and Himalaya Exchange.
#WenguiGuo#WashingtonFarm Guo Wengui Wolf son ambition exposed to open a far...
Contract # C029725: Patrick Engineering Contract with City of Chicago
1. D i sc l osure Summa r y Shee t
Con t rac t (PO) Numbe r : C029725
Spec i f i ca t i on Numbe r : C968990037
Name of Con t rac t or : PATR I CK ENG I NEER I NG I NC
C i t y Depa r t men t : CH I CAGO DEPARTMENT OF TRANSPORTAT I ON
T i t l e of Con t rac t : PN84CO29725 PROFESS I ONAL
(Te rm of Con t r ac t is no t app l i cab l e)
Do l l a r Amoun t o f Con t rac t (or max i mum compensa t i on i f a Te rm Agr eemen t ) :
$4 , 543 .51
Br i e f Desc r i p t i on of Wo r k : PN84CO29725 PROFESS I ONAL
Procur emen t Serv i ces Con t ac t Pe rson : Use r Conve rs i on
Vendor Numbe r : 1040749
Subm i ss i opEPa~eo 2003
2. JUN 10 2003 10 : 04RM HP LASERJET 3200
Spec i f i ca t i on No. : ( - g to $ °) °) O ( ) ,61
ADDENDUM TO D I SCLOSURE AFF I DAV I T
CERT I F I CAT I ON REGARD I N G I NTEREST I N C I TY BUS I NESS
Any words or t e rms tha t are de f i ned i n Chap t e r 2-156 o f the Ch i cago Mun i c i pa l Code have the same mean i ngs
when used i n th i s Cer t i f i ca t i on . Comp l e t e BOTH sec t i ons 1 and 2 .
In accordance w i t h Sec t i on 2-156-110 o f the Mun i c i pa l Code of Ch i cago :
1 . Does any of f i c i a l or emp l oyee o f the C i t y o f Ch i cago have a f i nanc i a l i nt erest i n h i s or he r own name or
i n the name o f any o ther pe rson i n th i s cont rac t , won t , bus i ness , or t ransac t i on?
X No.
Yes .
I f yes , i dent i f y the of f i c i a l s or emp l oyees hav i ng such i nterest and the na ture o f such i nterest :
2. Un l ess so l d pursuan t to a process o f compe t i t i ve b i dd i ng , no of f i c i a l or emp l oyee sha l l have a f i nanc i a l
i nt erest i n h i s or he r own name or i n the name o f any other pe rson i n t he purchase o f any proper t y tha t
( i ) be l ongs to the c i ty , or ( i i ) i s so l d for t axes or assessment s , or ( i i i ) i s so l d ' % v i r tue o f l ega l process
at the su i t o f the c i ty (co l l ec t i ve l y , " C i t y Proper t y Sa l e " ) . Compensa t i on for proper t y t aken pursuant to
the c i ty ' s em i nen t doma i n powe r does no t const i tut e a f i nanc i a l i nterest w i th i n the mean i ng o f th i s
sec t i on .
I f the cont rac t , wor k , bus i ness , or t ransac t i on i nvo l ves a C i t y Prope r t y Sa l e does any of f i c i a l or
emp l oyee have a f i nanc i a l i nt erest i n h i s or he r own name or i n t he name o f any other pe rson i n
the C i t y Proper t y Sa l e?
XN / A ( i .e. , the cont rac t , wor k , bus i ness , or t ransac t i on i s not for a C i t y Proper t y Sa l e)
No .
Yes .
I f yes , i dent i f y t he of f i c i a l s or emp l oyees hav i ng such i nterest and t he na ture o f such i nterest :
3. 1 fur ther cer t i fy tha t no such f i nanc i a l i nterest i n th i s cont rac t , wor k , bus i ness , or t ransac t i on w i l l be
acqu i red by any of f i c i a l or emp l oyee o f t he C i t y o f Ch i cago.
Unde r pena l t y o f per j ury , I cer t i f y tha t I am au thor i zed to execu t e th i s Addendum to D i sc l osure Af f i dav i t on beha l f
o f the Cont rac tor , that I have persona l know l edge o f the cer t i f i ca t i ons be i ng made i n i t and , tha t they are comp l e t e
and t rue
SEWo2 yl Ce P2Es r0 f i I
S i gna ture qA #ed Of f i cer Ti t le
V~ L RC . ~-w 5 31 Z 201 - '7 y 0 0
Z-E
Name o f Au t hor i zed Of f i cer (Pr i nt or Type ) Bus i ness Te l ephone Numbe r
St a t e o f - - r l l 1 RO I s .
Coun t y of
Sworn to and acknow l edged be fore me b 7( 4
e
W. (name o f s i gna tory) as
S - _ J l hp - t ~<2s dn ,Cc t - ' ( t i t l e) o f ck. F t ~ ~, Pt , r (name o f cont rac t i ng par t y) th i s
cNr - day of w^-e - , 20Q3 - . -3
Sea l : OFFU2AL SEAL
MARTA M OLAQUE
4094Q,
No t Ary Pub l i c
NOTARY PUOUC - STATE OF I I t aNOS
My comm i ss i on exp i res on : MY CO I ~ t OSM EWMES W19A
3. JUN 10 2003 10 : 04RM HP LF I SERJET 3200 P .6
(A T i e i - -Z E, .~~~,. ~ f f R~~G 1nrL , , `
Con t r ac t or :
Con t r ac t No. : f N g y C. o L l 2S
Spec i f i cat i on No. : C- (~to $ C-)C5 00 , 31
ACKNOWLEDGMENT
Cont rac tor acknow l edges and agrees tha t the fo l l ow i ng prov i s i on is added to and becomes par t of the
Cont rac t re f erenced above :
BUS I NESS RELAT I ONSH I PS W I TH ELECTED OFF I C I ALS
Pursuant to Sec t i on 2-156-030(b) of the Mun i c i pa l Code of the Ci ty of Ch i cago , i t is i l lega l for any e l ec ted
of f ic ia l of the c i ty, or any person ac t i ng a t the d i rec t i on of such of f ic ia l , to contac t , e i ther ora l l y or in wr i t ing, any
other c i ty of f i c i a l or emp l oyee w i th respec t to 4ny ma t t er i nvo l v i ng any person w i th whom the e l ec t ed of f icial has
a bus i ness re l at i onsh i p, or to par t i c i pa t e in any d i scuss i on in any c i ty counc i l comm i t t ee hear i ng or in any c i ty
counc i l mee t i ng or to vot e on any ma t t er i nvo l v i ng the person w i th whom an e l ec t ed of f i c i a l has a bus i ness
re l a t i onsh i p . V i o l a t i on of Sec t i on 2-156-030(b) by any e l ec t ed of f i c i a l w i th respec t t o th i s cont rac t sha l l be
grounds for t erm i na t i on of th i s cont rac t . The t e rm ' bus i ness re l at i onsh i p" is de f i ned as se t for th in Sec t i on 2-
- 1 56-0 80 of the Mun i c i pa l Code of Ch i cago. _-
Sec t i on 2 . 156-080 de f i nes a " bus i ness re l a t i onsh i p " as anycont rac tua l or other pr i va t e bus i ness dea l i ng
of an of f i c i a l , or h i s or her spouse , or of any ent i ty in wh i ch an of f icial or h i s or her spouse has a f inanc i a l interest ,
w i th a person or ent i ty wh i ch ent i t l es an of f i c i a l to compensa t i on or paymen t in the amoun t of 52 , 500 or more
i n a ca l endar year ; prov i ded , however , a f i nanc i a l i nterest sha l l not i nc l ude : ( i ) any owne rsh i p through purchase
a t fai r ma rke t va l ue or i nher i t ance of l ess than one percent of the shares of a corpora t i on , or any corpora t e
subs i d i ary , parent or af f i l i ate thereof , regard l ess of the va l ue of or d i v i dends on such share , i f such shares are
reg i stered on a secur i t i es exchange pursuant to the Secur i t i es Exchange Ac t of 1934 , as amended; (i i) the
author i zed compensa t i on pa i d to an of f i c i a l or emp l oyee for hi s of f i ce or emp l oymen t ; ( i i i ) any econom i c benef i t
prov i ded equa l l y to al l res i dents of the c i ty; ( iv) a t i me or demand depos i t in a f i nanc i a l inst i tut ion, or (v) an
endowmen t or i nsurance po l i cy of annu i t y cont rac t purchased f rom an i nsurance company. A " cont rac tua l or
o ther pr i va t e bus i ness dea l i ng " sha l l no t i nc l ude any emp l oymen t re l at i onsh i p of an of f i c i a l 's spouse w i th an
ent i ty when such spouse has no d i scre t i on concern i ng or i nput re l at ing to the re l a t i onsh i p be t ween that ent i ty and
the c i ty,
S I GNED :
PPR-19%L-4- E .~aI J"7EER l d& IPJC- .
SE - AorL O I LE (KES106 - q
Ti t l e
Da t e
Rev. 12198
4. ADDENDUM TO D I SCLOSURE AFF I DAVI T
Cer t i f i ca t i on Rega rd i ng S l avery Era Bus i ness
Con t r ac t o r - - - Pa t r i ck Eng i nee r i ng I nc
Pro j ec t No . / Desc . . Pr o f ess i ona l Des i
Cons roc r No : PN84CO29725 Spec i f i ca t i on No . : Cq~Q920037
Chap r e r 2 - 92585 o f Tne Mun i c i pQ I Code o f Ch i cdg4 r equ i r es t ha t any en t i t y en t e r i ng i n t o a con t r ac t w i t h The C i t y o f
Ch i cago musT comp l e t e an a f f t d0v i T ve r i f y i ng t ha t t he en t i t y has seO r cnea any and a l l r ecords o f me en t i t y and any
ana a l l p r edecesso r en t i t i es f or r ecords o f i nves t men t s o r pro f i t s f rom s l ave ry , The s l ave i ndus t ry. or s t aveno l ae r a l sur ance
po l i c i es f rom t he s l ave r y e r a ( I nc l ud i ng i nsur ance pa r c i es msue t l t o s l oveho l de ( s t ha t p rov i ded cove r age for gomage t o
or i n j ury or dea t h o f t he i r s l aves ] and rnu&T d i sc l ose i n t he Q f f i dava such r ecords To t he C i t y . I n add i t i on. t he o r a i nance
r equ i r es Tha t t he en t i t y d i sc l ose i n t he o f f i aav i t t he names OT any s t aves or s l oveho(de r s cyescnbed i n t hose r ecords
Fa i l ure t o CQMp l y w i t h t he o r d i nance makes t he con t r ac t vo i c l arb l e on beha l f o f The C i t y .
P l ease Check e i The r (1) or (2) I Ne l ovv . I t Tne Con t r ac t or checks (2) , t he Con t r ac t or Mus t a l sc t ose , De l ow or in an
a l l oc t t menT t o th i s documen t , a l l r equ i s i t e i n f or rna r i on c i s se t f a rm i n ma t pa r ag r aph (21 .
x 11- The Con t r ac t o r ven i r es t ha t (a) t he CorTr r ac t or has sea r c r t ec any and a l l r ecoroS o f t he con t r ac t or ana
any and a l l p rodae®sso r en t i t i es for r ecords o f i nves t Men t s or pro f i t s r rorn s l ave ry - t he s l ave i nc t a y. or
s i aveno l de r i nsu r ance po l i c i es , one (a) Con t r ac t or has f ound no r ecords o f I nves t menTs or pro f i t s f rom
s l ave ry. t he s l ave i ndus t ry , o r s l ovcho l de r i nsur ance pouc l e i and no r ecords o f names o f any s l aves pr
s l ayeno l de r s .
