Summer Food Service Program_IFB - Chicago Park District
Summer Food Service Program_IFB - Chicago Park District
Summer Food Service Program_IFB - Chicago Park District
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SECTION A<br />
SUMMER FOOD SERVICE PROGRAM<br />
INVITATION FOR BID AND CONTRACT<br />
This document contains an invitation to bid for the furnishing of unitized meals to be served to children participating in the <strong>Summer</strong><br />
<strong>Food</strong> <strong>Service</strong> <strong>Program</strong> established by the United States Department of Agriculture (7 CFR Part 225), and sets forth the terms and<br />
conditions applicable to the proposed procurement. Upon acceptance, this document shall constitute the contract between the<br />
bidder and the sponsor.<br />
The Illinois State Board of Education or the United States Department of Agriculture does not in any way become a party to any<br />
contract between a sponsor and a vendor. The sponsor has full responsibility for seeing that the terms of the contract are fulfilled.<br />
The Illinois State Board of Education or the United States Department of Agriculture has no involvement with the enforcement of the<br />
contract; however, payment can be denied for all meals received under an invalid contract.<br />
SOLICITING SPONSOR<br />
1. NAME OF SPONSOR<br />
<strong>Chicago</strong> <strong>Park</strong> <strong>District</strong><br />
STREET ADDRESS<br />
541 N. Fairbanks<br />
CITY STATE ZIP CODE<br />
<strong>Chicago</strong> IL 60611<br />
TELEPHONE NUMBER<br />
312-742-7529<br />
FOR INFORMATION CALL<br />
Trish Melchert, 312-742-4430<br />
2. BID NUMBER<br />
P-11056<br />
3. BID OPENING DATE TIME<br />
January 18, 2012<br />
1:00 P.M., C.S.T<br />
BID OPENING LOCATION<br />
541 N. Fairbanks, <strong>Chicago</strong>, IL 60611<br />
4. CONTRACT COMMENCEMENT DATE<br />
March 1, 2012<br />
5. CONTRACT EXPIRATION DATE<br />
February 28, 2013<br />
6. MEAL TYPE<br />
ESTIMATED SERVINGS<br />
PER DAY<br />
(B)<br />
ESTIMATED NUMBER OF<br />
SERVING DAYS<br />
(C)<br />
Breakfast 20,000 40<br />
AM Supplements<br />
n/a n/a<br />
Lunch<br />
20,000 40<br />
PM Supplements<br />
20,000 40<br />
Supper n/a n/a<br />
BIDDER (Complete areas enclosed in block.)<br />
8. NAME OF BIDDER<br />
STREET ADDRESS<br />
UNIT PRICE (in ink)<br />
(D)<br />
7. Total Estimated<br />
Amount of Bid<br />
PROMPT PAYMENT DISCOUNT<br />
TOTAL PRICE<br />
See p. 5 for<br />
instructions<br />
CITY STATE ZIP CODE<br />
___________% for payment within ________days<br />
By submission of this bid, the bidder certifies that, in the event he receives an award under this solicitation, he shall operate in<br />
accordance with all applicable, current program regulations.<br />
________________________________<br />
Date<br />
________________________________________________________________<br />
Signature of Bidder (in ink)<br />
__________________________________________<br />
Title<br />
__________________________________________________________________________________<br />
Telephone<br />
ACCEPTANCE OF CONTRACT<br />
_______<strong>Chicago</strong> <strong>Park</strong> <strong>District</strong>______________________________________________________________________<br />
NAME OF SPONSOR<br />
___P-11056_____________<br />
CONTRACT NO.<br />
__________________________________ ______________________________________________________________________ ____________________________<br />
Date Signature of Sponsor Representative Title
CERTIFICATE OF INDEPENDENT PRICE DETERMINATION<br />
SECTION B<br />
1. Sponsor and Bidder shall execute this Certificate of Independent Price Determination.<br />
BIDDER:<br />
A. By submission of this bid, the bidder certifies and in the case of a joint bid, each party thereto certifies as to its own<br />
organizations, that in connection with this procurement:<br />
a) The prices in this bid have been arrived at independently, without consultation, communication or agreement, for the<br />
purpose of restricting competition, as to any matter relating to such prices with any other bidder or with any competitor;<br />
b) Unless otherwise required by law, the prices which have been quoted in this bid have not been knowingly disclosed by the<br />
bidder and will not knowingly be disclosed by the bidder prior to bid opening, directly or indirectly to any other bidder or to<br />
any competitor;<br />
c) No attempt has been made or will be made by the bidder to induce any person or firm to submit or not to submit, a bid for<br />
the purpose of restricting competition.<br />
B. Each person signing this bid certifies that:<br />
THE BIDDER IS TO INDICATE WHICH IS APPLICABLE<br />
SPONSOR:<br />
a) He/she is the person in the bidder’s organization responsible within that organization for the decision as to the prices<br />
being offered herein and that he/she has not participated, will not participate, in any action contrary to (A)(a) through (A)(c)<br />
above.<br />
b) He/she is not the person in the bidder’s organization responsible within that organization for the decision as to the prices<br />
being offered herein but that he/she has been authorized in writing to act as agent for the persons responsible for such<br />
decision in certifying that such persons have not participated and will not participate, in any action contrary to (A)(a)<br />
through (A)(c) above and as their agent does hereby so certify: and he/she has not participated, and will not participate, in<br />
any action contrary to (A)(a) through (A)(c) above.<br />
In accepting this bid, the sponsor certifies that the sponsor’s officers, employees or agents have not taken any action which may<br />
have jeopardized the independence of the bid referred to above.<br />
(Accepting a bid does not constitute acceptance of the contract.)<br />
____________________<br />
Date<br />
_______________________________________<br />
Signature of Authorized Sponsor Representative<br />
2. The bidder/contractor certifies that he/she is in compliance with the Public Contracts Equal Employment Opportunity/Affirmative<br />
Action <strong>Program</strong>s of the Illinois Department of Human Rights (formerly called the Illinois Fair Employment Practices Commission).<br />
3. A Certification of Clean Air and Water Practices must also be completed by any bidder whose bid exceeds $100,000 in<br />
anticipated program payments. The bidder certifies as follows:<br />
A. Any facility to be utilized in the performance of this contract has/ has not been listed on the Environmental Protection<br />
Agency List of Violating Facilities. (check one)<br />
B. He/she will promptly notify the contracting officer, prior to award, of the receipt of any communication from the Director,<br />
Office of Federal Activities, U.S. Environmental Protection Agency, indicating that any facility which he/she proposed to use<br />
for the performance of the contract is under consideration to be listed on the EPA list of violating facilities.<br />
C. He/she will include substantially this certification in every non-exempt subcontract.<br />
__________________________________________________________________<br />
Signature of Authorized Representative, <strong>Food</strong> <strong>Service</strong> Management Company<br />
_______________________<br />
Date<br />
________________________________<br />
Title<br />
2
SECTION C<br />
INSTRUCTIONS TO BIDDERS<br />
1. Definitions<br />
As used herein:<br />
A. The term “bid” means an offer to perform the work described in the Invitation for Bid at the fixed unit price specified in<br />
accordance with the terms and conditions of the solicitation.<br />
B. The term “bidder” means a food service management company submitting a bid in response to this Invitation for Bid.<br />
C. The term “contractor” means a successful bidder who is awarded a contract by a Sponsor under the <strong>Summer</strong> <strong>Food</strong> <strong>Service</strong><br />
<strong>Program</strong> under the U.S. Department of Agriculture.<br />
D. The term “food service management company” means an organization, other than a public or private nonprofit school, with<br />
which a sponsor may contract for preparing and, unless otherwise provided for, delivering unitized meals, with or without milk,<br />
for use in the program.<br />
E. The term “Invitation for Bid”, hereafter referred to as <strong>IFB</strong>, means the document soliciting bids through the formal advertising<br />
method of procurement. In the case of this program, the <strong>IFB</strong> becomes the contract upon acceptance by the Sponsor.<br />
F. The term “Sponsor” means the <strong>Summer</strong> <strong>Food</strong> <strong>Service</strong> <strong>Program</strong> Sponsor which issues this <strong>IFB</strong>.<br />
G. The term “unitized meal” means an individual pre-portioned meal consisting of a combination of foods meeting the complete<br />
meal requirements, delivered as a unit and served as a unit, with or without milk.<br />
Other terms shall have the meanings ascribed to them in the <strong>Summer</strong> <strong>Food</strong> <strong>Service</strong> <strong>Program</strong> regulations.<br />
2. Submission of Bids<br />
A. Bidders are expected to examine carefully the specifications, exhibits, attachments, terms and conditions of this <strong>IFB</strong>. Failure<br />
to do so shall be at the bidder’s risk.<br />
B. Bids shall be executed and submitted in triplicate. If accepted, this <strong>IFB</strong> will become the contract and one copy of the contract<br />
will be forwarded to the successful bidder with the notice of award. No change in the specifications or general conditions are<br />
allowed. Bidders may make any explanation they wish by memorandum or letter attached to the bid. Erasures on this bid<br />
shall be initialed by the bidder prior to submission.<br />
C. A copy of a current State or local health certificate for the food preparation facilities shall be submitted with the bid.<br />
D. All certifications contained herein must be signed and submitted with the bid.<br />
Failure to comply with any of the above shall be reason for rejection of the bid.<br />
3. Explanation to Bidders<br />
Any explanation and/or answer to any questions desired by a bidder regarding the meaning or interpretation of the <strong>IFB</strong><br />
specifications, etc., must be requested in writing prior to bid opening and with sufficient time allowed for a reply to reach all<br />
bidders before bid opening. Oral explanations or instructions given before the award of the contract shall not be binding. Any<br />
information given to a prospective bidder concerning an <strong>IFB</strong> shall be furnished to all prospective bidders as an amendment to the<br />
<strong>IFB</strong> if such information is necessary to bidders in submitting bids on the <strong>IFB</strong> or if the lack of such information would be prejudicial<br />
to uninformed bidders.<br />
4. Acknowledgement of Amendments to <strong>IFB</strong>s<br />
Receipt of an amendment to an <strong>IFB</strong> by a bidder must be acknowledged by signing and returning the amendment. Such<br />
acknowledgement must be received prior to the hour and date specified for bid opening.<br />
5. Discounts<br />
Although a blank is provided for a time discount, prompt payment discounts offered for payment in less than twenty calendar days<br />
will not be considered in evaluating bids for award. However, offered discounts of less than twenty days will be taken if payment is<br />
made within the discount period even though not considered in the evaluation of bids.<br />
6. Bidders Having Interest in More Than One Bid<br />
If more than one bid is submitted by any one person, by or in the name of a clerk, partner, or other person, all such bids shall be<br />
rejected.<br />
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7. Time for Receiving Bids<br />
Sealed bids shall be deposited at the address specified on the <strong>IFB</strong> of the sponsor no later than the exact time and date indicated<br />
on the face of this <strong>IFB</strong>. Bids received prior to the time of opening will be securely kept, unopened.<br />
8. Error in Bids<br />
Bidders or their authorized representatives are expected to fully inform themselves as to the conditions, requirements and<br />
specifications before submitting bids; failure to do so shall be at the bidder’s own risk and he/she cannot secure relief on the plea<br />
of error.<br />
9. Bonding Requirements<br />
A. Bid Bond: Bidder shall submit with his bid a bid bond in the amount of *_5 percent__ of the value of the contract. Bid<br />
bonds will be returned to the successful bidder upon execution of such further contractual documents.<br />
B. Performance Bond: The successful contractor shall provide the Sponsor with a performance bond in the amount of 10<br />
percent of the contract price. The bond shall be furnished not later than ten days following the award of the contract.<br />
The bid bond and performance bond must be obtained from one of the companies listed in the Department of<br />
Treasury Circular 570.<br />
* (This amount must be not less than 5 percent nor more than 10 percent. The actual percentage must be determined by the<br />
Sponsor.)<br />
10. Award of Contract<br />
A. The contract will be awarded to the lowest responsible bidder conforming to all material terms and conditions of the Invitation<br />
for Bid. Consideration shall be given to such matters as contractor integrity, compliance with public policy, record of past<br />
performance and financial and technical resources. See the Bidder Responsibility and Bid Responsiveness Criteria included<br />
in this bid packet.<br />
B. The Sponsor reserves the right to reject any or all bids when there are sound documented business reasons in the best<br />
interest of the <strong>Program</strong> and to waive informalities and minor irregularities in bids received.<br />
C. The Sponsor reserves the right to reject the bid of a bidder who has previously failed to perform properly or complete on time<br />
contracts of a similar nature, or the bid of a bidder who investigation shows is not in a position to perform the contract.<br />
11. Late Bids, Modifications of Bids or Withdrawals of Bids<br />
A. Any bid received after the exact time specified for receipt will not be considered.<br />
Bids must be delivered to the Department of Purchasing, 3 rd Floor, on or before the date and time specified. The bidder is<br />
responsible for ensuring timely delivery to the Department of Purchasing. Proposals sent via United States mail or other<br />
delivery services will be considered only if they are received in the Department of Purchasing before the specified time on the<br />
due date. The <strong>Chicago</strong> <strong>Park</strong> <strong>District</strong> does not guarantee that bids received in the building by mail or other delivery services<br />
will be delivered to the Department of Purchasing before the 1:00 p.m. deadline. The Department of Purchasing’s clock<br />
controls the time, not the bidder’s.<br />
B. Any modification or withdrawal of bid is subject to the same conditions as in (A) above. A bid may also be withdrawn in<br />
person by a bidder or his/her authorized representative, provided his/her identity is made known and he/she signs a receipt<br />
for the bid, but only if the withdrawal is made prior to the exact time set for receipt of bids.<br />
4
SECTION D<br />
SCOPE OF SERVICES<br />
1. Contractor agrees to deliver unitized meals *__inclusive__ of milk to locations set out in Exhibit A, attached hereto and made a<br />
part hereof, subject to the terms and conditions of this solicitation.<br />
2. All meals furnished must meet or exceed U.S. Department of Agriculture requirements set out in Exhibit C, attached hereto and<br />
made a part hereof.<br />
3. Contractor shall furnish meals as ordered by the Sponsor during the period of **_June 1, 2012_ to **_August, 31 2012_. Meals<br />
shall be served ***_5_ days a week.<br />
4. The sponsor shall be legally and financially responsible for the conduct of the food service and shall ensure compliance with the rules<br />
and regulations of the Illinois State Board of Education (ISBE) and the United States Department of Agriculture (USDA) regarding Child<br />
Nutrition <strong>Program</strong>s.<br />
* Sponsor shall insert “inclusive” or “exclusive” as applicable.<br />
** Sponsor shall insert contract commencement date and expiration date.<br />
*** Sponsor shall insert appropriate number of serving days.<br />
UNIT PRICE TABLE AND INSTRUCTIONS<br />
SECTION E<br />
1. Bidders are asked to submit prices on the following meal types meeting the contract specifications set forth in Exhibit C for meals<br />
to be delivered to all of the sites stated in Exhibit A. For example:<br />
A. B. C. D. E.<br />
Meal Type<br />
Estimated Servings<br />
Per Day<br />
Estimated Number<br />
of Serving Days<br />
Unit Price<br />
Total Price<br />
Breakfast 20 180 $1.19 $4,284.00<br />
Supper<br />
(unitized meal)<br />
50 180 $2.49 $22,410.00<br />
A. Sponsor shall indicate for which meal types the contractor will be providing meals during the contract<br />
period.<br />
B. Sponsor shall fill in the estimated number of meals that will be served each day by meal type during the contract period.<br />
C. Sponsor shall fill in the number of anticipated operating days that meals will be served during the contract period.<br />
D. The food service management company shall insert the appropriate unit price for each meal type as indicated by the Sponsor.<br />
E. The food service management company shall calculate total price by multiplying B x C x D.<br />
NOTE: In the event of any inconsistencies or errors, the unit price (D) shall take precedence.<br />
Bidders shall submit their bids on an “all or none” basis. Except as otherwise provided in this solicitation, if a contract is awarded<br />
as a result of this solicitation, it will bind the Sponsor during the term of the contract to secure all its needs from the successful<br />
contractor and such contract shall bind the contractor to perform all such work ordered by the Sponsor at prices specified in the<br />
contract. Award will be made to a single responsive, responsible bidder on the basis of the lowest aggregate cost to the Sponsor.<br />
Evaluation of prices will be on the basis of the estimated requirements set forth herein.<br />
Requirements Contract<br />
a) This is a requirements contract for the <strong>Service</strong>s specified in the Invitation for Bid and for the period set forth therein. The<br />
quantities of such services specified herein are estimates only and are not purchased hereby. Except as may be<br />
otherwise provided herein, in the event the Sponsor’s requirements for services set forth in the Invitation for Bid do not<br />
result in orders in the amounts or quantities described as “estimated” in the Invitation for Bid, such event shall not<br />
constitute the basis for an equitable price adjustment under this contract.<br />
b) The Sponsor shall not be required to purchase from the contractor requirements in excess of the limit on total orders<br />
under this contract, if any.<br />
c) The Sponsor may issue orders which provide for delivery to or performance at multiple destinations.<br />
d) The Sponsor shall not be obligated to place any minimum dollar amount of orders under this contract or any minimum<br />
number of orders. The utilization of the contractor for services specified in the Invitation for Bid will be dependent upon<br />
5
the needs and requirements of the Sponsor.<br />
2. Pricing shall be on the menus described in Exhibit B. All bidders must submit bids on the same menu cycle provided by the<br />
Sponsor. Bid price must include price of food, milk (if applicable), packaging, transportation and all other related costs (e.g.,<br />
condiments, utensils, etc.).<br />
3. Evaluation of Bidders<br />
Each bidder will be evaluated on the following factors:<br />
A. Financial capability to perform a contract of the scope required.<br />
B. Adequacy of plant facilities for food preparation, with approved license certification that facilities meet all applicable State<br />
and local health, safety and sanitation standards.<br />
C. Other factors such as transportation capability, sanitation, and packaging.<br />
D. Ability to meet all the specifications in the invitation to bid.<br />
E. Record of past performance and integrity.<br />
See the Bidder Responsibility and Bid Responsiveness Criteria included in the bid packet. Bidders that do not satisfactorily meet<br />
the above criteria may be rejected as nonresponsive and not considered for award.<br />
4. The unit prices of each meal type which the bidder agrees to furnish must be written in ink or typed in the blank space provided<br />
and must include proper packaging as required in the specifications and delivery cost to the designated sites. Unit prices shall<br />
include taxes but any charges or taxes which are required to be paid under future laws must be paid by the bidder at no additional<br />
charge to the Sponsor.<br />
5. Meal Orders<br />
Sponsors will order meals on Friday of the week preceding the week of delivery; orders will be placed for the total number of<br />
days in the succeeding week, and will include breakdown totals for each site and each type of meal.<br />
The Sponsor reserves the right to increase or decrease the number of meals ordered on a forty-eight hour notice or less if<br />
mutually agreed upon between the parties to this contract.<br />
6. Menu-Cycle Change Procedure<br />
The food service management company shall adhere to the eleven day cycle menu(s) and portion sizes specified by the<br />
sponsor on Exhibit B for the first 11 days of meal service. Thereafter, deviation from this menu cycle shall be permitted only upon<br />
authorization of the Sponsor. Menu changes may be made only when agreed upon by both parties. The meals must continue to<br />
meet or exceed the required meal patterns as listed in Exhibit C. When an emergency situation exists which might prevent the<br />
contractor from delivering a specified meal component, he shall notify the Sponsor immediately so substitutions can be agreed<br />
upon. The Sponsor reserves the right to request menu changes within the food service management company’s food cost<br />
periodically throughout the contract period.<br />
7. Noncompliance<br />
The Sponsor reserves the right to inspect and determine the quality of food delivered and reject any meals which do not comply<br />
with the requirements and specifications of the contract. Contractors will be informed within forty-eight hours of disallowed meals.<br />
The contractor shall not be paid for unauthorized menu changes, incomplete meals, meals not delivered within the specified delivery<br />
time period and meals rejected because they do not comply with the specifications or delivered in unsanitary conditions such as<br />
incorrect temperatures. The Sponsor reserves the right to obtain meals from other sources if meals are rejected due to any of the<br />
stated reasons. The contractor shall be responsible for any excess cost, but will receive no adjustment in the event the meals are<br />
procured at a lesser cost. The Sponsor or agency inspecting shall notify the contractor in writing as to the number of meals rejected<br />
and the reasons for rejection.<br />
8. Specifications<br />
A. Packaging<br />
a) Hot meal unit - packaging suitable for maintaining meals in accordance with local health standards. Container and<br />
overlay should have an air-tight closure, be of non-toxic material, and be capable of withstanding temperatures of 400°F<br />
or (204°C) or higher.<br />
b) Cold meal unit or unnecessary to heat - container and overlay to be plastic or paper and non-toxic. If container is made of<br />
plastic, it shall contain recycled content and be recyclable (numbers 1-5 or number 7, excluding number 6).<br />
c) Cartons - each carton shall be labeled to meet state or local requirements. Label to include:<br />
• Processor’s name and address (plant)<br />
• Item identity, meal type<br />
6
• Date of production<br />
• Quantity of individual units per carton<br />
d) Meals shall be delivered with the following nonfood items: condiments, straws for milk, napkins, single service ware,<br />
etc. Napkins shall be made of recycled content and be non-bleached i.e. brown. Single service ware shall be made of<br />
recycled content and be recyclable (plastic number 1-5 or 7, excluding plastic number 6).<br />
e) Sandwiches shall be individually wrapped in a plastic, cellophane or waxed paper bag prior to placement in the total<br />
meal package.<br />
f) All containers holding wet or moist products must be designed against seepage, spilling or leaking.<br />
g) Containers that are made from recyclable material shall be labeled “This container is recyclable.”<br />
B. <strong>Food</strong> Preparation<br />
Meals shall be prepared under properly controlled temperatures and assembled not more than 24 hours prior to delivery. All fresh<br />
fruits and vegetables must be washed thoroughly during handling or before packaging.<br />
C. <strong>Food</strong> Specifications<br />
Bids are to be submitted based on the menu(s) included in Exhibit B and food specifications in Exhibit D.<br />
D. <strong>Food</strong> Order Hardware and Software<br />
The contractor shall provide all necessary hardware, software, and training necessary for ordering food through this<br />
contract. Software provided shall have reporting system capabilities such as: meals ordered for the following day; missing<br />
meal orders for the following day; delivery reporting; and claim reporting for every site and meal ordered each day, week<br />
and month.<br />
The contractor shall set-up, and maintain all provided hardware and software.<br />
E. Dedicated Personnel<br />
The contractor shall provide one (1) person to remain on-site at the CPD Administration Building (541 N. Fairbanks,<br />
<strong>Chicago</strong>, IL 60611) during normal business hours, the period of June 1 – August 31 for each year of the contract. This<br />
dedicated person shall work closely with the CPD to ensure all orders and deliveries are timely and accurate.<br />
A workspace will be provided for this individual at the CPD Administration Building.<br />
GENERAL CONDITIONS<br />
1. Delivery Requirements<br />
SECTION F<br />
A. Delivery shall be made by the contractor to each site in accordance with the order from the Sponsor.<br />
B. Meals shall be delivered daily, unloaded, and placed in the designated area by the contractor’s personnel at each of the<br />
locations and times listed in Exhibit A.<br />
C. The contractor shall be responsible for delivery of all meals and dairy products at the specified time as stated in Exhibit A of this<br />
document or no later than the start of the scheduled meal time at each site. Adequate refrigeration or heating shall be provided<br />
during delivery of all food to insure the wholesomeness of food at delivery in accordance with State or local health codes.<br />
D. The Sponsor reserves the right to add or delete sites. This shall be done by amendment of Exhibit A. Deletion or addition of<br />
sites will be made not less than twenty-four hours prior to the required date of service.<br />
2. Supervision and Inspection<br />
The contractor shall provide management supervision at all times and maintain constant quality control inspections to check for<br />
portion size, appearance and packaging in addition to the quality of products.<br />
3. Recordkeeping<br />
A. Delivery tickets must be prepared by the contractor at a minimum in four copies: two for the contractor, one for the site and one<br />
for the Sponsor. Delivery tickets must be itemized to show the number of meals of each type delivered to each site. Designees<br />
of the Sponsor at each site will check adequacy of delivery and meals before signing the delivery ticket. Invoices shall be<br />
accepted by the Sponsor only if signed by the Sponsor’s designee at the site.<br />
B. The contractor must submit all invoices incurred pertaining to the Sponsor’s food service operation within 30 days of the last day<br />
of each month or the final day of the program.<br />
7
C. The contractor shall maintain records supported by delivery tickets, purchase orders, production records for this contract or<br />
other evidence for inspection and reference to support payments and claims.<br />
D. The food service management company shall retain records for a period of three years plus the fiscal current year. If audit<br />
findings have not been resolved, the records shall be retained beyond the three-year period as long as required for the<br />
resolution of the issues raised by the audit. Such records must be available for a period of three years from the date of the final<br />
contract renewal period has expired and/or receipt of final payment under the contract, whichever occurs last, for the purpose of<br />
