Proposal Form A - app.flychicago.com · Upscale or above hotels including, but not limited to, design elements, branding, management approach, scope and size of operations, number

Chicago Department of Aviation

Proposal Form A

Experience and Qualifications Statement

Provide the following information for the respondent and any proposed

subtenants. Complete a separate statement for each joint venture partner or

subtenant. Use additional sheets if necessary.

1. Provide a list of current or past airport or other high-volume, high traffic venue whereby

respondent was responsible for management and operation of Upper Upscale (or above)

hotel(s).

Name and location of airport (or other facility)

Contract Dates - Commencement and Expiration

Description of the brand concepts

Description and costs of the base building and/or common area development

Evidence that the respondent’s directly comparable hotels are well managed and

achieving strong RevPAR, as well as evidence that the proposed brand(s)’

RevPAR achieve a premium over its primary competitors in the market

Annual passenger (pedestrian) traffic volumes for the airport (or other facility) for

the last five to ten years

Contact person and contact information

2. Provide a statement of the history of respondent and its experience in operating Upper

Upscale or above hotels including, but not limited to, design elements, branding,

management approach, scope and size of operations, number of employees, number of stores

and organizational history.

3. Attach photographs of the interior and exterior of any existing hotels or similar facilities.

4. Furnish any other additional information that will indicate your experience as it pertains to

this RFP.

5. Attach resumes of key personnel, including principles and on-site management. Also

include a brief description of their potential roles in operations/management at the Hotels.


Proposal Form B

Airport Concession Disadvantaged

Business Enterprise Plan

Respondent: ______________________________________

1. Indicate total proposed Airport Concession Disadvantaged Business Enterprise (ACDBE)

participation: _____%

2. List ACDBE participants and indicate if ACDBE participant is a subtenant, joint venture

partner, supplier, etc. Also indicate the ownership percentage of the ACDBE and the role

that the ACDBE participant will have in the ownership, management and operation of a

concession within the hotel project.

ACDBE Entity Form of

Participation Participation Percentage

Role/Scope of Work Capital

Contribution

3. Attach resumes for key personnel/principals of the ACDBE entities.


Proposal Form C

Airport Concession Disadvantaged Business Enterprise (ACDBE)

Forms

[Schedules B, C and D follow]

SCHEDULE B – AFFIDAVIT OF ACDBE JOINT VENTURE IN AIRPORT CONCESSIONS

This form is to be submitted if Hotel Operator is a joint venture that is proposing ACDBE participation in the hotel project as a joint venture member. A copy of the joint venture agreement must be attached to this Schedule B. The joint venture agreement must clearly state: 1) each joint venture member’s roles and responsibilities in the management and day-to-day operations of the joint venture, 2) the capital contribution requirements for each joint venture member, and 3) the allocation of risks and liabilities between joint venture members. [NOTE: The Management Agreement with the City will require joint venture members to be jointly and severally liable for obligations of the joint venture under the Management Agreement.] If Hotel Operator is proposing to perform as a joint venture, the City will not execute a Management Agreement with the Respondent until the City has received a signed joint venture agreement. No subsequent changes to the joint venture agreement will be allowed without prior notice to the City. Any changes to the roles and responsibilities of the ACDBE joint venture member will require the prior approval of the City. Name of Hotel Operator: ______________________________________ Description of Airport Concession: ________________________________________________________________ Identify each ACDBE joint venture member and briefly describe its proposed role and responsibilities in the management and day-to-day operation of the concession, as set forth in the attached joint venture agreement:


The Hotel Operator, taking into consideration the roles and responsibilities of the ACDBE in the management and day-to-day operations of the concession, represents that the value of the ACDBE participation in the concession will be equal to _______ percent of the gross revenues of the concession. The undersigned covenants and agrees to provide the City with current, complete and accurate information regarding the actual performance by the ACDBE joint venture member in the concession’s management and operations, as required by the Management Agreement and/or upon request by the City. Any material misrepresentations in this Schedule B, in the attached joint venture agreement, or in any other information provided to the City by Respondent regarding ACDBE participation will be an event of default under the Management Agreement and will be grounds for initiating action under applicable federal and state laws and regulations. I DO SOLEMNLY DECLARE AND AFFIRM UNDER PENALTIES OF PERJURY THAT THE CONTENTS OF THIS DOCUMENT ARE TRUE AND CORRECT, AND THAT I AM AUTHORIZED ON BEHALF OF THE RESPONDENT TO MAKE THIS AFFIDAVIT. _______________________________________ (Name and Title of Affiant – Print or type) _______________________________ (Signature) ______________________________ (Date) On this ______ day of __________, 20__, The above signed officer, ______________________ (Name of Affiant), personally appeared and, known by me to be the person described in the above Affidavit, acknowledged that (s)he executed the same in the capacity stated above and for the purposes stated above. IN WITNESS WHEREOF, I hereunto set my hand and seal. _______________________

(Notary Public Signature) Seal

Commission expires: ____________________


SCHEDULE C

Letter of Intent from ACDBE to Perform

As Subcontractor, Supplier and/or Consultant

[NOTE: If Hotel Operator is proposing to perform as a joint venture of ACDBE and non-ACDBE firms,

use Schedule B – Affidavit of Joint Venture – instead of Schedule C.]

Name of Hotel Operator:

______________________________________

Description of Airport Concession (from title page of Request for Proposals):

___________________________________________________________________

From: ____________________________ (“ACDBE”) Name of ACDBE Firm

To: _____________________________ and the City of Chicago: Name of Hotel Operator

The ACDBE certification status of the undersigned is confirmed by the attached Letter of Certification

from the City of Chicago dated _______ (or letter of certification from the Illinois Department of

Transportation dated ________). This Schedule C and the Letter of Certification will be attached to

Schedule D – Commitment of Hotel Operator to ACDBE Participation.

