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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 Points Available Points <br /> (Yes or No) <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 /> Require Prevailing Wage(Davis Bacon) No 22 <br /> E. Require Health Benefits YES 22 I 22 <br /> F. Require Pension Benefits VO I 18 <br /> G. Maintain Affirmative Action Plan YES 20 2C <br /> Sub-total Construction Related: 101 111 <br /> 2 Wojt&Benefit Related(Owned:: <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 Is <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 lobs YES 41 41 <br /> C. Maintain Affirmative Action Plan No 0 3s <br /> R <br /> 0. Provide Targeted Hiring Preference ' •0 34 <br /> Sub-total Workforce Related: 83 152 <br /> 4 Support a Municipal Facility: <br /> Support a S8 Municipal Facility(donations to the <br /> A. coo,conservatory,museum,etc.) Y�S 84 84 <br /> Name of Facility Polawalo_ <br /> ' ISub-total Municipal Facility: n al 84 <br /> fj <br /> Sub-total from Above: _9 5 <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: Dater [ 3/2-z./ 1 <br />