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23. Iz ;following chart please list the companies that will be used the construction associated with the project. Indicate the r, ~ and <br />address of each company; list the dollar amount of the work to be provided by each company; indicate whether or not 100% of the workers <br />are employees of that company and not independent contractors; indicate whether or not the company pays workers wages that meet the <br />wage rates for each classification of laborers and mechanics published by the U.S. Department of Labor; indicate whether or not the <br />company contributes to a health plan for its employees; indicate whether or not the company contributes to a pension plan for its <br />employees; and indicate whether or not the company maintains an affirmative action plan or other similar plan to achieve racial diversity. <br />Local companies include those located in St. Joseph County. Additional information may be requested for verification of this <br />information. (If additional space is needed, please photocopy this page). <br /> <br /> <br />Name and Address of Contract <br />Construction Comaanv Amount 100°/. Workers <br />are Employees <br />(Not Independent <br />Contractors) Pay Maintain <br />U.S. Dept. Contribute Contribute Mirr~nfre <br />Labor Wage to a Health to a Pension Action <br />Rate (YlN1 Plan (YIN) Plan (Y/Nl Plan(YRJ) <br />Local Companies (see above): <br />1. o°i° <br />2. o% <br /> <br />4. o°i° <br />5. o°i° <br />6. o°i° <br />7. o°i° <br />8. o°r° <br />9. o°i° <br />10. o°i° <br />Total Local <br />Non-Local Companies: <br />1. o°i° <br />2. o°i° <br />3. o°i° <br />4. o°i° <br />5. o°i° <br />Total Non-Local <br />Non-Local Companies: <br />GRAND TOTAL <br />Non-Local Companies: <br />Total Project Cost from Petition <br />Difference (Please explain): <br /> 9 <br />(Rev 12/24/06) <br />