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/`-s <br /> % '/,:l <br /> /�n <br /> I Complete below for Real or Personal Property Tax Abatement onlyz ,AGI} i,1-• \ <br /> Please sign for all requested incentives. ' t: f' ' <br /> 1 Public Benefit Item: <br /> `r%�>�U( / <br /> ` <br /> I Information is required on both the construction companies and the \ ! , <br /> companies which will provide materials purchased for this project. ify -.. ,1' <br /> Please complete the table below with the appropriate information. If Qua1 Earned Points Available PointsN.,:. <br /> 4�/i(, , / <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 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 N 22 <br /> E Require Health Benefits Y 22 22 <br /> F. Require Retirement Benefits N 18 <br /> G. Maintain Affirmative Action-Plan Y 20 20 <br /> Sub-total Construction Related: 101 141 <br /> 2 Wage&Benefit Related IOwnerj; <br /> A. Pay Target Wage Levels Y 33 33 <br /> B. i Provide Health Benefits Y 34 34 <br /> C. Provide Retirement Benefits Y 29 29 <br /> D. Provide Training Y 28 28 <br /> E. Provide Child Care N 15 <br /> F I Provide Transportation Assistance N 14 <br /> GProvide Employer Assisted Housing program N 9 <br /> Sub-total Wage&Benefit Related: 124 162 <br /> 3 Workforce Related- <br /> A. Create <br /> elated•A. Create New Jobs Y 42 42 <br /> B. Retain Existing lobs N/A 41 <br /> C. Maintain Affirmative Action Plan N 35 <br /> D. Provide Targeted Hiring Preference N 34 <br /> I <br /> 1Sub-total Workforce Related: 42 152 <br /> 4 Support a Municipal Facility: <br /> !Support a SB Municipal Facility(donations to the <br /> A. <br /> zoo,conservatory,museum,etc.) Y 1 84 84 <br /> Name of Facility Zoo&VPA <br /> I isub-total Municipal Facility: yy 84 ' <br /> Sub-total from Above: 351 539 <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: i )Jttj p } 104, Date: 06/30/2023 <br />