2. The Con t r ac t or ver i f i es t ha t . as a resu l t o f conduc t i ng t he sea r cn i n s t ep (11 (a) above . me con t r ac t or
nos f auna r ecords r e i anng To i nvesr r r i en t s or pro t i n f rom s l ave ry. ThC+ s l ave i ndus t ry . or s l aveho l ae r
i nsur ance po l i c i es and l o r t he names o f any s t aves or s i oveno l ae r s_ The Con t r ac t or ~er j f i es ThoT i ne
f o l l ow i ng Cor t sT i t u t es fu l l d i sc l osur e o f a l l sucn r ecords .
Acknow l edgmen t : L i v i ng Wage Ord i nance
CONTRACTOR ACKNOWLEDGES AND AGREES THAT IF THIS ADDENDUM 15 BE I NG SUBM I TTED IN CONNECT I ON W I TH A
PR I OR AGREEMENT. A MOD I F I CAT I ON TO A PR I OR AGREEMENT. OR W I TH A NEW AGREEMENT , THE FOLLOW I NG LI VI NG
WAGE PROV I S I ONS SHALL BECOME PART OF SUCH MOD I F I CAT I ON OR AGREEMENT AND 5uPER5EDE OR REPLACE- ANT
L I VI NG WAGE PROV I S I ONS THAT MAY BE CONTA I NED IN SUCH MOD I F I CAT I ON OR AGREEMENT '
A, unde r Sec t i on 2-92-610 o f t he Mun i c i pa l Code o f Ch i cago t he bQSe wage app l i es f or adna i n ca t egor i es o f
wor ke r s emp l oyed i n Tne pe r f o r mance o f C i t y con t r ac t s . spec i f i ca l l y non -C i t y e r r t p l oyec l secur i t y gua rds pa r k i ng
o t Tendanr s , C l ay l abore rs , home ana hea l t h ca r e wor ke r s . cash i e rs , e l eva t or ope r a t or s , cus t od i a l wor ke rs , and C l e r i ca l
wor ke r s ( Cove r ed EMP l oyees - ) , Accord i ng l y , pur suan t t o 5ec t l on 2-92-b 10 ana r egu l a t i ons prornu l ga t ea . . unde r n
I) i f me Con t r ac t or nos 25 or mo r e t i l l - tune emp l oyees. anc
2) I f a t any r i me dur i ng t he pe r f o rmance o f I l l s' con t r ac t t he Con t r ac t or and / o r any
suoconva r t or Or any o t he r en t i t y Tha t pe r f orms any por t i on o f The canTr ac t ea wo r k
.
( co l l ec t i ve l y " Pe r f a r rn i ng f a rT i es " j uses 25 or mo r e f un- t i me secur i t y guorc l s , or any numoe r o f
o t he r f u t h t l me Cove r ed emp l oyees . t hen
31 M r Con t r ac t o r mus t pay i ts Cove r ed Emp l oyees ana musk assur e Tha t a l l o t he r Pe r f orm i ng
Pa r r i es pay t ne i r Cove r ed Emp l oyees , no t Less Tnan I ne m i n i mum -Rose wage " as c i e t e rmcnea
i n occo r agnce w i l n ?n i s Prov i s i on f or au Wo r k pe r f o r med pur suan t t o t he con t r ac t ,
Page I o f 2
5. ADDENDUM TO D ISCLOSURE AFF IDAVIT
B_ The Con t r ac t o r s oo i rga t i on t o pay. anC To a= r e pcaymr n t o f . t he Base wage w l u beg i n a t any T i me aunng `he
conTr aCT Te rm when The cond i t i ons se t f or t h i n A . I and A 2 above a r e me t . ana w i l l con t i nue t he r ea f t e r unf i t t he end o f
The con t r ac t
C Pr i or To Janua r y 1 . 2003 . t he Base wage is $7 60 pe r noun. beg i nn i ng Janua r y I . 2003. t he Base Wage is $4 05
pe r hou r . As o f Ju l y 1 . 2003 , and each Ju l y 1 i h®r ea f t e r , t he Base wage w i l l be aa l us t ecJ , us i ng The mos t r ecen t f ede r a l
Pove r t y gu l e l e l i nes f or a f amuy o f f our as pub l i shed annua l l y by t he U .S . Depa r t men t o f Hea l t h 4nC r i uman Se rv i ces , ro
cons t i t u t e The f o l l ow i ng : The pove r t y gu i de l i nes f or a fgrn i t y o f f our d l v i 0ed by 2000 h f l urs or t he cur r en t base wage .
wn i c r t eve r i s h i ghe r . AT a l l T i mes dur i ng The t e rm o f Th i s connec t . con t r ac t or end an o t he r Pe r f orm i ng Pa r r i es mus t pay
The Base wage ( as od l us r eq i n acco r agnce w i t h t he above ) _ I f t he paymen t o f pr eva i l i ng wages is r equ i r ed for Wo r k or
se r v i ces none unde r th i s con t r ac t , ana t he pr eva i ung wages f or Cove r ed Emp l oyees o r e h i ghe r t han t he Base wage
t hen The Con t r ac t o r ana a l l o t he r Pe r f orm i ng PQF f e5 mus t pay t he pr eva i l i ng wage r a t es .
D The Con t r ac t or mus t I nc l ude prov i s i ons i n au subcon t r ac t s r equong i ts suDcon i r ac t or s t o pcy t he Base wage To
Cove r ea Emp l oyees The COnTr aCTo r ag r ees t o prov i de me C i t y w i n c l ocumen t o t ron accep t c l b t e t o t he Ch l e r
Procu r emen t O f f i ce r demons t r a t i ng t ha t a l l Cove r ed Emp l oyees . whe t he r emp l ayeq by t he Con t r ac t or or by a
subc r anTr ac t OC have been pa i d The Base wage - upon t he C i t y ' s r eques t f or such documen t a t i on . Tne CI TY may
I ndependen t l y aug i t v i e con t r ac t or and / o r subcon t rOC I OrS To ve r i f y comp l i ance ne r ewr t h . Fa i l ure t o comp l y w i Tn t he
r equ l r e rhenTS o f Th i s Sec r on w i l l De an even t o f c l e fqu l t unde r Tnt5 con t r ac t . and f ur t he r . f a i l ure To comp l y may resu l t i n
rne i , go i l r t y f or any awa r d o f a C i t y con t r ac t or suc ) conwac t for up To Thr ee (3) yea rs ,
E. toot - for -Prof i t Corpor a t i ons: i f Tne Con t r ac t or is a corpor a t i on na - i ng Fede r a l t ax - exemp t s t a tus unae r SecT l on
501 ICJ (3) o f Tne Int erna l Revenue Coae ana is r acQSn , zod ynqt i r r I r fnom not - for -prof l i I c l w . t hen The pravh , ons o f Sec t i on A
througt ' r D above co no t app l y .
Unde r pena l t y o f pequ r y. I ce r t i f y t ha t 1 qn ' t gwhor r zec l t o execu t e Th i s Aaaenaum To D i sc l osur e Af f i Gavr t on neha i f o f Tne
Con t r ac t or , Tr1o1 1 have pe r sona l know l edge o f t he ce r t i f i ca t i ons be i ng made i n i t and Sha t t hey a r e comp l e t e ono True
(Pr int or t ype n
By . Da t e : Y. .. 9 - 0 - 5
I wVn I Or a )
Pr i nt or Type n
Ti t l e o f s l gno i
cownry or cwn t y Or
5mo0 - l . _ I i nC i s V - S I O I i Or ,_
~c~no . . l ocgeo wx7d mm en I gd t i r , l J~ 61 7. 003 ~cu r a neggoa . mae oom an ma i d
a - r oomony ~ [ 2L1 r~ I . - aQ IiS oewome Gor
Inral - . Sen i ~~ J i r -~ Pr eS i dQ . l n1~
or i r tml
Ne rdy P, . oK
comnnsw a " aw
Page ? ,
6. Spec i f i ca t i on No , : C92S990002
Pre -Quah f t ca t i oa Progr am
Da t e Approved by Law : June 25 , 2003
APP I DAV I T
The unde rs i gned. cer t i f i es tha t the Ecoaom i c D i sc l os= St a t emc ru And Af f i dav i t wh i ch the
Consu l t an t comp l e t ed and cxecu t ed , as descr i bed above , rema i n t rue ac i d accura t e i n a l l respec t s as i f
the Af f i dav i t s ara a t t ached here to .
Ve r i f i mr i on
Unde r penWTy o f pe r j my , I ce r t i f y t ha t 1 am t he Sen i o r V i ce P r es i den t (T i t l e ) , o f Pa t r i ek
Eng i nee r i ng , I nc . and. tha t I am author i zed by t he Consu l t an t to execu t e th i s a f f i dav i t i n us beha l f ,
tha t have persona l know l z f e o f the ce tE i f i ca t i ons made i n th i s a f f i dav i t and tha t there have been no
changes and tha t the same a t e t rue.
Ted W . Lachus
Na rue (Type or Pr i nt )
Sta te o f-T l l i rao i s
Coun t y o f
Subsc r i bed and sworn to me be fore th i s
, 3=day o f S ' l eT-1- eam f - ' 20 03
Pub l i c S i
My Comm i ss i on Exp i res 21 I L161,
OFF I M SEAL
MAR t AM OLAE i A
NOTARY P l " - STATEOF wags
MY cok i i am : o9-am
7. Spec i f i ca t i on No . : C925-99-0025
Pre-Qua l i f i ca t i on Progr am
Da t e Execu t ed : Ju l y 18, 2000
AFF I DAV I T
The unde rs i gned cer t i f i es tha t the D i sc l osure Af f i dav i t and / or Af f i dav i t (s) (co l l ec t i ve l y ,
the "Af f i dav i t s " ) wh i ch the Consu l t ant comp l e t ed and execut ed , as descr i bed above , rema i n
t rue and accura t e i n a l l respec t s as i f the Af f i dav i t s are a t t ached here to .
Ver i f i ca t i on
Unde r pena l o f per j ury , I cer t i fy tha t I am the ~2~ (Ti t l e) , o f
4~ - _L (Pa t r i ck Eng i neer i ng , Inc . ) , and tha t I am author i zed by the Consu l t ant
to execut e th i s a f f i dav i t i n i ts beha l f , tha t have persona l know l edge o f the cer t i f i ca t i ons made
i n th i s a f f i dav i t and tha t there have been no changes and tha t the same are t rue .
~_ J- P. L04.. 4- )
S i gna ture o f Owne r or Authors Of f i cer
_ C2 P ..L' ~z I~~
Name (Type o f Pr i nt )
St a t e o f . r 11 ; »o ; s
Coun t y o f e
Subscr i bed and swo to me be fore th i s
a± ! dayo f be c . , 200- .4 I
My Comm i ss i on Exp i res / 0 03
8. UE i / 24 / 2UU3 12 : 58 FAX 312 220 0722 R 002
FOR CITY USE
AFF IDAVIT NO
CITY OF CH I CAGO
ECONOM I C D I SCLOSURE sTATEMENY AND AFF IDAVIT
Pursuant to Chapter 2-154 of the Mun i c i pa l Code of Ch i cago ( the ' Mun i c i pa l Code ' s or , i f appl i cabl e , under § 8.5 of the l i rmois Mun i c ipa l
Purphas i ng Ac t 65 ILCS 518-10-8.5 ( the ' Purchas i ng Act ` ) , the fol lowing Informat ion is requ i red to be d i sc l osed be fore any Ci ty agency.
depar tment a Ci ty Counc i l acf ron. P l ease tuf ty comp l e t e each statement , wi th al l informat ion cur rent as of the da t e this Econom i c D i sc losure
St a t ement and Af f idavi t ( " EDT) is s i gned . Every quest i on mus t be answered. I f a quest i on is not appl i cabl e , answer wi th ' N . A' An
Incomp l e t e ED$ wi l l be re turned and any Ci ty ac t i on wi l l be inter rupted .
