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05-04-1992
iti '? r,'? '? ??t 1,+ t ? 1 ..? , t ,` ? 4 B'SI' ? 1 I - ' ? ? ? ' ? ?.! •' ' . I4+, 91:, s it: t'.F' ??l'1{.?+.: ?.,b' ,.j-1a.1i ??.,i? ij\ ?\, •1 .4?s?t s?{?r' rr ? r ° , j °'?t t?'h.. '.,t 19??•': ,.?.=. ,. t 1?; gal ';': •'1r )• + .i °y''"jl ?:a' •'4f1? i' _• ?,:i3;[=:' ,, ?° a „1 {,• :.t.e. ?1t ;,.i,..,, s:?+?,r.?i;; ??'r? -'-?.+?.'r ,Sr; ?. ?t rc??i.jr??tl: ,? ?4? i'?i.:?ys. °?S F?,;?-. ir3'33?i?_?.g?, r?r: y?..;. F?ni ?e.:..?, frt.= Ir?. ";i,:•ri'.i'; a???'...?.. ,: ?'i? =d, ?,!`: r: ? ;•?+y'? €o {1 J iL r ?.!' ii 1 ?'1 4i?„ ?. F.r:•r'. ,.?F?. ,`s?:i AF •'r"' z?k'??l .? ''.?Y. f3? •?.; ;15 .t ?fi1??'?"F?*{yi °...i''ri ?`vt i-li,-,'?r j?s?'`,'(?:lA=•'.'s'r5.•. ??.''f,tl?.. 'f<),j e.,,...,15:, .1• •.t :!`f,!.°;y ?:o.,...k+ i•P.- 3>:. r: ..•i? d: ?.=1`''::r.'.'. cF'•'.:<. Y t.'•' FY. =..3t .?v.'#. It .l,i}. '.i Fit.•, ?!`s. y _ t.?'•' 'a' al ;+f :;r':. t' :C°".\r}:}! "tr ?'4?.1r r?.7h` ..?. .C: .l?. .P:: 3; 1 i.: ., i• .. 'A d, e'n 'a/Pen S ® . 4 - 92.' , + 009? 1 rt ..'I r I ` E' ; ' • .. ,. ,. J . I ' ' .' r ', .. i, - I( r . • , r E . sir. ..?- +; , .. ':?f'• . .:aL,:Y:a,•Iw.. ,-'1• ., nra• .. - r7, r. . , . e r .r . r...... 1 .. r, . , ... _ ,.. •t AGENDA ' Board of Trustees of the Employees' Pension Fund May 4, 1992 9:00 A.M. 1. Call to order 1. 9:03 a.m. 2. Approval of Minutes 2: Approved as submitted.. of 3130152 3.' Request for acceptance 3. Accepted. into membership;, ; a) Paul Tavernier, ' b) Marla Evens c) Angela Aldrich d) Debbie Peterson e) Jackie Cofield , f) Allen 5tidham 4: Pension(s) to be granted: 4. Granted. Job-Connected Disability George M. Toran, Jr. 5. Pension(s) to be vested: 5. Vested. Joseph P. Egger 6. Amendment to Pension Advisory 6. Approved for a 90 day period. Committee Policies and Procedures Manual to allow a - quorum to vote on disability pensions until such time as the status of the Chairman has been, determined. 7, Other Business: 7. None. 8. Adjournment: 8. 9:20 a.m. p e E PENSION F D IN May 4, 1992 The.City Commission, meeting as the Board of Trustees of the Employees Pension Fund' met in regular session at City Hall, Monday, May 4, 1992 at 9:03 A.M., with the following members present: Rita Garvey Chairperson Lee Regulski Trustee Richard Fitzgerald Trustee Sue Barfield Trustee Arthur X. Deegan, II Trustee Also Present were: Michael J. Wright City Manager, Milton A. Galbraith, Jr. City Attorney Cynthia E. Goudeau City Clerk ITEM #2 - Minutes: Trustee Fitzgerald moved to approve the minutes of the March 30, 1992, meeting. The motion was duly seconded and carried unanimously. ITEM #3 - Request for Accept nce into Membership: The City Manager presented the recommendation of the Pension Advisory Committee to approve membership for the employee(s) listed below: a) Paul Tavernier b) Marla Evans c) Angela Aldrich d) Debbie Peterson a) Jackie Cofield f) Allen Stidham Trustee Berfield moved to accept the recommendation of the Pension Advisory Committee. The motion was duly seconded and carried unanimously. ITEM #4 - Request for Pension: The City, Manager presented the recommendation of the Pension Advisory Committee that George M. Toren, Jr. be granted a job-connected disability pension under Section 26.35 of the Employees' Pension Plan. PFM 1 514192 L. Mr. Toran was employed by the City as a Firefighter on April 8, 1983, and began participating in the Employees' Pension Plan on that date. During the course of his , employment, he had reported job-related injuries which resulted in his application for a job- connected disability pension. Mr. Toran has submitted letters from two doctors in support of his request. Both doctors report that Mr. Toran has a current medical diagnosis of degenerative joint disease which has been exacerbated by different injuries on the job which precludes his performance of firefighter duties, such as heavy lifting, climbing, carrying and squatting. Notice of Injury Reports are on file which reflect reported injuries on 9126191 incurred while making a search for possible victims at a structure fire when he lost his balance, resulting in a injury to his "rt. hip, lower back and left shoulder bruise" and on 1116192 when it is reported that "vigorous activities as a firefighter exacerbated and accelerated pain in hips-severe pain, both hips- arthritic condition". Dr. Bernasek states Mr. Toran will need a total hip replacement as treatment and even with surgery will never be able to return to work as a Firefighter. Mr. Toran's disability pension was approved by the PAC at its meeting of April 1, 1992. Mr. Toran claims no children under the age of 18; and, therefore, no supplement to the pension is to be provided for dependent children. In response to questions, H. M. Laursen, Human Resources Director, indicated a very comprehensive physical examination was done prior to Mr. Toran being hired as a firefighter and there was no indication of the degenerative joint disease. Trustee Barfield moved to accept the recommendation of the Pension Advisory Committee. The motion was duly seconded and carried unanimously. ITEM #5 - Reauest to Vest Pension: The City Manager presented the recommendation of the Pension Advisory Committee that Joseph P. Egger be permitted to vest his pension under Section 26.49 of the Employees' Pension Plan. Joseph P. Egger. was employed by the City on August 20, 1979, and has been a participant in the Employees' Pension Plan since his date of hire. Sergeant Egger has resigned from City employment affective May 1, 1992. As of his resignation in May, he will have 