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23. In the following chart please list the companies that will be used for the construction associated with the project. Indicate the name and <br />address of each company; list the dollar amount of the work to be provided b_y each company; indicate whether or not 100% of the workers <br />are employees of thaf company and not independent contractors; indicate whether or not the company pays workers wages that meet the <br />wage rates for each classification of laborers and mechanics published by the U.S. Department of Labor; indicate whether or not the <br />company contributes to a health plan for its employees; indicate whether or not the company contributes to a pension plan for its <br />employees; and indicate whether or not the company maintains an affirmative action plan or other similar plan to achieve racial diversity. <br />Local companies include those located in St. Joseph County. Additional information may be requested for verification of this <br />information. (If additional space is needed, please photocopy this page). <br /> 100% Workers Pay Maintain <br /> are Employees U.S. Dept. Contribute Contribute AfTrrroli~e <br />Name and Address of Contract (Not Independent Labor Wage to a Health o a Pension <br />t Action <br />Construction Company Amount Contractors) Rate (YIN) Plan (Y/N) _ <br />Plan (Y!N) Plan(YIM <br />Local Companies (see above): <br />1.'(~',,cci ll `i r,~~~Ei~ ~~.b . ~og ~+iq ~ $5000 <br />+ <br />~~ <br />/V~ <br />U S <br />~,}~S <br />U ! ~ . <br />. <br />~ <br />2. ~ <br />h~~~~-~, ~;~. X550 <br />3. <br />~. w;W ~;F~ ~t~ dc;d~ Y~n:sh~~,~~~, ~~ ~ 3,~cA.' `~~ ~° Na ~~ r~~ <br />6. ~,ow4. ~~ wr,, ~.~ 4(p1v15 <br />8. ~~C~'c ~A`~~Nr- Zti'C.. 1~. S. ~,rRA ~-~ ~ 0 ~•~ r ,S' ~ ~~5 L <br />c~ <br />9. ~ Sov~~'~.n,o,Ztv~t4ccia <br />10. ,3 <br />Total Local <br />Non-Local Companies: <br />1. <br />2. <br />3. <br />4. <br />5. <br />Total Non-Local <br />Non-Local Companies: p <br />GRAND TOTAL <br />Non-Local Companies: <br />Total Project Cost from Petition <br />Difference (Please explain): <br /> <br />JUN 3 0 2008 <br />dral?c7 VvUF3E <br />clrr cl.~:,,~, so. ect~~, ~rl. <br />9 <br />(Rev 12/29(06) <br />