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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 com <br />complete the table below with the a <br />P appropriate information. If <br />Qualify <br />(Yes or No) <br />Earned Points <br />Available Points <br />you qualify for the points, please enter the full amount of available <br />points. <br />1 f Construction Related (Co ntrackciml: <br />A. <br />Employ Local Companies (751A) <br />IPurchase <br />I yes <br />20 <br />20 <br />B. <br />Materials from Local Companies (75%) <br />I yes <br />20 <br />20 <br />C, Require Employees vs. Independent Contractors <br />yes <br />19 <br />19 <br />D. Require Prevailing Wage (Daw5 Bacon) <br />no <br />0 I <br />22 <br />E. Require Health Benefits <br />I yes <br />22 <br />22 <br />IF. lRequirePensionBenefits <br />no <br />0 I <br />18 <br />G. kaintain Affirmative Action Plan <br />yes <br />20 I <br />20 <br />I 1 ISub-totalConstructionRelated'. <br />� <br />' <br />101 <br />141 <br />2 Wage & Benefit Related (owners: <br />1 <br />I <br />1 <br />A. <br />Pay Target Wage Levels <br />no <br />33 <br />B. <br />Provide Health Benefits <br />no <br />34 <br />C. Provide Pension Benefits <br />no <br />29 <br />` D. IProvide Training <br />I no , <br />1 <br />28 <br />I E. (Provide Child Care <br />no <br />15 <br />F. Provide Transportation Assistance <br />`Provide <br />no <br />14 <br />G. Emptoyer Assisted Housing program <br />no <br />9 <br />t I Sub -total Wage & Benefit Related: I <br />I <br />0 <br />162 I <br />II <br />3 ! Workforce Related: I <br />{ <br />A. iCreate New Jobs <br />yes <br />42 III <br />42 <br />B. lReUin Existing Jobs <br />n/a <br />41 I <br />C. Maintain Affirmative Action Plan <br />yes <br />35 <br />35 <br />D. Provide Targeted Hiring Preference <br />34 <br />Sub -total Workforce Related: <br />77 <br />152 <br />4 l Suonort a MunicioaI Facilitv:. <br />I <br />Support a SB Municipal Facility (donations to the <br />I <br />A. <br />zoo, conservatory, museum, etc.) <br />yes <br />S4 <br />Name of Facility <br />MLK Statue + Potawatomi Zoo <br />i <br />Sub -total Municipal Facility: <br />ea <br />84 I <br />Sub -total from Above: I <br />262 I <br />539 <br />The undersigned owner(s) of real property, located within the City of South Bend, herby petition the Common <br />Council of the City <br />of South Bend for a real and/or personal property tax abatement consideration <br />and pursuant to I.C., 6-1.1.12.1-1, <br />et sea., and <br />South Bend Municipal Code Sec. 2-76 et sea., for this petition state the above. <br />Submitted By: i � ff ALJ Date: 1 <br />5/11/2022 <br />j <br />