P l ease pr int or type al l responses c l ear l y and legibly . Add addi t iona l pages i f needed , be i ng careful to ident i fy the por t ion of the EDS to
wh i ch each addi t iona l page refers-
WHO MUST SUBM I T AN EDS :
1. App l i cants - Any indi v idua l or ent i ty ( the "App l i cane) mak i ng an appl i cat ion to the Ci ty of Ch i cago ( the 'Ci ty' ) for act ion requi r ing
Ci ty Counc i l or other tat ty agency approva l mas t f i le this EDS. For examp l e , vendors seek i ng Ci ty cont rac ts and i nd i v i dua l s or ent i t i es
app l y i ng for concess i ons , l oans or grant s are "App l i cants . "
2 Ent i t i es ho l d i ng an interest i n the App l i cant Genera l l y , whenever an ownersh i p Interest in the App l i cant (such as shares of
stDcrof the App l i cant or a l imi ted par tnersh ip interest in the Appl i cant , for examp l e) Is he l d or owned by a l ega l ent i ty (such as a corporat ion
or par tnersh ip, for examp l e) rather than an individua l , each such l ega l ent i ty mus t a l so f i le an EDS on i ts own beha l f , and any parent of that
l ega l ent i ty mus t do so, except as prov i ded be low, unt i l indi v idua l owners are d i sused . P i e= see Chapt er 2-154 of the Mun i c i pa l Code for
fur ther deta i l s tegard' rng the nature and extent of d i sc losure requi red- Under the Mun i c i pa l Code , iP the App l i cant is a corporat ion whose
shares are regi stered on a nat iona l secur i t i es exchange pursuant to the Secur i t i es Exchange Ac t of 1934, on l y l ega l ent i t ies that own 10 96 or
more of the Appf i eanfs stock mus t f i le EDSs an the i r own beha tE However , under the Purchas i ng Ad , l ega l ent i t i es ho l d i ng 7 .596 or more of
a vendor App l i cant mus t f i le EDSs .
ACKNOWLEDGMENT OF POSS I BLE CRED I T AND OTHER CHECKS : By comp l et i ng and f i l ing this EDS , the Unders i gned i eknow i edges
and agrees , on beha l f of i tsel f a i d the indi v idua l s named in thi s WS , that the Ci ty rmy inves l igate the cred i twor th iness of some or an of the
indi v idua l s named in this EDS.
CERTI FYI NG TH IS EDS: Execute the cer t i f icat ion an the da t e of the ini t ial submi ss i on of this EDS_ You may be asked to re-cer t i fy thi s
EDS an the l ast page as of the da t e of subm i ss i on of any re l ated ord i nance to the Ci ty Counc i l , or as of the da t e of the c l os i ng of
your t ransac t i on .
PUBLI C D I SCLOSURE: I t is the Cqs pol i cy to make this dacument ava i l abl e to the pub l i c on i ts k i sme t si te and/or upon , request
GENERAL I NFORMAT I ON
Da t e this EDS comp l e t ed: _ ATa r i 1 4 , _ 2003
A Who is submi t t i ng th i s EDS? Tha t par ty wi l l be the ' Unders i gned" throughout this EDS .
Ig) Check here If you are f i l ing as 'App l i cant ' Exac t l ega l name: Pa t r i ck Eng i nee r i ng I nc .
[ ] Check here i f you are f i l ing as an "ent i ty ho l d i ng an interest in an App l i cant ' Exac t l ega l name :
(Al so, p l ease ident i fy App l i cant in wh i ch this ent ty ho l ds an Interest
B. Bus i ness address: - 5 5 Eas t Mon r oe . Su i t e 3 A 5 0 Ch i cago , I L 60603
C. Te l ephone ,3 12 - 201 - 7900 Fax : - 3 - 12 - 220 - 07 21 - Ermai t_,
D. Name of contact person : r %K Ee _r r a r_ a
E. I f a proauemen t Spec i f i cat ion k C 9 2 5 4 9 0 0 0 2 and Cont ract # _ -
F. I f not a procurement
1 . Ci ty Agency request i ng EDS __
2. , Ci ty act ion requested (e .g_ loan, grant , sa l e of proper ty) :
3. I f proper ty invol ved, f ist proper ty locat ion :
G. Br i e f descr i pt i on of proj ect , ( i nc l ude pro j ec t numbe r and l ocat i on i f app l i cab l e) : p r e rn , a 1 i f i ea t ; nn
EDS 03 I M Fw Iedera lhr - funded and nom-4ederauy f Wed rmbas. Page 1 o f 13
9. SECT I ON ONE : D I SCLOSURE OF OWNERSH I P I NTERESTS
NATURE OF ENTI TY
Indi cate whe ther the Unders i gned is an individua l or l ega l ent i ty :
[ ] Indi v idua l [ ] Limi ted Liabi l i ty Company
[y j Bus i ness corporat ion ( ] Joint venture
[ ] So l e propr i etorship [ ] Not - for -prof i t corporat ion
[Is the not - for -prof i t corporat ion a l so a 501(c) (3)? [ ] Yes [ ] No .
[ ] Genera l par tnersh ip [ ] Other ent i ty (p l ease spec i fy)
[ ] Limi ted par tnersh ip
2. State of incorporat ion or organi zat ion, if appl i cabl e : I l l i no i s
3. For l ega l ent i t ies not organ i zed in the State of I l l inois : Is the organ i zat ion author i zed to do bus i ness in the State of I l l inois as a
fore ign ent i ty? [ ]Yes [ ] No D( ]N IA
B. ORGAN I ZAT I ON I NFORMAT I ON
1. IF THE UNDERS I GNED IS A CORPORAT I ON :
a. List be l ow the names and t i t les of al l execut i ve of f i cers and al l di rectors of the corporat ion . For not - for-prof i t corporat ions, a l so l ist
be l ow any execut i ve di rector of the corporat ion, and indi cate al l members , i f any , who are l ega l ent i t ies. I f there are no members , wr i te 'no
members."
Name Tide
Dan i e l P . D i e t z l e r P r es i den t
Je f f r ey C . Schuh Sr . V i ce Pr es i den t
Ma r k D . Rauckho r s t Sr . V i ce Pr es i den t
Ted W . Lachu - Sr . V i ce Pr es i den t
b. For corporat ions whose shares are regi stered on a nat iona l secur i t i es exchange pursuant to the Secur i t i es Exchange Ac t of 1934,
p l ease prov ide the fo l lowing informat ion concern i ng shareho l ders who own shares equa l to or in excess of 10 % (or 7 .5 % , as appl i cabl e) of
the corporat ion's outstand i ng shares . Not e: it may be necessary for some shareho l ders to comp l e te an EDS as an "Ent i ty ho l d i ng an
interest in the App l i cant. "
Name Bus i ness Address Percent age Interest
N/A
c. For corporat ions that are not reg i stered on a nat iona l secur i t i es exchange pursuant to the Secur i t i es Exchange Ac t of 1934, l ist
be l ow the name , bus i ness address and percentage of ownersh i p interest of each shareho l der . Not e: i t may be necessary for some
shareho l ders to comp l e t e an EDS as an "Ent i ty ho ld ing an interest in the App l i cant . "
Name Bus iness Address Percentage Interest
Dan i e l P. D i et z l er 55 Eas t Mon r oe , Su i t e 3450 100%
EDS 03103 For federa l l y- funded and non- federa l l y funded mat ters Page 2 o f 13
10. 2. IF THE UNDERS I GNED IS A PARTNERSH I P :
For genera l or l imi ted par tnersh i ps : l ist be l ow the name , bus i ness address and percent age of ownersh i p interest of each par tner. For f imt ted
par tnerships, indi cate whe ther each par tner is a genera l par tner or a l imi ted par tner . Not e: N may be necessary for some par tners to
comp l e te an EDS as an "Ent i ty ho l d i ng an interest in the App l i cant . "
Name Bus i ness Address Percentage Interest
N/A
3. IF THE UNDERS I GNED IS A LIMITED LIABILITY COMPANY:
a. List be l ow the name , bus i ness address and percentage of ownersh i p interest of each (i) membe r and (i i) manager . I f there are no
managers , wr i te 'no managers , and indi cate how managed . Not e : it may be necessary for some members to comp l e te an EDS as an
'Ent ry ho l d i ng an interest in the App l i cant . '
Name Bus i ness Address Percentage Interest
N/ A
b. List be l ow the names and t i t les of al l of f icers, i f any . I f there are no of f icers, wr i te 'no of f i cers '
Name Ti t le
N/A
4. IF THE UNDERS I GNED IS A LAND TRUST , BUS I NESS TRUST OR ESTATE :
a. List be l ow the name of each indi v idua l or l ega l ent i ty ho ld ing l ega l bi le to the proper ty that is the sub j ect of the t rust.
Name Business Address
N/A
b. List be l ow the name , bus i ness address and percent age of benef i c i a l interest of each benef i c i ary on whose beha l f t i t le is he l d.
Not e. i t may be necessary for some benef i c i ar i es to comp l e t e an EDS as an 'Ent i ty ho l d i ng an interest in the App l i cant . "
Name Bus iness Address Percentage Interest
N/A
EDS 03103 For federa l y- runded and non4edera l l y funded mat ters . Page 3 o f 13
11. SECT I ON TWO : BUS I NESS RELAT I ONSH I PS W I TH CITY ELECTED OFF ICIALS
A. DEF IN ITIONS AND D I SCLOSURE REQU I REMENT
1. Pursuant to an ord i nance approved by the Ci ty Counc i l on December 2, 1998, the Unders i gned mus t indi cate whe ther i t had a
'bus i ness re l at ionship" wi th a Ci ty e l ected of f icial in the 12 months be fore the da te this EDS is s i gned.
2. A ' bus i ness re l at ionsh ip' means any ' cont ractua l or other pr i vate bus i ness dea l ing' of an of f icial , or his or her spouse , or of any
ent i ty in wh i ch an of f icial or his or her spouse has a ' f inanc i a l interest , " wi th a person or ent i ty wh i ch ent i t les an of f icial to compensa t i on or
payment in the amoun t of $2,500 or more in a ca l endar year ; but a " f inanc ia l interest " does not inc lude: ( i ) any ownersh i p through purchase
at fai r marke t va l ue or inher i tance of l ess than 1% of the shares of a corporat ion, or any corporate subs idi ary, parent or af f i l iate thereof ,
regard l ess of the va l ue of or d i v i dends on such shares , if such shares are regi stered on a secur i t i es exchange pursuant to the Secur i t i es
Exchange Ac t of 1934 , as amended , a the author i zed compensa t i on pa id to an of f icial or emp l oyee for his of f ice or emp l oyment ; @i ) any
econom i c benef i t prov i ded equa l l y to al l res idents of the Ci ty; ( iv) a t i me or demand depos i t in a f inanc i a l inst i tut ion ; or (v) an endowmen t or
i nsurance po l i cy or annu i ty cont ract purchased f rom an i nsurance company. A "cont ractua l or other pr i vate bus i ness dea l ing" does not
inc lude any emp l oyment re l at ionship of an of f icial 's spouse wi th an ent i ty when such spouse has no di scret ion concern i ng or input re l at ing to
the re l at ionship be tween that ent i ty and the Ci ty.
