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HomeMy WebLinkAboutConfirming Tax Abatement - 1433 Northside Blvd. - River Rock, IncorporatedRESOLUTION 3867-08 Passed by the Common Council of the City of South Bend, Indiana May 27, Attest: City Clerk President of Common Council Presented by me to the Mayor of the City of South Bend, Indiana May 28, Approved and signed by me 20 08 2008 June 2 ,~ ~~~~~ 20 ~ 8 . City Clerk RESOLUTION NO. 3 ~ (O7 -~~ A RESOLUTION CONFIRMING THE ADOPTION OF A DECLARATORY RESOLUTION DESIGNATING CERTAIN AREAS WITHIN THE CITY OF SOUTH BEND, INDIANA, COMMONLY KNOWN AS 1433 Northside Boulevard AS AN ECONOMIC REVITALIZATION AREA FOR PURPOSES OF A TWO-YEAR (2) REAL PROPERTY TAX ABATEMENT FOR River Rock, Incorporated WHEREAS, the Common Council of the City of South Bend, Indiana, has adopted a Declaratory Resolution designating certain areas within the City as Economic Revitalization Areas for the purpose of tax abatement consideration; and WHEREAS, a Declaratory Resolution designated the area commonly known as 1433 Northside Boulevard, South Bend, Indiana, and which is more particularly described as follows: Parcel I: LOT 113 & S %2 VAC ALLEY N &ADJ EUCLID PARK ADDN; Parcel II: 18T 114 & S '/z VAC ALLEY N &ADJ EUCLID PARK ADDN; Parcel III: LOT 112 & N %2 ALLEYS &ADJ EUCLID PARK ADDN; Parcel IV: LOT 110 EUCLID PARK ADD LOT 111; and Parcel V: LOT 109 &'/z VAC ALLEY N &ADJ EUCLID PARK and which has Key Numbers 18-6026-0707; 18-6026-0708; 18-6026-0706; 18-6026- 0704; and 18-6026-0703, as an Economic Revitalization Area; and WHEREAS, notice of the adoption of a Declaratory Resolution and the public hearing before the Council has been published pursuant to Indiana Code 6-1.1-12.1-2.5; and WHEREAS, the Council held a public hearing for the purposes of hearing all remonstrances and objections from interested persons; and WHEREAS, the Council has determined that the qualifications for an economic revitalization area have been met. NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of South Bend, Indiana, as follows: SECTION I. The Common Council hereby confirms its Declaratory Resolution designating the area described herein as an Economic Revitalization Area for the purposes of tax abatement. Such designation is for Real property tax abatement only and is limited to two (2) calendar years from the date of adoption of the Declaratory Resolution by the Common Council. SECTION II. The Common Council hereby determines that the annual amount for which similar buildings in the county were leased or rented or offered for lease or rent during the period the eligible vacant building was unoccupied is approximately in the amount of $70,616. SECTION III. The Common Council hereby determines that the property owner is qualified for and is granted Real property tax deduction for a period of two (2) years, and further determines that the petition, the Memorandum of Agreement between the Petitioner and the City of South Bend, and the Statement of Benefits comply with Chapter 2, Article 6, of the Municipal Code of the City of South Bend and Indiana Code 6-1.1-12 etseQ. SECTION IV. This Resolution shall be in full force and effect from and after its adoption by the Common Council and approved by the Mayor. - N~ Member of the C on Council ._,~~~~t~ 5-21-~Fs NOT APPi~OYEQ ADOPTED ~,•5~21~0~ F;t~d to Cte~k'~ C}f~tce APR 2 3 2008 JGt3t2 VOORCE C1T-CLERK, c0. b_t~D, IId. 1200 COUNTY-CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235-9371 FAx 574/235-9021 TDD 574! 235-5567 CITY OF SOUTH BEND STEPHEN J. LUECKE, MAYOR COMMUNITY ~ ECONOMIC DEVELOPMENT JEFFREY V. GIBNEY EXECUTIVE DIRECTOR April 15, 2008 Council Member Derek D. Dieter, Chairperson Community & Economic Development Committee South Bend Common Council 4th Floor, County City Building South Bend, IN 46601 RE: Commercial Real Property Tax Abatement Petition for: RIVER ROCK, INCOPORATED Dear Council Member Dieter: Please find attached the Department of Community & Economic Development's report on a commercial real property tax abatement petition for the above-referenced petitioner for occupying an existing building that has been vacant at least one year. The building is located at 1433 Northside Boulevard. Also attached is a copy of the petition, Statement of Benefits form, and supporting information. The report contains the Department's findings relative to the above petition. The petitioner proposes to occupy the building formally occupied by the Boy Scouts. That building has been vacant one year. The petitioner is asking for a special exception because the project does not meet the general standards for real property tax abatement as set forth in the city's code. The State of Indiana has a provision in its tax abatement legislation that