The undersigned is prepared to provide the following described services or supply the following described

goods in connection with the above named airport concession:

Description of ACDBE Description of compensation

Participation in concession to be paid to ACDBE

___________________________ _______________________________

___________________________ _______________________________

___________________________ _______________________________

___________________________ _______________________________

___________________________ _______________________________

Value of participation by ACDBE as percentage of concession gross revenues:

__________%

[NOTE: If more space is needed to fully describe the ACDBE firm’s proposed role and/or compensation,

attach additional sheets.]


Schedule C: Letter of Intent from ACDBE

SUB-SUBCONTRACTING LEVELS

____% of the value of the ACDBE’s participation will be sub-subcontracted to non-ACDBE contractors.

____% of the value of the ACDBE’s participation will be sub-subcontracted to ACDBE contractors.

NOTE: IF ACDBE WILL NOT BE SUB-SUBCONTRACTING ANY OF THE PARTICIPATION

DESCRIBED IN THIS SCHEDULE, A ZERO (0) MUST BE SHOWN IN EACH BLANK ABOVE.

NOTICE: IF MORE THAN TEN PERCENT (10%) OF THE VALUE OF THE ACDBE’s

PARTICIPATION WILL BE SUB-SUBCONTRACTED, A BRIEF EXPLANATION AND

DESCRIPTION OF THE WORK TO BE SUB-SUBCONTRACTED MUST BE ATTACHED TO

THIS SCHEDULE.

The undersigned will enter into a formal written agreement for the above participation with Hotel

Operator, conditioned upon the City of Chicago selecting the Hotel Operator as a hotel operator, approval

of Hotel Operator’s ACDBE Participation Commitment referencing this Schedule C by the City of

Chicago, and successful negotiation of a Management Agreement between Hotel Operator and the City of

Chicago.

______________________________________________________

(Signature of Owner, President, or Authorized Agent of ACDBE)

______________________________________________________

Name/Title (Print)

______________________________________________________

Date

______________________________________________________

Phone


SCHEDULE D:

COMMITMENT TO PARTICIPATION BY AIRPORT CONCESSION DISADVANTAGED

BUSINESS ENTERPRISES (ACDBES)

Name of Hotel Operator:

______________________________________

Description of Airport Concession (from title page of Request for Proposals):

___________________________________________________________________

State of _____________________)

County (City) of ____________ __)

In connection with the above-referenced CDA Hotel Operator Request for Proposals (“RFP”), and any

Management Agreement entered into pursuant to the RFP, I, __________________________ (Name of Affiant)

HEREBY DECLARE AND AFFIRM that I am the ______________________ (Title of Affiant) and duly authorized

representative of the above-named Hotel Operator and that I have personally reviewed the information set forth

in the attached Schedules C and B (if applicable), with the following being a summary of such information:

Name of ACDBE Firm

Role of ACDBE in Concession

(as set forth in Schedule C or B)

Proposed ACDBE

Participation (as

percentage of gross

revenues)

Total Proposed ACDBE Participation Commitment: ____________%

Schedule D: Affidavit of Hotel Operator

To the best of my knowledge, information, and belief, the facts and representations contained in the aforementioned

attached Schedules are true, and no material facts have been omitted.


The Hotel Operator will enter into formal agreements with all listed ACDBE firms for work as indicated by this

Schedule D and accompanying Schedules so as to ensure compliance with the Total Proposed ACDBE Participation

Commitment stated above, and understands that it must enter into such agreements as a condition precedent to

execution of a Management Agreement by the City of Chicago. Copies of each signed joint venture agreement,

subcontract, purchase order, or other agreement will be submitted to the Department of Aviation so as to assure

receipt no later than ten (10) business days prior to anticipated execution of the Management Agreement by the

City.

The Hotel Operator designates the following person as its ACDBE Liaison Officer:

_____________________________________________________________ (Name – Please print or type) (Phone)

I DO SOLEMNLY DECLARE AND AFFIRM UNDER PENALTIES OF PERJURY THAT THE CONTENTS OF THIS

DOCUMENT ARE TRUE AND CORRECT, AND THAT I AM AUTHORIZED ON BEHALF OF THE RESPONDENT

TO MAKE THIS AFFIDAVIT.

_______________________________________ (Name and Title of Affiant – Print or type)

_______________________________ (Signature)

______________________________ (Date)

On this ______ day of __________, 20__,

The above signed officer, ______________________ (Name of Affiant), personally appeared and, known by me to be the

person described in the above Affidavit, acknowledged that (s)he executed the same in the capacity stated above and for

the purposes stated above.

IN WITNESS WHEREOF, I hereunto set my hand and seal.

_______________________ (Notary Public Signature)

Seal

Commission expires: ____________________


Proposal Form D

Form of Reference

Respondent: __________________________________________

Please use the following format for each of the three required references:

REFERENCE NO. __

Name: ______________________________________________________________

Title: ______________________________________________________________

Firm: ______________________________________________________________

Address: ______________________________________________________________

______________________________________________________________

Telephone: ______________________________________________________________

Nature and magnitude of association (including years):

__________________________________________________________________________________________

__________________________________________________________________________________________

______________________________________________________


Proposal Form E

Proposal Affidavit

The undersigned Respondent hereby submits to the City of Chicago (“City”) through its Chicago

Department of Aviation (“Department and/or CDA”) the Proposal enclosed, to operate and manage

Hotels at Chicago O’Hare International Airport (“Airport”) based upon all terms and conditions set

forth in the City’s Request for Proposals to Manage and Operate Upper Upscale or above Hotels

dated September 26, 2016 (“RFP”), as it may have been amended in one or more addenda thereto.