12 years and 8 months of service and pension participation. The Pension Plan provides that should an employee cease to be an employee of the City after completing 10 or more years of creditable service, then such employee shall acquire a vested interest in the retirement benefits. Vested pension payments commence at the time the employee normally would have been eligible for retirement. Sergeant Egger would have completed 20 years of hazardous duty service on August 20, 1999. His vested pension benefits will be scheduled to begin on that date. Pension will be paid based on 12 years and PFM 2 5/4/92 a 8 months of service, utilizing the following formula: years of service M'mes average salary for last five years of service tal 2.5 percent. Sergeant Egger's vested pension will approximate 31.67 percent of his average salary for his last five years of employment. Trustee Berfield moved to accept the recommendation of the Pension Advisory Committee. The motion was duly seconded and carried unanimously. ITEM #§-.:-Amendment t,4 „PAC Paligles & Procedures Manual The City Manager presented the recommendation of the Pension Advisory Committee to approve an amendment to allow a quorum to vote on disability pensions until such time as the status of the Chairman has been determined. 'The PAC consists of three employees who are elected by a majority of the City employees covered by City pension. The PAC Policies and Procedures Manual contains a provision in the policy for "Processing Disability Pension Requests" (#9, page 8 of manual) which states that all three members of the Committee must be present when the Committee votes on disability pension requests. The manual was approved by the PAC and the Trustees. The pension ordinance itself does not contain any language relating to a requirement that all PAC members be present when they vote on a disability pension request. A medical situation has incapacitated Mr. John Nicholson, Chairman of the PAC, from active participation with the PAC. This incapacitation may be for a brief time, may be for a long time, or may be such that he will not return to this function. Mr. Nicholson may be able to return as a participating PAC member prior to any projected return to work in his regular capacity within the Fire Department. PAC policy, during the absence of the Chairman because of his incapacity, to allow a quorum (two members) to vote on disability pensions and the PAC also requested the approval of the Trustees to temporarily change this policy. The PAC (two active members) voted at its meeting of April 22, 1992, to amend the The City Attorney's Office has advised that the action of the PAC in proposing a temporary amendment to the policy is reasonable and appropriate. A vote by the PAC under these conditions will require a unanimous vote of the two member quorum. Two votes represent the number of votes that would be required by the PAC to approve a disability pension even with all three members present. Assistant City Attorney, Miles Lance, expressed the view that there is no limitation on the number of PAC members required to vote on establishment and/or modificatino pf the PAC policies and procedures; and, therefore, the proposal made by the two current active members in this circumstance is reasonable. H. M. Laursen, Human Resources Director, indicated Mr. Nicholson had a heart attack and is still in the hospital. He reported no disability pensions can be acted upon during his absense unless the policy is changed. PFM 3 5/4/92 !Moor ?rw.• ,. .., i _ .. •+iwa..Iww,n ' ... ...... vYf'•. ..'.i••_?'o • y.4. r1"^ - .. .. . -i ? .. ... s .''' .. , _ r .i .., . e...? .... .. , .... a.. ..4". r Discussion ensued regarding the need to incriese the number, of members on the PAC. It was indicated'.this"has been agreed to. by those discussing and.negotiating changes to the. ,Pension Plan but a referendum will be needed to make that change. It was the consensus of the Trustees to direct staff to suggest the'PAC consider using an advisory committee to make recommendations to the PAC regarding disability pensions. Trustee Regulski moved to approve an amendment to. the Pension Advisory Committee's Policies and Procedures manual for a 90 day period to allow a luorum of the r PAC to vote on disability pensions. The motion was duly seconded and carried unanimously. ;ITEM #7 - OxhQLBusiness: None.. iThM #8 - Adiourn ent: ' The meeting adjourned at 9:20 a.m. 1 ?- PFM [..::. 4 514!92 ) iiiT'+J,tei'!. ^!+ ?:'. ...Fi .+fS •.. .I« ;SY.:,'k:7V.V.4 «.t.W qN;tiara •s`r'.T+, } :1. •e. i.l ,tV: r:.. _ .. . - Ff? I •- r 6S ' AGENDA , ..Boardof?Trustees of the Employees' Pension Fund. May 4, 1992 ' 9:00 A.M. 1:. Call to order I = • 2. I , Approval of Minutes of :3/30/92 3. Request for acceptance into,membership: a Paul Tavernier b Marla Evans d Angela Aldrich d Debbie Peterson e Jackie Cof•ield Allen Stidham 4. Pension(s) to be granted: Job-Connected 'Disability George M. Toran, Jr. 5. Pension(s) to be-vested: Joseph P. Egger b. Amendment to Pens•ion.Advisory Committee Policies and ,. Procedures'Manual-to allow a quorum to vote on disability pensions until such time as the " status of the Chairman has been determined. 