Contract Summary Sheet

‘Contract (PO) Number: 2143
Specification Number: 11592
Name of Contractor: TIA/CHICAGO CONNECTIONS

Department: DHS

‘Title of Contract: FY 04 HOMELESS SERVICES

Dollar Amount of Contract (or maximum compensation if a Term Agreement) (DUR):
$150,000.00

Brief Description of Work: FY 04 HOMELESS SERVICES

Procurement Services Contact Person: LISA BUTTS

Vendor Number: 1005621
‘Submission Date:

guy 15 2008

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BLANKET PURCHASE ORDER NUMBER: 2143
FUND NUMBER: 066-53-2005-0140-0140-
100-53-2005-9025-0140
VeNoor cove: 10056216
DEPARTMENT NUMBER: HS-2433

AGREEMENT
BETWEEN

THE CITY OF CHICAGO
(DEPARTMENT OF HUMAN SERVICES)

AND

TRAVELERS & IMMIGRANTS AID/CHICAGO CONNECTIONS
(Contractor)

ENTERED INTO AS OF 07/01/2003

HOMELESS SERVICES PROGRAM

RICHARD M. DALEY
MAYOR

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AGREEMENT

This Agreement (‘Agreement’) is entered into as of 97/01/2003, by and between
TRAVELERS & IMMIGRANTS AIDICHICAGO CONNECTIONS, a corporation ("Contractor), whose
maiing address is: 208 S. LaSalle #1818, Chicago, IL_ 60604, and the CITY OF CHICAGO ('City’),
a municipal corporation and home rule unit of local government existing under the Constitution of the
State of Ilinois, acing through its DEPARTMENT OF HUMAN SERVICES ("Department"), whose
mailing address is: 161 West Chicago Avenue, Chicago, linois 60622, at Chicago, inci.

BACKGROUND INFORMATION

‘The City has received grants pursuant to the Illinois Department of Human Services
("IDS") Emergency Food and Shelter Grant Program and various United States Department of
Housing and Urban Development ("HUD") programs funded, in part, pursuant to the Stewart B.
Mckinney Homeless Assistance Act of 1988, 42 U.S.C. § 11301 et seq. (collectively, the "Homeless
Services Program Funds"). Homeless Services Program Funds are to be used to provide
housing and related services for the homeless.

‘The City desires to enter into this Agreement to procure services with Homeless.
Services Program Funds and the Contractor warrants and represents that it has the professional
‘experience and expertise to provide these services to the full satisfaction of the City and that itis
ready, willing and able to enter into this Agreement.

This Agreement will take effect as of 07/01/2003 and continue through 06/30/2005
("Term’), or until the Services are completed or until this Agreement is terminated whichever occurs,
first, and on the condition that the term is in accordance with the applicable grant agreements,
regulations, etc.

‘Any payments under this Agreement will be made from
Fund Number 066-53-2005-0140-0140- / 100-53-2005-9025-0140 and are subject to annual
‘appropriation and availabilty of funds. In subsequent years, the City may change the fund number at
its sole discretion. The maximum compensation that Contractor may be paid under this Agreement,
without an amendment to this Agreement authorizing a higher amount, is $150,000. (the "Maximum
Compensation").

‘Notwithstanding the Maximum Compensation, the amount of funds the City commits to
pay to the Contractor as of the effective date of this Agreement (“Committed Compensation’) is
limited to $50,000,, and such amount is reflected in the "Budget Summary,” attached as Exhibit C
land incorporated by reference. If the City has funds available, and those funds are appropriated for
the services/programs covered by this Agreement and the grant agreements, if any, associated with
those funds authorize the expenditure of the funds during the time period associated with the
increased Committed Compensation, then the City, in its sole discretion, may increase the amount of
‘Committed Compensation by written notification from the Commissioner of the Department of Human
Services ("Commissioner") to the Contractor and subject to the satisfactory submission of a revised
Budget Summary by the Contractor. The Contractor must submit a revised Budget Summary to the

Background Information - Page 1 of 2

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and subject to the satisfactory submission of a revised Budget Summary by the Contractor.
‘The Contractor must submit a revised Budget Summary to the Department, for approval by the
Department and the City Comptroller (Attention: Special Accounting Division), reflecting such
‘additional funds, the cumulative Committed Compensation and the revised fund number.
Once approved by the Department and the City Comptroller, the revised Budget Summary will
‘supersede the Budget Summary, attached as Exhibit C. In no event will the cumulative
‘Committed Compensation exceed the Maximum Compensation without a written amendment
to this Agreement. In the event that the City pays the Contractor the total amount of
‘Committed Compensation for the Services without providing written notification of an increase
in the amount of Committed Compensation, this Agreement will automatically terminate at the
time the final payment totaling the Committed Compensation is mad

{and to the extent the City makes any payments to the Contractor for the Contractor's
provision of services pursuant to particular project ("Project") under this Agreement from a
source of funds other than City funds ("Non-City Funds") from a United States (‘Federal’) or
State of Ilinois ("State") department or agency ("Funding Agency’), the Contractor must
comply with all the Terms and Conditions of this Agreement, with all grant agreements,
pursuant to which the City received the Non-City Funds and also with the additional
requirements ("Additional Requirements") associated with those Non-City Funds, which may
be found in Exhibit A

Non-City Funds include funds received by the City under: (1) IDHS' Emergency Food
and Shelter Grant Program; (2) HUD's Supportive Housing Grant Program; (3) HUD's Shelter
Pius Care Program; and (4) HUD's Emergency Shelter Grant Program.

‘The Additional Requirements pertaining to IDHS' Emergency Food and Shelter Grant
Program include, but are not limited to, those contained in Article Lof Exhibit A. The Additional
Requirements pertaining to HUD’'s Supportive Housing Grant Program include, but are not
limited to, those contained in Article lof Exhibit A. The Additional Requirements pertaining to
HUD's Shelter Plus Care Program include, but are not limited to, those contained in Article Ill
OfExhibitA. The Additional Requirements pertaining to HUD's Emergency Shelter Grant
Program include, but are not limited to, those contained in ticle IV of Exhibit A. Finally, the
‘Additional Requifements pertaining to construction and rehabilitation services funded with
HUD's Emergency Shelter Grant Program inciude, but are not limited to, those contained in
Atticle V of Exhibit A

The Contractor warrants and represents that, with respect to any Non-City Funds from
Which the City makes payments to the Contractor for the provision of services pursuant to a
Project, neither it nor any ofits employees, agents or Subcontractors of any tier wil actor fail
to act in any way that would cause the City to violate any of the grant agreements under which
the City received the pertinent Non-City Funds.

Now Therefore, the parties agree as follows:

Background Information - Page 2 of 2

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INCORPORATION OF BACKGROUND
INFORMATION AND EXHIBITS:

‘The Background Information is incorporated
by reference.

“The following attached Exhibits are made a

part of this Agreement:
ExhibitA Additional Requirements
Exhibit B Scope of Services
Exhibit Budget Summary
Exhibit Economic Disclosure
Statement & Affidavit
Exhibit€ Insurance Requirements &
Insurance Certificate
Exhibit HIPPA Requirements

‘TERM AND FUNDING
24 CONTRACT PERIOD

‘The Term of this Agreement is noted in the
Background Information. Also, the
‘Contractor acknowledges that in the
performance of the Services, TIME IS OF
‘THE ESSENCE,

22 PROGRAM FUNDING

‘Any payments during the first year of this
‘Agreement will be made from the Fund
Number shown in the Background
Information and is subject to annual
appropriation and availabilty of funds, For
‘each subsequent year, the revised fund
‘number willbe included on the revised
Budget Summary and is subject to annual
‘appropriation and availablity of funds. The
Maximum Compensation that Contractor
‘may be paid without an amendment
‘authorizing a higher amount, is noted in the
Background Information

The Ciy, ints sole discretion, may reduce

‘Terms and Conditions - Page 1 of 26

the Maximum Compensation or Committed
‘Compensation at any time, upon witen
‘notice to the Contractor. Upon reduction of
the Maximum Compensation or Committed
‘Compensation, the Contractor wil fully
‘cooperate withthe Ciy’s deobligation
‘andlor reprogramming of funds.

23. EARLY TERMINATION

‘The City may terminate this Agreement, or
any portion of it remaining to be performed,
at any time, upon written notice to the
Contractor. If the Agreement is terminated
by the Cty, the Contractor will deliver to the
Cty all inished or unfinished documents,
data, studies, and reports prepared by the
Contractor under this Agreement. Payment
for the work performed before the effective
date of such termination will be based upon
‘a proration of the work actually performed
by the Contractor to the date of termination,
as determined by the Chief Procuremant
Officer. Payment made by the City,
pursuant to such proration, will be in full
Settlement forall Services rendered by the
Contractor.

2

CONTRACTOR CONTRIBUTIONS.

‘The Contractor wil contribute tothe
payment of expenses incured in performing
the Services, the amounts, it any. cescribed
in Exhbit ©. “The Contractor’ controution
willbe cash or in-kind

2.5 NON-APPROPRIATION

If no funds or insufficient funds are
‘appropriated and budgeted in any City fiscal
period for payments to be made under this
‘Agreement, the City may notify Contractor
in writing of such occurrence and this
‘Agreement will terminate on the earer of
the last day ofthe fiscal period for which
‘sufficient appropriation was made or
whenever the funds appropriated for
payment under this Agreement are
‘exhausted. No payments will be made or

UNTITLED-005,
‘due to the Contractor under this Agreement
beyond those amounts appropriated and
budgeted by the City to fund payments,
under this Agreement.

ARTICLE 3
DUTIES OF THE CONTRACTOR

3. SCOPE OF SERVICES
(WORK PROGRAM)

‘The Contractor wil carry out the Services
pursuant tothe Scope of Services (Work
Program), attached as Exhibit and
incorporated by reference, and the Budget
Summary, attached as Exhibit C and
incorporated by reference, in accordance
with the requirements ofthis Agreement
‘The Scope of Services (Work Program) is
intended to be general in nature and is
neither a complete description ofthe
Contractors Services nora limitation on the
‘Services which the Contractor wil provide.

3.2 STANDARD OF PERFORMANCE

‘The Contractor will perform all Services
under this Agreement with the degree of
‘kil, care and dligence normally shown by
‘a contractor performing services of a scope,
[purpose and magnitude comparable with
the Services ("Standard of Performance”)
‘The Contractor will use its best efforts on
behalf of the City to assure timely and
Satisfactory completion of the Services.

Ifthe Contractor fais to comply with the
Standard of Performance, the Contractor
will continue to perform any Services
required by the City as a result of the
Tailure. This provision in no way limits the
City’s legal or equitable rights against the
Contractor.

‘Terms and Conditions - Page 2 of 26
3.3 CONTRACTOR'S PERSONNEL

If assignment of personnel is required for
the proper completion of the Services or is
otherwise required by this Agreement, then
the Contractor wil assign immediately and
‘maintain for the duration of the Services, a
Staff of competent personne! that is fully
licenced, equipped, competent and qualified
to perform the Services. The Contractor will
retain and make available to the Ciy, state
‘and federal agencies governing funds
provided under this Agreement, proof of
Certification or expertise including, but not
limitad to, licences, resumes and job

descriptions.

3.4 MINORITY-OWNED AND WOMEN-
‘OWNED BUSINESS ENTERPRISE
PROCUREMENT PROGRAM

‘A. Ifonly Non-City finds are expended
pursuant to this Agreement and the
Contractor's Scope of Services.
(Work Program) is solely limited to
‘social services (including, but not
limited to job taining and
placement, education, child day
‘are, emergency shelter, home-
<elivery meals and health care),
then the Contractor need not comply
with the Minority-Owned and
Women-Owned Business Enterprise
Procurement Program (the
“MBE/WBE Ordinance”). Municipal
Gode ofthe City of Chicago (the
“Municipal Code") Section 2-22-420
etseg.

B. If, however, City unds are expended
pursuant fo this Agreement or the
Contractor's Scope of Services
(Work Program) includes
Construction, renovation,
rehabiltation or facility
enhancement, the Contractor must
comply with the MBE/WBE
Ordinance, except tothe extent
waived by the Chief Procurement

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Officer.
NON-DISCRIMINATION

{In performing its Services under this
‘Agreement, Contractor must comply
with applicable laws prohibiting
discrimination against individuals
‘and groups.

Federal Requirements

In performing the services under this
‘Agreement and in its employment
practices the Contractor must not
‘engage in unawful employment
practices, such as:

1. failing or refusing to hire or
discharging any individual, or
otherwise discriminate
‘against any individual with
respect to his or her
‘compensation, or the terms,
conditions, or privileges of
his or her employment,
because of such individuals
race, color, religion, sex,

‘age, handicap/disabilty or
rational ongin; oF

limiting, segregating, or
dassiying its employees or
_2pplicants for employment in
‘any way that would deprive
cortend to deprive any
individual of employment
opportunities oF otherwise
adversely affect the
individual's status as an
employee, because ofthat
individual's race, cole,
religion, sex, 290,
handicaplcisabity or
national oni.

In discharging the
responsiblities required by
the terms and conditions of
this Agreement, the
Contractor will comply with
the Civil Rights Act of 1984,

‘Terms and Conditions - Page 3 of 26

42 USC. § 2000e et sea.,
‘as amended and the Civil
Fights Act of 1991,P.L. 102-
168; Executive Order No.
11246, as amended by
Executive Order No. 11875
‘and by Executive Order No.
12086; the Age
Discrimination Act of 1975,
42 U.S.C. §§ 6101-6106;
‘Age Discrimination in
Employment Act, 29 U.S.C.
|§§621-34; Tile OX of the
Education Amendments of
1972, as amended (20
U.S.C. 1681-83 and 1685-
£86); the Rehabilitation Act of
1973, 29 US.C. §§ 793-794;
the Americans with
Disabilities Act, 42 U.S.C. §
12101 et seq.; 41 CFR part
60; and all other applicable
federal statutes, regulations
‘and other laws.

State Requirements

in performing the services under this
‘Agreement, the Contractor will
‘comply with the ilinois Human
Rights Act, 775 ILCS 5/1-101 at
‘$00, the Public Works Employment
Discrimination Act, 775 ILCS.
10/0.01 et seq. and any rules and
regulations promulgates thereunder,
‘including, but not limited to, the
Equal Employment Opportunity
‘Clause, 44 II. Admin. Code § 750
Appendix A, and all other applicable
slate statutes, regulations and other
laws.

Gity Requirements

In performing the services under this
Agreement, the Contractor will
‘comply with the Chicago Human
Rights Ordinance, Municipal Code §
2-160-010, and all other applicable
City ordinances and rules. Further,
the Contractor must furnish, and
cause every subcontractor to
furnish, such reports and information

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‘as may be requested from time to ‘33 North LaSalle Street
time by the Chicago Commission on oom 800
Human Relatons. ‘Chicago, Itinois 60602.

‘Subcontractors Required to

Comply 3.7 INDEMNIFICATION
‘The Contractor wil incorporate all of

the provisions set forth in this A. Contractor must defend, indemnity,
Section in all subcontracts entered keep and hold harmless the City, ts
into with all suppliers of materials, officers, representatives elected
fumishers of services, and appointed officials, agents and
subcontractors of any ter, and labor {employees from and against ary
‘organizations which furnish skiled, ‘and a Losses, inciuding those
LUnsklled and craft union skilled related to:
labor, or which may provide any
Imatetias, labor or services in 1k Injury, death or damage of or
Connection wit this Agreement to any person or property;
‘The Contractor must cause its fi. any intingement or oation
subcontractors to execute such cof any property right
corticates as may be necessary in {including any patent,
furtherance of these provisions. trademark of copyright);
‘Such catfications wil be attached
and incorporated by reference inthe i, faire to pay or perform or
applicable subconvacts. Wany cause to be paid or
Subcontractor isa partnership or Performed Contractor's
Joint venture, the Contractor wil atso Covenants and obligations as
include provisions in its subcontract and when required under this
insuring tna the ents comprising ‘Agreement oF otherwise to
such partnership or joint venture wil, ay or perform its obligations
be jinty and severally lable for the to any Subcontractor,
partnership's or ont venture's
Sbligatons under the subcontract. iv. the Cit’ exercise ofits
rights and remedies under
INSURANCE this Agreement, and
Contractor must provide and ¥. injuries to or death of any
maintain or cause to be provided employee of Contractor or
<during the term ofthis Agreement any Subcontracir under any
insurance coverages and workers compensation
requirements spectied in Exhibit, Satute

insuring all operations related to this
‘Agreement. Contractor must submit

“Losses” means, individually and

Conticates of insurance of the collectively, lables of every kind,

required coverage's prot to tis including losses, damages and

‘Agreement being fll executed to ‘easonable costs, payments and

‘expenses (such as, but nt lites

ty of Chicago to, court costs and reasonabie
Compilers Ofice atiomeys foes and disbursements),
Federal Funds insurance Claims, demands, actions, suis.
unit proceedings, judgments or

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settlements, any or all of which in
any way arise out of oF relate to the
acs or omissions of Contractor, its
‘employees, agents and
‘Subcontractors.

[At the City Corporation Counsel's
‘option, Contractor must defend all
suits brought upon all such Losses
land must pay all costs and
‘expenses incidental to them, but the
Cty has the right, a its option, to
Participate, at its own cost, in the
‘defense of any suit, without relieving
Contractor of any of its obligations
under this Agreement. Any
‘settlement must be made only with
the prior written consent of the City
Corporation Counsel, i the
Settlement requires any action on
the part ofthe City.

To the extent permissible by law,
Contractor waives any mits to the
‘amount ofits obligations to
Indemnify, defend or contribute to
‘any sums due under any Losses,
including any claim by any employee
‘of Contractor that may be subject to
the Workers Compensation Act, 620
ILCS 305/1 et sea. or any other law
oF judicial decision (such as, Koteck!
v. Cyclops Welding Corporation. 146
WL 24 185 (1991)). The City,
however, does not waive any
limitations it may have on its iabilty
Under the Hlinois Workers
‘Compensation Act, the illinois
Pension Code or any other statute.
Contractor's waiver under this
provision, however. is not intended
‘and does not require Contractor to
indemnify the City for the City’s own
‘negligence in violation of the
Construction Contract
Indemnification for Negligence Act
(Antiindemnity Act’), 740 LCS.
35/0.01 et seq, ifthe Anti-Indemnity
‘Act applies.

‘The indemnities contained ia this

Terms and Conditions - Page 5 of 26

‘section survive expiration or
termination ofthis Agreement for
‘matters occurring or arising during
{he term ofthis Agreement or as the
result of or during the Contractor's
performance of Services beyond tho
term. Contractor acknowledges that
the requirements set forth inthis
section to indemnity, keep and save
hharmiess and defend the City are
apart from and not limited by the
Contractor's duties under this
‘Agreement, including the insurance
requirements in Exhibit E. In the
‘event that a court or other
governmental authority having
‘Competent jurisdiction determines.
any portion or provision ofthis
‘Section to be inoperative or
tunenforceable pursuant to the Ant-
Indemnity Act, the inoperative or
‘unenforceable portion or provision
will be deemed severed and deleted,
and the remaining provisions will
remain enforceable to the maximum
‘extent permitted by appicable law.

3.8 NON-EXPENDABLE PERSONAL
PROPERTY

‘The Contractor wil comply with all Federal,
State and Local laws and ordinances
regarding property management.

‘The Contractor wil request and receive
written authorization trom the City prior to
the purchase of tangible personal property
having a useful life of more than 1 year
land an acquisition cost of $5,000 or
‘more per unit with funds received pursuant
to this Agreement ("Non-expendable
Personal Property’).

All Non-expendable Personal Property wil
'be the property ofthe City to the extent that
‘Such property Is not the property of the
federal government or the State of Iino.

The Contractor will maintain a current

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{inventory listing of such Non-expendable
Personal Property and wil deliver a copy of
‘such listing to the City on an annual bass.

‘The Contractor will return all
'Non-expendable Personal Property to the
City, upon the termination of the Services,
‘Completion of this Agreement or at any time
requested by the Department. However,
‘upon the receipt of the final inventory of all
Non-expendable Personal Property, the City
‘may alow such property to remain in the
possession ofthe Contractor if the City, in
Its sole discretion, determines that the
'Non-expendable Personal Property is.
necessary for the performance of any new
‘or other services by the Contractor for the
City

3.9 SUBCONTRACTS

‘Al subcontracts and all approvals of
‘subcontractors, regardless of their form, will
'be deemed to be conditioned upon
performance by the subcontractor in
‘accordance with the terms and conditions of
this Agreement. The approval of
subcontractors will under no circumstances
operate to relieve the Contractor of any of
its obligations or abilties under this
‘Agreement.

Upon entering into any subcontract, the
Contractor will furnish the City with 1 copy
(of the subcontract for distribution to the:
‘Chief Procurement Officer and the
Department. All subcontracts will contain
provisions that require the Services to be
performed in strict accordance with the
ferms and conditions of this Agreement and
that the subcontractor is subject to all of the
terms and conditions of this Agreement,
including the rights ofthe City to approve or
disapprove of the use of any subcontractor.
‘As long as such subcontracts do not
prejudice any ofthe City's rights under this
‘Agreement and do not affect the quality of
the Services to be rendered in any way,
‘subcontracts may contain different
provisions than are provided inthis
‘Agrooment,

3.40 PROGRAM INCOME,

‘The Contractor will return tothe City all
{gross income received by the Contractor
that is directly generated by the use of
funds received from the City ("Program
Income”) in any form or manner the City
requires. Program Income includes the
following:

‘A. proceeds from the disposition by
Sale or long term lease of real
property purchased or improved with
City funds;

B. proceeds from the disposition of
‘equipment purchased with City
funds;

€. gross income from the use or rental
‘of real or personal property acquired
by the Contractor with City funds,
less the cost incidental to the
‘generation of such income;

D. gross income from the use or rental
‘of real property owned by the
‘Contractor that was constructed or
improved with City funds, less the
‘costs incidental to the generation of
‘such income;

E._proceeds from the sale of
‘bigations secured by loans made
with City funds;

F. interest eared on funds held in 2
revolving fund account;

G. interest earned on Program Income
Bending depostion of euch nome:

H. funds collected through special
assessments made against
properties owned and occupied by
householes of low and moderato
income persons where such
‘assessments are used to recover:
‘or part of the City's portion of a
public improvement.

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314

RELIGIOUS ACTIVITIES.
Definitions:

“Pervasively Sectarian Organization”
‘means an organization whose
primary purpose is religious, such as
‘a church, synagogue, mosque,
religious primary or secondary’
‘School, of corporate entity which
includes such religious uses.

“Religiously Afiated Organization”
‘means an entity with a secular
purpose, which is affliated with 2
Pervasively Sectarian Organization
‘or whose members are motivated by
a reigious purpose.

"Line-ltem-Services Agreement
means an Agreement forthe
provsion of tems (e.g., meals,
vaccinations, etc.) or services (e.9.
homeless services, job training, child
care, medical care, etc), which sets.
forth each particular type of
expenditure for which Contract
amounts are to be spent, and which
Is based on the number of persons
to be served

‘The Contractor warrants that in
providing the Services:

i. itwill not discriminate against
‘any employee or applicant
for employment on the basis
‘of religion and wil not lit
‘employment or give
preference to persons on the
basis of reigion, unless
otherwise expressly allowed
bylaw;

H._itwill not discriminate against
‘any person applying forthe
Services on the basis of
religion and will not imi the
Services or give preference
{to persons on the basis of
religion;

‘Terms and Condition

Page 7 of 26

1, twill not provide religious
instruction, conduct religious
worship or services, or
‘engage in religious
proselytizing, nor, unless
‘otherwise expressly allowed
by law, will it provide
religious counseling or exert
‘other religious influence in
the provision of the Services.

