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rte~_ Filed inC' ---_ <br /> C'erk's Office <br /> MAR 3 G 202; <br /> p.1WN n t j©AJC3 <br /> Complete below for Real or Personal Property Tax Abatem CI..ERK,SOUTH SEND,IN <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 /> fy <br /> Please complete the table below with the appropriate Information. If Qua1 Earned Points Available Points <br /> you qualify for the points,please enter the full amount of available res or Ho) <br /> points. <br /> 1 Construction Related(Contractors) <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) Y 22 72 <br /> E. Require Health Benefits Y 22 22 <br /> F. Require Retirement Benefits N 0 18 <br /> G. Maintain Affirmative Action Plan Y 20 20 <br /> 'Sub-total Construction Related: 123 141 <br /> 2 Wage&Ben4fit Rchtatl SOwnerl: <br /> A. Pay Target Wage Levels N 33 <br /> B Provide Health Benefits N 34 <br /> C. Provide Retirement Benefits N 29 <br /> D. Provide Training N 28 <br /> E. Provide Child Care N 15 <br /> F. Provide Transportation Assistance N 14 <br /> G. Provide Employer Assisted Housing program N 9 <br /> Sub-total Wage&Benefit Related: 0 162 <br /> 3 Workforce Related: <br /> A. Create New Jobs N 42 <br /> B. Retain Existing lobs N 41 <br /> C. Maintain Affirmative Action Plan N 35 <br /> D, Provide Targeted Hiring Preference N 34 <br /> Sub-total Workforce Related: 0 152 <br /> 4 suonort a Municipal FeNitty <br /> A Support a SB Municipal Facility(donations to the <br /> zoo,conservatory,museum,etc.) N 84 <br /> Name of Facility <br /> • 1 ISub-total Municipal Facility: o 84 <br /> subtotal from Above: 123 539 <br /> The undersigned owner(s)of real property,located within the City of South Bend,herby petition the Common Coundl of the City <br /> of South Bend for a real and/or personal property tax abatement consideration and pursuant to I.C.,6-1.1-12.1-1,4t seq.,and <br /> South Be d Municipal Code •7 for this petition state the above. <br /> Submitted By: I <br /> /( ,, Date: March 30,2023 <br />