making audits, examinations, excerpts, and transcriptions by representatives of the Sponsor, the Illinois State Board of<br />
Education, United States Department of Agriculture, and the Comptroller General at any reasonable time and place.<br />
E. The vendor shall maintain the following records for the sponsor:<br />
a) Production records, including quantities and amounts of food used in preparation of each meal and food component of<br />
menus<br />
b) Standardized recipes and yield from recipes<br />
c) Processed product nutritional analysis<br />
d) Dates of preparation of meals<br />
e) Number of meals and locations where meals were delivered<br />
f) Signed delivery slips<br />
g) Nutritional content of individual food items and meals as delivered<br />
h) <strong>Food</strong> and bid specifications<br />
4. Method of Payment<br />
The contractor shall submit its itemized invoice to the Sponsor biweekly, or monthly as mutually agreed upon. Each invoice shall<br />
give a detailed breakdown of the number of meals delivered at each site during the preceding two weeks or month. Payment will be<br />
made at the unit price specified in the contract. No payment shall be made unless the required delivery receipts have been signed by<br />
the site representative of the Sponsor.<br />
5. Inspection of Facility<br />
A. The Sponsor, the Illinois State Board of Education and the U.S. Department of Agriculture reserve the right to inspect the<br />
contractor’s preparation facilities prior to award and without notice at any time during the contract period, including the right to<br />
be present during preparation and delivery of meals.<br />
B. The contractor’s facilities shall be subject to periodic inspections by USDA, State and local health departments or any other<br />
agency designated to inspect meal quality for the State. This will be accomplished in accordance with U.S. Department of<br />
Agriculture regulations.<br />
C. The contractor shall provide meals which it prepares to be periodically inspected by the local health department or an<br />
independent agency to determine bacteria levels in the meals being served. Such levels shall conform to the standards which<br />
are applied by the local health authority with respect to the level of bacteria which may be present in meals served by other<br />
establishments in the locality. The results of the inspections must be submitted promptly to the sponsor and to the State<br />
agency.<br />
6. Availability of Funds<br />
The Sponsor shall have the option to cancel this contract if the Federal government withdraws funds to support the <strong>Summer</strong> <strong>Food</strong><br />
<strong>Service</strong> <strong>Program</strong> by giving the contractor forty-eight hour written notice. It is further understood that, in the event of cancellation of the<br />
contract, the Sponsor shall be responsible for meals that have already been assembled and delivered in accordance with this contract.<br />
7. Number of Meals<br />
The contractor must provide exactly the number of meals ordered. Counts of meals will be made at all sites before meals are<br />
accepted. Damaged or incomplete meals shall not be included when the number of delivered meals is determined.<br />
8. Emergencies<br />
In the event of unforeseen emergency circumstances, the contractor shall immediately notify the Sponsor by telephone of the<br />
following; (1) the impossibility of on-time delivery; (2) the circumstance(s) precluding delivery; and (3) a statement of whether or not<br />
succeeding deliveries will be affected. No payments will be made for deliveries made later than ___15___ minutes after specified meal<br />
time.<br />
Emergency circumstances at the site precluding utilization of meals are the concern of the Sponsor. The Sponsor may cancel orders<br />
provided they give the contractor at least 48 hours notice.<br />
Adjustments for emergency situations affecting the contractor’s ability to deliver meals, or Sponsor’s ability to utilize meals, for periods<br />
longer than 24 hours will be mutually worked out between the contractor and the Sponsor.<br />
9. Terms and Termination<br />
A. This contract is effective for a one-year period commencing _March 1, 2012_ or upon written acceptance of the contract,<br />
8
whichever occurs last, through __February 28, 2013__, with options to renew yearly not to exceed four (4) additional years.<br />
B. The Sponsor reserves the right to terminate this contract if the contractor fails to comply with any of the requirements of this<br />
contract. The Sponsor shall notify the contractor of specific instances of noncompliance in writing. In instances where the<br />
contractor has been notified of noncompliance with the terms of the contract and has not taken immediate corrective action, the<br />
Sponsor shall have the right, upon written notice, of immediate termination of the contract and the contractor shall be liable for<br />
any damages incurred by the Sponsor. The Sponsor shall negotiate a repurchase contract on a competitive basis to arrive at a<br />
fair and reasonable price.<br />
C. The Sponsor shall by written notice to the contractor, terminate the right of the contractor to proceed under this contract if it is<br />
found, by the Sponsor that gratuities in the form of entertainment, gifts or otherwise were offered or given by the contractor to<br />
any officer or employees of the Sponsor with a view toward securing a contract or securing favorable treatment with respect to<br />
the awarding or amending of the contract; provided that the existence of the facts upon which the Sponsor makes such findings<br />
shall be an issue and may be reviewed in any competent court.<br />
D. The Sponsor or contractor may cancel this contract for cause or convenience with a 60-day written notification.<br />
E. Neither the contractor nor sponsor shall be responsible for any losses resulting if the fulfillment of the terms of the contract is<br />
delayed or prevented by wars, acts of public enemies, strikes, fires, floods, acts of God, or any other acts which could not have<br />
been prevented by the exercise of due diligence.<br />
F. The only rates that may be renegotiated in subsequent years of this contract are the individual per meal fixed rates contained<br />
herein. Before any fixed rate increases can be implemented as part of a contract renewal agreement, the contractor shall<br />
document to the sponsor, through a written financial analysis, the need for such increase. Renegotiation of all fixed rates in<br />
subsequent years of the contract must not exceed the Consumer Price Index for Urban Consumers—<strong>Food</strong> Away From Home<br />
annualized rate for December of the previous calendar year, not to exceed _3_%. Percentage increases cannot be applied to<br />
any previous year’s total estimated or actual contract cost.<br />
The Consumer Price Index for Urban Consumers – <strong>Food</strong> Away From Home percentage increases for 2010 can be found at the<br />
following site: http://www.isbe.net/nutrition/pdf/consumer_price_index.pdf.<br />
G. In the event this contract is terminated as provided in paragraph (B) or (C) hereof, the Sponsor shall be entitled to pursue the<br />
same remedies against the contractor as it could pursue in the event of a breach of the contract by the contractor. In addition, if<br />
this contract is terminated under paragraph (C), the sponsor shall be entitled to as a penalty, in addition to any other damages<br />
in an amount which shall not be less than three or more than ten times the costs incurred by the contractor in providing any<br />
such gratuities to any such officer or employee.<br />
H. The rights and remedies of the Sponsor provided in this clause shall not be exclusive and are in addition to any other rights and<br />
remedies provided by law or under this contract.<br />
10. Subcontracts and Assignments<br />
The contractor shall not subcontract for the total meal, with or without milk or for the assembly of the meal; and shall not assign,<br />
without the advance written consent of the Sponsor, his contract or any interest therein.<br />
In the event of any assignment, the contractor shall remain liable to the Sponsor as principal for the performance of all his<br />
obligations under this contract.<br />
11. Insurance<br />
The contractor will procure and maintain the following insurance:<br />
A. The contractor shall purchase and maintain, during the life of the contract, such insurance as shall protect him on an occurrence basis<br />
or equivalent with limits not less than $1,000,000.00 per occurrence and $2,000,000.00 in the aggregate for bodily injury, property<br />
damage and personal injury. Coverage shall include, but not be limited to: Premises/Operations, Products/Completed Operations<br />
Insurance; Broad Form Property Damage; Contractual Liability; and, if applicable, Explosion/Collapse/Underground Hazard; and XCU<br />
(explosion, collapse, underground) hazards. The <strong>Chicago</strong> <strong>Park</strong> <strong>District</strong> is to be named as an additional insured on a primary, noncontributory<br />
basis.<br />
B. The contractor shall purchase and maintain, for the life of the contract, comprehensive automobile liability insurance covering all owned,<br />
non-owned and hired motor vehicles, including the loading and unloading thereof, with limits not less than $1,000,000.00 combined<br />
single limit per occurrence for bodily injury and property damage. The <strong>Chicago</strong> <strong>Park</strong> <strong>District</strong> is to be named as an additional insured on<br />
a primary, non-contributory basis.<br />
C. Workmen’s Compensation Insurance as prescribed by the laws of the State of Illinois.<br />
D. Comprehensive Bodily Injury, Property Damage, Liability, and Products Liability Insurance, including bodily injury and property<br />
damage caused by automobiles, with limits prescribed by the State of Illinois for injury or death of any one person or for injury<br />
or death of two or more persons in any one accident, for property damage in any one accident, and for products liability in any<br />
9
one accident.<br />
The contractor shall furnish the Sponsor with such evidence of insurance, including insurance covering contractor’s contractual<br />
liability hereunder, as the Sponsor may reasonably require.<br />
E. Contractor shall indemnify Sponsor and the State against any loss or damage (including attorney’s fees and other costs of<br />
litigation) caused by the contractor’s negligent acts or commission of contractor’s agents or employees.<br />
Contractor expressly agrees to defend any suit against the Sponsor alleging personal injury, sickness, or disease arising out of<br />
consumption or use of the merchandise sold, as well as any loss resulting from pilferage by contractor’s employees.<br />
The Sponsor shall promptly notify the contractor and the State Agency in writing of any claims against either contractor or<br />
Sponsor and, in the event of a suit being filed, shall promptly forward to the contractor and the State Agency all papers in<br />
connection therewith. The Sponsor shall not incur any expense or make any settlement without contractor’s consent; providing<br />
however, that if contractor refuses or neglects to defend any such suit, Sponsor may defend, adjust, or settle any such claim,<br />
and the costs of such defense, including reasonable attorney’s fees, may be charged to the contractor’s account.<br />
12. Indemnification<br />
Contractor agrees to and does hereby assume all responsibility for and agrees to indemnify, save and hold harmless, and at the <strong>Park</strong><br />
<strong>District</strong>’s option, defend the <strong>Park</strong> <strong>District</strong>, its Commissioners, officers, employees, volunteers, and agents (collectively, the “Indemnitees”)<br />
against any losses, claims, damages, liabilities, actions, suits, proceedings, costs or expenses that the Indemnitees may suffer, incur or<br />
sustain or for which it or they may become liable (including, but not limited to, mechanic’s liens, personal or bodily injury to or death of<br />
persons or loss or damage to property) resulting from, arising out of, or relating to any negligence or intentional misconduct in the<br />
performance of the contractor under this Agreement. The obligation to indemnify the <strong>Park</strong> <strong>District</strong> shall survive the termination or<br />
expiration of this Agreement.<br />
13. Prevailing Wage<br />
Each bidder, contractor, and subcontractor shall comply with all applicable prevailing wage requirements.<br />
The contractor shall comply with 820ILCS 130/0.01 et seq., as it may be amended (the “Act”), so long as the Act is in effect, in order to<br />
ensure that such persons covered by the Act are paid the prevailing wage rates as ascertained by the Illinois Department of Labor. All<br />
such contracts shall list the specified rates to be paid to all those employed in the contract. If the Illinois Department of Labor revises<br />
such prevailing wage rates, the revised rates shall apply to all such contracts.<br />
As a condition of making payment to the contractor, the CPD may request that the contractor submit an affidavit or other evidence to the<br />
effect that not less than the prevailing hourly wage rate is being paid to those employed on contracts, in accordance with Illinois law.<br />
14. Non-Liability of Public Officials<br />
Contractor and any assignee or sub-contractor of contractor must not charge any official, employee or agent of the <strong>Park</strong> <strong>District</strong><br />
personally with any liability or expenses of defense or hold any official, employee or agent of the <strong>Park</strong> <strong>District</strong> personally liable to them<br />
under any term or provision of the Agreement or because of the <strong>Park</strong> <strong>District</strong>’s execution, attempted execution or any breach of the<br />
Agreement.<br />
15. Minority-and Women-Owned Business Enterprise Participation<br />
The contractor shall comply with the Compliance Conditions of this contract, which governs minority- and women-owned business<br />
enterprise programs (“MBE” and/or “WBE”), and requires the contractor compliance with the CPD’s goal of awarding not less than 25%<br />
of the aggregate dollar value of all contracts to qualified MBEs and 5% to qualified WBEs. Chapter XI, Section F of the Code of the<br />
<strong>Chicago</strong> <strong>Park</strong> <strong>District</strong> establishes the Minority- and Women-Owned Business Enterprise program. A copy of this ordinance is available<br />
from the CPD, Department of Purchasing, 541 North Fairbanks Court, 3rd Floor, <strong>Chicago</strong>, Illinois 60611; (312) 742-5380.<br />
During the term of the contract and any extension thereof, the contractor shall complete and submit quarterly MBE/WBE Utilization<br />
Reports.<br />
10
SECTION G<br />
GENERAL PROVISIONS<br />
1. This contract constitutes the entire agreement between the sponsor and contractor and may not be changed, extended orally, or<br />
altered by course of conduct. No other contracts will be signed by the sponsor.<br />
2. It is further agreed between the sponsor and contractor that the exhibits, attachments, and clauses attached and designated are<br />
hereby in all respects made a part of this contract.<br />
3. The contractor shall comply with Title VI of the Civil Rights Act of 1964, as amended; USDA regulations implementing Title IX of the<br />
Education Amendments; Section 504 of the Rehabilitation Act of 1973; Age Discrimination Act of 1975; 7CFR Parts 15, 15a, and 15b;<br />
and FNS Instruction 113-1, Civil Rights Compliance and Enforcement in the School Nutrition <strong>Program</strong>s; and any additions or<br />
amendments.<br />
4. If this contract is in excess of $100,000, the sponsor and contractor shall comply with all applicable standards, orders, and<br />
regulations, including but not limited to:<br />
A. The Clean Air Act (42 USC 1857[h]), the Clean Water Act (33 USC 1368), Executive Order 11738, and Environmental Protection<br />
Agency regulations (40 CFR 1.1);<br />
B. Certification Regarding Lobbying pursuant to 31 USC 1352 (Appendix A: 7 CFR Part 3018); and<br />
C. Disclosure of Lobbying Activities pursuant to 31 USC 1352 (Appendix A: 7 CFR Part 3018).<br />
5. The contractor certifies compliance with:<br />
A. Energy Policy and Conservation Act (OMB Circular A-102, Attachments O, paragraph 14.j);<br />
B. The Department of Labor regulations (29 CFR Part 5); and<br />
C. Executive Order 11246, entitled Equal Employment Opportunity, as amended by Executive Order 11375 and Department of<br />
Labor Regulations (41 CFR Chapter 60).<br />
11
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#1 Beginning Date<br />
63 rd Street Beach 06/01/12<br />
6300 S. Lake Shore Drive<br />
Lunch__x ___ # ___35___ ___12:15_pm<br />
PM Snk__x__ # ___35___<br />
<strong>Chicago</strong>, IL 60649<br />
____3:15_pm<br />
Telephone: (312) 742-5121<br />
Ending Date<br />
8/31/12<br />
#2 Beginning Date<br />
Abbott (Robert) <strong>Park</strong> 06/01/12<br />
49 E. 95 th Street<br />
Lunch__x____ # __137___ ___12:30_pm<br />
PM Snk__x___ # __136___<br />
<strong>Chicago</strong>, IL 60628<br />
____3:30_pm<br />
Telephone: (312) 747-6001<br />
Ending Date<br />
8/31/12<br />
#3 Beginning Date<br />
Ada (Sawyer Garrett) <strong>Park</strong> Valentine Brown 06/01/12<br />
11250 S. Ada St.<br />
Lunch__x____ # ___191__ ___12:30_pm<br />
PM Snk__x___ # ___190__<br />
<strong>Chicago</strong>, IL 60643<br />
____5:00_pm<br />
Telephone:(312) 747-6002<br />
Ending Date<br />
8/31/12<br />
#4 Beginning Date<br />
Adams (George & Adele) <strong>Park</strong> Maureen Belling 06/01/12<br />
1919 N. Seminary Ave.<br />
Lunch__x____ # __126___<br />
___12:00_pm<br />
<strong>Chicago</strong>, IL 60614<br />
Telephone:(312) 747-6136<br />
Ending Date<br />
8/31/12<br />
#5 Beginning Date<br />
Altgeld (John P.) <strong>Park</strong> Roy Ellis 06/01/12<br />
515 S. Washtenaw Ave.<br />
Lunch__x____ # ___66__ __12:30_pm<br />
PM Snk_x____ # ____65__<br />
<strong>Chicago</strong>, IL 60612<br />
___3:30_pm__<br />
Telephone:(312) 746-5001<br />
Ending Date<br />
8/31/12<br />
12
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#6 Beginning Date<br />
Alvin Ailey Dance @ Fuller 06/01/12<br />
331 W. 45 th St.<br />
Lunch__x____ # _81_____ ___11:30_am<br />
PM Snk__x___ # _80_____<br />
<strong>Chicago</strong>, IL 60609<br />
____3:00_pm<br />
Telephone:(312) 747-6144<br />
Ending Date<br />
8/31/12<br />
#7 Beginning Date<br />
Amundsen (Ronald) <strong>Park</strong> Greg Mason 06/01/12<br />
6200 W. Bloomingdale Ave.<br />
Lunch__x____ # __101___ ___12:00_pm<br />
PM Snk_x____ # __100___<br />
<strong>Chicago</strong>, IL 60639<br />
____3:00_pm<br />
Telephone:(312) 746-5003<br />
Ending Date<br />
8/31/12<br />
#8 Beginning Date<br />
Anderson (Louis B.) <strong>Park</strong> Cheryl Smith 06/01/12<br />
3748 S. Prairie Ave.<br />
Lunch__x____ # __31_____ ___12:30_pm<br />
PM Snk__x___ # __30____<br />
<strong>Chicago</strong>, IL 60653<br />
____3:00_pm<br />
Telephone:(312) 747-6007<br />
Ending Date<br />
8/31/12<br />
#9 Beginning Date<br />
Archer (William) <strong>Park</strong> Juan Mendoza 06/01/12<br />
4901 S. Kilbourn Ave.<br />
Lunch__x____ # __181___ ____11:30 am<br />
PM Snk_x____ # __180___<br />
<strong>Chicago</strong>, IL 60632<br />
____3:00_pm<br />
Telephone:(773) 284-7029<br />
Ending Date<br />
8/31/12<br />
#10 Beginning Date<br />
Armour (Phillip) Square <strong>Park</strong> Mary Lou Scorza 06/01/12<br />
3309 S. Shields<br />
Lunch__x____ # ___181__<br />
___12:15_pm<br />
<strong>Chicago</strong>, IL 60616<br />
Telephone:(312) 747-6012<br />
Ending Date<br />
8/31/12<br />
13
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#11 Beginning Date<br />
Athletic Field <strong>Park</strong> Adrian Loza 06/01/12<br />
33546 W. Addison St.<br />
Lunch__x____ # ____51__ ___11:30_am<br />
PM Snk__x___ # ____26__<br />
<strong>Chicago</strong>, IL 60618<br />
____3:00_pm<br />
Telephone:(773) 478-2889<br />
Ending Date<br />
8/31/12<br />
#12 Beginning Date<br />
Augusta (Carpenter) <strong>Park</strong> Leonard Langdon 06/01/12<br />
4433 W. Augusta Blvd.<br />
Lunch_x_____ # ___26___ ___12:30_pm<br />
PM Snk__x__ # ___25___<br />
<strong>Chicago</strong>, IL 60639<br />
____3:30_pm<br />
Telephone:(312) 742-7544<br />
Ending Date<br />
8/31/12<br />
#13 Beginning Date<br />
Austin Town Hall <strong>Park</strong> Bobby Starks 06/01/12<br />
5610 W. Lake St.<br />
Lunch_x_____ # ___101__ __12:30_pm<br />
PM Snk_x____ # ___100__<br />
<strong>Chicago</strong>, IL 60644<br />
___3:30_pm<br />
Telephone:(773) 287-7658<br />
Ending Date<br />
8/31/12<br />
#14 Beginning Date<br />
Avalon <strong>Park</strong> Pat McMillan 06/01/12<br />
1215 E. 83 rd Street<br />
Lunch___x___ # ___201__ ___12:00_pm<br />
PM Snk___x__ # ___200__<br />
<strong>Chicago</strong>, IL 60619<br />
____3:00_pm<br />
Telephone:(312) 747-6015<br />
Ending Date<br />
8/31/12<br />
#15 Beginning Date<br />
Avondale <strong>Park</strong> Tom Broderick 06/01/12<br />
3516 W. School St.<br />
Lunch__x____ # _70_____ ___11:00_am<br />
PM Snk_x____ # _25_____<br />
<strong>Chicago</strong>, IL 60618<br />
____3:00_pm<br />
Telephone:(773) 478-1410<br />
Ending Date<br />
8/31/12<br />
14
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#16 Beginning Date<br />
Bell (George) <strong>Park</strong> Kim Gapinski 06/01/12<br />
3020 N. Oak <strong>Park</strong> Ave.<br />
Lunch__x____ # __76____ ___11:30_am<br />
PM Snk_x____ # __51____<br />
<strong>Chicago</strong>, IL 60634<br />
____2:30_pm<br />
Telephone:(312) 746-5008<br />
Ending Date<br />
8/31/12<br />
#17 Beginning Date<br />
Berger (Albert E.) <strong>Park</strong> Deb Maddox 06/01/12<br />
6205 N. Sheridan Rd.<br />
Lunch__x____ # __120___ ___11:45_am<br />
PM Snk__x___ # __121___<br />
<strong>Chicago</strong>, IL 60660<br />
____2:45_pm<br />
Telephone:(773) 761-0376<br />
Ending Date<br />
8/31/12<br />
#18 Beginning Date<br />
Bessemer <strong>Park</strong> Lydia Vega 06/01/12<br />
8930 S. Muskegon Ave.<br />
Lunch__x____ # _136____ ___11:30_am<br />
PM Snk__x___ # __125___<br />
<strong>Chicago</strong>, IL 60617<br />
____3:00_pm<br />
Telephone:(312) 747-6023<br />
Ending Date<br />
8/31/12<br />
#19 Beginning Date<br />
Beverly <strong>Park</strong> Sue Kukulski 06/01/12<br />
2460 W. 102 nd St.<br />
Lunch__x____ # _41_____ ___12:00_pm<br />
PM Snk__x___ # _30_____<br />
<strong>Chicago</strong>, IL 60655<br />
____3:00_pm<br />
Telephone:(312) 747-6024<br />
Ending Date<br />
8/31/12<br />
#20 Beginning Date<br />
Blackhawk <strong>Park</strong> Tom Versen 06/01/12<br />
2318 N. Lavergne Ave.<br />
Lunch__x____ # ___101__ ___12:00_pm<br />
PM Snk_x____ # ____40__<br />
<strong>Chicago</strong>, IL 60639<br />
____4:30_pm<br />
Telephone:(312) 746-5014<br />
Ending Date<br />
8/31/12<br />
15
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#21 Beginning Date<br />
Bogan <strong>Park</strong> Nancy Carrig 06/01/12<br />
3939 W. 79 th St.<br />
Lunch__x____ # ___76___<br />
__12:00_pm<br />
<strong>Chicago</strong>, IL 60652<br />
Telephone:(773) 284-6456<br />
Ending Date<br />
8/31/12<br />
#22 Beginning Date<br />
Bosley <strong>Park</strong> 06/01/12<br />
3044 S. Bonfield<br />
Lunch__x____ # __16____ ___12:00_pm<br />
PM Snk__x___ # __15____<br />
<strong>Chicago</strong>, IL 60608<br />
____4:00_pm<br />
Telephone:(312) 747-6026<br />
Ending Date<br />
8/31/12<br />
#23 Beginning Date<br />
Bradley <strong>Park</strong> Cheryl Ali 06/01/12<br />
9729 S. Yates Ave.<br />
Lunch__x____ # __58____ ___12:00_pm<br />
PM Snk__x___ # __56____<br />
<strong>Chicago</strong>, IL 60617<br />
____4:00_pm<br />
Telephone:(312) 747-6022<br />
Ending Date<br />
8/31/12<br />
#24 Beginning Date<br />
Brainerd <strong>Park</strong> Sabrina Steward 06/01/12<br />
1246 W. 92 nd St.<br />
Lunch__x____ # __131___ ___12:00_pm<br />
PM Snk__x___ # __130___<br />
<strong>Chicago</strong>, IL 60620<br />
____3:00_pm<br />
Telephone:(312) 747-6027<br />
Ending Date<br />
8/31/12<br />
#25 Beginning Date<br />
Brands <strong>Park</strong> Teresa Woolridge 06/01/12<br />
3259 N. Elston Ave.<br />
Lunch__x____ # ___101__ ___12:00_pm<br />
PM Snk_x____ # _____50_<br />
<strong>Chicago</strong>, IL 60618<br />
____3:30_pm<br />
Telephone:(773) 478-2414<br />
Ending Date<br />
8/31/12<br />
16
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#26 Beginning Date<br />
Broadway Armory <strong>Park</strong> Nick Bojko 06/01/12<br />
5917 N. Broadway<br />
Lunch__x____ # __91____ __11:30_am<br />
PM Snk_x____ # __31____<br />
<strong>Chicago</strong>, IL 60660<br />
___2:30_pm<br />
Telephone:(312) 742-7502<br />
Ending Date<br />
8/31/12<br />
#27 Brkfst___x___ # ___50___ ___8:30_am Beginning Date<br />
Claumet <strong>Park</strong> Beverly Kress 06/01/12<br />
9801 S. Avenue G<br />
Lunch__x____ # ___166__<br />
___12:00_pm<br />
<strong>Chicago</strong>, IL 60617<br />
Telephone:(312) 747-6039<br />
Ending Date<br />
8/31/12<br />
#28 Beginning Date<br />
Carver <strong>Park</strong> 06/01/12<br />
939 E. 132 nd St.<br />
Lunch___x___ # __201___ ___12:00_pm<br />
PM Snk___x__ # ___200__<br />
<strong>Chicago</strong>, IL 60627<br />
____3:30_pm<br />
Telephone:(312 ) 742-6047<br />
Ending Date<br />
8/31/12<br />
#29 Beginning Date<br />
Chase Camp Katie Fearon-Peon 06/01/12<br />
4701 N. Ashland Ave.<br />
Lunch__x____ # __221___ ___12:00_pm<br />
PM Snk_x____ # __220____<br />
<strong>Chicago</strong>, IL 60640<br />
____3:30_pm<br />
Telephone:(312) 742-7518<br />
Ending Date<br />
8/31/12<br />
#30 Brkfst__x____ # __50____ ___9:20_pm Beginning Date<br />
<strong>Chicago</strong> Women <strong>Park</strong> – South Loop 06/01/12<br />
1801 S. Indiana<br />
PM Snk__x___ # __60____<br />
____2:15_pm<br />
<strong>Chicago</strong>, IL 60616<br />
Telephone:(312 ) 328-0821<br />
Ending Date<br />
8/31/12<br />
17
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#31 Beginning Date<br />
Chippewa <strong>Park</strong> Amy Carter 06/01/12<br />
6748 N. Sacramento Ave.<br />
Lunch__x____ # __111___ ___11:45_am<br />
PM Snk_x____ # ___110__<br />
<strong>Chicago</strong>, IL 60645<br />
____2:45_pm<br />
Telephone:(773) 761-0380<br />
Ending Date<br />
8/31/12<br />
#32 Beginning Date<br />
Chopin (Frederic Francois) <strong>Park</strong> Mike Mucci 06/01/12<br />
3420 N. Long Ave.<br />
<strong>Chicago</strong>, IL 60641<br />
Lunch__x____ # __141___ 11:45 am_ Ending Date<br />
Telephone:(773) 685-3247<br />
8/31/12<br />
#33 Beginning Date<br />
Clarendon Community Center Michael Brown 06/01/12<br />
4501 N. Clarendon Ave.<br />
Lunch__x____ # ___101__ ___12:00_pm<br />
PM Snk_x____ # ____80__<br />
<strong>Chicago</strong>, IL 60640<br />
____3:10_pm<br />
Telephone:(312) 742-7512<br />
Ending Date<br />
8/31/12<br />
#34 Beginning Date<br />
Clark (John S.) <strong>Park</strong> Gary Taylor 06/01/12<br />
4615 W. Jackson Blvd.<br />
Lunch__x____ # __36____ ___12:00_pm<br />
PM Snk_x____ # __35____<br />
<strong>Chicago</strong>, IL 60644<br />
____3:15_pm<br />
Telephone:(773) 287-7794<br />
Ending Date<br />
8/31/12<br />
#35 Beginning Date<br />
Cole (Nat King) <strong>Park</strong> Gene Morgan 06/01/12<br />
361 E. 85 th St.<br />
Lunch___x___ # ___26___ ___12:45_pm<br />
PM Snk___x__ # ___100__<br />
<strong>Chicago</strong>, IL 60619<br />
____3:45_pm<br />
Telephone:(312) 747-6063<br />
Ending Date<br />
8/31/12<br />
18
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#36 Beginning Date<br />
Columbus (Christopher) <strong>Park</strong> Jeanette Stovall 06/01/12<br />
500 S. Central Ave.<br />
Lunch_x_____ # __131___ __12:00_pm<br />
PM Snk_x____ # __130___<br />
<strong>Chicago</strong>, IL 60644<br />
____3:30_pm<br />
Telephone:(773) 287-7641<br />
Ending Date<br />
8/31/12<br />
#37 Beginning Date<br />
Commercial Club Playground Kathy Hamada 06/01/12<br />
1845 W. Rice St.<br />
Lunch__x____ # _81_____ ___12:00_pm<br />
PM Snk_x____ # _80_____<br />
<strong>Chicago</strong>, IL 60622<br />
____3:00_pm<br />
Telephone:(312) 742-7558<br />
Ending Date<br />
8/31/12<br />
#38 Beginning Date<br />
Cooper <strong>Park</strong> Marlon Smith 06/01/12<br />
11712 S. Ada St.<br />
Lunch___x___ # ___101__ ___12:15_pm<br />
PM Snk__x___ # ___100__<br />
<strong>Chicago</strong>, IL 60643<br />
____3:15_pm<br />
Telephone:(312) 747-6096<br />
Ending Date<br />
8/31/12<br />
#39 Beginning Date<br />
Cornell Square Louis Alvarado 06/01/12<br />
1809 W. 50 th St.<br />
Lunch__x____ # _81_____ ___12:00_pm<br />
PM Snk_x____ # _80_____<br />
<strong>Chicago</strong>, IL 60609<br />
____3:00_pm<br />
Telephone:(312) 747-6097<br />
Ending Date<br />
8/31/12<br />
#40 Beginning Date<br />
Cragin <strong>Park</strong> Mark Naumiec 06/01/12<br />
2611 N. Lockwood Ave.<br />
Lunch__x____ # ____46__<br />
___12:15_pm<br />
<strong>Chicago</strong>, IL 60639<br />
Telephone:(312) 746-5065<br />
Ending Date<br />
8/31/12<br />
19