B. CERTI F I CATI ON
1. Has the Unders i gned had a "bus i ness re l at ionship" wi th any Ci ty e l ected of f icials in the 12 months before the da te this EDS is
s i gned?
[ ] Yes [XI No
I f yes , p l ease ident i fy be l ow the name(s) of such Ci ty e l ected of f icial (s) and descr i be such re l at ionship(s) :
" STOP
I f you are f i l ing on beha l f of an "Ent i ty ho l d i ng an interest in the App l i cant , " go to Sec t i on Seven (Not i ce and
Acknow l edgmen t Regard i ng Ci ty Government a l Eth i cs and Campa i gn F i nance Ord i nances) , page 12. The
fo l l ow i ng sec t i ons Three through Si x are to be comp l e t ed on l y by the App l i cant in the App l i cant ' s EDS :
EDS 03103 For teder*- rurded and nw~Ay l anded moose. Page 4 of 13
12. 06 / 24 / 2003 12 : 58 FAX 312 220 0722 19003
SECT I ON THREE : D I SCLOSURE OF RETAI NED PART I ES
A. DEF IN ITIONS AND D I SCLOSURE REQU I REMENTS
1. Pursuant m Execut i ve Order 97-1, every Ci ty cont ract , l ease , and al l mat ters requi r ing Ci ty approva l mus t be accompan i ed by a
sta tement di sc los ing cer ta in informat ion about at torneys, lobby i sts, accountants , consu l tants , subcont ractors , and any other person whom
the App l i cant has reta ined or expec ts to reta in in connect i on wi th the mat ter in connect i on wi th wh i ch this EDS is submi t ted. In par t i cul ar , the
App l i cant mus t d i sc lose the name of each such person, h' isfher bus i ness address , the na ture of the re l at ionship, and the amoun t of the fees
pa id or est i mated to be pa i d . The App l i cant is not requi red to d i sc lose emp l oyees who are pa i d so l e l y through the App l i cants regu l ar payrol l .
"Lobby i st " means any person (7 who , for compensa t i on or on beha l f of any person other than himse l f , under t akes to inf luence any l egisl at ive
or admini st rat i ve act ion, or ( t1 any par t of whose duty as an emp l oyee of another inc ludes under tak i ng to Inf luence any l egisl at ive or
admin i st rat i ve act ion .
2_ i f the App l i cant is uncer ta in whe ther a d i sc losure is requ i red under this Sect ion, the App l i cant mus t e i ther ask the Ci ty whe ther
d i sc losure is requi red or make the d i sc losure .
B. CERTI F I CATI ON
Each and every at torney, lobbyist , accountant , consul tant , subcont ractor , or other person reta ined or ant i c ipated to be reta ined di rect ly by the
App l i cant wi th respect to or in connec t i on wi th the proj ect or t ransact ion that Is the sub j ect of this EDS is l isted be l ow [beg in l ist here , add
shee ts as necessary) ,
Name Us l ness Re l at ionsh ip to Appkan i Fees
Address (at torney, lobby i st etc.; ( indi cate whe ther pa id or eAnra l ed)
reta ined or anfdpa t ed to be reta ined)
I )a CHECK HERE IF NO SUCH PERSONS HAVE BEEN RETAI NED D I RECTLY BY THE APPL I CANT O i l ARE ANT I CI PATED TO BE
RETAI NED D I RECTLY BY THE APPL I CANT .
SECT I ON FOUR : CERTI F I CATI ONS BY APPL I CANT
I. CERTI F ICATION OF COMPL I ANCE
For purposes of the cer t i f icat ions in A, B, and C be low, the t erm "af f i l iate" means any ent i ty that , di rect ly or indi rect l y. cont rol s the App l i cant ,
is cont rol l ed by the Appl i cant , or is, wi th the Appl i cant , under common cont rol of another indi v idua l or ent i ty . Indic ia of cont rol inc lude ,
wi thout l imi tat ion : inter lock ing managemen t or ownersh i p; ident i ty of interests among fami l y members , shared faci l i t ies and equ i pment ;
common use of emp l oyees ; or organ i zat ion of a bus i ness ent i ty fo l lowing the inel igibi l i ty of a bus i ness ent i ty to do bus i ness wi th the federa l
government or a state or loca l government , inc luding the Ci ty, us i ng substant i a l l y the same management , ownersh i p , or pr inc ipa l s as the
ine l igible ent i ty.
A. The App l i cant is not de l i nquent in the payment of any tax admi n i stered by the I l l inois Depar tment of Revenue , nor are the App l i cant
or i ts af f i l iates de l i nquent in pay i ng any f ine, fee , tax or other charge owed to the Ci ty. Th i s inc ludes al t wa t er charges , sewer charges ,
l i cense fees, park ing t ickets, proper ty taxes or sa l es taxes. I f there are any such de l inquenc i es , note them be l ow:
No-
i f the let ters "NA, " the word "None , " or no response appears on the l ines above , it wi l l be conc lus i ve l y presumed that the App l i cant cer t i f ied to
the above sta tements .
EDS 03103 For federa l l y- funded end i ron- federa l l y funded ma f te i s. Page 5 o f 13
13. B. The App l i cant and i ts af f i l iates have not , in the past f ive years , been found in violat ion of any Ci ty, state or federa l env i ronmenta l
l aw or regul at ion . I f there have been any such violat ions, note them be l ow:
None
I f the let ters *NA,* the word 'None , ' or no response appears on the f ines above , it w i g be conc lus i ve l y presumed that the App l i cant cer t i f i ed to
the above statements .
C. The App l i cant and i ts af f i l iates wi l l not use , nor permi t the i r subcont ractors to use , any faci l i ty on the U .S. EPA' s List of Viol at ing
Fac i l i t ies in connec t i on wi th the proj ect or t ransact ion for the durat ion of t i me that such faci l i ty rema i ns on the l ist.
D. The App l i cant wi l l obta in f rom any cont ractors/subcont ractors hi red or to be hi red in connec t i on wi th the Ci ty cont ract , work ,
bus i ness , or t ransact ion that is the sub j ect of this EDS cer t i f i cat ions equa l in form and substance to those in Sect i on Four , 1,A-C above and
wi l l not , wi thout the pr ior wr i t ten consent of the Ci ty, use any such subcont ractor that does not prov ide the cer t i f icat ion or that the App l i cant
has reason to be l i eve has not prov i ded or cannot prov i de t ruthful cer t i f icat ions .
I f the App l i cant is unab l e to so cer t i fy, prov i de an exp l anat ion :
I f the let ters 'NA, ' the word 'None , " or no response appears on the l ines above , it wi l l be conc lus i ve l y presumed that the App l i cant cer t i f ied to
the above statements .
II . CH I LD SUPPO RT OBLI GATI ONS- CERTI F I CATI ON REGARD I NG COURT-ORDERED CH I LD SUPPORT COMPL I ANCE
For purposes of this par t , 'Substant i a l Owner " means any person who , d i recdy or indi rect ly, owns or ho lds a 10 % or more . interest in the
App l i cant . Not e: Th i s may inc lude indi v idua l s d i sc l osed in Par t One (D i sc losure of Ownersh i p Interests) , and indi v idua l s d i sc losed in an EDS
f i led by an "Ent i ty ho l d i ng an interest in the App l i cant. "
I f the Appl i cant 's response be l ow is #1 or #2, then al l of the App l i cants Substant i a l Owners mus t rema i n in comp l i ance wi th any such chi ld
suppor t obl igat ions unf i l the t ransact ion is comp l e t ed . Fa i lure of the App l i cants Substant i a l Owners to rema i n in comp l i ance wi th the i r chi ld
suppor t obl igat ions in the manner se t for th in e i ther #1 or #2 const i tutes an event of defau l t . Moreover , fai lure of the App l i cant to comp l y
wi th the prov i s ions of § 2-92-415(e) of the Mun i c i pa l Code a l so const i tutes an event of defau l t .
Check one:
_X_ 1 . No Substant i a l Owner has been dec l ared in ar rearage on any chi ld suppor t obl igat ions by the Ci rcui t Cour t of Cook Count y or by
another I l l inois cour t of compe t ent jur isdict ion.
2. The Ci rcui t Cour t of Cook Count y or another I l l inois cour t of compe t ent jur isdi ct ion has i ssued an order dec l ar ing one or more
Substant i a l Owners in ar rearage on chi ld suppor t obl igat ions . Al l such Substant i a l Owners , however , have entered into cour t -
approved agreement s for the payment of al l such chi ld suppor t owed , and al l such Substant i a l Owners are in comp l i ance wi th such
agreement s.
- 3. The Ci rcui t Cour t of Cook Count y or another I l l inois cour t of compe t ent jur isdi ct ion has i ssued an order dec l ar ing one or more
Substant i a l Owners in ar rearage on chi ld suppor t obl igat ions and (a) at l east one such Substant i a l Owne r has not entered into a
cour t -approved agreement for the payment of al l such chi ld suppor t owed ; or (b) at l east one such Substant i a l Owne r is not in
comp l i ance wi th a cour t -approved agreement for the payment of al l such chi ld suppor t owed ; or both (a) and (b) .
4 . There are no Substant i a l Owners.
EDS 03103 For federa l l y- funded and non- federa l l y funded mat ters . Page 6 of 13
14. III . FURTHER CERT I F I CAT I ONS
A. The App l i cant and , if the App l i cant is a l ega l ent i ty, i ts pr inc ipa l s (of f icers, di rectors, par tners, members , managers , execut i ve
di rector ) :
1. are not present l y debar red, suspended , proposed for debarment , dec l ared ine l igible or voluntar i ly exc l uded f rom any
t ransact ions by any federa l , state or loca l uni t of government ;
2. have not wi thin a f i ve-year per iod preced i ng the da te hereof been conv i cted of a cr imina l of fense , ad j udged gui l ty, or had
a civi l j udgment rendered aga inst them in connec t i on wi th: obta ining, at tempt ing to obta in, or per formi ng a pub l i c ( federa l ,
state or local ) t ransact ion or cont ract under a publ i c t ransact ion; a violat ion of federa l or state ant i t rust statutes; f raud ;
embezz l ement ; thef t ; forgery; br ibery ; falsi f icat ion or dest ruct ion of records ; mak i ng fa l se statements ; or rece i v ing sto l en
proper ty ;
3. are not present l y indi cted for or otherwi se cr imina l l y or civi l ly charged by a govemment a l ent i ty ( federa l , state or local )
wi th comm i ss i on of any of the of fenses enumera t ed in c l ause (b) above;
4.. have not wi thin a f i ve-year per iod preced i ng the da te of this EDS had one or more pub l i c t ransact ions ( federa l , state or
loca l ) termi nated for cause or defaul t ; and
5. have not , wi thin a f i ve-year per iod preced i ng the da te hereof , been conv i cted, ad j udged gui l ty, or found l i abl e in a civi l
proceed i ng , in any cr imina l or civi l act ion inst i tuted by the Ci ty or by the federa l government , any state, or any other uni t
of loca l government .
