Resolution Number 12-06-05-02RESOLUTION NO. 12-06-05-02
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN JUAN
CAPISTRANO, CALIFORNIA AUTHORIZING FILING AN APPLICATION TO
THE DIRECTOR OF INDUSTRIAL RELATIONS, STATE OF CALIFORNIA
FOR A CERTIFICATE OF CONSENT TO SELF INSURE WORKERS'
COMPENSATION LIABILITIES
WHEREAS, the City of San Juan Capistrano desires to provide workers'
compensation coverage for employees of the City of San Juan Capistrano through the
California Joint Powers Insurance Authority; and
WHEREAS, The California Joint Powers Insurance Authority is a- Workers'
Compensation Self -Insurance and Loss Pooling Program.
NOW, THEREFORE, BE IT RESOLVED, that the City Manager be and is
hereby severally authorized and empowered to file an application to the Director of
Industrial Relations, State of California, for a Certificate of Consent to Self Insure
workers' compensation liabilities on behalf of the City of San Juan Capistrano and to
execute any and all documents required for such application.
PASSED, APPROVED AND ADOPTEPANs 5t" day of Jun�2012.
ER, MAYOR
MAKIA MORRIS TY LERK
6-5-2012
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. 12-06-06-02 was duly adopted by the Cit
M
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, Freese, Reeve, Taylor and Mayor Kramer
NOES:
COUNCIL MEMBER:
None
ABSENT:
COUNCIL MEMBER:
None
M MORRIS I
ity CTerk
6-5-2012