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#41 Beginning Date<br />
Curie (Marie) <strong>Park</strong> Bobby Starks 06/01/12<br />
4949 S. Archer Ave.<br />
Lunch_x_____ # __121___ ___12:00_pm<br />
PM Snk_x____ # __100___<br />
<strong>Chicago</strong>, IL 60639<br />
____3:00_pm<br />
Telephone:(773) 284-7124<br />
Ending Date<br />
8/31/12<br />
#42 Beginning Date<br />
Dawes <strong>Park</strong> Sam Harris 06/01/12<br />
8040 S. Damen Ave.<br />
Lunch__x____ # __61____ ___12:30_pm<br />
PM Snk__x___ # __60____<br />
<strong>Chicago</strong>, IL 60620<br />
____3:30_pm<br />
Telephone:(312) 747-6108<br />
Ending Date<br />
8/31/12<br />
#43 Beginning Date<br />
Donovan <strong>Park</strong> Michelle Drez 06/01/12<br />
3620 S. Lituanica<br />
Lunch___x___ # __41____ ___10:45_am<br />
PM Snk__x___ # __40____<br />
<strong>Chicago</strong>, IL 60609<br />
____2:15_pm<br />
Telephone:(312) 747-6111<br />
Ending Date<br />
8/31/12<br />
#44 Beginning Date<br />
Dooley <strong>Park</strong> Max Kobrinetz 06/01/12<br />
3402 W. 77 th St.<br />
Lunch___x___ # __41____ ___12:00_pm<br />
PM Snk__x___ # __40____<br />
<strong>Chicago</strong>, IL 60652<br />
____3:30_pm<br />
Telephone:(312) 745-1412<br />
Ending Date<br />
8/31/12<br />
#45 Beginning Date<br />
Douglas (Stephen A.) <strong>Park</strong> Angela Salis 06/01/12<br />
1401 S. Sacramento Ave.<br />
Lunch_x_____ # __101___ __12:30_pm<br />
PM Snk_x____ # __100___<br />
<strong>Chicago</strong>, IL 60623<br />
____3:00_pm<br />
Telephone:(773) 762-2842<br />
Ending Date<br />
8/31/12<br />
20
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#46 Beginning Date<br />
Dunham (Robert J.) Dan White 06/01/12<br />
4638 N. Melvina Ave.<br />
Lunch___x___ # ___181__ _12:00 pm_<br />
PM Snk__x___ # ___120__<br />
<strong>Chicago</strong>, IL 60630<br />
_3:00 pm_<br />
Telephone:(773) 685-3257<br />
21<br />
Ending Date<br />
8/31/12<br />
#47 Beginning Date<br />
Durkin <strong>Park</strong> Paul Veloitis 06/01/12<br />
8445 S. Kolin Ave.<br />
Lunch__x____ # __101___ ___12:00_pm<br />
PM Snk__x___ # ___100__<br />
<strong>Chicago</strong>, IL 60652<br />
____3:00_pm<br />
Telephone:(773) 284-731<br />
Ending Date<br />
8/31/12<br />
#48 Beginning Date<br />
Dvorak (Anton) <strong>Park</strong> Tony Segara 06/01/12<br />
1119 W. Cullerton St.<br />
Lunch__x____ # __141___ ___12:30_pm<br />
PM Snk__x___ # ___140__<br />
<strong>Chicago</strong>, IL 60608<br />
____3:30_pm<br />
Telephone:(312) 746-5083<br />
Ending Date<br />
8/31/12<br />
#49 Beginning Date<br />
Eckhart (Bernard A.) <strong>Park</strong> John Borek 06/01/12<br />
1330 W. <strong>Chicago</strong> Ave.<br />
Lunch__x____ # ___151__ ___12:00_pm<br />
PM Snk_x____ # ___150__<br />
<strong>Chicago</strong>, IL 60622<br />
____3:30_pm<br />
Telephone:(312) 746-5490<br />
Ending Date<br />
8/31/12<br />
#50 Beginning Date<br />
Archer (William) <strong>Park</strong><br />
4901 S. Kilbourn Ave.<br />
<strong>Chicago</strong>, IL 60632<br />
Juan Mendoza<br />
Telephone: (773) 284-7029<br />
06/01/12<br />
Ending Date<br />
PM Snk x__ # ___60__ ____5:00_pm 8/31/12
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#51 Beginning Date<br />
Emmerson (Louis L.) <strong>Park</strong> Moseth Sample 06/01/12<br />
1820 W. Granville Ave.<br />
Lunch__x____ # __31____ ___12:00_pm<br />
PM Snk_x____ # _30_____<br />
<strong>Chicago</strong>, IL 60660<br />
____3:00_pm<br />
Telephone:(773) 761-0433<br />
Ending Date<br />
8/31/12<br />
#52 Beginning Date<br />
Euclid <strong>Park</strong> Clarissa Ford 06/01/12<br />
9800 S. Parnell Ave.<br />
Lunch__x____ # ___56____ ___12:30_pm<br />
PM Snk__x___ # ___55___<br />
<strong>Chicago</strong>, IL 60628<br />
____3:30_pm<br />
Telephone:(312) 747-6124<br />
Ending Date<br />
8/31/12<br />
#53 Beginning Date<br />
Eugene Field <strong>Park</strong> Tracy Brumley 06/01/12<br />
5100 N. Ridgeway Ave.<br />
Lunch__x____ # __86____ ___11:15_am<br />
PM Snk_x___ # __85____<br />
<strong>Chicago</strong>, IL 60625<br />
____2:45_pm<br />
Telephone:(773) 478-9744<br />
Ending Date<br />
8/31/12<br />
#54 Beginning Date<br />
Fernwood <strong>Park</strong> Corinthia Davis-John 06/01/12<br />
10436 S. Wallace St.<br />
Lunch__x____ # __226___ ___12:00_pm<br />
PM Snk__x___ # __225___<br />
<strong>Chicago</strong>, IL 60628<br />
____3:00_pm<br />
Telephone:(312) 747-6132<br />
Ending Date<br />
8/31/12<br />
#55 Beginning Date<br />
Fosco (Peter) <strong>Park</strong> Jackie Guthrie 06/01/12<br />
1313 S. Throop St.<br />
Lunch__x____ # __201___ ___12:00_pm<br />
PM Snk_x____ # __200____<br />
<strong>Chicago</strong>, IL 60608<br />
____3:00_pm<br />
Telephone:(312) 746-5086<br />
Ending Date<br />
8/31/12<br />
22
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#56 Beginning Date<br />
Foster <strong>Park</strong> Anita Gueringer 06/01/12<br />
1440 W. 84 th St.<br />
Lunch__x____ # __251___ ___12:00_pm<br />
PM Snk__x___ # __250___<br />
<strong>Chicago</strong>, IL 60620<br />
____3:00_pm<br />
Telephone:(312) 747-6135<br />
Ending Date<br />
8/31/12<br />
#57 Beginning Date<br />
Franklin (Benjamin) <strong>Park</strong> Robert Bisbee 06/01/12<br />
4320 W. 15 St.<br />
Lunch__x____ # __101___ ___12:30_pm<br />
PM Snk_x____ # __100___<br />
<strong>Chicago</strong>, IL 60623<br />
____3:30_pm<br />
Telephone:(312) 747-7676<br />
Ending Date<br />
8/31/12<br />
#58 Beginning Date<br />
Fuller (Melville) <strong>Park</strong> Michael Brown 06/01/12<br />
331 W. 45 th St.<br />
Lunch__x____ # __81____ ___12:00_pm<br />
PM Snk__x___ # __80____<br />
<strong>Chicago</strong>, IL 60609<br />
____3:00_pm<br />
Telephone:(312) 747-6144<br />
Ending Date<br />
8/31/12<br />
#59 Beginning Date<br />
Gage <strong>Park</strong> Alex Zamora 06/01/12<br />
2411 W. 55 th St.<br />
Lunch___x___ # ___122__ ___12:30_pm<br />
PM Snk__x___ # _150___<br />
<strong>Chicago</strong>, IL 60629<br />
____3:00_pm<br />
Telephone:(312) 747-6147<br />
Ending Date<br />
8/31/12<br />
#60 Beginning Date<br />
Galewood <strong>Park</strong> Monique Young-Johnson 06/01/12<br />
5729 W. Bloomingdale Ave.<br />
Lunch__x____ # __71____ ___11:00_am<br />
PM Snk_x____ # __70____<br />
<strong>Chicago</strong>, IL 60639<br />
____2:00_pm<br />
Telephone:(312) 746-5089<br />
Ending Date<br />
8/31/12<br />
23
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#61 Beginning Date<br />
Garfield (James A.) <strong>Park</strong> Jim Hobson 06/01/12<br />
100 N. Central <strong>Park</strong> Ave.<br />
Lunch__x____ # ___156__ __11:00_am<br />
PM Snk__x___ # ___155__<br />
<strong>Chicago</strong>, IL 60624<br />
____3:00_pm<br />
Telephone:(312) 746-5092<br />
Ending Date<br />
8/31/12<br />
#62 Beginning Date<br />
Gately <strong>Park</strong> Anita Whiteside 06/01/12<br />
810 E. 103 rd St.<br />
Lunch__x____ # __101___ ___11:00_am<br />
PM Snk__x___ # ___100__<br />
<strong>Chicago</strong>, IL 60628<br />
____3:00_pm<br />
Telephone:(312) 747-6155<br />
Ending Date<br />
8/31/12<br />
#63 Beginning Date<br />
Gill (Joseph L.) <strong>Park</strong> Bob Geraghty 06/01/12<br />
825 W. Sheridan Rd.<br />
Lunch__x____ # __101___ ___12:00_pm<br />
PM Snk_x____ # ___40___<br />
<strong>Chicago</strong>, IL 60613<br />
____3:30_pm<br />
Telephone:(312) 742-7802<br />
Ending Date<br />
8/31/12<br />
#64 Beginning Date<br />
Girls in the Game (Union <strong>Park</strong>) Tony Fitzgerald 06/01/12<br />
1501 W. Randolph St.<br />
Lunch__x____ # __121___<br />
____12:00_pm<br />
<strong>Chicago</strong>, IL 60607<br />
Telephone:(312) 746-5494<br />
Ending Date<br />
8/31/12<br />
#65 Beginning Date<br />
Harrison (Carter) <strong>Park</strong> ____9:00_am 06/01/12<br />
1824 S. Wood St.<br />
Tony Gonzales Bkfst__x____ # __20___<br />
<strong>Chicago</strong>, IL 60608<br />
Telephone: (312) 746-5491<br />
Ending Date<br />
8/31/12<br />
24
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#66 Beginning Date<br />
Gompers (Samuel) <strong>Park</strong> Denise Raymond 06/01/12<br />
4222 W. Foster Ave.<br />
Lunch__x____ # __241___ ___12:00_pm<br />
PM Snk_x____ # __240___<br />
<strong>Chicago</strong>, IL 60630<br />
____3:00_pm<br />
Telephone:(773) 631-7859<br />
Ending Date<br />
8/31/12<br />
#67 Beginning Date<br />
Grand Crossing <strong>Park</strong> Marques Buford 06/01/12<br />
7655 S. Ingleside Ave.<br />
Lunch__x____ # __101___ ___12:00_pm<br />
PM Snk_x____ # ___100__<br />
<strong>Chicago</strong>, IL 60619<br />
____3:00_pm<br />
Telephone:(312) 747-6158<br />
Ending Date<br />
8/31/12<br />
#68 Beginning Date<br />
Graver <strong>Park</strong> Laura Casey 06/01/12<br />
1518 W. 102 nd Pl.<br />
Lunch__x____ # __121___ ___12:00_pm<br />
PM Snk__x___ # __120___<br />
<strong>Chicago</strong>, IL 60643<br />
____3:00_pm<br />
Telephone:(312) 747-6163<br />
Ending Date<br />
8/31/12<br />
#69 Beginning Date<br />
Green Briar <strong>Park</strong> Tim Gibson 06/01/12<br />
2650 W. Peterson<br />
Lunch__x____ # _66_____ __11:50_am<br />
PM Snk_x ___ # _65_____<br />
<strong>Chicago</strong>, IL 60659<br />
___3:30_pm<br />
Telephone:(773) 761-0582<br />
Ending Date<br />
8/31/12<br />
#70 Beginning Date<br />
Haines School <strong>Park</strong> Precious Morgan 8/31/12<br />
247 W. 23 rd St.<br />
Lunch__x____ # ___81___ ____11:00_am<br />
PM Snk__x___ # ___100___<br />
<strong>Chicago</strong>, IL 60616<br />
____3:30_pm<br />
Telephone:(312) 742-0291<br />
Ending Date<br />
8/31/12<br />
25
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#71 Beginning Date<br />
Hale <strong>Park</strong> Rose Minelli 06/01/12<br />
6258 W. 62 nd St.<br />
Lunch__x____ # __301___ ___12:30_pm<br />
PM Snk_x____ # ___300__<br />
<strong>Chicago</strong>, IL 60638<br />
____3:30_pm<br />
Telephone:(773) 229-1032<br />
Ending Date<br />
8/31/12<br />
#72 Beginning Date<br />
Hamilton <strong>Park</strong> Sandra Thomas 06/01/12<br />
513 W. 72 nd St.<br />
Lunch__x____ # __122___ ___12:15_pm<br />
PM Snk__x__ # __120___<br />
<strong>Chicago</strong>, IL 60621<br />
____3:30_pm<br />
Telephone:(312) 747-6174<br />
Ending Date<br />
8/31/12<br />
#73 Beginning Date<br />
Hamilin (Hannibal) <strong>Park</strong> Kara Donaldson 06/01/12<br />
3035 N. Hoyne Ave.<br />
Lunch__x____ # _161____<br />
___12:30_pm<br />
<strong>Chicago</strong>, IL 60618<br />
Telephone:(312) 742-7785<br />
Ending Date<br />
8/31/12<br />
#74 Beginning Date<br />
Harris (Harriet M.) Recreation Center Gerald Washington 06/01/12<br />
6200 S. Drexel Ave.<br />
Lunch__x____ # _111____ __12:30_pm<br />
PM Snk__x___ # _110____<br />
<strong>Chicago</strong>, IL 60637<br />
___3:30_pm<br />
Telephone:(312) 747-2706<br />
Ending Date<br />
8/31/12<br />
#75 Beginning Date<br />
Harrison (Carter H.) <strong>Park</strong> Tony Gonzalez 06/01/12<br />
1824 S. Wood St.<br />
Lunch__x____ # __201___ ___12:00_pm<br />
PM Snk__x___ # ___60___<br />
<strong>Chicago</strong>, IL 60608<br />
____4:00_pm<br />
Telephone:(312) 746-5491<br />
Ending Date<br />
8/31/12<br />
26
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#76 Beginning Date<br />
Hayes <strong>Park</strong> Ryan Morris 06/01/12<br />
2936 W. 85 th St.<br />
Lunch__x____ # __251___ ___12:00_pm<br />
PM Snk__x___ # __250___<br />
<strong>Chicago</strong>, IL 60652<br />
____3:00_pm<br />
Telephone:(312) 747-6177<br />
Ending Date<br />
8/31/12<br />
#77 Beginning Date<br />
Hermitage <strong>Park</strong> Romero Norwood 06/01/12<br />
5839 S. Wood St.<br />
Lunch__x____ # __26____ ___12:00_pm<br />
PM Snk__x___ # ____25__<br />
<strong>Chicago</strong>, IL 60636<br />
____3:00_pm<br />
Telephone:(312) 747-6179<br />
Ending Date<br />
8/31/12<br />
#78 Beginning Date<br />
Hermosa <strong>Park</strong> Melody Mitchell 06/01/12<br />
2240 N. Kilbourn Ave.<br />
Lunch__x____ # __76____ ___12:30_pm<br />
PM Snk_x____ # __50____<br />
<strong>Chicago</strong>, IL 60634<br />
____3:30_pm<br />
Telephone:(312) 742-7540<br />
Ending Date<br />
8/31/12<br />
#79 Beginning Date<br />
Hiawatha <strong>Park</strong> Larry Krawetz 06/01/12<br />
8029 W. Forest Preserve Dr.<br />
Lunch__x____ # __241___ ___11:30_am<br />
PM Snk_x____ # __180___<br />
<strong>Chicago</strong>, IL 60659<br />
____2:30_pm<br />
Telephone:(312) 746-5559<br />
Ending Date<br />
8/31/12<br />
#80 Beginning Date<br />
Hollywood <strong>Park</strong> 06/01/12<br />
3312 W. Thorndale Ave.<br />
Lunch__x____ # __61____ ___11:30_am<br />
PM Snk_x____ # __60____<br />
<strong>Chicago</strong>, IL 60647<br />
____2:30_pm<br />
Telephone:(773) 478-3482<br />
Ending Date<br />
8/31/12<br />
27
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#81 Beginning Date<br />
Holstein <strong>Park</strong> Shannon English 06/01/12<br />
2200 N. Oakley Ave.<br />
Lunch_x_____ # __201___ __11:45_am<br />
PM Snk__x___ # __180___<br />
<strong>Chicago</strong>, IL 60624<br />
___2:45_pm<br />
Telephone:(312) 742-7554<br />
Ending Date<br />
8/31/12<br />
#82 Beginning Date<br />
Homan Square <strong>Park</strong> 06/01/12<br />
3559 W. Arthington St.<br />
<strong>Park</strong>, Cultural Camp,<br />
Lunch__x____ # __201___ ___11:15_am<br />
PM Snk_x____ # __200___<br />
<strong>Chicago</strong>, IL 60612<br />
TR Camp<br />
____4:00_pm<br />
Telephone:(312) 746-6650<br />
Ending Date<br />
8/31/12<br />
#83 Beginning Date<br />
Mirrimac <strong>Park</strong> 06/01/12<br />
6363 W. Irving <strong>Park</strong> Rd.<br />
Donna Segreti Lunch__x____ # __141___<br />
___12:00_pm<br />
<strong>Chicago</strong>, IL 60634<br />
Telephone: (773) 685-3382<br />
Ending Date<br />
8/31/12<br />
#84 Beginning Date<br />
Horner (Henry) <strong>Park</strong> Tom McManamon 06/01/12<br />
2741 W. Montrose Ave.<br />
Lunch__x____ # __181___ ___11:30_am<br />
PM Snk_x____ # __200___<br />
<strong>Chicago</strong>, IL 60608<br />
____2:30_pm<br />
Telephone:(773) 478-3449<br />
Ending Date<br />
8/31/12<br />
#85 Beginning Date<br />
Humboldt (Baron Von) <strong>Park</strong> Nereida Aviles 06/01/12<br />
1440 N. Sacramento Ave.<br />
Lunch_x_____ # ___181__ ___12:00_pm<br />
PM Snk__x___ # ___180__<br />
<strong>Chicago</strong>, IL 60618<br />
____3:30_pm<br />
Telephone:(312) 742-7549<br />
Ending Date<br />
8/31/12<br />
28
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#86 Beginning Date<br />
Independence <strong>Park</strong> Eileen Sweeney 06/01/12<br />
3945 N. Springfield Ave.<br />
Lunch__x_____ # __201___ ___11:30_am<br />
PM Snk__x___ # ___40___<br />
<strong>Chicago</strong>, IL 60645<br />
___3:30_pm<br />
Telephone:(773) 478-3538<br />
Ending Date<br />
8/31/12<br />
#87 Beginning Date<br />
Indian Boundary <strong>Park</strong> Phil Martini 06/01/12<br />
2500 W. Lunt Ave.<br />
Lunch__x____ # __116___ ___11:30_am<br />
PM Snk_x___ # ___115__<br />
<strong>Chicago</strong>, IL 60646<br />
____2:30_pm<br />
Telephone:(773) 764-0338<br />
Ending Date<br />
8/31/12<br />
#88 Beginning Date<br />
Indian Road <strong>Park</strong> Mary Faith Flahive 06/01/12<br />
6010 W. Matson Ave.<br />
Lunch__x____ # __120___<br />
___12:00_pm<br />
<strong>Chicago</strong>, IL 60643<br />
Telephone:(773) 631-3761<br />
Ending Date<br />
8/31/12<br />
#89 Beginning Date<br />
Jackie Robinson <strong>Park</strong> Surain Stephens 06/01/12<br />
10540 S. Morgan St.<br />
Lunch_______ # ___51___ ___12:00_pm<br />
PM Snk_x____ # __50___<br />
<strong>Chicago</strong>, IL 60620<br />
__3:00 pm_<br />
Telephone:(312) 745-4041<br />
Ending Date<br />
8/31/12<br />
#90 Beginning Date<br />
Jackson <strong>Park</strong> William Tillis 06/01/12<br />
6401 S. Stony Island Ave.<br />
Lunch__x____ # ___276__ ___12:00_pm<br />
PM Snk__x___ # ___275__<br />
<strong>Chicago</strong>, IL 60630<br />
____3:00_pm<br />
Telephone:(773) 256-0903<br />
Ending Date<br />
8/31/12<br />
29
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#91 Beginning Date<br />
Jefferson (Thomas) Memorial <strong>Park</strong> Andrea Woppel 06/01/12<br />
4822 N. Long Ave.<br />
Lunch__x____ # _251____ __11_:30_am<br />
PM Snk_x____ # _250____<br />
<strong>Chicago</strong>, IL 60651<br />
___2_:30_pm<br />
Telephone:(773) 685-3316<br />
Ending Date<br />
8/31/12<br />
#92 Beginning Date<br />
Kedvale <strong>Park</strong> 06/01/12<br />
4134 W. Hirsch<br />
Lunch__x____ # _21_____ ___12:00_pm<br />
PM Snk__x___ # _20_____<br />
<strong>Chicago</strong>, IL 60632<br />
____3:00_pm<br />
Telephone:(312) 742-7543<br />
Ending Date<br />
8/31/12<br />
#93 Beginning Date<br />
Kelly (Edward J.) <strong>Park</strong> Craig Bandyk 06/01/12<br />
2725 W. 41 st St.<br />
Lunch__x____ # __61____ ___12:00_pm<br />
PM Snk_x____ # __60____<br />
<strong>Chicago</strong>, IL 60639<br />
____3:15_pm<br />
Telephone:(312) 747-6197<br />
Ending Date<br />
8/31/12<br />
#94 Beginning Date<br />
Kelvyn (William) <strong>Park</strong> Gonzalo Reyes 06/01/12<br />
4438 W. Wrightwood Ave.<br />
Lunch__x____ # _126____ __11:30_am<br />
PM Snk_x____ # _100____<br />
<strong>Chicago</strong>, IL 60655<br />
____2:30_pm<br />
Telephone:(312) 742-7547<br />
Ending Date<br />
8/31/12<br />
#95 Beginning Date<br />
Kennicott (Jonathan A.) <strong>Park</strong> Renee Shepherd 06/01/12<br />
4434 S. Lake <strong>Park</strong> Ave.<br />
Lunch_x_____ # __176___ ___12:00_pm<br />
PM Snk_x____ # __170___<br />
<strong>Chicago</strong>, IL 60653<br />
____3:00_pm<br />
Telephone:(312) 747-7138<br />
Ending Date<br />
8/31/12<br />
30
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#96 Beginning Date<br />
Revere (Paul) <strong>Park</strong> 06/01/12<br />
2509 W. Irving <strong>Park</strong> Rd.<br />
Greg Czajkowski PM Snk__x____ # __26____<br />
___11:00_am<br />
<strong>Chicago</strong>, IL 60618<br />
Telephone: (773) 478-1220<br />
Ending Date<br />
8/31/12<br />
#97 Beginning Date<br />
Ken-Well <strong>Park</strong> Delonese Robinson 06/01/12<br />
2945 N. Kenosha Ave.<br />
Lunch__x____ # __41____ ___12:00_pm<br />
PM Snk_x____ # __20____<br />
<strong>Chicago</strong>, IL 60641<br />
____3:00_pm<br />
Telephone:(773) 685-3348<br />
Ending Date<br />
8/31/12<br />
#98 Beginning Date<br />
Kenwood Community <strong>Park</strong> Tony McCoy 06/01/12<br />
1330 E. 50 th St.<br />
Lunch__x____ # __61____ ___12:00_pm<br />
PM Snk_x____ # __60____<br />
<strong>Chicago</strong>, IL 60615<br />
____3:30_pm<br />
Telephone:(312) 747-6286<br />
Ending Date<br />
8/31/12<br />
#99 Beginning Date<br />
Kilbourn <strong>Park</strong> Julie Thompson 06/01/12<br />
3501 N. Kilbourn Ave.<br />
Lunch_x_____ # ____176_ ___11:30_am<br />
PM Snk_x____ # _____20<br />
<strong>Chicago</strong>, IL 60641<br />
____3:15_pm<br />
Telephone:(773) 685-3351<br />
Ending Date<br />
8/31/12<br />
#100 Beginning Date<br />
Kosciuszko (Thadeuz) <strong>Park</strong> Rebecca Tirado 06/01/12<br />
2732 N. Avers Ave.<br />
Lunch__x____ # __191___ __12:00_pm<br />
PM Snk_x____ # __190___<br />
<strong>Chicago</strong>, IL 60647<br />
___3:45_pm<br />
Telephone:(312) 742-7546<br />
Ending Date<br />
8/31/12<br />
31
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Beginning Date<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#101<br />
LaFollette (Robert M.) <strong>Park</strong> Steve Collins 06/01/12<br />
1333 N. Laramie Ave.<br />
Lunch__x____ # ___111__ ___12:00_pm<br />
PM Snk__x___ # ___110__<br />
<strong>Chicago</strong>, IL 60651<br />
____3:00_pm<br />
Telephone:(773) 287-0541<br />
Ending Date<br />
8/31/12<br />
#102 Beginning Date<br />
Lake Meadows <strong>Park</strong> Sherri Overton 06/01/12<br />
3117 S. Rhodes Ave.<br />
Lunch___x___ # __111___ ____12:00_pm<br />
PM Snk_x____ # __110___<br />
<strong>Chicago</strong>, IL 60616<br />
____3:00_pm<br />
Telephone:(312) 747-6287<br />
Ending Date<br />
8/31/12<br />
#103 Brkfst___x___ # __90___ ___9:00_am Beginning Date<br />
Lake Shore <strong>Park</strong> Leticia Tremaine 06/01/12<br />
808 N. Lake Shore Dr.<br />
Lunch__x____ # ___101__ ___12:00_pm<br />
PM Snk_x____ # ____100_<br />
<strong>Chicago</strong>, IL 60611<br />
____3:00_pm<br />
Telephone:(312) 742-7891<br />
Ending Date<br />
8/31/12<br />
#104 Beginning Date<br />
Lawler <strong>Park</strong> Nancy Kohn 06/01/12<br />
5210 W. 64 th St.<br />
Lunch__x____ # ___41___ ___12:00_pm<br />
PM Snk__x___ # ___40___<br />
<strong>Chicago</strong>, IL 60638<br />
____3:30_pm<br />
Telephone:(773) 284-7328<br />
Ending Date<br />
8/31/12<br />
#105 Beginning Date<br />
Le Claire Hearst (Antoine, Phoebe) Joe Laws 06/01/12<br />
Community Center<br />
Lunch__x____ # _61_____<br />
5120 W. 44 th PM Snk__x___ # _60_____ __12:00_pm<br />
Street<br />
____3:30_pm<br />
<strong>Chicago</strong>, IL 60638<br />
8/31/12<br />
Telephone:(312) 747-6438<br />
Ending Date<br />
32
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#106 Beginning Date<br />
Lincoln <strong>Park</strong> Cultrual Center Cindi Jahraus 06/01/12<br />
2045 N. Lincoln <strong>Park</strong> West<br />
Lunch__x____ # _161____ ___12:00_pm<br />
PM Snk_x____ # __160___<br />
<strong>Chicago</strong>, IL 60614<br />
____3:00_pm<br />
Telephone:(312) 742-7226<br />
Ending Date<br />
8/31/12<br />
#107 Beginning Date<br />
Lindblom <strong>Park</strong> Tim White 06/01/12<br />
6054 S. Damen Ave.<br />
Lunch__x__ # __151___ ___11:00_am<br />
PM Snk_x__ # __150___<br />
<strong>Chicago</strong>, IL 60636<br />
____4:00_pm<br />
Telephone:(312) 747-6443<br />
Ending Date<br />
8/31/12<br />
#108 Beginning Date<br />
Lowe <strong>Park</strong> 06/01/12<br />
5203 S. Lowe Ave.<br />
Lunch__x____ # __51____ ___12:00_pm<br />
PM Snk__x__ # __50____<br />
<strong>Chicago</strong>, IL 60609<br />
____3:30_pm<br />
Telephone:(312) 747-6445<br />
Ending Date<br />
8/31/12<br />
#109 Beginning Date<br />
Loyola <strong>Park</strong> Mary Faith Hopkins 06/01/12<br />
1230 W. Greenleaf Ave.<br />
Lunch__x____ # __306___ __11:30_am<br />
PM Snk__x___ # __275___<br />
<strong>Chicago</strong>, IL 60626<br />
____2:45_pm<br />
Telephone:(773) 262-8605<br />
Ending Date<br />
8/31/12<br />
#110 Beginning Date<br />
Madden Ellis 06/01/12<br />
535 W. 35 th St.<br />
Lunch__x____ # ___61___ ___12:00_pm<br />
PM Snk__x___ # ___60___<br />
<strong>Chicago</strong>, IL 60653<br />
____3:00_pm<br />
Telephone:(312) 747-6446<br />
Ending Date<br />
8/31/12<br />
33
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#111 Beginning Date<br />
Mahalia Jackson 06/01/12<br />
8407 S. Kerfoot<br />
Lunch__x____ # __61____ ___12:00_pm<br />
PM Snk__x___ # __60____<br />
<strong>Chicago</strong>, IL 60620<br />
____3:00_pm<br />
Telephone:(312 ) 747-6154<br />
Ending Date<br />
8/31/12<br />
#112 Beginning Date<br />
Mann <strong>Park</strong> Pat McGuire 06/01/12<br />
13000 S. Carondolet Ave.<br />
Lunch__x____ # __151___ ___12:15_pm<br />
PM Snk__x___ # __150___<br />
<strong>Chicago</strong>, IL 60633<br />
____3:15_pm<br />
Telephone:(773) 646-0210<br />
Ending Date<br />
8/31/12<br />
#113 Beginning Date<br />
Margate Fieldhouse Jennifer Bice 06/01/12<br />
4921 N. Marine Dr.<br />
Lunch__x____ # ___161__ ___12:00_pm<br />
PM Snk_x____ # ___130__<br />
<strong>Chicago</strong>, IL 60640<br />
____3:30_pm<br />
Telephone:(312) 742-7522<br />
Ending Date<br />
8/31/12<br />
#114 Beginning Date<br />
Marquette <strong>Park</strong> Doug Borders 06/01/12<br />
6734 S. Kedzie Ave.<br />
Lunch___x___ # __206___<br />
___12:00_pm<br />
<strong>Chicago</strong>, IL 60629<br />
Telephone:(312) 747-6469<br />
Ending Date<br />
8/31/12<br />
#115 Beginning Date<br />
Mayfair <strong>Park</strong> Maria McDorman 06/01/12<br />
4550 W. Sunnyside Ave.<br />
Lunch___x___ # ____91__ ___12:00_pm<br />
PM Snk__x___ # _____90_<br />
<strong>Chicago</strong>, IL 60630<br />
____3:00_pm<br />
Telephone:(773) 685-3361<br />
Ending Date<br />
8/31/12<br />
34
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#116 Beginning Date<br />
McFetridge Dave Schneider 06/01/12<br />
3843 N. California Ave.<br />
Lunch__x____ # __31____ ___1:00_pm<br />
PM Snk__x___ # __30____<br />
<strong>Chicago</strong>, IL 60618<br />
____4:00_pm<br />
Telephone:(773) 478-2609<br />
Ending Date<br />
8/31/12<br />
#117 Beginning Date<br />
McGuane (John F.) <strong>Park</strong> Kal Moy 06/01/12<br />
2901 S. Poplar Ave.<br />
Lunch__x____ # __201___ ____12:00_pm<br />
PM Snk__x___ # ___45___<br />
<strong>Chicago</strong>, IL 60608<br />
____4:15_pm<br />
Telephone:(312) 747-6497<br />
Ending Date<br />
8/31/12<br />
#118 Beginning Date<br />
McKiernan Sara Bush 06/01/12<br />
10714 S. Sawyer<br />
PM Snk_x____ # _85_____<br />
____2:30_pm<br />
<strong>Chicago</strong>, IL 60655<br />
Telephone:(312) 747-2883<br />
Ending Date<br />
8/31/12<br />
#119 Brkfst__x____ # __30____ ____9:00_am Beginning Date<br />
McKinley (William) <strong>Park</strong> Vito Mastrandrea 06/01/12<br />
2210 W. Pershing Rd.<br />
Lunch__x____ # ___251__<br />
___12:40_pm<br />
<strong>Chicago</strong>, IL 60609<br />
Telephone:(312) 747-6527<br />
Ending Date<br />
8/31/12<br />
#120 Beginning Date<br />
Merrimac <strong>Park</strong> Donna Segreti 06/01/12<br />
6343 W. Irving <strong>Park</strong> Rd.<br />
Day Camp, Play Camp Lunch__x____ # __61___ __12:00_pm<br />
PM Snk_x____ # __140___<br />
<strong>Chicago</strong>, IL 60634<br />
____3:00_pm<br />
Telephone:(773) 685-3382<br />
Ending Date<br />
8/31/12<br />
35
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#121 Beginning Date<br />
Meyering <strong>Park</strong> Solomon Smith 06/01/12<br />
7140 S. King Dr.<br />
Lunch__x____ # _62_____ ____11:00_am<br />
PM Snk__x___ # _60_____<br />
<strong>Chicago</strong>, IL 60619<br />
____3:00_pm<br />
Ending Date<br />
8/31/12<br />
#122 Beginning Date<br />
Minuteman <strong>Park</strong> Jenny Garcia 06/01/12<br />
5940 S. Central Ave.<br />
Lunch__x____ # __81____ ___12:00_pm<br />
PM Snk__x__ # __80____<br />
<strong>Chicago</strong>, IL 60638<br />
____3:30_pm<br />
Telephone:(773) 284-0214<br />
Ending Date<br />
8/31/12<br />
#123 Beginning Date<br />
Moore (Maurice T.) <strong>Park</strong> Cheryl Bullock 06/01/12<br />
5085 W. Adams St.<br />
Lunch__x____ # ___31___ ___12:00_pm<br />
PM Snk__x___ # ___30___<br />
<strong>Chicago</strong>, IL 60644<br />
____3:00_pm<br />
Telephone:(773) 287-0561<br />
Ending Date<br />
8/31/12<br />
#124 Beginning Date<br />
Moran <strong>Park</strong> 06/01/12<br />
5727 S. Racine Ave.<br />
Lunch__x____ # __26____ ___12:00_pm<br />
PM Snk__x___ # __26____<br />
<strong>Chicago</strong>, IL 60636<br />
____3:45_pm<br />
Telephone:(312) 747-6560<br />
Ending Date<br />
8/31/12<br />
#125 Beginning Date<br />
Mozart (Amadeus) <strong>Park</strong> Jesus Perez 06/01/12<br />
2036 N. Avers St.<br />
Lunch__x____ # __101___ ___12:00_pm<br />
PM Snk_x____ # __100___<br />
<strong>Chicago</strong>, IL 60647<br />
____3:00_pm<br />
Telephone:(312) 747-6560<br />
Ending Date<br />
8/31/12<br />
36
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#126 Beginning Date<br />
Mt. Greenwood <strong>Park</strong> John Foran 06/01/12<br />
3721 W. 111 th St.<br />
PM Snk_x____ # __220___<br />
___2:30_pm<br />
<strong>Chicago</strong>, IL 60655<br />
Telephone:(312) 747-6564<br />
Ending Date<br />
8/31/12<br />
#127 Beginning Date<br />
Murray <strong>Park</strong> Tim Greer 06/01/12<br />
1743 W. 73 rd St.<br />
Lunch__x____ # ___32___ ___12:00_pm<br />
PM Snk__x___ # ___30___<br />
<strong>Chicago</strong>, IL 60636<br />
____3:00_pm<br />
Telephone:(312) 747-6562<br />
Ending Date<br />
8/31/12<br />
#128 Beginning Date<br />
Nash (Don) Community Center Rochelle Portee-White 06/01/12<br />
1833 E. 53 rd St.<br />
Lunch___x___ # __111___ ___11:00_am<br />
PM Snk__x___ # __110___<br />
<strong>Chicago</strong>, IL 60649<br />
____3:30_pm<br />
Telephone:(773) 256-0904<br />
Ending Date<br />
8/31/12<br />
#129 Beginning Date<br />
NTA Farah Tunks 06/01/12<br />
55 W. Cermak Rd.<br />
Lunch__x____ # __81____ ___12:00_pm<br />
PM Snk_x____ # __80____<br />
<strong>Chicago</strong>, IL 60616<br />
____3:00_pm<br />
Telephone:(312) 747-1615<br />
Ending Date<br />
8/31/12<br />
#130 Beginning Date<br />
Nichols <strong>Park</strong> Heather Kelly 06/01/12<br />
1655 E. 53 rd St.<br />
Lunch__x____ # __141___ ___12:00_pm<br />
PM Snk__x___ # __140___<br />
<strong>Chicago</strong>, IL 60615<br />
____3:30_pm<br />
Telephone:(312) 747-2703<br />
Ending Date<br />
8/31/12<br />
37
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#131 Beginning Date<br />
Normandy <strong>Park</strong> Kathy Murray 06/01/12<br />
6660 W. 52 nd St.<br />
Lunch___x___ # ___201__ ___12:00_pm<br />
PM Snk__x___ # ___125__<br />
<strong>Chicago</strong>, IL 60638<br />
____3:00_pm<br />
Telephone:(773) 229-1421<br />
Ending Date<br />
8/31/12<br />
#132 Beginning Date<br />
Norwood <strong>Park</strong> Jennifer Fitzgerald 06/01/12<br />
5801 N. Natoma Ave.<br />
<strong>Chicago</strong>, IL 60631<br />
Telephone:(773) 631-4893<br />
Ending Date<br />
Lunch__x____ # __31____ ___11:00_am 8/31/12<br />
#133 Beginning Date<br />
O’Hallaren <strong>Park</strong> Terry Jones 06/01/12<br />
8335 S. Honore St.<br />
Lunch__x____ # __43____ ___12:00_pm<br />
PM Snk__x___ # __42____<br />
<strong>Chicago</strong>, IL 60620<br />
____3:00_pm<br />
Telephone:(312) 747-6573<br />
Ending Date<br />
8/31/12<br />
#134 Brkfst__x____ # ___50___ ___9:00_am Beginning Date<br />
Oakdale <strong>Park</strong> Quedell Paramore 06/01/12<br />
965 W. 95 th St.<br />