permits the granting of up to a two year tax abatement on a building that has been vacant for at least one year when it is occupied [See IC 6-1.1- 12.1-1(17) & IC 6-1.1-12.1-4.8]. The city's municipal code does not contain this provision and the petitioner is requesting atwo-year tax abatement under that provision. A representative of River Rock will be available to meet with the Committee on Monday, Apri128, 2008. Should you or any of the other Council members have any questions concerning the report, or need additional information, please feel free to call me at 235-5835. Sincerely, ~~~~~ Bob Mathia Assistant Director, Economic Development COMMUNITY DEVELOPMENT ECONOMIC DEVELOPMENT FINANCIAL HC PROGRAM PAMELA C. MEYER DONALD E. INKS MANAGEMENT 574/235-9660 574/235-9371 EL¢ABETFi LEONAa~ FAx: 574/235-9697 574/235-9371 Attachments cc: South Bend Common Council Members Mayor Stephen Luecke Jeff Gibney Don Inks 1200 COUNTY-CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/ 235-9371 FAx 5741235-9021 TDD 574/ 235-5567 CITY OF SOUTH BEND STEPHEN J. LUECKE, MAYOR COMMUNITY ~ ECONOMIC DEVELOPMENT JEFFREY V. GIBNEY EXECUTIVE DIRECTOR TAX ABATEMENT REPORT TO: SOUTH BEND COMMON COUNCIL FROM: BOB MATHIA SUBJECT: REAL PROPERTY TAX ABATEMENT PETITION FOR: RIVER ROCK, INCORPORATED DATE: APRIL 15, 2008 On April 14, 2008, a petition for real property tax abatement consideration for property located at 1433 Northside Boulevard was filed with the City Clerk by Mr. David Morgan of Force 5 Media on behalf of River Rock, Incorporated. Pursuant to Chapter 2, Article 6, Section 2-82 of the Municipal Code of the City of South Bend, this petition was referred to the Department of Community and Economic Development for purposes of investigation and preparation of a report determining whether the area qualifies as an Economic Revitalization Area pursuant to I.C.6-1.1-12.1 and whether all zoning requirements have been met. The Department of Community and Economic Development has reviewed the petition, investigated the area, and makes the following report. PROJECT SUMMARY River Rock, Incorporated recently acquired the building located at 1433 Northside Boulevard that was formally owned and occupied by the LaSalle Council of the Boy Scouts of America. Force 5 Media is proposing to occupy it. River Rock is the real estate holding company for Force 5. Force 5 is an advertising and marketing company currently located in leased space in South Bend. Its operations include: the design and creation of web sites; video and audio production for broadcast; design and production for magazine ads, billboards, brochures, etc.; and strategic marketing planning. Proposed renovations, as part of the move-in, include replacement of the roof, electrical enhancements, improved computer line infrastructure, new ceilings and flooring and exterior repair and painting. The building is one story and contains 5,432 square feet of space. COMMUNITY DEVELOPMENT ECONOMIC DEVELOPMENT FINANCIAL & PROGRAM PAMELA C. MEYER DONALD E. INKS MANAGEMENT 574/235-9660 574/235-9371 ELizneETH LEONARD FAX: 5741235-9697 574/235-9371 South Bend Common Council RE: Tax Abatement for River Rock, Incorporated April 15, 2008 Page 2 PLEASE NOTE: The applicant, River Rock, is respectfully requesting a special exception because the project does not meet the general standards for real property tax abatement as set forth in Chapter 2, Article 6, Sections 2-77 through 2-83.3 of the Municipal Code of the City of South Bend. Indiana State's legislation on tax abatement has a provision for the granting of tax abatements on properties that have been vacant for at least one year (IC 6-1.1-12.1-4.8). However, because this is a relatively new provision the City's code does not provide for it. The state legislation provides up to two years of tax .abatement on the property subject to certain limitations on the .amount of the property's assessed valuation that can be considered in calculating the abatement. The petitioner is respectfully requesting a two year abatement. In this particular case the property was first listed for sale in March 2006, for $340,000. Despite two price reductions bringing the cost down to $225,000 the property still did not sell. The Boy Scouts vacated the building on March 31, 2007, and River Rock finally purchased it on April 14, 2008. As noted this abatement only applies to a limited portion of the property's total assessed valuation. This portion is equivalent to the estimate annual rent that the property could generate. The Building Owners and Managers (BOMA) Report prepared by the Department of Community and Economic Development was consulted to estimate the property's potential annual rent at $70,616 (equivalent to $13/sq.ft.). Total taxes to be abated