Loading...
HomeMy WebLinkAbout26-108 Certified State of Illinois) County of Kane) City of Elgin ) CERTIFICATE OF CITY CLERK I, Kimberly Dewis, DO HEREBY CERTIFY that I am the duly qualified City Clerk of the City of Elgin, in the Counties of Kane and Cook in the State of Illinois, and that as such City Clerk I am the keeper and custodian of the files and records of said City of Elgin and the seal thereof. I DO FURTHER CERTIFY that the attached is a full, true, and correct copy of: RESOLUTION NO. 26-108 RESOLUTION AUTHORIZING EXECUTION OF A BUILDING IMPROVEMENT PROGRAM AGREEMENT WITH SENIOR SERVICES ASSOCIATES, INC. FOR 101 S. GROVE AVENUE, ELGIN, ILLINOIS 60120 adopted by the Elgin City Council at its legally convened meeting held on July 8, 2026. In Witness Whereof, I have hereunto set my hand and affixed the corporate seal of the City of Elgin at the said City in the County and State aforesaid this July 9, 2026. t)ffe.00 hde4:::) Ki be Dewis, City Clerk ,.Y7": jiA-.-(s ill ) , .;•; s �•.ram';".� •Y Resolution No. 26-108 RESOLUTION AUTHORIZING EXECUTION OF A BUILDING IMPROVEMENT PROGRAM AGREEMENT WITH SENIOR SERVICES ASSOCIATES, INC. FOR 101 S. GROVE AVENUE, ELGIN,ILLINOIS 60120 BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ELGIN, ILLINOIS, that Richard G. Kozal, City Manager, and Kimberly A. Dewis, City Clerk, be and are hereby authorized and directed to execute a Building Improvement Program Agreement on behalf of the City of Elgin with Senior Services Associates,Inc.,for 101 S.Grove Avenue,Elgin,Illinois 60120, a copy of which is attached hereto and made a part hereof by reference. s/David J. Kaptain David J. Kaptain, Mayor Presented: July 8, 2026 Adopted: July 8,2026 Omnibus Vote: Yeas: 9 Nays: 0 Attest: s/Kimberly Dewis Kimberly Dewis,City Clerk CITY OF ELGIN BUILDING IMPROVEMENT PROGRAM AGREEMENT (101 S. Grove Avenue) THIS AGREEMENT is made and entered into this 8th day of July ,2026, by and between the CITY OF ELGIN,an Illinois municipal corporation(hereinafter referred to as "City") and SENIOR SERVICES ASSOCIATES, INC, an Illinois not-for-profit corporation (hereinafter referred to as the"Owner").The City and Owner may be referred to collectively herein as the"parties"and individually as a"party." WHEREAS, the City Council of the City of Elgin (hereinafter referred to as the "City Council") has adopted Ordinance Nos. S6-99, S1-02, S2-02, S3-02, and S4-02 proposing, approving,and creating the Elgin Central Area Tax Increment Financing Redevelopment Plan and Project (hereinafter referred to as the "ECA TIF District") pursuant to the Tax Increment Allocation Redevelopment Act at 65 ILCS 5/11-74.4-1,et seq.;and WHEREAS, the ECA TIF District was established on April 10, 2002, and will continue for thirty-five (35) years thereafter pursuant to the enactment of Public Act 104-0322, effective August 15,2025; and WHEREAS, the Owner is the owner of the property identified by Kane County PIN 06- 13-309-001,more commonly known as 101 S.Grove Avenue,Elgin,Illinois(hereinafter referred to as the"Subject Property"); and WHEREAS, the Subject Property is located within the area commonly referred to as Downtown Elgin;and WHEREAS,the Subject Property is located within the ECA TIF District;and WHEREAS,the Subject Property is within the Downtown Elgin Commercial District,and the Downtown Elgin Commercial District is listed in the federal National Register of Historic Places and is an integral part of downtown Elgin;and WHEREAS,the Owner intends to improve the building located upon the Subject Property by repairing certain windows and replacing certain windows and doors;and WHEREAS,the Owner has applied to the City to receive Community Development Block Grant (hereinafter referred to as "CDBG") funding for the repair of certain window and the replacement of certain windows and doors;and WHEREAS, the City receives funding for its CDBG program from the U.S. Department of Housing and Urban Development(hereinafter referred to as"HUD")and HUD requires that all projects receiving CDBG funding adhere to the U.S. Secretary of the Interior's standards for rehabilitation; and -1- WHEREAS, adherence to the above-described standards for rehabilitation incurred additional costs above and beyond simply replacing all windows and doors in the most cost- effective manner; and WHEREAS, the Owner is only eligible to receive a CDBG grant that would cover eighty percent (80%) of the costs to repair certain windows and to replace certain windows and doors; and WHEREAS, the Owner is requesting that the City fund the remaining twenty percent (20%)of said costs with funds collected by the administration of the ECA TIF District;and WHEREAS, the proposed improvement of the Subject Property would not occur in the absence of the development assistance