Respondent further specifically agrees hereby to provide goods and services in the manner set forth in

the Proposal.

1. Respondent intends that the City rely on the Respondent’s submitted information and the

representation that Respondent has the capability to successfully undertake and complete the

responsibilities and obligations contained in the Proposal and the Technical Services Agreement (the

“Technical Services Agreement”) and Management Agreement (“Management Agreement” and

together with the Technical Services Agreement, the “Agreements”) to be executed by the City and

Respondent, if Respondent is selected as the hotel operator, and Respondent understands the City will

so rely.

2. Respondent acknowledges that the City has the right to make any further inquiry it deems appropriate

to substantiate or supplement information supplied by the Respondent.

3. Respondent acknowledges that Respondent has read and fully understands all the provisions and

conditions set forth in the RFP and considers the project feasible.

4. Respondent acknowledges that the City is obligated to adhere to certain Grant Assurances as a

recipient of federal grant funds and adherence to said Grant Assurances will become an obligation of

the Respondent if Respondent is selected as the hotel operator and enters into the Agreements.

5. Respondent has the capability to successfully undertake and complete the responsibilities and

obligations contained in the Proposal.

6. Respondent acknowledges that this Proposal may be withdrawn by requesting such withdrawal in

writing at any time prior to the date and time responses to this RFP are due to be submitted to the

City, as set forth in the RFP documents.

7. The City reserves the right to reject any and all proposals, to withdraw the RFP, to reissue the RFP, to

enter into negotiations with any and all respondents, and to accept that proposal which in its judgment

will provide the best level of service to the traveling public.

8. Respondent agrees that this Proposal constitutes an offer valid for a period of 365 days following the

Due Date set forth in the RFP and any addenda thereto.

9. Respondent solely will bear all costs incurred by Respondent in connection with the preparation and

submission of this Proposal and with Respondent’s costs associated with any negotiations with the

City. Under no circumstances shall the City be responsible for any costs associated with

Respondent’s submittal or negotiations of any agreement with the City.

10. Respondent acknowledges that the City will not recognize brokers with regard to the leases offered

by the RFP and will not be responsible for any fees, expenses or commissions purported to arise from


the execution of any lease related to this RFP. Respondent agrees to hold harmless the City from any

claims, demands, actions or judgments in connection with any broker fees, expenses or commissions.

11. Respondent acknowledges that the City may conduct various investigations of the Respondent’s

business experience, financial responsibility, and character. Respondent agrees to permit and

cooperate with any such investigations.

Respondent warrants that: 1) Respondent has not in any manner directly or indirectly, conspired with

any person or party to compete unfairly or compromise the competitive nature of the RFP process; 2)

the contents of this Proposal as to rent, terms or conditions have not been communicated by the

undersigned nor by any employee or agent to any other person engaged in this type of business, prior

to the official opening of this Proposal; and 3) Respondent has not engaged in any activities in restraint

of trade in connection with this RFP.

Name of Respondent (Legal Name): _________________________________________

Signature of Authorized Person: _________________________________________

Title: _________________________________________

Business Address of Respondent: _________________________________________

_________________________________________

Business Phone Number: _________________________________________

Date: _________________________________________

County of _________________

State of __________________

Signed and sworn before me this ___ day of _____________________, 20__.

Notary Signature: __________________________________________

My Commission Expires: __________________________________________

Affix Seal


Proposal Form F

Business Information Statement

Respondent must include a separate Business Information Statement for the respondent and all proposed

joint venture partners, and all other entities and individuals as instructed on this form.

Respondent must provide an organization chart which includes each of the entities for which a

Business Information Statement is required.

Instruction: Provide the following information for the entity or individual completing this Statement (the

“Reporting Entity”).

A. Basic Information:

1. Name of Reporting Entity completing this form:

2. Relationship of Reporting Entity to Respondent:

B. Reporting Entity Information

1. Principal Office Address:

2. Telephone and Facsimile Numbers:

3. E-Mail Address:

4. Contact Person’s Name/Title:

5. Is Reporting Entity an ACDBE, MBE or WBE certified by the Illinois UCP?

Yes {attach copy of current certification letter}

No

6. Form of Reporting Entity

Corporation {skip to Section C}

Partnership {skip to Section D}

Joint Venture {skip to Section E}

Limited Liability Company {skip to Section F}

Limited Liability Partnership {skip to Section G}

Individual {finished with form}

C. If Reporting Entity is a corporation, please answer the following:

1. When incorporated?


2. Is the corporation incorporated in the State of Illinois?

Yes {skip to Question C6}

No

3. Is the corporation registered to do business in Illinois?

Yes When: _______________

No

4. Name, address and phone number of registered Illinois agent.

5. Attach Certificate of Authority to transact business in Illinois.

6. The corporation is:

Public

Private

Continued on next page


7. Provide the name, title, and address of each director, officer, and principal shareholder owning

7.5% or more of the corporation’s issued stock (use additional pages as necessary).

Director's Name

Address

Principal Business Affiliation

(Other than Respondent's

Directorship)

Officer's Name Address Position

Principal Shareholder Address Percent Owned

Additional Instruction: if any principal shareholder is not an individual, that business entity

must also submit a Business Information Statement.

