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Complete below .. Abatement <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. If <br />you qualify for the points, please enter the full amount of available <br />points. <br />(Yes or N es or No) <br />Earned Points <br />Available Points <br />1 <br />Construction Related (Contractom <br />A <br />Employ Local Companies (75 %) <br />Yes <br />20 <br />20 <br />B <br />Purchase Materials from Local Companies (75 %) <br />Yes <br />20 <br />20 <br />C <br />Require Employees vs Independent Contractors <br />Yes <br />19 <br />19 <br />D <br />Require Prevailing Wage (Davis Bacon) <br />Yes <br />22 <br />22 <br />E <br />Require Health Benefits <br />Yes <br />22 <br />22 <br />F. <br />Require Pension Benefits <br />No <br />18 <br />G <br />Maintain Affirmative Action Plan <br />No <br />20 <br />ISub-total Construction Related <br />103 <br />141 <br />2 <br />Wage & Benefit Related (Owner) <br />A <br />Pay Target Wage Levels <br />Yes <br />33 <br />33 <br />6 <br />Provide Health Benefits <br />Yes <br />34 <br />34 <br />C <br />Provide Pension Benefits <br />Yes <br />29 <br />29 <br />D <br />Provide Training <br />Yes <br />28 <br />28 <br />E <br />Provide Child Care <br />No <br />15 <br />F <br />Provide Transportation Assistance <br />No <br />14 <br />G <br />Provide Employer Assisted Housing prograrn <br />No <br />9 <br />Sub -total Wage & Benefit Related <br />124 <br />162 <br />3 <br />Workforce Related. <br />Create Neh Jobs <br />Yes <br />42 <br />42 <br />Retain ExistrngJObs <br />Yes <br />41 <br />41 <br />Maintain Affirmative Action Plan <br />Yes <br />35 <br />35 <br />D <br />Provide Targeted Hiring Preference <br />No <br />34 <br />Sub -total Workforce Related <br />118 <br />152 <br />Support a Municipal Facility. <br />A <br />Support a 5B Municipal Facility (donations to the <br />zoo, conservatory, museum, etc.) <br />Yes <br />84 <br />84 <br />Name of Facility <br />Sub -total Municipal Facility: <br />84 <br />84 <br />Sub -total from Above <br />429 <br />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 seg., and <br />South Bend Municipal Code Sec. 2 -76 et seg., for this petition state the above. <br />'SubmittedBy `" i Date: <br />