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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 /> complete the table below with theappropriate information. If Qualify <br /> Please <br /> (Yes or No) gained Points Available Points <br /> you qualify for the points,please enter the full amount of available <br /> ' _ points. <br /> I 1 conitruStlon_Related Cantractorsl. <br /> I <br /> A. IEmploy Local Companies(75%) 20 <br /> B. (Purchase Materials from Local Companies(75%) 20 <br /> C. Require Employees vs.Independent Contractors 19 <br /> C. Require Prevailing Wage 22 <br /> E. Require Health Benefits 22 <br /> F. Require Retirement Benefits 18 <br /> G. Maintain Affirmative Action Plan 20 <br /> tSub-total Construction Related: 0 131 <br /> 2 wut X Benefit...91414A IQwntd: <br /> A. Pay Target Wage Levels V 33 33 <br /> B. 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 15 <br /> F. Provide Transportation Assistance 14 <br /> G. Provide Employer Assisted Housing program 9 <br /> Sub-total Wage&Benefit Related: 124 162 <br /> 3 Workforce Rel@ted: <br /> A. Create New Jobs Y 42 42 <br /> B. Retain Existing Jobs Y 41 41 <br /> Maintain Affirmative Action Plan Y 35 35 <br /> 0. Provide Targeted Hiring Preference Y 34 34 <br /> Sub-total Workforce Related: 152 152 <br /> 4 u rt a _unld I Fa ilH <br /> Support a SB Municipal Facility(donations to the <br /> A. zoo,conservatory,museum,etc) N 0 84 <br /> Name of Facility <br /> I _(Sub-total Municipal Facility: J 84 <br /> Subtotal from Above: 276 <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/oorrpersCn3TAroperty tax aba ent consideration and pursuant to I.C.,6-1.1-12.1.1,et seq.,and <br /> Soya+Wend MLt ipal Code Sec et seq.,for this petition state the above. <br /> Submitted By: (//,. •.46, e Date: 7//)Ci. <br /> i <br />