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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. <br />Please complete the table below with the appropriate information. H es or N <br />you qualify for the points, please enter the full amount of available (Yes o No) <br />points. <br />Earned Points <br />- <br />Available Points <br />1 <br />Construction Related (Contractors): <br />A. <br />Employ Local Companies (75%) <br />Yes <br />1010 <br />20 <br />B. <br />Purchase Materials from Local Companies 175 %) - <br />Yes <br />1 act <br />20 <br />C. <br />Require Employees vs. Independent Contractors <br />Yes <br />19 <br />D. <br />Require Prevailing Wage (Davis Bacon) <br />/VC <br />22 <br />E. <br />Require Health Benefits <br />Yes <br />as <br />22 <br />F. <br />Require Pension Benefits <br />Yes <br />$ <br />18 <br />G. <br />Maintain Affirmative Action Plan <br />Yes <br />o`t0 <br />20 <br />Sub -total Construction Related: <br />/ <br />141 <br />2 <br />Wage& Benefit Related(Cwnerl: <br />A. <br />Pay Target Wage Levels <br />33 <br />33 <br />B. <br />Provide Health Benefits <br />3 y <br />34 <br />C. <br />Provide Pension Benefits <br />pZ <br />29 <br />D. <br />Provide Tralning <br />a$ <br />28 <br />E. <br />Provide Child Care <br />15 <br />F. <br />Provide Transportation Assistance <br />14 <br />G. <br />Provide Employer Assisted Housing program <br />9 <br />Subtotal Wage 8, Benefit Related: <br />hp A- <br />162 <br />3 <br />Workforce Related: <br />A <br />Create New lobs <br />Z/.Q <br />42 <br />B. <br />Retain Existing Jobs <br />I q/ <br />41 <br />C. <br />Maintain Affirmative Action Plan <br />$$ <br />35 <br />D. <br />Provide Targeted Hiring Preference <br />34 <br />Subtotal Workforce Related: <br />152 <br />4 <br />Support a Municipal Facility: <br />A. <br />Support a SE, Municipal Facility (donations to the <br />zoo, conservatory, museum, etc) <br />O <br />8q <br />84 <br />Name of Facility <br />Sub -total Municipal FadUT. <br />g <br />84 <br />Sub -total from Above: <br />y(/.S <br />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 a real and /or personal property tax abatement consideration and pursuant to I.C., 6-1.1- 12.1 -1, at se g. and <br />South Bend Municipal Code Sec 2 -76 et seci.• for this petition state the above. <br />6 -25-ts <br />