Lunch__x____ # ___91___<br />
_12:00_pm<br />
<strong>Chicago</strong>, IL 60643<br />
Telephone:(312) 747-6569<br />
Ending Date<br />
8/31/12<br />
#135 Beginning Date<br />
Ogden <strong>Park</strong> Ron Wright 06/01/12<br />
6500 S. Racine Ave.<br />
Lunch__x____ # ___201__ ____12:00_pm<br />
PM Snk_x___ # ___200__<br />
<strong>Chicago</strong>, IL 60636<br />
____3:00_pm<br />
Telephone:(312) 747-6572<br />
Ending Date<br />
8/31/12<br />
38
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#136 Beginning Date<br />
Olympia <strong>Park</strong> Debbie Groh 06/01/12<br />
6566 N. Avondale Ave.<br />
PM Snk_x____ # ___160__<br />
__3:30_pm<br />
<strong>Chicago</strong>, IL 60631<br />
Telephone:(773) 631-6861<br />
Ending Date<br />
8/31/12<br />
#137 Beginning Date<br />
Oriole <strong>Park</strong> Frank Clark 06/01/12<br />
5430 N. Olcott Ave.<br />
Lunch__x____ # _161____ ___11:30 am_<br />
PM Snk__x___ # ___30___<br />
<strong>Chicago</strong>, IL 60656<br />
____2:30 pm_<br />
Telephone:(773) 631-6197<br />
Ending Date<br />
8/31/12<br />
#138 Beginning Date<br />
Owens (Jesse) <strong>Park</strong> Jetaune Guyton 06/01/12<br />
2032 E. 88 th St.<br />
Lunch__x____ # ___151__ ___11:30_am<br />
PM Snk__x___ # ____150_<br />
<strong>Chicago</strong>, IL 60617<br />
____2:30_pm<br />
Telephone:(312) 747-6709<br />
Ending Date<br />
8/31/12<br />
#139 Beginning Date<br />
Wicker (Charles) <strong>Park</strong> John Davidson 06/01/12<br />
1425 N. Damen Ave.<br />
PM Snk__x___ # ____120_<br />
____3:00_pm<br />
<strong>Chicago</strong>, IL 60622<br />
Telephone: (312) 742-7553<br />
Ending Date<br />
8/31/12<br />
#140 Beginning Date<br />
Palmer <strong>Park</strong> Dina Rutledge 06/01/12<br />
201 E. 111 th St.<br />
Lunch__x____ # ____251_ ____1:00_pm<br />
PM Snk__x___ # ____250_<br />
<strong>Chicago</strong>, IL 60628<br />
____4:00_pm<br />
Telephone:(312) 747-6576<br />
Ending Date<br />
8/31/12<br />
39
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#141 Beginning Date<br />
Paschen (Christian P.) <strong>Park</strong> Tanya Dillard 06/01/12<br />
1932 W. Lunt Ave.<br />
Lunch__x____ # __35____ ___11:45_am<br />
PM Snk_x___ # ___36___<br />
<strong>Chicago</strong>, IL 60626<br />
____2:45_pm<br />
Telephone:(773) 262-5871<br />
Ending Date<br />
8/31/12<br />
#142 Beginning Date<br />
Pasteur <strong>Park</strong> 06/01/12<br />
5825 S. Kostner Ave.<br />
Lunch__x____ # ___91___ ___12:00_pm<br />
PM Snk__x___ # ___25___<br />
<strong>Chicago</strong>, IL 60629<br />
____4:00_pm<br />
Telephone:(773) 284-0530<br />
Ending Date<br />
8/31/12<br />
#143 Beginning Date<br />
Peterson (Pehr Samuel) <strong>Park</strong> Kiala Moore 06/01/12<br />
5801 N. Pulaski Rd.<br />
Lunch__x____ # __121___ ___12:00_pm<br />
PM Snk__x___ # ___120__<br />
<strong>Chicago</strong>, IL 60646<br />
____3:00_pm<br />
Telephone:(312) 742-7584<br />
Ending Date<br />
8/31/12<br />
#144 Beginning Date<br />
Kenwood Community <strong>Park</strong> 06/01/12<br />
1330 E. 50 th St.<br />
Bkfst__x____ # __10___<br />
___8:30_am<br />
<strong>Chicago</strong>, IL 60615<br />
Telephone: (312) 747-6286<br />
Ending Date<br />
8/31/12<br />
#145 Beginning Date<br />
Portage <strong>Park</strong> Mike Nimietz 06/01/12<br />
4100 N. Long Ave.<br />
Lunch___x___ # ___221__<br />
___11:00 am_<br />
<strong>Chicago</strong>, IL 60641<br />
Telephone:(773) 685-7235<br />
Ending Date<br />
8/31/12<br />
40
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#146 Beginning Date<br />
Pottawwattomie <strong>Park</strong> Barbara Dever 06/01/12<br />
7340 N. Rogers Ave.<br />
Lunch__x____ # ____51__ __11:30_am<br />
PM Snk__x___ # ____50__<br />
<strong>Chicago</strong>, IL 60626<br />
____2:30_pm<br />
Telephone:(773) 262-5835<br />
Ending Date<br />
8/31/12<br />
#147 Beginning Date<br />
Pulaski (Casimer) <strong>Park</strong> Jim Boldt 06/01/12<br />
1419 W. Blackhawk St.<br />
Lunch__x____ # ___101__ ___1:00_pm<br />
PM Snk_x____ # ____60__<br />
<strong>Chicago</strong>, IL 60622<br />
____4:15_pm<br />
Telephone:(312) 742-7559<br />
Ending Date<br />
8/31/12<br />
#148 Beginning Date<br />
Rainbow Beach <strong>Park</strong> Janine Moore 06/01/12<br />
3111 E. 77 th St.<br />
Lunch__x____ # ___251__ ___12:00_pm<br />
PM Snk__x___ # ___250__<br />
<strong>Chicago</strong>, IL 60649<br />
____3:00_pm<br />
Telephone:(312) 745-1479<br />
Ending Date<br />
8/31/12<br />
#149 Beginning Date<br />
Rainey <strong>Park</strong> Paul Serritella 06/01/12<br />
4350 W. 79 th St.<br />
Lunch__x____ # __101___ ___12:00_pm<br />
PM Snk_x____ # ___40___<br />
<strong>Chicago</strong>, IL 60652<br />
____4:00_pm<br />
Telephone:(773) 284-0696<br />
Ending Date<br />
8/31/12<br />
#150 Beginning Date<br />
Revere (Paul) <strong>Park</strong> Greg Czajkowski 06/01/12<br />
2509 W. Irving <strong>Park</strong> Rd.<br />
Revere I, Revere II<br />
Lunch___x___ # ___180__ ___11:30_am<br />
PM Snk__x___ # ____55__<br />
<strong>Chicago</strong>, IL 60618<br />
___11:30_am<br />
Telephone:(773) 478-1220<br />
Ending Date<br />
8/31/12<br />
41
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#151 Beginning Date<br />
Riis (Jacob A.) <strong>Park</strong> Keith Hammerberg 06/01/12<br />
6100 W. Fullerton Ave.<br />
Lunch__x____ # __181___ ___12:00_pm<br />
PM Snk_x ___ # ___40___<br />
<strong>Chicago</strong>, IL 60639<br />
____3:00 pm<br />
Telephone:(312) 746-5363<br />
Ending Date<br />
8/31/12<br />
#152 Beginning Date<br />
River <strong>Park</strong> Vera Ornate 06/01/12<br />
5100 N. Francisco Ave.<br />
Lunch___x___ # __261___ ___12:00_pm_<br />
PM Snk__x___ # ___100__<br />
<strong>Chicago</strong>, IL 60625<br />
____3:15_pm<br />
Telephone:(312) 742-7516<br />
Ending Date<br />
8/31/12<br />
#153 Beginning Date<br />
Robichaux <strong>Park</strong> Sherri Hudson 06/01/12<br />
9247 S. Eggleston Ave.<br />
Lunch__x____ # __81____ ___12:30_pm<br />
PM Snk__x___ # __80____<br />
<strong>Chicago</strong>, IL 60620<br />
___3:30_pm<br />
Telephone:(312) 747-6648<br />
Ending Date<br />
8/31/12<br />
#154 Beginning Date<br />
Rosedale <strong>Park</strong> Stacey Anti 06/01/12<br />
6312 W. Rosedale Ave.<br />
Lunch__x____ # __141___ ___11:30 am_<br />
PM Snk__x___ # __140___<br />
<strong>Chicago</strong>, IL 60646<br />
____2:30 pm_<br />
Telephone:(773) 631-7156<br />
Ending Date<br />
8/31/12<br />
#155 Beginning Date<br />
Rowan <strong>Park</strong> Martha Ramirez 06/01/12<br />
11546 S. Avenue L<br />
Lunch__x____ # _131____ ___12:00_pm<br />
PM Snk__x___ # _130____<br />
<strong>Chicago</strong>, IL 60617<br />
____3:00_pm<br />
Telephone:(773) 646-3180<br />
Ending Date<br />
8/31/12<br />
42
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#156 Beginning Date<br />
Russell Square <strong>Park</strong> Richard Blake 06/01/12<br />
3045 E. 83 rd St.<br />
Lunch__x____ # __121____ ___12:00_pm<br />
PM Snk__x___ # __120___<br />
<strong>Chicago</strong>, IL 60617<br />
____3:00_pm<br />
Telephone:(312) 747-6651<br />
Ending Date<br />
8/31/12<br />
#157 Beginning Date<br />
Rutherford Sayre (Thomas, William) George Mavrou 06/01/12<br />
6871 W. Belden Ave.<br />
Lunch__x____ # ___66___ ___11:30_am<br />
PM Snk_x____ # ___65___<br />
<strong>Chicago</strong>, IL 60635<br />
____2:30_pm<br />
Telephone:(312) 746-5368<br />
Ending Date<br />
8/31/12<br />
#158 Beginning Date<br />
Sauganash <strong>Park</strong> Michelle Baldwin 06/01/12<br />
5861 N. Kostner Ave.<br />
Lunch___x___ # __36____ ___12:00_pm<br />
PM Snk__x___ # __120___<br />
<strong>Chicago</strong>, IL 60646<br />
____3:15_pm<br />
Telephone:(773) 685-6122<br />
Ending Date<br />
8/31/12<br />
#159 Beginning Date<br />
Schreiber <strong>Park</strong> Venus De La Cruz 06/01/12<br />
1552 W. Schreiber Ave.<br />
Lunch___x___ # __26____<br />
___11:45_am<br />
<strong>Chicago</strong>, IL 60626<br />
Telephone:(773) 262-6741<br />
Ending Date<br />
8/31/12<br />
#160 Beginning Date<br />
Scottsdale <strong>Park</strong> Michelle Heinen 06/01/12<br />
4637 W. 83 rd St.<br />
Lunch__x____ # __146___ ___12:00_pm<br />
PM Snk__x___ # ___115__<br />
<strong>Chicago</strong>, IL 60652<br />
____3:30_pm<br />
Telephone:(773) 284-1826<br />
Ending Date<br />
8/31/12<br />
43
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#161 Beginning Date<br />
Senka <strong>Park</strong> Tim Bus 06/01/12<br />
5656 S. St. Louis Ave.<br />
Lunch__x____ # __76____ ___12:00_pm<br />
PM Snk__x___ # __75____<br />
<strong>Chicago</strong>, IL 60629<br />
____3:00_pm<br />
Telephone:(312) 747-7632<br />
Ending Date<br />
8/31/12<br />
#162 Beginning Date<br />
Seward Joyce Herron 06/01/12<br />
375 W. Elm<br />
Lunch__x____ # ___151__ ___11:45_am<br />
PM Snk_x____ # ___150__<br />
<strong>Chicago</strong>, IL 60610<br />
____3:00 _pm<br />
Telephone:(312) 742-7895<br />
Ending Date<br />
8/31/12<br />
#163 Beginning Date<br />
Shabbona <strong>Park</strong> Larua LeVitus 06/01/12<br />
6935 Addison St.<br />
Lunch___x___ # __251___ ___11:30_am<br />
PM Snk__x___ # ___76___<br />
<strong>Chicago</strong>, IL 60634<br />
___2:30_pm<br />
Telephone:(773) 685-6205<br />
Ending Date<br />
8/31/12<br />
#164 Beginning Date<br />
Shedd (John G.) <strong>Park</strong> Wanda Norris 06/01/12<br />
3660 W. 23 rd St.<br />
Lunch__x____ # __51____ ____12:00_pm<br />
PM Snk_x____ # __50____<br />
<strong>Chicago</strong>, IL 60623<br />
___3:30_pm<br />
Telephone:(773) 762-3168<br />
Ending Date<br />
8/31/12<br />
#165 Beginning Date<br />
Sheil (Bernard) Community Center Erin McGuire 06/01/12<br />
3505 N. Southport Ave.<br />
Lunch__x____ # ___25___<br />
___12:00_pm<br />
<strong>Chicago</strong>, IL 60657<br />
Telephone:(312) 742-7826<br />
Ending Date<br />
8/31/12<br />
44
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#166 Beginning Date<br />
Sherman <strong>Park</strong> Marvin Tolbert 06/01/12<br />
1301 W. 52 nd St.<br />
Lunch___x___ # __151___ ___12:15_pm<br />
PM Snk__x___ # ___150__<br />
<strong>Chicago</strong>, IL 60609<br />
____3:30_pm<br />
Telephone:(312) 746-5369<br />
Ending Date<br />
8/31/12<br />
#167 Beginning Date<br />
Sherwood <strong>Park</strong> Priscilla Alexander 06/01/12<br />
5701 S. Shields Ave.<br />
Lunch__x____ # __81____ ___12:15_pm<br />
PM Snk__x___ # __80____<br />
<strong>Chicago</strong>, IL 60621<br />
____4:00_pm<br />
Telephone:(773) 256-0926<br />
Ending Date<br />
8/31/12<br />
#168 Beginning Date<br />
Simons (Almira) <strong>Park</strong> Maria Delgado 06/01/12<br />
1640 N. Drake Ave.<br />
Lunch___x___ # __21____ ___12:00_pm<br />
PM Snk__x___ # __20____<br />
<strong>Chicago</strong>, IL 60647<br />
____3:00_pm<br />
Telephone:(312) 742-7548<br />
Ending Date<br />
8/31/12<br />
#169 Beginning Date<br />
Skinner (Mark) <strong>Park</strong> Tabrena Howard 06/01/12<br />
1331 W. Adams St.<br />
Lunch_x_____ # __151___ ___11:00_pm<br />
PM Snk__x___ # ___150__<br />
<strong>Chicago</strong>, IL 60606<br />
____3:00_pm<br />
Telephone:(312) 746-5560<br />
Ending Date<br />
8/31/12<br />
#170 Beginning Date<br />
Smith (Joseph Higgins) <strong>Park</strong> Sherita Taylor 06/01/12<br />
2526 W. Grand Ave.<br />
Lunch__x____ # ___121__ ___11:00_am<br />
PM Snk__x___ # ___120__<br />
<strong>Chicago</strong>, IL 60612<br />
____3:00_pm<br />
Telephone:(312) 742-7534<br />
Ending Date<br />
8/31/12<br />
45
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#171 Beginning Date<br />
Smith (Wendell) <strong>Park</strong> 06/01/12<br />
9912 S. Prinston Ave.<br />
Lunch__x____ # __46____ ___12:30_pm<br />
PM Snk__x___ # __45____<br />
<strong>Chicago</strong>, IL 60628<br />
____3:30_pm<br />
Telephone:(312) 747-6689<br />
Ending Date<br />
8/31/12<br />
#172 Beginning Date<br />
South Shore Cultural Center Andrea Adams 06/01/12<br />
7059 S. South Shore Dr.<br />
Lunch__x____ # ___141__ ___12:00_pm<br />
PM Snk_x____ # ___140__<br />
<strong>Chicago</strong>, IL 60649<br />
____3:30_pm<br />
Telephone:(773) 256-0149<br />
Ending Date<br />
8/31/12<br />
#173 Beginning Date<br />
Sumner <strong>Park</strong> Glenn Christmas 06/01/12<br />
4320 W. 5 th Ave.<br />
Lunch__x____ # __61____ ___12:00_pm<br />
PM Snk_x____ # ___60___<br />
<strong>Chicago</strong>, IL 60624<br />
____3:15_pm<br />
Telephone:(312) 746-5394<br />
Ending Date<br />
8/31/12<br />
#174 Beginning Date<br />
Tarkington <strong>Park</strong> Ray Richard 06/01/12<br />
3344 W. 71 st St.<br />
Lunch__x____ # __76____ ___12:00_pm<br />
PM Snk__x___ # __75____<br />
<strong>Chicago</strong>, IL 60629<br />
____3:00_pm<br />
Telephone:(312) 747-6136<br />
Ending Date<br />
8/31/12<br />
#175 Beginning Date<br />
Taylor (Robert Rochon) <strong>Park</strong> Derrick Faulkner 06/01/12<br />
39 W. 47 th St.<br />
Lunch___x___ # __116___ ___12:00_pm<br />
PM Snk___x__ # __115___<br />
<strong>Chicago</strong>, IL 60609<br />
____3:00_pm<br />
Telephone:(312) 747-6728<br />
Ending Date<br />
8/31/12<br />
46
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#176 Beginning Date<br />
Taylor-Lauridsen (John, Emil) <strong>Park</strong> Al Mikuzis 06/01/12<br />
647 W. Root St.<br />
Lunch__x____ # __91____ ___12:00_pm<br />
PM Snk__x___ # __90____<br />
<strong>Chicago</strong>, IL 60609<br />
____3:00_pm<br />
Telephone:(312) 747-6729<br />
Ending Date<br />
8/31/12<br />
#177 Beginning Date<br />
Tilton (George W.) <strong>Park</strong> Randy Williams 06/01/12<br />
305 N. Kostner Ave.<br />
Lunch___x___ # ___26___ ___12:00_pm<br />
PM Snk_x____ # ___25___<br />
<strong>Chicago</strong>, IL 60624<br />
____3:30_pm<br />
Telephone:(773) 287-0806<br />
Ending Date<br />
8/31/12<br />
#178 Beginning Date<br />
Touhy (Patrick L.) <strong>Park</strong> John Yost 06/01/12<br />
7348 N. Paulina St.<br />
Lunch__x____ # __61____ __11:00_am<br />
PM Snk_x____ # __40____<br />
<strong>Chicago</strong>, IL 60626<br />
____2:00_pm<br />
Telephone:(773) 262-6737<br />
Ending Date<br />
8/31/12<br />
#179 Beginning Date<br />
Humboldt (Baron Von) <strong>Park</strong> Neveida Aviles Bkfst_x____ # __54____ __9:00_am 06/01/12<br />
144 N. Sacramento Ave.<br />
<strong>Chicago</strong>, IL 60618<br />
Telephone: (312) 742-7549<br />
Ending Date<br />
8/31/12<br />
#180 Beginning Date<br />
Trumbull <strong>Park</strong> Joe Lewis 06/01/12<br />
2400 E. 105 th St.<br />
Lunch__x____ # __101___ ___12:00_pm<br />
PM Snk__x___ # __100___<br />
<strong>Chicago</strong>, IL 60617<br />
____3:30_pm<br />
Telephone:(312) 747-6759<br />
Ending Date<br />
8/31/12<br />
47
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#181 Beginning Date<br />
Tuley Donna Jones 06/01/12<br />
501 E. 90 th Pl.<br />
Lunch__x____ # ___224__ ___12:00_pm<br />
PM Snk_x____ # ___226__<br />
<strong>Chicago</strong>, IL 60619<br />
____3:20_pm<br />
Telephone:(312) 747-6763<br />
Ending Date<br />
8/31/12<br />
#182 Beginning Date<br />
Union <strong>Park</strong> Tony Fitzgerald 06/01/12<br />
1501 W. Randolpth St.<br />
Lunch__x____ # __119___ ___12:30_pm<br />
PM Snk_x____ # ___118__<br />
<strong>Chicago</strong>, IL 60607<br />
____3:30_pm<br />
Telephone:(312) 746-5494<br />
Ending Date<br />
8/31/12<br />
#183 Beginning Date<br />
Valley Forge <strong>Park</strong> Dawn Ostrowski 06/01/12<br />
7001 W. 59 th St.<br />
Lunch__x____ # __81____ ___12:00_pm<br />
PM Snk__x___ # ___80___<br />
<strong>Chicago</strong>, IL 60638<br />
____3:00_pm<br />
Telephone:(773) 229-0812<br />
Ending Date<br />
8/31/12<br />
#184 Beginning Date<br />
Veteran’s Memorial <strong>Park</strong> Anthony Navarro 06/01/12<br />
2820 E. 98 th St.<br />
Lunch___x___ # ___41___ ___11:30_am<br />
PM Snk___x__ # ___40___<br />
<strong>Chicago</strong>, IL 60624<br />
____2:30_pm<br />
Telephone:(312) 747-6812<br />
Ending Date<br />
8/31/12<br />
#185 Beginning Date<br />
Vittum (Harriet Elizabeth) <strong>Park</strong> Roland Konow 06/01/12<br />
5010 W. 50 th St.<br />
Lunch___x___ # ___151__<br />
___12:00_pm<br />
<strong>Chicago</strong>, IL 60638<br />
Telephone:(773) 284-6022<br />
Ending Date<br />
8/31/12<br />
48
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#186 Beginning Date<br />
Warren (Laurence C.) <strong>Park</strong> Diana Lynn Schilz 06/01/12<br />
6601 N. Western Ave.<br />
Lunch__x____ # ___141__ ___11:30_am<br />
PM Snk_x____ # ___100__<br />
<strong>Chicago</strong>, IL 60645<br />
____2:30_pm<br />
Telephone:(773) 262-6314<br />
Ending Date<br />
8/31/12<br />
#187 Beginning Date<br />
Washington <strong>Park</strong> Janie Collins 06/01/12<br />
5531 S. Martin Luther King<br />
Lunch__x____ # __181___ ___1:00_pm<br />
PM Snk__x___ # __150___<br />
<strong>Chicago</strong>, IL 60637<br />
____4:30_pm<br />
Telephone:(773) 256-1248<br />
Ending Date<br />
8/31/12<br />
#188 Beginning Date<br />
Washtenaw <strong>Park</strong> Wanda Norris 06/01/12<br />
2521 S. Washtenaw Ave.<br />
Lunch__x____ # __31____ ___12:00_pm<br />
PM Snk_x____ # __30____<br />
<strong>Chicago</strong>, IL 60608<br />
____3:00_pm<br />
Telephone:(312) 747-6992<br />
Ending Date<br />
8/31/12<br />
#189 Beginning Date<br />
Welles (Gideon) <strong>Park</strong> Becky Kilber 06/01/12<br />
2333 W. Sunnyside Ave.<br />
Lunch_x_____ # __411___<br />
___11:45_am<br />
<strong>Chicago</strong>, IL 60625<br />
Telephone:(312) 742-7511<br />
Ending Date<br />
8/31/12<br />
#190 Beginning Date<br />
Wentworth Gardens <strong>Park</strong> Larry Baldwin 06/01/12<br />
3770 S. Wentworth<br />
Lunch_x_____ # _50____ _12:00_pm<br />
PM Snk_x____ # __50____<br />
<strong>Chicago</strong>, IL 60609<br />
____3:00_pm<br />
Telephone:(312) 747-6996<br />
Ending Date<br />
8/31/12<br />
49
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#191 Beginning Date<br />
Wentworth <strong>Park</strong> Dan Ryan 06/01/12<br />
5625 S. Mobile Ave.<br />
Lunch__x____ # _191____ ___12:00_pm<br />
PM Snk__x___ # __150___<br />
<strong>Chicago</strong>, IL 60638<br />
____3:15_pm<br />
Telephone:(312) 747-6993/7098<br />
Ending Date<br />
8/31/12<br />
#192 Beginning Date<br />
West Chatham <strong>Park</strong> Valarie Tines 06/01/12<br />
8223 S. Princeton Ave.<br />
Lunch__x____ # __91____ ___12:00_pm<br />
PM Snk__x___ # __90____<br />
<strong>Chicago</strong>, IL 60620<br />
____3:00_pm<br />
Telephone:(312) 747-6998<br />
Ending Date<br />
8/31/12<br />
#193 Beginning Date<br />
West Lawn <strong>Park</strong> Paul Pope 06/01/12<br />
4233 W. 65 th St.<br />
Lunch_x_____ # __251___ ___11:45_am<br />
PM Snk_x____ # __200___<br />
<strong>Chicago</strong>, IL 60629<br />
____3:15_pm<br />
Telephone:(773) 284-2803<br />
Ending Date<br />
8/31/12<br />
#194 Beginning Date<br />
West Pullman <strong>Park</strong> Debra McKenzie 06/01/12<br />
401 W. 123 rd St.<br />
Lunch__x____ # ___211__ ___11:30_am<br />
PM Snk__x___ # ___210__<br />
<strong>Chicago</strong>, IL 60628<br />
____4:30_pm<br />
Telephone:(312) 747-7090<br />
Ending Date<br />
8/31/12<br />
#195 Beginning Date<br />
White (Edward H.) <strong>Park</strong> 06/01/12<br />
1120 W. 122 nd St.<br />
Lunch__x____ # __61____ ___12:15_pm<br />
PM Snk__x___ # __60____<br />
<strong>Chicago</strong>, IL 60643<br />
____3:15_pm<br />
Telephone:(312 ) 747-7106<br />
Ending Date<br />
8/31/12<br />
50
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#196 Beginning Date<br />
Wicker (Charles, Joel) <strong>Park</strong> John Davidson 06/01/12<br />
1425 N. Damen Ave.<br />
Lunch__x____ # __121___ ___12:00_pm<br />
PM Snk__x___ # __81____<br />
<strong>Chicago</strong>, IL 60622<br />
____2:30 pm<br />
Telephone:(312) 742-7553<br />
Ending Date<br />
8/31/12<br />
#197 Beginning Date<br />
Wildwood <strong>Park</strong> Jim Ziaja 06/01/12<br />
6950 N. Hiawatha Ave.<br />
PM Snk__x___ # ___50___<br />
___2:30_pm<br />
<strong>Chicago</strong>, IL 60646<br />
Telephone:(773) 631-7455<br />
Ending Date<br />
8/31/12<br />
#198 Beginning Date<br />
Williams (Daniel Hale) <strong>Park</strong> Earl Norris 06/01/12<br />
2710 S. Dearborn St.<br />
Lunch__x____ # __20____ ___12:00_pm<br />
PM Snk__x___ # __20____<br />
<strong>Chicago</strong>, IL 60616<br />
____3:00_pm<br />
Telephone:(312) 747-7107<br />
Ending Date<br />
8/31/12<br />
#199 Beginning Date<br />
Willye White Sharon O’Connell 06/01/12<br />
1610 W. Howard<br />
Lunch___x___ # ___51___ ___11:00_am<br />
PM Snk__x___ # ___50___<br />
<strong>Chicago</strong>, IL 60626<br />
____2:00_pm<br />
Telephone:(773) 262-5051<br />
Ending Date<br />
8/31/12<br />
#200 Beginning Date<br />
Wilson (Frank J.) <strong>Park</strong> Sherida Hudak 06/01/12<br />
4630 N. Milwaukee Ave.<br />
Lunch__x____ # __81____ ___11:00_am<br />
PM Snk_x____ # __80____<br />
<strong>Chicago</strong>, IL 60630<br />
____2:00 pm_<br />
Telephone:(773) 685-6454<br />
Ending Date<br />
8/31/12<br />
51
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#201 Beginning Date<br />
Wilson (John P.) Community Center Judee Gurgone 06/01/12<br />
3225 S. Racine Ave.<br />
Lunch_x_____ # __41____ ____12:00_pm<br />
PM Snk__x___ # __40____<br />
<strong>Chicago</strong>, IL 60608<br />
____3:00_pm<br />
Telephone:(312) 747-7001<br />
Ending Date<br />
8/31/12<br />
#202 Beginning Date<br />
Wilson (John P.) <strong>Park</strong> Gina Arredia 06/01/12<br />
1122 W. 34 th Pl.<br />
Lunch__x____ # __81____ ____11:00_am<br />
PM Snk_x____ # __50____<br />
<strong>Chicago</strong>, IL 60608<br />
____3:00_pm<br />
Telephone:(312) 747-7002<br />
Ending Date<br />
8/31/12<br />
#203 Beginning Date<br />
Winnemac <strong>Park</strong> Lisa Ragucci 06/01/12<br />
5100 N. Leavitt St.<br />
Lunch___x___ # __71____<br />
11:30_am<br />
<strong>Chicago</strong>, IL 60625<br />
Telephone:(312) 742-5101<br />
Ending Date<br />
8/31/12<br />
#204 Beginning Date<br />
Woodhull <strong>Park</strong> Angela Jackson 06/01/12<br />
7340 S. East End Ave.<br />
Lunch___x___ # __61____ ___12:30_pm<br />
PM Snk___x__ # __60____<br />
<strong>Chicago</strong>, IL 60649<br />
____3:30_pm<br />
Telephone:(773) 256-1903<br />
Ending Date<br />
8/31/12<br />
#205 Beginning Date<br />
Wrightwood <strong>Park</strong> Jennifer Prinzlau 06/01/12<br />
2534 N. Greenview Ave.<br />
Lunch__x____ # __111___ ___11:30_am<br />
PM Snk_x____ # __111___<br />
<strong>Chicago</strong>, IL 60614<br />
____2:30_pm<br />
Telephone:(773) 256-1903<br />
Ending Date<br />
8/31/12<br />
52
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#206 Beginning Date<br />
Wolfe <strong>Park</strong> 06/01/12<br />
3325 E. 108 th St.<br />
Lunch_x_____ # __51____ ____12:00_pm<br />
PM Snk__x___ # __30____<br />
<strong>Chicago</strong>, IL 60617<br />
____3:30_pm<br />
Telephone:(312) 747-7005<br />
Ending Date<br />
8/31/12<br />
#207 Brkfst___x___ # ___70___ ___10:45_am Beginning Date<br />
Kennedy <strong>Park</strong> 06/01/12<br />
11320 S. Western<br />
<strong>Chicago</strong>, IL 60655<br />
Telephone:(312) 747-6198<br />
Ending Date<br />
8/31/12<br />
#208 Beginning Date<br />
Kennedy <strong>Park</strong> 06/01/12<br />
11320 S. Western<br />
Lunch__x____ # __70____ ___12:30_pm<br />
PM Snk_x____ # __70____<br />
<strong>Chicago</strong>, IL 60655<br />
____2:45_pm<br />
Telephone: (312) 747-6198<br />
Ending Date<br />
8/31/12<br />
#209 Beginning Date<br />
Archer <strong>Park</strong> 06/01/12<br />
11320 S. Western<br />
PM Snk_x____ # __60____<br />
___5:00_pm<br />
<strong>Chicago</strong>, IL 60655<br />
Telephone: (773) 284-7029<br />
Ending Date<br />
8/31/12<br />
#210 Beginning Date<br />
Dvorak (Anton) <strong>Park</strong> 06/01/12<br />
1119 W. Cullerton St.<br />
Tony Segara Bkfst_x____ # __40____<br />
___8:30_pm<br />
<strong>Chicago</strong>, IL 60608<br />
Telephone: (312) 746-5083<br />
Ending Date<br />
8/31/12<br />
53
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#211 Beginning Date<br />
Norwood <strong>Park</strong> 06/01/12<br />
5801 N. Natoma Ave.<br />
Jennifer Fitzgerald Lunch_x_____ # __276____<br />
____1:00_pm<br />
<strong>Chicago</strong>, IL 60631<br />
Telephone: (773) 631-4893<br />
Ending Date<br />
8/31/12<br />
#212 Beginning Date<br />
Norwood <strong>Park</strong> 06/01/12<br />
5801 N. Natoma Ave.<br />
Jennifer Fitzgerald Lunch_x_____ # __41____<br />
____1:00_pm<br />
<strong>Chicago</strong>, IL 60631<br />
Telephone: (773) 631-4893<br />
Ending Date<br />
8/31/12<br />
#213 Beginning Date<br />
Homan Square ____11:00_am 06/01/12<br />
3559 W. Arlington St.<br />
Lunch_x_____<br />
<strong>Chicago</strong>, IL 60612<br />
PM Snk_x_____<br />
Telephone: (312) 746-6650<br />
# __31____<br />
# __30____ ____4:00_pm Ending Date<br />
8/31/12<br />
#214 Beginning Date<br />
Homan Square ____11:15_am 06/01/12<br />
3559 W. Arlington St.<br />
Lunch_x_____<br />
<strong>Chicago</strong>, IL 60612<br />
PM Snk_x_____<br />
Telephone: (312) 746-6650<br />
# __21____<br />
# __20____ ____4:00_pm Ending Date<br />
8/31/12<br />
#215 Beginning Date<br />
Fuller (Melville) <strong>Park</strong> ____9:00_am 06/01/12<br />
331 W. 45 th St.<br />
Michael Brown Bkfst_x_____ # __30____<br />
<strong>Chicago</strong>, IL 60609<br />
Telephone: (312) 746-6144<br />
Ending Date<br />
8/31/12<br />
54
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#216 Beginning Date<br />
Independence <strong>Park</strong> 06/01/12<br />
3945 N. Springfield Ave.<br />
Eileen Sweeney Lunch_x_____ # __51____<br />
____11:30_am<br />
<strong>Chicago</strong>, IL 60645<br />
Telephone: (773) 748-3538<br />
Ending Date<br />
8/31/12<br />
#217 Beginning Date<br />
Lake Meadows <strong>Park</strong> 06/01/12<br />
3117 S. Rhodes Ave.<br />
Sherri Overton Bkfst_x_____ # __20____<br />
____9:00_am<br />
<strong>Chicago</strong>, IL 60616<br />
Telephone: (312) 747-6287<br />
Ending Date<br />
8/31/12<br />
#218 Beginning Date<br />
Loyola <strong>Park</strong> 06/01/12<br />
1230 W. Greenleaf Ave.<br />
Mary Faith Hopkins Bkfst_x_____ # __46____<br />
____8:15_am<br />
<strong>Chicago</strong>, IL 60626<br />
Telephone: (773) 262-8605<br />
Ending Date<br />
8/31/12<br />
#219 Beginning Date<br />
Margate Field House 06/01/12<br />
4921 N. Marine Dr.<br />
Jennifer Bice Bkfst_x_____ # __30____<br />
____8:30_am<br />
<strong>Chicago</strong>, IL 60640<br />
Telephone: (312) 742-7522<br />
Ending Date<br />
8/31/12<br />
#220 Beginning Date<br />
NTA 06/01/12<br />
55 W. Cermak Rd.<br />
Farah Tunks Bkfst_x_____ # __60____<br />
____9:00_am<br />
<strong>Chicago</strong>, IL 60616<br />
Telephone: (312) 747-1615<br />
Ending Date<br />
8/31/12<br />
55
Exhibit A - <strong>Program</strong> Sites<br />
Name and address of site(s) where program will<br />
operate<br />
Contact Person<br />
Type of Meal<br />
Quantity of<br />
Meals - (HDP)<br />
Highest Daily<br />
Participation<br />
Delivery Time<br />
for Each Meal<br />
Dates of<br />
<strong>Program</strong><br />
(mm/dd/yy)<br />
#221 Beginning Date<br />
Robichaux <strong>Park</strong> 06/01/12<br />
9247 S. Eggleston Ave.<br />
Sherri Hudson Lunch_x_____ # __21____<br />
____11:00_am<br />
<strong>Chicago</strong>, IL 60620<br />
Telephone: (312) 747-6648<br />
Ending Date<br />
8/31/12<br />
#222 Beginning Date<br />
Taylor (Robert) <strong>Park</strong> 06/01/12<br />
39 W. 47 th St.<br />
David Faulkner Bkfst_x_____ # __45____<br />
____8:30_am<br />
<strong>Chicago</strong>, IL 60609<br />
Telephone: (312) 747-6728<br />
Ending Date<br />
8/31/12<br />
#223 Beginning Date<br />
Amundsen (Ronald) <strong>Park</strong> 06/01/12<br />
6200 W. Bloomingdale Ave.<br />
Greg Mason Bkfst_x_____ # __41____<br />
____9:00_am<br />
<strong>Chicago</strong>, IL 60639<br />
Telephone: (312) 746-5003<br />
Ending Date<br />
8/31/12<br />
#224 Beginning Date<br />
Fosco (Peter) <strong>Park</strong> 06/01/12<br />
1313 S. Throop St.<br />
Jackie Guthrie Bkfst_x_____ # __50____<br />
____9:00_am<br />
<strong>Chicago</strong>, IL 60608<br />
Telephone: (312) 746-5086<br />
Ending Date<br />
8/31/12<br />
#225 Beginning Date<br />
Madden Ellis 06/01/12<br />
535 W. 35 th Street<br />
Bkfst_x_____ # __20____<br />
____8:30_am<br />
<strong>Chicago</strong>, IL 60653<br />
Telephone: (312) 747-6446<br />
Ending Date<br />
8/31/12<br />
56
EXHIBIT B - MENUS<br />
Sponsor shall attach the menu cycle and specifications for the program. The menu cycle must be at a minimum, an eleven day cycle.<br />
You may specify as long a menu cycle as you want served. The bid menu cycle must be served throughout the contract period.<br />
Breakfast menu<br />
See attached PDF document (labeled “Exhibit B – Breakfast Menu”) for the Breakfast Menu Cycle.<br />
Please note: Fresh Fruit should include the following: bananas, oranges, kiwi, apples, peaches, and pears.<br />
Lunch/Supper menu<br />
See attached PDF document (labeled “Exhibit B – Lunch Menu”) for the Lunch/Supper Menu Cycle.<br />
Additional Options for Days 12-15 are as follows:<br />
Day 12 Day 13<br />
Smoked Turkey 2.1 oz Garden Salad Blend 3 oz<br />
Monterey Jack Cheese 0.75 oz Reduced-Fat Shredded<br />
Lettuce ¼ c Cheddar Cheese 0.5 oz<br />
Potato Roll 1.37 oz Chicken 1 oz<br />
Seasonal Fresh Fruit ½ c Black Beans 1/4 c<br />
Fresh Carrots ¼ c Tomato 0.5 oz<br />
Ancho Chipotle Sauce 0.4 oz Fresh Carrots ¼ c<br />
1% Chocolate Milk 1 c Dinner Roll 2.09 oz<br />
Taco Sauce<br />
0.4 oz<br />
Light Ranch Dressing<br />
1 oz<br />
1% Chocolate Milk 1 c<br />
Day 14 Day 15<br />
Salami (All Beef) ½ oz Garden Salad Blend 3 oz<br />