Finished with Form


D. If Reporting Entity is a partnership, please answer the following:

1. Date of organization?

2. Type of partnership?

General partnership

Limited partnership

3. Has the partnership done business in Illinois?

Yes When? Where?

No

4. Attach a copy of the partnership agreement. If the partnership agreement does not set forth

the duties and obligations of each partner with respect to the business of the partnership, provide

a statement indicating such.

5. Provide the name, address, and partnership share of each partner (use additional pages as

necessary).

Partner's Name

Address

Percentage Share

Additional Instruction: if any partner is not an individual, that business entity must also

submit a Business Information Statement.

Finished with Form


E. If Reporting Entity is a joint venture, please answer the following:


2. Has the joint venture done business in Illinois?

Yes When? Where?

No

3. Attach a copy of the joint venture agreement. If a joint venture agreement does not exist, or if

the joint venture agreement does not set forth the duties and obligations of each partner with

respect to the business of the joint venture, provide a sworn statement signed by all joint

venturers setting forth the duties and obligations of each joint venturer with respect to the

business of this joint venture. Percentages of ownership and distribution of profits in the

venture shall be provided. A description of arrangements in the event of dissolution and

termination of the venture shall be supplied.

4. Provide the name, address, and ownership share of each joint venturer (use additional pages as

necessary).

Joint Venturer's Name

Address

Percentage Share

Additional Instruction: if any joint venturer is not an individual, that business entity must

also submit a Business Information Statement.

Finished with Form


F. If Reporting Entity is a Limited Liability Company (“LLC”), please answer the following:


2. Are LLC Articles of Organization recorded?

Yes Date

No

3. Has the LLC done business in Illinois?

Yes When? Where?

No

4. Provide a copy of the LLC Articles of Organization.

5. Provide a copy of the LLC Management or Operating Agreement

6. Provide the name, address, and ownership share of each LLC member having a membership

interest of 7.5% or more (use additional pages as necessary).

Name

Address

Percentage Share

Additional Instruction: if any LLC member listed above is not an individual, that business

entity must also submit a Business Information Statement.

Finished with Form


G. If Reporting Entity is a Limited Liability Partnership (“LLP”), please answer the following:


2. Are the LLP Articles of Organization recorded?

Yes Date

No

3. Has the LLP done business in Illinois?

Yes When? Where?

No

4. Provide a copy of the LLP Articles of Organization.

5. Provide a copy of the LLP Management or Operating Agreement

6. Provide the name, address, and ownership share of each LLP member having a membership

interest of 7.5% or more (use additional pages as necessary).

Name

Address

Percentage Share

Additional Instruction: if any LLP member listed above is not an individual, that business

entity must also submit a Business Information Statement.


Proposal Form G

SCHEDULE B: Affidavit of Joint Venture (MBE/WBE)

This form need not be submitted if all joint venturers are MBEs and/or WBEs. In such a case, however,

a written joint venture agreement among the MBE and WBE venturers must be submitted. In all

proposed joint ventures, each MBE and/or WBE venturer must submit a copy of their current Letter of

Certification.

All Information Requested by this Schedule must Be Answered in the Spaces Provided. Do Not Refer to

Your Joint Venture Agreement Except to Expand on Answers Provided on this Form. If Additional

Space Is Required, Additional Sheets May Be Attached.

I. Name of joint venture:

Address of joint venture:

Phone number of joint venture:

II. Identify each non-MBE/WBE venturer(s):

Name of Firm:

Address:

Phone:

Contact person for matters concerning MBE/WBE compliance:

III. Identify each MBE/WBE venturer(s):

Name of Firm:

Address:

Phone:

Contact person for matters concerning MBE/WBE compliance:

IV. Describe the role(s) of the MBE and/or WBE venturer(s) in the joint venture:

V. Attach a copy of the joint venture agreement. In order to demonstrate the MBE and/or WBE

venturer’s share in the ownership, control, management responsibilities, risks and profits of the joint

venture, the proposed joint venture agreement must include specific details related to: (1) the


contributions of capital and equipment; (2) work items to be performed by the MBE/WBE’s own forces;

(3) work items to be performed under the supervision of the MBE/WBE venturer; and (4) the

commitment of management, supervisory and operative personnel employed by the MBE/WBE to be

dedicated to the performance of the project.

VI. Ownership of the Joint Venture.

A. What are the percentage(s) of MBE/WBE ownership of the joint venture?

MBE/WBE ownership percentage(s)

Non-MBE/WBE ownership percentage(s)

B. Specify MBE/WBE percentages for each of the following (provide narrative descriptions and other

detail as applicable):

1. Profit and loss sharing:

2. Capital contributions:

(a) Dollar amounts of initial contribution:

(b) Dollar amounts of anticipated on-going contributions:

3. Contributions of equipment (Specify types, quality and quantities of equipment to be provided by

each venturer):

4. Other applicable ownership interests, including ownership options or other agreements which

restrict or limit ownership and/or control:

5. Provide copies of all written agreements between venturers concerning this project.


6. Identify each current City of Chicago contract (and each contract completed during the past two

(2) years) by a joint venture of two or more firms participating in this joint venture:

VII. Control of and Participation in the Joint Venture. Identify by name and firm those individuals who

are, or will be, responsible for, and have the authority to engage in the following management functions

and policy decisions. (Indicate any limitations to their authority such as dollar limits and co-signatory

requirements.):

A. Joint venture check signing:

B. Authority to enter contracts on behalf of the joint venture:

C. Signing, co-signing and/or collateralizing loans:

D. Acquisition of lines of credit:

E. Acquisition and indemnification of payment and performance bonds:


F. Negotiating and signing labor agreements:

G. Management of contract performance. (Identify by name and firm only):

1. Supervision of field operations:

2. Major purchases:

3. Estimating:

4. Engineering:

VIII. Financial Controls of joint venture:

A. Which firm and/or individual will be responsible for keeping the books of account?

B. Identify the managing partner, if any, and describe the means and measure of their

compensation:

C. What authority does each venturer have to commit or obligate the other to insurance and

bonding companies, financing institutions, suppliers, subcontractors, and/or other parties participating in

the performance of this contract or the work of this project?