from the City as herein provided; and WHEREAS, the City Council has determined and hereby finds that the repair of certain windows and the replacement of certain windows and doors as herein described will further the goals and objectives of the Elgin Central Area TIF Increment Financing Redevelopment Plan and Project and assist the City in its objective to create a more economically viable and sustainable downtown business district, all of which are hereby declared by the City to be a valid public purpose of the City; and WHEREAS, repaired windows and new windows and doors will enhance the value of the Subject Property and increase the City's tax revenues; and WHEREAS, in order to incent and facilitate continued investment in the Subject Property as herein described which will further the goal and objectives of the Elgin Central Area Tax Increment Finance and Redevelopment Plan and Project, the City has agreed to provide certain development assistance as hereinafter described; and WHEREAS,the City of Elgin is a home rule unit and may exercise any power and perform any function pertaining to its governmental affairs; and WHEREAS, this Building Improvement Program Agreement, resulting in furthering and achieving the goals and objectives of the Elgin Central Area Tax Increment Finance and Redevelopment Plan and Project, and resulting in the benefits the City has hereinabove stated,are matters within the government affairs of the City; and WHEREAS, the continued investment in the Subject Property will strengthen the downtown in the City; and WHEREAS, the continued reinvestment in the Subject Property will serve to further the development of adjacent areas; and WHEREAS, the Owner is a long-standing member of Downtown Elgin and meets high standards of credit worthiness and financial strengths;and -2- WHEREAS,this Agreement is made in the best interests of the City. NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein,the sufficiency of which is hereby mutually acknowledged,the parties hereto hereby agree as follows: Section 1. The above recitals are incorporated into and made a part of this Agreement. Section 2. The Owner shall provide for the further investment in the Subject Property by repairing certain windows and replacing certain windows and doors in the manner depicted in the 12-page "Scope of Work for Senior Services Associates" dated December 4, 2025, which is attached hereto as Attachment A and made a part hereof(such repaired windows and replaced windows and doors on the Subject Property are hereinafter referred to as the "Subject Building Improvements"or alternatively as the"Work"). Section 3. The total, maximum approved project costs for the Subject Building Improvements shall be thirty-one thousand, seven hundred dollars and no cents ($31,700.00) as set forth in Attachment A(such total approved project costs for the Subject Building Improvements are hereinafter referred to as"Eligible Costs"). The City shall pay the Owner a sum not to exceed thirty-one thousand, seven hundred dollars and no cents ($31,700.00) toward the Eligible Costs for the Subject Building Improvements approved pursuant to the provisions of this Agreement unless,upon receipt and review of those items stipulated within Section 7 of this Agreement, it is found that the total cost of the Subject Building Improvements were less than the Eligible Costs estimated within Attachment A,then the maximum amount that the City shall pay to the Owner shall be reduced to the lesser, actual cost of the Subject Building Improvements. The City also agrees to waive any costs for permits, plan reviews, and inspections that are associated with the construction and installation of the Subject Building Improvements. Section 4. Eligible Costs shall include labor, material and equipment costs, and such other costs as may be reasonably necessary for the execution and completion of the Subject Building Improvements hereby provided for as established by the construction specifications and construction estimate as set forth in Attachment A. Section 5. No work shall be undertaken or shall be considered to constitute the basis for an Eligible Cost until the Owner submits the plans for the Subject Building Improvements to the City and receives all necessary permits from the City for the Subject Building Improvements. The Owner shall submit the requisite permit application and associated plans necessary to receive a permit within ninety (90) days of this Agreement. The Owner shall cause the Subject Building Improvements to commence within one hundred and twenty (120) days of the issuance of all necessary permits by the City. For the purpose of this Section 5 of the Agreement, "commence" shall mean that windows have been delivered to the Subject Property.All the Work