HomeMy Public PortalAbout82-169 (10-19-82)s
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RESOLUTION NO ' 82 -169
A RESOLUTION OF THE CITY COUNCIL OF THE CITY
OF LYNWOOD APPROVING THE APPLICATION FOR STATE
DISABILITY INSURANCE COVERAGE
WHEREAS, the City of Lynwood and the Lynwood City Employees Association
met and conferred in good faith, and
WHEREAS, the City of Lynwood and the Lynwood City Employees Association
have agreed to implement the State Disability Insurance Program with employees
bearing the cost of such coverage; and
WHEREAS, the State of California requires the filing of an application
(Exhibit A) in order to effect State Disability Insurance coverage for the
bargaining group,
NOW, THEREFORE, the City Council of the City of Lynwood does hereby resolve
as follows
SECTION 1 Approve the filing of the application for elective coverage
under Section 710.5 of the Unemployment Insurance Code (Exhibit
A)
SECTION 2 Authorize the Mayor of the City of Lynwood to sign the appli-
cation for State Disability Insurance coverage.
SECTION 3: Direct that a copy of the Comprehensive Memorandum of Under-
standing between the City of Lynwood and the Lynwood City
Employees, the certified employee organization, accompany
the application upon submission
SECTION 4: This resolution shall take effect immediately upon its adoption
PASSED, APPROVED and ADOPTED this 19th day of October, 1982
- . T
y outs A. Thompson
Mayor
ATTEST.
Andrea Hooper, City Clerk
APPROVE AS TO FORM. APPROVED AS�TO CONTENT:
David R RcEwen, City Attorney Sandra Chapek, Personnel Manager
ST. -TE OF CALIFORNIA
PLO=NT DEVELOPMENT DEPARTMENT
800 CAPITOL MALL '
SACRAMENTO, CALIFORNIA 95814
"EXHIBIT A"
For Department Use Only
Application for Elective Coverage of Disability Insurance
Only for Employees of a Public School Employer under Section
710.4 ova. Public_Agency_,_Emp loyer under_ Section_ 710.5 of the
C alifornia Unemployment Insurance Code
IMPORTANT
Account No.
Statistical Code
Effective Date
Classified By
Date
Employer Notified
(date)
Send
Number of Employees
This form is not an application for an account number under the compulsory provisions of the
Unemployment Insurance Code. Do not complete this form unless you wish to apply for Disability
Insurance coverage ONLY under Sections 710.4 or 710.5 for your employees. Coverage under these
sections of the Code does not make provision for Unemployment Insurance benefits.
NOTE: If your application is approved, the elective coverage agreement will be subject to
all of the requirements and conditions outlined in form DE 1378 P, "Information
Concerning Elective Coverage Under Sections 710.4
or 710.5 of the Unemployment Insurance
Code." Please retain your copy of form DE 1378 P
for reference.
Please Type or Print
1.
Name of Employer Citv of Lynwood
( 213 ) 603 -0220
(Telephone)
2.
Business Address 11330 Bullis Road, Lynwood
L A ngeles Ca. 90262
(Street and Number) (City)
(County) (State) (Zip Code)
3.
Mailing Address Same
(Street and Number) (City)
(County) (State) (Zip Code)
4.
Tyne of Public Employer (Check one)
Public School - Section 710.4
® Public Agency - Section 710.5
5.
Law under which agency was established (Complete either (a), (b), (c) or (d).)
_
(a)- California General-Laws Incor p ora d in
1921 /ado ted Cou i1 /Mana er fo n
p
Title of Act General law city Numb er
ear Enac�ed
(b) California Codes
Title of Code Number
Part Chapter
Sections to
(c) Charter
Title Date
(d) Ordinance
Title Date
Number
6.
Members of governing body of the employer.
Name Title
Residence Address
Louis A. Thompson Mayor
3939 Walnut, Ly Ca, 9026
E L Morris Councilman
2970 L F lores, Ly nwood, Ca.
John D. Byork Councilman
4259 Niland, Lynwood, Ca.
Eugene R. Green Councilman
11253 Elm Ave., Lynwood, Ca
James Rowe Councilman
5300 Cortland, Lynwood, Ca.
DE
1378 N Rev. 3 (11 -80)
(Page 1 of 2)
7
El
10
1 11
This application covers employees of the following units:
Name of Department or Unit Address
Lvnwnnd CiF RmolnvaPG Accoriati 11330 Biil i¢ Road Lynwood Ca 90262
Complete this schedule covering all elected officers and appointees who perform services
for the agency named in Item 1. Exclude persons listed in Item 6.
(a) Elected offices: (These persons are ineligible for coverage.)
Title of Position
Co uncilman - Louis Thompson /E L Morris /John D Byork /Eugene R. Green /James Rowe
City Clerk - Andrew Hooper
(b) Person holding appointive positions: (These persons are eligible for coverage
unless appointed to fill a vacant elected office.)
No. of Positions Number of Such Persons
Title of Position in this Category By Whom Appointed Desiring Coverage
City Manager 1 City Council -0-
(c) Total number of employees to be covered (excluding elected officers and those
appointed by the Governor). Varies between approximately 70 and 100
On what date do you wish coverage to become effective? _ January 1 1. 1983 .
Deductions should not be made from your employees' wages for the purpose of paying
employee contributions required under the Code until your election is effective.
Attach a copy of the resolution in which the governing body described in Item 6 approved
the filing of an application for elective coverage under Section 710.4 or 710.5 of the Un-
employment Insurance Code. Also, a copy of the Bargaining Agreement between the employer
and the certified employee organization.
The governmental entity described in Item 1 hereby files its application under Section 710.4 or
710.5 of the Unemployment Insurance Code to become an employer subject to the Code. It is under-
stood that upon approval of the election by the Director, the Public School /Public Agency Em-
ployer will be an employer subject to the Code for Disability Insurance purposes only to the
same extent as other employers as of the date specified in the approval, and will remain a
subject employer for at least two complete calendar years and thereafter, until this election
is terminated as provided by the Code.
I declare that this application has been examined by me, and to the best of my knowledge and
belief, it is true and correct and made in good faith under the provisions of the California
Unemployment Insurance Code.
This declaration must be signed by one
or more persons shown under Item 6
(Signed)
(Signed)
(Sighed)
Date
Date
Date
-- r, - -- - -_ --
_,
STATE OF CALIFORNIA )
) ss.
COUNTY OF LOS ANGELES )
I, the undersigned, City Clerk of the City of
Lynwood, do hereby certify that the foregoing resolution
was passed and adopted by the City Council of the City of
Lynwood at a regular meeting held on the
19th day of October , 1982.
AYES: Byork, Green, Morris, Rowe, Thompson
NOES: None
ABSENT: None
City Clerk, City of Lynwood