IX. State the approximate number of operative personnel (by trade) needed to perform the joint

venture’s work under this contract. Indicate whether they will be employees of the non-MBE/WBE firm,

the MBE/WBE firm, or the joint venture.

Trade

Non-

MBE/W

BE Firm

(Number)

MBE

/WB

E

(Numb

er)

Joint

Venture

(Number)

If any personnel proposed for this project will be employees of the joint venture:

A. Are any proposed joint venture employees currently employed by either venturer?

Currently employed by non-MBE/WBE (number) ____ Employed by MBE/WBE ____

B. Identify by name and firm the individual who will be responsible for hiring joint venture

employees:

C. Which venturer will be responsible for the preparation of joint venture payrolls:

X. Please state any material facts of additional information pertinent to the control and structure of

this joint venture.


The undersigned affirms that the foregoing statements are correct and include all material information

necessary to identify and explain the terms and operations of our joint venture and the intended

participation of each venturer in the undertaking. Further, the undersigned covenant and agree to

provide to the City current, complete and accurate information regarding actual joint venture work and

the payment therefore, and any proposed changes in any provision of the joint venture agreement, and

to permit the audit and examination of the books, records and files of the joint venture, or those of each

venturer relevant to the joint venture by authorized representatives of the City or the Federal funding

agency.

Any material misrepresentation will be grounds for terminating any contract which may be awarded and

for initiating action under federal or state laws concerning false statements.

Note: If, after filing this Schedule B and before the completion on the joint venture’s work on the project,

there is any change in the information submitted, the joint venture must inform the City of Chicago,

either directly or through the prime contractor if the joint venture is a subcontractor.


Name of MBE/WBE Partner Firm Name of Non-MBE/WBE Partner Firm

Signature of Affiant Signature of Affiant

Name and Title of Affiant Name and Title of Affiant

Date Date

On this day of , 20 , the above-signed officers

,

(names of affiants)

personally appeared and, known to me be the persons described in the foregoing Affidavit,

acknowledged that they executed the same in the capacity therein stated and for the purpose therein

contained.

IN WITNESS WHEREOF, I hereunto set my hand and official seal.

Signature of Notary Public

My Commission Expires:

(SEAL)


Example: For Instructive Purposes Only

Please fill out one Schedule C-1 document for each certified M/WBE to

be utilized on the project. A Blank C-1 form is located in the proposal

forms following these example pages.

SCHEDULE C-1

MBE/WBE Letter of Intent to Perform as a Subcontractor, Supplier, or Consultant

Project Name: Hotel Operator RFP Specification No.: N/A

From: [Name of M/WBE] To be filled in only if this information is available at this time.

To: [Respondent’s name] and the City of Chicago.

(Name of Prime Contractor)

The MBE or WBE status of the undersigned is confirmed by the attached City of Chicago or Cook County, Illinois

Certification Letter. 100% MBE or WBE participation is credited for the use of a MBE or WBE "manufacturer." 60% participation is credited for the use of a MBE or WBE "regular dealer."

The undersigned is prepared to perform the following services in connection with the above named project/contract. If

more space is required to fully describe the MBE or WBE proposed scope of work and/or payment schedule, including

a description of the commercially useful function being performed. Attach additional sheets as necessary:

If no specific M/WBEs have been identified, please fill this form in for each type of

certified M/WBE Respondent intends to utilize and include the category of goods and/or

services to be provided. Please also include the estimated percentage of M/WBE

compliance and estimated dollar value of the goods/services to be provided by the

certified M/WBE.

e.g. Certified MBE supplier of furnishings; this supplier will provide all of the furnishings

for the Hotel rooms for both Hotels prior to the opening of each Hotel.

The above described performance is offered for the following price and described terms of payment:

To be filled in only if this information is available at this time.


A zero (0) must be shown in each blank if the MBE or WBE will not be subcontracting any of the work listed or attached

to this schedule.

FOR

NON-CONSTRUCTION

PROJECTS ONLY


X % of the dollar value of the MBE or WBE subcontract that will be subcontracted to non MBE/WBE contractors.

Y % of the dollar value of the MBE or WBE subcontract that will be subcontracted to MBE or WBE contractors.

NOTICE: If any of the MBE or WBE scope of work will be subcontracted, list the name of the Contractor

and attach a brief explanation, description and pay item number of the work that will be subcontracted. MBE/WBE credit will not be given for work subcontracted to Non-MBE/WBE contractors, except for as

allowed in the Special Conditions Regarding Minority Business Enterprise Commitment and Women Business Enterprise Commitment.

The undersigned will enter into a formal written agreement for the above work with you as a Prime Contractor,

conditioned upon your execution of a contract with the City of Chicago, within three (3) business days of your receipt of a signed contract from the City of Chicago.

The undersigned has entered into a formal written mentor protégé agreement as a subcontractor/protégé with you as a Prime Contractor/mentor: ( ) Yes ( ) No

NOTICE: THIS SCHEDULE AND ATTACHMENTS REQUIRE ORIGINAL SIGNATURES.