IW this Agreement is any type of
agreement other than a Line-ttem-
Services Agreement, the Contractor
warrants that itis not a Pervasively
Sectarian Organization.

If the Contractor is a Pervasively
Sectarian Organization, then
Contractor warrants that it will nt
Use any funds received under this
‘Agreement for any general purposes
fof the Contractor, and that it wil
retum tothe City any such funds not
spent by iton the Services, promptly
‘upon completion of the Services or
termination ofthis Agreement in
‘accordance with its terms,
whichever occurs earlier.

I the Contractor is a Religiously
Afliated Organization and it
receives funds under this Agreement
{or construction, rehabilitation oF
facility enhancements
(Cimprovements") of premises, the
‘Contractor warrants that the
premises will be used for wholly
‘secular purposes and that if, during
the useful life ofthe Improvements,
the premises are ever used for any
religious purposes by the
Contractor, its successors or
assigns, the Contractor will
reimburse the City forthe present
value of the Improvements, up to the
‘amount of funds provided by the City
for the improvements.

‘The Contractor's breach of any of
the warranties described inthis

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‘Section 3.11. in adion to any other
remedies avaiable a a, n equty
or under his Agreement, enites the
City to void his Agreement and
fecapture all funds given tothe
Contractor under this Agreement.

342 DRUG-FREE WORKPLACE

‘The Contractor must administer a policy
designed to ensure that the program facility
is free from the ilegal use, possession, or
<stibution of drugs or alcohol by its
beneficiaries. The Contractor must further
maintain a drug free workplace in
‘accordance withthe requirements of the
Drug Free Workplace Act of 1988 (Pub. L.
100-690 and 24 C.F-.R. Part 24, Subpart F),
‘and the Ilinois Drug Free Workplace Act
(G0 ILCS 580/1 et sea.) and must
implement specific policies and guidelines
‘as may be adopted by the City. In addition,
the Contractor must execute certifications
pursuant to the Drug Free Workplace Act of
11988, as may be requested by the
Department.

Contractor will establish procedures and
policies to promote a drug free workplace.
Further, Contractor wil notify all employees
Of its polly for maintaining a drug free
workplace, and the penaites that may be
imposed for drug abuse violations occurring
inthe workplace. The Contractor will notify
the City if any of its employees are
convicted of a criminal drug offense in the
workplace no later than 10 calendar days.
after such conviction.

3.13 ACKNOWLEDGMENT OF
FUNDING SOURCES

A. The Contractor wil not make any
public announcement with respect to
the Services without the prior writen
‘approval ofthe City. The Contractor
will conspicuously acknowledge the
‘co-sponsorship ofthe City on all
‘promotional materials including, but

‘Terms and Conditions - Page 8 of 26

‘not limited to, brochures, flyers,
‘written or electronic public notices,
news releases, public service
‘announcements, acknowledgments
‘at any special events intended to
‘promote the Services, or solicitation
Of the private sector. ‘The
‘Contractor will not atribute any
statement to the City without the
City's prior written approval

All reports, maps and other
documents completed as part ofthis
‘Agreement, other than documents
exclusively for internal use within the
City, will contain the following
information in 2 conspicuous place
Con the front ofthe report, map or
document:

i. the name of the City of
‘Chicago;

the month and year of
preparation; and

fil, the name of the project

Also, if the Contractor is expending
federal funds under this Agreement,
the Contractor, when issuing
Statements, press releases,
requests for proposals, bid
solicitations, and other documents
describing projects or programs
funded in whole or in part with
federal money, will leary state:

i. the percentage of the total
‘costs of the program or
project which wil be financed
with federal money;

the dolar amount of federal
funds forthe project or
program, and

Til, the percentage and dolar
‘amount of the total costs of

UNTITLED-012
the project or program that
willbe financed by
‘nongovernmental sources.

‘Such statement must not represent
(or suggest in any way that the views
expressed are those of the federal
government.

REF 1G,
‘DOCUMENTATION

4.1 REPORTING REQUIREMENTS

For fiscal year 2004, Contractor must
submit its programmatic performance
reports on a quarterly basis as indicated in
its CDHS Report Package to the Grants
Management Division of the Department.
Contractor must also submit its Shettor
Giearinghouse Report on a daily basis, the
HUD Shelter Plus Care Report on a weekly
basis (if applicable) to the Family Support
Services Division of the Department.

42 RECORDS

‘The Contractor will maintain and make
available tothe City information such as,
but not limited to, dates of and reports oF
‘memoranda describing the Contractor's
‘actives that is necessary to assist the City
in its compliance with all applicable laws.
The Contractor will maintain all documents.
Pertaining to this Agreement including, but
‘ot limited to, all financial, statistical,
property and participant information|
‘documentation

‘The Contractor will retain books,
documentation, papers, records and
‘accounts in connection with this Agreement
ina safe place for at least 5 years after the
City and, if applicable, the federal
‘government determines that the Contractor
hhas met all closeout requirements for this

‘Terms and Condition

Page 9 0f 26

‘Agroement, and will keep them open to
‘audit, inspection, copying, abstracting and
transcription, and will make these records
available tothe City, the United States
‘Comptroller General or the Auditor General
Of the State of Ilinois at reasonable times
during the performance of ts Service.

I Contractor conducts any business
‘operations separate from the Services
using any personnel, equipment, supplies or
facilities also used in connection with this
‘Agreement, then Contractor will maintain
‘and make availabe to the City, the U.S.
‘Comptroller General and Auditor General of
the Stat of ilinois detailed records
‘supporting Contractors allocation of the
Costs and expenses attributable to any such
shared usages.

‘The Contractor will maintain books, records,
‘and documents, and will adopt accounting
procedures and practices sufficient to
reflect propery al costs of whatever nature
Claimed to have been incurred and
anticipated to be incurred for or in
‘connection with the performance ofthis
‘Agreement. This system of accounting
‘must be in accordance with generally
accepted federal accounting principles and
practices, as set forth in the applicable
OMB Circulars A-21, A-87, A-102, A-110,
AAN22 and A-133.

‘The Contractors fallure to maintain any
books, records and supporting documents
Tequired by this Section will establish a
‘presumption in favor ofthe City for the
recovery of any funds paid under this
‘Agreement for which adequate books,
records, and supporting documentation are
‘not avaiable to support their purported
disbursement

'No provision in this Agreement granting the

City a night of access to records and
documents impair, mits or affects any

UNTITLED-013
right of access to such records and
documents that the City would have had in
the absence of such provisions.

43° AUDIT REQUIREMENT

It the Contractor is a not-for-profit
‘corporation and is expending federal funds
Lunder this and other agreements totaling
'$300,000 or more during its fiscal year,
‘must submit an audit conducted in
‘accordance with OMB Circular A-133
{entitled “Audits of States, Local
Governments and Non-Profit
Organizations"), the compliance
requirements set forth in OMB Compliance
‘Supplement, and any additional testing and
reporting required by the City. fan A133,
audit is required, that audit must cover the
time period specified by OMB Circular A-
4133 and its implementing regulations.
Organization-wide audited financial
statements must, at a minimum, cover the
‘Term of this Agreement.

the Contractor is a for-profit entity, then it
is subject to the annual audit requirements
under generally accepted government
‘auditing standards (Government Auditing
‘Standards) promulgated by the Comptroller
General ofthe United States (for-profit
entities).

‘The Contractor acknowledges that the City
‘may perform, of cause to be performed,
various monitoring procedures relating to
the Contractor's award{s) of federal funds,
including, but not limited to, “imited scope
‘audits of specific compliance areas.

‘The Contractor must submit the aueit
roporis within 6 months after the end of tho
‘audit period. The Contractor must submit,
the audit, within this time frame, to the
Department and to:

City Department of Finance

‘Terms and Conditions - Page 10 of 26

Internal Audit
Audit Compliance Unit

33 North LaSalle Street, Room 800
Chicago, inois 60602.

If an OMB audit is required, the Contractor
will also send a copy of the auclt, within the
‘same time frame indicated in Sec, 320 of
(OMB Circular A-133, to:

Federal Audit Clearinghouse
Bureau of the Census

1201 €. 10th Street
Jffersonville, IN 47132

Further, the Contractor must submit, with
the audit, a report which comments on the
findings and recommendations inthe audit,
including corrective action planned or taken,
no action is planned or taken, an
‘explanation must be included. Copies of
‘written communications on non-material
‘compliance findings must be submitted to
the Department and the City Department of
Finance,

‘The City retains its right to independently
audit the Contractor.

If the Contractor is found in non-compliance
with these audit requirements, by either the
City or any federal agency, the Contractor
‘may be required to refund financial
assistance received from the City or the
applicable federal agency(ies)

‘The City may in its sole discretion audit the
records of Contractor or its Subcontractors,
‘or both, at any time during the term of this
Contract or within five years after the
Contract ends, in connection withthe

(goods, work, or services provided under
this Contract. Each calendar year or partial
Calendar year is considered an “audited
period." If, 2s a result of such an aucit, itis
‘determined that Contractor of any of ts
‘Subcontractors has overcharged the City in

UNTITLED-014
the audited period, the City wil notify
Contractor. Contractor must then promptly
reimburse the City for any amounts the City
has paid Contractor due to the overcharges
{and also some or all of the cost of the audit,
as follows:

A. Ifthe audit has revealed
‘overcharges to the City
representing less than 5% of
the total value, based on the
contract prices, ofthe goods,
work, or services provided in
the audited period, then the
Contractor must reimburse
the City for 50% of the cost
(of the audit and 50% of the
cost of each subsequent
‘audit that the City conducts;

B. If, however, the audit has.
revealed overcharges to the
City representing 5% or more
Cf the total value, based on
the contract prices, of the
‘goods, work, or services
provided in the audited
period, then Contractor must
reimburse the City forthe full
cost of the audit and of each,
subsequent audi

Falure of Contractor to reimburse the City
in accordance with A or B above is an event
‘of default under this Contract, and
Contractor wil be liable for all ofthe City’s
Costs of collection, including any court costs
‘and attorneys’ feos.

44 CONFIDENTIALITY

‘Ad reports, deliverables and documents.
prepared, assembled or encountered by or
provided to the Contractor under this
‘Agreement are property ofthe City and are
confidential, and the Contractor warrants
and represents that, except as may be

‘Terme and Conditions - Page 11 of 26

required by law, the reports, deliverables
‘and documents will not be made available
to any other individual or organization
without the prior written consent ofthe
‘Commissioner of the Department
("Commissioner"). The Contractor will
Implement measures to ensure that its staff
‘and its subcontractors will be bound by this
‘Section

‘The Contractor will not issue any publicity
‘news releases or grant press interviews,
‘and except as may be required by law
‘during or after the performance of this
Agreement, disseminate any information
regarding its Services or the project to
hich the Services pertain without the prior
written consent of the Commissioner.

When the Contractor is presented with a
request for documents by any
‘administrative agency or with a subpoena
duces tecum regarding any records, data or
documents which may be in the
Contractor's possession by reason of this
‘Agreement, the Contractor will immediately
‘ve notice to the Commissioner and the
City’s Corporation Counsel with the
understanding that the City will have the
‘opportunity fo contest such process by any
‘means availabe to it, before such records.
‘oF documents are submitted to @ court or
‘other third party. The Contractor will not be
‘bligated to withhold such delivery beyond
that time as may be ordered by the court or
administrative agency, unless the subpoena
(request is quashed or the time to
produce is otherwise extended,

To the extent not defined here, the
capitalized terms in Exhibit F wall have the
‘same meaning as set forth in the Health
Insurance Portability and Accountabilly Act
(Act). See 45 CFR parts 160 and 164,
Contractor and al its subcontractors must
‘comply with the Act and all rules and
regulations applicable to it including the

UNTITLED-015,
Privacy Rule, which sets forth the
‘Standards for Privacy of individually
{entifiable Health Information at 45 CFR
part 160 and part 164 subparts A and E;
and the Standards for Electronic
‘Transactions, which are located at 45 CFR
parts 160 and 162.

‘Additionally, if Contractor is a Business
Associate it must comply with all
requirements of the Act applicable to
Business Associates including the provisions
Contained in Exhibit F.

If the Contractor falls to comply with the
applicable provisions under the Act, such
{alures will constitute an event of default
Under this Agreement for which no
‘opportunity for cure will be provided

43 MONITORING
‘The Contractor will allow the City:

‘A. to have access at all times to all
faciities supported under this
‘Agreement whenever requested by
‘appropriate staff members of the City;

B. —tohave access at all times to all staff
Supported under this Agreement
whenever requested;

€. to make physical inspections of the
premises used by the Contractor in
the performance of the Services and
torequire such physical safeguards to
Safeguard the property and/or
equipment authorized including, but
‘ot imited to, requiring locks, alarms,
safes, fire extinguishers and sprinkler
systems; and

Terms and Conditions.

age 12 of 26

D. tobe present at any and all meetings
held by the Contractor, including, but
‘ot limited to, staff meetings, board of
directors meetings, advisory
committee meetings and advisory
‘board meetings, if]an item relating to
this Agreement isto be discussed

“The Contractor will make staff available on a
regular basis at meetings convened by the
Department, for the purpose of, but not
limited to, making presentations, answering
questions, and addressing issues related to
the Services, The Contractors chio!
executive officer, or their designee, will
participate in all delegate agency
Conferences.

‘The Contractor will respond within 2 weeks to
questionnaires, if any, regarding
demographics, staff, quality, etc, from
Department.

Nothing in this Agreement will be construed
as restricting or otherwise limiting the rights of
the City toward the appropriate management
of this program,

48 INTELLECTUAL PROPERTY

‘A. Patents and Copyrights:

The City reserves an exclusive,
perpetual and irrevocable license 10
‘reproduce, publish or otherwise use,
and to authorize others to use, for
City purposes, inciuding, but ‘not
limited to, commercial expoitation:

1. the copyright or patent in any
work developed under this,
‘Agreement; and

any rights of copyright or
palent io which the Contractor
purchases ownership with the
funds awarded pursuant to
this Agreement

UNTITLED-016
If the federal government determines
that a patent or copyright which is
developed or purchased by the
Contractor serves a federal
government purpose, a royalt-tree,
‘non-exclusive and irrevocable license
will vest inthe federal government.

‘Any discovery or invention arising out
(of, oF developed in conjunction with
the Services will be promptly and fully
reported to federal government for a
determination as to whether patent
protection on such invention or
discovery should be sought. The
rights to such patent will be
administered as set forth above and
in 7 CFR Part 401

‘Ownership of Documents

Al required submittals, including but
not limited to work products,
‘materials, documents, and reports, if
any, described in Exhibit B, willbe the
property of the City. During the
performance of the Services, the
Contractor willbe responsible for any
loss or damage to the documents
while they are in its possession and
any such document lost or damaged
willbe restored at the expense of the
Contractor. If not restorable, the
Contractor wal be responsible for any
loss suffered by the City on account
‘of such destruction. Full access to all
finished or unfinished documents,
data, studles and reports to be
Prepared by Contractor hereunder
during the performance of Services
will be available to the City during
normal business hours upon
reasonable notice.

Hold Harmless.
Unless prohibited by state law, upon
request by the Federal government,
Contractor will indemnity, save, and

‘Terms and Conditions - Page 13 of 26

hold harmiess the City and its officers,
agents, and employees acting within
the scope of their official duties
against any lability, including costs
and expenses, resulting from any
willful oF intentional violation by the
Contractor of proprietary rights,
patents, copyrights, or rights of
privacy, arising out of the publication,
translation, reproduction, delivery,
Use, or disposition of any material or
data produced under the Agreement,

ARTICLE 5
COMPENSATION

SA BASIS OF PAYMENT

The Contractor will be compensated for
Services performed andior costs expended
pursuant fo the Budget Summary contained
in Exhibit_C, which is attached and
incorporated by reference.

52 METHOD OF PAYMENT

‘The Contractor will submit MONTHLY
requisitions for reimbursement identitying the
payment due for the Services andlor costs
‘expended in such detail and supported by
‘such documents as the City may require.
‘The requisitions fr reimbursement will be on
2 form provided and approved by the City.
‘The City will process the payment within 60
calendar days folowing submission

The requests for reimbursement and
‘supporting documents will be sent to the
Department's Maiing Address noted in this
‘Agreement’s Preamble.

UNTITLED-017
‘The Contractor waives all rights to payment if
the request for reimbursement is submitted
later than 45 calendar days following the
termination or completion of this Agreement.
Costs incurred by the Contractor after the
‘expiration date or ater earlier termination of
this Agreement will not be paid by the City

53 REDUCTION OF COMPENSATION

If, after this Agreement is signed, anticipated
{federal and/or state funding is reduced for
‘any reason, then the City reserves the right
‘upon written notice to the Contractor to
reduce or modify the amount of the payments
to be issued to the Contractor under this
‘Agreement If federal andlor state
‘appropriations are reduced to such an extent
that, in the sole discretion of the City, no
funds will be available to compensate the
‘Contractor under this Agreement. then the
City wil provide notice of such occurrence to
the Contractor. The notice will constitute
notice of Early Termination in accordance
with this Agreement

Hf, pursuant to @ reduction in federal and/or
state funding, the City reduces the
‘compensation to be paid to the Contractor
Under this Agreement, the Contractor wil
have 30 calendar days, from the date of the
receipt of the written ‘notice, to submit a
revised work program, budget or any other
necessary document (“Revised Submitals")
to the City reflecting the reduction in the
‘compensation and accordingly modying the
‘Services to be performed. The City wll have
the discretion to modify the Revised
‘Submittals as it may deem appropriate in
(Order to realize the goals of the Agreement.
‘The Revised Submittals will be reviewed by
the Chief Procurement Officer and the City's
Office of Budget and Management and upon
their final approval wil become a part of this
‘Agreement superseding the previous
jocuments.

‘Terms and Conditions - Page 14 of 26
5.4 ALLOWABLE COSTS

Al costs allowed by the City Comptrolier’s
Office, are not considered final and may be
disallowed upon the completion of audits
ordered or performed by the City or the
appropriate federal or state agency. In the
‘event of a disallowance, the Contractor will
refund the amount disallowed to the City.

5.5 ADVANCES OF FUNDS

The Contractor may request an advance of
funds and, at the Citys sole discretion, may
receive up to a 45 calendar day operating
‘advance, provided the advance meets all
federal, ‘state and City requirements. for
funding under this Agreement, All advances
will be liquidated prior to the end of the
‘contract period in @ manner specified by the
City.

ARTICLE 6
NON-SOLICITATION

‘The Contractor warrants and represents that
the Contractor has not employed any person
solely for the purpose of solicting or
‘procuring this Agreement, and has not made,
‘and will not make, any payment or any
agreement for the payment of any
commission, percentages brokerage,
Contingent fee or other compensation in
‘connection with the procurement of this
Agreement.

ARTICLE 7.
DISPUTES

Except as otherwise provided in this
‘Agreement, the Contractor or the City will, in
writing, bring any dispute concoming’ a
question of fact arising under this Agreement,
to the Chief Procurement Otticer for decision
‘The Chief Procurement Officer will issue a
\wntion decision and mail or otherwise furnish
‘copy ofit to the Contractor. The decision of

UNTITLED-018
the Chief Procurement Officer is final and
binding upon the parties. (A copy of the
"Regulations of the Department of
Procurement Services for Resolution of
Disputes between Contractors and the City of
Chicago" is avaliable in City Hall, 121 N.
LaSalle, Room 301, Bid and Bond Room.)

ARTICLE 8
EVENTS OF DEFAULT & REMEDIES

84 EVENTS OF DEFAULT DEFINED
‘The folowing wil constitute events of default

‘A Any material misrepresentation,
whether negligent or wilful and
whether in the inducement or in the
performance, made by the Contractor
to the Cy

B. Any material fallur by the Contractor
to perform any of ts obligations under
this Agreement including, but not
limited to, the folowing:

Failure to perform the
Services with sufficient
personnel and equipment or
with sufficient material to
‘ensure the performance of the
Services due to a reason or
circumstances within
Contractor's reasonable
‘control,

i, Failure to perform the
Services ina manner
Satisfactory to the City, or
inability to perform the
Services satisfactorily as a
result of insolvency, fling for
bankruptcy or assignment for
the benefit of creditors;

il, Failure to prompt re-pertorm
within a” reasonable time

Services that were rejected as
‘erroneous or unsatisfactory,

iv, Discontinuance of the
Services for reasons or
circumstances within
Contractor's reasonable
control; and

¥. Failure to comply with a
material term or condition of
this Agreement including, but
not limited to, the provisions
‘conceming insurance and
‘nondiscrimination.

‘The Contractors default under any
‘other agreement it may presently
have or may enter into with the City
uring the Term of this Agreement.
The Contractor consents that in the
event of a default under this
‘Agreement, the City may also deciare
‘a default under any other agreements
with the City,

‘Any action or failure to act by the
Contractor that causes the City to be
in Violation of any agreements it has
with Federal or State departments or
agencies.

8.2 REMEDIES

‘Upon the City’s determination that an event of
default has occurred, the City will give notice
fof such occurrence to the Contractor in
‘accordance with the terms and conditions of
this Agreement ("Cure Notice"). If the
Contractor fails to cure the event of default
within 30 calendar days after the Cure Notice
's given, orf the Contactor has failed, in the
le opinion of the Ciy, to commence and
Continue diligent efforts to cure the event of
default, or if the event of default cannot
reasonably be cured within 30 calendar days
after the Cure Notice is given, then the City

UNTITLED-019
‘may, inthe sole discretion ofthe Cty, declare
the Contractor to be in default under this
‘Agreement. The decision to declare the
Contractor to be in default is within the sole
discretion of the Chief Procurement Officer,
the decision is final and binding upon the
Contractor, and neither that decision nor the
factual basis for it is subject to review or
challenge

{the Chief Procurement Officer determines
that the Contractor is in default under this
Agreement, waitten notification of this
determination (‘Detauit Notice") will be
provided to the Contractor, and the Default
Notice will include notice of the decision of
the Chief Procurement Officer to terminate
this Agreement, if that is his such decision,
Upon the City’s giving the Default Notice, the
Contractor will discontinue any services,
Unless otherwise directed in the notice, and
will deliver all materials accumulated in
performance of this Agreement, whether
completed or in the process, to the City.
Following or at the same time as the Default
Notice, the City may invoke any or all of the
following remedies:

A. The tight to take over and complete
the Services or any part of them as
‘agent for and at the cost of the
Contractor, ether directly or through
‘others, The Contractor will have, in
that event, the right to offset from the
cost the amount it would have cost
the City under the terms and
Conditions ofthis Agreement, had the
Contractor completed the Services;

B. —_Therightto terminate this Agreement
4 to any ofall of the Services yet to
bbe performed effective at a time
specified by the City;

€. The right of specific performance, an
Injunction or any other appropriate
equitable remedy against the

‘Torms and Conditions - Page 18 of 26,
Contractor;
D. The ight to money damages;

E.—Therightto withhold all or any part of
the Contractor's compensation; and

F. The right to deem the defauiting
Contractor non-responsible in future
contracts to be awarded by the City,

If the City considers it to be in the City’s best
interests, it may elect not to deciare defauit or
{to terminate the Agreement. The parties
acknowledge that this provision is solely for
the benefit of the City and that Ifthe City
permits the Contractor to continue to provide
the Services despite one or more events of
default, the Contractor will in no way be
televed of any ofits responsibilites, duties or
‘obligations under this Agreement nor will the
City waive or relinquish any of is rights,

‘The remedies under the terms and conditions
Of the Agreement are not intended to be
‘exclusive of any other remedies provided, but
‘each and every such remedy is cumulative
‘and is in addition to any other remedies,
existing now or later, at law, in equity or by
statute. No delay or omission to exercise any
Fight oF power accruing upon any event of
<default will impair any such ight or power nor
will it be construed as a waiver of any event
of default or acquiescence in i, and every
such right and power may be exercised from
time to time and as often as the City deems
expedient

83 RIGHT TO OFFSET

To the extent permitted by applicable
law,

‘A. Inconnection with performance under

this Agreement, the City may offset
any excess costs incurred:

UNTITLED-020
()__ i the City terminates. this
‘Agreement for default or any other
reason resulting from the Contractor's
performance or non-performance;

(i) ifthe City exercises any of its
remedies under Section 8.2
(of this Agreement; or

(i) ifthe City has any credits due
or has made any
‘overpayments under this,
‘Agreement

The City may offset these excess
‘costs by use of any payment due for
Services comploted before the City
terminated this Agreement or before
the City exercised any remedies. If
the amount offset is insufficient 10
cover those excess costs, the
Contractor is liable for and’ must
ppromplly remit tothe City the balance
‘upon written demand for it. This right
to offset is in addition to and not a
limitation of any other remedies
‘available to the City,

B. In accordance with Section 292.380
(of the Municipal Code and in addition
to any other rights and remedies
{including any of set-off available to
the City under this Agreement or
permitted at law or in equity, the City
's entitled to set off a portion of the
price or compensation due under this
‘Agreement in an amount equal to the
‘amount ofthe fines and penalties for
‘each outstanding parking violation
Complaint andlor the amount of any
debt owed by the Contractor to the
City, as those terms are defined in
Section 2-92-380.

