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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 complete the table below with the appropriate information. If Qualify 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(Contractors): <br /> A. Employ Local Companies(75%) Y Zd 20 <br /> B. Purchase Materials from Local Companies(75%) Y 20 20 <br /> C. Require Employees vs.Independent Contractors Y )9 19 <br /> 0 Require Prevailing Wage(Davis Bacon) /N,/ 22 <br /> E. Require Health Benefits Y z,Z. 22 <br /> F. Require Retirement Benefits Y 10 18 <br /> G. Maintain Affirmative Action Plan Y ZO 20 <br /> ISub-total Construction Related: 1 1 q 0 141 <br /> 2 Wage&Benefit Related fOwnejj I <br /> A. Pay Target Wage Levels Y 3-3 33 <br /> B. Provide Health Benefits Y 341 34 <br /> C. Provide Retirement Benefits Y Z1' 29 <br /> 0. Provide Training Y 2 1 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: MI 0 162 <br /> • <br /> 3 Workforce Related: <br /> A. Create New lobs Y 9 7_ 42 <br /> B. Retain Existing lobs Y t-+ I 41 <br /> C. Maintain Affirmative Action Plan Y 35 35 <br /> D. Provide Targeted Hiring Preference 34 <br /> Sub-total Workforce Related: J j Z. 0 152 <br /> 4 Support a Municipal Facility: <br /> Support a 5B Municipal Facility(donations to the <br /> A. <br /> zoo,conservatory,museum,etc.) 84 <br /> Name of Facility <br /> ISub-total Municipal Facility: a 84 <br /> Sub-total from Above: '3( 0 539 <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 seq.,and <br /> South Bend Municipal Code Sec.2-76 et seq.,for this petition state the above. <br /> Submitted By: tiq{vu1 SwAt! Date: 5/30/2023 <br />