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S EA <br /> 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 /> complete the table below with the appropriate Qualify <br /> Please com <br /> A pproprlate information. If Earned Points Available Points <br /> - <br /> you qualify for the points,please enter the full amount of available (Yes or No) <br /> points <br /> 1 Construction Mated(Contractors]: <br /> V <br /> A. Employ Local Companies(75%) y 20 20 <br /> B. Purchase Materials from Local Companies(75%) y 20 20 <br /> C. Require Employees vs.Independent Contractors y 19 19 <br /> - D: • Require Prevailing Wage(Davis Bacon) 22 <br /> E. - __ Require Health Benefits 22 <br /> • F.-- Require Pension Benefits 18 <br /> Meinlalp Affirmative Action Plan y 20 <br /> 20 <br /> _ -, JSub=total Construction Related: 79 141 <br /> 2 _ Wage&Benefit Related(Owner): <br /> :A--. Pay Target Wage Levels y 33 33 <br /> B:. _ Provide Health Benefits y 34 34 <br /> C. Provide Pension Benefits y 29 29 <br /> - 0. Provide Training y 28 28 <br /> E. Provide Child Care 1S <br /> F. Provide Transportation Assistance t4 <br /> • <br /> C. Provide Employer Assisted Housing program 9 <br /> Sub-total Wage&Benefit Related: 124 162 <br /> Workforce Related: <br /> A. . Create New Jobs , 42 42 <br /> B. - Retain Existing lobs 41 <br /> C. • Maintain Affirmative Action Plan y 35 35 <br /> - - D. = Provide Targeted Hiring Preference 34 <br /> Sub-total Workforce Related: . 77 152• <br /> 4 Support a Municipal Facility: <br /> _ - - Support a 5B Munkipal Fact y(donations to the <br /> A - <br /> . - zoo,conservatory,museum,etc) 84 <br /> Name of Faolity <br /> I5ub-total Municipal Facility: $4 <br /> Sub-total from Above: 260 539 <br /> The undersigned owner(s)of real property,located within the City of South Bend,herby petition the Common Count3 Fthe City. <br /> of South Bend for a real and/or personal property tax abatement consideration and pursuant to I.C.,6-1.1-22.1-1,et se4Ca <br /> • <br /> South Bend Municipal Code Sec.2-76 et sea„for this petition state the above. iiJ <br /> • <br /> Submitted By: �.yfL�a7AIM fir //.. Date: 09/11215 <br /> a <br />