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03-01-1993
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'�;; � _�':Y' . �'�.'J.t� . �i� . , . � .': ' ri_ ' ' ' ' , : �j: ' . . . � .. . '� �" . . i: ', °.:: '�1,°;i, !� �L `r' - . . ` � , '.,r� �t'n..:.dp.n;;:.r�:'� �t(r;f{'.1.j� k: ' 4y'r+''kV��lii*s"✓ITb�I»�n.�:.LiL�:.�. . .�t�..:a.,.�i. . �. .....��'� .a�».. .a�i�'r;�"�:^rt,�,;+;tl.. ;r-..a.. ., : .r_„ .�r€, t�?�. .... .. , , .i , r..... �'��.s�. .�.'t'"`. �'''Y�r;r•..'�V, � ` . ' ' • � �i, . � . .. . � . , ' ' r , ' . � . , � ' ' � • ,i1'• ' • � • . .. • '1 .•. � � 3r. ' : y � .., � � , ' � , '1 • e �' I b'��'.,1 ' ' ' , � . ' . 1 ' 'i , ! � � ' . ' 3 . • ' , � , . ' ' � ' . a ' ,' ' ' ACTIQN�AGENDA . ', <:� . . . _ . . , . , � . ��'; � . � . �. � Board ��f Truste�s of. the �mptoyees'� Pensian Fund . . � ' '�a . ` , . . • . . Marc�t � , 'i 993 ° � . ' • , , , .. . � . , : . .. . ' ,. ' g:00 A.M, ' , , - . . ' ' .. � . . , . � � . � .. � . , � �;' , , • ` ' . � , � � , ' � . .� � ' � , ' ' . ' : ' � � ��, . , . � : � 1;: C�11 ta artie► . . � �1�.. � 9:0� a.m. � � � � . ."' 2. ' A�proval af Mir�u[es � , � � . 2. A��roved as su�mitted. � . � � � . � " af�21�1193.. . � , . . , . , � . . .. . f '" : . . . 3. . .' Roquest tor, acceptance . , , � . 3. Accepted. � . . . �. , � . - : ; , , : into membership: - . , . , ,. . : , , . . , ., , , ,"' � � , a1 VIlilliam H. Whitsflrr � � . ' � , , . � , `, - . . . . � , � . . h� Manica #ieed . , � . � . , �, . . ' � .. � �._ . � . c? James W. Naffz .. . . . ; _ . � . . �.`. , . ' ' 4: � f'Qn�ian�s� to ba granted: � ' . . 4. Grant�d. • - , . . . � . ' ' Regular . � . . �, . . . . ,� ' , • ' � " . � � . � .' , � � Tammy Wiiliams . . . . , .. ', . . '., � �� � . � '. . � 5. . Pensian{s} ta be grented: . -, 5. Granted. ' , . � . . " � ." , ` Job-Connacted Disability' . , . � . . . f . , y •._ . . . . , . . � Terrence Rnwa � , . , � 1. � , ' . .�� , ,� fi. '; Pe�sian(si to be granted: B. Granted. � : � . � � Non- Job-Connected Disabiiity ' � • . , . . ' '. Floyd G. Carter . , � ' � . ' � � 7. , Other Business: � � . 7. 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" , � ' � � . � . � .. �k.' r= �f ' Y ', .c' .. � Gf. .f . lt j4: 1° ; f , ' � . �. , . . .. . 1 , ., . . , . , • . ' ' � ' . 7 � "�°� '•q' �}i-� ,. ,j�;':�; :a'� ', •,t . .. .. � .-t5 � � _ i. . ' � . ' . . . .. . ' �.. .V,tt„ : , :} • F'�, 1_ `..j; ' A- . .� ' 4' � . � ' � + ' . � . .� ,� . � . �'r'�..��i�' �'i' ky, .f , 'f: •i .r 1! . . , . ' . ..1� , . 4 1�� .1 � � . . . ., � 1j' . . � , � .%'?ErlA��1� � ' � � , I }. ' . � . ' ' • !f . �� ' ' , ' . , " • I�L i �.f�' . , , t F� 4•t� �'i� � !I , `�f'ir' ':i' ' ��ti ' •1. . � '�,�� i .. � ' � . � ' ' .. . � � 1 51 .. , �I. . . � r�<, i`• �i', i. ,'i�.�� '� ;t . •r' i: �',+ .. �: �; 'j ; ; f' � : � .'�. ; •, _l � , . ,' ' . ' i��j' !.� .C� .�. ;.�.��'. ..�' . � �. i . '?' i 1 ' ' .•� - , . . � , � ; • ��Fi;� . �•�� ' �� , � '.( , ;�'^ ` • • t'�. . • ' . �[ . . � ' ..'r` (� .'} '�' ' I' :..i• ' . "7 ' F � , • ,a � - , ' • i . � � . ' . .. • . � .. . . . . °.,` �.E >.� , . .'�: �:4:�;`{:,' ';,e . '; ,, � t. . . . - . ' � � . � �f � . .•'� ' ' . � . ' ' , . � . , i , . �' . . , ' � . � . � ' . , . rr < . ;!'. .,}'' i ' + ,.4 � . ��� . . .. . _ , . '�i . ' , .' , . . , , . . - . . �,�:fi '.Ee� .�� f�I, �•� ' al , ' � +.1�' 1. . • , • i3� :35"N.�i��•:�'' l "t�.' ertl.i- . ,y��_�Yer;�I��L�.�::, i,. , .� 'a�''ri'� .Y, :i� `:7�tt1'-.�" 7���r�... .k :1 "s.d. ?:;�f;r��'�, ... ;i�+o. ,. .>•.i '7iFN�"l..dc.��vr-�C�ii�k'ni �... � , 1 :•'/i� ,-3 l+a J����.� ' ��• . .. . • . . r . . .. � .. � . ,e . . , . . � .. � � �J' � . r�.�-;,.r.� _ . --.[�:s_ � 4. .u.r�isr�YiS� i:^ "i ,. - . . . . � ' � ' . .. � . ' r ,:i.•. . ' � .. �, ' r �' � ' - , , . . .1''-�j ,r . , '. �'f . ; f, .' 1 ' }' ' ' . ' ' ' . ..` , . I , . ' . . ' ' r . . • , . � . �. . . . • • . , . ;�, '. . . , : � , . , � . �. �, : � 3 . ' AG�NDA ' ' . , � . . ,. , , � � � . � � ` , E�aard of Trustees af the Emplayees' Pension Fund � � . , , . :,.. . . . . .� .. - . , , . , ' � March 1, 1993 � '3 �.. �. f � . � 9:00 A.M. . . . . . .S . ' . � . ' � . , . � . . � i . � . . .' � f1 � 1 , , � i� ' . '. .� r . C$�i`t0 Of�O� , . � . , t . , .. . ' ' , .� � � � • . ' � 2. � .� Appra�aR of Minutes � . � � , . . . ' . � � : � � � � of 2/1193 : . �. . . � � . . : � • . . . . . � . . .. .. . . � . � � �.� . ` � ' � 3. � ° � Reque'st' for acceptance ' , , , ; . � . � � � • ', into membershi�:. � � � ,. . , : � , ' ' � � . , . . , ., ..� �� a} Will'tam H. Whitsan . . ' � � . . ' � . : ' � � . � b1 Manica Reed . . . , . ; . . , . . c� James W. Noifz� � . � - ; : . � � 4. Pensionis} to be granted: t , ' � . �� � . . � � � ,� . r Reguta� . . , � . � . . �, ; - � Tommy Williams � . . . � . 5. Pension�si to be granted: � � . , . . ' ' � . � ' ' , Jab-Connected Disahi(ity � � , ; ' ' ' � , � Terrence Rowe . � � . - 6. Pension(sj to be �ranted: � � � � � - � . . . . � Nan-. Job ;Cannected Disability � ' ' ' , � � . ' . � � ' � � � , Floyd G. Carter � � ' . � 7. Other Busi��ss: � � ' ' . � 8. Adjoumment:' . . . � . � ., � . , .� , , �.�wm �, �� , , � . � . � . � . , . � � 3 ' . � �, , � . ' , � ,•; . . . � , � , . . � . �. . , ',;`�: � �w=,�- : . . � . , . . ' ... � . -. , . . �. � : , � . ' ; ' . .. ' , _ � . ' �. r� ' . , � � :, , � �,r;` � . ���` �~ , ..CI.EA�i1MATER ClTY COMM[SS1aN '' � �. ;;,� � � � Aflenda Cover Memorandum ' � �9� r����"�4 TNStCCS of thc Employccs' Pcnsion� Fund �, r._ -- - ------ � -- � _ _ ..■....■.�.� .....,.,. ,.. � , • it�m ��r _ Maelfng D�il�: ���_ � SUI�JBCt: I' .�� Mcmbcrsire� in Employces' Pension Pit�r� Recommendaifar�IMotion: � � � Employe�(�) listec# bclow be SCC�piE(� into the Employees` Pension Plun As recammcnded by thc �.' P�nsion Adviso�7 Committcc. � ` � ❑ arrd that the ��ppropriate afNa�als be authorizect tn execute same. � BACKGROUND: . . ' , � � D�tc � � � � Scniority Pcnsian � . �n�� and_ Job ��,� Ae� Div. Dai� f iv �'�Viilittm H. Whitsan, Mar. � F�c. Oper. Marinc fiJ26/42 2/5/93 Maaaicm Reed, Lih:arian, I , ' Library 1/25/93 1/25/93 �'' Jamc� W. Naffz, Rec. Pier Dper. M a r i n c 3/7/9 � 1 l2 8/9 3 �eview�d by: Originating Dept.:E�" Casts: �'a Commisalan Actian: i.egaf na Human Resaurccs �Qte� j] Approved � �udgel !� Approved wlcanditions Purchasing �a Ut�er Dept.; L7 D�nied � E�isk Mgml. � na Currant FY L� Cqnlirsued to: DIS na � Funding Source: ACM _ �-��. - Advertisvd; ❑ C�pt. Img. qRtachments: Lettcr s Olher *' 1- Date: ❑ O eratln (� Svbmltted by: �" P�pgr: ❑ Other ._._ � Not required � Anec�ed pAr�ies appropriatlon Code: ❑ Notified Cfty Manager �l Nat requlred � N0�° ,. � i ;r,'_l�..�•'�. , . . , • '.r ,. ' • � • . ., ' . ' .. � ' • � � ' , i, , , . ,, ,: . I; , , . , ' ' . . ,. , e. ' . ' , ' . . , ' ' . , , , , I . ' . . . ' ' . � t ' i • F, � . � ' � � , . . ' . ' 1 ' � . � . . � . i� � t ' � '� � . ' . . I.. ' � , •. . � , � . , • ' . ' , ',I ' '� •'i�r �• , , . '.. . .. �� . • � ' . , ' �! .f , . I .. . . ., I .. .. . , � � �, F, . ' ' � i � � . ' . . . . - . , . � : , . .' . � . .�4 , • , . , � , . . , , . � • ' '.i, ' ..s . . .. : ' ! I , ,` " ' '. ; ' t 'h'� � � . , .s, .i�,. .' �S'N��j�$�?�,� �a{'1�*:}'7r:.T�,�. ., . � ' .. ,.. - . ..,i;e�4' 'a..a.'• . �'f�° ,i��" t .� ' •1 ' . . ��.'�lt�.n� ,i. ,. .. , . . , � . . � . ��1� . ' ,.i . • , • ' •€� . .' � � . � � - . . . , ' � , . . F � . ' .. � . . ' � . � . ' � .' ' . � ' . . . . ' , I . � . ' . � CL'I'Y OF CQ.EARW�TkR � � • , . .. . , ' � EMPLOYE�S' PENSY4PE PLAN ' . � � � . ' . � ` ' . P�1�S10N ADVi50RY COMMITTEE ' � , , . �. � . . . , ' - 'li� Pension Truateca ' � � � ; , ., � FROM: �cnsion Advisory Commtttcc � � � . . �.