B. The cer t i f i cat ions in this subpar t B concern :
" the App l i cant ;
" any par ty par t i c ipat ing in the per formance of the proj ect or t ransact ion that is the subj ect of this EDS ( ' an App l i cab l e Par ty" ) ;
" any 'Af f i l i ated Ent i ty" (mean i ng an ent i ty that , di rect ly or indi rect ly: cont rol s the Appl i cant , is cont rol l ed by the Appl i cant , or
is, wi th the Appl i cant , under common cont rol of another indi v idua l or ent i ty . Indic ia of cont rol inc lude, wi thout l imi tat ion :
inter lock ing managemen t or ownersh i p; ident i ty of interests among fami l y members , shared faci l i t ies and equ i pment ; common
use of emp l oyees; or organ i zat ion of a bus i ness ent i ty fol lowing the inel igibi l i ty of a bus i ness ent i ty to do bus i ness wi th federa l
or state or loca l government , inc luding the Ci ty, us ing substant i a l l y . the same management , ownersh i p, or pr inc ipa l s as the
inel igible ent i ty) ; wi th respec t to App l i cab l e Par t i es, the t erm Af f i l iated Ent i ty means an ent i ty that di rect ly or indi rect l y cont rol s
the App l i cab l e Par ty, is cont rol l ed by it, or , wi th the App l i cab l e Par ty, is under common cont rol of another indi v idua l or ent i ty;
" any respons i b l e of f icial of the Appl i cant , any App l i cab l e Par ty or any Af f i l iated Ent i ty;
any other of f icial , agent or emp l oyee of the Appl i cant , any App l i cab l e Par ty or any Af f i l iated Ent i ty, act ing pursuant to the
di rect ion or author i zat ion of a respons ib l e of f icial of the Appl i cant , any App l i cab l e Par ty or any Af f i l iated Ent i ty .
Ne i ther the Appl i cant , nor any App l i cab l e Par ty, nor any Af f i l iated Ent i ty of e i ther the App l i cant or any App l i cab l e Par ty have , dur ing
the f ive years before the da t e this EDS is s igned, or , wi th respect to an App l i cab l e Par ty, an Af f i l iated Ent i ty, or an Af f i l iated Ent i ty
of an App l i cab l e Par ty dur i ng the f ive years before the da te of such App l i cab l e Par ty 's or Af f i l iated Ent i ty's cont ract or engagement
in connect i on wi th the pro j ect or t ransact ion that is the sub j ect of this EDS :
1. t i r ibed or a t tempted to br ibe, or been conv i cted or ad j udged gui l ty of br ibery or at tempt ing to br ibe, a pub l i c of f icer or
emp l oyee of the Ci ty, the State of I l l inois, or any agency of the federa l government or of any state or loca l government in
the Un i ted States of Amer i ca , in that of f icer 's or emp l oyee ' s of f icial capac i ty;
2. agreed or co l l uded wi th other b i dders or prospect i ve bidders, or been a par ty to any such agreement , or been conv i cted
or ad j udged gui l ty of agreement or col lus ion among b i dders or prospect i ve bidders, in rest ra int of f reedom of compet i t ion
by agreement to b id a f ixed pr i ce or otherw i se; or
3. made an admi ss i on of such conduc t descr i bed in (1) or (2) above that is a ma t ter of record, but have not been
prosecuted for such conduc t ; or
4. v iol ated the prov i s ions of § 2-92-610 of the Mun i c i pa l Code (Li v i ng Wage Ord i nance) .
C. The App l i cant understands and sha l l comp l y wi th (1) the app l i cab l e requ i rements of the Government a l Eth i cs Ord i nance of the
Ci ty, Ti t le 2, Chapter 2-156 of the Mun i c ipa l Code ; and (2) al l the app l i cab l e prov i s ions of Chapter 2-56 of the Mun i c i pa l Code
(Of f ice of the Inspector Genera l ) .
EDS 03103 For federe l l y4unded end non- federa l l y funded mat ters . Page 7 o f 13
15. D. Ne i ther the App l i cant nor any emp l oyee , of f icial , agent or par tner of the App l i cant is bar red f rom cont ract ing wi th any uni t of state or
loca l government as a resul t of engag i ng in or be i ng conv i cted of (1) bid- r igging in viol at ion of 720 a CS5133E-3, (2 , x - rotat ing in
viol at ion of 720 ILCS 5133E-4 ; or (3) any s imi l ar of fense of any state or of the Un i ted States of Amer i ca that conta i ns the same
e l ements as the of fense of bid- r igging or bid- rotat ing .
E. I f the App l i cant is unab l e to cer t i fy to any of the above sta tements in this Par t III, the App l i cant mus t expl a in be l ow:
I f the let ters 'NA, ' the word ' None , or no response appears on the l ines above , it wi l l be conc lus i ve l y presumed that the App l i cant cer t i f ied to
the above sta tements.
IV. CERT I F I CAT I O N ON STATUS AS F I NANCI AL INSTITUTION
For purposes of this Par t IV, under § 2-32-455(b) of the Mun i c i pa l Code , the term "F inanc i a l Inst i tut ion' means a bank , sav i ngs and loan
assoc i at ion, thri ft , credi t union, mor tgage banker , mor tgage broker , a t rust company , a sav i ngs bank , an i nvestment bank , a secur i t i es
broker , a mun i c i pa l secur i t i es broker , a secur i t i es dea l er , a mun i c ipa l secur i t i es dea l er , a secur i t i es underwr i ter , a mun i c i pa l secur i t i es
underwr i ter , an i nvestment trust , a venture capi ta l company , a bank holding company , a f inanc i a l serv i ces ho l d i ng company , or any l i censee
under the Consumer Insta l lment Loan Act , the Sa l es F i nance Agency Act , or the Res ident i a l Mor tgage Li cens i ng Ac t . However , " f inanc i a l
inst i tut ion" spec i f i ca l ly sha l l not inc lude any ent i ty whose predomi nant bus i ness is the prov id ing of tax defer red, de f i ned cont r ibut ion, pens i on
p l ans to publ i c emp l oyees in accordance wi th Sect ion 403(b) and 457 of the Interna l Revenue Code . [Addi t iona l def ini t ions may be found in
Sec t i on 2-32-455(b) of the Mun i c ipa l Code.]
A. CERTI F I CATI ON
The App l i cant cer t i f ies that the App l i cant [check one]
_ is
X is not
a " f inanc i a l inst i tut ion' as def ined in Sec t i on 2-32-455 (b) of the Mun i c ipa l Code .
B. I f the App l i cant IS a f inanc i a l inst i tut ion, then the App l i cant p l edges:
" We are not and wi l l not become a predatory l ender as de f i ned in Chapt er 2-32 of the Mun i c ipa l Code of Ch i cago. We
fur ther p l edge that none of our af f i l iates is, and none of them wi l l become , a preda tory l ender as de f i ned in Chapter 2-32
of the Mun i c i pa l Code. We understand that becom i ng a predatory l ender or becom i ng an af f i l iate of a predatory tender
may resul t in the loss of the pr i v i l ege of do i ng bus i ness wi th the Ci ty. "
I f the App l i cant is unab l e to make this p l edge because it or i ts af f i l iates (as de f i ned in § 2-32-455(b) of the Mun i c ipa l Code) are predatory
l enders wi thin the mean i ng of Chapter 2-32, exp l a in here (at tach addi t iona l pages i f necessary) :
I f the let ters 'NA, " the word 'None , ' or no response appears on the l ines above , i t wi l l be conc lus i ve l y presumed that the App l i cant cer t i f i ed to
the above sta tements .
V. CERTI F ICATION REGARD I NG I NTEREST IN CI TY BUS I NESS
Any words or terms that are def ined in Chapt er 2-156 of the Mun i c i pa l Code have the same mean i ngs when used in this PART V.
1. In accordance wi th § 2-156-110 of the Mun i c i pa l Code :
Does any of f icial or emp l oyee of the Ci ty of Ch i cago have a f inanc i a l interest in h i s or her own name or in the name of any other
person in the cont ract , work , bus i ness , or t ransact ion that is the sub j ect of this EDS?
Yes.
X No .
EDS 03M For federa l l y- funded and non4edera l l y funded mat ters. Page 8 o f 13
16. 2. Un l ess so ld pursuant to a process of compet i t i ve bidding, no Ci ty e l ected of f icial or emp l oyee sha l l have a f inanc i a l interest in h i s
or her own name or in the name of any other person in the purchase of any proper ty that (i) be l ongs to the Ci ty, or (i i) is so ld for
taxes or assessments , or (i i i) is so ld by vi r tue of l ega l process at the sui t of the Ci ty (col lect ively, "Ci ty Proper ty Sa l e" ) .
Compensa t i on for proper ty taken pursuant to the Ci ty's emi nent doma i n power does not const i tute a f inanc ia l interest wi thin the
mean i ng of this PART V.
Does the cont ract , work , bus i ness , or t ransact ion in connec t i on wi th wh i ch this EDS is submi t ted invol ve a Ci ty Proper ty Sa l e?
Yes.
X No .
I f you answered "yes" to quest i on one above , ident i fy the Ci ty of f icials or emp l oyees hav i ng such interest and the nature of such interest :
Name Bus i ness Address
3. The App l i cant fur ther cer t i f ies that no prohibi ted f inanc i a l interest in the cont ract , work , bus i ness or t ransact ion that is the sub j ect
of this EDS wi l l be acqu i red by any Ci ty of f icial or emp l oyee.
VI . CERTI F ICATION REGARD I NG SLAVERY ERA BUS I NESS
Sect i on 2-92-5135 of the Mun i c ipa l Code requi res that any ent i ty enter ing into a cont ract wi th the Ci ty mus t comp l e t e an af f idavi t ver i fy ing that
the ent i ty has searched any and al l records of the ent i ty and any and al l predecessor ent i t ies for records of i nvestments or prof i ts f rom
s l avery, the s l ave indust ry, or s l aveho l der i nsurance pol i c i es f rom the s l avery era ( inc luding i nsurance pol i c i es i ssued to s l aveho l ders that
prov i ded coverage for damage to or injury or dea th of the i r s l aves) and mus t d i sc lose in the af f idavi t such records to the Ci ty. In addi t ion, §
2-92-585 requi res that the ent i ty d i sc l ose in the af f idavi t the names of any s l aves or s l aveho lders descr i bed in those records . Fa i lure to
comp l y wi th § 2-92-585 makes the cont ract vo i dab l e on beha l f of the Ci ty .
P l ease check e i ther (1) or (2) be l ow . I f the App l i cant checks (2) , the App l i cant mus t d i sc l ose be l ow or in an a t t achment to th i s EDS
al l requ i s i te i nforma t i on as se t for th in tha t paragraph (2) .
_x -1 . The App l i cant ver i f ies that (a) the App l i cant has searched any and al l records of the App l i cant and any and al l predecessor ent i t ies
for records of i nvestments or prof i ts f rom s l avery, the s l ave indust ry, or s l aveho l der i nsurance pol i c i es, and (b) the App l i cant has found no
records of i nvestments or prof i ts f rom s l avery, the s l ave indust ry, or s l aveho lder i nsurance pol i c i es and no records of names of any s l aves or
s l aveho lders .
_2. The App l i cant ver i f ies that , as a resul t of conduc t i ng the search in step (1) (a) above , the App l i cant has found records re l at ing to
i nvestments or prof i ts f rom s l avery, the s l ave indust ry, or s l aveho l der i nsurance pol i c i es and/or the names of any s l aves or s l aveho lders .
The App l i cant ver i f ies that the fol lowing const i tutes ful l d i sc losure of al l such records :
SECT I ON F IVE : CERTI F ICATIONS FOR FEDERALLY- FUNDED MATTERS
CHECK HERE [ ] AND SKIP THE CERTI F I CATI ONS IN SECT I ON F IVE, PARTS (I), (II), AND (III) IF THE
CONTRACT , WORK , BUS I NESS OR TRANSACT I ON IN CONNECT I ON W I TH WH I CH TH IS EDS IS SUBM I TTED
IS NOT FEDERALLY FUNDED .