during the two-year (2) abatement period on the affected assessed valuation are estimated at $4,274. Total taxes to be paid during thetwo-year (2) abatement period on the affected assessed valuation are estimated at $1,425. During the abatement period River Rock will pay property taxes on the remainder of the assessed valuation at normal rates. The taxes on the remainder are estimated at $5,724 per year. All of the above are new taxes to the City because the Boy Scouts, as anon-profit organization, paid no prope taxes. EMPLOYMENT IMPACT Per the petition, it is estimated that the total project will create two (2) new, permanent, full-time jobs representing a new annual payroll of $80,000. The project will also retain eight (8) existing, permanent, full-time jobs representing an annual payroll of $400,000. ABATEMENT QUALIFICATION 1. A review of the tax abatements previously granted finds that the petitioner has not been granted or associated with any previous tax abatements: 2. The Building Commissioner has reviewed the petition and finds the property to be properly zoned for the proposed project. South Bend Common Council RE: Tax Abatement for River Rock, Incorporated April 15, 2008 Page 3 3. A review of the South Bend Redevelopment designation areas finds that the property is not located in any Tax Incremental Allocation Areas; therefore, no action is required by the South Bend Redevelopment Commission. 4. A review of the Tax Abatement Ordinance No. 9394-03 finds that the petitioner does not meet the qualifications for a real property tax abatement. Atwo-year (2) real property tax abatement is being sought as a special exception. ESTIMATED TOTAL TAX REVENUE RIVER ROCK, INCORPORATED. REA L PROPERTY -TWO YEARS CURRENT* RIVER ROCK RIVER ROCK TOTAL RENTAL PORTION NON-RENTAL OF TAX ABATE. REMAINDER Year 1 $0 $0 $5,724 $5,724 Year 2 $0 1,425 5,724 7,149 Total $0 $1,425 $11,448 $12,873 * Current tax levy. NOTE: Boy Scouts are anon-profit and paid no property taxes. Tax Abatement Schedule prepared for: 16-Apr-O8 Force 5 Media RENTAL PORTION Soufh Bend Portage Township 2 Year Real Property Abatement Schedule" Total estimated Project Cost: $250,000 Base Assessed Value: $70,616 (base assessed value is estimated at 85% of project cost) Assume constant tax rate of: 5.1524% Assume constant SRTC of: 21.6906% Assessed Gross Less Net Percent Tax Tax Year Value Tax SRTC Tax Abated Abated Paid 1 $70,616 $3,638 $789 $2,849 100% $2,849 $0 2 70,616 3,638 789 2,849 50% 1,425 1,425 3 0 0 0 0 0% 0 0 $5,698 $4,274 $1,425 Total Taxes Due During Abatement: $5,698 Total Taxes Abated During Abatement: 4,274 Total Taxes Paid During Abatement: 1,425 • -This schedule is for estimation purposes only and assumes constant t ax rates. The true tax values will ultimately be determined by the actual assessed valuation and the then current tax rates. Tax Abatement Schedule prepared for: 16-Apr-O8 Force 5 Media NON-RENTAL PORTION South Bend Portage Township 2 Year Real Property Abatement Schedule* Total estimated Project Cost: $250,000 Base Assessed Value: $141,884 (base assessed value is estimated at 85% of project cost) Assume constant tax rate of: 5.1524% Assume constant SRTC of: 21.6906% Assessed Gross Less Net Year Value Tax SRTC Tax 1 $141,884 $7,310 $1,586 $5,724 2 141,884 7,310 1,586 5,724 3 0 0 0 0 Total Taxes Due $11,448 -This schedule is for estimation purposes only and assumes constant tax rates. The true tax values will ultimately be determined by the actual assessed valuation and the then current tax rates. • CITY OF SOUTH BEND PETITION FOR REAL PROPERTY TAX ABATEMENT CONSIDERATION The undersigned owner(s) of real property, located within the City of South Bend, hereby petition the Common Council of the City of South Bend for real property tax abatement consideration and pursuant to I.C.. 6-1.1-12.1-1, et sea., and South Bend Municipal Code Sec. 2-76 et sea.. for this petition states the following: 1. Describe the proposed redevelopment or rehabilitation project, including information about physical improvements to be made, the proposed use of the improvements, and a general statement as to the importance of the project to your business: This office building is located at 1433 Northside Blvd. in South Bend, and was purchased by River Rock, Inc., a real estate holding company for Force 5 Media, Inc. on April 14, 2008. The building was previously owned by the LaSalle Council, Boy Scouts of America. Force 5 Media is a 5 year old company in South Bend, and specializes in marketing and advertising. Force 5 Media is in the process (State of Indiana) of being a certified Women Business Enterprise (WBE). The office building is approx. 