� 5UB�EC'I`: Rccommci�datian for Acceptancc into Pensiars P��r� ' � �� � , DA'IE .' February. 17, i993 , . ' .� As Tr113lCCS Df 1}1C Cily of C1cArwater Cmployees' 1'enaion Fund, you arc hcreby noti�ed th�t thc .•. employee(s) listed belaw have been duly examined by u local physicinn unci each has bccn deaignatCd �as u "�'irst clt�ss risk". � � � ' � � Tliese empinyees ttre cligible far pension membership as notcd in thc Pcnsiar. Eligibility D�te � column beluw, and it is thc recammandAtian of the �ensinn Advisory Cflmmittcc that thcy be � � ncccptcd inta membcrahip.. , . � Pension Elig. Namc. 1nh. Cls�ss. & bept./Div. � �jrc ,�. � Datc Willium �i, Whitsan, M�rine � Facility 4/34/46 G/2b/92 � - 2/5/93 * . Qperatar, Mar�ne De�artment � . � , � . 4Employee hired trom perroanent , , . part-time ta full-time perm�uent � . , status. Hirc tlate renects date hired ua � permunent part-time. � � � Mon6ca. Reed, Librurir�n I, L�brury 8/17/47 1/25193 � 1/25/93 . Depart�ent � . J'amcs W. Noffz, �ecreat[on Pier 71z2160 , 317/90 , 1/28/93'� OPers�tor� Marine Departmcnt , '�Emp�oyee hired from permae�ent � ' ' . part-tIm� ta tuil-tirne permunent status. Hire date rehects date t��red as �� . pe�rmuuent part-tlme. ' . f ! �' , '',�_�w.w....,.'.. .: _ .. ..._�._Y....,.�._ ....,.... � .. ., .. .. ..... : .. :.. . . ..... . . .......... :. .. �...:._ ..__......__._...._ _ . �. .v.� ' � 'gEAI�� CLEA�#WATER CITY COMMiS51QN � ,.�� � . � �, :�:�� � �genda Cover 1Wemo�andum item � '�`' T��; Trusiccs of tnc Emplvyecs' Pcnsian Fund Meeling �nte; Sub�ect: Pcnsian(s} To �c Grantcd �._..,.�.. RecommandationlMorion: . Emp�oycc(s} 1�sted bclpw be grantcd a rcgular pcnsion urt�er Scction(s) 2,3�b of thc Employccs' Pcnsian Pian as recommendcd by the Pcnsion Advisory Committec. ❑ and thgt the appropriat� oflicials l�e. authorized to executv same. BACKGHQUND: �. Tnmmy Wil�iams, Sanitation Heavy Equipment Qperatar, . Solid WASte DivisionlPublic Works De}�artm��i, was employcd by the City on Iuly 19. 19b6, and began participuting in thc P��sian Plan nn Jttnu�ry 19, 196'1. His rctirement will �c effcctsve on Februury 5, i993, at thc cnd af the day. Mr. 1Viliiams' pcnsion tivas approved by the Pcnsian Advisory Committce at its mcctin� af F�bru�ry 1?, 1993: Based on an average salary of approximately $27,314 ovcr t�c pust fivc years and thc formula For compu�i»g rcgnlar pensi�ns, Mr. Wi�liams' pension will approximatc 517,75g annuully, Chans from Finance which take intQ consider;�iion mariality rates And age ref7ect thc "prescni value cast of �nancing" this �rcnseon wili bc approximatc2y $1GS,52�. . Notc: Por a nurnber of ycars pricrr to uzjd at t�c time Mr. Wittiams was em��oyed �y the City, the Pcnsion Plan was intergretcd to provide that employees did �ot participatc in the plazi dnring thcir #irst six months of empioyment. A Circuit Coart ruling an Novcmt�cr 2, 197'2, cliangcd that interpretatsan �nd �rovitled employccs ��ircd prior to the Court's rufing the apportunity to "make up" thc initi�l six-manth pariod by puyment aF an amount equal ca thc pcnsion deduction t�at would have becn with�esd duri��g th�t [ime of non-parti�ipatiari p�us interest. Mr. Wiflittms did nnt exercise ihe aption to "make up" thc initi�l six montlis of time for pensian scrvicc credit; thus, therc is a differcnce in his tlatc ot' ltire and pcnsion servic;c datc. � R�vl�wed by: Lega1 �� Buriget na Purchasing ^na , _ Risk Mgmi, na OIS na ACM _ OSher�, _ n1, _, .., Submitted by: City Manager .......�� O�i inating 1]spt.:��1`'" �ium�n Rcsourcc User Dept.: Advertlt�ad: Date; Paper: C� Not requlred Affected parties ❑ iVatlf{ed � Not raqulred Costs: ���5,522 Tolaf Currant FY �unding Source: �] Capt. imp. L..� Operating � Ott�er ,... Appropriatlon Code: i�}6-7�10-301-5$5 Commissian Actior�: � Approved � Apprnved wlcQndltions � 17enied ❑ CAn#ir�ued to: _ _...^.... .. � Att�chments: ❑ Nan� Lcttcr(s) Rcq�esi Fo:•m .r�}: i. � , , . � � . ... , . . i . � .. � . . „f , • - , i . . . , ' ., �, � ' . , . . ' . � . • � . � � -' , . �. ; , . .. . . , � . . , . , . , . . . . - . .. � . . ' . . .. � . .i . E, , . ' . . . . . � ' ' . ' � . . � ' � . � � . r , � ' i ' . , . � ' ' . . . � � � . v , . . , ' ' , , .� . . . � . , � ' , . . ' . . ��.' . . , . , . . . . ' �. , ' • , . � ' . , � ' , � . � - . � t . • � �,•4!�. . '.. ,. .','.. ... .�Y,�� I ' _ . ' ' ,• � ' ,• .. . . . .� , .. , • � ' . . , ,,' . t y .s' .•d.�I� F' ' , fi . ' ' , .. � ' , , � � 1 , . . � . . . 1 � . ' ' `.. �' . , ' . . . . '� � .. ' ' , ' . ' . .. . � ' . . . . . . ' . . . � . [ . '. ; ' � ' . . , e ,.� . ,`_ r . ' . ' ' . � . . � . � ' � ' � � � ' . . � . , � 1 . � . '� i: � � f�', �. F, , ` ., , r . '' ' . , .r ' � � a. . , • . . . � . ; � � . . u��J:.aY�(±;F?�.�S��nv�Y^slr.f!.�V�r�.r.� ».... ,.. -s.,r�. .. _. , � .... .. .•y:n, . ».. . .. .� 'I"e'� ! . , . . i . < , • , . .s! •� . . �: � � , ' 1 . , ' . .. . . . " . � . . � � . •�i . . � ' .. � , � ' . • ' . , ' � Human R�snurce� Ooparury�nt �82•887Q r �: . FROM: '. COPIFS; C I T Y O F C L E A R�i�V A T E R POSF OFFIOE DOX �748 CLL�ARV,rAT�fi, FLORIDA ,34618•474B Ho�orable Mayor and Members oF the City Commission as Trustccs 'of thc Empl�yccs' Pcnsion P[An � � . P�nsion A�visary Committcc � � Dan Dcignan, Assistant Dircctor of Administr�tivc Service/Financc Dircctor; Employec's File . � SUBJECF: Rcgular Pension—Tanmy Williams . DA'IE: � Fcbruary l7, 1993 , The Pension Advjsory Comrniuec rcceived an �pplicaiion fnr regular pcnsian from Tommy Williams an January 28, 1993: � ' Mr. Williams was empiayed by ihe City on luly t9, �#96C, and has bcen a participant � in thc Pensiort Pian since J�nunry 29, 1967. The �ttiau�t of Mr. Will�ams' Fcnsion wi1Z be computed by thc FinAUCC Depurtmcnt at sucti time as his lasl �ve years af service and salary can be calculated. By motian made and duly carricd ut � its mccling of February I7, i993, thc Pension Ac�visary Carriniittee appravcd/recamn2endcd a�rcgular �cnsion baseci on ycars af scrvice for Tomn�y Wifliams in a�cardt�nce with Scctian 2.396 of thc City Cocic. This pcnsion wi11 hc effcctivc on F�bruary 5, �993; ut thc c:nd vf the day. . , I hcreby certify that the � Pensian Advisory Committee has approved thc granting nf a rc�ular retiremcni pcnsion for � Tommy Williams and thc abovc dates arc carrecl. . 5�,•� E.�' �r. t�E,�✓-•r. Ct��i n, Pcnsion dvisary Comcnittcc ' ��� "Equal Employmanl a��d Aflir.malivo Aclion £mployvr" �'_ . _.. , . . ., , , • , ' . , ' � , � . . . . " , � . ' ' • . . , f ' . � E . ' , . � . . ' � i :, . ' . . "' . ' ' r .. � , . , � � . � . . . , . . .`' ' , . . ' � 1 . ' , . � , � Y ' .r' • , • ' . �. j ' . . , ' • .. � ' �' . . � � . .. �. � �� ' . . ' ' � ��, . . , r ,. , ' . � . , i ��e� .. � 'i'7� �f .., i' t. ...� � i ..e .. vl. � .'�. ,. _�. . . . .w . , � 1" . .. , � , � • � r . � , , 1 a . � l n � ' ' � .�1; . e . . � . . , . f � , PENSiON REQUEST FORM � i Tnmmy WiZI.i�,ms ,_Y -- dn hercby apply far retircment �frvm thc City of ���learwa�cr Gcn�ral Emplayecs' Pension Pla�. ' i��iy bene�ts d�te is �anuary ].9. �,957 (Entr ds�te iAto y pegsion p1�n) � My.�da�t� of hire is �u��' �� � z��� ' - My �i.�tttdap is February 7. 1937 � My job CI�5SifiCati�tl is ��n• H�avy Equipment Operator �,d I work in �}ac' p���� ��°�k� Ue�artment,-- Salid Waste �D�vision. .