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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 Earned. .Egin2s Av2ila le Points <br /> (Yes or No) <br /> you qualify for the points,please enter the full amount of available <br /> points. <br /> 1 Construction Refaced(Coniractors1 <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 /> 3. Require Frevalling 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 1;1 <br /> 2 Ware&Benefit Related LOwneri: <br /> A. Pay Target Wage Levels YES 33 <br /> B, Provide Health Benefits YES 34 34 <br /> C. Provide Pension Benefits YES 29 29 <br /> i <br /> 0. Provide Training YES 28 28 <br /> E. Provide Child Care NO <br /> F. Provide Transportation Assistance NO 14 <br /> G. Provide Employer Assisted Housing-program NO 9 <br /> Sub-total Wage&Benefit Related: 124 1152 <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 /> 0. Provide Targeted Hiring Preference ' `s o 34 <br /> Sub-total Workforce Related: 83 152 <br /> 4 Support a Municipal Facility: <br /> Support a SB Municipal Facility(donations to the YES <br /> H 1 <br /> A. <br /> zoo,conservatory,museum,etc.) I G 84 <br /> Name of Facility Potawalomi Zoo <br /> 1 fSub•total Municipal Facility: as 84 <br /> Sub-total from Above: _.27,-, 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 Cade Sec.2-76 et seq.,for this petition state the above. <br /> Submitted By: r� -4 Date: 3 f z z f j 9 <br />