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Complete the table below for Real Property Tax Abatement only. <br /> ***Sign at the bottom for all requested incentives(real AND personal property).*** <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 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 Y 18 18 <br /> G. Maintain Affirmative Action Plan Y 20 20 <br /> Sub-total Construction Related: 119 141 <br /> 2 Wage&Benefit Related(Owner): <br /> A. Pay Target Wage Levels N 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 N 15 <br /> F. Provide Transportation Assistance Y 14 14 <br /> G. Provide Employer Assisted Housing program Y 9 9 <br /> Sub-total Wage&Benefit Related: 114 162 <br /> 3 Workforce Related: <br /> A. Create New Jobs Y 42 42 <br /> B. Retain Existing lobs N 41 <br /> C. Maintain Affirmative Action Plan Y 35 35 <br /> D. Provide Targeted Hiring Preference N 34 <br /> Sub-total Workforce Related: 77 152 <br /> 4 Support a Municipal Facility: <br /> Support a SB Municipal Facility(donations to the <br /> A zoo,conservatory,museum,etc.) Y 84 84 <br /> Name of Facility MJffi.i (AI-, Ppfp."4it/hi Loc.., VA 1,-t,-d fr <br /> 1Sub-total Municipal Facility: 84 84 <br /> • <br /> Sub-total from Above: 394 539 <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: Date: February 21,2023 <br />