7. Other Business:- 8. Adjournment: =1 CLEARWATER CITY COMMISSION Agenda Cover Memorandum Trustees of the Employees' Pension Fund Item N 3 Meeting Date. _514192 _ Subject: Membership in Employees' Pension Plan Recommendation/Motion: Employee(s) listed below be accepted into the Employees' Pension Plan as recommended by the Pension Advisory Committee. ? and that the appropriate officials be authorized to execute same. BACKGROUND: Date Seniority Pension Name and Job_CiaSs P_Qt.IDiV D_ Effwiivc Paul Tavernier, WWTP Oper, C. Pub. Wks./WPC 3/9192 3/9192 Marla Evans, Cashier I DOAS/Cust. Support 319/92 3/9/92 Angela Aldrich, Human Res, Asst. Human Resources 5/28191 3/16/92 Debbie Peterson, Maint. Worker I Parks & Rcc. 7/15/91 7/15/91 Jackie Coficld, Police Ser. Tech. Police 4/4/92 4/4/92 Allen Stidham, Groundskeeper' I Parks & Rcc, 11/4/91 . 11/4/9.1 Reviewed, by: Originating Dept Costs: Commission Action: Legal nI1A Human Resource Total 0 Approved Azq Budget ? Approved wlconditiona Purchasing lYf? - User Dept.; 0 Daniell Risk Mg m I. V Current FY ? Continuedto: DIS Sour e: Fundin c g ACM Other Advertised; ? Capt. Imp. ? Operating Attachments', Lcttcr(s) Date: ` ? Other - Submitted by; Paper: 1? Not required Affected parties Appropriation Code. ? Notified City Manager 9 Not required ? None ?? CITY OF CLERRiURTER EMPLOYEES` PENSION PLRN PENSION IDUISORY COMMITTEE To. Pension Trustees FROM: Pension Advisory Committee L aQ, tti SUBJECT: Recommendation for Accept cc Into Pension Plan " DATE: April 1, 1992 As Trustees of the City of Clearwater Employees' Pension Fund, you are hereby notified that the employees listed below have been duly examined by a local physician and each has been designated hs a "first class risk". These employees are eligible for pension membership as'noted in the Pension Eligibility Date column below, and It Is the recommendation of the Pension Advisory Committee that they be accepted into membership. PENSION HIRE BIRTH ELIGIBILITY NAME,_ JOB' CLASS. & DEPTJDIV. DATE -,-,;, DATE-- DATE Paul Tavernier, WWTP Operator C,P.W./Eng.{WPC} 3/9/92 5/5/56 3/9/92 Maria Evans, Cashier 1, DOAS/UCS 3/9/92 10/2/57 3/9/92 Angela Aldrich, Human Resources Asst., Human Rscs 5/28/91 2116/61 3 / 1 6 / 9 2 - "was temporary from 5/28/91,made perm 3116/92. Eiig, for pension consideration as of 3/16192. Debbie Peterson,. Maint. Wkr. I, Parks & Rec. 07/1 5/91 12/03/56 0711 5191 Ms. Peterson went from' seasonal to permanent; was overlooked for Pension consideration erirt4 Allen Stidham, Groundskeeper I,Parks & Rec. 11-04.91" 03-28-49 03-19.92• "Mr. Stidham was not recommended for Pension Lti when hired by the City; he has been re-examined and Y%e ?.,'? P Is now elig. for consideration as of 3-19-92 .Y ? 9 .G1e eke fs ,?"'¢}S 9:71 • i CITY OF CLEARWATER EMPLOYEES' PENSION PLAN PENSION ADVISORY COMMITTEE ' TQ Pension Trustees a FROM. Pension Advisory Committee SUBJECT: Recommendation for Acceptance Into Pension Plan DATE: 19 Ci,;k- As Trustees of the City of Clearwater Employees' Pension Fend, you are hereby notified that the employees listed below have been duly examined by a local physician and each has been designated as a "first class risk", -These employees are. eligible for pension membership as noted In the Pension EligibIlIty Date column below, and it is the recommendation of the Pension Advisory Committee that they be 'accepted into membership. Name, „ job Claeg, & Delt,GD1Y, p.I.Ctb- 128t_e Hire Date penslon -ElIg. Date Jackie Cofleld, Police Ser. Tech., 2-24-44 4-4-92 4-4-92 Police Allen Stidham, Groundskeeper I, 3-28-49 11-4-91 11-4-91 Parks & Roc. CLEARWATER CITY COMMISSION ?.1 a Agenda Cover Memorandum Item a Meeting Date; 5/4/92 ?iEp• Trustees of the Employees Pension Fund Subject: Pcnsion(s) To Be Granted Recommendation/Motion: George M. Toran, Jr., Firefighter, Fire Department, listed below be granted a job-connected disability pension under Section(s) 26.35 of the Employees' Pension Plan as recommended by the Pension Advisory Committee. ? and that the appropriate officials be authorized to execute same. BACKGROUND: George M. Toran, Jr., Firefighter, Fire Department, was employed by the City as a Firefighter on April 8, 1983, and began participating in the Employees' Pension Plan on that date. During the course of his employment, Mr. Toran had reported job-related injuries which resulted in his application for a job-connected disability pension. Mr. Toran has submitted letters from Joseph M. Sena, M.D. (dated 1/14/91) and Thomas L. Bernasek, M.D. (dated 1/10/92) in support of his request for a job-connected disability pension. Both doctors report that Mr. Toran has a current medical diagnosis of degenerative joint disease which has been exacerbated by different injuries on the job which precludes his performance of Firefighter duties, such as heavy lifting, climbing, carrying, and squatting. Notice of Injury Reports are on file which reflect reported injuries on 9/26/91 incurred while making a search for possible victims at a structure fire when he lost his balance, resulting in a injury to his "rt. hip, lower back, left shoulder bruise," and on 1/16/92 when it is reported that "vigorous activities as a Firefighter exacerbated and accelerated pain in hips----severe pain, both hips-arthritic condition." Dr. Bernasek states that Mr. Toran will need a total hip replacement as treatment and even with surgery will never be able to return to work as a Firefighter. Mr. Torah's disability pension was approved by the Pension Advisory Committee at its meeting of April 1, 1992. Based on an average salary of approximately $31,365 over the past five years and the seventy-five percent (75%) minimum disability benefit, Mr. Torah's pension will approximate $23,524 annually. Charts from Finance which take into consideration mortality rates and age reflect the "present value cost of financing" this pension will be approximately $294,700. Mr. Toran claims no children under the age of 