HomeMy WebLinkAboutResolution No. 3777r.�
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RESOLLUIOIQ NO. 3777
(To Accompany Application and Agreement)
WHEREAS, a majority of the eligible employees of the City of Azusa
Public
hereinafter referred to as "Public Agency," who are
Agency
members of and in positions covered by the State to es' Retirement stem
Retirement System
and who voted in an election conducted in accordance with the provisions of Part 4,
Division 5 of Title 2 of the California Government Code, and regulations promulgated by
the Board of Administration of the State Employees' Retirement System, hereinafter
referred to as "State," voted in'favor of a division of such retirement system for the
purposes of coverage under the provisions of the insurance system established by Title
II of the Federal Social Security Act; and
WHEREAS, a division of the said retirement system has been conducted in accordance
with Federal and.State Laws and State regulations for the purposes of coverage under
the said insurance system and a deemed retirement system, hereinafter referred to as
1 State &
' Retirement System
System
has been
established thereby as provided in Section 218(d)(6) of the Federal Social Security
Act, composed of positions of members of such retirement system who desire coverage under
the said insurance system; and
WHEREAS, the Public Agency desires to file an application with the State and to
enter into an agreement with the State to extend to services performed by individuals as
employees of the Public Agency as members of a coverage group, as defined in Section
218(d)(4) of the Federal Social Security Act, df the said (Group Bjj?!x r
StateE1n loyees' Retirement System , coverage under the said insurance
Retirement System
system on behalf of the Public Agency; and
Ret.-OASI 33D(1-58) Resolution (Division Coverage Group)
•
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WHEREAS, official form "Application and Agreement Ret.-OASI 32D" containing the
terms and conditions under which the State will effect such inclusion has been examined
by this body:
NOW, THEREFORE, BE IT RESOLVED, That said Application and Agreement on said
official form be executed on behalf of the Public Agency and submitted to the State
to provide coverage under the California State Social Security Agreement of March 9,
1951, of all services performed by individuals as employees of the Public Agency as
members of a coverage group (as defined in Section 218(d)(4) of the Social Security
Act) of the said `Group BJ( odx) State Enployees' Retirement Svstem
tem
except the following:
1. All services excluded from coverage under the agreement by Section
218 of the Social Security Act; and
2. Services excluded by option of the Applicant as indicated in
Resolution No. 3727 adopted at a meeting of the City Council
the 17th day of February , 19 58 :
No Exclusions
Effective date of coverage of services under said agreement to be: January 1,
19 56 ; and
Ret.-OASI 33D (1-58)
BE IT FURTHER RESOLVED, That James Miller ,
Name
City Clerk City of Azusa
Title of Position Address of Public Agency
be and he is hereby authorized and directed to execute said Application and Agreement
on behalf of and as Authorized Agent of the Public Agency and to forward same to the
State for acceptance and further action; and
BE IT FURTHER RESOLVED, That authority hereafter to act as Authorized Agent, and
so to conduct all negotiations, conclude all arrangements, submit all reports, and
sign all agreements and instruments which may be necessary to carry out the letter and
intent of the aforesaid application and agreement, in conformity with all applicable
Federal and State laws, rules and regulations, is vested in the position of
City Clerk
Title of Position
Adopted and approved this 7th day of July , 1958.
SUBMIT IN DUPLICATE
Ret.-OASI 33D (1-58)
y
17 .Tampa Miller , Clerk/5=ico baM of the
City of A .0 wl State of California, do hereby certify
the foregoing to be a full, true, and correct copy of Resolution No. 3777 adopted by
the City_ Council of the
nits of Azusa# California at the regular/3¢ae¢=meeting held on
the nth day of duly 1958 , as the same appears of record in my
office.
IN WITNESS WHEREOF, I have hereunto set my hand affixed the Seal of said
City of Azusa , at my office this 7th day of
July , 1958
// Clerk $Q[04'�F7Cd4�j7�
SUBMIT IN DUPLICATE
Ret. OASI 33C Rev. 1 (7-57) 200 Certification
RETURN TO: OASI SECTION
STATE EMPLOYEES' RETIREMENT SYSTEM
1227 - 0 Street
Sacramento 14, California
APPLICATION AND AGREEMENT
For the purposes of this application and agreement, any reference made herein to any
State or Federal statute or statutes, or regulations, or part thereof, applies to all
amendments thereto now or hereafter made.
For the purposes of this application and agreement, "Federal System" means Old -Age,
Survivors, and Disability Insurance system established by Title II of the Federal Social
Security Act, "Federal agency" means the Secretary of Health, Education, and Welfare, or
successor in function to such officer, "Board" means the Board of Administration of the
State Employees' Retirement System, acting on behalf of the State of California.
w=Z
a public agency
as defined in Section 22009 of the Government Code=/hereinafter called Applicant, hereby
makes application to the Board to execute a modification to the California State Social
Security Agreement extending thereunder the Federal System to all services performed by
individuals as employees of the Applicant in a coverage group (as defined in Section
218(d)(4) of the Social Security Ac 2/) of the Group B $E9t86�
Retirement
rbuT3IIE a deemed retirement system established
System
by division of a retirement system pursuant to Section 218(d)(6) of the Social Security
Act, composed of positions of members desiring coverage under said insurance system,
except the following:
1/ See Attachment
2/ See Attachment
Ret. OASI 32D (2-58) Application Agreement (Division Coverage Group)
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0
(1) Those services mandatorily excluded from said agreement by Section 218,
Social Security Acta/.
(2) The following services excluded by option of the Applicant pursuant to
Resolution No. 3727 adopted on bbby'MT 17 19w:
In order to carry into effect the common governmental duties under such statutes and
in consideration of the mutual promises hereinafter made, the Applicant and the Board
agree as follows:
1. The Board will execute a modification to the California State Social Security
Agreement to extend thereunder the Federal System to the services of employees of
Applicant as hereinbefore applied for.