C. _Withoutbreaching this Agreement, the
City may set off 2 portion of the price or

Torms and Conditions - Page 17 of 26

‘compensation due under this Agreement in
‘an amount equal to the amount of any
liquidated or unliquidated claims thatthe City
fhas against the Contractor unrelated to this
‘Agreement. When the City’s claims against
the Contractor are finally adjudicated in a
court of competent jurisdiction or otherwise
resolved, the City will reimburse the
Contractor to the extent of the amount the
City has. offset against this Agreement
inconsistently wth the determination or
resolution

84 SUSPENSION OF SERVICES

The Cty may, at any time, request that
Contractor suspend the Services, or any part
of them, by giving 15 calendar days prior
written notice to the Contractor or upon no
‘notice in the event of emergency. No costs
incurred after the effective date of the
suspension will be alowed. The Contractor
will promptly resume its performance of the
Services under the same terms and
Conditions upon written notice by the Chief
Procurement Officer and such equitable
‘extension of ime as may be mutually agreed
‘upon by the Chief Procurement Officer and
the Contractor when necessary for
‘continuation or completion of the Services.
‘Any additional costs or expenses actualy
incurred by Contractor as a result of
recommencing the Services willbe treated in
accordance with this Agreement.

'No suspension wil, in the aggregate, exceed
a period of 45 calendar days within any one
‘contract year. If the total number of days of
suspension exceeds 45 calendar days, the
Contractor, by writtan notice to the City, may
‘teat the suspension as an Early Termination
by the City.

8.5 NO DAMAGES FOR DELAY

‘Neither Contractor nor Contractor's agents,
‘employees, and subcontractors re entitled io

UNTITLED-021
‘any damages from the Cy, nor is any party
enitied to be reimbursed by the Ciy, for
damages, charges or other losses or
expenses incured by the Contractor by
reason of delays or hindrances in the
performance of the Services, whether or not
‘caused by the Cty. On Notice to the City of
2 delay outside Contractor's control,
Contractor may request additional time to
‘complete its performance. The decision to
(grant additonal time is in the sole and
absolute discretion ofthe Chief Procurement
Officer.

ARTICLE 9
GENERAL CONDITIONS:

81 WARRANTIES AND
REPRESENTATIONS.

In connection with the execution of this
‘Agreement, the Contractor.

‘A. warrants that itis financially solvent;
that it and each of its employees,
‘agents, subcontractors of any ter are
compeient to perform the Services;
that itis legally authorized to execute
‘and perform the Services; and

warrants that no officer, agent or
‘employee of the City is employed by
the Contractor or has a. financial
interest directly or ingirecty in this
‘Agreement or the compensation to be
paid, except as may be permitted in
writing by the City’s Board of Ethics;
that no payment, gratuity or offer of
‘employment will be made by or on
bohalf of any subcontractors of any
tier, as an inducement for the award
of a subcontract or order, the
Contractor acknowledges that any
agreement entered into, negotiated or
performed in violation of any of the
‘rovisions of Cty of Chicago's Ethics
‘Ordinance, Municipal Code § 2-156 et

‘Terms and Conditions - Page 18 of 26

s09.. is voidable by the City: in
accordance with 41 U.S.C. § 22, the
Contractor must not admit "any
member of or delegate to the United
States Congress to any share or part
of the Services or the Agreement, or
any benefit derived therstrom; and

warrants that it will not knowingly use

the services of any ineligible

subcontractor or Contractor for any

purpone in the performance of Hs
vices; and

warrants thatitandits subcontractors
‘are not in default at the time of the
execution of this Agreement, or
deemed by the Chief Procurement
Officer to have, within 5 years
immediately preceding the date of his
Agreement, been found to be in
default on any contract awarded by
the City; and

warrants that it has carefully
examined and analyzed the
provisions and requirements of

‘Agreement; that it understands the
nature of the Services required; that
{rom its own analysis it has satisfied
itself as to the nature of all things
needed for the performance of this
‘Agreement, the general and special
conditions, and. all other_matiers
which in any way may atect this
Agreement or its performance; that
the time available to it for ‘such
examination, analysis, and
preparation was adequate; that twas.
permitted access to any person or
information in connection with its
‘reparation ofthe proposal; and

warrants that performance of this
Agreement is feasible and that the
Contractor can and will perform, or
cause to be performed, the Services

UNTITLED-022
Jn strict accordance with this
‘Agreement; and

represents that it and, to the best of
Its knowledge, its subcontractors are
‘ot in violation of the provisions of
‘Section 2-92-320 of the Municipal
Code, the llinois Criminal Code, 720,
ILCS 5/33E-1 et seq. and the ilinois
Municipal Code, 651LCS 5/11-42.1-1

92 _ INSPECTOR GENERAL

Itwillbe the duty of any bidder, proposer, or
contractor subcenvactr, and every applicant
{occenticaton of eligbiliy for a Ciy contract
‘orprogram, andl officers, directors, agents,
partners, and employees of any such bidder,
Proposer, contractor, subcontractor or
Spplicant’to cooperate with the Inspector
General in’ any’ investigation or hearing
Undertaken pursuant to Chapter 2-56 of the
Municipal Code; that the Contractor
Understands and willabide by all provision of
‘Chapier 2-56 ofthe Municipal Code and that
itl inform Subcontractors ofthis provision
‘and require their compliance.

93 WHOLE
INTEGRATION

‘This Agreement, including attached Exhibit A
through Exhibit F, constitutes the entire
‘agreement between the parties, and no
warranties, representations, inducements,
‘considerations, promises or other inferences
willbe implied that are not expressly stated in
the Agreement. No variation or amendment
of this Agreement and no waiver of its
provisions are valid unless in writing and
signed by duly authorized officers of the
Contractor and the City. This Agreement
supersedesallother agreements between the

AGREEMENT-

Contractor and the City
94 MODIFICATIONS AND
AMENDMENTS

‘Terms and Conditions - Page 19 of 26.

No changes, amendments, modification,
cancellations or discharges of this
‘Agreement, oF any part of it are effective
tunes in writing and signed by the Contractor
‘and the City, or their respective successors
‘and assigns.

9.5 COMPLIANCE WITH ALL LAWS

‘The Contractor will comply with all applicable
laws, ordinances and executive orders and
reguiations ofthe federal, state ocal and city
‘government, which may in any manner affect
the performance of this Agreement
Contractor must pay all taxes and obtain all
licenses, certificates and other authorizations.
required by them. Contractor must require all
subcontractors to do, also. Further,
Contractor must execute and must cause any
‘Subcontractor to execute an Economic
Disclosure Statement and Affidavitin the form.
attached to this Agreement as Exhibit D.
Notwithstanding acceptance by he City ofthe
Economic Disclosure Statement and Affidavit,
failure to include all information required
‘under the Municipal Code renders this
‘Agreement voidable at the option ofthe City.

COMPLIANCE WITH
ACCESSIBILITY LAWS.

Contractor will comply with all accessibility
standards for persons with disabilties or
‘environmentally kmited persons including, but
‘not limited to: the Americans with Disabilities
‘Act of 1990, 42 U.S.C. § 12101 et seq. and
the Rehabiltation Act of 1973, 29 U.S.C. §§
793-794, In the event the above cod
standards are inconsistent, the Contractor wil
‘comply with the standard providing greater
accessibility

97 NO FEDERAL OR STATE
OBLIGATIONS TO THIRD PARTIES

‘The Contractor acknowledges that, absent
the express written consent of the federal

UNTITLED-023
‘government and the State of llinos, the State
‘of linois and the federal government will not
be subject to any obligations or lables to
any person not a party to the grant
‘agreement between the City and the State of
llinois or between the City and the federal
government. Notwithstanding any
Concurrence provided by the State of ilinois
‘or federal government in or approval of any
solicitation, agreement, or contrac, the State
of linois and federal government continue to
have no obligations or liabilities to any party,
including the Contractor.

9.8 NON-LIABILITY OF
OFFICIALS

PUBLIC

‘No official, employee or agent ofthe City wil
'be charged personally by the Contractor, or
by any assignee or Subcontractor of the
‘Contractor, with any liability or expenses of
Getense oF be held personally lable to the
‘Contractor under any term or condition ofthis
‘Agreement, because of the City’s execution
(oF attempted execution, or because of any
breach.

9.9 INDEPENDENT CONTRACTOR

‘This Agreements not intended to and will not
Cconstitule, create, give rise to, or otherwise
recognize a joint venture, partnership,
corporation or other formal business
association or organization of any kind
between the parties, and the rights, and the
obligations of the parties will be only those
expressly set forth in this Agreement. The
Contractor will perform under this Agreement
2s an independent contractor to the City and
Not as a representative, employee, agent, or
Partner of the Ciy.

9.10 INTERNATIONAL ANTI-BOYCOTT
‘Contractor certifies that neither the Contractor

‘or any substantially owned affiliate company
ff the Contractor is. participating or will

‘Terme and Conditions - Page 20 of 26

participate in an international boycott, as
defined by the provisions of the U.S. Export
‘Administration Act of 1979 or its enabling
regulations.

9.41 JOINT AND SEVERAL LIABILITY

In the event that the Contractor, or its
‘successors or assigns, is Comprised of more
than one person, then every obligation or
‘undertaking to be fulfled or performed by the
Contractor will be the joint and several
‘obligation or undertaking of each such
person

9.12 PROOF OF BUSINESS FORM

Upon request from the City, the Contractor
will provide copies of its latest articles of
Incorporation, by-laws and resolutions, oF
partnership or joint venture agreement, as
‘applicable, and evidence ofits authority to do
business in the State of Illinois, including
without limitation, registrations of assumed
names or limited partnerships and
Certifications of good standing with the
Secretary of State of llinois.

3. ECONOMIC DISCLOSURE
‘STATEMENT AND AFFIDAVIT

‘The Contractor will provide the City with a
Economic Disclosure Statement and
‘Affidavit, which is attached as Exhibit D and
Incorporated by reference, and further will
provide any other affidavits or certifications as.
may be required by federal, state or local aw
in the award of public contracts, all to be
attached under ExhibitD and incorporated by
reference. The Contractor will cause its
subcontractors or, if a partnership or joint
‘venture, all members of the partnership or
joint venture, to submit ll required affidavits
{othe City,

9.14 CONFLICTS OF INTEREST

UNTITLED-024
'No member of the governing body ofthe City
‘or other units of government and no other
cofficer, employee, oF agent of the City or
other unit of government who exercises any
functions or responsiilties in connection with
the Services wil have any personal interest,
direct. oF indirect, in this Agreement. No
member of or delegate to the Congress ofthe
United States or the linois General
‘Assembly and no alderman of the City or ity
‘employee will be admitted to any share or
part of this Agreement or to any financial
benefit to arise from it

‘The Contractor covenants that it, its officers,
Girectors and employees, and the officers,
directors and employees of each of its
members if a joint venture, and its
‘subcontractors, presently have no interest
‘and will acquire no interes, direct or indirect,
hich would confctin any manner or degree
with the performance of the Services. The
‘Contractor further covenants that no person
hhaving any such interest will be employed.
‘The Contractor acknowledges that if the Cty
determines that any of Contractors services
for others confit with the Services,
Contractor will terminate such other services
immediately upon request ofthe City

In addition to the conflict of interest
requirements in OMB Circular A-110 and 24
C-F.R. 84, no person who is an employee,
‘agent. Contractor, officer, or elected or
‘appointed official of the City and who
‘exercises or has exercised any functions or
responsiblities with respect to assisted
‘activites, or whois in a position to participate
in a decision making process or gain inside
information with regard to such activities, may
‘obtain a financial interest or benefit from the
‘activity, or have an interest in any contract,
‘subcontract, or agreement or thelr proceeds,
‘either for himself or herself or for those whom
he or she has family or business ties, during
his or her tonure or for 1 year thereafter.

‘Terms and Conditions - Page 21 of 26

Furthermore the Contractor warrants. and
represents that it is and will remain in
‘compliance with federal restricions on
lobbying set forth in Section 319 of the
Department of the Interior and Related
Agencies Appropriations Act for Fiscal year
1990, 31 USS.C. § 1352, and related rules
and regulations set forth at 54 Fed. Reg
$52,309 (1989), as amended.

In additon, if State of linois funds are used
for the Agreement. the Contractor must
comply withthe confict of interest provisions
Contained in the Hlinois Procurement Code
(G0 ILCS 500150-13) and other provisions in
the linois Procurement Code. regarding
pattcpation in agreement negotiation by 8
State employee (30 ILCS 500/50-15).

9.45 COOPERATION WITH CITY

The Contractor will cooperate fully with the
Cty and act in the City's best interests. if this
‘Agroerentis terminated for any reason, orif
itis to expire onits own terms and conditions,
the Contractor will make every effor to
‘assure an orderly transition to another
provider of the Services, if any, orderly
demobilization of its own operations. in
‘connection with the Services, uninterrupted
provision of Services during any transition
period and will comply with the reasonable
Fequests and requirements of the City in
‘connection withthe termination or expiration
ofthis Agreement.

9.18 WAIVER

Nothing in this Agreement authorizes the
waiver of any requirement or condition
Contrary to law or ordinance or which would
result in or promote the violation of any
federal, state or local law or ordinance,

‘Whenever the City, by a proper authority,
waives the Contractors performance in any

UNTITLED-025
respect or waives a requirement or conéition
to elther the City's or the Contractor's
performance, the waiver so granted, whether
‘express or implied, will only apply to the
particular instance and will nt be deemed a
‘waiver forever or for subsequent instances of
the performance, requirement or condition
No waiver will be construed as @ moaification
of the Agreement regardless of the number of
times the City may have waived the
performance, requifement or condition,

9.17 GOVERNING LAW

‘This Agreement is governed as to
performance andinterpretation in accordance
with the laws of the State of linots.

9.48 SEVERABILITY

It any provision of the Agreement is held to
be or in fact is legal, inoperative or
unenforceable on its face or as applied in any
particular case, in any jurisdiction (or in all
‘cases because it conflicts with any other
Provision of this Agreement, or any
Constitution, statute, municipalordinance, rule
(of law or public policy, or for any other
reason), that circumstances will not have the
‘effect of rendering the provision in question
‘inoperative or unenforceable in any other
‘case or circumstance, or of rendering any
cother provision of this Agreement illegal,
invalid, inoperative or unenforceable to any
extent whatever. The invalidity of any one or
_more phrases, sentences, clauses or sections
Contained in this Agreement does not affect
the remaining portions of this Agreement or
any part of it

9.19 INTERPRETATION

Any headings in this Agreement are for
Convenience of reference only and do not
<define or limit its provisions. Words importing
the singular number include the plural
number and vice versa, unless the context

‘Terms and Conditions - Page 22 of 26.

‘otherwise indicates. All references to any
‘exhibit appendx or document inciude al
‘supplements andior amendments to any such
exhibits, appendixes or documents entered
into in’ accordance with the. terms and
conditions ofthis Agreement. Al references
to.any person o ety include any person or
entity succeeding to the rights, duties, and
‘obigatons of the person or ently in
‘accordance with the terms and consitions of
this Agreement. In the event of any confit
between this Agreement and any exhibits to
ithe terms and conditions of this Agreement
contro

9.20 NONASSIGNABILITY

Contractor wil not assign all or any part ofits
work or responsibilities under tis Agreement
‘without the prior written consent ofthe Chief
Procurement Officer and the Commissioner;
‘but any such consent will not relieve
Contractor of its obligations. under this
Agreement. Any transfer or assignment
without the prior written consent ofthe Chief
Procurement Officer constitutes an event of
default under this Agreement and is void as
to the City. The City reserves the right to
‘assign, in whole or in part, any funds, claims.
Crinterests, due orto become due, under his
Agreement.

921 CONTRACTOR'S AUTHORITY

Execution of this Agreement by the
Contractor is authorized by a resolution of
‘ordinance of its governing body. The
signature ofthe individual signing on behalf of
the Contractor has been made with complete
‘and full authority to commit the Contractor to
all the terms and conditions of this
‘Agreement. Evidence of signature authority
‘should be forwarded to the City with the
‘executed Agreement.

9.22 DEEMED INCLUSION

UNTITLED-026
Provisions required by law, ordinances, rules,
regulations, or executive orders tobeinserted
inthis Agreement are deemed inserted in this.
‘Agreement whether or not they appear in tis
‘Agreement or, upon application by either
party, this Agreement wil be amended to
make the insertion; however, in no event wil
the failure to insert the provisions before or
‘after this Agreement Is signed prevent its
‘enforcement

ARTICLE 10
‘NOTICES

‘All notices and communications to be
provided by the City and the Contractor
pursuant to this Agreement must bein writing
‘and may be delivered personally, by
‘overnight courier or by First Class certified
mail, return receipt requested. with postage
prepaid and addressed as follows:

If to the City
‘The Department's Mailing Address
‘Noted In This Agreement’s Preamble

Department of Procurement Services
City Hall, Room 403

121 North LaSalle Street

‘Chicago, linais 60802

Attention: Chief Procurement Officer

With Copies to:
Department of Law
City Hall, Room 600
121 North LaSalle Street
Chicago, llinois 60802
Attention: Corporation Counsel

Ito Contractor:
“The Contractor's Mailing Address
Noted in This Agreements Preamble

‘The Contractor will advise the City of any
significant change in its organizational

‘Torms and Conditions

"age 23 of 26

structure. Significant changes include, but
are not imited to, changes to:

‘A. the oficial to whom notice regarding
the Agreement is provided and their
mailing address;

B. the officers of the corporation,
including president, chairman, vice
president, treasurer, secretary; and

©. the key staff of the agency andlor its
program sites, including executive
director, site director, fiscal director,
‘and site address or agency official
address, telephone numbers.

‘Such communication must be directed within
10 calendar days of such occurrence, to the
Department's Mailing Address noted inthis
‘Agroement’s Preamble

‘Communications delivered by mail are
deemed received 3 business days after
mailing in accordance with this Article 10.
‘Communications delivered personally are
be doomed effective upon receipt.
‘Communications sent via overnight
‘courier are doomed effective on the next
business day.

ARTICLE 41.
BUSINt uP
ELECTED OFFICIALS

Pursuant to Section 2-156-030(b) of the
‘Municipal Code, itis ilegal for any elected
Offical ofthe City, or any person acting atthe
direction of such official, to contact, either
corally or in writing, any other City oficial or
‘employee with respect to any matter involving
‘any person with whom the elected official has
a business relationship, or to participate in
‘any discussion in any City Council committee
hearing or in any City Council meeting or to
vote on any matter involving the person with
whom an elected official has a business

UNTITLED-027
relationship. Violation of Section 2-156-
1030(b) by any elected official with respect
to this Agreement is grounds for
termination of this Agreement. The term
business relationship is defined as set forth in
Section 2-156-080 of the Municipal Code of
Chicago,

Section 2-186-080 defines a
“business relationship” as any contractual
‘or other private business dealing of an
official, or his or her spouse, or of any entity
in which an official or his or her spouse has a
financal interest, with a person or entity
hich entitles an official to compensation or
payment in the amount of $2,500 or more in
calendar year, provided, however, a
financial interest shall not include: () any
‘ownership through purchase at fair market
value or inheritance of less than one percent
‘of the share of a corporation, or any
corporate subsidiary, parent oF afflate
thereof, regardless of the value of or
dividends on such shares, if such shares are
‘registered on a securities exchange pursuant
to the Securities Exchange Act of 1934, as
‘amended; (i) the authorized compensation
aid to an official or employee for his office or
‘employment; (ii) any economic benefit
provided equally to all residents of the City;
(iv) a time or demand deposit in a financial
Institution; or (v) an endowment or insurance
policy or annuity contract purchased from an
Insurance company. A “contractual or other
Private business dealing” shall not include
‘any employment relationship of an offical's
‘spouse with an entity when such spouse has
no discretion concerning or input relating to
the relationship between that entity and the
iy,
ARTICLE 12
LIVING WAGE ORDINANCE

Section 2-92-610 of the Municipal Code
requires eligible contractors and their
‘subcontractors to pay aliving wage (currently
$8.05 per hour minimum base wage) 10

Torms and Conditions - Page 24 of 26

covered employees employed in the
performance ofthis Agreement. You are an
‘eligible contractor if at any time during the
Performance of this Agreement you have 25
‘Fr more fulltime employees. If you are, oF
become, eligible, you and your
subcontractors must pay at least the base
‘wage to covered employees. Covered
employees are: security guards (but only if
you and your subcontractors. employ in the
‘aggregate 25 or more of them), and, in any
number, parking attendants, day laborers,
home and health care workers, cashiers,
elevator operators, custodial workers and
clerical workers. As of July 1, 2003, and
‘each July 1 thereafter, the Base Wage wil be
adjusted, using the most recent federal
Poverty guidelines for a family of four as
Published annually by the U.S. Department of
Health and Human Services, to constitute the
{ollowing: the poverty guidelines fora family
‘of four divided by 2000 hours or the current
base wage, whichever is higher. At all mos.
‘during the term of this Agreement, Contractor
‘and all other Performing Parties must pay the
Base Wage (as adjusted in accordance with
the above). Section 2-92-610 does not apply
to notor-profit corporations with federal
501()3) tax exempt status. Also, ithe work
being done under this Agreement is subject
to payment of prevaling wages, and the
Prevailing wages are higher than the base

In event the Contractor, its parent or related
corporate entity, becomes a party to any
ligation, investigation or transaction that
‘may reasonably be considered to have a
‘material impact on the Contractor's ability to

UNTITLED-028
perform under this Agreement, the
Contractor must immediately notify the City
In writng, Contractor must also notify the
Department regarding incidents that
significantly impact the health and safety of
Cents or incidents that could resutin the
interruption of service. Contractor must
follow procedures provided by the
Department for reporting incidents.