related to the Subject Building Improvements shall be performed in compliance with all requirements of law, including any applicable codes and ordinances. The Subject Building Improvements shall be completed within one hundred and eighty (180) days from the date work commences. For the purpose of this Section 5 of this Agreement, "completed" shall mean that the Subject Building Improvements have received all approvals and passed all inspections required by law. The City -3- Development Administrator may grant an extension of any of the above deadlines for up to six(6) months in the City Development Administrator's sole discretion,provided that any such extension shall also be in writing.Any agreement by the City to further extend the above deadlines beyond said six(6)months shall be at the sole discretion of the City Council of the City. Section 6. The City shall be permitted access to the Subject Property to periodically review the progress of the Work.Such review shall not be in lieu of any other inspections that may otherwise be required by law or by the City.Any and all portions of the Work which do not,in the sole discretion of the City, conform to the Subject Building Improvements or other applicable terms of this Agreement, shall be made to conform to the Subject Building Improvements and other applicable terms of this Agreement upon written notice of the existence of such non- conforming portions. Section 7. Upon completion of the Work, and upon fmal inspection and such other final inspections and approvals as may be required by law, Owner shall submit to City: (1) an executed, notarized itemized contractor statement reflecting the total cost of the Work and each portion thereof, including,but not limited to,the cost of labor(whether provided by any contractor or subcontractor),materials and equipment;(2)copies of all bids,contracts and invoices submitted, executed or incurred pursuant to the Work; (3) reasonable proof of payment of all costs incurred pursuant to the Work; and (4)a release of lien from any contractor that received payment for the Work. Section 8. City shall pay to the Owner the Eligible Costs provided for at Section 3 herein within thirty (30) days of Owner's completion of the Work and compliance with the provisions of Section 7 herein. In no event shall the amount paid to the Owner exceed the lesser of the amount specified in Section 3 of this Agreement or in the contractor statement required by Section 7 of this Agreement. Section 9. In the event Owner fails to complete the Work in accordance with the terms of this Agreement, or otherwise breaches the terms of this Agreement, City may terminate this Agreement upon written notice of breach and termination to the Owner, and any and all financial or other obligations on the part of City shall cease and become null and void. Additionally,Owner shall refund to City all money paid to Owner by City pursuant to this agreement upon thirty(30) days written demand. This provision shall not constitute a restriction on City to pursue any and all other rights to which it may be entitled by law. Section 10. Upon completion of the Work, and for a period of five(5)years thereafter, Owner shall properly maintain the Work in its finished form,without alteration or change thereto, and shall not enter into any agreement, or take any other steps to alter, change or remove such Work,or to create or undertake any other Work which may constitute a deviation from the Subject Building Improvements, without prior written approval from the City's Director of Community Development in his or her sole discretion. It is not intended that acts by a third party that may affect the Subject Building Improvements constitute a breach of the provisions of this Section by the Owner. -4- Section 11. Nothing herein is intended to limit, restrict or prohibit the Owner from undertaking any other work in or about the Subject Property that is unrelated to the Subject Building Improvements provided for in this Agreement. Section 12_. This Agreement shall be binding upon City and its successors, and upon Owner, Owners' successors and assigns for a period of five (5) years from and after the date of completion and approval of the Work. Owner shall provide subsequent owner(s) of the Subject Property with a copy of this Agreement. This Agreement shall run with the Subject Property. The City may record a memorandum of this Agreement against title to the Subject Property. Notwithstanding the aforementioned five(5)-year period,the provisions of Sections 9, 14, and 21 herein shall survive the expiration,completion, and/or termination of this Agreement. Section 13. INTENTIONALLY OMITTED. Section 14. To the fullest extent permitted by law,Owner agrees to and shall indemnify, defend and hold harmless,the