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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 an <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 worker <br />are employees of that company and not independent contractors; indicate whether or not the company pays workers wages that meet th <br />wage rates for each classification of laborers and mechanics published by the U.S. Department of Labor; indicate whether or not th <br />company contributes to a health plan for its employees; indicate whether or not the company contributes to a pension plan for it <br />employees; and indicate whether or not the company maintains an affirmative action plan or other similar plan to achieve racial diversit; <br />Local companies include those located in St. Joseph County. Additional information may be requested for verification of thi <br />information. (If additional space is needed, please photocopy this page). <br />100Y Workers Pay <br />Maintain <br />are Employees U.S. Dept. Contribute Contribute Affirmative <br />Name and Address of Contract (Not Independent Labor Wageto a Health to a Pension Action <br />Construction Company Amount Contractors) Rate (Y/N) Plan (Y/N) Plan (Y/N) Ptri(Y/I <br />Local Companies (see above): <br />2. <br />3. ~~ /V OiJ ' lf1Gcz ~ (~c~c~t ~ ~ ~. <br />p '-~ r cs- w i l <br />4. <br />s• f je Gcrtr~ <<v~y orv our ~~r~ e c, ~ . <br />6. <br />s. <br />9. <br />10. <br />Total Local <br />Non-Local Companies: <br />15 <br />(Rev 12/29/06) <br />