ARTICLE 14
INTERNET ACCESS

Contractor must have Internet access at the
site level during fiscal year 2004. Internet
‘access may be either dialup or high
speed/DSL. Contractor must maintain at 3
minimum, one business e-mail address that
willbe the primary receiving point for all
mall correspondence for the Department
Contractor may list additonal addresses. at
Contract execution. The additonal addresses
may be for a specific departmentivision of
Contractor or for specific employees of
Contractor. During any period that the
Department directly funds Contractor's
Internet service, Contractor must use the
Department assigned E-Mail address as their
‘primary E-mail address. Contractor may list
‘additional e-mail points of contact inthe same
‘manner as listed above. Contractor must
‘notify the Deparment of any e-mail changes
within five business days form the effective
date of the change.

ARTICLE 15
ADDITIONAL AGREEMENT PROVISIONS

Additional provisions ofthis Agreement are.
listed in Exhibit, which is attached and
incorporated by reference. All provisions
listed in Exhibit A have the same force and
‘ffect as if they had been listed in the body
of this Agreement.

[The remainder of this page is intentionally

Terms and Conditions - Page 25 of 26

left blank)

UNTITLED-029
‘Terms and Conditions - Page 26 of 26

UNTITLED-030
EXHIBIT A
ADDITIONAL REQUIREMENTS
HOMELESS SERVICES PROGRAM

UNTITLED-031
ARTICLE 1 OF EXHIBIT A

ILLINOIS DEPARTMENT OF HUMAN SERVICES
EMERGENCY FOOD AND SHELTER GRANT CEFSG") PROGRAM

Ac14 COMPLIANCE WITH EFSG PROGRAM REGULATIONS.

‘The Contractor must comply wih, and certifies that tis comeliance wit, al the provisions and regulations
ofthe EFSG Program, andallrelaied City of Chicago, Stee of fino and United States rules, reguatons ond
requirements, cluding, but not limited to: Far Housing Act (42 U.S.C. § 3601 et seq). Execulve Order
11083, as amended by Executive Order 12259; Contract Work Hours and Safely Standards Act (40 U.S.C
'§§ 327-33 as supplemented by 28 C.F.R. part 5); National Enuronmentsl Policy Act of 1969 (24 C FR. part
50), Clean Aw Act (42 U.S.C. §7401 et saa) Federal Water Poluton Control Act (Clean Water Act’) (33
USC. § 1251 et sea); Executive Order 11738, and U.S. Environmental Protecton Agency regulations (40
CFR part 15), the Contractor must report all volatons and must require al subcontractors to report all
‘volations of te Clean Air Act andlor the Clean Water Act tothe Cy, HUD and the approprate Regional
‘Office oftie US Environmental Protection Agency; Flood Disaster Protecton Actof 1973 (42 US.C. § 4108)
Uniorm Relocation Assstance and Real Property Acauisiton Policies Act of 1970 (42 USC. § 4601):
Executive Order 11246, as amended by Executive Orders 12086 and 11378; Lead-Based Pant Posoning
Prevention Act (42 U.S.C. 4821 et seq ); Resedentisl Lead-Based Pant Hazard Reduction Act of 1982 (Pub,
L 101-860; 42 U.S.C. 4851 et sea) and mplementing roguations at 24 C.F-R. Part $5, Executive Order
42372; Copeland “Ant-Kexback” Act (18 U.S C. § 874 and 40U.S.C. § 276(c)as supplemented by 29C FR.
part 3), Federal Fae Labor Siendarcs Act (29 US. § 20% et eq.) tne Unorm Admistratve Requrements
Contaned in 24 C.F.R. Parts 84 and 85, as amended; Hatch ActS U.S.C. §§ 1501-08 and 7324-28) Byrd
"AntsLobbying” Amendment (31 U.S C. § 1352). mandatory standards and polcies relaing to energy
cefferency which are contamed in the State of Iinos energy conservation plan ssued in compance wth he
Energy Policy and Conservation Act (Pub. L. 84-163). Program Fraud Civi Remedies Act of 1988, a5
‘amended, 31 U.S.C. §380" etsea, (9 accordance therewith the Contractor certifies cams thetrutfuiness
‘and accuracy of any statement i has made, st makes, or it may make pertaning to ths Agreement): and
Dedarment and Suspension (Executive Orders 12549 and 12689). Additonaly, the Contractor must comply
‘wih the applicable provisons of OMB Circulars A21, A-87, A-102, A-110, A'122 and A-133 as amended,
Succeeded of revised. The Contracor also must not take ay action

{or fate act thal wouls cause the City to be in breach of any grant agreement pursuant to which the City
{eceived the [EFSG) funds that fund this Agreement.

‘A4.2 COMPLIANCE WITH EFSG PROGRAM GRANT
‘The Contractor warrants and represents the folowing for each Article in Exhibit A

A Bribery
‘The Contactor has not been convicted of abery or atlampting to bribe an officer or employee ofthe
‘State o lino, nor made an admission of pul of such conduct which sa maller af record, (30 LCS
{§§ 605/10'1 ana S05/10.3)

8B. Bid Rigging
‘The Contractor has not been barred ftom contracting wth @ unit of State or local government as @
result ofa volation of Secton 336-3 oF 33E-4 of te Criminal Cade of 190%
(720 CS &§ 5133E-3 ana 5/33E-4),

C.—Educational Loan
“The Contract is not barred from receiving State Agreements as a result of default on an educational
loon. (5 LCS § 386/1 et se.)

Exhibit A -Page 1 of 17

UNTITLED-032
D. Dues and Fees
‘The Contractors not prohbted trom seling goods or service to the State of linis because pays
{v6 or f00s on Doha of ts employees oF agents, or subsdizes or otherwise remburses them, for
payment ofther dues or fees to any cub which unlawuly Gscrminates (775 ILCS § 25/1 et sea)

E. Clean Air Act and Coan Water Act
‘The Contractors in comphance wit all applicable standards, orders or regulations issued pursuant
to the Ciean Ar Act (€2 USC. § 7401 et seq) and the Federal Water Pollton Contr! Ac, as
amended (33 US.C. § 1251 et sea). Conivactor must repor all volaons and must require all
‘Uncontractors to report al volstons fo the U.S. Department of Heath and Human Services and the
‘pprepriate Regonal Office of te US. Envionmental Protection Agency

F.Debarment
‘The Gontractorisnot deberred, suspended, proposedfor debarment, decaredineigible, or voluntary
«cluded trom participation inthis Agreement by any Federal department or agency. (45 C.F.R. Part
75)

G.__Pro-Children Act/ Environmental Tobacco Smoke
‘Tho Contractors in compliance withthe Pro-Chilren Act of 1994 (Public Law 103-227) m that
rohtts smoking n ay pocion ofits facility Used Tor he provision of health ay care, early chichood
evelopment services, education or lovary services to chidren under 18which services ae supported
by Federal of Stale government assistance (except portions of the facities which are used for
patent substance abuse weatmont), (20 U.S.C. § 6081 et soa)

Felony Conviction
applicable, the Contractor certifies that has been more than one year ater completion of a
sentence served fra felony, (30ILCS § 500/50-10).

1 Charitable Trust
I the Contactors a charitable organization subject tothe Charitable Trust Act (760 ILCS § §5/1), oF
‘he Sotctation for Charity Act (228 ILCS § 4801), the Contractor certifies that al normation required
by these statutes has been fle with tie Minos Attomey Genera

J. Grant Funds Recovery
Ifthe funds awarded aro subject to the provisions of te Grant Funds Recovery Act (20 ILCS 705),
“any funds remaining at he end of te Agreement period which re not expended or legaly obligated
by the Contractor must be returned to the Department within 45 days after the expration of is
Agreement.

K. Cash Management
\f applicable, federal funds received under this Agreement must be managed m accordance withthe
Cash Management improvement Act of 1990 (31 USC. 6501 et seq.) and any other applicable
federal laws or raguatons.

AAS CERTIFICATION REGAROING LOBBYING
‘The Contractor certiles hat no Federal appropriated funds have been aid or wil be pa, by or on behalf of
the Contractor. to any person fr infuencing attempting to indence an office or employee of any agency,

‘a Member of Congress, an officer or employee of Congress, o an employee of a Member of Congres i
onnecon wah the awarding of any Federal agreement, te making of any Federal grant. the making of any

Exhibit A - Page 2 of 17

UNTITLED-033
Federal loan, the enterng into of any cooperative agreement, oF the extension, contnuston, renews!,
‘amenément, or modification of any Federal agreement, grant. loan or cooperative agreemer

any funds, other than Federal appropriated funds, have been paid or wil be paid to any person for
inuencng or atempting to uence any of the above persons in connection wi this Agreement, the
Lundersigied must also complete and submnt Federal form LLL, “Disclosure Form to Report Lobbying."
‘accordance with ts structions,

W mere are any indcect costs associated with this Agreement, total lobbying costs must be seperately
identited in the Inciect cost rate proposal, and thereaRtr treated as other unallowable activity costs

“The Contractor must indude the language of this certification any contracts wrt is subcontractors. Al
‘suoconivactors are also subject to cetileation and discosure.

‘Tha centieaton is @ matena! representahon of fact ypon which reliance was placed to enter nio this
Irangacton ands 3 prerequise fortis tansachon. pursuant to 31 U S.C. § 1382. Any person who fails to
fe the requred ceriicabons are subject to a Givi penally of not less than $10,000 and not mare than
{$100,000 foreach such faiure

4.4 ADDITIONAL CERTIFICATION REGARDING CONFLICTS OF INTEREST

‘The ilinoss Procurement Code (PA 90-572, Secton 50-13) prohibits a person from acquifing an Agreement
‘withthe Stole f hal person is elected to, appontad io, or employedin any afce of State government and who
Fecewes compensation ftom such in excess of 60% ofthe salary ofthe Governor ofthe State of lino, oF
‘noficer or employee of he Capital Development Board hello Tol Highway Authonty,oristhe spouse
‘or minor chi of any such person,

any person as described above i ented to recerve more than 75% of the distributable ncome of a fem,
partnership, association oF corporation, or an amount in excess ofthe salary of the Governor, orf inthe
‘aggregate, any such person together wih spouse and minor children are ented to receive more that 15%
‘of he datibutabie ncome, or an amount exces of two times the sary of te governar, then that fem,
partnership, essocition or corporation cannot enter int his Agreement and any such Agreements vo.
‘The Contractor must comply wth the other provisions in the linois Procurement Code (PA 90-572 Section
50), regarding partipaton n agreement negotiations by a State of tino employee who has a agreement
‘of employment or passe future employment wih he Contractor.

‘AAS. GIFTS AND INCENTIVES.

‘The Contractor is prohibited from ging gifts to Cay or State of linois employees. The Contractor must
prove te Cay with advance notice ofthe Coriracto’s providing any gifs, exuding (1)chariabe donators,
‘den 25 incentives to community-based organizations in limols: and (2) cents Wn lknoss 10 assiet te
‘Contractor n carrying out is responsibities under this Agreement.

AA.6 USE AS EMERGENCY SHELTER
‘The Contractor warrant and represents thatthe bulding for which funds under this Agreement are used for
‘one or more ofthe eligi actives willbe maitianved as a sheltor forthe homeless for natlss than 23 year
Period, oF for not less than a 10 year period ifthe grants amounts are used for major rehabitaion oF
Conversion ofthe bulling. However, i tings are used exclusively ang only for payment of maintenance,
‘operation, insurance, ullies or furnshings, the Contractor must maintain such fecity as a shelter for te
Inomeless forthe period during whicn such assistance is provided,

AAT. ASSISTANCE TO THE HOMELESS.

Exhibit A - Page 3 of 17

UNTITLED-034
‘The Contractor must comply with the educatonal provisions as cited under Secton Vl, Subtle B, of he
Stewart 8. MeKinney Homoless Assistance Act of 1987, a8 snended

“The Contractor must provde assistance tothe homeless in obtaning: (1) appropriate supportive services,
including permanent housing, medical health veatment, mentalheain reament, counseling, supervson and
‘other services essential for achveving dependent living: and (2) other federal, state, local and pvate
‘assistance avalabe for such ndwicuals.

“The Contractor must comply wih the Department of Human Service’ Standards for Homeless Services and
Programs, 98 may be amended trom tme to te. The Contractor also must (1) meet al appropriate Me
‘Safely codes fr feces used inthe prowsion of services; (2) have a writen polcy of nondiscrmunetion; (3)
hhave a wrten poly that attendance ator membership in any organization (church, union, politcal. fateral,
ic.) must not be requred as 8 prerequisite for recept of services; (4) have procedures for handing,
investigating anc resolung complains; and (5) parcipate m the Emergency Assistance claiming process for
famites. The Contractor also must comply wih the formal process established by the Ciy regarding me
termination of assistance to any individual or far.

Exhibit A - Page 4 of 17

UNTITLED-035,
ARTICLE l OF EXHIBIT A

UNITED STATES DEPARTMENT OF HOUSING AND URBAN.
‘SUPPORTIVE HOUSING PROGRAM ("SHP")

21 COMPLIANCE WITH SHP REGULATIONS

‘The Contractor must comply with, and certifies thatitis in compliance wih lle provisions and regulations
‘of tie SHP Program, and all related Ct of Chicago, State of inoss and United States res, regulations and
equirements, ncuding, but not Emited to: SubUe C of Tite IV of the Stowart 8. McKinney Homeless
‘Assistance Act of 1988, 38 amended (42 U.S.C. §§ 11981 el seq) he Supportve Housing Ruse (24 C.F R
art $83), Section 3 ofthe Housing and Urban Development Act of 1968 (12 US C. §1701(u): all appicable
Fegulations at 24 C.F-R. parts 45 and 8. Fackty Standard Requrements at 24 C.F R. Part (623 () oF)
26 CFR. § 583.315 (elatng to rent), Executive Orders 11625, 12432 and 12138; Netonsl Historic
Preservation Act of 1968 as supplemented by Executive Order 11883; Coastal Barrier Resources Act of 1982
(16USC. 3501 et seq), Tite VI and Vil of he Col Rights Act of 1964 (42 U.S.C. § 2000d et seq. and 24
CER Part; Cit Rights Act of 1001; Fair Housing Act (42 U.S.C. § 3601 et sea, ond 24 CFR. Part 100);
Executive Order 11083, as amended by Execute Order 12259.nd implementing regulation at24C F R Part
107; Davs-Bacon Ac, as amended (40 U S.C. §§ 276a.-2760-5); Corract Work Hours and Safety Standards
‘Act (40 U'S.C. §§ 327-33 as supplemented by 29 C FR. part 5), National Envronmental Poley Act of 1969
(24 CFR. pant 80) Clean Ar Act (42 U.S.C: §7401 et $0q), Federal Water Poluton Control Act ("Clean
Water Act?) (33 U.S.C. § 1251 et seq.) Executive Order 11738, and U.S, Envronmental Protection Agency
regulations (40 C.F-R. part 15) the Contractor must repor al violations and must require al subcontractors
to report al waations ofthe Clean Air Act and/or the Clean Water Act to the Cy, HUD and the appropnale
Rogonal Office of the U.S. Environmental Protection Agency, Flood Disaster Protocion Act of 1973 (42
USC. § 4108), Unform Relocation Assistance and Real Property Acquistion Policies Acof 1970 (22 U.S
§ 4801), Executive Order 11246, a8 amended by Executive Orders 12086 and 11375 and implementing
Teguiatons ai 41 C.F.R. Chapier 60-1;Lead-Based Pant Possoning Prevention Act (42 U.S.C. 4821 el sea)
Residential Lead-Sased Paint Hazard Reducson Act of 1992 (Pub L. 101-850: 2 U.S.C. 485% st seq.) and
implementing reguations at 24 C.F R. Part 35; Executive Order 12372; Copeland “Ant-Kickback Act (18
US.C.§ 674 and 40 USC. § 276(c) as supplomented by 29 C.F R. part 3), Federal Far Labor Standards
‘Aci(29US.C. §201 et sea). 2s amended, he Unorm Administrative Requrements contained in 24 C.F R,
Parts 84 and 85. as amended: Halch Act 5 US.C. §§ 1501-08 and 7324-28), Byrd “Anti-Lobbying”
‘Amancment (31 U.S.C. § 1852}; mandatory standards and policies relaing to energy efciency which are
‘contained i he Stata of linois energy conservation plan issued in compiiance wit the Energy Policy and
Conservation Ac Pub L_ 94-163), Program Fraud Civl Remedies Act of 1986, as amended, 31 US.C, §3801
‘2L.s0a.(m accordance therewth, the Contractor cates or affrms the truthfulness and accuracy of any
Statement it has made, It makes, or may make pertaining to this Agreement); and Debarment and
‘Suspension (Executive Orders 12549 and 12680). Additionally. the Contactor must comply with the
appicabie provisions of OMB Crculars A21, A-B7,A-102, 4-110,A.122 and A133 as amended, succeeded
orrovies,

22. CERTIFICATION REGARDING LOBBYING

‘The Contractor certies hat no Federal appropriated funds have been pid or wll be pai, by or on bohatf of
the Contractor to any person for inuencing r attempting lo iiuence an fice or employee of any agency,
‘a Member of Congress, an offcer or employee of Congress, or an employee of a Morbor of Congress i
Connection wah the awarding of any Federal agreement, tie making of any Federal grant. the making of ary
Federal loan, the entering into of any cooperative agreement, oF the extension, continuation, renewal
‘]amencment, ox modification of any Federal agreement, grant. loan or cooperative agreement.

Exhibit A - Page 5 of 17

UNTITLED-036
1 any funds, other than Federal appropriated funds, have been paid or wil be paid to any person for
infuencng or attempting to influence any ofthe above persons in conecton with this Agrooment, the
Underaigned must also complete and submnt Federal form LLL, “Dsclosure Form to Report Lobbyng at
‘accordance wih ts instructions

1" here are any indirect costs associated with ths Agreement, total dying costs must be separately
dentiied nthe indirect cost rate proposal, and thereafter reated as other unallowable activity costs,

‘The Contractor must include the language ofthis certification in any contracts with ts subcontractors. All
subcontractors are also subject to certification and disclosure.

“This certification is a matenal representation of fact upon which relance was placed to enter into this
transacton and isa prorequiste fr tis vansaction, pursuant to 31 U.S.C. § 1382. Ary person who fails 0
file te cequred ceritcatons are subject to a ci penally of not less than $10,000 and not more than
$100,000 foreach such far.

A23. PARTICIPANT ELIGIBILITY

‘The Contractor must comply with specific elipbilty equrements of the Supportive Housing Program related
tonomelessness and income (24 C.F-R. Part 583). Addonaly, the Contractor must use ts best efforts io
‘onsure that ebgible Nar-to-reach persons are served

24 PROGRAM REQUIREMENTS

‘The Contractor mast comply with a specific program requirements, including the folowing. The Contractor
‘must (1) volve homeless, ithe maximum extent feasble, inthe provision of supportive services and nthe
‘governance of the program; (2) conduct an ongoing assessment of housing and supportive services requred
by participants and make adustments as approprate; (3) ensure that assisiad housing meets applicable
housing qualty standards (habitabiliy standards) (see 24 C.F.R. §589.300), mcluding actual physical
inspection of units: (4) ensure that rents for HUD assisted unts are reasonable; (6) enter inio occupancy
“agreements with participants and charge and collect rentin aczord wit estabishod standards, (terminate
‘assistance to particpants only inthe mest severe cases, whl ollowng Gue process and any formal process
‘established by the ity

‘The Contractor must comply with the Department of Human Services’ Standards for Homeloss Senices and
Programs, 98 may be amended from time to ume and the educational provisions as cited under Secon Vil,
‘Subtle B, of the Stowart 8. McKinney Homeless Assistance Act of 1987, as amended

A25 MAINTENANCE OF EFFORT
{n accordance with 24 CFR. Part 683.150(a) (Maintenance o Effort) the Contractor acknowledges thatno
assistance receved under tis Agreement (or any Stale or local government funds Used to supplement tis

‘assistance) may be used replace funds proved under any tate orlocal government assistance programs
Dreviously used, or designates for use, to assst homeless persons.

Exhibit A - Page 6 of 17

UNTITLED-037
ARTICLE i OF EXHIBIT A

unr {ENT OF HOUSING AND URBAN DEVEL(
"SHELTER PLUS CARE ("S+C") PROGRAM

A341 COMPLIANCE WITH S#C PROGRAM REGULATIONS.

“The Contractor must comply with, and corifies that ts m comiance wih, all the provisions and reguatons
‘ofthe S+C Program, anda elated Cy of Chicago, Slate of lino's and United States rules, regulations and
‘requrements, ncucing, but not iited to: Subtite F of Tite IV of the Stewart B. MeKinney Homeless
‘Asuislance Act of 1985, a6 amended (42 U'S.C. §§ 11381 el sea.) HUD Shelter Pus Care Program
Regulatons (24 CFR. part 582), Section 3 ofthe Housng and Urban Development Act of 1988 (12 US.
§§1701(a), a appicabie regulations at 24 C.F.R pars 48 and 88, Fact Standard Requeements at 24
CER, Part 8 (8.23 (a) or (b): 24 CFR. § 583.315 (eating torent); Executive Orders 11625, 12432 ond
‘12138; Nationa Histone Preservation Actof 1988 as supplemeniedby Executive Order 11599; Coastal Barrer
Resources Act of 1982 (16 U.S.C. 380% el sea); Tile Vi and Vil ofthe Cail Rights Act of 1964 (42 USC. §
20000 et seq. and 24 C.F.R Part). Civ Righis Act of 1981; Fai Housing Act (42 U.S.C. § 3601 et sea, and
24CFR. Past 100), Executive Order 11063, as amended by Executive Order 12258 and implemening
‘eguiaton at 24 C FR. Part 107; Davis-Bacon Ac, as amended (40 U S.C. §§ 276a~-276a-5); Contract Work
Hours and Safely Standards Act (40 U.S.C. §§ 327-33 as supplemented by 29 CFR. par 5) National
Eneronmental Pc Act of 1969 (24 CFR, pat $0), Clean Ae Act (42 US.C. §7401 el sea): Federal Water
olution Control Act (Clean Water Acr) (53 USC. § 1251 et seq.) Executve Order 11738, and US.
Enaronmenta Protecton Agency regustons (40 CFR. part 18), the Contractor must report all olatons and
‘must requre all subcontractors to repor all wlations of the Clean Air Act andlor the Clean Water Act fo the
‘Gi, HUD andthe appropriate Regina Office of te US. Enveonmental Protecion Agency, Flood Ossastor
Protection Act of 1973 (42 U'S.C. § 4108), Uniform Relocaton Assistance and Real Property Acquision
Pocis Act of 1970 42 U.S.C. § 4601), Executive Order 11246, as amonded by Executive Orders 12086 and
111375 and implementing reguations at 41 C.F R. Chapter 60-t-Lead-Based Pain! Poisoning Prevention Act
(42 USC. 402% etg0q Residential Lead-Based Paint Hazard Reducton Act of 1992 (Pub. 101-550; 42
US.C, 4851 et seq) and implementing requlatons at 24 C.F R. Part 35, Executive Order 12372; Copeland
“Ant-Kiekback”Aet (18 U.S.C. § 874 and 40 USC. § 276(c) as supplomentod by 29 C.F R. part 3). Federal
Far Labor Standards Act (29 U.S.C. § 01 et seq): the Union Administrative Requirements contained
2AC.FR. Ports 84 and 85, as amended, Haich Act5 U.S.C. §§ 1501-08 and 7324-28); Byrd “Ant-Lobbying*
‘Amendment (31 US.C. § 1352}; mandalory standards and policies relating to energy efcency which are
Ccontaned in te Stato 0 tinois energy conservation pion Issued in compliance wit the Energy Pobcy and
(Conservation Act (Pub. L.94-163); Program Fraud Givi Remedies Actof 1866, as amended, 31US.C. §3801
‘220g (mn accordance therewith, te Contracior cates or affims the tuinfulness and accuracy of any
Statement it has made, it makes, of may make pertaining to this Agreement); and Debarment and
‘Suspension (Executive Orders 12549 and 12689). Additenally, the Contactor must comply withthe
applicable provisions of OMB Circulars A-21, A-B7,A-102, At 10, A122 and 133.98 amended, succeeded
orreviced

3.2. CERTIFICATION REGARDING LOBBYING

‘The Contractor corttos that no Federal appropriated funds have been paid or wil be pai, by or on beh of
the Contractor to any person for inuencing or altemping to influence an oficar or employee of any agency.
‘8 Member of Congress, an offcer or employee of Congress, or an employee of a Member of Congress in
Connecion wih the awarding of any Federal agreement, te making of any Federal grant, the making of any
Federal loan, the entering into of any cooperative agreement, oF the extension, continuation, renewal,
‘amendment, or medication of any Federal agreement, grat. lan or cooperative agreement.

