Resolution Number 12-06-05-01RESOLUTION NO. 12-06-05-01
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN JUAN
CAPISTRANO, CALIFORNIA, AUTHORIZING AND APPROVING
POOLING OF SELF-INSURANCE THROUGH THE WORKERS'
COMPENSATION PROGRAM OF THE CALIFORNIA JOINT POWERS
INSURANCE AUTHORITY
WHEREAS, pursuant to the provisions of Section 6500 et seq. and also
Section 3700, et. seq., of the California Labor Code, the California Joint Powers
Insurance Authority ("California JPIA") was created in 1977; and
WHEREAS, THE CITY OF SAN JUAN CAPISTRANO has executed the
Joint Powers Agreement to become a member of the California JPIA; and
WHEREAS, the California JPIA has established and administered a
successful Workers' Compensation Self-insurance and Loss Pooling Program for its
members since January 1, 1980; and
WHEREAS, there are significant financial and administrative advantages
for the City of San Juan Capistrano to provide workers' compensation coverage for its
employees through the Workers' Compensation Protection Program of the California
JPIA.
NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of San
Juan Capistrano does hereby;
1. Authorizes and directs workers' compensation coverage for employees of the
City of San Juan Capistrano through the Workers' Compensation Protection
Program of the California JPIA, effective July 1, 2012, pursuant to the terms of
the Memorandum of Coverage in effect at the time of any occurrence covered by
the Memorandum of Coverage.
2. Authorizes the City Manager of the City of San Juan Capistrano to apply to the
Department of Industrial Relations for a Certificate of Consent to Self -insure, and
to take such other actions as be necessary to effectuate self-insurance of
workers' compensation for employees of the City of San Juan Capistrano.
3. Approves an initial Workers' Compensation Annual Contribution of $260,914 and
the appropriate officers of the City of San Juan Capistrano are authorized to pay
the same to the California JPIA.
4. That the City of San Juan Capistrano will subsequently be required to make
annual contributions and annual contribution adjustments as provided in Articles
17 and 21 of the Joint Powers Agreement.
6-5-2012
5. That coverage is provided on a first dollar incurred per claim basis and there is
no self-insured retention level. The cost allocation formula, including the self-
insured retention level, is periodically reviewed by the California JPIA and may
be changed or amended in subsequent program years.
6. That the Mayor shall sign and the City of San Juan Capistrano's City Clerk shall
certify to the passage and adoption of this Resolution, and thereupon the same
shall take effect and be in force.
7. That the City of San Juan Capistrano's City Clerk is directed to forward a certified
copy of this Resolution to the California JPIA, 8081 Moody Street, La Palma,
California 90623.
PASSED, APPROVED AND ADOPTED this 5th day of June 2012.
MARIA M RI ITY CLERK
STATE OF CALIFORNIA )
COUNTY OF ORANGE ) ss.
CITY OF SAN JUAN CAPISTRANO )
I, MARIA MORRIS, appointed City Clerk of the City of San Juan Capistrano, do hereby
certify that the foregoing Resolution No. 12-06-05-01 was duly adopted by the City
Council of the City of San Juan Capistrano at a Regular meeting thereof, held the 5
day of June 2012, by the following vote:
AYES: COUNCIL MEMBERS: Allevato,
NOES: COUNCIL MEMBER: None
T; ML
MBER: None
A MOR ity 6Jerk
Freese, Reeve, Taylor and Mayor Kramer
2 6-5-2012
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