Bologna 1 oz American Cheese 1 oz<br />
American Cheese ½ oz Turkey 1 oz<br />
Wheat Sub Roll 2.4 oz Tomato .5 oz<br />
Peaches ½ c Seasonal Fresh Fruit ½ c<br />
Fresh Seasonal Fruit ½ c Whole Wheat Dinner Roll 1.8 oz<br />
Mustard 0.4 oz Light Ranch Dressing 1 oz<br />
1% White Milk 1 c 1% White Milk 1 c<br />
57
EXHIBIT B - MENUS<br />
Sponsor shall attach the menu cycle and specifications for the program. The menu cycle must be at a minimum, an eleven day cycle. You<br />
may specify as long a menu cycle as you want served. The bid menu cycle must be served throughout the contract period.<br />
Supplement menu<br />
See attached PDF document (labeled “Exhibit B – Supplemental Menu”) for the Supplement Menu.<br />
Additional Options for Days 12-15 are as follows:<br />
Day 12<br />
Lowfat Granola Bars<br />
2.2 oz<br />
100% Fresh Fruit Juice 6 oz<br />
Day 13<br />
Vanilla Whole Grain<br />
Crackers<br />
1 oz<br />
100% Fresh Fruit Juice 6 oz<br />
Day 14<br />
Non-Fat Fruit Yogurt<br />
4 oz<br />
100% Fresh Fruit Juice 6 oz<br />
Day 15<br />
Strawberry Whole Grain<br />
Crackers<br />
1 oz<br />
100% Fresh Fruit Juice 6 oz<br />
Field Trip Menu<br />
The CPD may request the contractor to provide meals for field trips. If so, the following menu is requested<br />
for such meals:<br />
Peanut Butter & Jelly<br />
Graham Bar (1)<br />
Seasonal Fresh Fruit<br />
100% Fruit Juice<br />
(Shelf Stable)<br />
Honey Roasted<br />
Sunflower Seeds<br />
Milk (1% white or chocolate)<br />
1 oz (*Bar must be equivalent to 1oz M/MA and 1 serving of grain<br />
or bread; see Exhibit C for required meal pattern)<br />
½ c<br />
4 oz<br />
1 oz<br />
1 c<br />
Hot Dog Menu<br />
The CPD may request the contractor to provide hot dog meals. If so, the following menu is requested for<br />
such meals:<br />
Turkey Hot Dog<br />
2 oz<br />
Whole Wheat Hot Dog Bun .9 oz<br />
Seasonal Fresh Fruit<br />
½ c<br />
100% Fruit Juice 4 oz<br />
Ketchup / Mustard<br />
0.4 oz / 0.4 oz<br />
Milk (1% white or chocolate) 1 c<br />
58
EXHIBIT C<br />
REQUIRED MEAL PATTERNS<br />
SUMMER FOOD SERVICE PROGRAM ILLINOIS STATE BOARD<br />
OF EDUCATION<br />
Each meal must contain, at a minimum, foods from each of the<br />
components indicated.<br />
MEAL<br />
Breakfast<br />
Lunch/Supper<br />
FOOD COMPONENTS<br />
Fluid Milk 1<br />
Juice or Fruit or Vegetable<br />
Grain/Bread 2<br />
Fluid Milk 1<br />
Meat/Meat Alternate 3<br />
Juice or Fruit or Vegetable 4<br />
(2 servings)<br />
Grain/Bread 2<br />
1 cup<br />
½ cup<br />
1 serving<br />
1 cup<br />
2 ounces<br />
¾ cup total<br />
1 serving<br />
Snack<br />
(any two<br />
items)<br />
Fluid Milk 1<br />
Juice or Fruit or Vegetable5<br />
Meat/Meat Alternate 3<br />
Grain/Bread 2<br />
1 cup<br />
¾ cup<br />
1 ounce<br />
1 serving<br />
1<br />
Milk must be served as a beverage, on cereal, or in part for each purpose.<br />
2<br />
Refer to Grains/Breads Requirements on following pages.<br />
3<br />
Refer to Meat/Meat Alternate Requirements on following pages.<br />
4<br />
Serve two or more kinds of vegetables and/or fruits or a combination of both. Full-strength fruit or<br />
vegetable juice may be counted to meet no more than half of this requirement.<br />
5<br />
Juice may not be served when milk is served as the only other component.<br />
59
GRAINS/BREADS REQUIREMENTS<br />
The item must be whole-grain, enriched, made from whole-grain or enriched meal or flour, or bran or germ. If it is a cereal, the product<br />
must be whole-grain, enriched, or fortified. In lieu of using the minimum serving sizes listed, the contribution of a recipe may be<br />
calculated to determine the number of grains/breads servings the recipe provides. The crediting of a food item as a grains/breads<br />
serving is determined by the total amount of enriched or whole-grain meal and/or flour in the recipe divided by the number of servings<br />
the recipe yields. The amount of flour or meal contained in each serving is then divided by 14.75 grams. Bran, germ, and corn meal are<br />
calculated in the same manner. For recipes with ingredients listed in Groups H and I, follow the weights and volumes listed for the<br />
specific servings in these groups.<br />
MINIMUM SERVING SIZES<br />
The following Grains/Breads Chart has been divided into nine groups. The required weight for each group is based on the key nutrients<br />
in one slice of bread (25 grams or 0.9 ounces) or an equal amount (14.75 grams) of whole-grain, enriched flour, bran, or germ. Within<br />
each group all bread items have approximately the same nutrient and grain content in each serving. Items with fillings, toppings, etc.,<br />
require larger serving sizes to meet the minimum grain content. Some of the following foods, or their accompaniments, may contain<br />
more sugar, salt, and/or fat than others. This should be considered when deciding how often to serve them.<br />
GROUP A<br />
•Breading Type Coating<br />
• Bread Sticks, hard<br />
•Chow Mein Noodles<br />
• Crackers, saltines, snack<br />
• Croutons<br />
• Pretzels, hard<br />
• Stuffing, dry<br />
GROUP B<br />
• Bagels, Biscuits<br />
• Batter Type Coating<br />
• Breads, white, wheat, whole wheat, French, Italian<br />
• Buns, hamburger, hot dog<br />
• Crackers, graham (all shapes), animal<br />
• Egg Roll Skins<br />
• English Muffins<br />
• Pita Bread, white, wheat, whole wheat<br />
• Pizza Crust<br />
• Pretzels, soft<br />
• Rolls, white, wheat, whole wheat, potato<br />
• Tortillas, wheat, corn<br />
• Tortilla Chips, wheat, corn<br />
• Taco Shells<br />
GROUP C<br />
• Cookies 1 , plain<br />
•Cornbread, Corn Muffins<br />
•Croissants, Pancakes, Waffles<br />
• Pie Crust, dessert, meat/meat alternate<br />
• Turnover Crust 2<br />
GROUP D<br />
• Doughnuts 2 , cake, yeast, raised, unfrosted<br />
• Granola Bars 2 , plain<br />
• Muffins, all but corn<br />
• Sweet Roll<br />
• Toaster Pastry 2 , unfrosted<br />
MINIMUM SERVING SIZE FOR GROUP A<br />
1 serving = 20 g or 0.7 oz<br />
MINIMUM SERVING SIZE FOR GROUP B<br />
1 serving = 25 g or 0.9 oz<br />
MINIMUM SERVING SIZE FOR GROUP C<br />
1 serving = 31 g or 1.1 oz<br />
MINIMUM SERVING SIZE FOR GROUP D<br />
1 serving = 50 g or 1.8 oz<br />
60
GROUP E<br />
• Cookies 1 , with nuts, raisins, chocolate pieces, fruit purees<br />
• Doughnuts 2 , cake, yeast, raised, frosted, glazed<br />
• French Toast<br />
• Grain Fruit Bars 2<br />
• Granola Bars 2 with nuts, raisins, chocolate pieces, fruit<br />
• Sweet Rolls, Toaster Pastry 2 , frosted<br />
GROUP F<br />
• Cake 1 , plain, unfrosted<br />
• Coffee Cake 2<br />
GROUP G<br />
• Brownies 1 , plain (Allowed only for snack)<br />
• Cake 1 , frosted, all varieties (Allowed for breakfast or snack)<br />
GROUP H<br />
• Barley, Bulgar<br />
• Breakfast Cereals, cooked<br />
• Corn Grits<br />
• Macaroni, all shapes<br />
• Noodles, egg — all varieties<br />
• Pasta, all shapes<br />
• Ravioli, noodle only<br />
• Rice, enriched white or brown<br />
MINIMUM SERVING SIZE FOR GROUP E<br />
1 serving = 63 g or 2.2 oz<br />
MINIMUM SERVING SIZE FOR GROUP F<br />
1 serving = 75 g or 2.7 oz<br />
MINIMUM SERVING SIZE FOR GROUP G<br />
1 serving = 115 g or 4 oz<br />
MINIMUM SERVING SIZE FOR GROUP H<br />
1 serving = ² c cooked or 25 g or 0.9 oz dry<br />
GROUP I<br />
• Breakfast Cereal, dry<br />
• Rice Cakes<br />
MINIMUM SERVING SIZE FOR GROUP I<br />
1 serving = lesser of ½ c or 1 oz<br />
1<br />
Allowed only for desserts or snacks.<br />
2<br />
Allowed for breakfast and/or snack.<br />
MEAT/MEAT ALTERNATE<br />
Meat/meat alternates must be served at lunch and supper and may be served as part of the snack. A serving of cooked lean meat,<br />
poultry, or fish (without the weight of bone or breading), cheese, yogurt, cooked dry beans/peas, eggs, peanut butter or other nut<br />
butters, and nuts or seeds, or any combination of these may be used to meet this requirement. You may serve these foods as the<br />
entrée or as part of the entrée and in one other menu item. Examples: ground meat and cheese combined in a casserole meet<br />
the requirement of a main entrée; a peanut butter sandwich and half of a deviled egg meet the requirement as part of the entrée<br />
and an additional menu item.<br />
Nuts and seeds may not fulfill more than 50 percent of the meat/meat alternate requirement for lunch or supper, but may fulfill the<br />
entire requirement for a snack. For the purpose of determining combinations, one ounce of nuts or seeds is equal to one ounce of<br />
cooked lean meat, poultry, or fish. The nuts and seeds that may be used as a meat alternate include peanuts, soynuts, tree nuts<br />
(almonds, walnuts, and pecans), and seeds (sunflower, sesame, and pumpkin).<br />
MEAT/MEAT ALTERNATE<br />
• Lean Meat, Poultry, Fish<br />
• Cheese<br />
• Eggs<br />
• Yogurt<br />
• Cooked Dry Beans/Peas<br />
• Nut Butters<br />
• Nuts<br />
SERVING SIZE – LUNCH/SUPPER<br />
2 oz<br />
2 oz<br />
1 egg<br />
8 oz<br />
½ c<br />
2 T = 50%<br />
1 oz = 50%<br />
61
Specifications shall be as follows:<br />
EXHIBIT D – Product Specifications<br />
1. Milk and milk products are defined as “. . . fluid types of pasteurized flavored or unflavored whole milk or low-fat milk, or skim milk or<br />
cultured buttermilk which meet State and local standards for such milk . . . “ Milk delivered hereunder shall conform to these<br />
specifications.<br />
2. Breads, bread alternates, and grains must be made from whole-grain or enriched meal or flour. All breads and grains must be fresh<br />
(or frozen, if applicable) and must meet the minimum weight per serving as listed on Schedule C. If applicable, product should be in<br />
moisture-proof wrapping and pack code date provided.<br />
3. All meat and poultry must have been inspected by the United State Department of Agriculture (USDA) and must be free from off color<br />
or odor.<br />
• Beef must be at least 70:30 lean to fat, preferable 80:20 lean to fat<br />
• Poultry should be U.S. Grade A when applicable and should meet the recommendations outline in Specifications for Poultry<br />
Products, A guide for <strong>Food</strong> <strong>Service</strong> Operators from USDA.<br />
• For breaded and battered items, all flours must be enriched for breads/grains credit and breading/batter must not exceed 30% of<br />
the weight of the finished product.<br />
• For sausage patties, the maximum fat allowed is 50% by weight; industry standard of 38% to 42% fat preferred.<br />
4. All cured processed meats (bologna, frankfurters, luncheon meat, salami, others) shall be made from beef and/or poultry. No variety<br />
meats, fillers, extenders, non-fat milk solids, or cereal will be allowed. Meats must not show evidence of greening, streaking, or other<br />
discoloration.<br />
5. Any serving of chicken nuggets, fish sticks, corn dogs or any other type of breaded item must contain enough meat to yield at least 2<br />
ounces of meat in order to meet the USDA minimum requirement for lunch/supper or at least one ounce of meat in order to meet the<br />
USDA minimum requirement for snack.<br />
6. All cheese should be firm, compact and free from gas holes; free of mold; free of undesirable flavor and odors; pasteurized when<br />
applicable; and preferably reduced or lowfat. All cheese should have a bright, uniform, and attractive appearance; have a pleasing flavor;<br />
demonstrate satisfactory meltability; and contain proper moisture and salt content.<br />
7. All fish must have been inspected by the United States Department of Commerce (USCD) and meet minimum flesh and<br />
batter/breading required for USDA Grade A product or product packed under federal inspection (PUFI) by the USDC.<br />
8. All fresh fruits must be ripe and in good condition when delivered and must be ready for consumption per the USDA <strong>Food</strong> Buying<br />
Guide. Fruits must at a minimum meet the food distributors’ second quality level. Fruits should have characteristic color and good flavor<br />
and be well-shaped and free from scars and bruises. Size must produce a yield equal to or greater than the attached 11-day cycle menu<br />
requirements.<br />
9. All fresh vegetables must be ripe and in good condition when delivered and must be ready for consumption per the USDA <strong>Food</strong><br />
Buying Guide. Vegetables must at a minimum meet the food distributors’ second quality level. Vegetables should have characteristic<br />
color and good flavor and be well-shaped and free from discoloration, blemishes, and decay. Size must produce a yield equal to or<br />
greater than the attached 11-day cycle menu requirements.<br />
10. All canned vegetables must meet the food distributors’ first quality level (extra fancy and fancy) and canned fruits (standard) must<br />
meet the second quality level. Vegetables should have characteristic color and good fresh flavor and be free of discoloration, blemishes,<br />
and decay.<br />
11. Eggs must be inspected and passed by the state or federal Department of Agriculture and used within 30 days of date on carton.<br />
Eggs should be grade A, uniform in size, clean, sound-shelled, and free of foreign odors or flavors.<br />
12. Sauces, such as gravy, spaghetti sauce, pizza sauce, etc., must be smooth and uniform in color with no foreign substance, flavor,<br />
odor, or off color.<br />
13. If applicable, the food production facility, manufacturing plan, and products must meet all sanitary and other requirements of the<br />
<strong>Food</strong>, Drug, and Cosmetic Act and other regulations that support the wholesomeness of products.<br />
14. Meals and food items must be stored and prepared under properly controlled temperatures and in accordance with all applicable<br />
health and sanitation regulations.<br />
62
Bidder<br />
Responsibility<br />
and Bid<br />
Responsiveness<br />
Criteria<br />
Financial Stability of<br />
Bidder<br />
Bidder Responsibility and Bid Responsiveness Criteria<br />
2012 <strong>Summer</strong> <strong>Food</strong> <strong>Service</strong> <strong>Program</strong><br />
Minimum Standard(s)<br />
To Demonstrate<br />
Compliance<br />
♦ Three years of profitable financial<br />
performance<br />
♦ No petitions for bankruptcy by contractor or<br />
principals of contractor<br />
Bonding ♦ Bid bond for 5% of total bid and ability to<br />
provide a 10% performance bond<br />
Insurance ♦ Enforce insurance as required in bid<br />
document<br />
Experience ♦ A minimum of five (5) years in food service<br />
management business<br />
References ♦ FSMC will provide at least three (3)<br />
customer references. Sponsor will randomly<br />
contact references from list.<br />
Transportation Ability ♦ FSMC shall have at least 2 refrigerated<br />
trucks in working order to make meal<br />
deliveries<br />
♦ FSMC shall implement an anti-idling policy<br />
for all vehicles.<br />
Evidence/Document(s)<br />
Required<br />
To Demonstrate Compliance<br />
♦<br />
♦<br />
♦<br />
♦<br />
♦<br />
♦<br />
♦<br />
Provide copies of company<br />
financial statements for past three<br />
years<br />
Bid bond for 5% included with bid<br />
and ability to provide a 10%<br />
performance bond within 10 days<br />
of the contract award<br />
Sample certificate of insurance<br />
demonstrating required coverage<br />
Documentation of experience by<br />
bidding company<br />
FSMC will provide a history of all<br />
organizations they have had<br />
contracts with in the past 5 years<br />
with contact information<br />
Sponsor will inspect refrigerated<br />
trucks before award<br />
FSMC shall provide a copy of the<br />
policy after award and provide<br />
documentation that drivers have<br />
received the policy.<br />
Copy of Health Inspection Reports<br />
for the last 2 years<br />
Taste-test of lunch items<br />
(3 judges)<br />
Health Department<br />
Inspections<br />
♦ Not more than 2 critical citations within the<br />
past 2 years<br />
♦<br />
Provide Taste Tests ♦ At least 95% of foods tested must be<br />
♦<br />
of Lunch Items<br />
acceptable in presentation, appearance,<br />
taste and proper temperature<br />
Site-Visits ♦ FSMC will provide a list of facilities utilized ♦ Sponsor will inspect the facilities<br />
for the food preparation for this contract<br />
before award<br />
Meal Delivery ♦ Plan for delivery of meals ♦ Description of plan that<br />
accommodates sponsor’s needs<br />
Timely Delivery ♦ Not late more than 2 times per month ♦ References—list of clients over the<br />
past 3 years<br />
Staffing Plans for<br />
Delivery Trucks<br />
Hardware and<br />
Software for <strong>Food</strong><br />
Orders<br />
♦<br />
Criminal background and sex offender<br />
checks have been conducted on all delivery<br />
truck drivers<br />
Hardware, software, and training<br />
necessary for ordering food<br />
through this contract. Software<br />
provided shall have reporting<br />
system capabilities as listed in the<br />
specification section on page 7.<br />
♦<br />
♦<br />
Vendor certifies that all criminal<br />
background checks have been<br />
conducted for all delivery truck<br />
drivers, including the sex offender<br />
database.<br />
Vendor shall provide the hardware<br />
and software specifications and a<br />
sample of various reports<br />
generated, including those<br />
referenced on page 7,<br />
63
ILLINOIS STATE BOARD OF EDUCATION<br />
Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion<br />
Lower Tier Covered Transactions<br />
This certification is required by the regulations implementing Executive Orders 12549 and 12689, Debarment and Suspension,<br />
7 CFR 3017 Subpart C Responsibilities of Participants Regarding Transactions. The regulations were published as Part<br />
IV of the January 30, 1989 Federal Register (pages 4722-4733) and Part II of the November 26, 2003 Federal Register<br />
(pages 66533-66646). Copies of the regulations may be obtained by contacting the Illinois State Board of Education.<br />
BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS BELOW.<br />
CERTIFICATION<br />
The prospective lower tier participant certifies, by submission of this Certification, that:<br />
1. Neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or<br />
voluntarily excluded from participation in this transaction by any Federal department or agency;<br />
2. It will provide immediate written notice to whom this Certification is submitted if at any time the prospective lower tier<br />
participant learns its certification was erroneous when submitted or has become erroneous by reason of changed<br />
circumstances;<br />
3. It shall not knowingly enter any lower tier covered transaction with a person who is debarred, suspended, declared<br />
ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or<br />
agency with which this transaction originated;<br />
4. It will include the clause titled Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion—<br />
Lower Tier Covered Transactions, without modification, in all lower tier covered transactions and in all solicitations for<br />
lower tier covered transactions;<br />
5. The certifications herein are a material representation of fact upon which reliance was placed when this transaction<br />
was entered into; and<br />
6. Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such<br />
prospective participant shall attach an explanation to this Certification.<br />
______________________________________________________________________________________________<br />
Organization Name<br />
PR/Award Number or Project Name<br />
_____________________________________________________________________________________________________________<br />
Name and Title of Authorized Representative<br />
________________________________________________________________________________________________________________<br />
Signature<br />
Date<br />
Instructions for Certification<br />
1. By signing and submitting this Certification, the prospective lower tier participant is providing the certifications set out herein.<br />
2. If it is later determined that the prospective lower tier participant knowingly rendered an erroneous certification, in addition to other<br />
remedies available to the Federal government, the department or agency with which this transaction originated may pursue all available<br />
remedies, including suspension and/or debarment.<br />
3. Except for transactions authorized under paragraph 3 above, if a participant in a covered transaction knowingly enters into a lower tier<br />
covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in<br />
addition to other remedies available to the Federal government, the department or agency with which this transaction originated may pursue<br />
all available remedies, including suspension and/or debarment.<br />
4. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant, person, primary covered<br />
transaction, principal, proposal, and voluntarily excluded, as used herein, have the meanings set out in the Definitions and Coverage<br />
sections of the rules implementing Executive Order 12549 and Executive Order 12689. You may contact the person to which this<br />
Certification is submitted for assistance in obtaining a copy of those regulations.<br />
5. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is<br />
not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows the certification is erroneous. A<br />
participant may decide the method and frequency by which it determines the eligibility of its principals. Each participant may, but is not<br />
required to, check the “GSA Excluded Parties List System” at http://epls.arnet.gov/.<br />
6. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the<br />
certification required herein. The knowledge and information of a participant is not required to exceed that which is normally possessed by a<br />
prudent person in the ordinary course of business dealings.<br />
64
Bid-Rigging Certification<br />
________________________________________________________________, a duly<br />
(Agent)<br />
authorized agent of _____________________________________________________,<br />
(Contractor)<br />
do hereby certify that neither ______________________________________________,<br />
(Contractor)<br />
nor any individual presently affiliated with ____________________________________<br />
(Contractor)<br />
_______________________, has been barred from bidding on a public contract as a<br />
result of a violation of either Section 33E-3 (bid-rigging) or Section 33E-4 (bid rotating)<br />
of the Illinois Criminal Code, contained in Chapter 38 of the Illinois Revised Statutes.<br />
_____________________________________<br />
Authorized Agent<br />
_____________________________________<br />
Contractor<br />
65
Certification Regarding Lobbying<br />
The undersigned certifies, to the best of his or her knowledge and belief, that:<br />
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any<br />
person for influencing or attempting to influence an officer or employee of an agency, a Member of<br />
Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection<br />
with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal<br />
loan, the entering into of any cooperative agreement, and the extension, continuation, renewal,<br />
amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.<br />
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for<br />
influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an<br />
officer or employee of Congress, or an employee of a Member of Congress in connection with this<br />
Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit<br />
Standard Form LLL - ‘‘Disclosure on Lobbying Activities,” in accordance with its instructions.<br />
(3) The undersigned shall require that the language of this certification be included in the award documents<br />
for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and<br />
cooperative agreements) and that all subrecipients shall certify and disclose accordingly.<br />
This certification is a material representation of fact upon which reliance was placed when this transaction was<br />
made or entered into. Submission of this certification is a prerequisite for making or entering into this<br />
transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification<br />
shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.<br />
___________________________________________________________________<br />
Organization Name<br />
____________________________________________________________________<br />
PR/Award (or Application) Number or Project Name<br />
____________________________________________________________________<br />
Name and Title of Authorized Representative<br />
____________________________________________<br />
Signature<br />
______________________<br />
Date<br />
66
DISCLOSURE OF LOBBYING ACTIVITIES<br />
Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352<br />
(See reverse for public burden disclosure)<br />
1. Type of Federal Action:<br />
2. Status of Federal Action:<br />
3. Report Type:<br />
a. contract<br />
b. grant<br />
c. cooperative agreement<br />
d. loan<br />
e. loan guarantee<br />
f. loan insurance<br />
4. Name and Address of Reporting Entity:<br />
Prime<br />
Subawardee<br />
Tier _______,if known:<br />
a. bid/offer/application<br />
b. initial award<br />
c. post-award<br />
a. initial filing<br />
b. material change<br />
For Material Change Only:<br />
year _________ quarter _____<br />
date of last report __________<br />
5. If Reporting Entity in No. 4 is Subawardee, Enter Name and<br />
Address of Prime:<br />
Congressional <strong>District</strong>, if known:<br />
Congressional <strong>District</strong>, if known:<br />
6. Federal Department/Agency: 7. Federal <strong>Program</strong> Name/Description:<br />
CFDA Number, if applicable: _____________<br />
8. Federal Action Number, if known: 9. Award Amount, if known:<br />
10. a. Name and Address of Lobbying Entity<br />
(if individual, last name, first name, MI):<br />
$<br />
b. Performing <strong>Service</strong>s (including address if different from<br />
No. 10a) (last name, first name, MI):<br />
(attach Continuation Sheet (s)<br />
SF-LLL-A, if necessary<br />
11. Amount of Payment (check all that apply):<br />
$ ________________________ actual planned<br />
12. Form of Payment (check all that apply):<br />
a. cash<br />
13. Type of Payment (check all that apply):<br />
a. retainer<br />
b. one-time fee<br />
c. commission<br />
d. contingent fee<br />
e. deferred<br />
f. other; specify: _________________________<br />
b. in-kind; specify: nature ____________<br />
value _____________<br />
14. Brief Description of <strong>Service</strong>s Performed or to be Performed and Date(s) of <strong>Service</strong>, including officer(s), employee(s), or Member (s) contacted for<br />
Payment Indicated in Item 11:<br />
(attach Continuation Sheet(s) SF-LLL-A if necessary)<br />
15. Continuation Sheet(s) SF-LLL-A attached: Yes No<br />
16. Information requested through this form is authirezd by title 31 U.S.C. section<br />
1352. This disclosure of lobbying activities is a material representation of fact<br />
upon which reliance was place by the tier above when this transaction was made or<br />
entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This<br />
information will be reported to the Congress semi-annually and will be available<br />
for public inspection. Any person who fails to file the required disclosure shall be<br />
subjedt to a civil penalty of not less than $10,000 and not more than $10,000 for<br />
each such failure.<br />
Federal Use Only:<br />
Signature: ______________________________________________<br />
Printed Name: __________________________________________<br />
Title: __________________________________________________<br />
Telephone No.: ___________________ Date: ________________<br />
Authorized for Local Reproduction Standard Form - LLL<br />
67
INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES<br />
This disclosure form shall be completed by the reporting entity, whether sub-awardee or prime Federal recipient, at the<br />
initiation or receipt of a covered Federal action, or a material change to a previous filing pursuant to title 31 U.S.C. section<br />
1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing<br />
or attempting to influence an officer or employee or any agency, a Member of Congress, and officer or employee of<br />
Congress, or an employee of a Member of Congress in connection with a covered Federal action. Use the SF-LLL-A<br />
Continuation Sheet for additional information if the space on the form is inadequate. Complete all items that apply for both<br />
the initial filing and material change report. Refer to the implementing guidance published by the Office of Management<br />
and Budget for additional Information.<br />
1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the<br />
outcome of a covered Federal action.<br />
2. Identify the status of the covered Federal action.<br />
3. Identify the appropriate classification of this report. If this is a followup report caused by a material change to the<br />