EDS 03103 For federa l l y funded and non- federa l l y funded ma t ters. Page 9 o f 13
17. I. CERTI F I CATI ON REGARD I NG LOBBYI NG
A. List be l ow the names of al l persons regi stered under the federa l Lobby i ng D i sc losure Ac t of 1995 who have made lobby ing
contacts on beha l f of the App l i cant wi th respect to the cont ract , work , bus iness , or t ransact ion that is or are the subj ect of this EDS: [Beg in
l ist here , add shee ts as necessary) :
( I f no exp l ana t i on appears or beg i ns on the l ines above , or i f the l et ters " NA" or f f the word " None " appear , i t wi l l be conc l us i ve l y
presumed that the App l i cant means tha t NO persons reg i stered under the Lobby i ng D i sc l osure Ac t of 1995 have made l obby i ng
cont ac ts on beha l f of the App l i cant w i th respec t to the cont ract , work , bus i ness , or t ransact i on in connec t i on w i th wh i ch thi s EDS
i s subm i t t ed.]
B. The App l i cant has not spent and wi l l not expend any federa l appropr i ated funds to pay any person l isted in Paragraph (A) above
for his or her lobby ing act ivi t ies or to pay any person to inf luence or at tempt to inf luence an of f icer or emp l oyee of any agency , as de f i ned by
appl i cabl e federa l l aw, a membe r of Congress , an of f icer or emp l oyee of Congress , or as-, en l oyce of a membe r of Congress , in connect ion
;
wi th the award of any federa l l y- funded cont ract , mak i ng any federa l l y- funded grant or loan, enter ing into any cooperat i ve agreement , or to
extend, cont inue , renew, amend , or mod i fy federa l l y- funded cont ract , grant , ban , or cooperat i ve agreement
C. The App l i cant wi l l submi t an upda ted Perbf i cat ion at the end of each ca l endar quar ter in wh i ch there occurs any event that
mater i a l l y af fects the accuracy of the sta tements and informat ion set for th in Paragraphs (I .A.) and (I .B.) above .
I f any funds other than federa l appropr i a t ed funds have been or wi l l be pa i d to any person for Inf l uenc i ng or a t t empt i ng to
i nf l uence an of f i cer or emp l oyee of any agency , a membe r of Congress , an of f i cer or emp l oyee o f Congress , or an emp l oyee of a
membe r of Congress in connec t i on w i th the federa l cont rac t ; grant , loan, or coopera t i ve agreement to wh i ch thi s EDS re l ates, the
App l i cant mus t comp l e t e and subm i t St andard Form-LLL, "D i sc l osure Form to Repor t Lobby i ng , " in accordance w i th i ts
i nst ruct i ons. The form may be obt a i ned on l i ne f rom the federa l Of f i ce of Managemen t and Budge t (OMB) web s i te a t
ht tpJ / www . wh i t ehouse . aov/omb/ arants/sf i l l i n .adf , l i nked on the page ht tpJ / www . wh i t ehouse .oov /ombharants / arants f orm&h t ml .
-D. The App l i cant cer t i f ies that e i ther (i) it is not an organ i zat ion descr i bed in sect ion 501(c) (4) of the Interna l Revenue Code of 1986;
or (i i) it is an organ i zat ion descr i bed in sect ion 501(c) (4) of the Interna l Revenue Code of 1986 but has not engaged and wi l l not engage in
"Lobby i ng Act ivi t ies" .
E. The App l i cant must obta in cer t i f icat ions equa l in form and substance to paragraphs (I .A) through (I .D.) above f rom al l
subcont ractors before it awards any subcont ract . The App l i cant mus t ma inta in al l such subcont ractors ' cer t i f icat ions for the durat ion of the
cont ract and mus t make such cer t i f i cat ions prompt l y ava i l abl e to the Ci ty upon request
II . C ERTI F ICATION REGARD I NG NONSEGREGATED FACILITIES
A. The App l i cant does not and wi l l not ma inta in or prov i de for i ts emp l oyees any segrega ted faci l i t ies at any of i ts estab l i shments , and
it does not and wi l l not permi t i ts emp l oyees to per form the i r serv i ces at any locat ion under i ts cont rol where segrega t ed faci l i t ies are
ma i nta i ned. The App l i cant agrees that a breach of this cer t i f icat ion is a violat ion of the Equa l Oppor tun i ty c l ause in i ts cont ract wi th the Ci ty.
"Segrega t ed faci l i t ies, " as used in this prov i s ion, means any wa i t ing rooms , work areas , rest rooms , washrooms , restaurants and
other eat ing areas , t i me docks , locker rooms and other storage or dress i ng areas , park i ng lots, dr ink ing founta ins , recreat ion or
enter ta i nment areas , t ranspor tat ion, and hous i ng prov i ded for emp l oyees , that are segrega t ed by expl ic i t di rect i ve or are in fact segrega ted
on the bas i s of race , color , rel igion, sex, or nat iona l or igin because of habi t , loca l or emp l oyee custom, or otherw i se. However , separa ted or
s ingl e-user rest rooms and necessary dress i ng or s l eep ing areas mus t be prov i ded to assure pr i vacy be tween the sexes .
B. The App l i cant wi l l , before the award of subcont racts , obta in ident i ca l cer t i f icat ions f rom proposed subcont ractors under wh i ch the
subcont ractor wi l l be sub j ect to the Equa l Oppor tun i ty c l ause . Cont rac ts and subcont racts exceed i ng $10,000, or hav i ng an aggrega t e va lue
exceed i ng $10,000 in any 12-month per iod, are genera l l y sub j ect to the Equa l Oppor tun i ty c l ause. See 41 CFR Par t 60 for fur ther
informat ion regard ing the Equa l Oppor tun i ty c l ause . The App l i cant mus t reta in the cer t i f icat ions requ i red by thi s paragraph F for the durat ion
of the cont ract and mus t make such cer t i f icat ions prompt l y ava i l ab l e to the Ci ty upon request .
EDS 03103 For f edemi y- funded and non- federa l l y funded mat ters. Page 10 of 13
18. C. The App l i cant wi l l forward the not i ce set for th be l ow to proposed subcont ractors:
NOT I CE TO PROSPECT I VE SUBCONTRACTORS OF REQU I REMENTS FOR CERTI F I CATI ONS OF NONSEGREGATED
FACILITIES
Subcont rac tors mus t submi t to the Cont ractor a Cer t i f i cat ion of Nonsegrega t ed Faci l i t ies be fore the award of any subcont ract
under wh i ch the subcont ractor wi l l be sub j ect to the federa l equa l oppor tun i ty c l ause. The subcont ractor may submi t such
cer t i f icat ions e i ther for each subcont ract or for al l subcont racts dur ing a per iod (e .g., quar ter l y, semi annua l l y , or annua l l y) .
III . CERTI F ICATION REGARD I NG EQUAL EMPLOYMENT OPPORTUN I TY
Federa l regul at ions requ i re prospect i ve cont ractors (e .g., the App l i cant ) and proposed subcont ractors to submi t the fol lowing informat ion wi th
the i r bids or in wr i t ing at the outse t of negot i at ions .
A. Have you deve l oped and do you have on f i le af f i rmat ive act ion programs pursuant to appl i cabl e federa l regu l at ions? (See 41 CFR
Par t 60-2.)
[ A Yes [ ] No
t3 . Have you par t i c ipated in any prev i ous cont racts or subcont racts sub j ect to the equa l oppor tuni ty c l ause?
[ )dYes ( ] No
C. Have you f i led wi th the Jo int Repor t i ng Commi t tee , the Di rector of the Of f i ce of Federa l Cont rac t Comp l i ance Programs , or the
Equa l Emp l oyment Oppor tun i ty Comm i ss i on al l repor ts due under the appl i cabl e f i l ing requ i rements?
[ ) I Yes [ ] No
SECTI ON SIX : NOT I CE AND ACKNOWLEDGMENT REGARD I NG LIVING WAGE ORD I NANCE
Sect ion 2-92-610 of the Mun i c i pa l Code( "L i v i ng Wage Ord i nance ' ) requi res that e l igible cont ractors (see A .1 . and 2 . be l ow) pay a spec i f i ed
m i n i mum l iving wage ( 'Base Wage " ) to par t i cul ar categor i es of workers emp l oyed in connect i on wi th the per formance of cer ta in Ci ty
cont racts . The Li v ing Wage Ord i nance app l i es to any wr i t ten agreement or subcont ract in connect i on wi th wh i ch ' the Ci ty is commi t t ed to
expend or does expend funds ' and "wh i ch requi res in the per formance thereof the emp l oyment of those categor i es of workers.
The ord i nance was amended to prov i de for a h igher Base Wage and regu l ar i ncreases to that wage ef fect i ve January 1, 2003. The
amended ord i nance app l i es to agreement s predat ing the amendmen t as we l l as to new agreements . For purposes of this Sec t i on Six, the
t erm 'Cont ractor " in paragraphs A through E be l ow means the App l i cant if the Li v ing Wage Ord i nance app l i es to a wr i t ten agreement in
connect i on wi th wh i ch this EDS is submi t ted .
[X] BY CHECK I NG TH IS BOX APPL I CANT ACKNOWLEDGES AND AGREES THAT IF TH IS EDS IS BE I NG
SUBM I TTED IN CONNECT I ON W I TH A MOD I F I CATI ON TO AN EXISTING CONTRACT TO WH I CH THE
LIVING WAGE ORD I NANCE APPLIES , THE FOLLOW I NG LIVING WAGE PROVI S I ONS W I LL BECOME
PART OF SUCH MOD I F ICATION , SUPERSED I NG AND REPLACI NG ANY LIVING WAGE PROVI S I ONS
THAT MAY BE CONTAI NED IN SUCH MOD I F I CAT I ON OR EXISTING CONTRACT .
A. Under Sect i on 2-92-610 of the Mun i c ipa l Code the Base Wage app l i es for cer ta in categor i es of workers emp l oyed in the
per formance of Ci ty cont racts, spec i f i ca l l y non-Ci ty emp l oyed secur i ty guards , park i ng at tendants, day l aborers, home and hea l th care
workers , cashi ers, e l evator operators , custod i a l workers , and c ler ica l workers ( "Covered Emp l oyees ' ) . Accord ing l y , pursuant to Sect i on 2-
92-610 and regul at ions promu l ga ted under it:
1) If the cont ractor has 25 or more ful l - t ime emp l oyees , and
2) If at any t i me dur ing the per formance of the cont ract the cont ractor and/or any subcont ractor or any other ent i ty that
per forms any por t ion of the cont rac ted work (col l ect ive ly ' Per formi ng Par t i es" ) uses 25 or more ful l - t ime secur i ty
guards , or any number of other ful l - t ime Covered Emp l oyees , then
3) The cont ractor mus t pay i ts Covered Emp l oyees , and mus t assure that al l other Per formi ng Par t i es pay the i r Covered
Emp l oyees , not l ess than the m i n i mum "Base Wage " as de termi ned in accordance wi th this prov i s ion for al l work
per formed pursuant to the cont ract.
