D-5 - Disclosure Affidavit - Electronic Completion 1-15-09.doc

The document is a Disclosure Affidavit that must be filled out and signed by any party doing business with the City. It assists the City in determining conflicts of interest and other legal matters. The affidavit requires information about the business status of the party involved, including whether they are a Corporation, Partnership, LLC, or Individual Proprietorship. It also includes sections for providing details about the business, such as addresses, contact information, and officers. Additionally, there are statements regarding non-collusion, affirming that there are no hidden interests in the contract, and ensuring that there are no conflicts of interest within the City. The document also includes statements about compliance with the Illinois Drug Free Workplace Act and tax obligations. Lastly, there is a statement confirming familiarity and compliance with all relevant Federal, State, and local laws.