information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last<br />
previously submitted report by this reporting entity for this covered Federal action.<br />
4. Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional <strong>District</strong>, if<br />
known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be a prime<br />
or subaward recipient. Identify the tier of the subawardee e.g. the first subawardee of the prime is the 1 st .tier.<br />
Subawards include but are not limited to subcontracts, subgrants and contract awards under grants.<br />
5. If the organization filing the report in item 4 checks “Subawardee”, then enter the full name, address, city, state and<br />
zip code of the prime Federal recipient. Include Congressional <strong>District</strong>, if known.<br />
6. Enter the name of the Federal agency, making the award or loan commitment. Include at least one organizational<br />
level below agency name, if known. For example, Department of Transportation, United States Coast Guard.<br />
7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full<br />
Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan<br />
commitments.<br />
8. Enter the most appropriate Federal identifying number available for the Federal action identified in item 1 (e.d.<br />
Request for Proposal (RFP) number; invitation for Bid (<strong>IFB</strong>) number, grant announcement number; the contract,<br />
grant, or loan award number, the application proposal control number assigned by the Federal agency). Include<br />
prefixes e.g., “RFP-DE-90-001.”<br />
9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the<br />
Federal amount of the award/loan commitment for the prime entity identified in item 4 or 5.<br />
10. (a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity<br />
identified in item 4 to influence the covered Federal action.<br />
11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item4) to the<br />
lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check<br />
all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned<br />
to be made.<br />
12. Check the appropriate box (es). Check all boxes that apply. If payment is made through an in-kind contribution,<br />
specify the nature and value of the in-kind payment.<br />
13. Check the appropriate box (es). Check all boxes that apply. If other, specify nature.<br />
14. Provide a specific and detailed description of the services that the lobbyist has performed, or will be expected to<br />
perform, and the date (s_ of any services rendered. Include all preparatory and related activity, not just time spent<br />
in actual contract with Federal officials. Identify the Federal official (s) or employee (s) contacted or the officer (s),<br />
employee (s), or Member (s) of Congress that were contacted.<br />
15. Check whether or not a SF-LLL-A Continuation Sheet (s) is attached.<br />
16. The certifying official shall sign and date the form, print his/her name, title, and telephone number.<br />
Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time<br />
for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing<br />
and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this<br />
collection of information, including suggestions for reducing this burden to the Office of Management and Budget,<br />
Paperwork Reduction Project (0348-0046), Washington, D.C. 20503<br />
68
DISCLOSURE OF LOBBYING ACTIVITIES<br />
CONTINUATION SHEET<br />
Reporting Entity: _______________________________________ Page _______ of ________<br />
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COMPLIANCE CONDITIONS<br />
Regarding Participation by Minority – and Women-Owned Business Enterprises<br />
1. Definitions<br />
A. The term “broker” means a person or entity that fills orders by purchasing or receiving supplies from a third party supplier rather<br />
than out of its own existing inventory, and provides no commercially useful function other than acting as a conduit between the<br />
supplier and the customer. Brokerage will not be counted towards MBE/WBE goals.<br />
B. The term “certification” or “certified” means official recognition of the MBE or WBE status of a business by a public or private entity<br />
such as the City of <strong>Chicago</strong>, the <strong>Chicago</strong> Minority Business Development Council (CMBDC), the Women’s Business Development<br />
Center (WBDC), or the Small Business Administration (SBA).<br />
C. The term “commercially useful function” means that a firm is responsible for the execution of a distinct element of the work of the<br />
contract and carries out its responsibilities by actually performing, managing, and supervising the work involved, or by fulfilling its<br />
responsibilities as joint venturer. To determine whether a firm is performing a commercially useful function, the <strong>Chicago</strong> <strong>Park</strong><br />
<strong>District</strong> will evaluate the amount of work subcontracted, industry practices, and other relevant factors.<br />
D. The term “contract” means any contract, purchase order, or agreement awarded by any officer or agency of the <strong>Chicago</strong> <strong>Park</strong><br />
<strong>District</strong>, or whose cost is to be paid from funds belonging to or administered by the <strong>Park</strong> <strong>District</strong>, regardless of the source.<br />
E. The term “direct participation” means the participation in the contract by an MBE or WBE (1) as the prime contractor, (2) as a<br />
partner in a joint venture, (3) as the subcontractor of a portion of the work of the contract, or (4) as the vendor of goods and/or<br />
services used in or related to the purpose of the contract.<br />
F. The term “established business” means a business entity which, by virtue of its size and capacity for competing in the markets in<br />
which it operates, does not need to be a participant in the MBE/WBE program in order to effectuate the purposes of the program<br />
as determined by the <strong>Park</strong> <strong>District</strong>. In general, a business entity shall be presumed to be an established business if it meets local<br />
and other nationally recognized standards for such status.<br />
G. The term “indirect participation” means the participation by an MBE or WBE as the supplier of goods and/or services that are not<br />
used directly for the purposes of the contract, but that are used in other aspects of the bidder’s business.<br />
H. The term “joint venture” means an association of two or more businesses formed to carry out a single business enterprise for<br />
profit, and for which purposes they combine their expertise, property, capital, efforts, skills and knowledge.<br />
I. The term “local business” means a business entity located within the counties of Cook, DuPage, Kane, Lake, McHenry or Will in the<br />
State of Illinois (the “Six-County Region”) which has the majority of its regular, full-time work force located within the six-county<br />
region.<br />
J. The term “lowest responsible bidder” means that bidder which submits the lowest price and meets all other bid specifications,<br />
including the MBE goal and the WBE goal and these Compliance Conditions, unless a reduction or waiver is granted.<br />
K. The term “minority group” means any of the following racial or ethnic groups:<br />
• African-Americans or Blacks (persons having origins in any of the Black racial groups in Africa)<br />
• Hispanics (persons of Spanish culture with origins in Mexico, South or Central America or the Caribbean Islands,<br />
regardless of race)<br />
• Asian-Americans (persons having origins in any of the original peoples of East Asia, Southeast Asia, the Indian subcontinent,<br />
or the Pacific Islands)<br />
• Other groups, or other individuals, found by the General Superintendent to be socially and economically disadvantaged and to<br />
have suffered actual racial or ethnic discrimination and decreased opportunities to compete in <strong>Chicago</strong> area markets and to<br />
do business with the <strong>Chicago</strong> <strong>Park</strong> <strong>District</strong>.<br />
• For purposes of contracts funded by state or federal government sources, groups found to be eligible for the designation of<br />
DBE by such governmental sources.<br />
L. The term “minority-owned business” or “MBE” means a local business that is certifiably at least 51% owned by one or more<br />
members of one or more minority groups, or, in the case of a publicly-held corporation, a corporation in which at least 51% of the<br />
stock is owned by one or more members of one or more minority groups, and whose management and daily business operations<br />
are controlled by one or more members of one or more minority groups, and which is not an established business.<br />
M. The term “minority-owned business enterprise goal” or “MBE goal” means the goal adopted for participation by MBEs by the<br />
<strong>Chicago</strong> <strong>Park</strong> <strong>District</strong> Code, Chapter XI, Section F.<br />
N. The term “owned” means having all of the customary incidents of ownership, including the right of disposition and the sharing of all<br />
risks and profits, commensurate with the degree of ownership interest.<br />
O. The term “program” means the Minority and Women-owned Business Enterprise <strong>Program</strong> enacted by Chapter XI, Section F of the<br />
Code of the <strong>Chicago</strong> <strong>Park</strong> <strong>District</strong>, and all rules, regulations, forms, and schedules promulgated thereunder.<br />
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P. The term “schedules” means the Schedule A and Schedule B provided by the <strong>Park</strong> <strong>District</strong>.<br />
Q. The term “women-owned business” or “WBE” means a local business that is certifiably at least 51% owned by one or more<br />
women, or, in the case of a publicly held corporation, a corporation in which 51% of the stock is owned by one or more women,<br />
and whose management and daily business operations are controlled by one or more women, and which is not an established<br />
business.<br />
R. The term “women-owned business enterprise goal” or “WBE goal” means the goal adopted for participation by WBEs by the<br />
<strong>Chicago</strong> <strong>Park</strong> <strong>District</strong> Code, Chapter XI, Section F.<br />
2. Policy<br />
It is the policy of the <strong>Chicago</strong> <strong>Park</strong> <strong>District</strong> that members of minority groups and women participate to the maximum feasible extent in<br />
the performance of <strong>Park</strong> <strong>District</strong> contracts. During the performance of this contract, the bidder agrees that it shall not discriminate on<br />
the basis of race, color, religion, sex, national origin, ancestry, age, marital status, physical or mental disability, unfavorable discharge<br />
from military service, parental status, or sexual orientation in the solicitation for or purchase of goods or services, or the<br />
subcontracting of work in the performance of this contract.<br />
3. Commitment to MBE/WBE Participation<br />
A. In order to be considered responsive, the bidder shall commit to expending at least 25% of the total contract price with MBEs<br />
(“MBE goal”) and at least 5% with WBEs (“WBE goal”), unless, prior to the submission of the bid, the <strong>Park</strong> <strong>District</strong> granted a<br />
percentage reduction or a waiver. The Director of Purchasing, subject to the approval of the General Superintendent, may extend<br />
the period for the granting of reductions or waivers in order to increase the opportunities for the participation of MBEs and/or<br />
WBEs in the performance of the contract.<br />
B. If the bidder is a certified MBE firm, the WBE requirement MUST STILL BE MET.<br />
If the bidder is a certified WBE firm, the MBE requirement MUST STILL BE MET.<br />
A business enterprise owned by a woman who is a member of a minority group may be counted as an MBE or a WBE, BUT<br />
NOT BOTH.<br />
C. The total dollar value of the bidder’s MBE or WBE direct participation and indirect participation shall be counted toward the MBE<br />
and/or WBE goals.<br />
D. If the contract value is increased through a change order or contract modification, the MBE and WBE expenditures must increase<br />
proportionally.<br />
E. The MBE goal and the WBE goal may be achieved by:<br />
a) The bidder’s status as an MBE or a WBE (plus the addition of an MBE or WBE, whichever is not fulfilled by the<br />
bidder’s own certification); and/or<br />
b) The bidder’s status as a joint venturer with one or more MBEs and/or WBEs. The percentage of the<br />
ownership and control of the MBE joint venturer or WBE joint venturer shall be the percentage of<br />
participation counted toward the MBE goal and/or the WBE goal. A joint venture is eligible for participation<br />
MBE and/or WBE, if, and only if, all of the following requirements are satisfied:<br />
as an<br />
• The MBE or WBE venturer(s) participates in the ownership, control, management responsibilities, risks and profits of<br />
the joint venture in proportion with the MBE and/or WBE ownership percentage.<br />
• The MBE and/or WBE venturer(s) is responsible for a clearly defined portion of the work of the contract in proportion<br />
with the MBE’s and/or WBE’s ownership percentage; and<br />
• The MBE and/or WBE venturer(s) actually performs with its own forces and using its own equipment, work equal to at<br />
least 75% of the value of its ownership of the joint venture.<br />
The Director of Purchasing, in consultation with appropriate <strong>Park</strong> <strong>District</strong> staff, will evaluate the proposed joint venture<br />
agreement and all other relevant documents to determine whether these requirements have been satisfied; and/or<br />
c) Subcontracting a portion of the work of the contract to one or more MBEs and/or WBEs:<br />
• A bidder may count toward its MBE or WBE goal only expenditures to firms that perform a commercially useful<br />
function in the work of the contact.<br />
• Brokering will not be counted toward the <strong>Program</strong>'s goals. Consistent with normal industry practices, an MBE or<br />
WBE may enter into subcontracts; however, if an MBE or WBE subcontracts a significantly greater portion of the work<br />
of the contract than would be expected on the basis of normal industry practices, the MBE or WBE shall be presumed<br />
not to be performing a commercially useful function. The bidder may present evidence to rebut this presumption.<br />
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Where an MBE or WBE, consistent with industry practices, intends to enter into further subcontracts totaling more<br />
than 25% of the value of the MBE’s or WBE’s subcontract, the MBE or WBE must submit all documents required by<br />
Section 2.04 of these Conditions regarding all further subcontracts, except that reductions or waivers of the MBE goal<br />
or WBE goal need not be obtained. However, the dollar value of any work that is further subcontracted to other than<br />
MBEs and/or WBEs shall not be counted toward the attainment of the bidder’s MBE and/or WBE goals. This<br />
provision does not apply to MBEs or WBEs who represent manufacturers. Agreements between a bidder and an<br />
MBE or WBE in which the MBE or WBE promises not to provide subcontracting quotations to other bidders are<br />
prohibited.<br />
• The purchase of materials or services used in or related to the performance of the contract from one or more MBEs<br />
and/or WBEs; or<br />
• The purchase or subcontracting of materials or services not specifically related to the performance of this contract<br />
from one or more MBEs and/or WBEs (indirect participation); or<br />
• Any combination of the foregoing.<br />
4. Reduction or Waiver of the MBE goal and/or WBE goal<br />
The Director of Purchasing, in consultation with appropriate <strong>Park</strong> <strong>District</strong> staff, shall consider any request for a reduction or a waiver of<br />
the MBE goal and/or the WBE goal when necessary. A reduction or waiver may be granted if, among other things, the reasonable<br />
and necessary requirements of the contract render sufficient subcontracting, joint venturing or other participation of MBEs and/or<br />
WBEs unfeasible or excessively costly; or, sufficient MBEs and/or WBEs capable of providing the goods and services required by the<br />
contract are not readily available despite affirmative efforts to locate such businesses.<br />
A. If a bidder determines that it is unable to meet the required MBE goal and/or the WBE goal through direct subcontracts, the<br />
bidder should attempt to meet the goal through indirect subcontracts.<br />
B. In the rare instance in which indirect subcontracting also is not possible, the bidder must request a reduction or a waiver of the<br />
goal(s) prior to submission of its bid. In order to obtain a reduction or waiver, the bidder must document its unsuccessful<br />
solicitation (as either direct or indirect subcontractors or joint venturers) of a reasonable number of the appropriately certified<br />
MBEs and WBEs. Documentation must include, but is not necessarily limited to:<br />
a) A detailed statement of efforts to identify and select portions of work identified in the bid solicitation for subcontracting to or joint<br />
venturing with MBEs and WBEs; and<br />
b) A listing of all MBEs and WBEs contacted and not utilized, including:<br />
• Names, addresses and telephone numbers of MBEs and WBEs solicited;<br />
• Date, time and method of contact;<br />
• A statement from each contacted MBE or WBE explaining why it was not available to do the work, or a statement that<br />
the MBE or WBE did not respond; and<br />
• Where relevant, documentation of all prices quoted by all subcontractors.<br />
5. Procedure to Determine Compliance<br />
A. MBE/WBE Participation (“Schedules”)<br />
a) Schedule A: Statement of Prime Bidder Regarding MBE/WBE Utilization. In order to achieve both the MBE and WBE goals,<br />
the prospective awardee must submit a completed Schedule A, committing the bidder to the utilization of each listed MBE and<br />
WBE, including MBE and WBE joint venturers. The prospective awardee must commit to the expenditure of a specific dollar or<br />
percentage amount of participation by each MBE and WBE firm. The total dollar or percentage commitment to proposed MBE<br />
firms must at least be equal to the MBE goal. The total dollar or percentage commitment to proposed WBE firms must at least<br />
be equal to the WBE goal. The bidder is responsible for calculating the dollar equivalent of the MBE and WBE goals. All<br />
commitments made in Schedule A must conform to the submitted Schedule Bs. The bidder will not be permitted to substitute<br />
another firm for the MBE and/or WBE listed in Schedule A, except as described in Section 2.04.03. of these Conditions.<br />
b) Schedule B: Letter of Intent from MBE or WBE to Perform as Subcontractor, Supplier and/or Consultant as Included in the<br />
Bidder’s Schedule A. Each Schedule B must accurately detail the work to be performed by the MBE or WBE and the agreed<br />
rates and prices.<br />
B. Letters of Certification<br />
A copy of each proposed MBE’s and WBE’s current letters of certification (or other certification documents) must be submitted with<br />
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their Schedule Bs. The <strong>Park</strong> <strong>District</strong> accepts certification by public or private entities such as the City of <strong>Chicago</strong>, the <strong>Chicago</strong><br />
Minority Supplier Development Council (CMSDC), the Woman’s Business Development Center (WBDC), or the Small Business<br />
Administration (SBA). The <strong>Park</strong> <strong>District</strong> reserves the right to determine that even if an entity is certified, its inclusion in the<br />
<strong>Program</strong> does not further the <strong>Program</strong>’s purposes. The <strong>Park</strong> <strong>District</strong> – not the bidder – shall determine the adequacy of the letters<br />
of certification or other certification documents.<br />
a) A receipt for the submittal of an application for certification is NOT AN ACCEPTABLE alternative to a current certification letter.<br />
b) The only ACCEPTABLE alternative to a current certification letter is a “courtesy extension letter” from the same certifying<br />
agency.<br />
C. Evaluation of the Schedule<br />
If the potential awardee fails to meet the MBE goal and/or the WBE goal and no reduction or waiver was granted before the<br />
proposal was submitted; or is found to be unresponsive or uncooperative; or if false statements were made in the Schedules; or if<br />
the bidder fails to cooperate promptly with the <strong>Park</strong> <strong>District</strong>, the bidder may be deemed unresponsive and eliminated from award<br />
consideration.<br />
6. Contract Performance<br />
A. MBE and WBE Utilization Reports<br />
The awardee shall maintain records of all relevant data with respect to the utilization of MBEs and WBEs, retaining these records<br />
for a period of at least three years after expiration of the contract. The awardee shall file quarterly MBE and WBE Utilization<br />
Reports. Each MBE and WBE Utilization Report will reflect the current status of current and projected payments to MBEs and<br />
WBEs. Such reports shall include the following: the name, business address, telephone number and contact person of each MBE<br />
and WBE actually involved in the performance of the contract; a description of the work performed and/or product or service<br />
supplied by each MBE or WBE; the date and amount of each payment; and such other information as may assist the Director of<br />
Purchasing in determining the awardee’s compliance with the provisions of the <strong>Program</strong>.<br />
B. Access to Records<br />
During the term of the contract and for a period of three years after the expiration date of the contract, the Director of Purchasing<br />
shall have access to the awardee’s books and records, including without limitation payroll records, tax returns and records, and<br />
books of account, on five business days notice, to allow the Director of Purchasing to determine the awardee’s compliance with its<br />
commitment to MBE and WBE participation and the status of any MBE or WBE performing any portion of the contract. This<br />
provision shall be in addition to, and not a substitute for, any other provision allowing inspection of the awardee’s records by any<br />
officer or official of the <strong>Chicago</strong> <strong>Park</strong> <strong>District</strong> for any purpose.<br />
C. Substitution of MBEs and WBEs Listed in the Schedules<br />
When the awardee believes it has become necessary to substitute a new MBE or WBE in order to actually fulfill the MBE goal or<br />
WBE goal, or to complete the work of the contract, the awardee must submit a written request for permission to substitute a<br />
different MBE or WBE. Any substitution must receive prior approval from the Director of Purchasing. If the participation of MBEs<br />
and/or WBEs in the contract would be reduced by the substitution, the awardee must utilize MBEs and/or WBEs in other areas of<br />
the contract to meet the MBE goal and/or WBE goal, unless a reduction or waiver is granted. Such a request must include specific<br />
reasons for the proposed substitution, stating why the MBE or WBE is unable to complete the work. Acceptable reasons include,<br />
but are not limited to, the following:<br />
a) The MBE or WBE was found not to be able to perform the work as described in the Schedules, or was not able to perform on<br />
time.<br />
b) The MBE or WBE was found not to be able to produce acceptable work.<br />
c) The MBE or WBE was discovered to be improperly certified.<br />
d) The MBE or WBE later demanded an unreasonable escalation of price.<br />
The awardee’s substitution request should include the names, addresses, and officials of any proposed substitute MBE or<br />
WBE and the dollar value and scope of work of the proposed subcontract. Such notification shall also include documents that<br />
are required of bidders to determine bid compliance, including the Schedules and current letters of certification. The <strong>Park</strong><br />
<strong>District</strong> will not approve extra payment for escalated costs incurred by the awardee when a substitution becomes necessary for<br />
the awardee in order to comply with the MBE goal and/or the WBE goal.<br />
7. Non-Compliance<br />
The following constitute material breaches of the contract and shall entitle the <strong>Park</strong> <strong>District</strong> to declare a default, terminate the contract<br />
and exercise those remedies provided for in the contract and at law or in equity: (1) failure to satisfy the MBE goal and/or the WBE<br />
73
goal required by the contract; or (2) the disqualification of the MBE or WBE when such status was a factor in the contract award and<br />
was misrepresented by the bidder.<br />
A. In the event of an awardee’s non-compliance with the commitment to MBE and/or WBE participation, the awardee agrees to pay<br />
damages to the MBEs and WBEs that were underutilized due to no fault of the MBE or WBE. The unexcused reduction of MBE<br />
and/or WBE participation in connection with a contract, including any modification thereof, shall entitle the affected MBEs and<br />
WBEs to damages. The awardee agrees to submit any dispute concerning such damages to binding arbitration by an<br />
independent arbitrator, other than any department or agency of the <strong>Chicago</strong> <strong>Park</strong> <strong>District</strong>, with reasonable expenses, including<br />
attorneys’ fees and costs being recoverable by a prevailing MBE or WBE.<br />
B. In the event that an awardee is determined by the Director of Purchasing not to have been involved in any misrepresentation of the<br />
status of a disqualified MBE or WBE included in the Schedules, the Director of Purchasing may allow the awardee to discharge the<br />
MBE or WBE and, if possible, identify and engage a qualified MBE or WBE as a replacement. A MBE must be replaced by<br />
another MBE and a WBE must be replaced by another WBE, unless a reduction or waiver is granted.<br />
C. If, after notice and a hearing before the Director of Purchasing, the General Superintendent determines that an awardee or a MBE<br />
or WBE has made fraudulent misrepresentations to the Director of Purchasing regarding the utilization of MBEs or WBEs, or has<br />
colluded with another making such fraudulent misrepresentations, the awardee or MBE or WBE shall be disqualified from<br />
contracting or subcontracting on additional contracts with the <strong>Park</strong> <strong>District</strong> for a period of three years.<br />
D. The consequences provided herein shall be in addition to any other criminal or civil liability to which such entities may be subject.<br />
The General Superintendent, through the General Counsel of the <strong>Park</strong> <strong>District</strong>, shall inform the appropriate law enforcement<br />
officers of instances of fraudulent misrepresentation and collusion.<br />
End of Compliance Conditions<br />
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1. SCHEDULE A [STATEMENT OF PRIME BIDDER]<br />
A. Completion of Schedule A<br />
INSTRUCTIONS FOR COMPLETING SCHEDULES A AND B<br />
a) Schedule A must be completed and signed by the bidder.<br />
b) The bidder must commit to the expenditure of a specific dollar amount of participation by each MBE/WBE listed on the<br />
Schedule A.<br />
B. Joint Venture Attachment to Schedule A (Joint Venture only)<br />
a) If the bidder’s MBE/WBE plan includes the participation of an MBE/WBE as a joint venture partner, the bidder must<br />
submit, with the Schedule A, a copy of the parties’ Joint Venture Agreement.<br />
b) The Alternate Signature Page of the Schedule A must be signed by the joint venture partners.<br />
C. Non-compliant Bid<br />
Failure to submit a properly completed and signed Schedule A (and joint venture documentation, if applicable) will render the<br />
bid non-compliant, which will remove the bidder from further award consideration.<br />
2. SCHEDULE B [STATEMENT OF MBE/WBE FIRM(S)]<br />
A. Completion of Schedule B<br />
a) A Schedule B form must be completed and signed by each MBE/WBE firm listed on the Schedule A as participating in the<br />
contract as a subcontractor. Only that subcontractor shall sign the Schedule B.<br />
b) That MBE/WBE firm also must submit, with their Schedule B, all of their current Letters of Certification obtained from public or<br />
private entities such as the City of <strong>Chicago</strong>, the <strong>Chicago</strong> Minority Business Development Council (CMBDC), the Women’s<br />
Business Development Center (WBDC), or the Small Business Administration.<br />
B. Non-compliant Bid<br />
Failure of the prime bidder to submit a completed and signed Schedule B and current certification letter(s) for each subcontractor<br />
