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Complete below for Real or Personal Property Tax Abatement only. <br />Please sign for all requested <br />Public t enefit 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 />Qualify <br />(Yes or No) <br />Earned Points <br />Available Points <br />i <br />Construction Related (Contractorsh <br />A. <br />Employ Local Companies (75%) <br />Yes <br />20 <br />20 <br />B. <br />Purchase Mated , 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 />No <br />0 <br />22 <br />E. <br />Require Health Benefits <br />No <br />0 <br />22 <br />F. <br />Require Pension Benefits <br />No <br />0 <br />is <br />G. <br />IMaintain Affirmative Action Plan <br />No <br />0 <br />20 <br />Sub -total Construction Related: <br />59 <br />141 <br />2 <br />Wane & Benefit Related (Owneri: <br />A. <br />Pay Target Wage Levels <br />Yes <br />33 <br />33 <br />B. <br />Proylde 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 />0 <br />15 <br />F. <br />Provide Transportation Assistance <br />No <br />0 <br />14 <br />G. <br />Provide Employer Assisted Housing program <br />No <br />0 <br />9 <br />Sub -total Wage & Benefit Belated: <br />124 <br />162 <br />3 <br />ifJoridorce Related <br />A. <br />Create New Jobs <br />No <br />0 <br />42 <br />B. <br />Retain W!tlng Jobs _ <br />Yes <br />41 <br />41 <br />S: <br />Maintainn! rrnativeActionPlan : _ . <br />Yes <br />35 <br />35 <br />D. <br />ProvideT.argetedHh9ngPreference <br />No <br />0 <br />34 <br />Sub- totallNoildorce Related <br />76 <br />152 <br />4 <br />Su000rt a Munlaoai FadlRv '. <br />A. <br />Support a SBMunidpa! Fadtlty (donatloni to the <br />ioo� mnservato_ry, museum, etc) .;. , <br />No <br />0 <br />84 <br />-Name of Fa .lty, <br />Sub4otalllAueidpaiFidgty! -; <br />0 <br />84 <br />Sub -total from Above: <br />259 <br />539 <br />The undersigned owners) of real property, lowted within the Gty of South Bend, herby petition the Common Council of the Cify <br />of South Bend for a real and/or personal property tax abatamettt Aeration and pursuant to I.C. <br />, 6- 1.112.11; et sen ,and <br />South Bepd Munidpa) Code Seq „276 et sea . fob thjs petition Mate the above <br />- • William Maid, Controller March 14, 2016 <br />