� M y resignation date ;5_ Februax�r 5, 1��� � � The type of pensio� f�r which I am appZyirig is (c�eck only one): `� Re ular Ptusioa ba$ed on � � g years af service Job-coaaectcd Disabilitr Pensian ' � N�n-,�ob-connected Disahility. Pensioa '. �My spouse's [1��7C IS: Pepet�dent chiidreA under the age a! �8 and residing in nny household are: (priuc Chitd's Fult N�mc)��� �_r.+�� (Chi3d's Dacc oF Bir�tk) � I here�y certify . ail of thc abovc to be true and c�crect: � . � � . � �'- �/ �-./� =� _ (Signasurc) � �7anuary 28. 1993 � , ¢� • (Date) (i+Tocary Public? ?;e��.av PUCiIC STA�� � FLCRY�A T;; �LT��dI�5iUt1 txi' "��T•24,]994 �'�;;+;�Q iiiR� r�i�'�f�1L IN5. lfH1l. . �. � . , , � '.A.L: .. . ' . .1 ' � . " , , .. '. ' .. � . � � (.' i . � � ' � . �` � 1 . . .. ' i . ' . � , � , ' . " . 4 � . . . . . • , � , .. . - � . 1 . . .. . , . . I ! ' . . � ' ' ' . .i� - : ' �, • � • . 1 , , ' � , , � ' . . . . ` , . ' . ' � � ' ' � � ", � • , � ` ' . . � . , ir� � . ' ., : � , • ' �.� • . , � . . . . , r � . i . . ' ` � ' . . � � ' i1 . ' ' ' ' , . . .. , ' • ' ' . ` , . . . �4Y1;Ci��. .�����i.. i•�t�er. , ..., .r �r3t �.... .-� •. �... . . . • ' � .. .. • � , � ' ' { �� � . 1 ' �� ' v . � . . ,. . ( r .. � � . �CITY OF CLE�RWATER . � • �, � - , � , . , 'G�NERAL EMPLOYEES' PENSION PLAN . � ' ' OPTIOKS - GENER�L F.�iPLOYEES � �x , .. . � f � 1 OPTION #1: � Employecs can receive a lurnp sum payment for : vacat'sor and hoIiday pay and �l? of accrued sicic Ieave ,, at the time of sep�rwtion frorn the City. There will. be no � ,� 3�10 dedvction for Q�nsion from tl�is lunip sum payrnent . nor wiil. ti�is amoun.t caunt as earnings in th� ' ' cal�ulation of the pension. The last day of work wiil be � tl�e t�rmination date �nd pension benefi[s will' begin the foilowin� day. � OPTiON , riZ: Employec c�n exte�d termination � c��te bv the time due (Qnly avaitable to for' v�c��i�n, haliday �ay, aud i/' af accrued sick leave. employees hired Terrrtination date wi11 be the fina� day of exter�ded titne. ° priar co 10/1190) Pension bcnefits will bcgin th� follawing day. *..��v���.��*:w���*#*�***#�.k� .j� _.Tommy Williams Y r, �n emplqve;, nf the Ci[y of Clearwa�er, hereby �,pp�y for pension �c�efits �nder the Gen�ra� Employces' Pension� Plar►. . I herelay certify that I fully understand the two options af,f�:red ta rne. I cho4se • to retire using Opiion n 1 and wish my bene�ts to be calculated under this a�cion. I understand that once this form is si�ned, my cfecision is irrevpcabie. �----- . , E;N.PLOYEE'S SIGNATURE:��� �N��"� SOCIAL SF.CURITY �: 2fi5-56-7g58 ADDRE5S: _ 1001 North Green�vood Avenue, B1dg. 23, Apt. 6 �. �.,� �� Clearwater, FL 39��15 DATE: _,_January 28 , 1993 , s � - .. ' ..�. �. ._ �... �� ���'��«`� CLEAR1NAi'CR CiTY COMMlSSlaN � ..��.. . . ^ -� a Ac��nda Cover �Ilemorand+�m � �tom �► `~ Y�." � �rleetl�g Dste: � g� �'��Y,���R���� Tr�stcos af the E�nployccs' Pcnsion Fund Subjeci: Pcnsian(s) To Bc Grantcd Recummendatior�lMvtian. Tcrrcnce Rawc, Air Canditianing Technician, Building & Maintenancc Division/Gencra� Scrviccs Dcparimcnt, be gran[cd a job-connectcd disability pensian unc�cr Section(s} 2,337 anci/nr 2.399 nf tlzc Em�layces' Pcnsion Plan as recommended by lhc Pensian Advisory Com�nittee. ❑ and thaE the sppropriate afficfals be airthnrized to execute samo. BACKGR4UND: T�rrence Row�, Air Conditio�i�g Technici�n, Building & MAit�tenance Dir►isionlFublic Works D�partment, was emplaycci by the City ori March 13, 1989, and i�cgan partieipating ie� th� Employees' Pensian Plan an March I3, 1989, Hc suficred an in,jury io his back and leg a�t A,pril 27� 1992, at work when t�c fell whilc exit�ng his tn�ck. Mr. Rawe has s�tbmittcd letters From Dr. R, W. Springstead, dated D�c:embcr 21, 1992; Dr. Tiiomas L. Be�asek, datcd Deccmber 2, 1992; Dr. Susan M. Mi!ler, dated Dcccmber 8, 1992; Dr. Reed Mnrtagh, d�ted July I, 1992; and Dr. Lidia Linets3cy, daied July 1, I992, in suppvr[ of his requcs! for a disabxlity �ensia�. '�'hc 3euer t'xom Dr. SpririgsteAd st�tes, "in my opi�ion hc is totally disablcd irom his prcvioUS job working as an air-conditio�ic�g tcch�:ician. Hc cannat return to f�li activitics of that nalurc. [ believc his prescnl, condition is permancnt and will not improve." The lettcr fram Dr. Bcrn3sek slatcs, "In my opsnian, this paticr�t is totally disablcd witt� rc�Ards to his job classification �s an ttir conditiorting techniciar�. I do nvt belicvc ihai he can reiurn to fulf d�ty activitics. anc! I bciicvc this will be a permanent situation." �:� ��. �� .- �1���� •t ■ �� Followin� his referral to Wal�C-In C�iriic at the time of the Accident, Mr. Rowc's Warkcr's Cor��pc:nsation file rcvcais that hc was cxamincd by Dr. John Sai3ivan in May for �in orthopcdic ccnsultation. llr. Sullivan's letter af May 19, 1992, rclates that "my impression is a scvcrc contusion of the dcft hip suPcrimposed on scvcrc degencrative arthritis. i bcSieve it�at Mr. Rowc will evcntually require total hip replaccment...." He related furthcr thal lhis s�ould be partially covercd by Workcr's Comgensatian. On May 28. Dr. Robcrt Vollbracht cxamined Mr. Rowc for a ncurological consullation. A ncrvc condoctivn repari at that timc was narmal. Dr. VoIlbrACht rcl�tes his impressions as failows: Rev€ewed b�A I.ega! Budc�9t NA Purchasi�g NA Risk Mgr+1t. NA D!S - � - i O her��'r�r� Submlttod by: Clly Mant�gar O-�ig inating Dept.� H-nman Resou� U�er Dept.: Ad�ertlaed: D�te; Paper: � Nat required AfteCted �arSieS L1 Notified (� [�ot required. Costs: ���1 � QU7 Total Current FY Funding 5ourca; f� Capt. kmp. ❑ Operaling ❑ Ot�er Apprapriation Coda: G46-7410-3�1-585 Commiss�on Aclion: l.� Approved �_� Approved wlconditions L.� Denied C7 Cnntfnued to: Attachments: ❑ Nane Lcttcr(s) Rcqucst Form � `';'.. ... r !' , ` i .`.. . . 1 x I , . , . . . . . . . ; . ., _ , . ' . ' . , , . . . f . � ' e . _ . . ; ' , . ' ' , ' ' ' . � ' . , ' ' •. . , � . . .. !. , � ; , - , . . , ' � . 1 ` � , .e r . . i . L. ( I ' . � ' , r, j . � . . . , . . . . . . � . . . � �.. v � . • � . . ' . . . � . � . � ! , . ... . . .. � . � , � , . . . � � ' . . . ' ' • - ' . ' . ' • . I ' . i . ' � . t, . . . , . . . . . � . , • . ' . • �� � . � ' . ' � , ' � ' � . _ - �. . .. . . ' ' . � •i . ' ' . . .. . .. . , . . . � . . � .. v . , '�' . . � ' . , , . 1: . .. '� . . ' • , I�NiM1'�,�";j'%','t,,..�r.:if• in,;� S f y. ,. � .y .dbS`. � , �:,'i . . �'. %ti'vt..y. rn . �.� . .. � . . . . . s�r. .. . . . . �. , � .. �. , .. �� . . . , , ' � � ', , . . , r . . � ,� . ' . , . . � : �� ' • � � �, . ,� � rcrrcncc Rnwc Agcndu Ttcm � , � Y�agc 2 ' � . � � M�rch t, �g93 "1. � Cervic�l strain � . � . �: , Z. Thorac�a�umbAr sir�in ' � � � . ' 3, Right pcctoraiis chcst w�ll �rairt , � � � , � '4, Aty�ical non-�tnAtamic numbncss with na assaciated la'ss of motor strcngth or reflcxcs." Dr, Bcrnasck cxamincd Mr. ' Rawc � on 6/24/93, and his assessmcn! was as fol�ows; � � "�1. A�vanced dcgeneruti�e arthritis af t6c leit hip, exnCerbated by a wark relatcd accident. .' 2. Ratator cui'f strain nf thc rigktt shouldcr. with prob�blc pectos�ai'ss major muscle struin. 3. Mcchanicia! = low back p�in, possibly su�gcstivc af a mifc! campression i'r�cture, �Ithough : c�irrent sympior�s da not go wcll with thia." � � .