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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 icontractorsL, <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 Yes 19 19 <br /> D, Require Prevailing Wage(Davis Bacon) No 22 <br /> E. Require Health Benefits Yes 22 22 <br /> F. Require Pension Benefits Yes 18 18 <br /> G. Maintain Affirmative Action Plan Yes 20 20 <br /> Sub-total Construction Related: 1 1 9 141 <br /> 2 Wage&Benefit Related(Owner): <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. Provide Transportation Assistance No 14 <br /> G. Provide Employer Assisted Housing program No 9 <br /> Sub-total Wage&Benefit Related: 124 162 <br /> 3 Workforce Related: <br /> A. Create New Jobs No 42 <br /> B. Retain Existing Jobs Yes 41 41 <br /> C. Maintain Affirmative Action Plan Yes 35 35 <br /> D. Provide Targeted Hiring Preference No 34 <br /> Sub-total Workforce Related: 76 152 <br /> 4 Support a Municipal Facility: <br /> Support a SB Municipal Facility(donations to the <br /> A, Yes <br /> zoo,conservatory,museum,etc) e. <br /> Name of Facility <br /> Sub-total Municipal Facility: R4 24 <br /> Sub-total from Above: Troy Ad 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 lir tax abatement consideration and pursuant to I.C.,6-1.1-12.1-1,et seq.,and <br /> South Be unic ode ec.2-76 et sey_,for this petition state the abovg. <br /> Submitted By: Date: <br />