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Complete below for Real or Personal Property Tax Abatement or % <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. H <br />Qualify <br />you qualify for the points, please enter the full amount of available <br />(Yes or No) <br />points. <br />B. <br />1 I Construction Related (Contractors]- <br />Yes <br />A Employ Local Companies (75%) <br />Yes <br />8. Purchase Materials from Local Companies (75%) <br />Yes <br />C. Require Employees vs. Independent Contractors <br />No <br />D. Require Prevailing Wage <br />Yes <br />E. Require Health Benefits <br />Yes <br />F. Require Retirement Benefits <br />Yes <br />G. Maintain Affirmative Action Plan <br />Yes <br />Sub -total Construction Related: <br />0 <br />JUN 2.1 202: <br />n eAYVN 11 . , ONES <br />CM CI_RK. SOOTH RENO IN <br />Earned Points Available Points <br />20 20 <br />20 20 <br />0 19 <br />22 22 <br />22 22 <br />18 18 <br />20 20 <br />122 141 <br />2 <br />Wade & Benefit Related (Ownerl: <br />A. <br />Pay Target Wage Levels <br />Yes <br />33 <br />33 <br />B. <br />Provide Health Benefits <br />Yes <br />34 <br />34 <br />IC. <br />Provide Retirement Benefits <br />Yes <br />29 <br />29 <br />I D. <br />Provide Training <br />Yes <br />28 <br />28 <br />E. <br />Provide Child Care <br />No <br />0 <br />15 <br />F. <br />Provide Transportation Assistance <br />Yes <br />14 <br />14 <br />G. <br />Provide Employer Assisted Housing program <br />No <br />0 <br />9 <br />Sub -total Wage & Benefit Related: <br />138 <br />162 <br />3 <br />Workforce Related: <br />A. <br />Create New Jobs <br />Yes <br />42 <br />42 <br />B. <br />Retain Existing Jobs <br />Yes <br />41 <br />41 <br />C. <br />Maintain Affirmative Action Plan <br />Yes <br />35 <br />35 <br />D. <br />Provide Targeted Hiring Preference <br />Yes <br />34 <br />34 <br />Sub -total Workforce Related: <br />152 <br />152 <br />4 <br />Su&port a Munidoal Fa inty: <br />a SS Municipal Facility (donations to the <br />A <br />(Support <br />zoo, conservatory, museum, etc.) <br />Yes <br />84 <br />84 <br />Name of Facility <br />TBD <br />ISub-total Municipal Facility: <br />ea I <br />84 <br />Sub -total from Above: I 496 i 539 <br />The undersigned owner(s) of real property, located within the Clty' 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 seo., for this petition state the above. <br />I Submitted By: I Brandon Shields IDate: 106119/2023 I <br />