18; and, therefore, no supplement to the pension is to be provided for dependent children. Reviewed by: Legal N;A Budget _ /V1+ -- Purchasing 664 Risk Mgmt. A DIS ACM Other Submitted by: City Manager Originating Dept.: Human Resoi User Dept.: Advertised: Date: Paper: S•Not required Affected parties ? Notified Eg-Not required Costs: J ec eUb" Total Current FY Funding Source: L Capt. Imp. U Operating ? Other Appropriation Code: v Commission Action: ? Approved LU Approved w/conditions l Denied C~a Continued to, Attachments: Letter(s) Request Form ? None 4 • ?1 C I T.Y O F 'C L E A R W A T ,E R POST OFFICE BOX 4748 CLEARWATER, FLORIDA 34 618.4748 TO. Honorable Mayor and Members of the City Commission as Trustees of the Employees' Pension Plan FROM:' Pension Advisory Committee COPIES: George M. Toran, Jr.; Risk Management; Dan Deignan, Assistant Director of Administrative Services/Finance Director; Employee's File SUBJECT: Pension for George M. Toran, Jr.-Job-Connected Disability Pension DATE: April 1, 1992 The Pension Advisory Committee (PAC) received an application for disability pension from George M. Toran, Jr., on January 31, 1992. Mr. Toran has been determined by the Pension Advisory Committee to meet the requirements of the Pension Plan for a job-connected disability pension. He was employed by the City on April 8, 1983, and began p a r t I c I p a t I n g in the Pension Plan on April 8, 1983. Further, he has submitted medical documentation, copies of which are attached, relative to his disability which has been reviewed and approved by the PAC. By motion made and duly carried at its meeting of April 1, 1992, the Pension Advisory Committee approved/recommended the granting of a job-connected disability pension to Mr. Toran in accordance with provisions of Section 26.35 of the City Code. This pension is to be effective on a date to be determined. The amount of Mr. Toran's pension will be calculated by the Finance Department according to the formula in the Pension Plan for jab-connnected disability pension at such time as his last five years of service and salary can be computed. hereby certify that the Pension Advisory Committee has approved the granting of a job-connected disability pension for George M. Toran, Jr., and the above dates are correct. i. _ ---------- Chairman, Pension Advisory Committee ''Equal Employment and Affirmative Action Employer'' PENSION REQUEST FORM I George M. Torun. Jr. do hereby apply for retirement from the City of Clearwater General Employees' Pension Plan. My benefits date is , 04--08-83-. -(Entry date Into pension plan) My date of hire is '04-08-83 My birthday is 03-28--54 My job classification is Firefighter and I work > in the Fire Department. Division. M y resignation date is to be determined The type of pension for which I am applying is (check only one ): Regular Pension based on years of service Lx Job-connected Disability Pension Nan-job-connected Disability Pension My spouse's name is: n/a Dependent children under the age of 18 and residing in my household are: n/a (Print Child's Full Name) (Child's Date of Birth) I hereby certify all of the above to be true and correct: {5ignatur Januar 31 1992 (Date) r. (Notary Public) RGTAr?Y FI;SL!C :TATS C= tl_ MIDA A;`:.. ?. 'r94 Bt N00 Ti1Ma R;,. ?11?. i RE:,.' GEORGE M. TORAH, JR. SSN:? 045-48--1376 To Whom It May Concern: -Mr. Toran has been under my care since the visit at my office on October 9, 1991, as a result of a work related injury on September 26', 1991•. While in the course of his duties as a Paramedic Firefighter for'the City of. Clearwater, he has been in persistent pain since that time. His diagnosis is pre-existing Degenerative Joint Disease of the hip with symptoms exacerbated by his fall at work. He-will be capable of desk,duties only. No climbing, heavy lifting or squatting. This patient'will not be capable of returning to his former occupation as a Paramedic - Firefighter. He will need to seek a new career. -I do feel his condition is permanent in nature and even with surgery, patient will not be able to return to a career of fire fighting duties. If any other assistance is needed with patient, please contact me at my office. Sincerer /w oseEh M. Sena, A.D. FLO IR EA PAORTHOEDI ; jNSTITUTE - Hand Surgery and Microsurgery Thomas L: Greemr. M.D. 1a 1992 M. Ellen licattr, M.D. January , Trauma Roy W. Sanders, M.D. Tlii)masG. Dil'a!,yuala,D.O. Dolfi Himovici Jr., D.O: Reference:' George H. Toran, Jr. Adult Reconstruction FOI #115583 and Arthritis Surgery Kenneth A. GustW. M.D, Thomas L, Bcrnaxvk,.,1.D, To Whom It Hay Concern: Spine Surgery Glenn R. Re-clttine, On September 25, 1991, 'Hr. Toran re--injured his hip during the . Foot and Ankle Surgery course of his firefighting duties. He is permanently disabled Arthur K. Wallin}•r LI.D. as a paramedic/firefighter doing the type of heavy lifting, Ray W. Sanders„11.D. carrying, squatting. etc.-that is involved.with his job. He has Sports Medicine acquired severe degenerative joint disease which has been David Leffers, M.D. exacerbated from different injuries on the job and the various MusculoskelculOncoiogy entities a firefighter performs. Arthur K. Walling, M-M Pediatric Orthopaedics He will need a total hip replacement as treatment and even with Carol A. walker, M.D. surgery will never be able to return to work as a firefighter. Phgsical Medicine If any additional information is required, release do, not and Rehabilitation hesitate to contact me. Susan NI. Miller. M.D. Foundation for Sincerely, ?fuscuioskef?tal Research and ' Education, Inc. Thomas L. Bernasek, H.D. Arthritis Surgery and Joint Reconstruction Florida Orthopaedic Institute /rlc 4175 E. Fowler Avenue • Tampa, FL 33617-2011 Appointments: 813-978-9:97 ¦ General Information: 813.978.97D0 t FAX: 813-972-1463, ..W amt ....