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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 <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%) 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 No 18 <br /> G Maintain Affirmative Action Plan Yes 20 20 <br /> Sub-total Construction Related: 101 141 <br /> 2 Wage&Benefit Related(Owner): <br /> A. Pay Target Wage Levels Yes 33 7 33 <br /> B. Provide Health Benefits Yes 34 34 <br /> C. Provide Pension Benefits Yes \29 29 <br /> D. Provide Training Yes 2'8 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 Yes 42 42 <br /> B- Retain Existing Jobs N A 41 <br /> C. Maintain Affirmative Action Plan Yes 35 35 <br /> D. Provide Targeted Hiring Preference 34 <br /> Sub-total Workforce Related: 77 i 4/2 152 <br /> 4 Support a Municipal Facility: <br /> Support a SB Municipal Facility(donations to the <br /> A. zoo,conservatory,museum,etc.) Yes 84 B4 <br /> Name of Facility fVL./( c LL`-t--�_ -f Po-I-1.4 W q-/-u r't ( _ <br /> Sub-total Municipal Facility: ea 1 84 <br /> Sub-total from Above: 3�5� A '''7 539 <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 l,C.,6.1.1-12,1-1,et seq.,and <br /> South5Beryd Munici al Code Sec.2-76 et seq.,for this petition state the above. <br /> Submitted By: iV �` Date: -1/0 9119 <br />