R-6526
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RESOLUTION NO.
6526(CC5)
(City Council Series)
A RESOLUTION OF THE CITY COUNCIL OF THE
CITY OF SANTA MONICA OF THE INTENTION TO FILE
AN ELECTION OF COVERAGE UNDER SECTION 710.5 OF
THE UNEMPLOYMENT INSURANCE CODE ON BEHALF OF
INDIVIDUAL EMPLOYEES OF THE CITY ATTORNEY'S OFFICE
WHEREAS, the California Unemployment Insurance Code permits the
public agency employer to elect coverage for disability insurance
only, with respect to all employees in an appropriate unit as
established by law; and
WHEREAS, one of the steps to electing such coverage is a
resolution approving the filing for elective coverage under
Section 710.5 of the Unemployment Insurance Code; and
WHEREAS, the Individual Employees of
desire such coverage pursuant to
currently in effect;
the City Attorney's Office
the bargaining agreement
NOW,THEREFORE, THE CITY COUNCIL OF THE
RESOLVE AS FOLLOWS:
CITY OF SANTA MONICA DOES
Section 1: That the CIty Council of the City of Santa Monica
approves the election of coverage under Section 719.5 of the
Unemployment Insurance Code and authorizes the Mayor to execute an
agreement with the Employment Development Department of the State
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of California, a copy of which is attached hereto and by this
reference made a part hereof.
Section 2: The City Clerk shall certify to the adoption of this
Resolution and thenceforth and thereafter the same shall be in
full force and effect.
APPROVED AS TO FORM:
~r1~ L. ;/V'---;y'___
ROBERT M. MYERS ()
Ci ty Attorney
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ADOPTED AND APPROVED THrS
27th
DAY
OF July
~ 1982.
M'AYOR
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I HEREBY CERTIFY THAT THE FOREGOING RESOLUTION
NO. 6526(CCS)_WAS DULY ADOPTED BY THE CITY COUNCIL OF THE
CITY OF SANTA MONICA ~T A MEETING THEREOF HELD ON
July 27
, 1982 BY THE FOLLOWING COUNCIL VOTE:
AYES:
COUNCILMEMBERS: Conn~ Edwards~ Jennings~ Press. Reed,
Zane and Mayor Yannatta Goldway
NOES:
COUNCILMEMBERS: None
ABSENT:
COUNCILMEMBERS: None
ABSTAIN:
COUNCILMEMBERS: None
ATTEST:
L..:-..- ,7e~~
ActIng Assis~nt CITY CLERK
!
t. STATE OF CALHOfu,'HA _
, EMPLC1:1EN'I' DEVELOPMENT DEP ARn-_
800 CAPITOL MA-u,
SACJ.AHENTO. CAL!FORNIA 95814
Por Department Use Only
Application for Elective Coverage of Disability Insurance
.... Only for Employees of a Public School Employer under Section
710.4 or _a Public Agency EtIlployer under Section 710.5 of the
. California UDemploy~ent Insurance Code
Account No.
Statistical-Code__
Effective Date
Classified By.,
'Date
ElIlployer Noti~ied_.
(da te)
Send
N1_tmher of Employees ,
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IMPORIA..".T
This form is not an application for an account number under the compulsory provisions of the
Unemployment Insurance Code. Do not complete this fonn unless you wish to apply for Disability
'.;'. Insurance covera&e O~'LY under Sections 710.4 01': 710.5 for your employees. Coverage under these
: &ect1on~ of the Code does not make provision for Unemployment Insurance benef~ts. , _~- . .
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non::
If your application is approved. the elective coverage agreement will he subjQct to -
all of the requirements and c.onditions outlined in form DE 1378 p. "tnforJl\ation
.,Concercing Elective Coverage Under Sections 710.4 or 710.5 of the Unemployment ln$urane~.
CodB,1I Please retain your copy of form DE 1378 P for refer~nce. -,..- 1-' , ~:. _. ' .. - -
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Please Type or Print
9ity of San~a Monica
. : 1. '.Name of Employer
(Ci ty)
(Count.y)
213-393-9975
(Ielephone)
CA ,- 90401
(S tatef Jiip Code)
(State)'(Zip Code)
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). ~ 2. !\J$ineS8 Address, 1685 Main Street
(Stre'ee uand" Nu'tlber)
'. .~. ~ling Addt'ess . Same as
(Street and Number)
: 4 I Ty:pe of Public Employer (Check one)
OPublic Schoo~ :- Se~~ion 710.4
iJaPub11C Agency ~ Section 710.5
Santa Monica
'(City) , ~County)
above
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5.