2. Applicant will comply promptly and completely, throughout the term of this appli-
cation and agreement, with the letter and intent of all statutes of the State of
California, and Section 2L8 of the Federal Social Security Act, and applicable Federal and
State.regulations.adopted pursuant thereto.
3. Applicant will pay to the State at such time or times as the State may by regu-
lation prescribe, amounts equivalent to the sum of taxes (employer-employee contributions)
which would be imposed under the Federal Insurance Contributions Act if the services of
employees covered by the application and agreement constituted employment as defined in
such Act. Applicant shall keep or cause to be kept accurate records of all remuneration
for such services, said records to be maintained as required by Federal or State regula-
tions, and said records shall be available for inspection or audit by the Board or its
designated representative.
3/ See attachment
Ret. OASI 32D (2-58)
• -3- •
4. Applicant will prepare and submit such wage and other reports to the State as
may be required from time to time by the State.
5. Applicant will pay and reimburse the State at such times as may be determined by
the State:
(a) Any sums of money that the State may be obligated to pay or forfeit to the
Federal government by reason of any failure of. the Applicant, for any cause or reason, to
pay the contributions, penalties, or interest required by the agreement between the
Federal agency and the State at such time or in such amounts as required by the said
agreement Land any State or Federal regulations adopted pursuant thereto.
(b) In such amounts as may be determined by the State, its proportionate share
of any and all costs incurred by the State in the administration of the Federal System as
it affects the Applicant and its employees.
(c) In such amounts as may be determined by the State, the cost of any and all
work and services relating to any election, division, or referendum for the purposes of
coverage under the Federal System held with respect to the coverage group for which
coverage under the Federal System is requested herein.
(d) In such amounts as may be determined by the State, the costs of any audits
of the books and records of the Applicant made by the State or its designated representa-
tives pursuant to Section 22559 of the Government Code,
6. The coverage herein provided for shall be effective Z4MVW l , 1956,
and this agreement shall continue until terminated as provided herein.
7. Applicant shall have the right to terminate, subject to approval of the Federal
agency, upon giving at least two years' advance notice in writing to the State, effective
at the end of the calendar quarter specified in the notice, its coverage under the Federal
System pursuant to the provisions of this application and agreement, either in its
Ret. CAST 32D (2-58)
entirety or with respect to any coverage group, as defined in Section 218(b)(5) of the
Social Security Act, of the Applicant, but only if the agreement between the State and the
Federal agency has been in effect with respect to such coverage from the effective date of
coverage under the Federal System as set forth in this application and agreement for not
less than five years prior to the receipt of such notice; provided, however, that any such""
termination shall be subject to the provisions of Section 218(8) of the Social Security Act
and F:_deral regulations adopted pursuant thereto and rules and regulations promulgated by
the State with respect to coverage under the Federal System, and provided further, that
if the Federal agency should terminate the agreement between the Federal agency and the
State for the administration by the State of the Federal System, the State shall have the
right to terminate this application and agreement in accordance with the same rights and powers
as the Federal agency exercises in terminating the agreement between him and the State.
That, subject to the aforesaid provisions and applicable law, this application and
agreement may be terminated or amended by the mutual consent of the parties in writing.
8. After the filing of this application and agreement, its acceptance and execution
by the State shall constitute it a binding agreement between the Applicant and the State
of California with respect to the matters herein set forth.
ACCEPTED:
STATE OF CALIFORNIA
BOARD OF ADMINISTRATION
STATE EMPLOYEES' RETIREMENT SYSTEM
BY
Executive Officer
Ret. OASI 32D (2-58)
Signed City of Azusa
kOfficial Name of Public Agency)
By �tcz �,, �, i�, City Clerk
j Authorized Agent
And By, .
(Title)
(Date) July 7, 1958
(SUBMIT IN DUPLICATE)
Ilk
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1"u" -FACE
1� 22009 (as amndsd by Chapter 1993, Statutes of 1957)
"Public Agency" means the state, any city, county, city and county, district,
municipal or public corporation or any instrumentality thereof, and boards and
committees established under Chapter 10 of Division 6 of the Agricultural Code,
Chapter 754 of Statutes of 1933, as amended, or Chapter 307 of the Statutes pf 1935)
as amended, the employees of which constitute one or more coverage groups, or retire-
ment system coverage groups.
V Section 218(d)(4):
For the purposes of subsection (c) of this section, the following employees shall be
deemed to be a separate coverage group:
(A) all employees in positions which were covered by the same retirement system
on the date the agreement was made applicable to such system (other than
employees to whose services the agreement already applied on such date);
(B) all employees in positions which became covered by such system at any time
after such date; and
(C) all employees in positions which were covered by such system at any time
before such date and to whose cervices the insurance system established by
this title has not been extended before such date because the positions
were covered by such retirement. syste-i Eincluding employees to whose ser-
vices the egre,=iont was, not applicable on such date because such services
were excluc'ed purar:ant to subsection (c) (3) (C)a•
are -mandatorily excluded:
(a) service performed in a policeman's or fireman's position, covered by a
retirement system at the time coverage is extended to the Public Agency;
(b) service perfomed by on individual who is employed to relieve him from
une^pl.oyrent;
(c) service performed in a hospital, here, or other institution by a patient
or inmate thereof;
(d) covered ',transportation service (as defined in Sectlon,210(1) of the,
Social Security Act, as a._ niod, ) an(,
(e) service (other than agricultural labor or service performed by a student)
which is excluded from employment by any provision of Section 21.0(a) of
the Social Security Act., otho-" than -paragraph 7 of such aectioh.
'Ret.� 32D--Attaarment (2-58)