+v'r .-.s..j 45, . t.••+?•„• ?. - ' J. - .'. ''tr' >i•''?'• ?.l.. r`_n ....? :,? , , ... _j ri .,i ••.-. _ . _ _ ', •' r,: ??"r ?f ,? a:.r.+.... _•y.'..•?yr;.. ?•'! :',•wyr '?. l;r ,,,,?ar4 r r ..•!.,.... A• It N ?• ?S?I•yF"`;??i_"??, :.-i' -?. 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'T'S; ?r u'. `?'?.F,?,"r•.,w ,l+ "-,.',.'y'?•r3^'?1,'?>I????•??s ?(????^?Wj?1' ? ?,?r ? •?•,T,?%,i,[rAr"?} as?j??}? ` T'??t???I.,y11CII,l?p?y?.???-'?F ?5??.-`..???tt•'"yfe? 1 •. ?? ?. , a••+M'rrT) ~i' •t• •?r4Mrr`J!Jr1rI ?RV!tiW rlY???'40[rI l?J?,?3L', yY? a+?%i f.i??t?l l??- I?f}Sa17:T•?:n ri •?"'•' :3i fjS t' r? r M %t kt s> Io:xt 4 r ? ursozr tpq at!SO't1fttJ _ sY?F`:psKraildio?IS?A '? ?r ?"5,???01'If•?t1sV7pt1f1k+T+O ? y7?ib r? ' N? !?' Q -S ts, i YS'-'? s .:.--: e , , t,, ., ?. i ' : ?lVUrf !!>51 'wl'.? i lit 1 '11 6?•1' ia,11 #!A ?iy/? ?. ' 045-4R-1?7.6'? ,.`->,.. ?. ?'' ??•L ? ll+?}.,!7. i< ,'e DRESS w??A. t •?/ ?YY' ?i J, ?' ti. .f,w F..•t4, .y.•!'. r1•••.• .• ,wh• .. - • DESCRIPTION Y - ? t7.1 ?.•jy.?y _,t Ly { a ? w??R•?itc~riY<`rt`rii .?."7:•'!t'?w••,.. .. y. -a.. _`r , ^w:rr?. ._. .,_tn...Fiy ?'a •. a }? j?±± Q?? . rZ•? ? n? • ?i .. '{ .. _. ,sa..'•' 11e t ?? rraj 13i1ttt .1,• w r .?ir _ 610;660 1 n -.St. C? easr'?ter,;:9 EL•iM'i, ?. Eii' hte ' " i aicelr.bated, a ;.a?1 era&edt ann.Q 4 ips 813 tw? 62 '?';i '.745-01t G 5CAA!$ ! yR OF1 DI z I! er . I Y,N?F G ?t!??r,1n Irr1 S;? F`•' it . '? e: ht4ti St !; r d a_'?oa ??L7h 14+ i! q' ?, it wU {.O"' IV ,XF?i+•?`? afiM ?.???ujf. ir., ©Fge;f'1QF1b if• `YES• • U+ IDtEMPIAYER pRWIDE;'MEDtGXL? YtsE19,?*QNO?lpi;l660 id">aeaEeAa?1e rY,. , :Lv? i r?• rt ...:?-': _:,,.: ? -.,EMPLOYER INFORMATION ,.5.;;,•, .s::? .. _IS.:<•: eras:...a."-...'.,..:,,..;.....• :...... ..:.... • • ?. rt:.r ••+ bFIRM'S'NAMEAND:IIDD 9Sri?ipi??jclr3tit;err tit?lriirt4t na„saaer9.? ;rFEflERAL.1.DaNUM$ERelnNasrMgmoo ,rxrrsa: LcDATE'.AND;I'IMF_ F, MST,REPORTED7ir, , C1 ty lofi Cl eat?da r ' ,f3 pt ' 122Q S6- ?Ofl0a289 B?X?,4748 yam; ••? :`: ?Ql1Z .iW;C1COVERAGEBI('()1qM •' - POLICYlMEMBCR NUMBER a s _ •• k •'e! m, t a t` G'IBal;?ratet s:tF.`7 .3 ,INSU ANC?CO. '- ? SELF•INSI]R?D t491?tt "!1a ihrw bs 011-brr at t ?.? ?y: ,M?1: i;a.'•:.S?J %?.}?'??':?-t i. ? °?•? :•.?.?L?? :- ;,`-; ... . ,' NAME. ADDRESS. TELEPHONE Own r w ? u l- :,. „n u..,r r .? ?.''.?: i? •. 14 f , fl NU ??'?' • PHON w8 lae«w. ?: . - .? ' .. 1NSURANC a0 SFtiRV CE:O P qv EZO R I OM ANYroHZ W YOUZ U EITO,1?AY,r'. 5. • • 462;-6758 GALLAGHER BASSETI'_SERVICES, INC,•??`W* ? S?.?YL?ii r r?r`{E?toliaL},??i .l r!'`, r-.= 4? t.PLACE OF- AC,CIDENT;ISIreet,'Clty,.County, Ste!09 :7-iii x?.x:_,r Y? •+.., p ?1 ?,t?, ?r r1• •,i:. i•.I!. Y?i bb.r. Y..M?ESr?' 1i.r?r,..r :iltt ;l: [ .a... '?: .??h., •, P.O. Doi 4840' :?! 'r Sj#Jr?6?j4'enq!*+ i?1R 'j ST DAY. PP1n,THgAUG?i'i4D'..L ?r rr; ?wl " -? ,y,•._..]t%?? ...•..r><r.1i.iw•';: ., as G za8 ter, FL 34618-4840 n Vv,wr.+rr r/, rM' ' '' rs=a? a Y?7?-- 1? r a?,'ar?? `"yy'?:... ?r',tr ':rs.u •1?? C 1 rW id±13;.1tm!?"M",?ar4 in !• ?l koe6r!t?' ii - ^. Illri&iedmyh-yAxursIdsfaeanr?,nc.T'elephotle:r,(813) 786-6S291uiulaixg++te,llawl, a r • - - FI?fE OF PAII. .h!'Yi 4?? x?L••?.]??.i.R•r MpiV}. -tf?a i.? i..•..+.u ?h...?y.. va., i -• ?[?) K .:.~ :^?i=y: :`c{:rr. inn .t. r•r.t,?'?i?:-"i",.":..s;T'kF•„_.t?i.z•.r;'i?::i..? NAME, ADDRESS AND TELEPHONE,'',:. ?,«-,? ..,? ,?•.» . , _ „• . 41 OF PHYSICIAN'ORIHOSPITAL•avY ? arm'. ?'?f?y ? ? r RrP7D?Y(u? ? 8 ; C ~?} `_.:.L ...?...?.'+;%7Tarukw'r!':yr• ._ , 1 •_!"Y'•t umt`°f0lhour9? t ?w' 3o y(tulnl W1 Y41t l4 tnuCa?s a 4n tr?lc?m6'9rt1? nn*per burs DID THE EMPLOYEE. KNOWINGLY REFUSE TO USE A SAFETY frlis un '.t [~?umber er of of hpurr•-•-• •. •' •-• - ^--•'- '+ . APPLIANCE'PROVIDED"BY.-YOU,rrHE•EMPLOYERTSt1(3YES 0 NO" lnta;urri fr i; riq.a tl rtlelgro-tsr oatUl rbe6lolsrt9 ° ar p°r we°k•ru >aYnU?rr*?n+•nn ".C 1;, `::.? "DATE EMPLOYED?) .''•`_::-"?!•si7.,a: IRST•DATE EMPLOYEE WORKED ,'>tx?rt Ele,t"+rne arrt:m?r'k7r,nf1's.ce?y1t orttoa?itrt i pebwe°k ?YS a:i >rirrtx0`:r +'' _ .4 . . 11 ; 1. • 83 nF ekla' g?11r.?t" 30 ldr:l1r• 111,91N -1NuI.srr:1J nrt:ll ,rmu1 s tt a'c5 M11A nplc 1501 r+r tulu" 13,111 PAID FOR DATE OF INJURY' RETURNED TO WORK ' ' ? YES [%NO :• , s?iQITO32 i' OKUTHORIZED°By;EMPZOYER3 ' ? YES ? NO YES O NO O "IF`YES GIVE DATE"r?t'' , Writ n.rrvAanr.hrri^ iv, tci ras,Ve"3Jn t^! r..^ + :r , 1 .a 7 1 LOCATION ADDRESS' s. fiC t - is rsr;-r.:;Weirs rt; cr., sr:c t MIA, s:v .t Sl?f, WAS INJURY FATAL? ? YES' IXNO pat. ,:?.:3 ,.:,:r: o.tl g:t,r.?'Wt. tatln:? ^ ca?clt'^.::'. ? :nv.r: f?:•t ,,,;.. ,.it'r::..I::. S IF YES, GIVE DATE OF DEATH r 1 n,rr re are rz",Rlr•<, ., (LOCATION #;,...•,•tr ll no"Ar:•;Art tl t`r: r, a IRAPP,LICASLE) r to r+?! ?rr,rdr','•k t.t ;,v,t 't AGREE WITH DESCRIPTION OF ACCIDENT? . , tp? ynr,r ; NATU11E OF,BUSINESSgivt;sg trirtrr,igq5 xtrr'r.s E: etUels,a;.lat tlca,:ovi sa•,?:Irrne nrlt bl(1 - : ? YES ? N[i '='`+1F NO ATTACH EXPLANATION s°yo!gr 1* eM 10!t 9» 16y °?r{ k;rra bourin; 901 LnM ytb ltel Prtt be+trricprl3 e1,sD .c ' Any person who, knawingly and with Intent to injure, defraud or deceive arty employer or employee; insurance cormpa,'i1? or self -insured program; files' any siatemenl'of `•' darts containing any false or misleading Information,is guilty of a lelony a1 the third degree,goi 3-.ot a rrl have pravideeddthe employee their copy at this notice; Al (l,"noWl , ,a 1. rtlt;eb rir, no ru'ai ton Mt.lrwma a (Nil 1i "ri4t= xxItO ,ritnt•+3 L!; etab 043 °tn'vatq ttnrt -_ t . ,r s ': • I. ttnpl b"iv 0 By.,Mad:r (,t, h , :its -lair T { rr d ?r,Vl a`'Jf?r rrlr _,A I MI, 1 I ? r?'1{ ! r. ctn.: I',')f,- i :r• ? EMPLOYEE SIGNATURE G+ available to S,9n GATE ?y' EMPLOYER SIGNATURE LAk..,•? • r,,,- ' i. I-0 DATE --w; _ * tetqu+q ?s• > rr test TO Cr ?:f CARRIER INFORMATION r e . • i),rr! rrrr f7+?a ,tN /+ h?