EDS 03103 For federa l l y- funded and non- federa l l y funded mat ters. Page 11 o f 13
19. B. The cont ractor ' s obl igat ion to pay , and to assure payment of , the Base Wage wi l l beg i n a t any t i me dur ing the cont ract term when
the cond i t ions set for th in A1 and A.2 above are met , and wi l l cont i nue thereaf ter unt i l the end of the cont rac t
C. Pr ior to January 1, 2003, the Base Wage was $7.60 per hour , beg i nn i ng January 1, 2003, the Base Wage is $9 .05 per hour . As of
Ju l y 1, 2003, and each Ju l y 1 thereaf ter , the Base Wage wi l l be adjusted, us ing the mos t recent federa l pover ty gu ide l ines for a fami l y of four
as pub l i shed annua l l y by the U.S . Depar tment of Hea l th and Human Serv i ces, to const i tute the fo l lowing: the pover ty gu ide l ines for a fami l y
of four d i v ided by 2000 hours or the cur rent base wage , wh i chever is h igher . At al l t imes dur ing the t erm of this cont ract , cont ractor and al l
other Per formi ng Par t i es mus t pay the Base Wage (as ad j usted in accordance wi th the above) . If the payment of preva i l ing wages is
requ i red for work or serv i ces done under this cont ract , and the preva i l ing wages for Covered Emp l oyees are h igher than the Base Wage ,
then the cont ractor and al l other Per formi ng Par t i es must pay the preva i l ing wage rates.
D. The cont ractor mus t inc lude prov i s ions in al l subcont racts requi r ing i ts subcont ractors to pay the Base Wage to covered
Emp l oyees. The cont ractor agrees to prov i de the Ci ty wi th documenta t i on acceptab l e to the Ch i ef Procurement Of f i cer demonst ra t i ng that
al l Covered Emp l oyees , whe ther emp l oyed by the Cont ractor or by a subcont ractor , have been pa i d the Base Wage , upon the Ci ty's request
for such document a t i on. The Ci ty may i ndependent l y audi t the cont ractor and/or subcont ractors to ver i fy comp l i ance herewi th . Fa i lure to
comp l y wi th the requ i rements of this Sect i on wi l l be an event of defaul t under this cont ract , and fur ther , fai lure to comp l y may resul t in
inel igibi l i ty for any award of a Ci ty cont ract or subcont ract for up to three (3) years.
E. Not - for -Prof i t Corporat i ons: I f the cont ractor is a corporat ion hav ing Federa l tax-exempt status under Sect i on 501(c) (3) of the
Interna l Revenue Code and is recogn i zed under I l l inois not - for -prof i t l aw, then the prov i s ions of Sect i on A through D above do not app l y.
RESUME :
Al l Unders i gneds , i nc l ud i ng "Ent i t i es ho l d i ng an interest in the App l i cant " (de f i ned on page 1 of thi s EDS)
mus t comp l e t e the rema i nder of th i s EDS.
SECT I ON SEVEN : NOTI CE AND ACKNOWLEDGMENT REGARD I NG CITY GOVERNMENTAL ETH I CS AND
CAMPA I GN F I NANCE ORD I NANCES
The Ci ty's Government a l Eth i cs and Campa i gn F i nanc i ng Ord i nances , Chapters 2-156 and 2-164 of the Ci ty's Mun i c ipa l Code , i mpose
cer ta in dut i es and obl igat ions on persons seek i ng Ci ty cont racts, work , bus iness , or t ransact ions . The Ci ty of Ch i cago Board of Eth i cs has
deve l oped an ethi cs t ra ining program for such persons . The ful l text of these ord i nances and the ' t ra ining program is ava i l abl e on f ine at
www.c i tvofchi caao .org/Ethi cs l . and may a l so be obta i ned f rom the Ci ty's Board of Ethi cs, 740 N . Sedgw i ck St ., Sui te 500, Ch i cago , IL 60610,
(312) 744-9660. The fol lowing is descr ipt i ve on l y and does not purpor t to cover every aspec t of Chapt ers 2-156 and 2-164. The Unders i gned
mus t comp l y ful ly wi th the appl i cabl e ord i nances.
[X] BY CHECK I NG TH I S BOX THE UNDERS I GNED ACKNOWLEDGES THAT THE UNDERS I GNED
UNDERSTANDS THAT THE CITY' S GOVERNMENTAL ETH I CS AND CAMPA I GN F I NANCI NG
ORD I NANCES , AMONG OTHER TH I NGS:
1) Prov i de that any cont ract negot i ated, entered into or per formed in viol at ion of the Ci ty's ethi cs l aws can be vo i ded by the
c i ty.
2) Limi t the gi f ts and favors any person can gi ve , or of fer to gi ve , to any Ci ty of f icial , emp l oyee , cont ractor or cand i da te for
e l ected Ci ty of f i ce or the spouse or mi nor chi ld of any of them:
a. cannot g i ve them any cash gi f t or any anonymous gi f t ; and
b. cannot g i ve any gi f t based an a mutua l understand i ng that the Ci ty of f icial 's or emp l oyee ' s or Ci ty cont ractor 's
act ions or dec i s i ons wi l l be inf luenced in any way by the gi f t ;
3) Prohibi t any Ci ty e l ec ted of f icial or Ci ty emp l oyee f rom hav i ng a f inanc i a l interest , di rect ly or indi rect ly, in any cont ract ,
work , t ransact ion or bus i ness of the Ci ty, i f that interest has a cost or present va lue of $5,000 or more , or i f that interest
ent i t ies the owner to rece i ve more than $2 , 500 per year.
4) Prohibi t any Ci ty appo i nted of f icial f rom engag i ng in any cont ract , work , t ransact ion or bus i ness of the Ci ty, un l ess the
mat ter is who l l y unre l ated to the appo i nted of f icial Ci ty dut i es or respons ibi l i t i es.
EDS 03103 For federaf l y- funded and non4ederaBy funded mat ters . Page 12 o f 13
20. 5) Prov i de that Ci ty emp l oyees and of f icials, or the i r spouses or mi nor chi ldren, cannot rece i ve compensa t i on or anyth i ng of
va l ue in return for adv i ce or ass i stance on mat ters concern i ng the operat ion or bus i ness of the Ci ty, un l ess the i r se rves
are who l l y unre l ated to thei r Ci ty dut i es and responsibi l i t i es.
6) Prov i de that former Ci ty emp l oyees and of f icials cannot , for a per iod of one year af ter the i r Ci ty emp l oyment ceases ,
ass i st or represent another on any mat ter invol v ing the Ci ty ff, whi l e wi th the Ci ty, they were persona l l y and substant i a l l y
i nvo l ved in the same mat ter .
7) Prov i de that former Ci ty emp l oyees and of f icials cannot ever ass i st or represent another on a Ci ty cont ract if, wh i l e wi th
the Ci ty, they were persona l l y invo l ved in or di rect ly superv i sed the formul at ion, negot i at ion, or execut i on of that
cont rac t
SECT I ON E I GHT : CONTRACT I NCORPORAT I ON , COMPL I ANCE , PENALTIES , D I SCLOSURE
The Unders i gned unders t ands and agrees that :
A. The cer t i f i cat ions, di sc losures, and acknow l edgment s conta i ned in this EDS wi l l become par t of any cont ract awarded to the
Appron t by f e Ci ty in connec t i on wi th the proj ect or t ransact ion that is the sub j ect of this EDS , whe ther procurement , Ci ty ass i stancs, or
other Ci ty act ion, and are mater i a l i nducements to the Ci ty's execut i on of any cont ract or tak ing other act ion wi t ty respect to ass i st ing the
proj ect or t ransact ion that is the sub j ect of this EDS. The Unders i gned understands that i t mus t comp l y wi th the statutes, ord inances , and
regul at ions on wh i ch this EDS is based.
B. If the Ci ty de termi nes that any informat ion prov i ded in this EDS is fa lse, i ncomp l e te or inaccurate , any cont ract or other agreement
in connect i on wi th wh i ch i t is submi t ted may be vo id or vo idab l e , and the Ci ty may pursue any remed i es under the cont ract (i f not vo id or
voidabl e) , at l aw, or in equi ty, inc luding terminat ing the Unders i gned ' s par t i c ipat ion in the proj ect or t ransact ion and/or dec l ining to a l low the
Unders i gned to par t i c ipate in other t ransact ions wi th the Ci ty .
C. Some or al l of the informat ion prov i ded on this EDS and any a t tachments to this EDS may be made ava i l abl e to the pub l i c on the
Internet , in response to a Freedom of Informat ion Ac t request , or otherw i se. By comp l e t i ng and s ign ing this EDS , the Unders i gned wa i ves
and re l eases any poss i b l e r ights or c l a i ms wh i ch i t may have aga i nst the Ci ty in connec t i on wi th the publ i c re l ease of informat ion conta i ned in
this EDS and a l so author i zes the Ci ty to ver i fy the accuracy of any informat ion submi t ted in this EDS.
D. The Unders i gned has wi thhe ld no d i sc losures as to econom i c interests in the unders i gned, or under tak ing, bus iness , or t ransact ion
to wh i ch this EDS per ta ins nor reserved any informat ion, da t a or p l an as to the i ntended use or purpose for wh i ch i t seeks Ci ty Counc i l or
other Ci ty agency act ion.
E. The informat ion prov ided in this EDS mus t be kept cur rent In the event of changes , the Unders i gned mus t supp l ement this
Af f idavi t , up to the t ime the Ci ty takes act ion on the bid, proposa l , or other appl i cat ion for wh i ch this EDS is be i ng submi t ted .
By:
(sign hoic)
Ti t le of s ignatory: Pr es i den t
Pr int or type name of s ignatory: Dan i e l P - T) i P i -7. 1( - r
p * I In a Repraen t a t i " oapad t y. t i p. as 11101 or agent of an App l i cant or an ent i ty (d sh i n i ng In an bngu i dua l apaer i y.)
ho l f ae hand In the App i an t . )
Cau*of
saes a
AduvwWW under oa th on (daf t )
beb i e me by
WPM -
at "
Not ary POW
RSMV
C]
CYNTH I A HANKOVCAK
No t ary Pub l i c , St a t e of I l l inoi s X
EDS 03103 For federa l y- furded and wn- f edera l l y funded mat ters . 11
My Comm i ss i on Exp i res 0109 E f13
21. JUN 10 2003 10 : 04RN HP LRSERJET 3200
RETURN TH I S " D I SCLOSURE OF RETA I NED PART I ES "
FOR I YI W I TH I N 7 CALENDAR DAYS OF C I TY NOT I F I CAT I ON
D I SCLOSURE OF RETA I N E D PART I ES
A. De f m l t l ons armdd D i sc l osure Reau i r emen t s
1. As used here i n , " Cont rac tor " means a person or ent i ty who has any cont rac t or l ease w i th the C i t y o f
Ch i cago ( the " C i t y " ) .
2. Pursuan t to Execu t i ve Orde r 97 .1, every c i ty cont rac t and l ease mus t be accompan i ed by a d i sc l osure
s t a t emen t prov i d i ng cer t a i n i n forma t i on abou t a t torneys , l obby i sts , account ant s , consu l t ant s , subcont rac tors , and
other persons whom the Cont rac tor has re t a i ned or expec t s to re ta i n w i th respec t to the cont rac t or l ease . In
par t i cu l ar , t he Cont rac tor mus t d i sc l ose the name o f each such person , h i s or he r bus i ness address , the na ture o f the
re l a t i onsh i p , and the amoun t o f f ees pa i d or es t i ma t ed to be pa i d . The Con t rac tor i s no t requ i red to d i sc l ose
emp l oyees who are pa i d so l e l y t hrough the Cont rac tor ' s regu l ar payro l l .