Exhibit A - Page 7 of 17

UNTITLED-038
{f any funds, other than Federal appropriated funds, have been paid or wil be pald to any person for
in ueneng or attempting to influence any of te above persons in connection wih tis Agreement, the
Undersigned must also complete and submit Federal form LLL. “Disclosure Form lo Report Lobbying,” lt
‘accordance with ts instructions,

N tere are any indirect costs associated with this Agreement, total jobbyng costs must be separstely
identified in the indirect cost rate proposal, and thereafter treated es other unallowable activity costs,

‘The Contractor must include the language of ths certification m eny contracts with its subcontractors. All
subcontractors are also subject to certification and disclosure

‘This certfication is @ material representation of fact upon which reliance was placed {0 enter into his
\wansacton and isa prerequisite fr this tansacton, pursuant to 31 U.S.C. § 1352. Any person who fas to
fle the required certifications are subject to 2 civi penaly of not less then $10,000 and not more than
'$100,000 foreach such faire.

A33. PARTICIPANT ELIGIBILITY

‘The Contractor must comply with speciic eighty requremants of the SC Program related to
homelessness, disabilty, anc very low income, 24 C.F R. Pan 582. Adctionaly, the Contracir must uses
‘est efforts to ensure thal elgble hard-to-reach persons ae served

A4 MATCHING REQUIREMENT

‘The Contractor certifies that wil provide or ensure the provision of supportive services appropriate to the
‘needs of the population being served and at least equal in value to the aggregate amount of rertal assistance
provided by HUD.

‘The Contractor further gives reasonable assurance that supportive services will be mace avalible to
Participants fo the entire term ofthe rental assistance.

35 PROGRAM REQUIREMENTS

‘The Contractor must comply wih al specific program requirements, ining he folowing. The Contractor
‘must: (1) involve homeless, othe maximum extent feasible, nthe prowsion of supportive services and inte
‘governance ofthe program: (2) conduct an ongoing assessment ofhousing and supportive services requred
By partcipants and make aqustmonts as appropriate; (3) ensure that assisted housing meats appicabie
housing quality standards (habiabilly standards) (see 24 C.F-R. §589,200), including actual physical
inspection of units: (4) ensure that rents for HUD assisted units are reasonable; (5) enter info occupancy
‘agreements with participants and charge and collect rentin accord wih estabished standards; (6) terminate
‘assistance to participants only inthe most severe cases, while folowing Cue process and any formal process
‘established by the City

“The Contractor must comply wih the Department of Human Servces' Standards for Homeless Services and
roarams. as may be amended from time to time and the educational provisions as clted under Section VI,
Subtitle 8, ofthe Stewart B. McKinney Homeless Assistance Act of 1987, as amended.

AS6 MAINTENANCE OF EFFORT
Inaccordance with 24 C.F R. Par $83,150(a) (Maintenance of Effort), the Contractor acknowledges thatno
‘asestance received under ths Agreement (or any Sate o local government funds uses to supplement tis

sistance) may be used to replace lunds provided under any Stale o loca government assistance programs
previously used, or designated for use, to assist homeless parsons.

Exhibit A - Page 8 of 17

UNTITLED-039
ARTICLE 1V OF EXHBIT A

INITED STATES DEPARTMENT OF HOUSING AND URGAN DEVELOPMENT
[EMERGENCY SHELTER GRANTS ("ESG") PROGRAM

AAt1. COMPLIANCE WITH ESG PROGRAM REGULATIONS

“The Contractor must comply with, and certifies that its n compliance with, lhe provisions and reguatons
‘ofthe ESG Program, and all lated City of Cicago, State of minors and United States rues, reguatons and
requirements. eluding, but not ite Io: Sublte B of Tite IV of the Stewart 8. McKinney Hemless:
‘Aswstance Act of 1988, 2s amended 42 U.S.C. §§ 11381 et sea.) Sectons 83210), 832(c) 8320), 832/61)

‘and 1402(6) ofthe Housing and Community Development Ac of 1992 (Pub. L. 102-580), HUD Regulations
found at 24 CFR. pan 576; Facity Standaré Requrements at 24 C F:R. Part 8 (8.23 (a) oF (b): 28 CFR.
'§ 583.315 (relating to rent; Executive Orders 11625, 12432 and 12138, National Historic Preservation Act
(011966 as supplemented by Executive Order 11593; Cossal Barner Resources Act of 1882 (16U.S.C. 3501
‘eLs2q ) TWe Vi and Vl of the Civ Rights Act of 1964 (42 U.S.C. § 2000d et seq end 24 C.F R. Part) Civ

Rights Act of 1981; Far Housing Act (€2 USC. § 3601 of seq. and 24 CFR. Part 100) Execute Orcor
11003, 2s amended by Executve Order 12259 and implementing regulation et 24 C.F.R. Part 107; Contact
Work Hours and Safety Stancards Act (40 U.S.C. §§ 327-33 as supplomented by 29 C.F R. pat); National
Enaronmental Py Act of 1969 (24 C.F R. part 80}, Clean Ar Acl(42 U.S.C. §7401 gt sea); Federal Water
otution Conirol Act (Clean Water Ac") (33 U.S.C. § 1251 el seq); Executive Order 11738, and US,
Enuronmenial Protection Agency regulations (40 C.F R. pat 15) the Contractor must report al voistons and
‘must requre all subcontractors fo report all vlaions ofthe Clean Air Act andlor the Clean Water Act o the
City, HUD and the appropriate Rogonal Office ofthe U.S. Enueonmental Protection Agency; Flood Ossastor
Protection Act of 1973 (42 U.S.C. § 4106), Uniform Relocaton Assistance and Real Property Acqusioon
otcies Act of 1970 (42 U.S.C. § 4601); Executive Order 11246, as amended by Executive Orders 12086 and
11375 and imolerenting requatons at 41 CFR. Chapter 60-1 Lead Based Paint Poisoning Prevention Act
(42USC, 4821 etsaq |. Resdental Lead-Gased Paint Hazard Reduction Act of 1992 (Pub. L 101-550. 42
USC. 4851 et sea) and implementing reguatons at 24 C.F R. Part 35, Executive Order 12372; Copeland
“Ant Keekback” Act (18 US.C. § 874 anc 40 U.S.C. § 276(c) a8 supplemented by 29 C.F R. part 3) Federal
Far Labor Standards Act (28 USC. § 201 et seq): the Uniform Adminsivalve Requirements contained in
2ACE.R Pars 84 and85, as amended: Halch Act S U.S.C. 6§ 1501-08 and 7324-28); Byrd "Anl-Labbying”
‘Amendment (31 US.C. § 1352); mandatory stancards and policies relating to energy efciency which are
‘contained inthe State of thnois energy conservation plan issued in compliance with the Energy Policy and
Conservation Act Pub. 94-163): Program Fraud Givi Remedies Actof 1986, as amended, 49US.C. §3801
‘2L.sag, (9 accordance therewith te Contractor certifies or affems the trutvulness end accuracy of any
Statement it has made, it mekes, or & may make peraining to this Agreement), and Debarment and
Suspension (Executive Orders 12549 and 12680). Adeitenaly, the Corivactor must comply with the
applicable provisions of OMB Circulars A21, ABT, A-102, A-110,A-122 and A-133.a6 amended, succeeded
orrovised.

42. CERTIFICATION REGARDING LOBBYING

‘The Contractor certifies that no Federal appropriated funds have been paid or will be pai, by or on behat of
the Contractor to any person for inuencing or attempting to iiuence an ofcer or employee of any agency,
‘8 Member of Congress, an offcer or employee of Congress, or an employee of a Momber of Congress in
‘connection wih he awerding of any Federal agreement, the making of any Federal grant. the making of any
Federal loan, the entering info of any cooperative agreement, oF the extension, continuation, enewa
‘amendment, or modiicaton of any Federal agreement, grant lan or cooperaive agreement.

Exhibit A - Page 9 of 17

UNTITLED-040
any funds, other then Federal appropriated funds, nave been paid oF wil be paid 0 any person for
infuencing 0: attemping to infuence any of the above persons m connection with this Agreement, te
Undersigned must also complete and submit Federal foem LLL, “Disclosure Form to Report Lobbying." in
‘2ecardance with its instructions,

Were are any indirect costs associated with this Agreement, total lobbying costs must be separately
Identified nthe marci cost ate proposal, and thereafter reated as other unallowable activty cost,

‘The Contractor must include the language ofthis certification in any contracts with ts subcontractors, All
sbcontractors are also subject to catiieation and ciscosure.

‘Ths corification is 2 material representation of fact upon which reliance was placed to enter into this
transacton and is a prerequste forts transachon, pursuant to 31 U.S.C. § 1352. Any person who ais to
file the requred certifications are subject fo @ Cw penalty of not less than 10,000 and ot more than
'$100,000 for each such faire.

43. MAINTENANCE OF EFFORT

Inaccordance with 24 C.F.R. Part $83 150(a) "Maintenance of Eto"), the Contractor acknowledges that no
‘assistance recelved under this Agreement (or any State o local government funds used to supplement his
Sesistance) may be used to replace funds provdedunder any State or local governmontassisiance programs
previously used, or designated for use, to assist homeless persons.

4A ASSISTANCE TO THE HOMELESS

“The Contractor must comply withthe educational provsions as cted under Secton Vil, Subtle B, of the
‘Stewart 8. MeKinney Homeless Assistance Act of 1987, as amended,

“The Contractor must provide assistance to the Homeless in obtaining: (1) appropiate supportve services,
induding permanent housing, medal health weatment, mental esth treatment, counseing, supervision and
‘ther services essential for achieving independent living; end (2) other federal, state, local and prvate
assistance availabe fr such indivduals.

“The Contractor must comply withthe Department of Human Services He
‘Program, a8 may be amended from time to ime. The Contractor also must. (1) meet all appropriate fe
Seley codes for facities used i the provision of services; (2) have a writen policy af nondisermnation: (3)
have writen polcy tha attendance at or membership in any organization (church union, politcal, rateral,
tc.) must not be requred as a prerequiste for recent of services; (4) have procedures for handing,
investigating and resolving complants; and (5) parcipate in the Emergency Assistance claiming process for
{amiles. The Contracir also must comply withthe formal process established by the City regarding the
{erminaton of assistance to any incividual or family.

AAS USE AS EMERGENCY SHELTER

‘The Contractor warrants and represents that he buling for which funds under this Agreement are used for
‘one of more ofthe eigibe actives wil be maintained a sheltorfor thehomeloss for not ess than a 3 year
period, oF for not less than 2 10 year period If te grants amounts are used for major rehabutation oF
Conversion ofthe bulling. However, f funds are used exclusively and only for payment of maintenance,
‘operation, insurance, ublies or furnishings, the Contractor must maintain such fact as a shelter for the
homeless forthe period during which such assistance is provided.

Exhibit A - Page 10 of 17

UNTITLED-041
ARTICLE OF EXHIGIT A
ADDITIONAL AGREEMENT PROVISIONS FOR
‘EMERG! ) "7

ATTACHMENT 1 PREVAILING WAGES.
ATTACHMENT 2. PERFORMANCE BOND
ATTACHMENT 3. SECTION 3 REQUIREMENTS AND

‘CITY OF CHICAGO SECTION 3 COMPLIANCE PLAN
ATTACHMENT 4 MBEIWBE SPECIAL CONDITIONS AND SCHEDULES,

A.S1 ACCESSABILITY COMPLIANCE

{1 his Agreement involves design for construction or construction, the Contractor warrants that al desion
‘ocuments produced o ullzed under tis Agreement and af constuction or alterations undertaken under
this Agreement mast comply with al federal. state and loca! laws ang requatons regarding accessibaty
slandares for porsons with isabaues or enveonmentaly lmted persons incuding, But not hmied to, te
folowing: the Amencars wit Disables Act of 1980, 42 U.S.C. § 12101 el sea, and the Americans wih
Dsabiltes Act Accesstlly Guddeines for Buldings and Faciiies ADAAG"), te Architectural Barnars Act,
Pub. L. 90-480 (1968). and the Unform Federal Accessibilty Standards CUFAS"), and the llnors
Environmental Baris Ac, 810 ILCS 25/1 et soa. and all regulations promuigated thereunder. bee lino
‘Agminsivative Code, Te 71, Chapter 1, Seczon 400.110, Ite above cted standards ee inconsistent, he
CContracor must comply wih the standard providing tho greatest accessbity. Aso, te Contractor mus, prior
toconstucton, review the plans and specticatons o insure compliance wih the above referenced standards
Ifthe Contractor fas to comply wih the foregoing standards, the Contractor must perform apan at no
expense, ane all services required tobe reperformed as a drect or ndrect rel of such faire

‘AS2_ LICENSE, PERMITS AND SAFETY CONSIDERATIONS,
Contracior must, ina timely manner consistent wit ts obligations under his Agreement, secure andmaintan

ats expense such permis, iconses, aubhorizatons and approvals as are necessary to engage in any
‘constuction ot rehablitaton under this Agreement

Contractor must atal imes exercise all easonable care, comply wit all apicabe provisions offederal, state
‘and local aw to prevent accident or injures, including, but not limted to, 29C.F'R. part 1926, an take all
‘appropriate precautons 1 avoid damage to and loss Os propery, Cy property and the propery of turd
partes n connection wit any pre<develonment, rehabilitation or constuction work hereunder. Contractor
‘must erect and propery maintain at all times all necessary safeguards, bares, flags and lighs for bie
protection of Contactors and Subcontractors’ employees, Cy employees, and the pubic

‘Contractor ust report tothe ity ary damage on, about, under or adjacent tots property, Cty property ot
the property of tied persons resuling from Contractor's performance under bis Agroement. Contacto i
responstle for any damage to Ciy property or the property of third parties due. in whole oF in par, 10
‘Contractor's performance under ths Agreement, and Contractor must remedy such damage to reasonably
‘acceptable standard

53. PREVAILING WAGES
required by law, Contractor must comply, and must cause its Subcoriractors of ny tier to comply with he
Davis-Bacon Act, 40US.C. §276aet sea, and Secton 12 of he Housing Act of 1937, regarding he payment
‘ofthe general provaing rate of hourly wage for al aborers, workers, and mechanics employed by or on
behalf f Contactor and all Subcontractors in connection with any and al consructon work. The prevaling

Exhibit A -Page 11 of 17

UNTITLED-042
‘ates of wages applicable at the time of execution of this Agreement are included as tachment tof Extibit
{Act this Agreement, which is ncorporsted by reference as though fully set forth hecin.

A.S4 PERFORMANCE BOND
required by law:

‘A. Contractor wil provide or wil cause is Subcontractors of any ero provide a performance bond with
2 Surely acceptable to the Ciy inthe amount of the rehabilitation and constructon services tobe
performed. Except as proved in paragraph (b) below, the performance bond mast bein the form of
City Form PW. 62, alached hereto as Atachment 2 of Avice V of ExNDI A of ths Agreement,
whichis hereby incorporated by refecence a i fly set Toth hecoin.

B. _fthe Contractor does not recy perform the construction andlor rehabilitation work, the Contractor
‘must, prior o the commencement of cansirucboniehabiliaton,requre is ganeal contractor, Os
individual contractors when a general contractor 1s not used, to be bonded, for any wrk to be
performed, for performance and payment, by sureties having an AA rating o* beter, using Amencan
Institute of Architects Form A311 or A312, The Cty must be named as an additonal obigee on each
sch bond,

“The Contractor expressly acknowledges thal the City may withhold funds under this Agreement, unt
‘he bonding requirement described in subsection (A) or (B) hereof is satisfed, as determined by the
Chet Procurement Oficer

AS COMPLIANCE WITH ENVIRONMENTAL, HEALTH AND SAFETY LAWS,

Contractor must identity and comply wit all envronmental laws, statutes, ordinances and reguations relating
to environmental matters incusing, witout imtaton, the Comprehensive Environmental Response 2nd
‘Compensation and Liabity Act, 42 U.S C. § 9601 st sea, the Hazardous Material Transporation Ac, 49
USC. § 1801 ot sea. the Resource Conservation and Racovery Ac of 1976, 42 US.C. §6901 et seq. the
‘Clean Wator Act, 33 U.S.C § 1251 eLsea. the Clean Ai Act 42 U'S.C § 7401 et sea, the Toxic Substances
Control Act of 1876, 15 USC. § 2601 ef seq. the Safe Drinking Water Act 42 US.C. § 300f, the
‘Gccupational Safety and General Services Actof 1970, 29 U.S.C. §651 gt. the Emergency Planeng and
‘Communty Righto-Know Act. 42 U.S.C. § 11001 et seq, the inois Envronmental Protection Act, 415 1LCS
5/1 sea, and the Municipal Code of Chicago, each as amended or supplemented, and ay other present
‘or future law, ordinance, rule, reguiaton, permit or permit condition, order or directive reguatng, relating to
‘oF imposing ably or standards of conduct conceming any lead-based paint, wastes, special wastes of
hazardous materials (collectvely “Envronmental Laws"). if the Contracior fais to comply wih any
Envronmental Laws, the City may terminate tis Agreomont in accordance wit the defeut provisions offs
‘Agreement.

Contractor musta al times comply wit al applicable provisions of federal, state and local laws related tothe
se testing and abatement of lead-based pant including. but not ited io, Resrdential Loae-Based Paint
Hazare Reduction Act of 1092 (Pub. L. 101-850; 42 U.S.C. 485 el eq) and implementing regulations at 24
CFR, Part 35 and 40 CFR. parts 260-271,

‘The Contractor must comply wit the Minis Health and Safety Act, 9s amended, 820 ILCS 2283 atsaa, The
‘des pursuant to tis Act are on fle withthe Secretary of State of lino's ane ae identical in every respect
withthe standards in effect under Federal OSHA standards, pursuant to orders of the Iinois Industrial
‘Commission. Pursuant to the Federal and State standards, Contractor must provide reasonable protecion
{the tves, health and safety of all persons employed under the Agreement Such act and rules andthe
applicable parts thereot wil be considered par of tus Agrooment

Exhibit A - Page 12 of 17

UNTITLED-043,
ASG RETAINAGE

1t required by law, notwithstanding any other provsion of ts Agreement, the Cy wil retain 10% of al
‘armounts up 19 the frst 50% of the total price under this Agreement which otherwase would be payable to
Contract

Whenever, inthe opinion of Contractor, the wark has achieved substantial completion, Contractor wil tty
{he Commissioner in wring tha the work willbe ready for inspection andlor testing ona definite date. Notce
Wilde guen atleast 5 calendar days in advance of such date. Ifthe Commissioner concurs that te project
's ead for inspection andlor testing on tho date given, the Commissioner will arrange for such inspection at
‘a convenent ime fora partes, but witun a reasonable period of tm. Ifthe work i found to have achieved
‘substantial completon in accordance with the Agreement, the Ciy wil retan 3% of the aforementioned
teserve and release the balance tothe Contractor

‘Upon (1) fina acceptance ofthe work: (2) the Contractor's compliance wih the Agreement's canditons for
‘payment and performance of the werk covered by the Agreement in accordance wih te tems and conditons
hereot and complarice with al other terms and conditions of the Apreement, (3) payment to
‘Subcontractors, workere, employers, suppliers anc materalmen for work performed ang materals supple;
‘and (4) compuiation of ie final quantives of work, the final retained amount less any damages of other
‘amounts thal he Chvel Procurement Offeer determines shouldbe deduced, willbe paid tothe Contractor a
final payment.

AS7NOLIEN-PROVISION

‘The Contactor must notiy ts Subcontractors that no mechanics’ liens under the linois Mechanics Lien Act,
TIOILCS 6010.01 et seq, wil be permitied to arse, be fled, or mantained agains public funds, ths project,
‘or any part thereo, oF ay interest there, or any improvements thereon, oF against any monses due OF ©
Dbecome due to Contractors Subcontractors on account of any work, labo, services, malrils, equipment,
‘rather tems performed ortumished for rn cannection wih the project hereunder. The Contacto, or sell
‘2d it Subcontractors, does hereby expressly release and relinquish such liens and al nights to fle or
‘anne auch en, and acknowledges fare al us wawer of bons and waiver ofthe ight ot or maintain
Such liens wil be an independent covenant. if any of Contracior’s Subcontractors, employees, officals,
‘agents, or anyother person directly or indrecty acting for rough, oF under any of them fies or maintains 3
lien of Gaim as described above, Contractor must cause such hans and claims to be satsfieg, remved. or
‘ischarged by bone, payment ar etharwise, within 30 days fom the date of fing theroo!.

‘A-5.8 PROTECTION OF EXISTING STRUCTURES AND PROPERTY

‘The Contractor wil avoid damage, as a resut of ts operation, to trees, pantie, existing sidewalks, curbs.
streets, alleys, pavements, ulites,adjoning property, the work of other contractors, ang the propery of re
City and third partes and wil at its own expense repair any damage caused thereto by Gonivactor’s
‘operations.

AS9_ NESHAP COMPLIANCE ON CITY CONTRACTS.

“The Contractor warrants hal at work performed under this Agreement the Contractor orits Subcontractors,
‘must be performed in accordance with all federal, state and local laws and reguitions, inluding But not
limited to, the National Emission Standards for Hazardous Ai Polutanis (NESHAP"), 20 CFR. § 61.145,

Exhibit A - Page 13 of 17

UNTITLED-044
A510 SECTION 3 CLAUSE

In the event the funding under tis Agreement exceeds $100,000 and the Contractor performs construction
‘oF rehabiltaion actives, or the funding under this Agreement exceeds $200,000 and the Contracor uses
2 subcontractor oF subcontractors to perform construction of reheblitston acini, the Contractor must
‘comply with the Secton 3 Clause, altached hereto as Atiachiment 3 of Arie V of Exit Aol ths Agreement,
‘and te Cy of Cheago Secton 3 Compliance Pien Bookie

A-S:11 CHICAGO RESIDENCY REQUIREMENTS

I the funding under this Agreement is $100,000 or more, and except as otherwise prohibited by law, the
Contractor and all Subcontractors that perform work on-site onthe consiructon project undertaken pursuant
to tis Agreement must comply wih the misimum percentage of total worker hows performed by actual
resents of the City of Cicage specified n Secton 292-330 ofthe Murscpal Code (atleast 50% ofthe total
Workor hours must be performed by aciul residents of the Cty of Chicago) Provided, however, thal it
‘adstton to complying wh this percentage, the Contractor and all Subcontractors must make good fh efforts
{ouilze qualified residents ofthe City of Chicago m both unshiled and skiled labor postions

‘Acontractor or bidder may request a reduction or waiver of this minimum percentage evel of Chicagoans 2s
provided for in Section 2:92-530 in accordance with standards and procedures developed by the Chie!
Procurement Ofteer

"Actual residents of the City of Chicago" means persons domiciled within te Cy of Chicago. The domiote
's an inévdua's one and only tue, fxed and permanent home and principal estabishment

‘The Contractor must provide for the maintenance of adequate employee residency records to ensure that
‘actual Chicago residents are employed on the propect. The Contractor and is Subcontractors must mamtain
‘copes of personnel documenis supportive of every Chicago employee's actual record of residence.