� ' �,�,��nformation; ' � NSr. Rowc Servcd in thc military in Vietnasn �nd had shrapnei wounds, sustaining multi�le lawer extremity penetrating waunds. . ' ' � �1�iL�tIDIDS�I�.:. � � . � , � This may be a cas� similar to past cases in which an cmployce wus admittcd to thc Pcnsio� Plan with undetcctcd or devcloping mcdical . problcros andJor s�mc hisiory of �r�vious injurics that dici not prectude � the emp3aye� from praper work performancc, in this inst�nce, . Mr. � Rowc per�`ormed riarmal dutics for a period of time cxceoding threc ycars. His orig'snal �xaminAtion far pensian �vithaut }C-rs�ys and without previaus symptoms tu the cmp�t�yce likefy woulci not t�nvc rcflccted . ihe t�egenerativc artl�ritis. , Mr. Rowe's c�isability ap�ears to be a product of a job-rclated accident which hAS exaccrb�tced prc=existing conditions. Mr. Rowc's disability pensinn was approvcd by thc P�nsion Advisory Committcc at its mceting �t � . Fel�ruary 17, 1993. B�scd on an a�eragc salary of approxin�ately $21,551 over th�c �ast four ycnrs • �nd the seventy-fivc percent (75%} minimum d'ssability benefit, Mr, itowc's pensian will a�proximate $l6�163 annually. Char�s !'rom Finance w�ich luke into cor�sidcratson mort�tity rates and age reflect the "present value cost nf fin�ncing" this �ension wi11 bc appraximately $181,007. �s . .. . . , . ; . � . � , : ' , f. 1 ' . . ' � " , r . , .s., ' � i • , . . . � . • ' , . ' . . 1 ' , ' . , ' ; . ;t. , . ' . . , f � , .i . ' , - . . , . . �� . � . ' ' . . � ' ' it . ' f: ' ' � I � ' ' , . ' . , . ' . . ' , 1 .. , •'. ' ' . . "i� • . � 1 i� � . • r � , � � . � . '. ` . 1 . . ., . . . .. 1 ' . .' . � . , ' I � . .•` , .. }' ' . •,�rj� i.4C��rYii'.J.�•�'i.'I , .. . 5•�t'`y-i� . ., � ' , �� i : ' .� . ( , . 5 1 � � ' , . . , 4_: . .�. . . . ..I ."ii..}'.� S(''.:3ff,.l�'.. . .i..� ..i .. .i•) i , f'� Y ' � .. e. ' ._. � � .� .•. � � � . � ' . ,. •' , ' ' . .. . � C I T Y O F C� L E.A. R W A T E�. � PO5T QFFICE Bp% �748 CLEARWAiER, FLORIaA 3AS18-4746 Numan R�sources Departmant ' 4B2•9870 ' 'I�Q: Hanarabic M�yor anti Mcmbers of t4�c . City Commissio�t zs Trustccs af thc 1�mployccs' Pension Plan ' FItaM: Pcnsion Advisvry Cvmmikt�c COPIES: Terrencc Rowe; Risk Managc�ricnt; � Dan Deignan, AssistAnt Dircc�or af Administrativc Serviccs/Finance Director; Employcc's File , SUB.iECT: Pcnsion for Tcrrencc �tuwc-3ob-Connected Disability Pension . DATE: � rcbruary 17, 1993 . Thc Pcnsion Advisory Ca�nn�iiicc (PAC) rcccivcd an application rar disability� pcnsion irpm Tcrrence Rowc an 1an��ary 4. 1993, , , Mr. Rowc has bccn dctcrmir�cd by tlic Pcnsion Advisury Cammitccc la mcet tl;c rcquiremenis of ihe Pc�si�r� Plac1 for a jab-conr�ccced ciisabitity pcnsiar�. He was cmp2ayec� by the City , on March 13, 1989, and began parlicipating in thc Pcnsion P1un , nn Murcli 13, l9$9 Furthcr, hc has submittcd mcdical documcntation, copics of which �rc attached, rclativc lo his disability witiici� has becn rcvicwcd and approved by the PAC. By motion inude and duly carricd �t its nieetin� nf Fehruary l7, 1993, thc Pcnsion Advisory Committ�e a�pravcd/recomrncndcd ti�c granting of a jab-cnnncctcd disabilily pcn5ian to Mr. Roivc in accordancc with provisions of Scctinn 2,397 of thc Cily Codc. This pcnsian is to bc cCf'ectivc on a ds�te to bc c3etcrmincd. The amount of Mr. Rowe's pension will be calculatcd by lhe �inance Dcpartmcnt according to the far�n�la in thc Pcnsion P�;�n far jab-conr�ncctcti disabiltiy pcnsic�n at such timc as �is lasl fivc ycars of scrvicc anc� sal�ry c:�n be cam�utc�. . � I hcrcby ccrtify that thc �'ension Advisory Committcc has n�pravcd thc granling oC a job-canncctcd � disability pcnsion for Tcrrcncc Rowc �ind thc ahovc da[cs are corrcct. , . __�C ^3- M F�Ei�?- -- � . Ch�i �n, Pcns�on Acivisary Cammittce �,r'1� � "�quak Employrnont and All�rmativo Ac�ion Employvr" W� • . �` �w .# ,. �� . � ' � , . . . ' . ' , , ' ' . . ' . . ��: - . , ' .� . . ' � . . . . . ' �f � � � ' . � � ' � , � . . i ' , . . • . . . , - . . . � � • � � � , . � .. , , .'\ ' . . .. • � • ' . . • ' . • . . . . . , • , , . ' � . . ' i4��t• .��`;'a s-4'. . . ., ..'.F; �+�5 ��`.. J �i .. . , , . ' ... � . .'4 .. ' � . , , . . . r � . . . ' " ' . . �3 . ' . i . � , . � . �� � • . � � PENSION �REQUEST FORM, ' I� ,� .Terren�e �. Row� � c�� hcrcby a�pIy for rctirement � ' fmm the � City of . CIcarwatcr ��cncral �rr�piayccs' Pcasion� Pian. . � � . My be�efits da�te ia �3��h ��� 1989 {Entry dute iato �GUSiot� �plaa) .� My date of hire is Maz�ch 13�, 1984 . ' My birthday is � January 21, 19k1 � � � A�.r CnndiC�.on�n� T�cl�n�c�.an � My job C[�SS��s�at�0�t is and I work ,. in Ettc � General Services Department� a�'dg. � MainC. Divisi0n, � ta be detezmined •' M y resignation dat� is �, . The type of pension for which 1 am ap�lying 15 {check � only one}; Regular i'ensiou bascd an ycars of service • , '� � Joa-rnnnccted Disability Pensioo ' Nn�-job-ronaected Disahiiity Pensioa ; My 5pouse's natnc is: Regina Rowe � Depandent children under the age • af 18 and residing in my hoe�sehnld are: (Pri�t C3ilc#'s Ful1 2'lame) (Chitt�'s Datc flf Birtb� I hcrcby certify ail of thc abovc to bc true and correct: � � ��' � ��.r..,- ���t�c�� • ' (SI�3��e�ry 4, 1993 1 {D�te) � . Z!✓ �. � Gt� � ' . � Notary PubIic) • " •.•. ,.. ��.,�.�_'� ' •,�;ti�i ;���±'G '.,�„f'_ � : , . ' '� C":d? cSiC�� s:;+� ." y � ..: i � ..; �,+ . . . Cn1\.rL� ..���� I��'rr'r•i.`I.L�. .�i.�r . . � .' ' � ' � , i� S � .' r ' : . ' ' � . . . 'r 1 , . . � , . , . . � ' ` , ' ; � � ' ' . . , , . . . S . . . . . � . , � � . ' ' . . .� ' . • . . � . �� . . • � , , ' � . � ' � ' . . . . � � ... , ' . . . . ' . . � ' ' ' I . . ' , ..� .. � � , ' ' ' ., . . ' . . . . ' � ' � ; . i . . . . . - . . . � . , ' - . 1. . ' , • ' .' ' ' f ' . � • � ' . I, , � .. ' . . �t . . `• �, '. ' ' ' ' . : � ' � ; . � ' 1� .. . i . , ' , `. , . . ' �f'r'.s'�A` d . F9r. . � .i. .. � .. , .�. , .. ., , ,�. . i�.r�e� ..,. ,� �• , ' ' . .. ' � . � . �s ... �. . , ' � ' ' . .. , � . , . �. . .� '� •i" .. �. � . � , � � � �, . , . OPTION. #l,: i. . � . . :F. � ` ; . . < L� C�TY OF CLEARWATER, GENE�tAL E1�IFLOYF,ES' PENSIQN PLAN QPTTQNS - GENERAL EMPLOYEES � OPTION #2: . , � (Only �av�ilable tu employees ttired � prior . to lalll9U) Ertiplayecs can rcccivc � lump sum , payment far vacation and hnlid�,y puy and 1/� af.. ❑ccrucc� sick lcavc at the timt ot' separstir�n frort� tiie City. T�ierc �vill be no 3�la dedu4tic�n . for pcnsion' from this t�smp sum paynjcnt nvr will 'this �mpunt couat as earnin�s in ti�c c�lcuiatian o£ t�te pension. The I�st day of work wiil be the tcrrt3in�tion datc anci pension benefits will bcgin the following day. ErnplUycc can cxtend terrninntian datc by the timc duc for vaeation, }�aliday p�y, and 1J? of accrued sick Icave. Termination datc will be the fin�l day of cxtended time. Pensiar� benefits will begin thc followin� dav. � , � � , iir��M��k�Mail�rw*aea�a�Yyr*ri��fe�i+NMy+�N ' � � "�, , Terrence E. Rowe � �, an cmployec� of thc City ot' Ctearwater, hereby apply t'or ..pension benefits under thG G�nera! Cmployecs' Fension Pian. ' I hereby , certify [hat I fuliy understand tlie two �p�ions� offered to mc. I choase to rctire using C?ptic�a # 1 and wish my bcncfits to t�e calcuIated under � this option. I uudersinnd tha�t once lhis form is si�ned, my decisian 's irxe�oca�lc: ''� � �_ EMPLOYEE'S SIGNAT[.T�E:_ � • -- �� ✓� . � SOCTAI., SECURiTY �: Zb9-34-8529 ADDIZ�SS: _ 13A39 Lo�.a Drive � � � , S�ring Hill, FL 34b08 /7 �iG� '' r�DATE: „ January G, 1993 • y u �:`..w.rC1F� � . i .ti� `4 ' �' r . « •' i \�w.....r....�.�.r..�►.., � f�:� " `���� �LOAIDA I7EPARTM�NT OF�BOR AND E�41P�.QYM�kT 8�C fi6SK �i�NAG_i�l�Ni DIVISI�N UF,WORKER9''COMPEN$AT1DN ��.'u15"a `,�fi-800�,3�t2 �1 cx bcsl dflc� fof' 1rt�tt��'�'�"'�� . C11y ai CR�anrtat�r.. .., . �17....�c f:� �_._. . �......,. �,_ . rr.�� :':' ,'µ� I INJ RY' .�?" .�t� .. p. 0. �ax �748 ... .