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r-'FfIGe <br />F& <br />Complete below for Real or Personal Property Tax Abatemently. } <br />Please sign for all requested incentives. DAWN M. JONTCITYCLERK, SOUTH BEND, IN <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 <br />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 (Contractorsl: <br />A. Employ Local Companies (75%) Y 20 20 <br />B. Purchase Materials from Local Companies (75%) Y 20 20 <br />C. Require Employees vs. Independent Contractors Y 19 19 <br />D. Require Prevailing Wage (Davis Bacon) N 22 <br />E. Require Health Benefits Y 22 22 <br />F. Require Retirement Benefits Y 18 18 <br />G. Maintain Affirmative Action Plan Y 20 20 <br />I <br />1 (Sub -total Construction Related: 119 141 <br />2 Wage & Benefit Related (Owner): <br />A. Pay Target Wage Levels n/a 33 <br />B- Provide Health Benefits n/a 34 <br />C. Provide Retirement Benefits n/a 29 <br />D. Provide Training n/a 28 <br />E- Provide Child Care n/a 15 <br />F- Provide Transportation Assistance n/a 14 <br />G. Provide Employer Assisted Housing program n/a 9 <br />Sub -total Wage & Benefit Related: 0 162 <br />3 Workforce Related: <br />A. Create New Jobs n/a 42 <br />B. Retain Existing Jobs n/a 41 <br />C. Maintain Affirmative Action Plan Y 35 35 <br />D. Provide Targeted Hiring Preference n/a 34 <br />Sub -total Workforce Related: 35 152 <br />4 Support a Municipal Facility: <br />A. <br />Support a SB Municipal Facility (donations to the <br />84 <br />zoo, conservatory, museum, etc.) 84 <br />Name of Facility <br />Sub -total Municipal Facility: 94 84 <br />Sub -total from Above: 238 539 <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 sea., and <br />South Bend Municipal Code Sec. 2-76 et seq., for this petition state the above. <br />Submitted By: IMark W. Neal IDate: 2/16/23