City, its officials,officers,employees,agents, attorneys,boards and commissions from and against any and all claims, suits,judgments,costs,attorneys' fees,damages or other relief, including, but not limited to, workers' compensation claims, in any way resulting from or arising out of the Work to be performed and/or negligent acts or omissions of the Owner in connection herewith, including negligence or omissions of contractors, subcontractors, employees or agents of the Owner, arising out of the performance of this Agreement and/or the Work. In the event of any action against the City,its officers,employees,agents,attorneys,boards and commissions covered by the foregoing duty to indemnify, defend and hold harmless, such action shall be defended by legal counsel of the City's choosing. The provisions of this Section shall survive any expiration, completion and/or termination of this Agreement. Section 15. This Agreement shall not be construed to create a partnership,joint venture or employment relationship between the parties hereto. Section 16. This Agreement shall be subject to and governed by the laws of the State of Illinois. The parties hereto hereby agree that venue for any and all actions that may be brought by each and either of them to enforce the provisions of this Agreement shall be in the Circuit Court of Kane County, Illinois. Section 17. The terms of this Agreement shall be severable. In the event that any of the terms or provisions of this Agreement are deemed to be void or otherwise unenforceable for any reason,the remainder of this Agreement shall remain in full force and effect. Section 18. All notices, reports and documents required under this Agreement shall be in writing and shall be mailed by first-class mail,postage prepaid, addressed as follow: As to the City: City of Elgin 150 Dexter Court Elgin, IL 60120-5555 Attn: Community Development Director -5- With a copy of any such notices to: City of Elgin 150 Dexter Court Elgin,IL 60120-5555 Attn: Corporation Counsel As to the Owner: Micki Miller,Executive Director Senior Services Associates,Inc. 101 S Grove Avenue Elgin, IL 60120-6477 Section 19. INTENTIONALLY OMITTED. Section 20. In all hiring or employment made possible or resulting from this Agreement, there shall be no discrimination against any employee or applicant for employment because of sex, age, race, color, creed, national origin, marital status, of the presence of any sensory, mental or physical handicap,unless based upon a bona fide occupational qualification,and this requirement shall apply to,but not be limited to,the following:employment advertising, layoff or termination, rates of pay or other forms of compensation and selection for training,including apprenticeship. Section 21. Notwithstanding anything to the contrary in this Agreement, with the sole exception of an action to recover the monies the City has agreed to pay to the Owner pursuant to Section 3 hereof, no action shall be commenced by the Owner against the City for monetary damages. Owner hereby further waives any and all claims to interest on money claimed to be due pursuant to this Agreement and waives any and all such rights to interest which it claims it may otherwise be entitled to pursuant to law, including, but not limited to, the Local Government Prompt Payment Act(50 ILCS 501/1,et seq.),as amended, or the Illinois Interest Act(815 ILCS 205/1,et seq.),as amended. The parties hereto further agree that any action by the Owner arising out of this Agreement must be filed within one(1)year of the date the alleged cause of action arose or the same will be time-barred. Section 22. No official,officer,agent,employee or attorney of the City shall be charged personally or held contractually liable under any term or provision of this Agreement or because of their execution, approval,attempted execution or enforcement of this Agreement. Section 23. This Agreement and its attachments constitutes the entire agreement of the parties hereto and the subject matter hereof and may not be changed, modified, discharged or extended except by written amendment duly executed by the parties. Each party agrees that no representations or warranties shall be binding upon the other party unless expressed in writing herein or in a duly executed amendment hereof. Section 24. This Agreement is and shall be deemed and construed to be a joint and collective work product of the City and the Owner, and as such, this Agreement shall not be construed against the other party, as the otherwise purported drafter of same, by any court of competent jurisdiction in order to resolve any inconsistency, ambiguity, vagueness or conflict, if any,of the terms and provisions contained herein. -6- Section 25. This Agreement and the obligations herein may not