Weekly cetited payroll cepots (U.S. Department of Labor Form WH-347 or equivalent) submited to te
Commissioner of the supervising department in pica, must denity clearly the actual residence of every
‘employee on each submited cetfed payroll. The fist me that an empioyee's name appears on apayrol,
the date tal the company hired the ployee should be writen in after te employee's name.

Full access to the Contractor's and Subcontractors’ employment records must be granted to the Chiat
Procurement Officer, the Comenissioner of the supervising department, the Superintendent ofthe Chicago
Police Department, the Inspector General, or any duty authorized representative thereof. The Contractor and
‘Subcontractors must maintain al relevant personne! data and recorés fra period of alleast tree years afar
fina acceptance of the work

[At the direction of the superving department, affidavits and ofr supporing documentation wal be required
ofthe Contractor to verty or carty an employee's actual address when doubt or lack of lat has arisen,

Good faith efforts on the pat ofthe Contractor to prove utlizaton of actual Chicago residents out not
suficiont for the granting of @ waver request as provided for in the standards and procedures developed by
‘the Chief Procurement Oice) wil ol sufice to replace the actual, veriied achievement ofthe requrements
‘ofts Section conceming the worker hours performed by actual Chicago residents.

Exhibit A - Page 14 of 17

UNTITLED-045,
When the work is completed, the Gly has determined tat the Contractor fed to ensure the flfament of
the requrements ofthis Section concerring the worker hours performed by actual Chicago resicentso faled
to reportin te mannet as ndicated above, he Cy wil thereby be damaged In the flue to provde the
benef of demonstrable employment to Chicagoans tothe degree stipulated m ths Secton. Therefore, in
sucha case of non-compliance is acknowledged thal one: twentieth of one percent ofthe approved contact
value fortis Agreemert willbe surrendered by the Contractor tothe ity in payment foreach percentage of
shortfall toward the stipulated residency requrement, Failure to repor the residency of employees entirely
‘and corectly wil resut in the surrender ofthe entre liquidated damages as no Chicago residents were
‘employed. The wit fasticaton of statements te certicaton of payroll data may subject the Coatrecor
‘or Subcontractors or employeeto prosecuton. Any retainage i cover coriract performance thatmay become
{veto he Contractor pursuant to Section 2-92-250 ofthe Municipal Code may be wibheldby the Cily pending
the Chet Procurement Ofice's determination whether the Contracior must surender damages as provided
in ts paragraph

'Notung herein provided wil be construed tobe a ltation upon the "Notice of Requirements For Alferative
‘Acton To Ensure Equal Employment Opportunity. Executive Order 11246" and “Standard Federal Equal
Employment Opportunty, Execullve Order 11240" o oferaffrmatve action requred for equal opporurty
Under the prowsions ofthis Agreement. The Contractor must include this provision in all subcontracts.

UNTITLED-046
ATTACHMENT 4 OF ARTICLE V OF EXHIBIT A
PREVAILING WAGES:

UNTITLED-047
ATTACHMENT 2 OF ARTICLE V OF EXHIBIT A

PERFORMANCE BOND

UNTITLED-048
ATTACHMENT 3 OF ARTICLE V OF EXHIBIT A
‘SECTION 3 REQUIREMENTS AND
( APPLICABL

UNTITLED-049
“The work to be performed under this Contracts subject to the requrements of Section 3 (Sacton
S'}of he Housing and Urban Development Ac of 1868, as amended, 12 U.S.C. 170tu (be
"Housing Act"). The purpose of Secton 3s to ensure that empioyment and other economc
‘opportunities generated by HUD assstance or HUD assisted projects covered by Section 3, must,
‘0 the greatest extont feasbie, be dected to low- and very low-income persons, parsculary
persone who are recpients of HUD assistance for housing. Terms used in this Section have the
‘reanings ascribed thereto in Section 3 orn the reguations promulgated under the Housing Act
(the "Reguiations") and found at 24 C.F-R Part 138,

“Tne Contractor must comply withthe Reguatons which implement Section 3. As evidenced by
sts executon of tus Contract, the Contractor certfies that tis under no contractual or other
|mpeciment that would prevent & rom complying with the Regulations

“The Contractor must sen to each labor organization or representative of workers wid which the
Contractor has a collective bargaining agreement or other understanding, any. a netce advising
the labor organization or workers representative ofthe Contracio’s comments under this
‘Section, and to post copies ofthe notice in conspicuous places atthe worksite where both
‘employees and applicants for taining ané employment postions can see he notice. The notice
‘must describe the Section 3 preference, must set forh minimum number and job bles subject 0
hee, avatablty of apprenticeship and traning positons, the quaiicatons for each and the name
‘and locaton of he person(s) taking applications for each of the postions; and the antepated date
{the work wil Bog

‘The Contractor must include the language contained inthis Section in every subcontract subject
to compliance win the Regulations and mast take appropriate action, as provided in an applicable
proviso of the subcontractor inthis Section, upon @ finding thet any subcontractor wath whom
{he Contractor contracts isn vetaton of the Regulations. The Coriractor wil not subcontract wit
‘any subconiracor whore te Cantracor has notice oF knowledge thatthe subcontractor has been
{ound in vation of te Regulatons

‘The Contractor wil certify that any vacant employment postions, inctudng trainng positions, that
‘ar0 fled (1) afer the Contractor is selec but before the Contact is executed and (2) wit
persons other han those to whom the Regulations require employment opporunites to be
rected, wore rat filed to crcumvent the Contractors oblgatons under the Regulatons,

Noncompiiance with te Regulations may resultin sanctions, including, but not lied to,
termination of this Contract for default, and debarment or suspension from future HUD assisted
‘contacts

Section 3 Requirements - Page 1 of 7

UNTITLED-050
‘SECTION 3 ACKNOWLEDGMENT & DEFINITIONS

ACKNOWLEDGMENT

“The Contractor acknowledges recip rom the Cty ofa copy of he Cty of Chicago Saction 3
Compliance Plan booklet (Bookset"). The Contractor must complete oF cause lobe competed,
‘28 applicable the forms contained therein and referenced heren, and to submit these forms tothe
City at such times as are nated heren or otherwise required. Tho Contactor hereby represenis
‘and warrants that al forms heretofore or heroater submited by or on behalf of the Contractor are
‘r wilbe tue and correct and that work under the Contract willbe came aut in accordance wh
the existing employee list, new hie pan, trang plan, contracting pian, and compliance effort
narrate, as appicabe, ss submited by the Contractor lo tre Cay unless otherwise agreed 10 in
‘wring by the Chef Procurement Ofer

DEFINITIONS
“Section 3 resident” means:

1. alow- or very low-income person, as defined in Section 3(b)2) ofthe US. Housing Act of
1937, residing wahin the metopolian area in which the Corwact wil be performed, of

public housing resident.

“Business concern” means a business ently formes n accordance with state law, and which i
licensed under state, county or municipal law fo engage mn the type of business activity for which it
was formed

“Soction 3 business concern” means @ business concern

1. that is 51% or more owned by Section 3 residents; or

whose permanent, ume employees clude persons, atleast 30% of whom.
8. aro curenty Section 3 residents; or

b. wore Section 3 residents a the tme when the business concern intialy employed
‘hem, prowded the dat o intial employments nat more than free years ago; oF

i, that commits to subcontract in excess of 25% ofthe doar ammount of al subcontracts to
'be awarded in connection win the Contact to Secton 3 business concems as defined in
(2nd (i) herein above

Pease refer tothe Bookle! for numerical goals end order of preference established by HUD for
‘he employment of Section 3 residents and subcontracting awards lo Section 3 business

Section 3 Requirements - Page 2 of 7

UNTITLED-051
CANVASSING FORMULA PREFERENCE FOR SECTION 3 BUSINESS CONCERNS:

\Wn respect to any Secton 3 covered contrac to be awarded pursuant fo competitive sealed bddng, the
Chet Procurement Othcer wil accept the lowest bid or evaluated bid pice fom a responsive and

responstie Section 3 business concern Clow Section 3 Did) provided thatthe low Secton 3 bd does not
‘exceed the lowest bid or evaluated bid price ftom a responsive and responsible non-Secton 3 business

concer Clow bic") by more than the folowing:

where the low bid is

tess than $100,000
between $100,000 and $198,999 99
between $200,000 and $298,999.99
‘between $300,000 and $399,999.99
between $400,000 and $499,999.99,
between $500,000 and $999,999.99

the tow Section 3 bid doos not exceed the low bid by the
lesser of

410% of the low bid oF $9,000
9% of ie low bd of $16,000
8% of te low bid or $21,000
7% of ie low bi or $24,000
(6% of Below bid or $25,000,
15% of he low bid or $40,000

‘between $1,000,000 and $7,699,099.99 4% ofthe low bid or $80,000
between $2,000,000 and $3998, 999.99 3% of the low bid or $80,000
between $4,000,000 and $6,099,999.99 2% ofthe low bid or $105,000

$7,000,000 or more

“5% of the low bid

‘SECTION 3 OPPORTUNITIES PLAN

‘A. BACKGROUND INFORMATION

Prior to award ofthe Contract, the Contractor must provide the Department withthe fotowng

information:

1 Abst ofall eurent contracts the Contractor olds with the City (FORM.2),

The City service area in which the projec is located (worksheet for FORM-3) and

iL list ofcurent employees and jb categones, including employee aderesses and hiring

dates (FORM),

Section 3 Requirements - Page 3 of 7

UNTITLED-052
EMPLOYMENT AN

To ensure maximizaton of the use of Section 3 residents as trainees and employees. the
Contractor is requires to:

Participate m a Pre-Award Conference where the Contractor must submit a wntten plan
wit respect to hinng Section 3 residents as employees and trainees. This wntten pian
‘must ince the folowing:

Goals forthe traning and employment of Secton 3 residents expressed as
percentages of the planned aggregate number of new hres for he Contract
‘sung the one-year period begnning December 1, 1999, and each successive
‘one-year period ofthe Contracts perormance,

b._Ahinng plan which includes job categories, expected total numberof new hires
‘and numberof Section 3 res, and begining and ending work dates for
‘expected now hires (FORMS),

‘© Attaining plan which clades antirpated areas and types of traning (FORMS).
ane

4. A description ofthe method used 1 develop the goals in part () and the methods
‘trough wich these goals wil be achieved, ncuding the exten lo which the
preferences outined herein above wil be applied (form entitled "Eos to
‘Comply wih Section 3 Hinng and Contractng Goals Narrative)

H.——-Mantain, and cause ts subcontractors to maintan, a record of persons applying fr
postions throughout the term ofthe Contract. This record must nctude te applicants
ame, adress, famly come, the dale ofthe application and the aisposiion af some.
‘This record should be used by the Contactor to achieve is Section 3 hing goal. Hiring
wal be based frst on the appicant's quatficaions and second on the date of application

WL Submit woeky cortiiod payral reports tothe Department wich idently wheter each
‘employee is 2 Secton 3 resident, the actual residence of earn employee, and other
Information as required (FORM. 11). The fest me hat an employee's name appears on a
payrol the date thatthe Contractor hired the employee shoul be writen n aftr the
‘employee's name. In additon the Contactor must obtain, and cause fe subcontractors to
‘obiain, affidavits from new hires certifying ther status as Secson 3 resicents (FORM-9)
‘Affdavts must be subratied tothe Department togother wit the certited payroll report
the fist te thatthe employee's name appears an the report. When @ Secton 3
‘employee is terminated, the Contracior must submt fo the Department together withthe
Certieg payroll report, an employes termination tacking Yorm which wentfes terminated
Section 3 employees (FORM-12).

Section 3 Requirements - Page 4 of 7

UNTITLED-053,
|v. Exert maximum effort to achieve ts Section 3 hiring gost. The Contractor must send each
labor organization or representative of workers wit which the Contractor has a colectve
bargaining agreement or other understanding a notice explaning the Contractor's
‘Commimenis under this Section. The Contractor must also post copies ofthe notice in
‘Conspicuous places al the work ste where both employees and applicants for aang and
‘employment positons can see the notice. The nosce must describe the Secton 3
preference, must sal forth mrumum number and job ites subject to hie; avalabilty of
‘pprentceship and training positons and the qualifications foreach; the name and
tocalion ofthe person taking applications fo each of the positons, andthe anticipated
date the work wil begin. The Contractor may also utize addtional methods of fling

¥. Document its efforts to armatively seek Section 3 residents by manntainng copies of
‘Bovertisements and postings of job vacancies. Further, the Contractor must maintain
‘Copies of letters, memos and records of elophane alls which request reteral of
‘applicants trom traning institutions.

‘vi. Should te Contractor, after exhausting all methods isted above, be unable to hire
Section 3 residents n sufficlent numbers, l must advise the Deparment n writing of ts
‘desire to obtan ret from these ablgatons. This request shoul be fled nolaer than
five working days fom be Contractors determination that iteannot comply. The request
‘must be received and approved before another payouts made. Upon recening this
Fequest, the City wil examine the Contractor's documentation of is efforts and wit
elormine 1 rele willbe granted

‘SUBCONTRACTING OPPORTUNITIES

‘To ensure maximization ofthe use of Section 3 business concers as subcontractors, the Contractors
required to

A

Partcpate m a Pre-Award Conference at which ime the Contractor must submit 2 written plan
with respect tothe utzation of Sacton 3 business concems as subcontractors. This writin plan
‘wal elude:

1. goal expressed 2s 2 percentage of total planned subcontracting dolar forthe
nization of Section 3 business concems as subcontractors;

‘The dotar amounts and types of al planned subcontracting, and whether it wl be with
‘Section 3 business concems (FORM).

ik _A.deserption ofthe method used to develop the goals in part () and the methods trough
‘whoch these goals wil be achieves. including the exten o which the preferences outined
hereinabove wil be appiod (orm entited "eflots to Comply with Section 3 Hring and
Contracting Goals Narrative")

‘Submit an affidavit ofeach subcontractor that is a Section 3 busness concern atthe Pre-Award
Conference. if tie Contracior uses additonal cr substiute subcontractors during the term ofthe
Contract, an afi for the new subconractors must be submitted tothe Department as soon as
the subcontractor is selected (FORM10),

‘Subcontract, tothe greatest extent feasible, with Section 3 business concems. The Contactor
must document is efforts to subcontract, he greaest extontfeasibie, win Section 3 buses:
concems by maintaining copies of letters, memos, and records of elephove cals requesting

‘Section 3 Requirements - Page 5 of 7

UNTITLED-054
‘quotations from Section 3 business concems. In addition, the Contractor must submit tothe
‘Department a subcontractor activity report detating the dear amounts and types of actual
subcontracting, and whether itis wit Secton 3 business concerns (FORMS) as Soon as the
subcontractors are selected or at other tines as determined by the Department.

(COMPLIANCE WITH SECTION 3

“The Contractor must ata ties {uly cooperate with the City to demonstrate complance with Secton 3.
‘The Contractor must suomi afidavis from a Secson 3 resient new hes, subcontractor actly reports
‘and other documentation as may be required al such time intervals as haren stated or as otherwise may
be determined by the Department. In addon, full access tothe Contractor’ and subcontracors'
‘employment records must be granted io the Deparment and the Chief Procurement Officer or his duly
authorized representative

ature to comply withthe Section 3 requirements may cause the Contractor tobe deemed a non-
responsbie bidder in future Cay contracts. Further, king the term of the Controc, faire or refusal o
‘comply o& provide satistaclory evidence of eforts 16 comply wih Section 3 requirements set forth herein
‘wil consitite an event of defoul, In such case the City may invoke the remedies set forth in the Contract
In additon, such fasure o refusal to comply may result inthe Department of Housing and Urban
Development rendering the Contactor nailer debarrod from parepalion on federally assisted
progects

Section 3 Requirements - Page 6 of 7

UNTITLED-055,
(CONTRACTOR'S SECTION 3 COMPLIANCE STATEMENT

| have read and understand both Tile 24 C.F.R. Part 136 (Section 3 Regulations), and the insructons to
contractors regarding these regulations.

| wat comply with all Section 3 requrements set fort therein for work tobe performed on the HUD-ded
projects. Further, | wil ake al necessary and reasonable steps to sure that all subcontraciors
Pesforming on thi project adhere to same,

{have not vitated Secton 3 and | wil not contract with subcontractors that have violated Section 3 1
hhave notice or knowledge of such violation,

| wil eubmit and sure the submission ofall documents o the Cy of Chicago and HUD.

| understand that fature to carry out these requirements, constitutes a breach of contract which may result
inthe termination ofthis Contactor other sanctions.

“CONTRACTOR OTE
(CORPORATE SEAL)
‘Subscribed and swoen to before me

ths _ ay of. 200.

tary Pub

My commission expres

‘Section 3 Requirements - Page 7 of 7

UNTITLED-056
UNTITLED-057
EXHIBIT B

‘SCOPE OF SERVICES

UNTITLED-058
‘SERVICES
Work Program & Budget Exhibit 1

pivision pimscror INITIALS

Contracts ‘Alan K. Mathis
Management

amity Support Don Davis
‘senier

Lorraine Lyneh

Ray Vazquez

[Name of Delegate Agency: ‘Travelers & Immigrants Aid/Chicago Comnestions

Project Name: ‘eevention Program
Funding Period of Project: G7/0172003 through 96/302004

Funding Souree: IDES

Funding Souree: Corporate

CAPS Code: 96.53-2008.0140-0140

CAPS Code: 2 140

‘Maximum Comp: 180,00, ‘Commited Comp: $50,000,
Main Site ntormation: Ward: 42

rogram Site Information: See Project Faclity Information fr primary and multiple sites

Getting Housed - Supportive Services

UNTITLED-059
cot
FY"04 HOMELESS SEDRVICES

WORK PROGRAM AND BUDGET. 29 5 -~';
Department: HUMAN SERVICES
Contact name: DON DAVIS
PHONE #: 746-8610 FAX #: 746-6284
ORGANIZATION NAME: HICAGO CONNECTION:

ORGANIZATION ADDRESS: 208 SOUTH LASALLE, SUITE 1818, CHICAGO, IL 60604 _
EXECUTIVE DIRECTOR: JOSEPH ANTOLIN

PHONE # FAX E-MAIL#: —ph{312)660-1341,fs(312)660-1500.E-ml inpolinG@heartandallinncs ore
PROGRAM DIRECTOR: JOAN SCHWINGEN

PROJECT NAME: PREVENTION PROGRAM.
SITE ADDRESS: 4411 NORTH RAVENSWOOD AVE.

CITY, STATE, ZIP: CHICAGO, ILLINOIS 60640.

EMERGENCY CONTACT NAME: JOAN SCHWINGEN

EMERGENCY #: ‘773-485-2332 (cellphone)

PROGRAM PHONEW FAX EMAIUE gy craves, tu 7myanaene._E - mn
E-MAIL ADDRESS: a .

ALDER a9. 49

FY04 CDHS ALLOCATION: — $50,000
IRS DH: 36-4053244
CONTRACT PERIOD: SULY 12003 -_ JUNE. 30, 2004

INSTRUCTION
‘Please complete the following work program and budget forms.

(ALL REQUIRED SIGNATURES MUST BE IN BLUE INK)
Contnc- Sok Prop Revo

UNTITLED-060
‘A. Program Description
Program Description

1. The goal of the Prevention Program proposed by Chicago Connections is to support
‘and enhance the prevention strategy developed by the Chicago Continuum of Care.
‘The program objectives include:

‘+ implementation of an information line with voice mail back-up to provide
information to applicants and designated provider agencies regarding
homeless prevention funds and other prevention resources;

‘+ administration, oversight, and management of homelessness prevention
funds;

‘+ development and maintenance of a data base of prevention resources for the
Use of service providers;

‘+ collaboration with services providers, e.g. Community and Economic,
Development Association of Cook County (CEDA) and CDHS to ensure
‘enhanced access to assistance;

+ Outreach to, training of, and collaboration with the service provider
community to ensure access to homelessness prevention funds and other
Prevention resources including income supports, as well as, engagement in
the design of the prevention program.

‘The funds requested in this proposal will be used to provide staff for the
Prevention Information Line and to assess the needs of and process requests for
‘assistance for homeless and at risk heads of households; engage a consultant to assist
in the design of a web page accessible to both applicants and designated provider

Chicago Connections 1
May, 2002

UNTITLED-061
‘agencies; and continue to develop strategic alliances with agencies and utilities in order
to increase access to housing and ensure enhanced housing stability. The Chicago
Continuum of Care received $1.5 milion dollars in Homeless Prevention Funds in fiscal
year 2003. All but $300,000 of that amount was one time funding that is unlikely to be
available in the next fiscal year. if that is the case, the need for staf to comb for
resources will increase. Ifthe funds available for rent, mortgage, and utlity assistance
return to the $300,000 level, 350 households will be assisted a the average rate of
‘$800 per household, This is a grim prospect since, even $1.5 million dollars in
assistance does not meet the need for emergency assistance by Chicago's low income
households.

The prevention of homelessness is an integral part of the Getting Housed,
‘Staying Housed strategy endorsed by the Chicago Continuum of Care, The
‘combination of access to emergency funds, access to income supports, and access to
{follow-up services enhances the ability of low income households to overcome a crisis
that, left unaddressed, may have resulted in homelessness.

‘The Prevention Program will serve low-income Chicago residents who are
homeless or at imminent rik of becoming homeless and the network of designated
provider agencies who access homeless prevention funds, Since the Homeless
Prevention Funds became available in January of 2000 thousands of households have
been helped to pay a security deposit first month of rent, rental or mortgage arrearage,
CF utility deposit or arearage. While that is an impressive number it does not scratch
the surface of the need. Each day Chicago Connections receives over fity (50)
telephone calls from individuals who need help moving from shelter to housing, moving

Chicago Connections 2
May, 2002

UNTITLED-062
from crowded or dangerous housing to more secure and suitable housing, or, most
often, help to remain housed. These calls usually begin with a request for funds.
However, offen rental, mortgage or utility assistance is only a very small part of what is
needed. Each one of these calls requires a thorough assessment of need, an in depth
knowledge of prevention resources, and familiarity with the network of designated
provider agencies in order to adequately address the issues of the caller.

A network of over fy (50) agencies, as well as the CDHS case management
‘staff, has accessed homeless prevention funds. However, without an adequately
staffed information number, homeless and at risk individuals are like explorers facing a
jungle of service providers without a map. Most offen, people in need ask for something
tangible when, in fact, while that may be a need, itis only part of the constellation of

needs that must be addressed to enhance residential stabilty. An information li
staffed by knowedgeable, trained personnel will help ensure that those in need are
informed of the vast array of services and supports available to address the needs that,
if left unaddressed, may keep people homeless or cause them to become homeless. if
the need for case management services becomes apparent during the telephone
assessment, callers may be referred to Chicago Connections programs or other
programs in the caller's community for extended services while accessing prevention
resources.

