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23. In th~llowing chart please list the companies that will be used~he construction associated with the project. Indicate th~me and <br />addr of each company; list the dollar amount of the work to a provided by each company; indicate whether or not 1 /o of the <br />workers are employees of that company and not independent contractors; indicate whether or not the company pays workers wages <br />that meet the wage rates for each classification of laborers and mechanics published by the U.S. Department of Labor; indicate whether <br />or not the company contributes to a health plan for its employees; indicate whether or not the company contributes to a pension plan for <br />its employees; and indicate whether or not the company maintains an affirmative action plan or other similar plan to achieve racial <br />diversity. Local companies include those located in St. Joseph County. Additional information maybe requested forverification of <br />this information. (If additional space is needed, please photocopy this page). <br />100% Workers Pay Maintain are Employees U.S. Dept. Contribute Contribute Affirmative <br />Name and Address of Contract (Not Independent Labor Wage to a Health to a Pension <br />Action <br />Construction Company Amount Contractors) Rate (Y/N) Plan (Y/N) Plan (YIN) <br />Plan (Y/N) <br />Local Companies (see above): <br />1. Unknown at this time <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10. <br />Total Local <br />Non-Local Companies: <br />1. <br />2. <br />3. <br />4. <br />.~. <br />'rota! 'ion-Coca! <br />GRAND TOTAL <br />T,~ xal Proje~+';ost from Petition <br />Dr~Ference (Please explain): <br />~~tx~~ <br />APR 1 ~+ 2008 <br />,rc~n~ rca,~,~e <br />CfTyCl~;~ <br />S®.JEP~?~ !N <br />9 <br />(Rev 12/29/06) <br />