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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. Quality <br /> Please complete the table below with the appropriate Information, If ferried Points Available Points <br /> (Yes or No) <br /> you qualify for the points,please enter the full amount of available <br /> points. <br /> 1 CensirVrtion Related(Contractors): _ <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 /> 0. Require Prevailing Wage(Davis Bacon) No 0 22 I <br /> E. Require Healthfenefts Yes 22 22 I <br /> F. Require Pension Benefits Yes 18 ie <br /> G. Maintain Affirmative Action Plan No 0 20 <br /> Sub-total Construction Related: 99 141 <br /> 2 Waga&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 5 <br /> D. provide Training Yes 28 28 <br /> E. Preside Child Care No 0 15 <br /> F. Provide Transportation Assistance No 0 14 <br /> G. Provide Employer Assisted Housing program No 0 9 <br /> Sub-total Wage F.Benefit Related; 124 162 <br /> 3 Workforce Related: <br /> A. Create New lobs Yes 42 42 <br /> B. Retain Existing Jobs Yes 41 41 <br /> C. Maintain Affirmative Action Plan NO 0 35 <br /> D. ProvldeTargetedHiring Preference <br /> Yes 34 34 <br /> Sub-total Workforce Related: 117 152 <br /> 4 smart a Municipal Facility( <br /> Supporta Se Municipal Facility(donations to the <br /> r <br /> A' zoo,conservatory,museum,etc.) Yes 84 84 <br /> Name ofFacility South Bend City Parks Department <br /> I 'Sub-total Municipal Facility: 84 64 <br /> Sub-total from Above: 424 539 <br /> The undersigned ownor(s)of real property,located within the City of South Bend,herhy petition the Common Council of the Gty <br /> of South Bend for a real and/or personal property tax abatement consideration and pursuant to I.C.,6-1.142.1-1,et seq.,and <br /> South BendMynl ,2-76 et seq.,for this petition state the above. <br /> Submitted By: —1-77j--- -- Date: I August 1,201h <br /> / . , <br />