~""
Lav under which agency was established
(a) . California General Laws
Title of Act
(b) California Codes
Title of Code
'. Sections___.
(Complete either (aL (b)~ (e) or Cd).) "
Number
Year Enact;ed
" ~
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Number
l'art_
_ C1lapter
to
./ .... ....~ ~-<'
...........
'. - .ee) Charter
~.= ~:: . ~ Title
... Ai ..<:1']. _ J- r -J' olz, -..-
San ta Monica Ci ty Charter Date
11/5/46
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Uj
..' (d) Ordinance
.:'. ,.,4~ ~:". 1itle . , Date
_ I .:... f ~..-}'t :: ,#.. ; ~ _<;~. - ~ - - - . ~
:~~:'~~~t.~~t~~~9} go~e.~~,..~~dy.,o! the empl~y~r.,
, . . :'PH ~'-~:. -, ,:: -=:'1{-.... n . Name '~ ..~ . - -. Ti tle
:~f:.;:--:;~ Ruth Yannat'ta Gold~ay Mayor
"'--v....K "Ed A l'J.>.' l-' ".;~ . M or P T
.~"'i.~'}~ -"'; _ ~Q.u ,w?r'is. . . ... .. ay ro- em
: .>"~Christine Reed. ... ,...... '- Councilmember
. ;..;~ -* .,. Denni s Zane Counc i Imember
'. - - Dolo;res Press . ~ ,--- Counciimember
"":::: ~'J~mes Conn · Councilmember
_ -~:: Williams' !ennings - CouIlcilmemoer
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Number .'
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.~~:; ~:z. ~~/~ IJO-:- n r l ..~.... 11.- ~;r ~'F .. '.(0'" ..~_> l;:,f~ .. ~i
'..' ,- Residence Address ,(.; 'c,.
. ,"-655 Ashlan4 .Avenue.'-S.M'.,~
~';i-~:.' 428 15th Street, S.M: ~ -:.)-.
:'~.'c_ ~ 8'59 23rd Street,". S.M. .'"..,.j:;
, "- 1685 Main Street I S .M: ~ ' :.
,"9427th Street. c-S-:M, ,
:_:.0, 235 Hill Street. S .M: -'~',
.- 2315 '14th Street.' S.M.
DE 137B N Rev. 3 (11-80)-
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(Page 1 of 2)
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7. this application covers employees of the following units:
Name of Department or Unit
~ndividual Employees of the
City Attorney's Office
Address
1685 Mairl' ~q;,eet ISM. CA. ,,90401
8. 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
None
(b)
Person holding appointive positions: (These persons
unless appointed to fill a vacant elected office.)
No. of Positions
in this ~ateg9r'l
are eligible for coverage
Title of Position
By Whom Appo1nte~
Ci ty_ ,~ttorney
City Attorn~y",
City Attorney
- City Attorney
f.it"v At:toynpy
Number of Such Persons
Des~ring Coverage
Office Administrator 1
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Super~i~or of Claims 1
Legal Assistant 1
eonsumer Affairs ~pec. L
~~gal Secr~tary 9
1
1
1
L
q
Total number of emQloyees to be covered (excluding elected officers and those
appointed by the Governor). ] 4 _ ., "
9. On what date do you wish coverage to be.come effective? June 27 ~ 1982
10. 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.
11. 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-
euploymen tIns urance Code. Also t a copy of the Bargaining Agreement between the etuployer
and the certified employee organization.
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(c)
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 15 under-
stood that upon approval of the election by the Directort the Public School/Public Agency Em-
ployer will be an employer subject to the Code for Di~ability 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 cocplete calendar years and thereafter, until this election
is terminated 8S provided by the Code. ' . :_'" :;: .";:~, '-',,;"' ~:: : '~" .~.. ~ " . __,
I declare that'this application has been examined by metllnd to the best ~f my knQwledge and ',~
belief, it is true and correct and made in good faith unde~ the-provisions of the California
_ .Unemploym.ent Insurance Cod~. - // / 1.1 ,. ,Lbt -: - -,~.,
This declarat~cn must be sisned-by one (SignecV 6}'1< L/........... ~ti.t1fi!le' ~ .-:.'-',
~r more pers~ns shown under Item 6. (Signed>., / / __ ( Pate_ ,_
(Signed). Date