be assigned by the Owner without the express written consent of the City,which consent may be withheld at the sole discretion of the City. Section 26. INTENTIONALLY OMITTED. Section 27. Notwithstanding any other provisions of this Agreement, it is agreed and understood that the Owner shall comply with all federal, state,city,and other requirements of law that are applicable to the Owner in connection with the performance of this Agreement. Section 28. Time is of the essence of this Agreement. Section 29. This Agreement may be executed in counterparts,each of which shall be an original and all of which shall constitute one and the same agreement. This Agreement may be executed electronically,and any signed copy of this Agreement transmitted by facsimile machine, email, or other electronic means shall be treated in all manners and respects as an original document. The signature of any party on a copy of this Agreement transmitted by facsimile machine, email, or other electronic means shall be considered for these purposes an original signature and shall have the same legal effect as an original signature. SIGNATURE PAGE FOLLOWS -7- IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date first appearing above. CITY OF ELGIN: ATTEST: By. ‘a :>11/Ail Richard G.Kozal un Dewis,City Clerk City Manager OWNER: By: `:6/4441, Name: Micki Miller Executive Director Senior Services Associates. Inc. -8- Attachment A 12-page Scope of Work for Senior Service Associates, dated December 4, 2025 Scope of Work For Senior Services Associates 101 South Grove Avenue, Elgin IL December 4, 2025 The Senior Services Associates Rehab Project primarily consists of replacing exterior doors on the first floor and replacing or repairing all of the windows on the second floor. The scope of work includes five parts. Contractors are invited to submit quotes for one, multiple, or all parts of the project. Senior Services reserves the right to award each part of the scope to separate bidders or multiple parts to a single bidder, based on the price quotations that are the most advantageous and cost-effective for the agency. The five parts are defined below: Part 1:Steel Window Replacement(2nd Floor) The nine steel casement windows on the north-facing (Fulton Street) elevation and four steel casement windows on the south-facing (side) elevation are in very poor condition. Provide and install new custom-fabricated aluminum casement windows matching the configuration, profile, and dimensions of the originals.See Attachment A for a photo and drawing of the current window unit (with dimensions). Part 2: Wood Window Repair(2"d Floor) The six wood double-hung windows on the west-facing (South Grove Avenue) elevation and four wood double-hung windows on the north-facing (Fulton Street) elevation are in good condition. Minor repairs should be made to these windows and new storm windows should be installed to improve energy efficiency. See Attachment B for current photo of one of the ten windows to be repaired. Part 3: Wood Window Replacement(2nd Floor) There are six wood double-hung windows of varying sizes and configurations on the south- facing (side) and east-facing (alley) elevations that are in disrepair. Provide and install new one- over-one aluminum-clad wood double hung windows matching the originals in size (but not multi-lite configuration). See Attachment C for current photos of the windows to be replaced. Note the furnace is currently not vented per code. Part 5 of this scope calls for new venting to be installed. (Do not include any costs associated with that work in your quote for Part 3 of the scope.) Part 4: Exterior Door Replacement (1st Floor) The two sets of exterior doors located at the corner of South Grove Avenue and Fulton Street, and the one set of exterior doors located at the northeast corner of the building(facing Fulton Street) are rusted and in poor condition. Provide and install three sets of custom steel doors that match the existing doors in configuration and dimensions, including windows matching the original dimensions. Provide keyed door sets and the necessary panic hardware. See Attachment D for current photos of the doors to be replaced. Part 5: Furnace Venting(2"d Floor) The furnace on the second floor is not currently vented per code. Provide and install new venting through the rear (alley) exterior wall, including proper exterior cap(s). If bidding on this part, include copies of your firm's state license/credential. (Do not include any costs associated with the replacement of the window in your quote for Part 5 of the scope.) General Note:All windows, storm windows, and doors specified above shall match (as closely as possible) the first floor windows in color. Attachment A Part 1: Steel Window Replacement a Ir \ t i _ ni L__ .F L , ' i ''' i : , 1r 1 r • i 1 I ,x i r t ' �: _ _ 1 t iiiii.., - . iiiir...,.. - \♦ L. Current Steel Casement Window 13 total on north-and south-facing elevations (2"`1 floor) to be replaced. 