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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 gained Paints Avai.latif Points <br /> you qualify for the points,please enter the full amount of available (yes or Na) <br /> points. <br /> 1 Cons_tructlen Related iContractwsj. <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 I 22 <br /> F. Require Pension Benefits NO 18 <br /> G. Maintain Affirmative Action Plan YES 20 20 <br /> ISub-total Construction Related: 101 _ 141 <br /> 2 Wece&Benefit Related[Owner': <br /> A. Pay Target Wage Levels YES 33 1.1 <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 <br /> F. Provide Transportation Assistance NO I4 <br /> G. Provide Employer Assisted Housing•program NO 9 1 <br /> Sub-total Wage&Benefit Related: 124 162 <br /> 3 Workforce Related: <br /> A. Create New Jobs YES 42 42 <br /> B. Retain Existing lobs YES 41 41 <br /> C. Maintain Affirmative Action Plan NO 0 35 n <br /> D. Provide Targeted Hiring Preference ' `o 34 <br /> Sub-total Workforce Related: 83 152 <br /> 4 Supgort a Munldpal Faculty: <br /> A Support a SB Municipal Facility ldonations to the �/C <br /> zoo,conservatory,museum,etc.) 7 G 5 84 84 <br /> — <br /> Name of Facility Potawatomi Zoo <br /> ISub•total Munldpal Facility: ,54 84 <br /> Sub-total from Above: 3 5/ 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 /> Submitted By: ��.3 Date: 312-z f i 9 — - <br />