°.' n•, • t r !' ^r.v! Yr•, ,, ^ v.•.,,/^ ir• , win :mwu bnw L.ftgn1r4 r}ilte nttk W tmnu:a rr 00iUVAa 1,61,;,1; tWpU-1,M'u,1n lmrt c Wet,•yv}lt. iu•!1r 1,) h111r. t.; ,.t,{ rt9,t.. '-1111 L4W jIAAJ f?1.ac ta't-Iru:' x1 ir1 li.tl'i i,:4. C^.& u:rU . Carrier Audif # location # Service Co. - 088 '=a Carrier File #r N• ?•.•i ...•' ., 1t r'l:r•.^ t , 7»."^ , t ns., r Case=-D -l-,...••„ xr q :? en v N-rno?'tw ti otr 1 5 m •f?'i. 'Controverting WC-? 2;NOTICE OF D£NIl?kHATTACHED yr+ q o',t ts'KtS u?+ ,t• e:,;•1 i . . . Et, sm?t'.cD ,,, :1 otxrn Ili 2. Lost Time Case-Date of First Payment _ 1 1 AWW , w Comp Bate First day o(disabilllyi r vribrt rt:y,Date of First Contact with Claimant t In; • ? • • flon©p tV V , t-'' t ? ri'x•:y 'r l___,?l , ? PerSO• ?' TelephMail,t7•. 's: » v -Notice Filed Due to Multiple Periods of Disability. Dates Covr:red by First °'r'r''? G d,w tv.??srlme mt1 n?rTr+ i r + rr , " n1 L! c n 1+? to t,.n r , ? T.T.d. ? T.PD. Date Form Rec'd• '! 1 Catastrophic'" C1 P.T•D: `? Death C1 31- Medical Only which became a Lost, Time Case.., (Complete eli information in't'tem 2 above) t,.nn _,, iwjI!• yI J 1a: ASK. r:? a4 r rq'<t,r •, ++, -VI.a Ilavft•R ? YtH aryt-+w tc.` [, .ntlu ap,erll7 t.>(t.r4,rr 4i?'t '/.,111!,.! ttl,>tltt'.tr }'<,+.Yl 1•,7 u:r?.ntl+l ••rii t4rn7 rt' :+.•, •tril „ •I f:.?7 M 1r•1,?]'ti •?•• li "r'ii.t` i,^rtr+•t , F:t` t•nf V'. •t'• _ .,r:-+n .. .. .. I T'l 'H .,?.t: •?'..r yr .. lost :lN7?7iit Mill n.. ,_.... -_.._ - ......,. -..... .. ??, . ?., ..z. .. ._r.u .. •. ....•. ,. ADJUSTER NAME: tr:,r a r; •::a rvtstq<;r,, r, c w t t, .n' . •.• r:r n•r tn•r r.. CARRIER NAME, ADDRESS & TELEPHONE.,., 'veer;- ' .ot.I: r,• r. ?r. , ,.+ •. , - tiCrrt.n rtr„isy'h'dA3'F: '?',,,• i?.?'I./+V•'_J l w, I 't•?l•nn?rl a,tt ,...Nyit!,t Fl I•i.a'••/:'r!rtrt lD h`?RI'h t^,. doM',t?-•,.. t.ti .... i,i ,. iJ ADJUSTER SIGNATURE: GALLAGHER 13ASSE17j§ERVICESI INC.,,,,,rr•:r + P.O. Box 4840 ?ional :'•-, !.t n.t[r n':t atLt^ '?? •1? '? ; ;1"' Cv tats ' r G :b?'r: a ::v t 1?t;:ar Uut, , r''t,)r:;•...r ?ra,1;) :u r,l t. .'t. 7 • ,....., ..t • Clearwater, FL 34618.4840__,.•ri't ' Tolephone; (813)796-6929 A017)5,1 I,4:1?• LES Fo m OWC•1 0190 EMPL•OYFR COPY I •:?S"y.: Zi`:?w?w•?r.+wiw...•`:..J.ti ? • .. ..7w.^? -?,'?-V? t'•' rJ,_ w rY•r •.w. •_ '•?•. . 'r• . ,• .. '.• , r.f.' .,\• . y r .1 ,. • r"f?M w _?' .• •... , !.'ii •?.SZ f, T A?• - 7 ,:? cnlftsnxr ? -„ '.?• n c.4 ;..\I %AivW intiA&.-y* 't 'u ?vr., I" 1; ns• v .+..r,.?. -w• .-". ".? •": • ?^'..+ .- ? ## •1.w.^!+..•... ;'r11?(•If>t,Jl sttq?f-1}•...:.'..-.-. . ? E • , 0F,1 A80q Ar D.EMp 14.gN'T S•ECUR ? :?1S,. `t ,?;?`#7?;.. ?FN1I?AS?bPTIORi? G:rrl?a?+? ?j 1+?1 ' I .. SW ! QQ-3?1itr1 y41 171 COIk9C?i dl?f bC1110liiCA I0f 1i1nC8 t t'.t> + Ir +r7?r lsbet 1 r- ><itf::id r.-t•-. •_•__{ "r., 'f -..li'_?r,!•k??!:?Esir 3 I` '£iF' a:,3 r.i`? .1 ?f•'?t'dY?7lcwtq?lrtl?atr?Mi7' x: ?. , , EMPLOrYgE ? ?i!?!1,??!r?+tlJla4?1Cr'tfttt•.raM' ltl?: m?Qw?„•i,:•:r„!'rt ?'-?? ,:Geot?e? I . Toran `Jr: .045; 610'Fr iaEl:? #n, 5t: C1 eailia te ?.. ?j ..'"fit'-- "• .- ? !tis•1 * 'Y i, a L H E =c;.cie.° :I. '?? :u??V 3??DE,,gq*SC t !< tW.!tcrfil ,a tst7, oc r71Rt i KC>w COW_ .. :'iJ '?:*?1:' i'r '. E t?t:>!`:_......:¦', rtifri'G J .F `v iea'h, A Or 1, GAUnnr? w - .. n tq{ltzutin! na I?Idy?r.? sad}, FOR CARRIER'S DATE STAMP - RHI6 Er-'D BY QAi i ?1 SENTO DIVISION i ` ?, ?i,?? i1?? tF. hvw rt k 't * t ?r ; ii{.,?:.• , t rd ! o a ' ri 'r ak ?T :' , i v . r f ) . ±A n y v. • . uot4 ?ytprxwat,ro;!it I'M III a MTV 7* Ycfn+v?,?fltvrittss?Yr?' ??rlgtitFi¢rt?*}jfo+htn7 4tit J., t13u4t! b t+;st# Iz1 l r 6 tsY??drk?lfw,If ptl4e a" no or Ct ?Irt 1 Cla P Aini e?v^• ?•?'ts ilf?gt?liy tils?l:J.?'r?rF ... -. , -.YVGf'IBCahIOG • I F, rtt '?i7.;1;% iV _ ;i , •ifi•? %+';::;:' '?: .ihnwo.ft';4Stv,7,..•. _EMPLOYER INFORMATION s'-, ??'• ry !? :;.l.'• km4lq t:FE0ER4L.I,DrNUMBER•itonnlr3sgmtYagrtlhl? • ,,DATE AND•TIME FIRST REPORTf:D,:i I2ZQ'x ?:; ,: 55-60000284 = . 4?26J4?'?r7?2i30: hrsf>mu,"A {. •:,l'I>3 3 l:Wr ,IGOV€> [iE??3Y?Q.j?M ':?•' ' ' :- POLICWMEI1119ER NUMBER .i;.'•:•, '(3tNSURANCE'CO pS£f.t•If15t1REt}s1! 7bSJWW77Jt7aCJ JiICNi?hllJ?r]I!"fl?VIr7D??,t NAME, ADDRESS, TELEPHONE OFun!+,u17?a uy1,u a c aw+U+f tr7l.ujlu vfu -rsvl:Jvn xyG t .: t :'? •'INSURANCE.CO„ORSERVICE.CQ,%APANY,t)rtgettle KIWI.YO !;9NUNUE;YO,6AY„ t ','•'.:; `' :GALLAdHrm.BASSEITSERVICES,IN040' 4SCIA1R,?`??i1. Six}ts,fir'.t :?• ' r;' P.O: Box 4840 =akai fulas? a r.;:i:;' tLns?Typff.PrA?IHRO}ICiH±rh,'{1 ?'?•? wr+¦'y?j'???i•.Clearwale!•,FL,34818?4940?et17,B?rt114"11f'?5t7?K• Tw,I?Wr»..?fl.??•?Z,?dElw'iu?r• :''•ai?^. urn`)[ rli::??r:..i :rBP19no?+.??1?7,9r6929.ri?sal:s•iAe'?+?t rRpTE'OF PAY,j.I'©NFlarp'j. 7:rF1t¢;r:,7 to ^A: NAME, ADDRESS AND TELEPHONE '• 1I04. y pAy • O '? }; r C OF PHYSICIAN OR HOSPITAL.*a?t bnGit? i',rllrrori7 l? ' Numb r ! h ! u461 City, County, Slat Pf#ineylas? %W Y ;. ' };° y;.; 7 Y. .:" ..,..., _.... ,, .., ?:,.. '.... !. y..... .-„..': . .. .: ... e o ours ?7J }010THE EMPLOYEE KNOWINGLYREFuSETo use ASAFETY f ?;•!i)?iYi?aY+?%?9?+%?'S1?f; LGC.C:Iq^l?i7r;- n?•perday ;,rs?+^??' f ••',•? Number a? hours . ' :.. • ? ' J .'APPLIANCE' PROVIDED BY'YOLI,JTHE EMgLOYER7;1rfD YES ru N00: N 7}Q_i9-,WjtSg! rer?A,?g I<49 sla: L411 par weak, •, 7 ?7F•?J?S•..,n ! „ - 37d ! Numbef a! days .. DATE EMPLWED LAST DATE EMPLOYEE WORKED r =46 f ?.