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Complete below for Real or Personal Property Tax Abatement only. <br /> Please sign for all requested incentives. <br /> Public Benefit Item: <br /> Information is required on both the construction companies and the <br /> companies which will provide materials purchased for this project. <br /> Qualify <br /> Please complete the table below with the appropriate information. If (yes or No) Earned Points Available Points <br /> you qualify for the points,please enter the full amount of available <br /> points. <br /> 1 Construction Related(contractor-. <br /> A. Employ Local Companies(75%) y 20 20 <br /> 8. Purchase Materials from Local Companies(75%) y 20 20 <br /> C. Require Employees vs.Independent Contractors y 19 19 <br /> D. Require Prevailing Wage(Davis Bacon) y 22 22 <br /> E. lRequire Health Benefits y 22 22 <br /> F. Require Pension Benefits y 18 18 <br /> G. Maintain Affirmative Action Plan y 20 20 <br /> Sub-total Construction Related: 141 141 <br /> 2 Wage&Benefit Related(Owner): <br /> A. Pay Target Wage Levels n 0 33 <br /> B- Provide Health Benefits n 0 34 <br /> C. Provide Pension Benefits n 0 29 <br /> D. Provide Training n 0 28 <br /> E. Provide Child Care n 0 15 <br /> F. I Provide Transportation Assistance n 0 14 <br /> G. Provide Employer Assisted Housing program n 0 9 <br /> Sub-total Wage&Benefit Related: 0 162 <br /> 3 Workforce Related: <br /> A. Create New Jobs y 42 42 <br /> B. Retain Existing Jobs y 41 41 <br /> C. Maintain Affirmative Action Plan y 35 35 <br /> D. Provide Targeted Hiring Preference Y 34 34 <br /> Sub-total Workforce Related: 152 152 <br /> 4 Support a Municipal Facility: <br /> Support a SB Municipal Facility(donations to the 0 <br /> A' zoo,conservatory,museum,etc.) n 84 <br /> Name of Facility <br /> Sub-total Municipal Facility: 0 84 <br /> Sub-total from Above: 73 23 539 <br /> The undersigned owner(s)of real property,located within the City of South Bend,herby petition the Common Council of the City <br /> of South Bend for a real and/or personal property tax abatement consideration and pursuant to I.C.,6-1.1-12.1-1,et seq.,and <br /> South Bend Municipal Lode Sec.2-76 et seq.,for this petition state the above. <br /> Submitted BV' Anne Hayes I Date: 03/28/2018 <br />