listed on the Schedule A may render the bid non-compliant, which will remove the prime submitter from further award<br />
consideration.<br />
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SCHEDULE A<br />
Statement of Prime Submitter Regarding Its MBE/WBE Utilization Plan<br />
TO BE COMPLETED BY SUBMITTER ONLY<br />
Submitter: ______________________________________<br />
Project:<br />
Is the submitter a certified MBE/WBE? MBE: Yes No WBE: Yes No<br />
If yes, attach all current Letters of Certification.<br />
NOTE:<br />
CERTIFICATION OF THE SUBMITTER AS AN MBE SATISFIES ONLY THE MBE GOAL; THE WBE GOAL MUST STILL BE MET. CERTIFICATION OF THE<br />
SUBMITTER AS A WBE SATISFIES ONLY THE WBE GOAL; THE MBE GOAL MUST STILL BE MET. CERTIFICATION OF THE SUBMITTER AS BOTH MBE AND<br />
WBE MAY SATISFY ONE GOAL ONLY.<br />
The submitter intends to perform work in connection with this project as a:<br />
GENDER: RACE/ETHNICITY: TYPE OF FIRM:<br />
Male Black/African American Partnership<br />
Female Hispanic American Sole Proprietorship<br />
Asian American<br />
Corporation<br />
White American<br />
Joint Venturer<br />
Other<br />
Other<br />
All MBE/WBE firms included in the following plan must be certified as such by a public or private organization such as the City of<br />
<strong>Chicago</strong>, <strong>Chicago</strong> Minority Supplier Development Council (CMSDC), Women Business Development Center (WBDC), and the Small<br />
Business Administration.<br />
I. Participation of MBE/WBE Firms<br />
In determining the manner of MBE/WBE participation in the performance of this contract, the submitter shall consider involvement<br />
with MBE/WBE firms as joint venture partners, subcontractors, and suppliers of goods and services, either directly or indirectly.<br />
A. If submitter is a joint venturer and one or more joint venture partners are certified MBEs or WBEs, attach copies of Letters of<br />
Certification and a copy of the Joint Venture Agreement clearly describing the role of the MBE/WBE firm(s) and its ownership<br />
interest in the joint venture.<br />
B. Proposing MBE/WBE subcontractors/suppliers/consultants to perform work or supply goods or services not directly related to the<br />
performance of this contract is considered to be indirect participation.<br />
MBE/WBE Subcontractors/Suppliers/Consultants:<br />
1. Name of MBE/WBE:<br />
Address:<br />
Contact Person:<br />
E-mail: ______________________________________________<br />
Phone:<br />
Fax: _______________________<br />
MBE/WBE Participation: Dollars $ Percent: %<br />
Will this subcontractor be used for direct or indirect participation? (circle one)<br />
Schedule B and all current certification letters attached? Yes No<br />
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2. Name of MBE/WBE:<br />
Address:<br />
Contact Person:<br />
E-mail: ______________________________________________<br />
Phone:<br />
Fax: _______________________<br />
MBE/WBE Participation: Dollars $ Percent: %<br />
Will this subcontractor be used for direct or indirect participation? (circle one)<br />
Schedule B and all current certification letters attached? Yes No<br />
3. Name of MBE/WBE:<br />
Address:<br />
Contact Person:<br />
E-mail: ______________________________________________<br />
Phone:<br />
Fax: _______________________<br />
MBE/WBE Participation: Dollars $ Percent: %<br />
Will this subcontractor be used for direct or indirect participation? (circle one)<br />
Schedule B and all current certification letters attached? Yes No<br />
4. Name of MBE/WBE:<br />
Address:<br />
Contact Person:<br />
E-mail: ______________________________________________<br />
Phone:<br />
Fax: _______________________<br />
MBE/WBE Participation: Dollars $ Percent: %<br />
Will this subcontractor be used for direct or indirect participation? (circle one)<br />
Schedule B and all current certification letters attached? Yes No<br />
5. Name of MBE/WBE:<br />
Address:<br />
Contact Person:<br />
E-mail: ______________________________________________<br />
Phone:<br />
Fax: _______________________<br />
MBE/WBE Participation: Dollars $ Percent: %<br />
Will this subcontractor be used for direct or indirect participation? (circle one)<br />
Schedule B and all current certification letters attached? Yes No<br />
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6. Name of MBE/WBE:<br />
Address:<br />
Contact Person:<br />
E-mail: ______________________________________________<br />
Phone:<br />
Fax: _______________________<br />
MBE/WBE Participation: Dollars $ Percent: %<br />
Will this subcontractor be used as direct or indirect participation? (circle one)<br />
Schedule B and all current certification letters attached? Yes No<br />
7. Name of MBE/WBE:<br />
Address:<br />
Contact Person:<br />
E-mail: ______________________________________________<br />
Phone:<br />
Fax: _______________________<br />
MBE/WBE Participation: Dollars $ Percent: %<br />
Will this subcontractor be used for direct or indirect participation? (circle one)<br />
Schedule B and all current certification letters attached? Yes No<br />
8. Name of MBE/WBE:<br />
Address:<br />
Contact Person:<br />
E-mail: ______________________________________________<br />
Phone:<br />
Fax: ______________________<br />
MBE/WBE Participation: Dollars $ Percent: %<br />
Will this subcontractor be used for direct or indirect participation? (circle one)<br />
Schedule B and all current certification letters attached? Yes No<br />
9. Name of MBE/WBE:<br />
Address:<br />
Contact Person:<br />
E-mail: ______________________________________________<br />
Phone:<br />
Fax: ______________________<br />
MBE/WBE Participation: Dollars $ Percent: %<br />
Will this subcontractor be used for direct or indirect participation? (circle one)<br />
Schedule B and all current certification letters attached? Yes No<br />
Attach additional sheets as needed.<br />
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II.<br />
Summary of MBE/WBE Plan:<br />
A. MBE Participation:<br />
Dollar Amount of Percent Amount of<br />
MBE Firm Name Participation Participation<br />
$ %<br />
$ %<br />
$ %<br />
$ %<br />
$ %<br />
$ %<br />
$ %<br />
$ %<br />
Total MBE Participation: $ %<br />
B. WBE Participation:<br />
Dollar Amount of Percent Amount of<br />
WBE Firm Name Participation Participation<br />
$ %<br />
$ %<br />
$ %<br />
$ %<br />
$ %<br />
$ %<br />
$ %<br />
$ %<br />
Total WBE Participation: $ %<br />
The submitter designates the following person as its MBE/WBE Liaison Officer:<br />
(Name and Title)<br />
( )<br />
(Phone Number)<br />
(E-mail address)<br />
CONTINUE TO NEXT PAGE<br />
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To the best of my knowledge, information and belief, the facts and representations contained in this Schedule are true, and no material<br />
facts have been omitted.<br />
Any material misrepresentation will be grounds for terminating any contract that may be awarded and for initiating action under federal or<br />
state laws concerning false statements.<br />
Bidder:<br />
Signature:<br />
Name/Title:<br />
(Print or Type Name of Business)<br />
(Written Signature of Authorized Officer/Representative)<br />
(Print or Type Name and Title of Person Signing Statement)<br />
Date:<br />
NOTE<br />
If submitter is an MBE/WBE joint venture with a non-MBE/WBE firm,<br />
use the following signature page instead:<br />
End of Schedule A<br />
80
ALTERNATE SCHEDULE A SIGNATURE PAGE<br />
FOR MBE/WBE JOINT VENTURE WITH A NON-MBE/WBE FIRM<br />
Complete this signature page only if you are an MBE/WBE operating as a joint venture with a non-MBE/WBE Firm<br />
To the best of my knowledge, information and belief, the facts and representations contained in this Schedule are true, and no material<br />
facts have been omitted.<br />
Any material misrepresentation will be grounds for terminating any contract that may be awarded and for initiating action under federal or<br />
state laws concerning false statements.<br />
NOTE:<br />
After filing this statement and before the completion of the joint venture’s work on this project, if there is any change in the information<br />
submitted, the joint venturer must inform the <strong>Chicago</strong> <strong>Park</strong> <strong>District</strong>.<br />
(Name of MBE/WBE Partner Firm)<br />
(Name of Non-MBE/WBE Partner Firm)<br />
(Written Signature of Authorized Officer/Representative)<br />
(Written Signature of Authorized Officer/Representative)<br />
(Print or Type Name and Title)<br />
(Print or Type Name and Title)<br />
(Date)<br />
(Date)<br />
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SCHEDULE B<br />
Statement of Intent from MBE/WBE to Perform as Subcontractor, Supplier and/or Consultant<br />
DO NOT FILL OUT OR SIGN THIS FORM IF YOU ARE THE PRIME SUBMITTER<br />
Project:<br />
From:<br />
To:<br />
(Name of MBE/WBE Firm)<br />
(Name of Prime Contractor-Submitter)<br />
MBE: Yes No<br />
WBE: Yes No<br />
and the <strong>Chicago</strong> <strong>Park</strong> <strong>District</strong>:<br />
The undersigned intends to perform work in connection with the above projects as a:<br />
GENDER: RACE/ETHNICITY:<br />
TYPE OF FIRM:<br />
Male Black/African American<br />
Partnership<br />
Female Hispanic American Sole Proprietorship<br />
Asian American<br />
Corporation<br />
White American<br />
Joint Venturer<br />
Other<br />
Other<br />
The MBE/WBE status of the undersigned is confirmed by the attached current Letters of Certification from public or private entities such<br />
as the City of <strong>Chicago</strong>, the <strong>Chicago</strong> Minority Supplier Development Council (CMSDC), the Women’s Business Development Center<br />
(WBDC), and the Small Business Administration.<br />
Attach all current certification letters behind Schedule B.<br />
The undersigned is prepared to provide the following services or supply the following goods in connection with the above project/contract:<br />
The above described performance is offered for the following price and described terms of payment:<br />
If more space is needed to fully describe the MBE/WBE firm’s proposed scope of work and/or payment schedule, attach additional<br />
sheets.<br />
The undersigned will enter into a written agreement for the above work with you as prime contractor, conditioned upon your execution of<br />
a contract with the <strong>Chicago</strong> <strong>Park</strong> <strong>District</strong>, and will do so within (3) three working days of receipt of a signed contract from the <strong>Chicago</strong><br />
<strong>Park</strong> <strong>District</strong>.<br />
Signature:<br />
Name/Title:<br />
(Signature of Owner or Authorized Agent of MBE/WBE)<br />
(Print or Type Name and Title)<br />
Date:<br />
Address: _______________________________________________________________________________<br />
Telephone: ______________________________________<br />
Fax: _______________________________<br />
End of Schedule B<br />
82
MBE/WBE UTILIZATION REPORTING REQUIREMENTS<br />
CHICAGO PARK DISTRICT<br />
TERM AGREEMENT CONTRACTS<br />
For term agreement contracts for materials, supplies, equipment, services, etc., utilization reports are to be submitted monthly. The<br />
MBE/WBE Utilization Report form will be provided to the awardee with the awardee’s executed contract, and the awardee’s first<br />
MBE/WBE Utilization Report will be due no later than ninety (90) days after the date of that contract’s execution.<br />
All utilization reports must be accompanied by the following supporting documentation:<br />
1. Copies of cancelled checks (both sides), wire transfers, and other forms of payments to MBE(s) and WBE(s). These payments<br />
must be for services provided ON THIS CONTRACT ONLY<br />
2. Copies of invoices from MBE(s) & WBE(s) for services provided ON THIS CONTRACT ONLY<br />
3. Signed and notarized waivers of lien, when applicable<br />
Submission Address: MBE/WBE Utilization Reports are to be submitted directly to:<br />
Compliance Officer<br />
Department of Purchasing<br />
<strong>Chicago</strong> <strong>Park</strong> <strong>District</strong><br />
541 N. Fairbanks Court<br />
3 rd Floor<br />
<strong>Chicago</strong>, IL. 60611<br />
Submission Fax: 312-742-5326<br />
For more information, contact Luetha Aytch, Compliance Officer, at 312-742-4436,<br />
or via e-mail at luetha.aytch@chicagoparkdistrict.com<br />
End of MBE/WBE Reporting Requirements<br />
83
SUSTAINABILITY STATEMENT INSTRUCTIONS<br />
The <strong>Chicago</strong> <strong>Park</strong> <strong>District</strong> is committed to green and sustainable practices and good environmental stewardship. Consequently, we are<br />
asking bidders to provide a Statement of Sustainability to ensure our bidders are also incorporating sustainability into their firms’<br />
practices.<br />
INSTRUCTIONS<br />
On the following Sustainability Statement form, provide a clear description of your firm’s sustainable practices, policies, or procedures.<br />
These practices may include, but may not be limited to, the following categories and examples:<br />
Waste Minimization within your office or facilities, such as a recycling programs, double-sided copying, electronic internal<br />
communications (i.e. memos), use of recycled-content materials and reusable cups, limiting printing, electronic document management,<br />
instituting green purchasing policies, using green cleaning supplies and practices, or reducing packaging in materials you procure or<br />
supply.<br />
Energy Efficiency within your office, facilities, or firm, such as lighting retrofits, photo-sensor switches for lighting, effective use of daytime<br />
lighting, using Energy Star rated appliances or equipment, using an alternative fuel or having efficient fleet policies, an anti-idling policy,<br />
or indoor temperature management (i.e. turning the thermostat up in the summer and down in the winter).<br />
Water Efficiency within the office, facilities, or firm, such as faucet or fixture retrofits, switching from individual bottled water to office water<br />
coolers or drinking fountains, and installing drought-tolerant landscaping.<br />
Staff encouraged to adopt sustainable practices and supported by your firm through public transit benefits, bicycle accommodations,<br />
telecommuting options, support for green seminar attendance, becoming US Green Building Council LEED accredited, or creating an<br />
internal “green team.”<br />
Education of your staff about green practices, education of your business peers about your green accomplishments, education of your<br />
community by your sustainability, or notice of any environmental awards your firm has achieved.<br />
CONTINUE TO NEXT PAGE<br />
84
SUSTAINABILITY STATEMENT<br />
Attach additional sheets if necessary.<br />
Waste Minimization<br />
Energy Efficiency<br />
Water Efficiency<br />
Staff<br />
Education<br />
End of Sustainability Statement<br />
85
ECONOMIC DISCLOSURE STATEMENT<br />
WHO MUST SUBMIT AN EDS<br />
APPLICANTS: Any entity or individual (the" Applicant') making an application to the <strong>Park</strong> <strong>District</strong> for action requiring approval<br />
of the <strong>Park</strong> <strong>District</strong>’s Board of Commissioners (“Board of Commissioners”).<br />
ENTITIES HOLDING AN INTEREST IN THE APPLICANT: Generally, whenever an ownership interest in the Applicant (for<br />
example, shares of stock of the Applicant or a limited partnership interest in the Applicant) is held or owned by a legal entity<br />
(for example, a corporation or partnership, rather than an individual) each such legal entity must also file an EDS on its own<br />
behalf, and any parent of that legal entity must do so until individual owners are disclosed. However, if an entity filing an EDS<br />
is a corporation (or a direct or indirect, wholly-owned subsidiary of such corporation) whose shares are registered on a national<br />
securities exchange pursuant to the Securities Exchange Act of1934 as amended, only those shareholders that own ten percent<br />
(10%) or more of that filing entity's stock must file EDSs on their own behalf.<br />
REQUIREMENT: The <strong>Chicago</strong> <strong>Park</strong> <strong>District</strong> (the "<strong>Park</strong> <strong>District</strong>") requires disclosure of the information requested in this Economic<br />
Disclosure Statement and Affidavit ("EDS") before any <strong>Park</strong> <strong>District</strong> action may be taken regarding the matter that is the subject of this<br />
EDS. Please fully complete each statement, with all information current as of the date this EDS is signed. If a question is not applicable,<br />
answer with "N.A." An incomplete EDS will be returned and any <strong>Park</strong> <strong>District</strong> action will be interrupted.<br />
EXECUTION: Please print or type all responses clearly and legibly. Add additional pages if needed, being careful to identify the<br />
portion of the EDS to which each additional page refers.<br />
ACKNOWLEDGMENT OF POSSIBLE CREDIT AND OTHER CHECKS: By completing and filing this EDS, the Undersigned<br />
acknowledges and agrees, on behalf of itself and the entities or individuals named in this EDS, that the <strong>Park</strong> <strong>District</strong> may<br />
investigate the creditworthiness of some or all of the entities or individuals named in this EDS.<br />
CERTIFYING THIS EDS: Execute the certification on the date of the initial submission of this EDS. You may be asked to recertify<br />
this EDS on the last page as of the date of submission of any related ordinance to the Board of Commissioners, or as of<br />
the date of the closing of your transaction.<br />
PUBLIC DISCLOSURE: It is the <strong>Park</strong> <strong>District</strong>'s policy to make this document available to the public on its internet site and/or<br />
upon request.<br />
SECTION 0: GENERAL INFORMATION<br />
Date this EDS is completed:<br />
1. Who is submitting this EDS? That entity or individual will be the "Undersigned" throughout this EDS.<br />
NAME OF ENTITY OR INDIVIDUAL<br />
NOTE: The Undersigned is the entity or individual submitting this EDS, whether the Undersigned is an Applicant or is<br />
an entity holding an interest in the Applicant. This EDS requires certain disclosures and certifications from Applicants<br />
that are not required from entities holding an interest in the Applicant. When completing this EDS, please observe<br />
whether the section you are completing applies only to Applicants.<br />
[ ] Check here if the Undersigned is filing this EDS as an Applicant<br />
[ ] Check here if the Undersigned is filing as an entity holding an interest in an Applicant.<br />
Identify the Applicant in which this entity holds an interest:<br />
2. Business address of the Undersigned:<br />
3. Telephone: Fax: E-mail:<br />
4. Name of contact person:<br />
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5. Tax identification number (optional):<br />
6. Brief description of contract, transaction or other undertaking (referred to below as the "Matter") to which this EDS<br />
pertains (Include specification number and location if applicable):<br />
SECTION I: DISCLOSURE OF OWNERSHIP INTERESTS<br />
A. NATURE OF ENTITY<br />
1. Indicate whether the Undersigned is an individual or legal entity:<br />
[ ] Individual<br />
[ ] Business corporation<br />
[ ] Sole proprietorship<br />
[ ] Limited Liability Company<br />
[ ] Joint venture<br />
[ ] General partnership<br />
[ ] Limited partnership<br />
[ ] Not-for-profit corporation<br />
Is the not-for-profit corporation also a 501(c)(3)?<br />
[ ] Yes [ ] No<br />
[ ] Other entity (please specify) ________________________________________<br />
2. State of incorporation or organization, if applicable:<br />
3. For legal entities not organized in the State of Illinois: Is the organization authorized to do business in the<br />
State of Illinois as a foreign entity?<br />
[ ]Yes [ ] No [ ] N/A<br />
B. ORGANIZATION INFORMATION<br />
1. IF THE UNDERSIGNED IS A CORPORATION:<br />
a. Date of incorporation:<br />
b. List below the names and titles of all executive officers and all directors of the corporation. For notfor-profit<br />
corporations, also list below any executive director of the corporation, and indicate all<br />
members, if any, who are legal entities. If there are no such members, write "no members."<br />
NAME<br />
TITLE<br />
c. If the Undersigned is a corporation (or a direct or indirect wholly owned subsidiary of such<br />
corporation) whose shares are registered on a national securities exchange pursuant to the Securities<br />
Exchange Act of 1934, please provide the following information concerning shareholders who own<br />
shares equal to or in excess of 7.5% of the corporation's outstanding shares.<br />
NAME BUSINESS ADDRESS PERCENTAGE INTEREST<br />
87
d. For corporations that are not registered on a national securities exchange pursuant to the Securities<br />
Exchange Act of 1934, list below the name, business address and percentage of ownership interest of<br />
each shareholder.<br />
NAME BUSINESS ADDRESS PERCENTAGE INTEREST<br />
2. IF THE UNDERSIGNED IS A PARTNERSHIP OR JOINT VENTURE:<br />
For general or limited partnerships or joint ventures: list below the name, business address and percentage of<br />
ownership interest of each partner. For limited partnerships, indicate whether each partner is a general partner<br />
or a limited partner.<br />
NAME BUSINESS ADDRESS PERCENTAGE INTEREST<br />
3. IF THE UNDERSIGNED IS A LIMITED LIABILITY COMPANY:<br />
a. List below the name, business address and percentage of ownership interest of each (1) member and<br />
(2) manager. If there are no managers, write "no managers," and indicate how the company is<br />
managed.<br />
NAME BUSINESS ADDRESS PERCENTAGE INTEREST<br />
b. List below the names and titles of all officers, if any. If there are no officers, write "no officers."<br />
NAME<br />
TITLE<br />
4. IF THE UNDERSIGNED IS A LAND TRUST, BUSINESS TRUST, ESTATE OR OTHER SIMILAR ENTITY<br />
a. List below the name and business address of each individual or legal entity holding legal title to the<br />
property that is the subject of the trust.<br />
NAME BUSINESS ADDRESS PERCENTAGE INTEREST<br />
b. List below the name, business address and percentage of beneficial interest of<br />
each beneficiary on whose behalf title is held.<br />
NAME BUSINESS ADDRESS PERCENTAGE INTEREST<br />
88
5. IF THE UNDERSIGNED IS ANY OTHER LEGAL ENTITY<br />
First describe the entity, then provide the name, business address, and the percentage of interest of all<br />
individuals or legal entities having an ownership or other beneficial interest in the entity.<br />
Describe the entity:<br />
NAME BUSINESS ADDRESS PERCENTAGE INTEREST<br />
SECTION II: BUSINESS RELATIONSHIPS WITH PARK DISTRICT OFFICIALS<br />
A. DEFINITIONS AND DISCLOSURE REQUIREMENT<br />
1. The Undersigned must indicate whether it had a "business relationship" with a <strong>Park</strong><br />
<strong>District</strong> Commissioner in the twelve (12) months before the date this EDS is signed.<br />
2. For the purposes of this EDS, a "business relationship" means any contractual or other private business<br />
dealing of a Commissioner , or his or her spouse, or of any entity in which the Commissioner or his or her<br />
spouse has a financial interest with a person or entity which entitles the Commissioner to compensation or<br />
payment in the amount of $2,500 or more during the prior twelve months; but a "financial interest" does not<br />
include: (a) any interest of the spouse or of an employee or Commissioner which interest is related to the<br />
spouse’s independent occupation, profession, or employment; (b) any ownership through purchase at fair<br />
market value or inheritance of less than 1 % of the shares of a corporation, or any corporate subsidiary, parent<br />
or affiliate thereof, regardless of the value of or dividends on such shares, if such shares are registered on a<br />
securities exchange pursuant to the Securities Exchange Act of 1934, as amended, (c) the authorized<br />
compensation paid to an Employee or a Commissioner for his office or employment; (d) any economic interest<br />
not distinguishable from the economic interests of the public generally ; (e) a time or demand deposit in a<br />
financial institution; (f) a money market mutual fund account; or (g) an endowment or insurance policy or<br />
annuity contract purchased from an insurance company. A “contractual or other private business dealing"<br />
does not include any employment relationship of a Commissioner’s spouse with an entity when such spouse<br />
has no discretion concerning or input relating to the relationship between that entity and the <strong>Park</strong> <strong>District</strong>.<br />
B. CERTIFICATION<br />
1. Has the Undersigned had a "business relationship" with a <strong>Park</strong> <strong>District</strong> Commissioner in the twelve<br />
(12) months before the date this EDS is signed?<br />
[ ]Yes [ ]No<br />
If yes, please identify below the name(s) of the <strong>Park</strong> <strong>District</strong> Commissioner(s) and describe the relationship(s):<br />
SECTION III: DISCLOSURE OF RETAINED PARTIES<br />
89
A. DEFINITIONS AND DISCLOSURE REQUIREMENTS<br />
"Lobbyist" means any person (a) who, for compensation or on behalf of any person other than himself, undertakes to<br />
influence any legislative or administrative action, or (b) any part of whose duty as an employee of another includes<br />
undertaking to influence any legislative or administrative action.<br />
1. The Undersigned must disclose certain information about attorneys, lobbyists, accountants, consultants,<br />
subcontractors, and any other person whom the Undersigned has retained or expects to retain in connection<br />
with the Matter. In particular, the Undersigned must disclose the name of each such person, his/her business<br />
address, the nature of the relationship, and the total amount of the fees paid or estimated to be paid. The<br />
Undersigned is not required to disclose employees who are paid solely through the Undersigned's regular<br />
payroll.<br />
2. If the Undersigned is uncertain whether a disclosure is required under this Section, the Undersigned must<br />
either (a) ask the <strong>Park</strong> <strong>District</strong>’s Director of Purchasing whether disclosure is required, or (b) make the<br />
disclosure.<br />
B. CERTIFICATION<br />
Each and every attorney, lobbyist, accountant, consultant, subcontractor, or other person retained or anticipated to be<br />
retained directly by the Undersigned with respect to or in connection with the Matter is listed below [begin list here,<br />
add sheets as necessary]:<br />
NAME<br />
(indicate whether<br />
retained or anticipated to<br />
be retained)<br />
BUSINESS ADDRESS<br />
RELATIONSHIP TO UNDERSIGNED<br />
(attorney, lobbyist, etc.)<br />
FEES<br />
(indicate whether<br />
paid or estimated)<br />
[ ] Check here if no such individuals have been retained by the undersigned or are anticipated to be retained by the<br />
undersigned.<br />
SECTION IV: CERTIFICATIONS<br />
A. CERTIFICATION OF COMPLIANCE<br />
For purposes of the certifications in this Section IV, the term "affiliate" means any individual or entity that, directly or<br />
indirectly controls the Undersigned, is controlled by the Undersigned, or is, with the Undersigned, under common<br />
control of another individual or entity. Indicia of control include, without limitation: interlocking management or<br />
ownership; identity of interests among family members; shared facilities and equipment; common use of employees;<br />
or organization of a business entity following the ineligibility of a business entity to do business with the federal<br />
government or a state or local government, including the <strong>Park</strong> <strong>District</strong> and the City of <strong>Chicago</strong>, using substantially the<br />
same management, ownership, or principals as the ineligible entity.<br />
1. The Undersigned is not delinquent in the payment of any tax administered by the Illinois Department of<br />
Revenue, nor are the Undersigned or its affiliates delinquent in paying any fine, fee, tax or other charge owed<br />
to the City of <strong>Chicago</strong> or the <strong>Park</strong> <strong>District</strong>. This includes all water charges, sewer charges, license fees, parking<br />
tickets, property taxes or sales taxes. If there are any such delinquencies, note them below:<br />
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively<br />
presumed that the Undersigned certified to the above statements.<br />
2. The Undersigned and its affiliates have not, in the past five (5) years, been found in violation of any <strong>Park</strong><br />
<strong>District</strong>, City, state or federal environmental law or regulation. If there have been any such violations, note<br />
them below:<br />
90
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively<br />