(Signature of President/Owner/CEO or Authorized Agent of MBE/WBE) (Date)

(Name/Title-Please Print)

(Email & Phone Number)


SCHEDULE D-1

Compliance Plan Regarding MBE/WBE Utilization

Affidavit of Prime Contractor

Example: For Instructive Purposes Only

Please fill out the D-1 form with information regarding all types of

certified M/WBE-provided goods/services including estimated

dollar amounts and compliance percentages. A Blank D-1 form is

located in the proposal forms following these example pages.

MUST BE SUBMITTED WITH THE BID. FAILURE TO SUBMIT THE SCHEDULE D-1 MAY CAUSE THE

BID TO BE REJECTED. DUPLICATE AS NEEDED.

Project Name: Hotel Operator RFP

Specification No.: N/A

In connection with the above captioned contract, I HEREBY DECLARE AND AFFIRM that I am a duly authorized

representative of _[Respondent’s name]

___________________________________________________________. (Name of Prime Consultant/Contractor) and that I have personally reviewed the

material and facts set forth herein describing our proposed plan to achieve the MBE/WBE goals of this

contract.

All MBE/WBE firms included in this plan have been certified as such by the City of Chicago a n d / o r Cook

County, Illinois (Letters of Certification Attached).

I. Direct Participation of MBE/WBE Firms:

NOTE: The bidder/proposer shall, in determining the manner of MBE/WBE participation, first consider involvement with MBE/WBE firms as joint venture partners, subcontractors, and suppliers of goods and services directly related to the performance of this contract.

A. If bidder/proposer is a joint venture and one or more joint venture partners are certified MBEs or WBEs, attach copies of Letters of Certification, Schedule B form and a copy of Joint Venture Agreement clearly describing the role of each MBE/WBE firm(s) and its ownership interest in the joint venture.

B. Complete this section for each MBE/WBE Subcontractor/Supplier/Consultant participating on this contract:

1. Name of MBE/WBE: If no specific M/WBEs have been identified, please fill this form in

for each type of certified M/WBE Respondent intends to utilize and include the category

FOR NON-CONSTRUCTION

PROJECTS ONLY


of goods and/or services to be provided.

e.g. Certified MBE supplier of furnishings; this supplier will provide all of the furnishings

for the Hotel rooms for both Hotels prior to the opening of each Hotel.

Address: To be filled in only if this information is available at this time.

Contact Person: To be filled in only if this information is available at this time.

Phone Number: To be filled in only if this information is available at this time.

Dollar Value of Participation $ X – estimated dollar amount

Percentage of Participation % Y = estimated percentage ______________________________________________________________

Mentor Protégé Agreement (attach executed copy): ( ) Yes ( ) No Add’l Percentage Claimed:1 ____%

Total Participation % Y = estimated percentage

2. Name of MBE/WBE: See example above

Address:__________________________________________________________________________

Contact Person:_________________________________________________________________________

Phone Number:_________________________________________________________________________

Dollar Value of Participation $______________________________________________________________

Percentage of Participation % ______________________________________________________________

Mentor Protégé Agreement (attach executed copy): ( ) Yes ( ) No Add’l Percentage Claimed: ____%

Total Participation % ________

3. Name of

MBE/WBE:______________________________________________________________________

Address:__________________________________________________________________________

Contact Person:_________________________________________________________________________

Phone Number:_________________________________________________________________________

1 The Prime Contractor may claim an additional 0.333 percent participation credit (up to a maximum of five (5) percent) for every

one (1) percent of the value of the contract performed by the MBE/WBE protégé firm.






4. Name of

MBE/WBE:______________________________________________________________________

Address:__________________________________________________________________________

Contact Person:_________________________________________________________________________

Phone Number:_________________________________________________________________________





5. Attach Additional Sheets as Needed

II. Indirect Participation of MBE/WBE Firms

NOTE: This section need not be completed if the MBE/WBE goals have been met through the direct

participation outlined in Section I. If the MBE/WBE goals have not been met through direct participation,

Contractor will be expected to demonstrate that the proposed MBE/WBE direct participation represents the

maximum achievable under the circumstances. Only after such a demonstration will indirect participation be

considered.

MBE/WBE Subcontractors/Suppliers/Consultants proposed to perform work or supply goods or services

where such performance does not directly relate to the performance of this contract:

1. Name of

MBE/WBE:______________________________________________________________________

Address:__________________________________________________________________________

Contact Person:_________________________________________________________________________

Phone Number:_________________________________________________________________________





2. Name of

MBE/WBE:______________________________________________________________________


Address:__________________________________________________________________________

Contact Person:_________________________________________________________________________

Phone Number:_________________________________________________________________________


Percentage of Participation % _____________________________________________________________



3. Name of

MBE/WBE:______________________________________________________________________

Address:__________________________________________________________________________

Contact Person:_________________________________________________________________________

Phone Number:_________________________________________________________________________





4. Name of

MBE/WBE:______________________________________________________________________

Address:__________________________________________________________________________

Contact Person:_________________________________________________________________________

Phone Number:_________________________________________________________________________


Percentage of Participation % ___________________________________________________________




III. Summary of MBE/WBE Proposal

If specific M/WBE firms have not yet been identified, please fill in the chart below with

type of certified M/WBE, goods and services to be provided and estimated dollar

amounts/percentage calculations.