46 years old. The purchase of the building includes 5 parcels of land. Proposed renovations will include the replacement of the roof, electrical • enhancements, computer line infrastructure, new ceilings and flooring, kitchen/break room plumbing improvements, and exterior repair and painting. These repairs and renovations are necessary to the success of the new business in this location. The expansion of the current business from a leased space to the new fully owned space will also allow for additional employees to be hired as new projects demand. Land Size .8176 acres; Building Size 5,432 sq. ft. 2. Describe the overall nature of the business and of the operations occurring at the Property (attach additional sheet if more space is needed): Force 5 Media, Inc. is an advertising and marketing company currently located in leased space in downtown South Bend. The company currently has 8 employees assigned to a variety of tasks relative to advertising and marketing for a number of clients. The operations include the design and creation of web sites, video and audio production for broadcast, design and production for magazine ads, billboards, brochures, etc., and strategic marketing planning. Force 5 Media's clients include a number of local companies, as well as companies with a national scope. Current clients include: Notre Dame Pre-College, Saint (Rev 10/23/06) ~ . Joseph Regional Medical Center, Kuert concrete, Center for Hospice and Palliative care, Southwestern Michigan College. All operations would be considered appropriate for professional office space- meetings, conferences, computer design and programming. 3. Estimate the dollar value of the project (excluding land): $ 78,000-$85,000 over a two year period. 4. The current assessed valuation of the real property before rehabilitation, redevelopment, economic revitalization, or improvement: $ 165,000-per assessors office- Please see attachments. 5. (a) The real property for which tax abatement consideration is petitioned (Property) is owned or to be owned by the following individuals or corporations (if the business organization is publicly held, indicate also the name of the corporate parent, if any, and the name under which the corporation has filed with the Securities and Exchange Commission): NAME ADDRESS INTEREST (%) River Rock, Inc. 1433 Northside Blvd., So. Bend 100 (b) The following other person(s) lease, intend to lease, or have an option to buy the Property (include corporate information as required in 5(a) above, if applicable); NAME ADDRESS INTEREST(%) River Rock, Inc. 1433 Northside Blvd, So. Bend 1% Force 5 Media, Inc. 115 N. William, So. Bend 99% 6. The commonly known address of the Property is: 1433 Northside Blvd. South Bend 46615 7. The Key Number(s) of said property is: 18-6026-0707/ 18-6026-0708/ 18-6026-0706/ 18-6026-0704/ 18-6026-0703 8. A legal description of the above address is attached hereto, marked Exhibit A, and incorporated herein. • (Rev 10/23/06) 2 • 9. A map and/or plat describing the Property is attached hereto, marked Exhibit B, and incorporated herein. 10. Photographs of the property, taken within two (2) weeks of filing of this petition, are attached hereto, marked Exhibit C, and incorporated herein. 11. The redevelopment or rehabilitation project itself will create aprox. 2 full-time and 0 part-time permanent jobs within the second and third year, representing a new annual payroll of $ 80,000 and will maintain 8 existing permanent full-time and 0 existing permanent part-time jobs including existing permanent full-time minority employment of 0 and existing permanent part-time minority employment of 0 with an annual payroll of $400,000, 12.The projected annual salaries for each new position indicated above are estimated to be as follows (If more space is needed, please attach a separate sheet): Senior Web Programmer $ 40,000-$50,000 Account Executive $40,000-$50,000 • 13. Provide current employment wage information including; base rate, cost-of-living allowances, hazardous-duty pay, incentive pay including commissions and production bonuses, on-call pay and tips. Do Not Include; back pay, jury duty pay, overtime pay, severance pay, shift differentials, non-production bonuses, and tuition reimbursements (average hourly rate or range): Full-Time Part-Time Laborers $ $ Technical* $ $ Managerial* $ $ Administrative" $ $ *All employees are salaried professionals. Annual salaries start at approx. $40,000 14. Indicate whether your company provides the following benefits (use Y/N): y_ Health Care Benefits y_ Pension Plan (in progress) _n_ Employer Provided Training (recognized or certified training/educational courses or programs) _n_ Day Care (provide or contribute to the cost of child day :,are for its • (Rev 12/29/06) • employees) _n_ Transportation Assistance (provide direct or indirect support and assistance to its