presumed that the Undersigned certified to the above statements.<br />
3. If the Undersigned is the Applicant, the Undersigned and its affiliates will not use, nor permit their<br />
subcontractors to use, any facility on the U.S. EPA's List of Violating Facilities in connection with the Matter<br />
for the duration of time that such facility remains on the list.<br />
4. If the Undersigned is the Applicant, the Undersigned will obtain from any contractors / subcontractors hired, or<br />
to be hired in connection with the Matter, certifications equal in form and substance to those in this Section IV,<br />
and will not, without the prior written consent of the <strong>Park</strong> <strong>District</strong>, use any such contractor/subcontractor that<br />
does not provide such certifications or that the Undersigned has reason to believe has not provided or cannot<br />
provide truthful certifications.<br />
5. If the Undersigned is unable to make the certifications required in this Section IV, A, provide an explanation:<br />
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively<br />
presumed that the Undersigned certified to the above statements.<br />
B: CHILD SUPPORT OBLIGATIONS: CERTIFICATION REGARDING COURT-ORDERED CHILD SUPPORT COMPLIANCE<br />
For purposes of this part, "Substantial Owner" means any individual who, directly or indirectly, owns or holds a 10% or<br />
more interest in the Undersigned. Note: This may include individuals disclosed in Section I (Disclosure of Ownership<br />
Interests), and individuals disclosed in an EDS filed by an entity holding an interest in the Applicant.<br />
If the Undersigned's response below is #1 or #2, then all of the Undersigned's Substantial Owners must remain in<br />
compliance with any such child support obligations until the Matter is completed. Failure of the Undersigned's<br />
Substantial Owners to remain in compliance with their child support obligations in the manner set forth in either #1 or<br />
#2 constitutes an event of default.<br />
Check one:<br />
____1. No Substantial Owner has been declared in arrearage on any child support obligations<br />
by the Circuit Court of Cook County, Illinois, or by another Illinois court of competent<br />
jurisdiction.<br />
____2. The Circuit Court of Cook County, Illinois or another Illinois court of competent<br />
jurisdiction has issued an order declaring one or more Substantial Owners in arrearage<br />
on child<br />
support obligations. All such Substantial Owners, however, have entered into<br />
court-approved<br />
agreements for the payment of all such child support owed, and all such<br />
Substantial Owners are in<br />
compliance with such agreements.<br />
____3. The Circuit Court of Cook County, Illinois or another Illinois court of competent<br />
jurisdiction has issued an order declaring one or more Substantial Owners in arrearage<br />
on child<br />
support obligations and (a) at least one such Substantial Owner has not<br />
entered into a courtapproved<br />
agreement for the payment of all such child support<br />
owed; or (b) at least one such Substantial<br />
Owner is not in compliance with a court<br />
approved agreement for the payment of all such child support owed;<br />
or both (a) and (b).<br />
____4. There are no Substantial Owners.<br />
C. FURTHER CERTIFICATIONS<br />
For purposes of this part, "Affiliated Entity" means an individual or entity that, directly or indirectly: controls the<br />
Undersigned, is controlled by the Undersigned, or is, with the Undersigned, under common control of another<br />
individual or entity. Indicia of control include, without limitation: interlocking management or ownership; identity of<br />
interests among family members; shared facilities and equipment; common use of employees; or organization of a<br />
business entity following the ineligibility of a business entity to do business with federal or state or local government<br />
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or unit thereof, including the <strong>Park</strong> <strong>District</strong> and the City of <strong>Chicago</strong>, using substantially the same management,<br />
ownership, or principals as the ineligible entity.<br />
With respect to Applicable Parties, the term Affiliated Entity means an individual or entity that directly or indirectly<br />
controls the Applicable Party, is controlled by it, or, with the Applicable Party, is under common control of another<br />
individual or entity; any responsible official of the Undersigned; any Applicable Party or any Affiliated Entity or any<br />
other official, agent or employee of the Undersigned; any Applicable Party or any Affiliated Entity acting pursuant to<br />
the direction or authorization of a responsible official of the Undersigned; any Applicable Party, or any Affiliated Entity<br />
(collectively "Agents").<br />
1. The Undersigned, and, if the Undersigned is a legal entity, its principals (officers, directors, partners,<br />
members, managers, executive director):<br />
a. are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily<br />
excluded from any transactions by any federal, state or local unit of government;<br />
b. have not, within a five-year period preceding the date of this EDS, been convicted of a criminal<br />
offense, adjudged guilty, or had a civil judgment rendered against them in connection with: obtaining,<br />
attempting to obtain, or performing a public (federal, state or local) transaction or contract under a<br />
public transaction; a violation of federal or state antitrust statutes; fraud; embezzlement; theft;<br />
forgery; bribery; falsification or destruction of records; making false statements; or receiving stolen<br />
property;<br />
c. are not presently indicted for or otherwise criminally or civilly charged by a governmental entity<br />
(federal, state or local) with commission of any of the offenses enumerated in C, 1, b of this section;<br />
d. have not, within a five- (5) year period preceding the date of this EDS, had one or more public<br />
transactions (federal, state or local) terminated for cause or default; and<br />
e. have not, within a five- (5) year period preceding the date of this EDS, been convicted, adjudged guilty,<br />
or found liable in a civil proceeding, in any criminal or civil action instituted by the <strong>Park</strong> <strong>District</strong>, City<br />
of <strong>Chicago</strong> or by the federal government, any state, or any other unit of local government.<br />
2. Neither the Undersigned, nor any Applicable Party, nor any Affiliated Entity of either the Undersigned or any<br />
Applicable Party nor any Agents have, during the five (5) years before the date this EDS is signed, or, with<br />
respect to an Applicable Party, an Affiliated Entity, or an Affiliated Entity of an Applicable Party during the five<br />
(5) years before the date of such Applicable Party's or Affiliated Entity's contract or engagement in connection<br />
with the Matter:<br />
a. bribed or attempted to bribe, or been convicted or adjudged guilty of bribery or attempting to bribe, a<br />
public officer or employee of the <strong>Park</strong> <strong>District</strong>, the City of <strong>Chicago</strong>, the State of Illinois, or any agency<br />
of the federal government or of any state or local government in the United States of America, in that<br />
officer's or employee's official capacity;<br />
b. agreed or colluded with other bidders or prospective bidders, or been a party to any such agreement,<br />
or been convicted or adjudged guilty of agreement or collusion among bidders or prospective<br />
bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; or<br />
c. made an admission of such conduct described in a or b above that is a matter of record, but have not<br />
been prosecuted for such conduct.<br />
3. The Undersigned understands and shall comply with (a) all applicable requirements of Governmental Ethics<br />
under <strong>Park</strong> <strong>District</strong> Code, and (b) all the applicable provisions of the <strong>Park</strong> <strong>District</strong> Purchasing and Contracting<br />
Code.<br />
4. Neither the Undersigned, Affiliated Entity or Applicable Party, or any of their employees, officials, agents or<br />
partners, is barred from contracting with any unit of state or local government as a result of engaging in or<br />
being convicted of (a) bid-rigging in violation of 720 ILCS 5/33E-3; (b) bid-rotating in violation of 720 ILCS 5/33E-<br />
4; or (c) any similar offense of any state or of the United States of America that contains the same elements as<br />
the offense of bid-rigging or bid-rotating.<br />
5. If the Undersigned is unable to certify to any of the above statements in this Part C, the Undersigned must<br />
explain below:<br />
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If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively<br />
presumed that the Undersigned certified to the above statements.<br />
D. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION<br />
For purposes of this Part D, the term "financial institution" means a bank, savings and loan association, thrift, credit<br />
union, mortgage banker, mortgage broker, trust company, savings bank, investment bank, securities broker, municipal<br />
securities broker, securities dealer, municipal securities dealer, securities underwriter, municipal securities<br />
underwriter, investment trust, venture capital company, bank holding company, financial services holding company, or<br />
any licensee under the Consumer Installment Loan Act, the Sales Finance Agency Act, or the Residential Mortgage<br />
Licensing Act. However, "financial institution" specifically shall not include any entity whose predominant business is<br />
the providing of tax deferred, defined contribution, or pension plans to public employees in accordance with Sections<br />
403(b) and 457 of the Internal Revenue Code.<br />
1. CERTIFICATION<br />
The Undersigned certifies that the Undersigned [check one]<br />
______ is<br />
______ is not<br />
a "financial institution" as defined above.<br />
2. IF THE UNDERSIGNED IS A FINANCIAL INSTITUTION, THEN THE UNDERSIGNED PLEDGES:<br />
“We are not and will not become a predatory lender as defined in Chapter 2 -32 of the Municipal Code of the<br />
City of <strong>Chicago</strong>. We further pledge that none of our affiliates is, and none of them will become, a predatory<br />
lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or<br />
becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the<br />
<strong>Park</strong> <strong>District</strong>."<br />
If the Undersigned is unable to make this pledge because it or any of its affiliates (as defined in Section 2-32-<br />
455(b) of the Municipal Code) is a predatory lender within the meaning of Chapter 2-32 of the Municipal Code of<br />
the City of <strong>Chicago</strong>, explain here (attach additional pages if necessary):<br />
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively<br />
presumed that the Undersigned certified to the above statements.<br />
E. CERTIFICATION REGARDING INTEREST IN PARK DISTRICT BUSINESS<br />
Any words or terms defined in the <strong>Park</strong> <strong>District</strong> Code have the same meanings when used in this Section IV.<br />
1. Does any Commissioner or Employee of the <strong>Park</strong> <strong>District</strong> have a financial interest in his or her own name or in<br />
the name of any other person in the Matter?<br />
[ ]Yes [ ]No<br />
NOTE: If you answered "No" to Item IV, E, 1, you are not required to answer Items IV, E, 2 or IV, E, 3 below. Instead,<br />
review the certification in Item IV, E, 4 and then proceed to Section V. If you answered "Yes" to Item IV, E, 1, you must<br />
first respond to Item IV, E, 2 and provide the information requested in Item IV, E, 3. After responding to those items,<br />
review the certification in Item IV, E, 4 and proceed to Section V.<br />
2. Unless sold pursuant to a process of competitive bidding, no <strong>Park</strong> <strong>District</strong> Commissioner or Employee shall<br />
have a financial interest in his or her own name or in the name of any other person in the purchase of any<br />
property that (a) belongs to the <strong>Park</strong> <strong>District</strong>, or (b) is sold for taxes or assessments, or (c) is sold by virtue of<br />
legal process at the suit of the <strong>Park</strong> <strong>District</strong> (collectively, "<strong>Park</strong> <strong>District</strong> Property Sale"). Compensation for<br />
property taken pursuant to the exercise of any power of eminent domain does not constitute a financial<br />
interest within the meaning of this Section IV.<br />
Does the Matter involve a <strong>Park</strong> <strong>District</strong> Property Sale?<br />
[ ] Yes [ ] No<br />
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3. If you answered "yes" to Item IV, E, 1, provide the names and business addresses of the <strong>Park</strong> <strong>District</strong><br />
Commissioners or Employees having such interest and identify the nature of such interest:<br />
NAME BUSINESS ADDRESS NATURE OF INTEREST<br />
4. The Undersigned further certifies that no prohibited financial interest in the Matter will be acquired by any <strong>Park</strong><br />
<strong>District</strong> Commissioner or employee.<br />
SECTION V: CERTIFICATIONS FOR FEDERALLY - FUNDED MATTERS<br />
A. CERTIFICATION REGARDING LOBBYING<br />
1. List below the names of all individuals registered under the federal Lobbying Disclosure Act of 1995 who have<br />
made lobbying contacts on behalf of the Undersigned with respect to the Matter: [Begin list here, add sheets<br />
as necessary]:<br />
If no explanation appears or begins on the lines above, or if the letters "NA" or if the word “None" appear, it will be<br />
conclusively presumed that the Undersigned means that NO individuals registered under the Lobbying Disclosure Act<br />
of 1995 have made lobbying contacts on behalf of the Undersigned with respect to the Matter.<br />
2. The Undersigned has not spent and will not expend any federally appropriated funds to pay any individual<br />
listed in Section V, A, 1, above, for his or her lobbying activities or to pay any individual to influence or attempt<br />
to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress,<br />
an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of<br />
any federally funded contract, making any federally funded grant or loan, entering into any cooperative<br />
agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or<br />
cooperative agreement.<br />
3. The Undersigned will submit an updated certification at the end of each calendar quarter in which there occurs<br />
any event that materially affects the accuracy of the statements and information set forth in parts 1 and 2<br />
above.<br />
If the Matter is federally funded and any funds other than federally appropriated funds have been or will be paid to any<br />
individual for influencing or attempting to influence an officer or employee of any agency (as defined by applicable<br />
federal law), a member of Congress, an officer or employee of Congress, or an employee of a member of Congress in<br />
connection with the Matter, the Undersigned must complete and submit Standard Form-LLL, "Disclosure Form to<br />
Report Lobbying," in accordance with its instructions. The form may be obtained online from the federal Office of<br />
Management and Budget (OMB) web site at:<br />
http://www.whitehouse.qov/omb/qrants/sfillin.pdf, linked on the page<br />
http://www.whitehouse.qov/omb/qrants/qrantsforms.html.<br />
4. The Undersigned certifies that either (a) it is not an organization described in section 501(c)(4) of the Internal<br />
Revenue Code of 1986, as amended; or (b) it is an organization described in section 501 (c)(4) of the Internal<br />
Revenue Code of 1986, as amended but has not engaged and will not engage in "Lobbying Activities".<br />
5. If the Undersigned is the Applicant, the Undersigned must obtain certifications equal in form and substance to<br />
those in Section V, A, 1-4 above from all subcontractors before it awards any subcontract and the Undersigned<br />
must maintain all such subcontractors' certifications for the duration of the Matter and must make such<br />
certifications promptly available to the <strong>Park</strong> <strong>District</strong> upon request.<br />
B. CERTIFICATION REGARDING NON-SEGREGATED FACILITIES<br />
"Segregated facilities," as used in this provision, means any waiting rooms,' work areas, restrooms, washrooms,<br />
restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots,<br />
drinking fountains, recreation or entertainment areas, transportation, and housing provided for employees, that are<br />
94
segregated by explicit directive or are in fact segregated on the basis of race, color, religion, sex, or national origin<br />
because of habit, local or employee custom, or otherwise.<br />
1. If the Undersigned is the Applicant, the Undersigned does not and will not maintain or provide for its<br />
employees any segregated facilities at any of its establishments, and it does not and will not permit its<br />
employees to perform their services at any location under its control where segregated facilities are<br />
maintained.<br />
However, separated or single-user restrooms and necessary dressing or sleeping areas must be provided to<br />
assure privacy between the sexes.<br />
2. If the Undersigned is the Applicant and the Matter is federally funded, the Undersigned will, before the award of<br />
subcontracts (if any), obtain identical certifications from proposed subcontractors under which the<br />
subcontractor will be subject to the Equal Opportunity Clause. Contracts and subcontracts exceeding $10,000,<br />
or having an aggregate value exceeding $10,000 in any twelve- (12) month period, are generally subject to the<br />
Equal Opportunity Clause. See 41 CFR Part 60 for further information regarding the Equal Opportunity Clause.<br />
The Undersigned must retain the certifications required by this paragraph for the duration of the contract (if<br />
any) and must make such certifications promptly available to the <strong>Park</strong> <strong>District</strong> upon request.<br />
3. If the Undersigned is the Applicant and the Matter is federally funded, the Applicant will forward the notice set<br />
forth below to proposed subcontractors:<br />
NOTICE TO PROSPECTIVE SUBCONTRACTORS OF REQUIREMENTS FOR CERTIFICATIONS OF NON-SEGREGATED<br />
FACILITIES<br />
Subcontractors must submit to the Contractor a Certification of Non-segregated Facilities before the award of any<br />
subcontract under which the subcontractor will be subject to the federal Equal Opportunity Clause. The subcontractor<br />
may submit such certifications either for each subcontract or for all subcontracts during a period (e.g., quarterly,<br />
semiannually, or annually).<br />
C. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY<br />
Federal regulations require prospective contractors for federally funded Matters (e.g., the Applicant) and proposed<br />
subcontractors to submit the following information with their bids or in writing at the outset of negotiations. (NOTE:<br />
This Part C is to be completed only if the Undersigned is the Applicant.)<br />
1. Have you developed and do you have on file affirmative action programs pursuant to applicable federal<br />
regulations? (See 41 CFR Part 60-2.)<br />
[ ]Yes [ ] No [ ] N/A<br />
2. Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?<br />
[ ]Yes [ ] No [ ] N/A<br />
3. Have you filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance<br />
<strong>Program</strong>s, or the Equal Employment Opportunity Commission all reports due under the applicable filing<br />
requirements?<br />
[ ]Yes [ ] No [ ] N/A<br />
SECTION VI: NOTICE AND ACKNOWLEDGMENT REGARDING PARK DISTRICT ETHICS AND CAMPAIGN FINANCE ORDINANCES<br />
The <strong>Park</strong> <strong>District</strong>’s Governmental Ethics Code, Chapter III of the <strong>Park</strong> <strong>District</strong> Code, imposes certain duties and obligations on<br />
individuals or entities seeking <strong>Park</strong> <strong>District</strong> contracts, work, business, or transactions. The Undersigned must comply fully with<br />
the applicable codes.<br />
[ ] By checking this box the undersigned acknowledges and understands that the <strong>Park</strong> <strong>District</strong>’s Governmental Ethics Code,<br />
among other things:<br />
1. Provides that any contract negotiated, entered into or performed in violation of the <strong>Park</strong> <strong>District</strong>’s<br />
Governmental Ethics Code can be voided by the <strong>Park</strong> <strong>District</strong>.<br />
2. Limits the gifts and favors any individual or entity can give, or offer to give, to any <strong>Park</strong> <strong>District</strong> Commissioner,<br />
employee, contractor or the spouse or minor child of any of them, including:<br />
a. any cash gift or any anonymous gift; and<br />
b. any gift based on a mutual understanding that the Commissioner’s or employee's or <strong>Park</strong> <strong>District</strong><br />
contractor's actions or decisions will be influenced in any way by the gift.<br />
95
3. Prohibits any <strong>Park</strong> <strong>District</strong> Commissioner or employee from having a financial interest, directly or indirectly, in<br />
any contract, work, transaction or business of the <strong>Park</strong> <strong>District</strong>, if that interest has a cost or present value of<br />
$5,000 or more, or if that interest entitles the owner to receive more than $2,500 per year.<br />
4. Prohibits any appointed <strong>Park</strong> <strong>District</strong> Commissioner from engaging in any contract, work, transaction or<br />
business of the <strong>Park</strong> <strong>District</strong>, unless the matter is wholly unrelated to the appointed official's duties or<br />
responsibilities.<br />
5. Provides that <strong>Park</strong> <strong>District</strong> Commissioners and employees or their spouses or minor children, cannot receive<br />
compensation or anything of value in return for advice or assistance on matters concerning the operation or<br />
business of the <strong>Park</strong> <strong>District</strong>, unless their services are wholly unrelated to their <strong>Park</strong> <strong>District</strong> duties and<br />
responsibilities.<br />
6. Provides that former <strong>Park</strong> <strong>District</strong> Commissioners and employees cannot, for a period of one year after their<br />
<strong>Park</strong> <strong>District</strong> employment ceases, assist or represent another on any matter involving the <strong>Park</strong> <strong>District</strong>, if, while<br />
with the <strong>Park</strong> <strong>District</strong>, they were personally and substantially involved in the same matter.<br />
7. Provides that former <strong>Park</strong> <strong>District</strong> employees and Commissioners cannot ever assist or represent another on<br />
a <strong>Park</strong> <strong>District</strong> contract if, while with the <strong>Park</strong> <strong>District</strong>, they were personally involved in or directly supervised<br />
the formulation, negotiation or execution of that contract.<br />
SECTION VII: CONTRACT INCORPORATION, COMPLIANCE, PENALTIES, DISCLOSURE<br />
THE UNDERSIGNED UNDERSTANDS AND AGREES THAT:<br />
A. The certifications, disclosures, and acknowledgments contained in this EDS will become part of any contract or other<br />
agreement between the Applicant and the <strong>Park</strong> <strong>District</strong> in connection with the Matter, whether procurement, <strong>Park</strong><br />
<strong>District</strong> assistance, or other <strong>Park</strong> <strong>District</strong> action, and are material inducements to the <strong>Park</strong> <strong>District</strong>'s execution of any<br />
contract or taking other action with respect to the Matter. The Undersigned understands that it must comply with all<br />
statutes, ordinances, and regulations on which this EDS is based.<br />
B. If the <strong>Park</strong> <strong>District</strong> determines that any information provided in this EDS is false, incomplete or inaccurate, any contract<br />
or other agreement in connection with which it is submitted may be rescinded or be void or voidable, and the <strong>Park</strong><br />
<strong>District</strong> may pursue any remedies under the contract or agreement (if not rescinded, void or voidable), at law, or in<br />
equity, including terminating the Undersigned's participation in he Matter and/or declining to allow the Undersigned to<br />
participate in other transactions with the <strong>Park</strong> <strong>District</strong>.<br />
C. Some or all of the information provided on this EDS and any attachments to this EDS may be made available to the<br />
public on the Internet, in response to a Freedom of Information Act request, or otherwise. By completing and signing<br />
this EDS, the Undersigned waives and releases any possible rights or claims which it may have against the <strong>Park</strong><br />
<strong>District</strong> in connection with the public release of information contained in this EDS and also authorizes the <strong>Park</strong> <strong>District</strong><br />
to verify the accuracy of any information submitted in this EDS.<br />
D. The Undersigned has not withheld or reserved any disclosures as to economic interests in the Undersigned, or as to<br />
the Matter, or any information, data or plan as to the intended use or purpose for which the Applicant seeks <strong>Park</strong><br />
<strong>District</strong> action.<br />
E. The information provided in this EDS must be kept current. In the event of changes, the Undersigned must supplement<br />
this EDS up to the time the <strong>Park</strong> <strong>District</strong> takes action on the Matter.<br />
SIGNATURE PAGE FOLLOWS<br />
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EDS CERTIFICATION<br />
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS on behalf of the<br />
Undersigned, and (2) warrants that all certifications and statements contained in this EDS are true, accurate and complete as of<br />
the date furnished to the <strong>Park</strong> <strong>District</strong>.<br />
(Print or type name of legal entity or individual submitting this EDS)<br />
Date:<br />
By:<br />
(Sign here)<br />
Print or type name of signatory:<br />
Title of signatory:<br />
Subscribed to before me on [date] ____________________, at __________________County,<br />
_________________________ [state].<br />
Commission expires:<br />
Notary Public<br />
SEAL<br />
97
LEGAL ACTIONS<br />
Provide the information below.<br />
QUESTION YES NO<br />
Has your firm been issued a notice of default on any contract awarded in the last<br />
three (3) years?<br />
IF THE ANSWER IS YES, PROVIDE A BRIEF EXPLANATION OR DESCRIPTION ON A SEPARATE SHEET.<br />
Does your firm have any judgments, claims (liquidated damages, etc.), arbitration<br />
proceedings, or suits pending against it?<br />
IF THE ANSWER IS YES, PROVIDE A BRIEF EXPLANATION OR DESCRIPTION ON A SEPARATE SHEET.<br />
INCLUDE THE DOLLAR AMOUNT OF CLAIMS OR JUDGMENTS AND THE VALUE OF THE CONTRACT ON<br />
WHICH THE CLAIM WAS FILED.<br />
Within the past three (3) years, has your firm been party to any lawsuits or<br />
arbitration proceedings with regard to any contracts?<br />
IF THE ANSWER IS YES, PROVIDE A BRIEF EXPLANATION OR DESCRIPTION ON A SEPARATE SHEET.<br />
Within the past three (3) years, has any officer or principal of your firm been an<br />
officer or principal of another organization that failed to complete any contract as<br />
a result of termination, litigation, arbitration, or similar matter?<br />
IF THE ANSWER IS YES, PROVIDE A BRIEF EXPLANATION OR DESCRIPTION ON A SEPARATE SHEET.<br />
Has any key person with your firm (or its predecessor, if applicable) ever been<br />
convicted of or charged with any state or federal crime such as embezzlement,<br />
theft, forgery, bribery, falsification or destruction of records, receipt of stolen<br />
property, criminal anti-trust violations, bid rigging, bid rotating, or the like?<br />
IF THE ANSWER IS YES, PROVIDE A BRIEF EXPLANATION OR DESCRIPTION ON A SEPARATE SHEET.<br />
Has your firm ever been temporarily or permanently debarred from a contract<br />
awarded by any local, state, or federal agency?<br />
IF THE ANSWER IS YES, PROVIDE A BRIEF EXPLANATION OR DESCRIPTION ON A SEPARATE SHEET.<br />
Within the past three (3) years, has your firm been assessed penalties for any<br />
statutory or administrative violations, including MBE, WBE, or Equal Employment<br />
Opportunity violations?<br />
IF THE ANSWER IS YES, PROVIDE A BRIEF EXPLANATION OR DESCRIPTION ON A SEPARATE SHEET.<br />
Has your firm ever failed to complete any work awarded to it?<br />
IF THE ANSWER IS YES, PROVIDE A BRIEF EXPLANATION OR DESCRIPTION ON A SEPARATE SHEET.<br />
End of Legal Actions Form<br />
98