‘The Chicago Continuum of Care identified the need for a staffed information and
referral line as a gap in the prevention service delivery system. Access to reliable
information about prevention resources wil help to keep people housed, i. close the

‘Connections 3
May, 2002

UNTITLED-063
{front door of the homeless service system, and move people from shelter or unsuitable
housing to a stable residential option, ie. open the back door
3. Attachments inctude:
2) Intake procedures: Telephone Intake only.
) Client grievance policy attached;
©) Client discharge policy: Not applicable.
4) Involuntary termination policy: Not applicable.
4. AGENCY DATA
Does the shelter have a Special User Permit? Not applicable, Not a shelter.
O yes @ No

Ifyes, permit issued on: Exp. Date:
(Date)

‘When did shelter first open?__-2000__or New ?
How long has the agency been involved in providing
shelter related services? _16 years

i
|

UNTITLED-064
B, NEW PROGRAMS ONLY
(Never Funded by CDHS)

Program Start Up: Outline the steps required for you to implement this program, as
well as, the time frame necessary to complete each step. Not applicable.

STEP TIME FRAME (activities to be
Example: accomplished by specified dates)
Obtaining Site Control
Hire Staff July 1, 2003

Suly 1-15, 2003

‘Chicago Connections 5
May, 2002

UNTITLED-065,
©. COMPLIANCE DATA,
‘Does your agency/organization have any outstanding federal or state liabilities?

oO yes B no
yes, please attach proof of a payment lan and agency
compliance of plan

Is your agency in full compliance with al entities which fund its program(s)?
® ves O No

‘(Using space provided)
1 Describe the methods your agency will employ to monitor the project's progress

and record project accomplishments,

Chicago Connections uses a client based data base system to generate programmatic
reports. Client records, logs, and intake forms are used as the source documentation
for the database system. The executive Officer of Chicago Connections reviews
program progress monthly and monitors the need for corrective action.

‘This project involves the development ofa Prevention Information Program that
‘will provide information and referral to calles in need of assistance in order to
‘access or maintain residential stability. Of the 600 individuals who will be assessed
by telephone, 300 willbe seen in person and complete a CSBG form.

2. Describe how the agency will monitor program expenditures and ensure that
SUEREYS nica routes ano mocenun “TCHASORL OF UR
Fiscal oversight i the joint responsibilty of program management andthe
‘Accounting Department. Chicago Connections accounting system is computerized.
Each contract has its own general ledger and monthly operating statement that

Chicago Connections 6
May 30,2003,

UNTITLED-066
details current month activity (revenve and expenses) in comparison to the budget.
‘The operating statements are reviewed by the Controller on a monthly basis to
‘ensure that appropriate steps are taken to contain expenses within the defined
budget.

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‘TRAVELERS & IMMIGRANTS AID/CHICAGO CONNECTIONS.
PROGRAM PARTICIPANT GRIEVANCE POLICY/PROCEDURE

PURPOSE

Itis the Agency's policy to recognize that from time to time it may be
‘necessary for a program participant to express and seek resolution of
service-elated grievances. The Agency provides this opportunity
through the program participant grievance procedure and through
posting at service sites,

SCOPE

This palicyiprocedure apes to all program participants at all Agency
‘operating locations.

U,

‘A. Aprogram participant may present his or her grievance or
‘concer to the immediate supervisor who will meet with the
‘program participant (and the staff person, if a staff person is
involved). In order for grievances to be adequately addressed
they must be filed within one week after which the program
participant knew or should have known of the situation giving
‘ise to the grievance.

B. Resolution of Step One grievances or concems should occur
within two weeks of the grievance or concem presentation,

C. tthe recommended resolution is not satisfactory, the grievance
‘may be appealed to Step Two by the initiating program partic-
pant within fe days.

‘Stop Two

‘A. The program participant and staff supervisor wil present the
‘grievance to the Program Administrator for resolution

B. Resolution of Step Two grievance or concem should occur within
‘wo weeks of the completion of Step One.

C. Ifthe recommended resolution is not satisfactory, the grievance
may be appealed to Step Three within five days.

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Page2

‘Stop Three

‘The program participant and Administrator present the grievance
to the Program Director for mediation.

‘The Program Director wll require a written and signed statement
of the grievance (or a mcrked and winessed statement by pro-
‘gram participants who cannot write) and supporting documents
from the originating program participant before proceeding with
‘mediation,

Upon receipt of the required wrltton and signed (or marked and.
witnessed) statement, the Program Director wil fuly investigate
the grievance, conduct necessary interviews, and wil, based on
the evidence, render a written resolution

‘Stop Three should proceed in a period not to exceed one month
after Step Two is completed.

Ifthe written resolution is not satisfactory, the grievance may be
appealed to Step Four within five days,

‘Step Four

Revised June 1998

‘The Program Director wil present the written grievance or
‘concern, its supporting documents and the writen resolution to
the Chief Operating Officer.

‘The Chief Operating Officer will review the written evidence,
conduct necessary interviews and wil, based upon his or her
findings, uphold the previously offered resolution or recommend,
{second writen resolution.

‘Step Four will proceed in a period not to exceed one month
after Step Three is completed,

UNTITLED-069
E. OTHER SHARE SOURCES
NOTE: OTHER SHARE MUST EQUAL AT LEAST 25% OF CASH ALLOCATED FROM CDHS
OTHER SOURCES OF FUNDS: Use the following categories to specify the

souree and amount of Agency cash contribution used to operate this program. List
only funds already received or firmly committed.

casH are vouR AGENCY
(Mount —-RECEIVEDFUNDS

‘8. Cash Share

1. Foundations\Corporations 8.

2. United Way 5

3. Other Government Grants (n00-

DHS) specify
IHS (HISTORIC) _ 20210 77003

4. Client Fees (Second
‘Stage/Transiional Housing Only)

(COMMITTED CASH CONTRIBUTION:
$.30210 _

$.20210

UNCOMMITTED CASH CONTRIBUTION
‘TOTAL OTHER SHARE

UNTITLED-070
(OTHER SHARE SOURCES (Continued...)

'. Does your agency conduct any regular fundraising efforts (events, solicitation- i.e.
regular mailings, religious community contributions)?

O ves & No
If yes, please complete the following chart:
FUNDRAISING HISTORY SOURCE
(AMOUINT RAISED) (EVENTSANDIOR SOLICITATION)
FY ‘03/04
Fyn 5.
FY 5.
FY ‘001s
IN-KIND (SERVICES/GOODS) OTHER SHARE VALUE

||

TOTAL IN-KIND VALUE

UNTITLED-071
OTHER SHARE SOURCES (Continued...)

c. —_ Assets: Use the following categories to specify the assets held by the agency on behalf

Of this project. Include award letters and/or affidavits for each,

ASSETS- non applicable for this progres
1, Savings s.
2. Capital Development Account
3. Certificate(s) of Deposit
4, ‘Trost Funds
5. Endowments

6. Facility Value, [agency owned
(Fair market value)

7. Other (specify)

‘TOTAL ASSETS: s

4. Please indicate by category, the total amount of funding awarded to this agency during

the past five (5) fiscal years.

‘TOTAL DOLLAR AMOUNT ‘ALL SOURCES OF

FUNDING OF ALL SOURCES (Conran Fonds,
‘Capen

es i (COVERMENT/foundat ion

Fy'03 $1,500,000 __ SOVEDEENT/toundatton

Fyvrove2 $750,000 covEReen,

FY'0001 $350,000 covensenr

FY'99/00

TOTAL — $2,950,000

UNTITLED-072
CHICAGO DEPARTMENT OF HUMAN SERVICES
ORGANIZATION AGREEMENT TO CDHS ADMINISTRATIVE.
REQUIREMENTS
[CHICAGO_CONNECTIONS ss the spomoring Agency forthe ___ PREVENTION PROJECT

program understands ts respousblity to meet allthe requirements se forth by the Chicago Department af uman Services
(CDMS). The Agency sprees to fellow ll requirements governing: program reporting, evaluation reports, fiscal guidelines,
reprogramming, method of locating funds, sub-costracors prohbion of dscrimlaation and all other applicable Federal,
State, and Local regulations.

PARTICIPATION IN CDHS MEETINGS AND/OR TRAINING
‘The Agency shal recognize thatthe shelter eaviroament i one that should guarantee respect for al ellents and protection
from sexual harasiment, whereby the agency will exercise with clients, the appropriate precautions, CDHS i working with
‘he Departinent of Law and other City Departments and agencies to construct «formal plicy and proposed guidelines for
‘he treatment of lsves within che shelters. When those guidelines are established, there wil be a uandatory training and
{nstractonsl workshop regarding these polices forall funded agencies. The Department wll provide tnely notices f
agencies of upcoming meetings. ‘The agency agrees that appropriate staff from the agency will attend this mandatory
‘raining sesion when tis tchedaled. In addition, the Agency wil make a god faith effort to attend provider meeting nd
other Information sharing sesions.

‘PARTICIPATION IN CDHS SHELTER CLEARINGHOUSE SERVICE NETWORK
els agreed that the agency wl flly participate inthe Chicago Department of Human Service’ Shelter Clearinghouse
Service Network by providing the clearinghouse with timely and accurate information on program bed availabilty
‘Transitional Shelter programs will contact CDHS by calling (312) 746-7216 before 8:00 am ea a daly basis (inching
holidays), to give bed availability. Second Stage and Transitional Housing programs wil cntact CDHS by calling (312)746-
‘7216 on Monday aed Thursday (including helidny) by 12:00 noon, to give bed avallably. ‘Shelter Plus Care programs
‘ll contact CDHS by calling (312) 746-8287 on Thursday before 12 Noon, to ive bedunit vallabllity. The agency further
[Reres ta work with CDHS on intake and placement of cents seeking bed avalabllity and program eligibility.

Program Reporting forms nnd related materials ae mailed to the agency's Executive Director (E.D.) or Chet Execative
Otticers(CEOVidentiied nthe contract. The Agency will submit compete programmatic report to CDUS accurately and
‘lmely i accordance with the form(s) and schedules required by the Department. The Agency agrees to notify in writing,
(CDHS Ofice of Reporting and the Contracts Management Division of any executive staff changes, Any requests for
programmatic reperting corrections, shall be completed within three (3) worklog days ofthe request.

‘The Agency wl maintain written records to verify ll nformation recorded in the programmatic reports. These records
willbe available for inspection by CDBS or other designated agencies r departments. Records willbe retained und avaliable
for a perid of no less than five (5) years after the audit has been closed.

‘The agency acknowledges that late, incomplete or inadequate reporting represents non-compliance with the terms
‘of agreement and presents cause for disciplinary action, including suspension or termination ofthe agreement.

ADDITIONAL REQUIREMENTS:
‘CDH funds must not be used to supplant (replace a curreatly funded service with funds from another sourceLe.,
(CDH funds) other funds.

JOSEPH ANTOLIN EXECTIVE DIRECTOR

Typed Nana
4 : yy
Loring LT Sagas
iets OCHO ox Broa Dnt +See

un

UNTITLED-073
CDHS SERVICE DESCRIPTION FY'04

4, ORGANZATION KAME CHICAGO CONNECTIONS

2, ADDRESS___208 S, LASALLE, SUITE 8JA, CHICAGO, IL 60640 _
3. PROGRAM NAME.

4, PROGRAM ADDRESS,

‘4411 NORTH RAVENSWOOD CHICAGO TL, 60600

{1 8. YeARouNo oveRMaNT SHELTER
1.6, TRANSMONAL SHELTER (Up 0120 aye)

‘Congeguainbems {| ‘Apartments { } Reams { ] SwELTERS: —366X_ Bods = ‘SbatiorNghis
[1 0. secono srace nousna srponr senviceCeNTERE: Gaye Cpan__ohr ay Reon
‘Shared Apartments. {Individual Apartments [-] eee econ
Prat Rooms} cL BERNICE PROG: Dy Open ASLO Au Mamba Puen Sones 1D
{.,1 © SOCIAL SERVICE PROGRAM - ee sae

[U'] F Davrime SUPPORTIVE SERVICE CENTER
(1 6. supportive services - PREVENTION

. NO. OF MEALS TO BE PROVIDED
‘a yan Xf ra aX own pe

[1 W. SUPPORTIVE SERVICES - OUTREACH Check Typos: Breakfast [ ] Lunch [ } Dinner {
[1t mrermHousie 14. BASICPOPULATION (Owacattat am)
[. ] 4. PERMANENT HOUSIVG -SAFE HAVENS. A mcrae CF] Males and Femies
(U1 PERMANENT HOUSING WITH SHORT-TERM SUPPORT PROGRAM. [1 Males ony
tae 11 Femaios Only
You TT Male (8-29)
11 Female (18-21)
ramus T= Women wih Gren
U1 Two Parent wih Cire
(r 24 hows 7 days a wook Le] Mon wih chien
12. INTAKE HOURSIOAYS: 1300 To 52007 powect town espa 11 Females up to
Minimum Intake Hours -Transitonl- Sunday- Saturday 700 am-W0 11:00pm. | %emvemR 11 Mos upto
‘Socond Slag - Monday - Fay 8:00 am. to 500 pm. Presse axa ag restriction:

approval: 88 (Od?
UNTITLED-074
FY'04 HOMELESS SERVICES SYSTEM - CDHS SERVICE DESCRIPTION ATTACHMENT
#10 Type of Program - Completed by CDHS

Delegate Agency: Chicago Connections
Project Name: Prevention Program

‘Type of Contract: Getting Housed

Program Type: ‘Supportive Services - Prevention Services

UNTITLED-075,
cons

‘Thicage Connections

Scope of Services

ane: (9 Prevention Project sewed) [estaren”__ chica couple wen ein
nae a) Joan, ea ofan 4411 Nor Ravenswood
phone #6) 1773)728-5960 ext. 20 5 tCammunty Ars where aly ood) ‘North Center
eral Cons
“Clients” can be anyone in household 18 years old oF older jy Septet Dee. en ae [agra Toa
(Rieti URGUPLICATED clas serves 9085) 700, cl “0 100 rod

Peraninge rosy perarert or sabe Povang @ dandy = ¢)

Program Deliverables(t)

Action sone pole
maT poarem dons ree maaan
store seatay ond beg shea trata vrai caro
“mug ed couanng hres | Stew quartets we weit masu ne pees] tt Qara|2ascuara | ard cua | athcunrer | ‘erase
stone an. eng ane erage, | ae open pe Snag Sn ae ok mt “ences |
Te ssuanes san ag ony i ‘covet
rosea
sei efomaton tw sor cou 250] 1250] 1250] ——s250hknowedige of
Aswess nao of tax housenacs [400 tsanumets 100] 100] 100] 100/80% access funds,
e0% orm nat
remain ha 6+ mo.

UNTITLED-076
cons

ocr sape
Scope of Services
Fiscal Yar:_July 1, 2003 to June 30,2004 tof
Sera) z aya
sate hare hago Comnesions ee
peer ai nets
cane Project Linkage cman Sh __coupe wt cnn
core “ean Sewing cin aioe 7411 Norm Ravenswood
or 6) 5726-5560 wx. 25 hone oman es ec RSS DY Noth Gone
“cients can be anyone in househots 18 year ldo oer yop [6s fountain Ta
(oma RSUPUCATED co cones tages) | 1009] | 0 co
“Clients” can be anyone in household 16 old oF cider Pr Outcome for
[Berto ot negecot enn vce erenin poraservsae eeg a Ta
Rania de rs ses cn a ‘a 5
Tibet ed ns a od praoTea T @ ma a ra a
[E-pecsrigs eomingpomeret or sas oung © Gniedby =<) Fa Es
Fis oa ate UT PIRSA ST WT | OST RATES
Activitios(k) Program Deliverables.) each ‘ana maanerve( ny)
an a
asain tn eang be Ponelnt. saan ron ara
“oun tnd coanng moose ns | Sie wt quart nt wie es maanon epost sat ure | nd Quer | st uaat | stsquaree | eriaucoor er areane
ropes pon ronsagcurrages,| te popied pent ane cnet iat arcing ora
ceeanen wan gone <n ame
[20% oF contacts wil
cummcrnomion nama, {sso owrac cones ss} ars] s75}reaut intake
ras ns veo] r80] 169 180|100% nave serv, Pan
et brits sat enatint
‘oe 0 ara | 60) 40% access sheter
flr eas a pon
pomanctrcanrpemorenvocg, |eOmwne a} mo] ad 20)60% enter rousing
rotons sowcns Snot fen vae a, ar ‘060% manta hg

UNTITLED-077
cal You_Juy§, 2003 to Jue 36,2004

UNTITLED-078
COMMUNITY NETWORK

‘Agency Name: Chicago Connections _

Program Name: Prevention Program __

Please deta the networs your agency ha etablihed wth community roup/irvie ages, services apy to your mele servic progam Indicate gency and sevice vid your

progam
w @
‘COMMUNTTY GROUPS/SERVICE AGENCIES ‘CONTACT PERSON
‘TELEPHONE

©
‘SERVICE PROVIDED TO YOUR PROGRAM

‘Legal Assistance Foundation of Chicago ‘Sarah Merviae 912-347-8340

Neighborhood Housing, Services ‘Brenda Gemer ~ 773-329-4113,
cepa Mark Cross 312-795-8839
Peoples Energy Waren Ellison ~ 312-240-4408

‘The Sabation Army Brainerd avoy Wiliams - 773-233-5857

EZRA-Malti-Service Center

[National Center On Poverty Law Katherine Walz - 312-263-8380

‘The Sahation Army Booth Lodge ‘Sarah Gayéen - 773-275-9383
Catholic Charies (Christine Dykes Sorrels 312-685-7516
World Relief ‘Lennete Reynolds -773-58-91

Phylis Shadwick - 773.275.0866

Julie Swartlander - 312-906-2407

aera using Abocsy
eer Free Work Invention
eer arg Asisance

fel -Energy Asiance

Relea Single AFamlySevies
Relea She & Fail Servis
feral Tanto & Fay Servos

Referal-Goods n Kid Services

UNTITLED-079

‘PROGRAM FACILITY INFORMATION

Chicago Connections

‘PREVENTION PROJECT +

Program Name:
‘Site e-mail__JAARNSTEADEAOL-COM “O72

Provide the folowing information Yor ead:

Site Name

Use additional sheets if necessary,

Chteago Connections

Contact Person /Title JOAN SCUWINGEN

PROGRAM DIRECTOR

Site Adress and Zip Code

4411 N. Ravenswood, 50640

Hours of Operations

M-F 8:30am unt4I 5:00pm

Does your agency (a) omn__ of sie

shelter site?

SKYE
** Attach Copy of Lease**

Lf owed, is there a mortgage on the building?

O yes

fy, please give the monthly mortgage
Payment,

teased, please complet!

Owner of Property:

Relationship to operator (i.e, Relative, Board
Member, Self

‘Address of Owner. 954 W. Washington

Telephone Number: __312/733-0970

—Shieago 1160607 _

Length of Lease: _5 yeas

Date: From Decesber 1, 2001

Monthly Rent: $_14,000

To ___Yovesber 30, 2006

For CDHS Office Use Only

WardiCengus Tract

"7

UNTITLED-080

Zar janee. Of;
HEARTLAND ALLIANCE
FOR HUMAN NEEDS & HUMAN RIGHTS

Executive Team

UNTITLED-081
CHICAGO CONNECTIONS
Project Linkage, STAIRS, and Prevention
‘March, 2003

Joan Schwingen
Director

|

Marcia Nickow David Ellington CW {da Walker RDW IIT
‘Supervising Licensed Clinician} | Charles Wiwa CW IIL
Jeffrey Klesner RDW II ‘Yousong Tang RDW I

UNTITLED-082
Job Description
(General)

AGENCY NAME: | Chicago Connections
PROJECT NAME: Project Linkage/Prevention
INSTRUCTIONS:
‘To be completed for cach staff position ofthe funded project. Provide all requested
information below. DO NOT leave any spaces blank. Indicate N/A ifthe requested
information does not apply.
1. JobTitle: Director 1
2. Description of duties:
Assists in developing planning, providing, managing, monitoring and evaluating
‘a complex multi-unit professional services program that meets client, community,
‘and agency needs. Assists in preparing the program budgets, approves program
‘expenditures and monitors the overall program budget. Contributes to agency
strategic plan.
3. Education Requirements:
Bachelors degree in social science and over ten years of management experience.
4, Work Experience/Training Requirements:
“Must be experience in working with diverse populations with special needs,

5. Special Certificates or Licenses requis
None

6. Starting Salary: $50,000

7. Work Schedule: Monday ~Friday 8:30-5:00. Some evening & weekends

UNTITLED-083
Job Description
(General)

AGENCY NAME: Chicago Connections
PROJECT NAME: Prevention Program

INSTRUCTIONS:

‘To be completed for each staff position ofthe funded project. Provide al requested
information below, DO NOT leave any spaces blank. Indicate N/A ifthe requested
information does not apply.

1, Job Title: Prevention Specialist

2 Description of duties:
‘Assesses applicants for funds to prevent homelessness. Refers for appropriate
resources. Processes requests for funds managed by the agency. Maintains data
base of users. Ensures that provider agencies have access to both funds and
resources.

3. Education Requirements
Bachelors degree in social science or two years college plus two years experience
‘working with homeless population or high school diploma plus five years of
‘experience. Valid Illinois Driver's license,

4, Work Experience/Training Requirements:

‘Should be familiar with issues underlying homelessness such as domestic
violence and substance abuse. Familiarity with entitlement programs as well as
‘community resources isa plus.

5. Special Certificates or Licenses required:
None

6. Starting Salary: $23,731

7. Work Schedule: Monday ~Friday 8:30-5:00. Some evening & weekends

UNTITLED-084
JOB DESCRIPTION
(Gpecite)

[AGENCY NAME: TRAVELERS & IMMIGRANTS AID/CHICAGO CONNECTIONS
PROJECT NAME: PREVENTION PROJECT

1. EMPLO YEE’S NAME: Joan Schwingen
2, JOB TITLE: Director I
3. DESCRIPTION OF DUTIES: Assists in developing, planning,

vidi jing, monitori ting a complex multi-unit

professional services program that meets client, community, and
INCY needs. Provides data for and approves.

4. WORK ING DAYS AND HOURS:
DAYS Asassigned HOURS As assigned __

5, PERCENTAGE OF TIME WORKING IN THIS PROGRAM:
100% 0 50% - 25% 0 10% - OTHER X

6. EDUCATION REQUIRED:
METX NOT METO.

7, WORK EXPERIENCE REQUIRED:
METX NOT METO

8, LICENSES OR SPECIAL CERTIFICATES REQUIRED: N/A

MET X NOT METO

9. CERTIFICATE IN FOOD HANDLING FROM CHICAGO BOARD OF HEALTH:

yest] NOU N/A

UNTITLED-085,
308 DESCRIFTION
‘Gpecii)

[AGENCY NAME: TRAVELERS & IMMIGRANTS AIDICHICAGO CONNECTIONS
PROJECT NAME: PREVENTION PROGRAM

1. EMPLOYEE’S NAME: IDA WALKER
2. JOB TITLE: PREVENTION SPECIALIST
3. DESCRIPTION OF DUTIES: Assesses noi or fund to ervnt

4. WORK ING DAYS AND HOURS:

DAYS Asassigned _________ HOURS Asassigned __
5. PERCENTAGE OF TIME WORKING IN THIS PROGRAM:
100% X 50% - 25% 0 10% - OTHER

6. EDUCATION REQUIRED:
MET X NOT METO.

7. WORK EXPERIENCE REQUIRED:
METX NOT METO

8. LICENSES OR SPECIAL CERTIFICATES REQUIRED: N/A.

METX NOT METO

9. CERTIFICATE IN FOOD HANDLING FROM CHICAGO BOARD OF HEALTH:

Yes NOD N/A

UNTITLED-086
SECOND AMENDMENT AGREEMENT
TO THE LEASE

DATED NOVEMBER 8, 2001

AT 4411 N RAVENSWOOD

CHICAGO, ILLINOIS 60640
3RD FLOOR

This Second Amendment Agreement made this April 30, 2003, by and between LaSalle Bank NA. as
‘Trustee under Trust # 37638 as Lessor and Travelers & Immigrants/Chicago Connections as Lessee.