A. MBE Proposal (Direct & Indirect)

1. MBE Direct Participation

MBE Firm Name

Dollar

Amount

Participation

($)

Percent

Amount

Participation

(%)

Total Direct MBE

Participation

2. MBE Indirect Participation

MBE Firm Name

Dollar

Amount

Participation

($)

Percent

Amount

Participation

(%)

Total Indirect MBE

Participation

B. WBE Proposal (Direct & Indirect)

1. WBE Direct Participation

WBE Firm Name

Dollar

Amount

Participation

($)

Percent

Amount

Participation

(%)

Total Direct WBE

Participation

2. WBE Indirect Participation


WBE Firm Name

Dollar

Amount

Participation

($)

Percent

Amount

Participation

(%)

Total Indirect WBE

Participation

The Prime Contractor designates the following person as its MBE/WBE Liaison Officer:

(Name- Please Print or Type) (Phone)

I DO SOLEMNLY DECLARE AND AFFIRM UNDER PENALTIES OF PERJURY THAT THE

CONTENTS OF THE FOREGOING DOCUMENT ARE TRUE AND CORRECT, THAT NO MATERIAL

FACTS HAVE BEEN OMITTED, AND THAT I AM AUTHORIZED ON BEHALF OF THE PRIME

CONTRACTOR TO MAKE THIS AFFIDAVIT.

______________________________________________

(Name of Prime Contractor – Print or Type)

State of:_____________________________________

______________________________________________

County of:____________________________________

(Signature)

______________________________________________

(Name/Title of Affiant – Print or Type)

______________________________________________

(Date)

On this_____day of_________, 20____, the above signed officer

_____________________________________________

(Name of Affiant)

personally appeared and, known by me to be the person described in the foregoing Affidavit, acknowledged that

(s)he executed the same in the capacity stated therein and for the purposes therein contained.


__________________________________________________________________

(Notary Public Signature)


SEAL:

Commission Expires:____________________________


Proposal Form H

SCHEDULE C-1

MBE/WBE Letter of Intent to Perform as a Subcontractor, Supplier, or Consultant

Project Name: Specification No.:

From:

To: and the City of Chicago.

(Name of Prime Contractor)

The MBE or WBE status of the undersigned is confirmed by the attached City of Chicago or Cook County, Illinois Certification

Letter. 100% MBE or WBE participation is credited for the use of a MBE or WBE "manufacturer." 60% participation is credited for the use of a MBE or WBE "regular dealer."

The undersigned is prepared to perform the following services in connection with the above named project/contract. If more space is required to fully describe the MBE or WBE proposed scope of work and/or payment schedule, including a

description of the commercially useful function being performed. Attach additional sheets as necessary:

The above described performance is offered for the following price and described terms of payment:


A zero (0) must be shown in each blank if the MBE or WBE will not be subcontracting any of the work listed or attached to

this schedule.

% of the dollar value of the MBE or WBE subcontract that will be subcontracted to non MBE/WBE contractors.

% of the dollar value of the MBE or WBE subcontract that will be subcontracted to MBE or WBE contractors.

FOR

NON-CONSTRUCTION

PROJECTS ONLY


NOTICE: If any of the MBE or WBE scope of work will be subcontracted, list the name of the Contractor and attach a brief explanation, description and pay item number of the work that will be subcontracted.

MBE/WBE credit will not be given for work subcontracted to Non-MBE/WBE contractors, except for as allowed in the Special Conditions Regarding Minority Business Enterprise Commitment and Women

Business Enterprise Commitment.

The undersigned will enter into a formal written agreement for the above work with you as a Prime Contractor, conditioned upon your execution of a contract with the City of Chicago, within three (3) business days of your receipt of a signed contract

from the City of Chicago.

The undersigned has entered into a formal written mentor protégé agreement as a subcontractor/protégé with you as a Prime Contractor/mentor: ( ) Yes ( ) No

NOTICE: THIS SCHEDULE AND ATTACHMENTS REQUIRE ORIGINAL SIGNATURES.

(Signature of President/Owner/CEO or Authorized Agent of MBE/WBE) (Date)

(Name/Title-Please Print)

(Email & Phone Number)


Proposal Form I

SCHEDULE D-1

Compliance Plan Regarding MBE/WBE Utilization

Affidavit of Prime Contractor

MUST BE SUBMITTED WITH THE BID. FAILURE TO SUBMIT THE SCHEDULE D-1 WILL

CAUSE THE BID TO BE REJECTED. DUPLICATE AS NEEDED.

Project Name:_____________________________________________

Specification No.:__________________________________________

In connection with the above captioned contract, I HEREBY DECLARE AND AFFIRM that I am a duly

authorized representative of ____________________________________________________________. (Name of Prime Consultant/Contractor) and that I have personally reviewed

the material and facts set forth herein describing our proposed plan to achieve the MBE/WBE goals of

this contract.

All MBE/WBE firms included in this plan have been certified as such by the City of Chicago

a n d / o r Cook County, Illinois (Letters of Certification Attached).

II. Direct Participation of MBE/WBE Firms:

NOTE: The bidder/proposer shall, in determining the manner of MBE/WBE participation, first consider involvement with MBE/WBE firms as joint venture partners, subcontractors, and suppliers of goods and services directly related to the performance of this contract.

C. If bidder/proposer is a joint venture and one or more joint venture partners are certified MBEs or WBEs, attach copies of Letters of Certification, Schedule B form and a copy of Joint Venture Agreement clearly describing the role of each MBE/WBE firm(s) and its ownership interest in the joint venture.