employees without private transportation to get back and forth from residence to place of employment) _n_ Employer-Assisted Housing Program (provide an employer-assisted home ownership program) _n_ Targeted Hiring Preference (provide hiring preference for residents of Census Tracts designated by the Community & Economic Development Dept. that have the highest unemployment or the highest percentage of low and moderate income individuals). (Additional information may be requested for verification of the above items) 15. List the real and personal property taxes paid at the location during the previous five years, whether paid by the current owner or a previous owner*: Year Real Property Taxes Personal Property Taxes 2006 0 2005 0 2004 0 2003 0 • 2002 0 (this information may be obtained from the St. Joseph County Treasurers office 235-9531) *Note: The LaSalle Council of the Boy Scouts of America are anon-profit entity and as such have not paid real property taxes. 16. Please list the number of full-time and part-time minority employees for each of the last three years: Year 2008 2007 2006 Full Part Full Part Full Part Black Hispanic Asian Indian Other 8 8 7 • 4 (Rev 12/29/06) • 17. Does your business maintain an affirmative action plan or other similar plan in order to achieve racial diversity? If yes, please briefly indicate specific goals, objectives, and means as designated by your plan: yes Force 5 Media states in their policy manual: "It is Force 5 Media's policy to provide equal employment opportunity for all applicants and employees. Force 5 Media does not unlawfully discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth or related medical conditions), national origin, ancestry, age, physical disability, mental disability, medical condition, family-care status, veteran status, marital status or sexual orientation. Force 5 Media also makes reasonable accommodations for disabled employees." 18. Indicate whether or not your project meets any of the following criteria (contact Community & Economic Development Dept. 235-9335 for information on this section): n Conversion to residential use of a commercial AEligible Building@ as designated by the Community & Economic Development Dept. n Rehabilitation of a building that is either designated as a National Register or local landmark or is eligible for nomination as one, located in a National Register or local landmark district, or rated as Outstanding or Significant in the most recent Historic Preservation Commission county wide survey. n Rehabilitation and reuse of a property that is designated a Problem Property by the Community and Economic Development Department • n Pays for the cost of cleaning up a ABrownfield,@ which is any site, building facility or complex that has been designated a browrfield by the Community and Economic Development Department. n Achieves a physical element identified in a development or revitalization plan that has been approved by the Council 19. Is your business based upon licensing intellectual property from research conducted at a public or private university, college, or community college located within St. Joseph County, Indiana? If yes, please include a description of the research based aspects of the business (attach additional sheet if more space is needed): No 20. Does your business financially support a Municipal Facilifi~ (i.e. municipally c,wned park, recreation center, cultural, arts, or entertainment facility)? NC 21. Is your company incurring any of the cost of extension or ovsr: izing of municipal infrastructure serving the project site? This includes water, sewer, clfainage fa~ili*.~?s, wastewater treatment facilities, road and street improvements, street lighting; tr~:~ric control and related public improvements (attach additional sheet if more: space is needed): NO • (Rev 12/29/06) • 22. Information is required on the companies through which construction materials will be purchased for the project. (Please complete the table on page 8 of this application). 23. Information is required on the construction companies that will be utilized for construction of the project. (Please complete the table on page 9 of this application). 24. No building permit has been issued for construction on the property in connection with the improvement in question as of the date of filing of this petition. (The Property Owners signature at the end of this application is verification of this statement). 25. The Standard Industrial Classification (SIC) or North American Industry Classification Systems (NAICS) major group within which the proposed project would be classified, by number and description: SIC-73110000 NAICS-541810 26. The Internal Revenue Service Code of Principal Business Activity by which the proposed project would be classified, by number and description: 27. The current use of the Property is vacant and the current zoning is office (This information may be obtained from the Building Department 235-9554). . 