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I-OmAlete nelow <br />Please requested <br />PublicSoneflt (tern: <br />Information Is required an 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 PalMt <br />you qualify for the points, please enter the full amount of available (Yee or No) <br />points. <br />1 <br />rnnrhr n Related fCOmnctorrl•. <br />A. Employ Local Companies (75 %) <br />Y <br />20 <br />20 <br />B. <br />Purchase Materials from Local Companies (75 %) <br />Y <br />20 <br />20 <br />C. <br />Require Employees vs. Independent Contractors <br />Require Prevailing Wage (Davis Bacon) <br />Y <br />19 <br />19 <br />D. - <br />N <br />22 <br />E. <br />Require Health Benefits <br />Y <br />22 <br />22 <br />F. <br />Require Pension Benefits <br />Y to <br />Sg <br />G. <br />Maintain Affirmative Action Plan <br />Y 20 <br />20 <br />Sub-tobltonstrusuenRelatad: <br />rte <br />141 <br />2 <br />woes a.Baneilt Retatad lOameri• <br />A. Pay Target Wage Levels <br />Y 33 <br />33 <br />B. <br />Provide Health Benefits <br />Y 34 <br />34 <br />C. <br />Provide Pension Benefits <br />y Y9 <br />29 <br />D. <br />Provide Training <br />Y 28 <br />28 <br />E. <br />Provide Child Care <br />N <br />15 <br />F. <br />Provide Transportation Assistance <br />Y 14 <br />14 <br />G. lProvide <br />Employer Assisted Housing program <br />N <br />9 <br />Sub -total Wage & Benefit Retated: <br />138 <br />162 <br />3 <br />4 <br />WorNe R �.• <br />Y 42 <br />42 <br />A. <br />Create New Jobs <br />8. <br />Retain Existing Jobs <br />Y 41 <br />41 <br />C. <br />Maintain Affirmative Action Plan <br />Y 35 <br />35 <br />D. <br />Provide Targeted Hiring Preference <br />N <br />34 <br />Sub -total Workforce Related: <br />Spa MWrido11 Fatlgty <br />A. Support a SB Municipal Facility (donationt-to the <br />2oo,wnservatory, museum, etc) <br />118 152 <br />y 84 <br />84 <br />Name of Facility <br />Sub4 obl Municipal Fadgty: <br />184 <br />64 <br />Sub -total from Above. <br />459 <br />539 <br />W Urraersrgnea ownsels) or rear property, located within the Qty of South Bend, herby petWon the Common Council of the QI <br />of South Bend for areal and /or personal property tax abatement consideration and pursuant to I.C., &3.3- 32.1 -2, et seu., and <br />South Bend Muni pal Code 6ea 2 76 at sea. for this petition state the above. <br />