�: �:�,;�:�V�Y CE'�F. U � � ,.. ���;;f� � �ieport ai# a�,.w�thlri Q4i�oure (so4� � � '�'� w •� • � . Clearwater, FL '346�8, :,,� �• s ,>f;�� .L:�.�����;� �; i��ri;��r���., � :� , �,: � . , , r' :Y �� � �:.�'All�7�S�ti�!�►�x'�•�Y�.ql:410.�'�I[tlli,I.'i�rilsY^��• � • . . . ..i � �l�r,�.� �+��7r�t:',�d�:.. uRn�Y ���.�� A `r�ii:� ��� �} • ". !� : '.: �. 7-��� �I' • �I. ' . .. � Tezrence E, ' Rouie �� "�'`r,����`�►"''���''� 'F�Sg''3$�`�52� a k.. am. �`%e �� �.:.�� yl'7,f;�i'i4LY�/:�:J�i'ttr. �W1 - �34608 �� � � �r:�; �:' _� „~, _ _ .. . . , n � � n• �� 3.���/��/.L 4����...�':�•�r".l�i'r'irs.�: ",i•r :��.�;�'�w�.w....�.�.►..+..+.r. 1fiY� 4r,%fJ'=.aS�� �i /i �r;� .���r���a . � .�_ •.�N L�txas '�e�'�A��h����[ .ur.,�� r r.�� r, t�1• �•.•-: ,7v olviSiqN I . . r �1Gif�F:i�:�t'.T~ 'i � . ' h'S i:'1 �ocbeni �'Y"t "i�Y. a��-�. ::�;:zo Y`��,����:� . -��..�_... _ �'iw :'4��pYi ���:'T'�i 4�.:�:':�'L: �� y �� :'t.�r�s.lnad � i�.�:w,•� ,s.... _ _�!�� ,y �wa•'r: �.��'+u1st. •D'101R713�?llEBTMfDIC�1LCARS7iotaCinCB���.l�kLilNU�7i�:�t1�F,:r�r�'1.�p�..re�ac,..s, • �'' }F Y�9. OFD EMP�C7'1'CA i�FiWlDE M�DJCAL'I"''� ��9 �ti' � NQ s{t�'' ,••? ='�"tit�Ir a� �. . , ., _ . -,. . _ -: �, FIHM'S NAR�� M�`iD AUORE53 . ..,- • f: • �• : � : G531 City ol C��iir.wate�;_Y}'�{:� - �,!'','�.t�4:k�. P. D. Dax 4748 � .,•,��,,:�=.. , ��� . �. : .f �. � �s . Clearwa��r, FL ';• -3�fi�.8-b7�8 �'. '�r==f� f . ; �.. . . . �:� � .. 1.7 �� �rer� iNr-a�Manoa� �x_..�,,,•, .��:��-,,, �.. Fl4D�C1:AI.I.D. NIJAt[i�ll =�,:�r �,ar�:�; ��SY� • �Tl �,�t��.��dooQ�ri��s:��. .� .a� : � , ,� �.: . N�C. COV�AAB� eY .f�';.• �!.+,7..•.�iltt�f�! •-eP�l. ❑ 1l�BUreuie� ca '� �slz�-�H�uREEs'' '��� �t�rr+�mt ,�...coo. 1?1 "•'++.w« 1���?_�F,Fi_ .• i�ucE a� +�ccioe�r;sa.+e. cnr, snr.� ,N , .t, :�� Johae, Ee�ttirn Corrsp�oray� k�a.y 1+�' G01"'�' ' �•' �'��'� `" Post Ofi�cs i4ox 3310• raa�+�++�i��i. H • d • Adams . _ r, �: :��jt.'ial.+4r� :r�c,vb.� C�r..s,:H,r .A �,u.3�� �OI�tO�a� R, 34Z� ��I�V��=`� �'�!�"0� 2 D 5 � P u I� e t t o S � . .' ''. " ' � � ' . . . � 1- Bo0 - 749-3044 � • ��� � �N �' • . ClearwaCer, FL' � ' �•34636 . .. . '`"rr ru��.���ssNVar�t�+or+a ��;-_ .� ,�.,.::.�.r.....'...r.y. �� ��'��VICFiR3T�RF.POFiiED �w •� r�������.n�:'s�.��� riEAAB�R. t�illl�IBEA�15.;:�.{eti �. . r.ti7i+a: �.t�xttC �^t�•�. $i.14. �1� :v+' .: .�� .. �r.. • .... ,. • . •- • � ....� . � w►t�.�Y+ou.camr,u�_m r�Y -• R .su�r7;�. xc3��s,��s�a��.y _�j.�arcuirpr�as�AOUC�H .�=�� - •v �•_'r t ' .l _ i.� ..f.�;.n� 1�....a. , `is��' ��� � �Y�� c� Pr�ra+cwa ott t+oar�rr�u ��*�•s►r.�,�.,�J,� ��„�,� .,. �:. ,. � arn rHE E�+�arEE xr+ownNa�Y �Exvsg iv us�,� s►��nr� �,rt �,�f. � u � �:.�.+�: t- �v � 1Dr:���aik� �x CZxii�;c ,.� ta�'��rno;�'`�-' ��.'::'_' hPflL1ANCE Pf�Wip�p BY YLXl� THE �MPLUfER7 p `!ES OxIQ �.�a► �,y �qt' .�t '4 �,r �� pp w�k •.� ►•��,y �68�..��. U .. 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Cortlrwertlr�g Cnse--aWC-l2, f�O�10E.QF DENtAI'IIlTJ4CHEA '�'`-'�' ��` '= ' ���:•S;�►��.`.�,►;�;x-,�;��cr�:��'���,y.sa��.r�ar�tz�n;nn: X'll�Y�tf��s'.'C'+' .:•'rr � '.r4:'l"rG�!';�;'f�?C��`�..:tl� �]�-t !y r` �y.rj�-}���� 1�i � p 2 f.nat Tlms CaBe--�$te d Firai �yrt��t^ � � � ., � ...:� /1�IYW ..._....�r.�..•. Crxq� � ..,..-.--.�. F1�a� �+ljl,,a'���Y — 4, . _, . . - —Daie af Flrst Cornt�i YritFt C�irnant ' � � . p •b7 Pbr�otlr'fii�•%�[�1�os►aFG�-�Malt� �i�,at�:t�:d� ' I -I — � � ^^!►r�+':Fr,!1r:��.�`n:i.f' �:. • . � .�•'r:" �• --NotICA (=if�d Otis 1+0 Me�iflpil4 Pa�bcl� Ot �]+. DiI# t'�+erec3 b�l.�t Peyn7�lt: ''-":^"3�',:'��•��pj'("^`'Ar:l;i�'=�; :��;rr' +��' �:! ' �r�7'8�•� r,�;, '•�,�-+�f;nt :�. 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St. �, , Cl,e�rw,ater, � FL, . the wei.gh� : of . � �:��.. :��the pump ca�sed�me .to twf.st and los� koot�.n�Z :'�nd�.�a�.X to the gxound � � �, , huzt�ng .�ekt sho�Ider, lvwer back� ,�hiP and Yeft l�g. � . � � � ,. . .< , �. . � �... 7 reparred�".tn .lenr�� person, Fred C. . R�t],ey, • 10:40 �A.M. , � 4/27/92�. � �� � . !`�-°. � I.� ter th� t_,evening X. b�cam� v�ry soi e. pn 4/28/92 I repor�ed' �o w�rk �� . ,� � nnd �requested.. to' see c�.ty nc�rse, tor check .up.. � � . . � . . . . . . ,. . � , ., '�" � _. . . � .. . .`,. . r , ; . ; . . , , .. . ,,. . , ,.. . , . , : . . ',� , . - . . . .��' ; �,..�. ., � ''. . . .. . . . .., � . ' � ;��. � �.. � �� � , � _� �. . , , � ' ,� . . .� . ; , .. ; � . . '�1 ��, . . . .• .e .... � • .. �� '.•' ', . .. , f ' .., . . � „ . I' , , i � 1� . � ` � y � . , • • r • • �. ' , ' • � , ,' � • , . • .� ' y i � � �. ' . �. ' ' � 1 .. . . ' . ' . . � . , . . � � 1 . . ' , ..� - ' . . . . . � i � ., � � I , , ' � , .1 e' .� 1 , ' . . . 1 . • • � � ' . 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LEOH OOULEI+�A�1D '� . Of Qihopoed�c 5urgr�Y � . . , [1ROOi�SVItIE. ilOftlbA �4b0! . - , � Decemb�r 21, 1992 ' � .� E' �� �� �� �, �I 1 ., , . 1 � � � ��� � T�l�phone � � (R04) 7GG•0�74 City af Clearwater � . ' . , � ' , � PO Box q7�18 , ' Clearwater, �Lorida 346 � 8-q'7►�e � ' R�: RQWE, TERRENCE � , TO WHOM IT MAY CONC�RN: . � � � ' � ' Mr, �Terr�nce RvwP was 5�en 1n my afiice for an nrthopedlc eva�uation or� De�ernber z 1 , 199Z . , ' � . HlST�RY OF F'R�SENT ILLNESS: Tliis 51 ysar oid man pr�vlously � injured himself in March, �99Z when he fell aut of his truck and injured his right s�oulder, left hip and Iower back; He had previous treatment and eva�uation; has been under the care of Dr. Tom �Bernasek in Tampa. � ORTHOPEDIC EXAMINATION; Shaws some pain on range o{` motion � af his right shoulder, Neck, gaod . . range o€ moiion. 8ack, he has limi#ed ' range oF motian in his back with tenderr�ess. He walks with a li�rfp on . �the left side and has ta use a cane. , He has severe pain in h�s left hip and pain with any ra#ation or rr�ovement. He has lirntted rotation which (s painful. XRAY5: , Conf�rmed the degenerative arthr'Itls - of his I�ft i�ip. D1AGN�SES: , , i S) DEG�N�RATIV� ARTHRIT45, LEFT HIP AGGRAVATED� BY THE INJURY. - (Z) LUMBQ5ACRAL STRAIN. , (3) STRAlN R�CHT SHOULDER. 3n my npinian he is totally disa6led from his previfl�s jab wnrking as an . air-candiEioning technician. He cannot return t� �'cr11 acilvities of that nature. ( believe his present canditior� (s 'perma�ent and will not fm�rove. � , � ��. _... . ,__. .. ._.�._.. , ... _ , . .. ..,... , . �� I' ��::3; ��.• .�I�St. . . � ' �i: : .i . ' ' . . ..t . . .i . ' � � �. f � �"• -iC1. �l{��•' . 1 ' . , � � � ' .. , . � . � ' . . . . � ' . . . !' . . . . ` . � 'S.�l,' ' . ' , .� . 'i . , , . . ' . . . . . . � . . . . . � . . .i ,',f,� '' .. i ' ' 3' ' '� .. 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' : }. , , RE: '� ROWE;� TERRENCE. : �. , .� . , , ±�'..4 , �,, ;.�,H��will, prvb�bly.' n�esd futur� treatmen , � . . , , . � '� , , , . . t. af hls ,(ef# hlp end' at some . point � In .11me . , . , wit1� ne�d a tota� h�p reptacement..� , , ' . : . . . Sfncerely,�. ` � � � . . , . ,� ' ' � � ' : ' � . r. . . „ , . , , . . , , _ r: �� • , �/`� `-� �+ , . . . '' .: ' ,' . s. . , � ' , � ; , � ' . ' .._. . � R. W. PRINGST�AD, M:�. � . . . . , i.. , .� I, . . . ; ,' R�IS:me1 : � . . `. � �. � , � �, . , , � , � ' � - ' ,� :.. � . �.. .. , : � . ,. . � !;� �., .., � � , , � .� : ` : . . � � . : � . ' � . . . • � .., � , , � : � , , � �, � .. � , , � ' . : i-I .. . ; . � '- �. . � �� : , , ..�� ,� � . � . � ,- . .� ' � °' . . ,, . ' . � ;�. � - .`. . ; . � � � �' , . . . ., . � , � ... , � ` .� . � ' �. � . . 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'. . f'��, 14' '•.itl;h�r�..'�I i+• � � . . '!lu,���.r.4. l�il'.��.