D. Complete this section for each MBE/WBE Subcontractor/Supplier/Consultant participating on this

contract:

6. Name of

MBE/WBE:______________________________________________________________

________

FOR NON-CONSTRUCTION

PROJECTS ONLY


Address:________________________________________________________________

_________

Contact

Person:_________________________________________________________________

________

Phone

Number:________________________________________________________________

_________

Dollar Value of Participation

$______________________________________________________________

Percentage of Participation %

______________________________________________________________

Mentor Protégé Agreement (attach executed copy): ( ) Yes ( ) No Add’l

Percentage Claimed:2 ____%


7. Name of

MBE/WBE:______________________________________________________________

________

Address:________________________________________________________________

__________

Contact

Person:_________________________________________________________________

________

Phone

Number:________________________________________________________________

_________


$______________________________________________________________


______________________________________________________________


Percentage Claimed: ____%


2 The Prime Contractor may claim an additional 0.333 percent participation credit (up to a maximum of

five (5) percent) for every one (1) percent of the value of the contract performed by the MBE/WBE protégé firm.


8. Name of

MBE/WBE:______________________________________________________________

________

Address:________________________________________________________________

__________

Contact

Person:_________________________________________________________________

________

Phone

Number:________________________________________________________________

_________


$______________________________________________________________


______________________________________________________________




9. Name of

MBE/WBE:______________________________________________________________

________

Address:________________________________________________________________

__________

Contact

Person:_________________________________________________________________

________

Phone

Number:________________________________________________________________

_________


$______________________________________________________________


______________________________________________________________






III. Indirect Participation of MBE/WBE Firms

NOTE: This section need not be completed if the MBE/WBE goals have been met through the

direct participation outlined in Section I. If the MBE/WBE goals have not been met through

direct participation, Contractor will be expected to demonstrate that the proposed MBE/WBE

direct participation represents the maximum achievable under the circumstances. Only after such

a demonstration will indirect participation be considered.

MBE/WBE Subcontractors/Suppliers/Consultants proposed to perform work or supply goods or

services where such performance does not directly relate to the performance of this contract:

3. Name of

MBE/WBE:______________________________________________________________

________

Address:________________________________________________________________

__________

Contact

Person:_________________________________________________________________

________

Phone

Number:________________________________________________________________

_________


$______________________________________________________________


______________________________________________________________




4. Name of

MBE/WBE:______________________________________________________________

________

Address:________________________________________________________________

__________

Contact

Person:_________________________________________________________________

________


Phone

Number:________________________________________________________________

_________


$______________________________________________________________


_____________________________________________________________




4. Name of

MBE/WBE:______________________________________________________________

________

Address:________________________________________________________________

__________

Contact

Person:_________________________________________________________________

________

Phone

Number:________________________________________________________________

_________


$______________________________________________________________


______________________________________________________________




5. Name of

MBE/WBE:______________________________________________________________

________

Address:________________________________________________________________

__________

Contact

Person:_________________________________________________________________

________


Phone

Number:________________________________________________________________

_________


$______________________________________________________________


___________________________________________________________





IV. Summary of MBE/WBE Proposal

C. MBE Proposal (Direct & Indirect)

3. MBE Direct Participation

MBE Firm Name Dollar Amount

Participation ($)

Percent Amount

Participation (%)

Total Direct MBE Participation

4. MBE Indirect Participation

MBE Firm Name Dollar Amount

Participation ($)

Percent Amount

Participation (%)


Total Indirect MBE Participation

D. WBE Proposal (Direct & Indirect)

3. WBE Direct Participation

WBE Firm Name Dollar Amount

Participation ($)

Percent Amount

Participation (%)

Total Direct WBE Participation

4. WBE Indirect Participation

WBE Firm Name Dollar Amount

Participation ($)

Percent Amount

Participation (%)

Total Indirect WBE Participation

The Prime Contractor designates the following person as its MBE/WBE Liaison Officer:

(Name- Please Print or Type) (Phone)

I DO SOLEMNLY DECLARE AND AFFIRM UNDER PENALTIES OF PERJURY THAT THE

CONTENTS OF THE FOREGOING DOCUMENT ARE TRUE AND CORRECT, THAT NO MATERIAL

FACTS HAVE BEEN OMITTED, AND THAT I AM AUTHORIZED ON BEHALF OF THE PRIME

CONTRACTOR TO MAKE THIS AFFIDAVIT.

______________________________________________

(Name of Prime Contractor – Print or Type)


State of:_____________________________________

______________________________________________

County of:____________________________________

(Signature)

______________________________________________

(Name/Title of Affiant – Print or Type)

______________________________________________

(Date)

On this_____day of_________, 20____, the above signed officer

_____________________________________________

(Name of Affiant)

personally appeared and, known by me to be the person described in the foregoing Affidavit,

acknowledged that (s)he executed the same in the capacity stated therein and for the purposes therein

contained.


__________________________________________________________________

(Notary Public Signature)

SEAL:

Commission Expires:____________________________


Proposal Form J

Jobs Plan


Proposal Form K

Proposal Checklist

Instruction: Please complete the following checklist indicating the information

requested for this RFP has been included in your package.

PROPOSAL FORM/ TABS

FORM

ATTACHED

Experience and Qualifications Proposal Form A

Airport Concession Disadvantage Business

Enterprise Plan

Proposal Form B

Airport Concession Disadvantage Business

Enterprise Forms

Proposal Form C

Form of Reference (3) Proposal Form D

Proposal Affidavit Proposal Form E

Business Information Statement Proposal Form F

Affidavit of Joint Venture (MBE/WBE)

*only necessary if M/WBE is a joint venture

partner

Proposal Form G

M/WBE Schedule C-1 Proposal Form H

M/WBE Schedule D-1 Proposal Form I

Jobs Plan Proposal Form J

Proposal Checklist Proposal Form K

Documents

Proposal Form A - app.flychicago.com · Upscale or above hotels including, but not limited to, design elements, branding, management approach, scope and size of operations, number