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Filed in Clerk's Office <br /> 9AY U 8 4 <br /> Bianca Tircf<2U?,iJ <br /> City Clerk, Sou fi Cit:nt.f, iN <br /> 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 Y 22 22 <br /> E. Require Health Benefits Y 22 22 <br /> F. Require Retirement Benefits N 0 18 <br /> G. Maintain Affirmative Action Plan v20 20 <br /> Sub-total Construction Related: '23 111 <br /> 2 Wage&Benefit Related(Owner)_ <br /> A. Pay Target Wage Levels ^. 33 <br /> B. Provide Health Benefits N 34 <br /> C. Provide Retirement Benefits N 29 <br /> D- Provide Training N 28 <br /> E. Provide Child Care N <br /> F. Provide Transportation Assistance N 1 <br /> G. Provide Employer Assisted Housing program N <br /> Sub-total Wage&Benefit Related: — <br /> 3 Workforce Related: <br /> A. Create New Jobs N 42 <br /> B. Retain Existing Jobs N 41 <br /> C. Maintain Affirmative Action Plan N 35 <br /> D. Provide Targeted Hiring Preference N 34 <br /> Sub-total Workforce Related: 152 <br /> 4 Support a Municipal Facility: <br /> Support a 58 Municipal Facility(donations to the <br /> A. <br /> zoo,conservatory,museum,etc.) n 84 <br /> Name of Facility <br /> I ISub-total Municipal Facility: 34 <br /> Sub-total from Above: ;23 <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 Municipalunic Cod ec.276 et seq.,for this petition state the above. <br /> Submitted By: _ V./GtJ/4/. � ' Wes_ Date: _ ..)�`j/,n2X <br />