��iiair,�1.11, , , . . . . I�..11il�������ri�ih.,I11J. . , � .• . � Aalult T[rrnn�lttict�nn C�, ��i O f C� e � rwa �e r • . . ' , : : . � xrul ArtlrrEl��,,''r«r�rry �t�sk Manag�men� SQCC�ari g[Zd PAC , .'' ��" � . �,�,����M..� +.t�.,ti,,�t�� P.O. Box 4748 � ' � ' ' ��„,���,��.� �t�����.�•,�c.�i.c� C�eazwatez F� 34618-4749 '�� '.I.n4 1 }i�urtG•,'�tlt + � ' � S�+inr5urgery RE: Terrence RoWB, F.O. i. #�132531,' • .��.� ' n .. E.Ir'ri�4 It f��•� �flll�i` TI. �1 I1 �.' + rnatand AnklcSurgcty ' pa�e df V�g1�: 12/2/92 : :_.� . .1r�l�,r, i: !�'a3lirp:. 4f i� _ . . ' . I'�•5 :�' '� i�„i�•r. � � 1 � ' • , 5pnrSti hltdttine ' c+�. „r i. ��. �•., � r i � To WP]om � t May Conc�rn : , . Atuuufrttke[ct�l UnrolaRy • . t.,�+�•.. � ���.������� �.+��. Mr, T�rrenc� Rnwe was in my a�fice �oday reqarding r�d;,,��on�„�+,Cd,�, mul�iple or�ha�+��Pdic probl�ms. H�.s cond�.Cion and ex�m +,,,.� ����.,��',, �.1�� is qttiC� s�mi�az tQ �ha� exami,na��.ort genera�ed on Fhyiinl Aicditinr � � 2 � � � 2 . �nd Rehabililalian �..��`.s.'.��j���'�" Mr. Row� has ��k��i � number v� quesC�.�ns of ine (which CcnrralQrthep�edirs ap�7�Z•ently y�ti lir+v� r�qu�st�d of himS , I w�3� answer ;r'�,: �", •,'�' ' them t� �he bpst o� my �b�.�.��y, � �,�..�.i ���,�,� ��.f . . '•�"' ''�' `'''�''� H�.s diagnv��? �+rp : 1} Advanced degenezative az�hritis ��,,.'',;,,`',',"�,;, a� the le€t hip, �►x�c�rbated by a work zela�ed accid�n�. ' 2) Rc�tator c��ff �rrain of Che z�ght snvuxd�r w�tt� pectiara�is ma�or mu�cle strain. 3) Lumbar s�rain. 71t �h�s s�aq�, lia is a� maximum medica3. �.mprovement. Hc]W�Verr futUre trea�men� w�,ll. be requ�.red �nd �h�,s wi11 include cotisidera��otis suct� as 1.e�t tota�, hip rep�acem�nt �nd pos�s�.b1y sh4ulder arthz�oscopy. He does . ��ave p�rmanen� �njuries, h�wever �I have no� calcLtla�ed his percentage of d.�sahiZ��y, but h� de�in�.te�y has a � - permanent disab�llty. . . . . In my op�nion, th�s patient i� totaZZy disabled with . reqards to h�.s job' clasBifica�fan a� an air condi.tioning �:echnician. I do not be�ieve tha� h� can � return to �ul�. c�uty ac��.v�.ti.es, and � beZie�e this w�.I.3. .� � be a p�rmanen� situatian, .•• His restrictions res�arding his job r�main as p=evious�y �.ndica�ed in our pzogres� no�� to yvu and there has . �i17S f�, f`ii�vir� A����itur T'��m�+a, �P.;iif,�7-2{i32 Ap�cuntrncnt,:81�•yiFi-uT97 [���nnral lnfurm.zlis,n:Afa•y7R-97U(� • FAX:813-972-1463 .. ... _ - _. _. �.. _.. . .�,. . fqr<j:...i� r: . . , • :' ,F' ' ' ' ; , . ' . ' � .� - � � ;.1� . . . . , . : � .� . . fi' • ' : " • :(l,, S• . ,,;.. .'.� .�' ' .1 .. , ' . , . � . ' � � .. ' . • �: ' . � ' , ' . , ' ' �. r( ' . i . ..,' i=' . . . . � , .i ".. Z . . . . ' ' . � '.. �. ` ; ' . „ . . � i . 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' � r . . � . . ,}; � ' - , RnWF; ,T.erzence� �13.25�1, , ` , F �.. : �� .� ' � � .; �� , , ; . , ,. �, : : • . a�cemb,�r . 2 ► . 199�� : , , . . , ` . . � '., - � . ` � � , .�� . . . ' . r . . , , . , . . . , ' . . . .. ' , . . � . . ° ' � . :��._ .;,. b�±'pn� no ct�ange �n �tha� r�apec� .�' WA. h�v� re�ommended � warm wa�er pool . ,� , �herap�r: for him �o: �mprov�e h3g �p��ys3ca� condit,�on.; ' , ,, � � , � ,.' S�.nce�e�Iy, . � � . . � ' . '. :ti'. .;�.; , . . . ' . , . . ' ,. . . , . . li , , �' � � : • .' . •: : . . . � . . � ' � . �.'`..°`J , � . . ,' • • , � � : . . ; � � '�!"d� � , . . , • � : xhom�s' L � B?znasek, t1 D� . � . . ` , : ..' ' , .� � � ' , " �' ,•Arthr�Ci� 5tixrgery , and� Joint- Recan��rUCtion . • � . � " �� • F�.ori�da �rthopaedfc Ins��.tu�e . � . ..-.----�---�___,..�.... , .:.�. ,.... . � . � TLB/lml � �. ' . . , . , . , , . , D: 12/Z/a2 � , . � . � ', , : . . , � , �' �': 12/9192 S!(3N�D T , � ; � , . . . . � . 0 PA�V�NT � � . ., . . .. 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' . . . -r� .r•- .. , . . , . . . , .. ` � L 1� �./��� . . , . � tA�natNa CxNT�q, tNC. PATI�NT: DAiE OF B1ATH: DA7� OF �XAM: CLlN1CIAN: MRI QF THE LUMBAR SP1N� �tC]W� � `C�RF��NCF fly/2�/4� � � Q7%O 1 /9,2 SU5AN M i Lf.�Ft, MD iNDICATION: Eva�ua�e for disc h�rnia��on. � T�e pa��en� presen�s wi�h chlef cemplaints of back �nd r�ght hip p�in. TECHNIQUE: The Mat examin��fon af tt�e Zumbar spin� wa� �aerFarmed ut i 1 i z i ng the fo 1 i ow # ng �u t se seqUences : T!�/T� �, 000/3[3, 1, OOQ/S0, 6��24. lmages wer� ot��ained ir� �hc� sag��tal and ax�#al pra�ec��vns utilizing �.S and 1Ci.(3 mm siice thickness. FINDtf�GS: imag�s {par�icularly, sagi���,l irnages) ar� samew�a� corn�aromised due �a t�e.pa�ien�'s �nabi�ity to main�ain appropr�ate position in scanner and inCorm�tton� caugh. Mi�d postsriar disc bulga is a�precla�ed at the i.4-5 Tevel. Focai area of increased signal intensit�y is noted along the posterior aspect of �h�, disc gt this ievel which may represent annulus fibrasus tear. There was na evidence of frank disc herniation a� any iev�i. It shouid be noted, howaver, that 5ecause af the motion artifac�, sub�7a chan��s cpt��d escaps d�agnasis �nd i� clinicelly �ndicated, CT mye7ogr�pF�y might be �sap�ul �o further assess this pa�ient. Th� intervertebral disc space height is ma�n�a7ned. D�sc desiccation� howev�r, is apprecis�ed at �he L3-�, �,�-5 2eveis. There was no vbviaus bony abnorm�lity. � cvNCt�us E aN : • . 1. D i sc des i ccal: # on a� �he L3-4, L4-5 . 1 eve i. �'y� � 2. �o obvio�s disc hernia�io�, alihough marked mo�#on artifac� caused sign�ffcant technlc�� degrada��on af imag� qc�al ity (see � abvve for further recommenda�tans,�ff ca#nicallY indicated), (C�NT ( NUED c7N �AOE TWp) ` 2�100 U.S. 19 N., 5ulie S49 • Clc�r�•a�rr, fiatid� ?t621 •!'horse (a!?y 797-00(�U Faac (a!3) 799•�9b3 n .r � . �r. � .. i�•.. .� .... ..:� . I/:o � :���I.:..r�.. � .. .. ..... .. � . . . . - .. . . . . . , � r �N �v ' . � I"]����V ' . 1�1AG[NCi C�NT�R, INC, i�Ai��NT: DRTE OF SIRTH: DATE 0�' EXAM : , � ,,., ROW�, . TEARENG� ��..�,�,' �:.: "• � � �•1 .'r, -'�. � 1'Z � /� � �}����l �1•�1•"1''w�rt•',•�" I `, � . `. ;` � ;3� , . .,.. •,�4�„i;� /� � r 3�..y. i •ri- �: 4. . �r�,;;�...��.;.i`.?G ta�/oi�s ' ' �•^�'' � `r '1�.�,,�...� �..��'a:e;. I'�.r Ij.. J � �G, u Vy+% CL 1 N 1 C i AN : � ti ,.�,.. _,r,if:� .� �,.', �::,�;:•t1�i:,�, ''��"..�e�fSUSAfY;;M��4L'E ��x P;�� : . . � � • • ., ..:: :'..... ` � .��'., � t., r , Y:,f,��. q wwfr"K�5:1flj'(;.yy'//y`�+'�== �_ ''i ► C , +�' . .. .� �.irr r" •!'..:Y��'�.".,`.:,.ty�;i�;�i.;�'Lhta '•�'f. �i�'� �tSr� 'r�� ��q= r � � PI�GE 2 OF.2 .�' ';�f;:�;'*:����,;i `�',';,•.�•ryC ��y,'±���k's,� ,;�'_��"`�''} .� � �' �}� � t ;. . .. _ �'°ti;}'; °.� `a•. ��f' E �.i,� .�.i''.�;Lf .�r �,•' �.1� `�1��; t '�� ti.,, 1 i ���� . ; i ' � ' ." :' •�;t�:��:C*n�t�:'Z�ii ,,�_.�«r...tf'�a,�,.'r,�?;�: •f+'�ri�y"�•�-1`�►'},. �,Z'a`:� b �,� " • � h if • �1, ..r . -, �.Y ' ��, , r , ,�.,� t•-�',t ���t f ;t, �':` �"i,�. " _ �' z i ',1� f'� r � , •' .,.'�. . . . . ,/-• :rl ..�.1".�`::,:t�r:l.�-:.Y.' ��;{tiw��jl� t�...t..ryy��ya.��b!''r Yi ' ;j� ' .. MR , ►•F n r �fv;r•»r�+�JJ �. ! , OF THE �LUM9AH � SP f NE �:'•:�...:7�: i•a,W,r�r•�;.��f*�;- , �:�,�•�� F �'�� -��. , . : �� ':�.L; � �"` , � � � ;�,.��?,,^;•�,,. , '� � . " . � : . � , •� = .;i`'*i�:,��r�'?�F`�:��',�,���;'�i:�-»�^{�.1,1�!'� 1.,«^,�l^rf.�, ` � � i , . . , • Y; '.Si:�`i' l .-, N ."{�",: `r:' "�'�`r �7'E',,,�~ �� }Y � I . � ' Y . l I ' �' � ±�� 1,� � . . , . . • �. � , , •,•,�• �i .5� �.��. �♦a'� .y j�i�' ill 4�d �, •l ' t � . �'k' , � � .l� �r]"4�a��(:vN��l'.�>G}Li� `, � '�j / .. • �.�. [ r .i :y. 1`1�. 1 li�; ' �l Sr .{ ' • • ' 15•..�Y1 .fll�i'L%�j��.�A�� � {rJ�yy,,4�'.1��.Ja�F I/'�t 1�/ Y�( �� , y w' •_.L�} I+�L.�* I.