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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 /> con'panles which will provide materials purchased for this project. <br /> Pleas a complete the table below with the appropriate information. if es or y Earned Points Available Points <br /> you qualify for the points,please enter the full amount of available (Yes or no) <br /> points. <br /> 1 Construction 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 /> D. Require Prevailing Wage(Davis Bacon) Yes 22 22 <br /> E. Require Health Benefits Yes 22 22 <br /> F. Require Pension Benefits Yes 18 18 <br /> G, Maintain Affirmative Action Plan No 20 <br /> ISub-total Construction Related: 121 141 <br /> 7 Wege&Benefit Related IQwnerl: <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. arov:de 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 /> 8, Retain Existing lobs Yes 41 41 <br /> C. Maintain Affirmative Action Plan No 35 <br /> D. Provide Targeted Hiring Preference Yes 34 34 <br /> Su b total Workforce Related: 117 :32 <br /> 4 Support a Municipal Facility: <br /> A Supporta SB Municipal Facility(donations to the <br /> zoo,conservatory,museum,etc.) YeS 34 84 <br /> Name of Faciiity South Bend Zoo <br /> I_ up-total Municipal Facility: st 34 <br /> Sub-total from Above: 446 539 <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 areal and/or personal roperty u abatement consideration and pursuant to I.C.,6-1.1-12.1-1, .,and <br /> South Bend Mu cipoi de Sec.216 et sea.,for this petition state the above. <br /> Submitted By: A/ <br /> Y , ll Date: 1 ti1(flj <br />