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Filed +r. C! irk s Office <br />i <br />MAR 3 G 2023 <br />L----. <br />DAyNAA ln, IZ` <br />Complete below for Real or Personal Property Tax Abatemt VQ LE K. 506T—H Bhp IN <br />Please sign for all requested Incentives. <br />Public Benefit Item: <br />Information is retiulred on both the constructlon companies and the <br />companies which will provide materials purchased for this project <br />Please complete the table below with the appropriate Information. If No) Famed Points Available PoInq <br />Yes o <br />you qualify for the points, please enter the full amount of avallable <br />points. <br />1 conibuction Related fContractorsi: <br />A. Employ local Companies (75%) Y 20 20 <br />B. Purchase Materials from Local Companies 175%) Y 20 20 <br />C. Require Employees vs. Independent Contractors Y 19 19 <br />D. Require Prevailing Wage (Davis Bacon) Y 22 22 <br />E. Require Health Benefits Y 22 22 <br />F. Require Retirement BeneRts N 0 18 <br />G. Maintain AtIli mauve Action Plan Y 20 20 <br />I ISub-tool Construction Related: 123 141 <br />2 W& Bengfit Related (Qvrt3erl: <br />A. Pay Target Wage Levels N 33 <br />B. Protide iieahh 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. PrcvldeEmployer Assisted Housing program N 9 <br />I Subdotal W elle i etnefit Related: 0 162 <br />3 Workforce Rekaied: <br />A. Create New Jabs N 42 <br />S. Retain Ukting jobs N 41 <br />G Maintain Affirmative Action Plan N 35 <br />D. Provide Targeted Hiring Preference N 34 <br />Sub-tc al Workforce Related: 0 152 <br />4 Swmrt a MunkWI Fal;M! <br />Support a S9 Municipal Facility (donations to the <br />A Izoo, conservatory, museum, etc) N 84 <br />Name of Fanl$y <br />ISutkotal Municipal Fad@ty: a 84 <br />Sub-totel Pram Above: 123 S39 <br />The undersigned ownar(s) of real property, located within the City of South Bend, herby partition 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, at sea., and <br />South Be d Munldpal.Code SpCj -7js ter for this petition state the above. <br />Submitted By. ZA % )_ jDate: IMarch 30, 2023