28. Has your business beer+ granted previous tax abatement(s)? If yes, please provide type (real and/or personal property) and date of approval. w® 29. Other anticipated public financing for the project including, if any, industrial revenue- bonding to be sought or already authorized, assistance through the United States Department of Housing and Urban Development funds from the City of South Bend, Small Business Association Sections 503 and 504 financing through the Business Development Corporation of South Bend, Mishawaka, and St. Joseph County, Inc;iana, Industrial Revolving Fund, Neighborhood Business Development Corporation, Corporation for Entrepreneurial Development; or other public financial assistance, including but not limited to public works improvements. None . 6 (Rev 12/29/06) • 30. The following person(s) should be contacted as Petitioner's agent regarding additional information and public hearing notifications: David Morgan Vice President Force 5 Media, Inc. 115 N. William, Suite 300 South Bend, IN 46601 574-234-2060 voice 574-234-2335 fax david@force5med ia.com www.force5media.com 31. Please indicate the name, address, and telephone number of the person who will work with Employment Training Services (ETS) for employee recruitment, and sign the ETS form attached to the petition if the real tax abatement is for warehouse or industrial developments. DNA • WHEREFORE, Petitioner requests that the Common Council of the City of South Bend, Indiana, adopt a declaratory resolution designating the area described herein to be an economic revitalization area for purposes of tangible real property tax abatement consideration, and after publication of notice and public hearing, determine qualifications for an economic revitalization area have been met, and confirm such resolution. Petitioner herein hereby verifies that the required $250.00 filing fee to cover processing and administrative costs pursuant to Section 2-84.7 of the Municipal Code of the City of South Bend has been paid in full. Name of Property Owner(s): David Morgan Deb DeFreeuw Filed In Clerk's Office APR 1 4 2008 so~lrl vooaee CITY CLERK, S0. BEND, IN. By:~~~~ ~~ ~~:~ (Signed Name) • (Typed or printed name and capacity of signor if signed by an agent or representative of the owner.) (Rev 12/29/06) 7 22. In t Ilowing chart please indicate companies that were u or purchasing materials used in the construction or r ilitation asso ted with the project. Include the location of the comp- y, description of the materials, and cost of the materi• Local companies include those located in St. Joseph County. Additional information may be requested forverification of this information. (If more space is needed, please photocopy this page) of Narne and Address of Company Description of Materials Cost of Materials Grand Total Local Companies (see above): 1. Unknown at this time 2. 3. 4. 5. 6. 7. 8. 9. 10. Total Local Non-Local Companies: 1. 2. 3. 4. 5. Total Non-Local GRAND TOTAL ~id~~ fn G~~~•'~',~ Off APR 1 4 2008 T'1) /~~r~C~ ra vc~Rpj~ !~ C~1 f 1.3.6 rill ~4. Ui ~':1, ~j~}~. R (Rev 12/29/06) 23. In th~llowing chart please list the companies that will be used~he construction associated with the project. Indicate th~me and 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 workers are employees of that company and not independent contractors; indicate whether or not the company pays workers wages that meet the wage rates for each classification of laborers and mechanics published by the U.S. Department of Labor; indicate whether or not the company contributes to a health plan for its employees; indicate whether or not the company contributes to a pension plan for its employees; and indicate whether or not the company maintains an affirmative action plan or other similar plan to achieve racial diversity. Local companies include those located in St. Joseph County. Additional information maybe requested forverification of this information. (If additional space is needed, please photocopy this page). 100% Workers Pay Maintain are Employees U.S. Dept. Contribute Contribute Affirmative Name and Address of Contract (Not Independent Labor Wage to a Health to a Pension Action Construction Company Amount Contractors) Rate (Y/N) Plan (Y/N) Plan (YIN) Plan (Y/N) Local Companies (see above): 1. Unknown at this time 2. 3. 4. 5. 6. 7. 8. 9. 10. Total Local Non-Local Companies: 1. 2. 3. 4. .~. 'rota! 'ion-Coca! GRAND TOTAL T,~ xal Proje~+';ost from Petition Dr~Ference (Please explain): ~~tx~~ APR 1 ~+ 2008 ,rc~n~ rca,~,~e CfTyCl~;~ S®.JEP~?~ !N 9 (Rev 12/29/06)