54" z / 3/4" -.„,,_. width hillib.7 11/2"- ' rev 13/4" width /\* / / 72" \ . / EXISTING CONCRETE SILL MAY NEED TO MAKE THIS SAME HEIGHT AS CENTRAL BOTTOM RAIL (1 1/2"-2" FOR STABILITY) Attachment B Part 2: Wood Window Repair 1 l • . , ._ iI i 1 i i Iiill, 1 , Y1 S,1 Wood Double Hung Window (Typical) 10 total on north- and west-facing elevations to be repaired and get new storms. Attachment C Part 3: Wood Window Replacement I - v _ r,_ _ -- :FS V - _ _.. - - i r1 r r ,•- E - ii lir H d 41111.111 i' Window in Stairway (South-Facing Elevation) To be replaced with one-over-one aluminum-clad wood window of same size. # / i 4 1 -''''''''''''''''.7°:° .7 I ' 1 i • I; .. I i 111'a ! *111-1W1 Window in Washroom (South-Facing Elevation) To be replaced with one-over-one aluminum-clad wood window of same size. rr +v r r 4 j I 1 /1 '0 . •' • • *, •�S4*:• 1 0 3 ,,�,,,,. ..,...,,: 'Map L • Window in Kitchen (South-Facing Elevation) To be replaced with one-over-one aluminum-clad wood window of same size. .... I .111 I I \ i , -- — •� .,t Window in Storage Room (South-Facing Elevation) To be replaced with one-over-one aluminum-clad wood window of same size. ii i 1 IIII Allimpli If 11 Ada MI Y fi it 9 l ter .... 1 ,{.., t !I } i . . y. . / 4 ' il AP • Window in Utility Closet (East-Facing Elevation) To be replaced with one-over-one aluminum-clad wood window of same size. 40 111 111 11 1 r. 3. {g'i7_ r _ • 1 11 ,„ , , mil • Window in Rear Stairway (East-Facing Elevation) To be replaced with one-over-one aluminum-clad wood window of same size. Attachment D Part 4: Exterior Door Replacement -•Pillo...P.IPPI°"igm°Pllw°11P"w°": ivo F r. aA,Cr)f1 f _ ii Jr 1 F J$2fw , 1 rcC 3 _— 1' . -. 4, -f • 'NI 4111111.rll . -t o Exterior Doors (One of three sets on the North- and East-Facing Elevations) Attachment B AFFIDAVIT OF OWNERSHIP (2 Pages) 1, \1 e r (name), X ec&*.+i ye. 1;rec-4 p{ (title),being first duly sworn upon oath states as follows: Affiant has personal knowledge of the facts stated herein. Per 50 ILCS 105/3.1,the identities of all owners and beneficiaries having an interest or proposing to have an interest in the real property commonly known as Senior- Sec./icf 5 ASsac.►a-1eS to be conveyed/used are as follows (check applicable box(es)and complete information requested): El Individual. Individual owner(or proposing to be an owner or tenant)of the property is: ® Nonprofit Organization. Nonprofit organization owner (or proposing to be an owner or tenant) of the property is &,Hint. Services 45sodo:Fe . There is no individual or other organization receiving distributable income from the organization. El Public Organization, including units of local government. Public organization owning(or proposing to be an owner or tenant) the property is There is no individual or other organization receiving distributable income from the organization. Publicly-Traded Corporation. Publicly-traded corporation owning (or proposing to be an owner or tenant) the property is There is no readily known shareholder entitled to receive more than 7-1/2%interest in the total distribution income of the corporation. Corporation, Partnership, Limited Liability Company. Corporation, partnership, limited liability company owning (or proposing to be an owner or tenant) the property is . Those entitled to receive more than 7-1/2% of the total distributable income of said entity are as follows: Name Address *1. 2. 3. Ei Land Trust or Declaration of Trust.Land trust or declaration of trust owning(or proposing to be an owner or tenant) the property is . The identity of each beneficiary of Grantor Trust is as follows: Name Address %of Interest *1. 2. 3. 4. — — *IF THE INITIAL DISCLOSURES SHOW INTERESTS HELD BY ANOTHER CORPORATION, PARTNERSHIP, LIMITED LIABILITY COMPANY, OR TRUST, THEN FURTHER DISCLOSURES SHOULD BE PROVIDED UNTIL THE NAMES OF INDIVIDUALS OWNING THE INTEREST IN THE ENTITY ARE DISCLOSED. Dated this 095 ' day of T.unc_. , 20. (o y: 4%> c�h�`t1 t B I Sighature Ex euA44 lie- Z i rec-4-c Print Name and Title if applicable State of Illinois ) ) SS County of K cule. ) This ,instrument was acknowledged before me on dU ne 2•) , 202.i by 0116<l Miller . OFFICIAL SEAL J. '�1�6 �Q (SEAL) , .�� ,, JESSICA A GOMEZ Z t Notary Public Stste of Illinois N aPy PU . - Commission No.1027038 ic ` °yam.; My Commission Expires <.,,,.• March os,203o My Commission Expires: 3 0 030 NOTE: THIS AFFIDAVIT MAY BE EXECUTED AND ACKNOWLEDGED ON BEHALF OF THE RECORD OWNER(S) BY A MEMBER, AN OWNER, AUTHORIZED TRUSTEE, CORPORATE OFFICIAL, GENERAL PARTNER, OR MANAGING AGENT,OR HIS OR HER ATTORNEY. -2-