�����ilT��� ��5�1 � �� CONCLUS f ON : ( can� � nuea � � , • -� , . . ,;,:' �,a,.. ,-. �.: � .,�.;��,�..��;���:,�;;�; , .► � R ? . . . t ' , , _ c .' �''• • r;-r•• . , , �4�;i ."� :+�' r t'`� � . • ,,.. '' , -. . .,� � .,� � � =,��ti} i+r y. � ,s :� �, �+a �`.X > 3. Foca l abnorma l i ty i n the pas�er i nr aspect � o� .�he 'L4-aI`di s�c: �y;,.#, ;,"����� . suggQS�ive of ann�alu� f ibrvsus ��ar. . . , � �: � , � - '' •r. •••]+,.,�.;r_��.�_r.; . � �. .,.,� ;.. ...:�.. � � � � �; . , . Thank yvu for �his cohsultation. �ip�A �.�N�TSKY, M.D. -�.G� � L�fvma � � p: 7-02�92 T: 7-02~92 7� .� � 9 � � . . .� °.�, �. " ' r. ,7. {�' +.'e ;.:;!i..'' .� -.'#a' ;' 41'N��ti1.���'%.'J�-tr''yy:��Y��'•i i ���;t�"i.� I,` � ,.. ; ,. .�'~� :'•. f;- :�� u.-,��:. ' f� � �w� � �i�i"�`..�.u�.r;�� �,y . . � S }y,. •�� :YT.�� � �e• • " �:Y�� jwr',�1S�i ,.• �y�ia.i`y� i� ".� � 1 '1�I1�' ���.e� i, .'!f . ..r��rts;' �.,a.. � } t'.�, ..�: �. . . j; '� • j• . .. . .r r�' .,3 .:Si1%`'y): wiLf�'..`r�iy y S. � � ' i .. �.1. 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YY ✓ ' . 281D4 U.S. !9 N., 5uiie SQ9 • CicxrwMter, F"�orlds 348x1 • Phnnc 1617) 747-0000 Fu {8131 744-i4Gi � — - :� . ;i�l:� �V'� •y.�• l � 1�, .�`i,..� t!}��.�'R+!i� � .�r�' �° � Y�'�"rl�N,K Y,� K �}. '��•: y� � rf. 1' '- i' w.,� �. . r . ^ '`_� f :� E : -�j'...0 �., Srsii••r.^��i,, ..��;'. ' e : ��••; -,M1 ' � .r. • '7 ��'k4r�t'1�' �i�v�r "�%1� `:�. i:`rit: +;,�:,�,�;,,1 ,i==l�'�}• .�rd�;';;';jF�'„ `1;1�::; i.; �,;��:?�J ��5�`���A��. CLEARWATER CITY COMP1l�ISSION �, :�� � Agend� Caver Memnrandum ��e� a .�� � �� 2 ��'�fTEA��v4 Trustees of thc Employccs' Pension Fund M�g��ng Date: ..�..�..�,....��.r...�..._ �.. S�bJe�c#: Pcnsiar�(s) To Bc Grantcd RecommendationlMotlan: Floyd G, C�rtcr, Gcnera{ Scrviccs Dircctor, General Serviccs Departmcnt, be grantcd a non-job- conncctcd disability pcnsion unc�cr Section{s) 2,396 crf thc Emplayccs' Pcnsion Plur� as rccomme��ded Uy thc Pension Advisory Committce. ' ❑ and that ihe app►o�riale offic�als ba aull�orized lo execute same. BACKG ROIJ M D: ' Ftoyt! G. Carter, General 5ervices Director, Gener�l Servic�s Depurtment, W A 5 cmploycd by the City on January 30, 1975, and hegan participating in the Emplayecs' Pcnsion Plan an January 3{l, 1975, Hc suffers fram �cutc sevcre ischemic cardiamyaQathy {weakening of the heari muscic) which� ss thc basis for his rcqucst fnr a dis�bility pcnsion. Mr. Carter has subrnitted lcttcrs Dr. PAUI L. Phiilips, dated DcCembcr support af his rcquest. from Dr, David A. Bcrnstcin, datcd January 15, 1993; 24, 1992; �nd Dr. lcrald J. Rcibman, datcd Dcccmbcr $ 1992, in The letter from Dr. Bcrnstci�t statcs, "tn all likelihood, this paticnt is tota�ly and permanenily disai�led as a resuii of the severc coranary �rtery discASe, cttronic obstructivc pulmonary diseusc, and �► v�ry paor cardiac vascular function...I do nol think hc is a candidatc far cmpioymcnt, vnc�tional rehubili[ation or rcturn�ng to his currcnt position." T{tc lctter from Dr. P�yillips statcs, "I considcr Mr. Floyd Cartcr lo bc tatally and permane�tity disablcd,..I do not thi�k hc is a candidatc for any employnient or vocational rchabilitation." Thc letter from Dr, Reibman statcs, "� beiievc th�t t�ased nn Mr. Cartcr's rrtcc�ica� problems a��d conditian he is unablc tu perfarm his jt�b �s �encral service dircctor for ihe City of Clearwatcr, Mr. Cartcr or'sgisyaily su6mitleci n�'cquest far a job-connectcd disability pcnsion. Thc Pensian Ad�isory Cnnimittce �tdvised Mr. C<<rtcr lhat che mcdical statemcnts did not support his rc:c�ucst for a job-canncctcd dis�biiity pensiar�. At its mceting of Fcbruary 17, 1993, the Pcr�sior� Ad�isory Committce appravcd a non-job connectcd disat�ility pcnsion for Mr. C�ricr with the pro�visi�n that �e could conte back later with furtlier documcnlation to support his ariginal requcst far a job-connected disability pension. B�sed an �n �tvcrt�gc sal�ry of approximateiy $G0,914 a�cr thc past �ve yenrs and the formula for computing non-job-connccleci disability �ensions, Mr. C�rtcr's pension wi11 approximntc �27,411 annually. Char�s from Financc whic� iakc inia considcration n�ortt�lity rates and agc reflcct ihe "prescnl vs►lue ctas� of financing" this pension will be �pproximatcly $2�t�,A42. Reviewed by: Leg&I _ NA Budget NA Purchasing HA Rlsk Mgmi. N� D1S � ACM Other NA Submltted by: City Mt�nagar 4riginat3itig Dep1.: �'�. Human Rcsourcc User 1]ept.: Advertised; Dale: Papor: � Not requlred Affectad p�riies ❑ Notitied C� Not requlrod Costs: $242,4g2 Total Currenl FY Funding Source: C� Capt. Imp. �� OpQrat�ng I.� Dlher_._.. Approprkation Codo: G�b-741D-301-585 Commis�lon Actton: {.� Approvad ❑ Apprc+ved wlcondit�ons L7 ben+ed �� Conlinued !o: Attechments: � IVona Lcticr(s} ReqUCSi Farm ' .' � .. , � , .. . , � ,. . . ' � .' . ' . , , ,. . . � , � � . , . , .' ; . . .� , ' . . t� ',' ." : ., . . ' , •. . ' .. . . , : . , . . , � ' � , �4�." f} �{�,..'ikr.r' ,.41� � . . . . � . .Yk�'E�,�`' .'t .:,s:'. .�`. , , s , ..,., :•`' �.,,�: � t ., ; `' . , ' , „'.. ,� ' !. ���.. . . . !�ll �.. . , � 3 � ' '� . .'! ' . � � r � . .� � � � I T�'. O� F C L E A R W A.T }E R � P06T OFFICE 60% 4748 • � CLEARWAiER, �LORIDA 34818-4748 Human �ieaouress Qe�sartmrnl 482•8870 • � Honorable May�r and Nfembers af thc Ci�y Commissivr� as Trustces �f ihe Employccs' Pcnsion Plan ' � FROM: Pertsion Advisory Contmittec COPIES: Flnyd G`i. Carter; Risk Managcmcnt; Dan Deign�n, Assistanl. Dircclor af Administrativc Scrviccs/Fin�nce Director; �mploycc's File � SUB]ECT: Pcnsion for Floyd G. Cartcr----Nan-job-co�ncctcd Disability� Pcnsion llATE: February 17, 1993 ' � , The Pension Advisory Committee- (PAC) receivec! �n applicatio�� far disubiiity pcnsion from Floyd G. Cartcr on Jas�uary 7, 2993. Mr. Caricr has ��:cn deicrmi�cd by the Pcnsion Advisory Cammittec to� mcct thc � req�ircments of the pcnsion P�an for a nnn-job-connceted disability pcnsion, He was cmplayed by thc City on Janvary 30, I975, and began participating in t�c pcnsian ptan on � January 3Q. Z97S. Furthcr, hc has submiitcd mcdical document�tlion, coE�ics of which are attact�ed, relativc io his disability which has been reviewcd and ap�rovcd by titc PAC. ' , By mocian made ar�d duly carried al its mccti�z� of Febrvary 17, 1993, thc Pcnsion Advisory Camm4ttec apprnvcdlrecammended t�e granting o#' a non-job-conncctcd disabiiity pensian � to Mr. Cartcr ir� accorda�ce with �rovisians of Section 2,396 of ihe C'sty Code. This pcnsian is to be eCfectivc on a c�atc to be determanct�. Thc amau�t of Mr. Cartcr's pcnsian will bc cAlculatcd by thc Finasicc Ucpartnicnt according to thc xormnla in lhc Pcnsiat� Plan for non-job-cannnCCted disability pcnsivn at such time as his ias� rvc ycars of scrvicc and satary can bc compUtcd. I hereby ccrtify that thc Pcnsion Advisory Committec has approvcd thc �;ranting af a non-job-conn�ctcd disability Pcnsion for Floyd G. Cartcr and th�t thc abovc dat�s ure correct. �^ � • .� �= 1� • �-tr•..rz.. _ r�t... W _ Ch rm�n, Pensson Advisory Comrni�tce , ��� "�quql �mployment and Allirmativv Acllon Empinyer" � � , �' . ` {� . ".' . ' , • ' . ' e . . � �� •F I •'I� '� • '. . ' , . . ' , ' ' ' ' , ' , . . . . � . . . ' . , . , • � . I . . , . ' � . . . . ' ' . , . ' � ' . � . , l . . ' � . �' e ' , . . � � ' � . � . , � � , . . ' .. E , � , `' `' !� . . . il , � , i .• �4 • i ' 1 � . . . � . i . , , ' , . 1 ' ,I .. . . � li . ' . . . f ' . i. e ' .� . . ' ' � . v 1 . ' �� . .. . . . . !� . ' , . � ' ' ' �. ' . . . � . ' .1 . . � . . r � � . .. �• ' � ' � '' • • � ' . � . . ' • . , � • , . � :M1-r �a�., .,.. �. . . . . . �. " ....