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Complete below f♦ or I <br />Please sign for 1 <br />Public Benefit Item: <br />information is required on both the conitruction companies and the <br />companies which will provide materials purchased for this project. <br />Please complete the table below with the appropriate Information. If <br />you qualify for the points, please enter the full amount of available <br />points. <br />(yeesuoo�No) <br />Earned Points <br />Available Polo ts <br />1 <br />Construction Related (Contractorsl: <br />A. <br />Employ Local Companies (75%) <br />Y <br />20 <br />B. <br />Purchase Materials from Local Companies (75%) <br />Y <br />20 <br />C. <br />Require Employees vs. Independent Contractors <br />19 <br />D. <br />Require . Prevailing Wage (Davis Bacon) <br />22 <br />E. <br />Require Health Benefits <br />22 <br />F. <br />Require Pension Benefits <br />18 <br />G. <br />Maintain Affirmative Action Plan <br />Y <br />r <br />20 <br />Sub -total Construction Related: <br />0 <br />141 <br />2 <br />Wage & Benefit Related (Dwneri: <br />A. <br />Pay Target Wage Levels <br />33 <br />6. <br />Provide Health Benefits <br />y <br />34 <br />C. <br />Provide Pension Benefits <br />N <br />29 <br />D. <br />Provide Training <br />28 <br />E. <br />Provide Child Care <br />i5 <br />F. <br />Provide Transportation Assistance <br />14 <br />G. <br />Provide Employer Assisted Housing program <br />9 <br />Sub -total Wage & Benefit Related: <br />0 <br />162 <br />3 <br />Woridorce Reated• <br />A. <br />Create New Jobs <br />42 <br />B. <br />Retain Exisfng.lobs <br />y <br />61 <br />C. <br />Maintain Affirmative Action Plan <br />35 <br />D. <br />Provide Targeted Hiring Preference <br />34 <br />Sub -total Worldarce Related: <br />0 <br />152 <br />4 <br />Support a Municipal Facility: <br />A. <br />Support a 58 Municipal Facility (donations to the <br />zoo, conservatory, museum, etc.) <br />84 <br />Name of Facility <br />Sub total Municipal Facility: <br />84 <br />Sub- totaifrom Above: 1 <br />0 <br />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, !L "e., and <br />South Bertd Munic)pallCofle Sec. 2 -76 at see.. for this petition state the above. <br />