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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 /> Please complete the table below with the appropriate information. If Qualify(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(Contractorsl: <br /> A. Employ Local Companies(75%) yes 20 20 <br /> B. Purchase Materials from Local Companies(75%) yes 20 20 <br /> C. Require Employees vs.Independent Contractors No 19 <br /> D. Require Prevailing Wage(Davis Bacon) No 22 <br /> E. Require Health Benefits No 22 <br /> F. Require Pension Benefits No 18 <br /> G. Maintain Affirmative Action Plan yes 20 20 <br /> Sub-total Construction Related: 60 141 <br /> 2 Wage&Benefit Related(Ownerl: <br /> A. Pay Target Wage Levels yes 33 33 <br /> B. Provide Health Benefits yes 34 34 <br /> C. Provide Pension Benefits yes 29 29 <br /> D. Provide Training yes 28 28 <br /> E. Provide Child Care no 15 <br /> F. I Provide Transportation Assistance no 14 <br /> G. I Provide Employer Assisted Housing program no 9 <br /> Sub-total Wage&Benefit Related: 124 162 <br /> 3 Workforce Related: <br /> A Create New Jobs yes 42 42 <br /> B Retain Existing Jobs yes 41 41 <br /> C. Maintain Affirmative Action Plan yes 35 35 <br /> D. Provide Targeted Hiring Preference 34 <br /> Sub-total Workforce Related: 118 152 <br /> 4 Support a Municipal Facility: <br /> Support a SB Municipal Facility(donations to the <br /> A. zoo,conservatory, es 84 <br /> ry,museum,etc.) 84 <br /> Name of Facility <br /> Sub-total Municipal Facility: 84 84 <br /> Sub-total from Above: 386 539 <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 Code Sec.2-76 et seq.,for this petition state the above. <br /> 40.Uc r. A 2D 16 <br />