{ 7,1 crti i8 tyt'F s,,,, Fer wank ? : 1f?t'cn'T? r}1 r,0 r . s-'-11 83 curlre tl -work ifig,',,,. ! t •'? - • r.+,f• E . PAID FOR DATE OF INJURY' RETURNED TO WORK 1 YES NO A01 i 3.3P, F AUTHORIZED 139 EfAPLOYER'1 OYES 10 NO YES& NO O ..,,, IF?YES, GIVE DATE a 091 _ZSJ-.. I .^r ; ??;';:;• %LOCATION ADDRESS.. t .10 WAS INJURY FATAL?. E) YES NO - V - ,' •• :'1 L' :i,,'T?e"::p,,•.:-plt„7.u pl.r, g, a,•ri•J,nH .. 'r-, .I , r, IF YES, GIVE DATE OF DEATH r r "(LOCATION N.• J•- :. •~, " „' IF APPLICABLE) , .. •-•' t , ,. , AGREE WITH DESCRIPTION OF ACCIDENT? .01 f,•,Y lax?s, : f? NOIF NO ATTACH EXPLANATION `cn ; ; ^n a:ts 731 hn? av .'rlak:<r i t?nu,n +,! to=it t, b tc?f! a71'- t 7,, a }rti3 ti!F Q w -Any person who, knovringty and with Intent to Injure, defraud or doceive any employer or employee, Insurance company or sell•Insuted program, files any statement of '-f - • claim containing any false or misleading Information Is gurtty of a felony of the third degree.;: st n ?.74;rrf have provided the emOoyoe lhoir copy of this notice; c.• Gr.: u1;.?4 ttf to df>31.li?Ldini r,y.a,,t 7q t.sr t ...::? _ }}tl't•vt' wJJ_vr7 ,i1:_ 3) t'? g'a:• eazl ....r , ., ..,.; ? in Person=- ?Mail• y - `, ,y , ,+?Y,rj `a.F NPT, AVAiuABLE; FOR SIGNATURE .•' EW PLOYEE SIGNATURE (it VOL labia to sign) DATE e• - EMPLOYER SIGNATURE n• , • r. , J DATE . . ;,r •.n},.,?•.,,r.:, GAHHILH INFVHMAlIE)r4, :11t+?y, 9it7L Lr•`, !"LlJ T •aa y,.lt W I' . _r.. ., If1hl7....16 ne :d St • .3'1v h.'7 ,, ?J.•.r ,: ? v' „ ,r -•,':Y t'J .•'l 't {. } 1..11 •• :. ,. •:.- ... , ,. .. .. :, Carriar Audit N Location of Service Co. 0 -Carrier File.# Om!vCbrilro4eriing'C'B- 36' DWC-12; NOTICE-OF DENIAL:IATTACH ED''f "?nrnl.•'nngl'Rr•,''l1n;,J'd1G,)t rs:I"y fBm J fyRro?2r,P i+ •-•;s 2, Lost Time Case •-Dist of First Payment! AWW Camp Rata' First day of d'+sabi?ity •a,n , ,, ?; --Date of First Contact with Claimant- ? In Person 61 TeQ3 one,, Q Malf ,-l.ti_,., , -, „ 1. ; ..-.r l• r -•-Notice Filed Due to Multiple Periods of Disabilily. Dales Covaied by First Payment' !i•'""r.`,f+'. s ? t D. 0 T.P.D.` Dalo Form Rec'd;' f f - p'Calaslrophic'•p RT.b. ? 0oath ,r.rr i :1, ti, E3 3.. Medical Only whist} became a Lost Time Case. {Complete all information in item, 2 above) REMARKS::... ,• ?r.•,,.., r' , f.. ?. ,, , ,. __ __ _. ADJUSTER NAME: ,:''?, :.' l' I n I'•' +:+.• CARRIER NAME, ADDRESS 6 TELEPHONE:' la • . ,1 '1J :.. ?,. Irr•, .' ;t T ... v :: "'DATE: , ,-,d:•..,' •,11 ,,..-, }L'.;. ',I• ri GALLAGHER BASSETT SERVICES, INC.,,,-., ADJUSTER SIGNATURE: . P.O. Box 4840 .. reml•..:,I un,r l.J U„J:6-n r., t; .,.. .f. + 1 , . r r t , 'a.'r-s^. r.:, it • J ! .I • , I ; r,.,,,i !s • .•S , fig ;i.. _:: n•,r+r Clearwater, FL 346184840 +r• Tafaphono: (813) 796-6929 T t 0L r ?:?.? f?.Jl I•l 'Z .I• ',{! (7 rl?r•, .• et,eln;Tnlr?e?otillry?aer?? ,,y si•um"lrsfTSe? 26Jts71hR'' 130t.hr?.411i,Us A 14 OS fi aalnce:??•ir:,:,t,JF I WRT, F•9f`ODY,A,rFFE E~ y,;, ,la.,tT +r•ugodAbs' l' adm4cnlr7r?i QIC.? 1 LES F-V-??/?? - W- /may -T - ?? EMPLOYER COPY CLEARWATER CITY COMMISSION ;, = a Agenda Cover Memorandum Item n Meeting Date: 5/4192 Trustees of the Employees' Pension Fund Subject: Pension(s) To Be Vested Recommendation/Motion: Approval be granted to Joseph P, Egger, Police Sergeant, Police Department, to vest his pension under the provisions of Section 26.49 of the Employees' Pension Plan as recorrimcndcd by the Pension Advisory Committee. ? and that the appropriate officials be authorized to execute same. BACKGROUND: Name Joseph P. Egger was employed by the City on August 20, 1979, and has been a participant in the Employees' Pension Plan since . his date of hire. Sergeant Egger has resigned from City employment effective May 1. 1992. As of his resignation in May, Sergeant Egger will have 12 years and 8 months of service and pension participation. The Employees' Pension Plan-provides that should an employee cease to be an employee of the City of Clearwater after completing ten (10) or more years of creditable service, then such employee shall acquire a vested interest in the retirement benefits. Vested pension payments commen%;c at the time the employee normally would have been eligible for retirement. Sergeant Egger would have completed 20 years of hazardous duty service on August 20, 1949. Sergeant Egger's vested pension benefits will be scheduled to begin on that date. Pension will be paid based on 12 years and 8 months of service, utilizing the following formula: years of service times average salary for last five years of service dines 2.5 percent. Sergeant Egger's vested pension will approximate 31.67 percent of his average salary for his last five years of employment. Reviewed by: Legal' Budget A14- Purchasing IVA- Risk Mgmt. ^v4? DIS ACM Other /J/1- Submitted by: City Manager originating Dept Human Rc rcc User Dept.: Advertised: Date: Paper: . A Not required Affected parties ? Notilled gNot required Costs: _ Av?