HomeMy WebLinkAboutRES 1954-01 - Board RESOLtlTION
(To Accompat�Application and Agreement)
W'H�REAS, s majority of the eligible employees for whoa coverage is
requesked by theTruckee F'u'r;lic Util,3 JistriCthereiaafter desigaated as
(Nam of the Public Agency)
"Public Agency", at an election or elections, voted is favor of the Public Agency
making a. formal application to the State Director of Finance, hereinafter desig-
nated as the State,, for inclusion of the said eligible employees of said Public
Agency in an agreement between the State and the Federal Security Adm3nietrator
for the coverage of such eligible employees under the insurance system established
by Title II of the Federal Social Security Act, as emended and implemented by
Chapter 46It Statutes of 1950, 3rd Extra Session; and
WHEFTAS, the Public Agency desires to file such an application with the
State and to enter into an agreement with the State containing terms and C011d.i'tiODB
whereby the State will take the necessary steps to extend to such eligible
employees coverage under the said insurance system on behalf of the Public Agency;
and
WHEREAS, e form of application and agreement between the State and the
Public Agency containing the terms and conditions for the inclusion by the State
of the said eligible employees under the coverage of said insurance system on
behalf of the Public Agency has been submitted to this body for consideration and
action;
NOW, TARE, BE IT RESOLVED that the Public Agency execute the afore»
said application and agreement and submit the same to the State for acceptance
and that the State be, and it is hereby, requested to include a11 said eligible
employees of the Public Agency in an agreement between the State and the Federal
Security Administrator for the coverage of said employees under the insurance
system established by Title II of the Federal Social Security Act, as amended or
as may hereafter be emended; and
imp BE IT FURTHER RE-LSoLVED, that for the purpose of said application and
agreement r' Yo`ii-I n�.
Named (Title)
. ?. s.,,._. . 1 if be, and he hereby is, designated as the
(Address)
Authorized Agent of the Public Agency and is hereby authorized and directed to
execute said application and agreement, as submitted, on behalf of Public
Agency and to f orvard the same to the State for acceptance and further action;
and
BE IT 1'11Rj:1IER RESOLVED, that said Author i zed Agency is Sher author i zed
and directed as the representative of the Public Agency to conduct all negotia►•
tions, conclude all arrangements and sign all agreements and instruments which
may be necessary to carry out the letter and intent of the ,aforesaid application
and agreement and in conformity with aU applicable Federal and State lags, rules
and regulat ions.
w r w
Act 1 7
I .a Y.lean .s , CleriTsec sway of theT—rU--QkPe, LUL]
,: {. tzrr - State of Cali.fornia, do hereby,certify the foregoing to be a
full, true and correct copy of the resolution adopted by the .r 01 D it y c on-S..
'i r u ck e e
of the "' lit': St at a regular cte& meeting held on the th i M iet
day of l r to5.4 as the same appears of record in my office.
a
IN WITNESS WHMOFq I have hereunto suet my band affixed the Seal of
District 3�t� Tf rah 195 4
said at may office this_. dav of ........
SUiMIT IN T'RMICATE . `