Whereas LaSalle Bank N.A. as Trustee under Trust # $7838. and Travelers & I Aischicago

Conectors Lease wr Laseee jeopectvelarisred its a sonal Lsase dated Nevornbor 8,
the premises commonly known as 4411 N. Ravenswood Chicago, llinois 60840 3rd floor for a

fers of ve (6) years: Soginnng Decornber 1.200" and eneing NoverTiar 80,2006 (the Ong

Lease Term’), and

Whereas the parties hereto mutually desire to amend the Lease and modify certain of is terms.

Now, therefor, in consideration of the Premises, itis hereby mutually agreed by and between the

partes fo amend the Lease as follows:

1. Lessee agrees to Lease additional space on the second west as shown in Layout E.

2. The Termof this Second Amendment Agreement is from May 1, 2008 to July 31, 2004.

3. The addtional monthly rent for the Second Floor space is $4,000.00 per month.

4. The security deposit per Paragraph 9 ofthe Lease shall be changed to $14,000.00.

5. __Lesseeis attempting to Lease the entre Second Floor but is under no legal obigation to Lease

the remaining space on the second Floor. Lessor and Lessee will both use. reasonable effort to come to

an agreement on the balance of the space on the Second Floor.

6. Lessee willpay one hundred (100%) percent ofthe elevator service contract.

7. The percent of Real Estate Tax Increase per Paragraph 28 of the Lease will change to forty-seven
(47%) percent.

8 Lessor will do the following build out.
a) Build a temporary wall east of the Premises.

8. On April 30, 2003 the First Amendment Agreement dated July 17, 2002 will be canceled.

UNTITLED-087
Except as hereby amended, the Lease shall remain in full force and effect.

IN WITNESS WHEREOF, each of the parties hereto has caused this Second Amendment Agreement
to be duly executed as of the day and year first above written.

LESSEE Travelers & nngrantsAihicago Comocions
y = EL.

UNTITLED-088
BUDGET SUMMARY

UNTITLED-089
oe uparrsummany — jf ih? roms

‘A. Organization Name: __m.cscapacamnions __F. Contract Ter: 1:03 to 1208109,

8. Purchase Order Number ©, 2004 Alocation: $25,000
. Department Program: Hemaas Program H. Vendor Code:
. Department men Secs un otros GEE=ST-200S-OIRO-OIND
Program Name: omaass Senices Je Model: ‘Gating Haused Staying Howse
Project Budget Summary
Gent Benson OT Oe eae
Ferns! 317.198 #12250 $3448

scsi) | 0005

pecan! Tecrnical Costs
(ousung, pl petrol ey
Jevionesnontparmanionnc sequpment| 0100, si0310 %0 s10a19
‘hee ses eahor x vemcoater,
‘ange, sete, wore meng cost)

Professional and Technical Services
Traut / cr) oxo 30 so 0

Equement Costs
(cron macnn, rare 5

‘omer
ne gece Fm) coco | % so 0

Ta Expendiur mo oa ERE PORE

Percentage of ttl pai by Other Share _ 37.66%. M. Department Authorization
(cohen lcolumn 8)

ee
ZZ hour L chlo

PRmpre ot Orpen ORT Bae ‘lone of Department Oia Date
Joseph A Antolin, Executive Director Y

UNTITLED-090
cone ‘PERSONNEL BUDGET roms
howecimms AG commons crapunn ements Parent 7B ate
im, Basees Sims SEO a na tnned
sens sama] 3
Jeane | na | Ses [at | com | ome eens | roy it Ser et Repeats
(Um cal @ @ 6) @ ful & co
Jroganovecs | + | sromo| ssscoo|_zox]  sraool so] sro
remucaowepe | + | so2ms| siowa| soos] save] srz20| _sroaea
» |»
2 «| ©
s s|__»
» «|
® |»
2 ol
2 ol
2 |
2 |»
2 |»
Gari z on | apse | ease naan apn Fem
€.Fnge Boats nd Tt Ponce cots
sa Ba ee
lina race sise] sro] stase eos xims
eae Sel fie| ‘sts rougxwes
7a eS aT $5; — a
a Sot — het
Nae eet — tar} —
ore rea — oe
\(18) Total Fringe Benefits (Addlines tits) | ‘$4,687 $2,326 $4,013 [Totals must match Form 1 Account #0044
{7 Toa Porta Go ie 2.5 | 514576) <7 46

saw

UNTITLED-091
‘Acigantcn Name: _‘TIA-Chicago Connections

PERSONNEL BUDGET
© Progen Nant Howse Sarvs

Petes comms: 7/103 1 123103

© Oopemeni Peg Homeless Program. inst. F Mae ‘Geting Housed Staying Housed
penton ae oer snar | Totcom) Brlet Summary of Job Responsiniiies _—|
co @ @ @
$0. so
0 30
$0 $0
$0 30
0 $0
so 30
so so
$0. 30
$0 30.
s0| $0
0 so
$0 $0
[Go Tete $0 “$0 [rot et meh Boge Summary Farm | Acer 08
6. Fringe Benefits and Total Personnel Costs
Typet Frings Benatt ZoRS Hara) | Oar Save | Taal Con) Please show caleulation
tn aruca 0 $0 $0 |=0620 x tine 8
b. Medicare $0 0. $0 |.0145 X tne 8
[73 State Unemployment Insurance $0,
33) State Workers Compensation 30
[G4) Other Please List Pension Expense fed Fd 376
(19) Other Plage Llet ——LfeGADAD. LTO $160. $161 $511
(6) Total Fringe Benefits (Add ines 11-15 3346 3528 | $4,075 [rota mont match Sel Sry Fam | Acar
[(7) Tota Personnel Costs (Line 10 plus line 16) ssa] $579] $1,075

UNTITLED-092

Non eronne! Budo t
Open tne TALoiag comecon 8 Pogen Mane! Homeless Socos
é i ——r Srecscomes “THOS Sie
as Gag hd Saag Maal
Ta Une Re Des SASUGT a TRCSTCN
tem | ncttgentner —[eomouns] snes | toutcons) (rae er steaaea ts tan eam
ia ah (a oi o
oro | Oremingana eines | sro 9 sioard
oc Tanapottn: Sf Trang: Communicator: Resl ol pce Postar
Inara Gon Mult So
10 | Preteen Servs +
000 | atialsandsupstes | 120 20]
ce Supe tus nporam
woo | eave costs sd
ons otter s
rata nonPersnmalcxpenans | sysssol ol 1 Es

sana

UNTITLED-093,
nse muvocramman — ff 442

‘A. Organization Name: ___ TIA. Chicaga Connections F. Contract Term: {1104 to 62004
8. Purchase Order Number 6. 2008 Allocation: $25,000
. Deparment Program: Homeless Paarom
D. Department Human Senices
Program Nam: ales Sonica
Project Budget Summary
Tien Bases pment | (COS anes | (7b Se ee
Personnel
‘saute, Sy acuamens) | 0005 $12,136 312250 $24,306

Ferg benfis

Operating! Technical Costs
(audio ga pctin rtaf pont
|evomtnercen,mpuiartonnc enupmert
‘hareee, van, mer, cs aren
‘onage seen oor meena co

100 $0583 0

Protessenal end Technic! Servos
“oastara | snc) oo * 30
Matorais and Suppaes ‘51.000 0

on ec tom) 000 % 0

$9583

[oar epenanres “E. _125,000 EERE

FOR

K. Percentage of tal pad by Other Share __ 37.86% M. Department Authorization
(coun alcolumn 5)

Zw heh be

Orptizabon OR” Oats ‘lone of Department ORClaT Dale
osoph A. Aron, Executve Dect ,
TPE

012008

UNTITLED-094
PERSONNEL BUOGET vm
‘Acrtntan ane TIA Chicago Connections © Pgran Nene Homa ain reteset: 41104 to 6/3004
© cwpewertPogam Homeless Program D msio at ‘Geing Housed Staying Housed
lesion Te so. | Ratws)_|"hais) | Sport| cons sara) | over share) | Toco) Bret Summary of Job Responsibiitios
id Oe a (oI oO}
lpegramovewor | + | s7a000| s35000| 20%] $7.00 s0| $7000] Genera Adminstrator Develops progam functions
Resource Developer | 1 | ssazri| s17306| soon) s5.136| 12250] $17,206 Works wit Clans
80 0 0
30 0 $0.
30 0 $0.
30 0 $0.
0 ea $0
30 0 0
30 0 30
30 0 30
30 0 30
$0 0 30.
[aorreiae 2 MMM 006) 2.280 | 520300 is marcas ap tm. ca
6. Fringe Benefts and Total Personnel Costs
“Type of Frings Benoit ‘GOs Si) | Or Share| Teale) [Pease show calculation
lanarica sree] 750| $1511 |eos20xmne8
Medicare sire] size] sas4 fn.0r45 xino 8
[Gi Sia Unemployment nsuranes $962] $272 | sae
[:3) state Workers. Coripansation $120] ——$100 | $220
14) Other Please List Heal isrance S287] $137
330 Sas
$2,326 | $4,086 [Fo mann Ba SommanyFar acoon
314,576 | $28,470

UNTITLED-095,

‘Acignaaion Name, TIA Chicago Connections

PERSONNEL BUDGET

© Progam Nove Homies Serine

peed Comma 411/04 10 620/04

Cdeunayon Honmles Bogus Eye Pian ei Ned Sajing Housed
w=
[Postion / Tite Ne =. exe | Spent | COHS Share(s) | Other Shar ‘Total Coats) Brief Summary of Job Responsibilities:
iol 2) @ 8) © ful @ oN
a o|
2 so| so
2 o|
2 sol so
2 o|
a so|
2 ol
a sol so
2 o|
a so| 0
0 |
0 so| so
(corres 7 a $0 | 80 foam a age Smay Fa Ao
(0. Fange Beets and Ttl Personne Costs
Types Ba (oS
rica so] | s0|-0520xm08
Medias re 5 fo lcowsxmes
| Sats UsetpiomenT naman $2
Irajstss Wares conpenscion a
jor Rete bat Per cpa a
Hote Pisses st ——CieaAONO Te sso] — fet] — $500
ta Binet $523 8 | — vt fee ee
(7) YatPersenne Cons ine Tats tne TH) $52 | —ssa0 | — siz

ene

UNTITLED-096

‘Non-Personne! Budget fm
rn = TA-chemeComactons 8 Popam tone; Homeless Services
Etepren Peper Hens hopen_O rwcacoens, “TST EANDE
Mas olin Hows Saying Housed
co ine tem Description and Jusieaion
scoot | womettigroanvn [eons snens)|_ sors) | Te cou {rsaa no esstns a och tt xpd)
10} (2) B @ (o} ®)
arco | OPeaBrganc Tecnica! | 55 90 950s
Loa! Transporton Si Taig: Rat of Space: Postage surance Cots
Autos
0140 | Professions Serves E)
300 | Matwissanasupeses | $1000 $1.00
tice Supp for ue in progam
cw | Endpment costs so]
come otter s0|
<<<“ 8 #8=8=©6h Ul

sco

UNTITLED-097
File Number____844-547-9

To all to whom these Presents Shall Come, Greeting:

I, Jesse White, Secretary of State of the State of Illinois, do

hereby certify that reaveuses.« imrgrawrs, a10/cHtc3C0,

Siac Sia 4 ‘peetnsrse CoRpoRAT oN INCORPORATED UNSER THE LAWS OF

Tas STATE Sut go, 15550 APPEARS TO aAVE CombLteD WITH ALE TRE

HrovrStons Of Tue, GeteeAd, Not-toR, FROPTT. CORPORATION ney OF THis
Fe

MESTIC, CORPORATION IN GOOD.
STANDING INTHE STATE OF TLLINONSeeeeeresenestecersesetoererreeeses

In Testimony Whereof, 1, hereto set
my hand and cause to be affixed the Great Seal of
the State of Illinois, this Mere

‘SANUARY 3007
day of AD.

Qeeee Wiete

UNTITLED-098
EXHIBIT E
INSURANCE REQUIREMENTS & CERTIFICATE OF INSURANCE

‘The kinds and amounts of insurance required are as follows:
1) Workers Compensation and Emplovers Liability

‘Workers Compensation as prescribed by applicable law covering all employees who are to
provide a service under this Agreement and Employers Liability coverage with limits of not less
‘than $100,000 each accident or illness.

2) Commercial General Liability (Primary and Umbrella)

‘Commercial General Liability Insurance or equivalent with limits of not less than $500,000 per
‘occurrence for bodily injury, personal injury, and property damage liability. Coverages must
include the following: All premises and operations, products/completed operations, separation of
insureds, defense, and contractual liability (With no limitation endorsement). The City of
(Chicago is to be named as an additional insured on a primary, non-contributory basis for any
liability arising directly or indirectly from the work or Services

3) Automobile Liability (Primary and Umbrella)

‘When any motor vehicles (owned, non-owned and hired) are used in connection with work or
Services to be performed, Contractor must provide Automobile Liability Insurance with limits of
not less than $300,000 per occurrence for bodily injury and property damage.

4) Professional Liability

‘When any professional consultants perform work or Services in connection with this
Agreement, Professional Liability Insurance covering errors, omissions, ot negligent acts,
‘must be maintained with limits of not less than $500,000. Coverage must include
contractual liability. When policies are renewed or replaced, the policy retroactive date
‘must coincide with, or precede, start of work or Services on this Agreement. A claims-
made policy which is not renewed or replaced must have an extended reporting period of

2 years.
5) Medical/Professional Liability

‘When any medical services are performed in connection with this Agreement,
‘MedicalProfessional Liability Insurance must be provided to include coverage for erors,
‘omissions and negligent acts related to the rendering or failure to render professional, medical or
health services with limits of not less than $500,000. Coverage must include contractual
liability. When policies are renewed or replaced, the policy retroactive date must coincide with,

UNTITLED-099
or precede, start of work or Services on this Agreement. “A claims made policy which is not
‘renewed of replaced must have an extended reporting period of 2 years.

6) Builders Risk

‘When any Contractor performs any construction, including improvement, betterment, and/or
repairs, Contractor mst provide All Risk Builders Insurance to cover materials, supplies,
equipment, machinery ad fixtures that are part ofthe structure,

B. Related Requirements

Ifthe coverages have an expiration or renewal date occurring during the term of this Agreement,
Contractor must furnish renewal certificates to the Federal Funds Insurance Unit at the above
address. The receipt of any certificate does not constitute agreement by the City that the
insurance requirements in this Agreement have been fully met or thatthe insurance policies
cated on the certificate are in compliance with all Agreement requirements. The failure of
the City to obtain certificates or other insurance evidence from Contractor is not a waiver by the
City of any requirements for Contractor to obtain and maintain the specified coverages.
Contractor must advise all insurers of the Agreement provisions regarding insurance. Non-
conforming insurance docs not relieve Contractor of its obligation to provide insurance as
specified here. Nonfulfillment of the insurance conditions may constitute a violation ofthis
‘Agreement, and the City retains the right to stop work or Services or terminate this Agreement
‘until proper evidence of insurance is provided.

‘The insurance must provide for 30 days prior written notice to be given tothe City in the event
‘coverage is substantially changed, canceled or non-renewed.

All deductibles or self insured retentions on referenced insurance coverages must be borne by
‘Contractor.

Contractor agrees that insurers waive their rights of subrogation against the City of Chicago, its
‘employees, elected officials, agents or representatives.

‘The coverages and limits furnished by Contractor in no way limit Contractors liabilities and
responsibilities specified within this Agreement or by law.

‘Any insurance or self insurance programs maintained by the City of Chicago do not contribute
with insurance provided by Contractor under this Agreement.

‘The required insurance to be carried is not limited by any limitations expressed in the
indemnification language in this Agreement or any limitation placed on the indemnity in this
Agreement given as a matter of law.

Contractor must require all Subcontractors to provide the insurance required in this Agreement or

Contractor may provide the coverages for Subcontractors. All Subcontractors are subject tothe
same insurance requirements of Contractor unless otherwise specified in this Agreement.

UNTITLED-100
IfContractor or Subcontractors desire additional coverages, the party desiring additional
coverages is responsible for the acquisition and cost of such additional protection.

‘The City of Chicago's Risk Management Division maintains the right to modify, delete, alter or
change these requirements

C. Ifyou need additional information related to insurance, please cal the office ofthe City
Comptrotier, at (312) 748-7923,

UNTITLED-101
EXHIBIT E

(HIPAA REQUIREMENTS)
COMPLIANCE WITH HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT

1. Contractor must not use or further disclose Protected Health Information ("PHI") other than
as permitted or required by this Agreement or as Required by Law.
(ittp//wrw bs, gow/oerhipes/)

‘Contractor must use appropriate safeguards to prevent the use or disclosure of PHI other than

48 provided for inthis Agreement.

3. Contractor must mitigate to the extent practicable any harmful effect that is known to
Contractor of ause or disclosure of PHI by Contractor in violation of the requirements ofthis
Agreement.

4, Contractor must report any use or disclosure of the PHI not provided for by this Agreement
to the City.

5. Contractor must ensure that any agent, including a subcontractor, to whom it provides PHI
received from, or created or received by Contractor on behalf ofthe City agrees to the same
restrictions and conditions that apply through this Agreement to Contractor with respect 0
such information

6. Ifthe Contractor has PHI in a Designated Record Set then Contractor must provide access,
at the request of the City, and in the time and manner designated by the City, to PHT in a
Designated Record Set, t0 City or, s directed by City, to an Individual in order to meet the
requirements under 45 CFR 164.524,

7. If the Contractor has PHI in a Designated Record Set then Contractor must make any
amendments to PHI in a Designated Record Set thatthe City directs or agrees to pursuant
to 45 CFR 164,526 at the request of City or an Individual, and in the time and manner
designated by City

8. Contractor must make intemal practices, books and records relating to the use and disclosure
of PHI received from, or created or received by Contractor on behalf of, City available othe
City, ora the request ofthe City tothe Secretary, in a time and manner designated by the
City or the Secretary, for purposes ofthe Seeretary determining City’s compliance with the
Privacy Rule

9. Contractormust document the disclosure of PHI and information relating to such disclosures
4s would be required for City to respond toa request by an Individual for an accounting of
disclosures of PHI in accordance with 45 CFR 164,528.

10. Contractor must provide to City or an Individual, in time and manner designated by City,
information collected which elates tothe disclosure of PHI, to permit City to respond to 8
request by an Individual for an accounting of disclosures of PHI in accordance with 45 CFR
164.528.

11. Contractor must either retum all PHI to the City or destroy it, atthe City’s option, upon
termination or expiration of tis Agreement.

UNTITLED-102
[Fa6ct0-7 CERTIFICATE OF LIABILITY INSURANCE 0 Syic76)

recon [ aaieSeheconeena nd mans row me "eomnmcare

G6 19 me SEIDO, S'S SER ATS ONOES WT rit Nicks ao

40) west Is2no| STREET conranuis afronn COVERAGE

Soon WoLtAND, Th 60473 caper

(G08) 33-3373 ap insT_Now-PROPIT INSURANCE COMPANY
CAVELERS & IHOTGRANTS AID/ |
CHECAGO CONNECTIONS Teme
153 SounW LASALLE STREET é _ _
jurre #1618 ry
‘MiCAGD, TLLINOTS 60606 ca _

Jewel 7 Pea = THE Z

7 fon noone [5,000,000
cos women | reasicT.cowsrats [1,000,000
[os mee oem rors eagvnanr[e1,000,000
A[ Jor are semacronsmat|TMP0009728--01 |07/01/02/07/01/03[rcacemnancr _|s1, 000, 000.
gos fimtgana vores [i 50,000
i eevunaerees |e 5.000
| eomnoect 11 900,000
[Tavoo3969--02 {07/01/02 /07/01/03 wovaan dy
- nate
aonsceomet [v5 000,000
0x1.0003672-02 07/01/02|07/01/03 {scemcae *5.,000,.000
x1 a
aucnsceeest——1+100,000
Jweesoss—ox—
Jifortoatertosyes [mouse mcraal [500,000
iosau anenore [3100-000
/mP0009728-01 07/01/02| 07/01/03 $ 1,000, 001
lL BIDELITY BOND (BLANKET pos} TroN) $250, 00

THE Cri TIPICATE HOLDER 18 AN ADDITIONAL INSURED, SOLELY, AS
RELATE TO THE NAMED INSURED’S OPERATIONS ve THREE TNTEREST

Sieen Waar
Chicago Departeent of thiman Services
1615 West Chicago Avenue

Suite 350
Chicago, T1linots 60622

UNTITLED-103.
Acar oayo7yes
coe Tes emPeA Sat ae MATIN a Reams

(2) ¢ ba ane.

40 WES? 62ND STREET t in|
—
ou 7 —
tiesto nena [SK prasr NON-PROFIT COMPANIES.
ranveDees & tmarcRaNTs AID/ |B
CHICAGO CONNECTION weer

3 SOUTH LASALLE. STREET
futTe #1628
euieAGo, TL sosos
a ere qe sin nc 2 Low ISSUED TO THE HeSURED NAMED ABOVE FOR THE POLICY PERIOD
DSLSAE Steet tt eae Sc ac Sc ac on an spa rh maT To a ek

aa | oR

| arses asec
—_ssemore ls

700,000

‘uxL0003672 07/01/02) 07/03/03 £000 000

06,000
woci21650 01/03/03 | 02/01/04 [a oss: ravcroa? 1+400, 000
oss tsewnse [1.00000

‘THE CEOTIPICATE HOLDER IS AN ADDITIONAL INSURED, SOLELY, AS THEIR INTEREST
RELATE TO THE NAMED INSURED’S OPERATIONS.

Bechara

Chicago Department of Human Services
1615 West Chicago Avenue

Suite 350

Chicago, Tiinots 60622

UNTITLED-104

SIGNED at Chicago, Illinois:
CITY OF CHICAGO
By: y Recommended by:

Fgh “ade por

ee me

Purchasing Agent

LERS & IMMIGRANTS AID/CHICAGO CONNECTIONS

(NAME OF CONTRACTOR)

Executive Director
(MUST BE CORPORATE PRESIDENT
RECTOR)

: Soni
State of _LUinors

County of Coe K

This instrument was acknowledged before me on 5 (date) by Josee® Antulin
(camels of person/s) 8 E22su'.va Due"{type of authority, eg, officer, truce, Ge
(came of party on

(top of Notary ea 4

‘inthe event that his Agreements signed by any individual other than te corporate president or the
‘executive director, attach a copy of thal secon of Corporate By-Laws or other aufiorizaton, such 26 2
resolution by the Board of Directors, which permits the individual o sign the Agreement forthe Contractor.

behalf of

tyonmisesn bermes «22008

UNTITLED-105