- Total Current FY Funding Source; ? Capt. imp. ? Operating ? Other Appropriation Code: Commission Action: f? Approved ? Approved wlconditions Denied U Continued to: Attachments: Letter(s) Request Form [J None C I T Y O F C L' E A R. W A T E R POST OFFICE BOX 4740 s' AT CLEARWATER, FLORIDA 3461 8.4748 ,r Pareonnel Dapnrtmarrl 462.6a7o Vy Honorable Mayor and Members of the City, 'Commission as Trustees of the Employees' Pension Plan FROM: Pension Advisory Committee COPIES: Joseph P. Egger; Michael Laursen; Dan Deignan; Members of the Pension Advisory Committee SUBJECT: Regular Pension-Joseph P. Egger DATE: April 22, 1992 ,a The Pension Advisory Committee received an application for vested pension from Joseph P. Egger on March 30, 1992. Mr. Egger was employed by the City on August 20, 1979, and has been a participant in the Pension Plan since August 20, 1979, The amount of Mr. Egger's pension will be computed by the Finance Department at a later date. By motion made and duly carried at its meeting of April 22, 1992, the Pension Advisory Committee approved/recommended a vested pension for Joseph P. Egger in accordance with Section 26.49 of the City Code. This pension is effective August 20, 1999, at the end of the day. I hereby certify that the Pension Advisory Committee has approved the granting of a- vested pension for Joseph P. Egger and the above dates are correct. l.i.? airman, Pension visor Committee "Equal Employment and Altirmalive Action Employer" ¦ - I . - , APPLICATION FOR VESTED RIGHTS PENSION _gosgp.h P. Egger being a person leaving "employment with the City of Clearwater, Florida, and having completed ten (10) or more years of credited service, such service having occurred during the period from date of permanent employment 4?.?!?R??? - r to date of resignation, hereby make application to receive the vested rights pension provided for be Section 2-63 of Ordinance No. 1832. As such former employee I understand that the pension requested will be computed pursuant to the provisions, of Section 2-48 of Ordinance No. 1832. I hereby further certify that my date of birth is The date e-I will begin to receive my reduced pension will be Further, I additionally certify that I have made no application seeking to obtain a return of the contributions that I paid into the pension fund during the period of my employment set forth above; That I have not been convicted of a felony during my period of employment and have not received any other type of pension from the City, 4 arni'/J-? c: L Witness 110 Live Oak Court, Clearwater.l_FL 34616 STATE OF FLORIDA COUNTY OF PINELLAS Sworn to and subscribed U betor= me this 3 G7t day of , r, I NOTARY I 11LI , SPATE OF V1.011MA. hit' COMMI SIGN Uxlli111:3. JOY 31, ITM SQKDEQ'n1XU NdrMtY YUM.1C UNUI OVIUTf a NOTARY PUBLIC Address Police Ea:trol Department Division 066-46-4263 Social Security'Number 3t*? ?; CLEARWATER CITY COMMISSION 4 ^ - = 3 Agenda Cover Memorandum Item # rE??`oQ Meeting Date: 5/4/92 Trustees of the Employees Pension Fund Subjact: Amendment to Pension Advisory Committee Policies and Procedures Manual Recommendation/Motion: Approve a temporary amendment to the Pension Advisory Committee (PAC) Policies and Procedures Manual to allow a quorum of the PAC to vote on disability pensions until such time as the PAC Chairman, who currently Is incapacitated, is able to return or otherwise is replaced pursuant to an employee election. ? and that the appropriate officials be authorized to execute same. BACKGROUND: The Pension AdvisoryCommittee (PAC) consists of three employees who are elected by a majority of the City employees covered by City pension. The Pension Advisory Committee Policies and Procedures Manual contains a provision in the policy for "Processing Disability Pension Requests" (No. 9, page 8 of the Manual) which states that all three members of the Committee must be present when the Committee votes on disability pension requests. The PAC Policies and Procedures Manual was approved by the PAC and the Trustees. The pension ordinance itself does not contain any language relating to a requirement that all PAC members be present when they vote on a disability pension request. A medical situation has Incapacitated Mr. John Nicholson, Chairman of the PAC, from active participation with the PAC. This incapacitation may be for a brief time, may be for a long time, or may be such that he will not return to this function. Mr. Nicholson may be able to return as a participating PAC member prior to any projected return to work in his regular capacity within the Fire Department. The PAC (two active members) voted at its meeting of April 22, 1992, to amend the PAC policy, during the absence of the Chairman because of his incapacity, to allow a quorum (two members) to vote on disability pensions and the PAC also requested the approval of the Trustees to temporarily change this policy. The City Attorney's Office (Assistant City Attorney Miles Lance) has advised that the action of the PAC In proposing a temporary amendment to the policy is reasonable and appropriate. A vote by the PAC under these conditions will require a unanimous vote of the remaining members (two members represent a quorum and a split vote would not carry an approval action). Two votes represent the number of votes that would be required by the PAC to approve a disability pension even with all three members present. Mr. Lance expressed the view that there Is no limitation on the number of PAC members required to vote on establishment and/or modification of the PAC policies and procedures; and, therefore, the proposal made by the two current active members in this circumstance Is reasonable. Reviewed by: Originating DepV Cdsts:/y/? Commission Action: legal A .10- n/ - 1 Ces Human . Total ? Approved 1 4 Budget 1=1 Approved w/conditions Purchasing !?A- _ User Dept.: Currant FY [.1 Denied Risk Mgmt. IVA i.J Continued to: DIS A Funding Source: - ACM "' Advertised: L] Capt. Imp, Other t'! /?- Date: Operating l=1 Attachments: Paper: lJ other Submitted by: K Not required Affected parties Appropriation Code: ? Notified City Manager O--Not required I _] None