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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.Please qualify <br /> complete the table below with the appropriate information. If you quality (yes or No) Earned Points Available Points <br /> for the points,please enter the full amount of available points. <br /> 1 Construction Related(Contractcrsl: <br /> A. Employ Local Companies(75%) no 0 20 <br /> B. Purchase Materials from Local Companies(75%) no 0 20 <br /> C. Require Employees vs.Independent Contractors yes 19 19 <br /> D. Require Prevailing Wage(Davis Bacon) no 0 22 <br /> E. Require Health Benefits yes 22 22 <br /> F. Require Pension Benefits no 0 18 <br /> G. Maintain Affirmative Action Plan yes 20 20 <br /> Sub-total Construction Related: 61 141 <br /> 2 Wage&Benefit Related(DWner): <br /> A. Pay Target wage Levels yes 33 33 <br /> B. Provide Health Benefits no 0 34 <br /> C. Provide Pension Benefits no 0 29 <br /> D. Provide Training yes 28 28 <br /> E. Provide Child Care no 0 15 <br /> F. Provide Transportation Assistance yes 14 14 <br /> G. Provide Employer Assisted Housing program yes 9 9 <br /> Sub-total Wage&Benefit Related: 84 162 <br /> 3 Workforce Related: <br /> A. Create New Jobs yes 42 42 <br /> S. Retain Existing Jobs yes 41 41 <br /> C. Maintain Affirmative Action Plan yes 35 35 <br /> D. Provide Targeted Hiring Preference yes 34 34 <br /> Sub-total Workforce Related: 152 152 <br /> 4 Support a Municipal Facility: <br /> A Support a Municipal Facility(donations to the zoo, <br /> conservatory,museum,etc.) yes 84 $4 <br /> Name of Facility TBD <br /> Sub-total Municipal Facility: 84 84 <br /> Sub-total from Above: 381 539 <br /> The undersigned owners)of real property,located within the City of South Bend,herby petition the Common Council of the City <br /> of South Bend for real property tax abatement consideration and pursuant to I.C.,6.1.1-121-1,et sea.,and south Bend Municipal <br /> Code Sec.2-76 et sea.,for this petition state the above. <br /> Rob Martinson t . . 10/22/2013 <br />