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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 /> complete the table below with the p <br /> Qualify <br /> 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(Contractors): <br /> A Employ Local Companies(75%) _: 20 <br /> B. 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) N 22 <br /> E. Require 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: hMft ,(7 C1 141 <br /> 2 Wage&Benefit Related(Owner): <br /> A. Pay Target Wage Levels Y 33 33 <br /> B. Provide Health Benefits Y 34 34 <br /> C. Provide Pension Benefits Y 29 29 <br /> D. Provide Training Y 28 28 <br /> E. Provide Child Care N 15 <br /> F. Provide Transportation Assistance N 14 <br /> G. Provide Employer Assisted Housing program N eee 9 <br /> Sub-total Wage&Benefit Related: NaN'/21 162 <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 <br /> A. 84 <br /> zoo,conservatory,museum,etc.) Y 84 <br /> Name of Facility /ti Z._ gA.-l-r_.(e f" Po-/QW /7-2/ 2D'CI) . <br /> ISub-total Municipal Facility: 84 84 <br /> Sub-total from Above: 1714 q 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 lend nicipat,Code Sec.2-76 et seq.,for this petition state the above. <br /> Submitted By: r lOyjk. 'Date: 3/4 9/ /'r <br />