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23. In the following chart please list the companies that will be used for the construction associated with the project. Indicate the name 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 anal 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 />Lora! 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 /> 100% Workers Pay Maintain <br /> are Employees U.S. Dept. Contribute Gontribute Rljrrr~+a <br />Name and Address of Contract (Not Independent Labor Wage to a Health to a Pension Action <br />Construction Company Amount Contractors) Rate (Y/N} Plan (Y/N} Plan (Y1N} Plan(YM) <br />Local Campanies (see above): <br />,See Exhibit D o% <br />2, o% <br />3. o°r° <br />4. o°i° <br />5. o°i° <br />6. o°i° <br />7. o°i° <br />8 ° <br />. o <br />i° <br />9. o°i° <br />10. o% <br />Total Local <br />Nan-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 Campanies: <br />Total Project Cost from Petition <br />Difference (Please explain): <br />(Rev 12/29/06) <br />9 <br />