3. " Lobby i s t " means any person (a) who for compensa t i on or on beha l f o f any person other than h i mse l f
under t akes to i n f l uence any l eg i s l a t i ve or adm i n i s t ra t i ve ac t i on , or (b) any par t o f whose dut i es as an emp l oyee o f
ano ther i nc l udes under t ak i ng to i n f l uence any l eg i s l a t i ve or adm i n i s t ra t i ve ac t i on .
B. C i f i ca f a
Cont rac tor hereby cer t i f i es as fo l l ows :
1. Th i s D i sc l osure re l a tes to the fo l l ow i ng t ransac t i on :
Spec i f i ca t i on or o ther i dent i f y i ng numbe r : L 1) t r 8 1) °) 0031 CC o . t [R!>c7 : A r rv g t { CaZO ) 12 S )
Descr i pt i on o f goods or serv i ces to be prov i ded unde r Cont rac t : PaDF D f t 1c a . SCC%AtE s Mr3 . JRoE %T .
/
2. Name o f Cont rac tor : _ ' PCT2 t - . E~ ~~ rc . E~~r.
oG w~.
3. EACH AND EVERY a t torney , l obby i st , accoun t an t . consu l t ant , subcont rac tor , or o ther person re t a i ned or
ant i c i pa t ed to be re t a i ned by the Con t rac tor w i th respec t to or i n connec t i on w i th t he cont rac t or l ease is l i sted be l ow .
At t ach add i t i ona l pages i f necessary . NOTE : You mus t i nc l ude i n forma t i on abou t cer t i f i ed MBE I WBEs you have
re t a i ned or ant i c i pa t e re ta i n i ng , even i f you have a l ready prov i ded that i n forma t i on e l sewhe re i n the cont rac t documen t s.
RELAT I ONSH I P FEES ( i nd i ca t e
BUS I NESS (a t torney , l obby i s t , whe t he r pa i d or
NAME ADDRES5 subcont rac tor , t i c. ) es t i ma t ed)
CoITEl - C0N5%A. ' t% , 1q i Wt - 15q S . 1AA t. 4k j t . *yz . S-0a (o , 1VAc ' t a (L. 71DN . (of f PA` ' ~
k C ee i Y-+oa E,+1%-?J EU N , t , i e. 3o E. r~w^r " i A l koo S Q Cor ' t 2AC?o2 Uu Se . a t ~A , ~
' ryE s' i P fo t F t wa ~r,)tr . Zo E . (I1 c -~ SJ3 Cs*~ ' To f e. °1 °1 t 3 a 3 ~~
CHECK HERE IF NO SUCH PERSONS HAVE BEEN RETA I NED OR ARE ANT I C I PATED TO BE
RETA I NED :
22. JUN 10 e~UU3 10 : U4r , i - , HP LRSERJET 3200
4. The Con t rac tor unders t ands and agrees as fo l l ows :
- a. -Th l L- - i nforma t ro , , prov i ded-here i n- i s-ama t er i a[ i nducement - to t3te C i Ws - t xecu t i o t t o f the cont rac tor
other ac t i on w i t h respec t to wh i ch th i s D i sc l osure o f Re t a i ned Par t i es f orm i s be i ng execut ed , and the C i t y
may re l y on the i n forma t i on prov i ded here i n. Fur thermore , i f the C i t y de t e rm i nes tha t any i n forma t i on
prov i ded here i n i s fa l se , i ncomp l e t e , or i naccura t e , the C i t y may t erm i na t e the cont rac t or other t ransac t i on ,
t erm i na t e the Cont rac tor ' s par t i c i pa t i on in the cont rac t or other t ransac t i on , and / or dec l i ne to a l l ow the
Con t rac tor to par t i c i pa t e in other cont rac t s or t ransac t i ons w i th the C i t y.
b . I f the Con t rac tor i s uncer t a i n whe t he r a d i sc l osure i s requ i red unde r the F-xccut i ve Order , the
Cont rac tor mus t e i ther ask the Cont rac t Adm i n i s t ra tor or h i s or her manage r whe t he r d i sc l osure i s requ i red or
make the d i sc l osure .
c. Th i s D i sc l osure o f Re t a i ned Par t i es form , some or a l l o f the i n forma t i on prov i ded here i n , and any
a t t achmen t s may be made ava i l ab l e to the pub l i c on the Interne t , i n response to a F r eedom o f In forma t i on Ac t
request , or o therw i se . The Cont rac tor wa i ves and re l eases any poss i b l e r i ghts or c l a i ms i t may have aga i ns t
the C i t y in connec t i on w i t h the pub l i c re l ease o f i n forma t i on cont a i ned i n the comp l e t ed D i sc l osure o f
Re t a i ned Par t i es f orm and any a t t achmen t s.
Unde r pena l t y o f per j ury , I cer t i fy tha t 1 am author i zed to execu t e th i s D i sc l osure o f Re t a i ned Par t i es
on beha l f o f the Con t rac tor and tha t the i n forma t i on d i sc l osed here i n i s t rue and comp l e t e -
S i gna ture J Da t e
I e O S SE~J ~ o2 V N LE l u sl oE ` ~
Name ( t ype or pr i nt ) Ti t le
Subsc r i bed and swom to be fore me
th i s day o f t , ~- 03 ?b
OFF I CI AL SEAL
MARTA M OLAGUE
NOTARY PUBLIC - STATE OF ILLINOIS
MY COMM I SS I ON EXPIRES 09 . 1946
SI
23. RrRN TH I S " D I SCLOSURE OF RETA I NED PART I ES "
FORM W I TH I N 7 CALENDAR DAYS OF C I TY NOT I F I CAT I ON
D I SCLOSURE OF RETA I NED PART I ES
A. De f i n i t i on s and D i sc l osure Reou i r emen t s
1. As used here i n , "Cont rac tor " means a pe rson or ent i ty who has any cont rac t or l ease w i th the Ci ty o f Ch i cago
( the "Ci ty" )
2. Pursuan t to Execut i ve Orde r 97-1 , every c i ty cont rac t and l ease mus t be accompan i ed by a d i sc l osure
s t a t emen t prov i d i ng cer t a i n i n forma t i on abou t a t torneys , l obby i s t s . accoun t an t s , consu l t ant s , subcont rac tors ,
and o ther pe rsons whom the Con t rac tor has re t a i ned or expec t s to re t a i n w i th respec t to the cont rac t or
l ease . i n par t i cu l ar , the Con t rac tor mus t d i sc l ose the name o f each such pe rson . h i s or her bus i ness address ,
the na ture of the re l a t i onsh i p , and the amoun t of f ees pa i d or es t i ma t ed to be pa i d . The Con t rac tor is not
requ i red to d i sc l ose emp l oyees who are pa i d so l e l y t hrough the Cont rac tor ' s regu l ar payro l l .
3. "Lobby i s t " means any person (a) who for compensa t i on or on beha l f of any person other t han h i mse l f
unde r t akes to i nf l uence any l eg i s l at i ve or adm i n i s t ra t i ve ac t i on , or (b) any par t of whose dut i es as an emp l oyee
of ano t he r i nc l udes under t ak i ng to i nf l uence any l eg i s l at i ve or adm i n i s t ra t i ve ac t i on .
B. Cer t i f i ca t i on
Con t rac tor he reby cer t i f i es as fo l l ows :
1. Th i s D i sc l osure re l a t es to the fo l l ow i ng t ransac t i on : MONROE STREET BR I DGE
Spec i f i ca t i on or o ther i dent i f y i ng numbe r : C968-99-0037
Descr i pt i on o f goods or serv i ces to be prov i ded unde r Con t rac t : Arch i t ec tura l and Eng i neer i ng Des i gn
2. Name of Con t rac tor : Pa t r i ck Eng i nee r i ng , Inc.
3. EACH AND EVERY a t torney , l obby i s t , accoun t an t , consu l t an t , subcon t r ac t or . or o t he r pe rson re t a i ned or
an t i c i pa t ed t o be re t a i ned by t he Con t r ac t or w i t h respec t to or i n connec t i on w i t h t he con t rac t or l ease is l i st ed
be l ow. At t ach add i t i ona l pages i f necessa r y. NOTE: You mus t i nc l ude i n f orma t i on abou t cer t i f i ed MBE / WBEs
you have re t a i ned or an t i c i pa t e re t a i n i ng , even i f you have a l ready prov i ded tha t i n f orma t i on e l sewhe r e i n t he
con t rac t documen t s .
RELAT I ONSH I P FEES
BUS I NESS (a t torney , l obby i st , ( i nd i ca te whe t he r
NAME ADDRESS sub-cont rac tor . e t c .) pa i d or es t i ma t ed)
COTTER CONSULT I NG . I NC. 150 S Wacke r Dr . . Su i t e 420 sub- con t r ac t or $7634 . 64 od
Techknow Eng i nee rs . LLC 30 E. Adams St . . Su i t e 1 100 sub- con t r ac t or $44 . 856 . 04 [ )d
Bes t Pho to Dra f t i ng . Inc . 20 E. Rando l ah St . sub-cont rac tor $9 . 913 . 93 ad
CHECK HERE IF NO SUCH PERSONS HAVE BEEN RETA I NED OR ARE ANT I C I PATED TO BE RETA I NED :
24. The Cont rac tor unders t a i and agrees as fo l l ows .
a . The i n forma t i on prov i ded here i n is a ma t er i a l i nducemen t to the Ci ty ' s execu t i on of the cont rac t or o ther
ac t i on w i th respec t to wh i ch th i s D i sc l osure of Re t a i ned Par t i es Corm is be i ng execu t ed , and the C i t y may re i v
on the i n forma t i on prov i ded here i n . Fur t he rmore , i f the C i t y de t e rm i nes tha t any i n forma t i on prov i ded here i n
is fa l se , i ncomp l e t e , or i naccura t e , t he C i t y may t e rm i na t e t he con t rac t or o t he r t ransac t i on , t erm i na t e the
Cont rac tor ' s par t i c i pa t i on in t he con t rac t or o ther t ransac t i on , and / or dec l i ne to a l l ow the Con t rac tor to
par t i c i pa t e i n o t he r cont rac t s or t ransac t i ons w i t h the C i t y .
b. If the Cont rac tor is uncer t a i n whe t he r a d i sc l osure is requ i red unde r the Execut i ve Order , the Cont rac tor
mus t e i ther ask the Cont rac t Adm i n i s t ra tor or h i s or her manage r whe t he r d i sc l osure is requ i red or make the
d i sc l osure .
c. Th i s D i sc l osure of Re t a i ned Par t i es form, some or al l of the i nforma t i on prov i ded here i n , and any
a t t achment s may be made ava i l ab l e to the pub l i c on the Internet , in response to a F r eedom of Informa t i on Ac t
request , or otherw i se . The Cont rac tor wa i ves and re l eases any poss i b l e r ights or c l a i ms it may have aga i nst the
Ci ty in connec t i on w i th the pub l i c re l ease of i nforma t i on con t a i ned in the comp l e t ed D i sc l osure of Re t a i ned
Par t i es form and any a t t achmen t s .
Unde r pena l t y of per j ury , I cer t i fy tha t I am author i zed to execut e thi s D i sc l osure of Re t a i ned Par t i es on beha l f of the
Con t r c tor and that the i nforma t i on d i sc l osed here i n is t rue and comp l e t e .
Jo t ~ j l
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S i gna ture Da t e
Name hype or pr int ) Ti t l e
Subscr i bed and sworn to be fore me
a.
thi s 2 Y day of Pe c e - b , e r , 20
Rev . 11 / 99 2