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Complete below for Real or Personal PropiertyTaxAbatemefa t 0*; <br />Please sign #or all tnentives. <br />Publk Bfitta <br />information ISrecidiredon both the sonstructiottcompaniesandth ei " <br />companleswhicbwiliprovidemateriaispurchasedfortilisproject. <br />Please complete thetable below with the appropriate information. If <br />you qualify for the points, please enter the full amount of available <br />points. <br />qualfy <br />(Yes or No) <br />Earned Points <br />Available Points <br />1 <br />Construction Related (Contractorsl: <br />A. <br />Employ Local Companies (75%) <br />No <br />0 <br />0 <br />20 <br />S. <br />Purchase Materials from Local Companies (75Y) <br />No <br />20 <br />C. <br />Require Employees vs. independent Contractors <br />No <br />0 <br />19 <br />D. <br />Require Prevailing Wage (Davis Bacon) <br />No <br />0 <br />22 <br />E. <br />Require Health Benefits <br />No <br />0 <br />22 <br />F. <br />Require Pension Benefits <br />No <br />0 <br />18 <br />G. <br />Maintain Affirmative Action Plan <br />No <br />0 <br />20 <br />0 <br />Sub -total Construction Related: <br />141 <br />2 <br />Wage & Benefit Related (Owner): <br />A. <br />Pay Target Wage Levels <br />Yes <br />33 <br />33 <br />B. <br />Provide Health Benefits <br />Yes <br />34 <br />29 <br />34 <br />C. <br />Provide Pension Benefits <br />Yes <br />29 <br />D. <br />Provide Training <br />Yes <br />28 <br />0 <br />14 <br />28 <br />E. <br />Provide Child Care <br />No <br />15 <br />F. <br />Provide Transportation Assistance <br />Yes <br />14 <br />G. <br />Provide Employer Assisted Housing program <br />No <br />0 <br />9 <br />Sub -total Wage &Benefit Related :' <br />138 <br />162 <br />3 <br />Workforce Related: <br />A. <br />Create NewJobs <br />Yes <br />42 <br />42 <br />B. <br />Retain Existing Jobs <br />Yes <br />41 <br />35 <br />0 <br />41 <br />C. <br />Maintain Affirmative Action Plan <br />Yes <br />35 <br />D. <br />Provide Targeted Hiring Preference <br />No <br />34 <br />Sub -total Workforce Related: <br />118 <br />152 <br />4 <br />Su000rta Munkioai Facilhv: <br />A. <br />Sup port a Municipal Facility (donations to the zoo, <br />conservatory, museum, etc.) <br />No <br />84 <br />NameofFacility, <br />Sub- totalMUnlcipai Facility: <br />No <br />84 <br />Sub -total from Above: 1256 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 /orpersonal property tax abatement consideration and pursuant to I;C, 5.1,1 - 12.1-1, et sea:. and <br />South Belid'Nita�dp� todeSec 2 75 etsed_ forthlspetition state ttio above. <br />Submitted By: Date: <br />