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Complete below for Real or Personal Property Tax Abatement only.. - ..._ <br /> Please sigri-for all lrequested 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 /> Qualify <br /> Please complete the table below with the appropriate information. If earned Points Available Points <br /> you qualify for the points,please enter the full amount of available (yes or No) <br /> points: <br /> 1 construction RelatedJeontractorsl: <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 /> G. Maintain Affirmative Action Plan Y 20 20 <br /> ISub-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 /> D. Provide Training y 28 28 <br /> E. Provide Child Care 15 <br /> F. Provide Transportation Assistance 14 <br /> G. Provide Employer Assisted Housing program 9 <br /> ISub-total Wage&Benefit Related: 124 162 <br /> 3. - Workforce Related', <br /> A. Create New Jobs Y 42 42 <br /> 8. 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 SB Municipal Facility(donations to the <br /> A zoo,conservatory,museum,etc) 84 <br /> Name of Facility. <br /> I Sub-total Municipal Facility: 84 <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 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,et seq,,and <br /> South Bend Municipal Code Sec.2-76 et seq.,for this petition state the above. <br /> Submitted By:: ��,, � �Date; 09118/15 <br /> a <br />