� - � , ' ..... � �... ....,, � , . ... .! . ' . .. � �.. � .... ', ' . .., . , . ti . .. . , . . . r ' ' . . f ' � � . ' . i ' � . . � I . ' . . . � . � �., , PENSI4N REQUEST FQRM ' ' � � � , . , , � . � _ ,;, �],oyd c.. c.sxter da hereby apply far retircmcnt '� �, . fram the City of Claarwatcr �cncrai Emplayces' �easion Plan. � � ,, � , . ` � January 3p, 1975 . My �enCfits d�t� is (Entr� dnte into penseoQ �Ian) � • � My date of hire is J�'��� 30, 1.9'75 . .� , � , � My b�rihday is Augus� ze, ].936 ' � � , . I'dy � job �laSSi�C�tion is General. Se�vices Ai�ector �� F worfc �. �� � ' . . � �c G�s�eraa. S��vices Dep3rtment. Aivision. , . . ' M y' r�siDnaEion d�te iS_ �o be det�rmined . T�te typc af pensiau far which I am a�plying is (check ��nly ane}; � '� � Reguiar Peasioa� based on ycass oF service . • � ' � � � Job-co�tneeted Diss�hiliip pensio� . Nan•sa�-conaecied Disabi�ity Pension . � My spac�se's aamt is:. � , . . � Depn�dtai ct�iIdren under the age o[ 18 �nd residing in my hausehold arc: �. (Print Child's Full N�ne) (Chijd's Date af Bir�h) I f�ereby ccrtify �tl o£ che a6ove [o be truc and correct: / . A. �'��i� .1 .z�1�' _.. � �� (Iv'otary P ic) HpTARY PIJBLIC, S7AT� QF FI.QRIDA. MY COhIMl5SI0N E1lPIRES; JIlLY 1�, 199A. ADNCC6 TMR4 MOYANY PVeWG UNO[RWRI7Ef1�, � �� �ary 7, 199 {Date 0 �,i� . .f' ' � � . ' f . � , .. . � . . � , . . .. �I I i ' ' . . . "' • . ' � - . . , ' �. .. . , . . 1' , . ' . • � • ' '. " . � r . ; 1 � . . .i .. . . . � �. . , . ' , . � . .. •. . . � � '� � � r ' ' , . ' � ' . ' 1 . � ' ' � . i I•• 1 , � •t , ' ' ' ' , , < ' ^ � , ' � : � ' , , � � . , . � ' . ' . � . . . ' � , � . ' . . ' � � , � � . • ' ' . .. � . . , . . , ' . ' 3 . ' 1 . � ' � ' ' , , i .. � . � .3 . . . . . � . � , � � . . . . . . � . , , i • . � . � � �� ' � � ' ' � � . •i�r»�a�ii.•., ..� ,�r . • . .. ,' , ' , . . .... , f.: , , ' � . . , . . .. . � . � . . . .... . �., �, . . . .�.� � � . . � . � . . . � • • , r . . . . � . � � , � . . . . . , � � CiTY OF CL�ARi�'VATER � ,.� , . ' , , . G�N�RAL Eh4�i3OYEES' � P�YSTON F�.��Y . j� '�: • . . ' , ' UPTION5 -.GENER�L ENiPLDYE�� ` � . �. , . . � i , OPTION #1�: • Employecs can reccive a Iur.:a s.:�:i payment for , • vacatipn and ho�iday pay snc! 1/� o� accr��d sick ]eave �.� at t�e time of separatian fro�n the City. Tiierc will �e no� � �. 8�7a tdeductiou far pcgsion frocn li�is l�m� sum payment � - .. nor will this arnount couat a�s earnings in thc ' calcu[ation of thc pension. The Iast day of waric wil� � 6c �• �', the termi�ation• date and pcnsia� be.zefits wilt begin , � � � � the follawing day. QPTION ,� �; �mpioycc can ex�cnd � tcrminatian dnt� by the ti�e due �(4nly, availabte to fvr vacation, �alidny pay, and 11? oF accn�ed sick leave, QZII}1IOyNpS hired Terminatian date will bc the �nal day of extencfed time, , prior to IOlI190} Pensian benefits wilF be�in thc Following day. � . ���*�#����:�,���:����*�*�;��K j, ' ' FZoyd C. carter _, �n empE�yNC of� thc City nf Cl�arwater, her�by �pply for �ension benefits under tne ,Gentral Employees' Pcnsian i'ian. , I I�ereby .cer�ify that I fuily understand the two � op[ions Offered to me. , I choose , ta retire usin� Option # 1 and wis� my benefi�s 'to be calcUla�ed under this optiqn. I understand t�tat once this form is si�ned, my i�CCi510T1 is irr ocable. . � EMPLOYEE'S SIGNATU SQCIAL SECURITY #: 26� 6 1993 . , VJtTNE�S: � D RE55: _ 2125 Co1l.ege pxi.ve ' �f����� , � � Cleax+aa�er, FL 34624 �/� .Lx _.�� ..� / f�� �.L.�-�— DATE: _ �anuazy 7 , ].993 r�`. � � - . � , . . ��. � � ,: ' � . � ' � ' •� �. � ' • � '� ' � � � ' ' � , , , , .. . . , y ' . ` . `. � , .. r: ' . , � � . ` „ ' . . . . .' ' . , .' . • � . . . . ir � � , �� � . � � . � . , . . . . .c!'. � . ., r.,.... .� �. .,�, ' . ..,. . . ' . . . . ,� . �. .., i ' ' � ' .. , , . ' � DAV�d A. BERNSTEiN, M.D., P.A. � : . � � . � IN7ERNAL MEDICINE AND GERIATRICS • , � ' '' 292�1 Enlerprist Road. 5uitc C ' !?iplomarr— Amnrcun [1nur�1 •' Clcarwater, Flarida 3�i6�3•17Q4 ' � � u/lnirrnu�,�f�rci�,� � , �813j 198•G�§5 • � , � , �� January'15; 1993 RE: Floyd G. Carter To Whom It Aiay Concern � � .' i have been acquainted with �tte abave reEerenced patz�n� si.nce his ' hospitalixa�ion in February 1952. I k�av� had �an oppo�tunity to review his recozds fram that f�ospi�alizatian. In .�ri.e� � he su£fers from aCta�e severe ische�ic cardiamyo�a�hy which, i.n layman's terms � is signi�icant weakening o� the heart muscl.e. This is as a resul� of a cotanary art�ry bypass gra�ting procedure �rom 197'7 and a second surgery in August.1.992. �ha.s condi�ion has ��f� hi.s hear� weak at�d fra il and z� praduces an output of approxina�el.y 20 �0 3� percent, . In addition, the patiertt suE�ers €rom advanced, chrvnic bronchi�is; emphysem�, which �urtkter pZaces a strazn on his eard�opulmonary � � sys�em, ' I.have had an oppor�uni�y to review Mr. Car�ez's job descrip�ian and it requ�res a modest amount � of bo�h physical, a�d emo�fana.� energy.. At the current �,ime it seems to m� �hat �.I�is patient is un�`.t �o continue in this type of wo�ic. I�eel. khat- he do�s not have the ca�acity to regain enough cor�ditioning �.o perform his tas Ks . zn a1i �.ikeli.hood, �his patient i5 totally and permanentl.y disab�ed as a resvl� of �he seve�e caronary arter� disease, chrnnic obstructive pulmonary diseas� anc3 a very poor cardiac v�ntricul.ar �unction. He is capab�.e o€ wa].king very short +�i.stances of 3�1 �� 4� feet withou� res�. He i.s not capable at carrying object� weighing gr�a�er than 5 to �.@ pounds. He is not capab�.� o� squa�tiny ot wal.lcing up a�light of stairs or c�imbi,ng a ladde�. I do 'noti �hink he is a candidate Eor e�p3oyment, voca�ional rehabi].a,tation o�r returnin9 �o his current position. Sin 3.y, David A.� Bernstein, M.D. � � DAB:prn/lml cc: Floyc� G. Car ter . . �` . .. . . , ��,;;�i;�', -;; - , . `. • � . ' ' ' . 1 " , , , ' . .,, [ , . . , � � ' , " . r . . . ., ' ' a, • t , . ' .� . ' , . ,. . , . ° • . ' ``. 'y. .�( . � . � ' ' � . ' • . � . . . . � � � � � � � � ` � 9f � " ' . . . . .. • . . . . . .' . � ;� . . . , . , i , ' � � � .. . � . . ` • . , '�� . . ., . . . , . ' , ' , i - ' ' . � � : ', e r. . • 1�. .. � � . . . ' " . .. ' . . � ' . . , - ' ' ' . . . ' . `' . . . � ' i � . � � i �� � . . • � � •!� " ' 1` 1 . , � ',� .. t` �' . . ' ' � � t. , I . , , r ' . . . , • , . �' ���, , ��1k • "f.� ' � � ' � • •�, f t ' • • ' . '' � � • , " � ' .1 . ' ' . .. ' , .. F�. , " ( t . 5,. ,�'` �' , r . ' '' . � ' � . ' � � . . ° ; , . • r . � � . �dr�Urrvrr a��a..e.ww .. . 'i�l,' . t . � ..�...... . �. . ... ....Y..,.� .... � ,.. �� f�.l� . �. . . . . . ' • . � . ; r.i . . . 'i . � .� .; ., , � , nonald R. Eu6nnks, M.b. ' - Mkchaei D. Willt�mson, M.D. � Paul L.. Phlflips, M.D. : ' ` C�earwater Cardiovascular Con5ultants 11f}0 Clearwater•l.srga Fiond Largv, Flnrida 346��0��3131 ' , {813) 5$6•Q0�1 � .' � . . � � December 24, 1992 �TO WHQM �T•MAY CONCERNc � J�sQ I,. Gn1la,tegul, M.D. pouglns J. �5prlgps, M,D. Vanes3a d Luc�reila, M.D. � � Re: Mr. F1.oyd G. Carter � � , . . � P'� w��� :?�t�, Mr. ���'ter is � 5�--vear--o�.d man who has. a�.onq history of corvnary artery disease. He underwent� i.niti.al. bypass surgery in � 1977 and had a.second operation performed in�,August of this year. He has severe caronary artery d.i.sease and a marked decrease in resting ���t ventricu].ar function with an ejection fracta.an ca].cu�ated at z3� by radi.onucli.de angioqraphy (Mi7GA) prior to his �� surgery. After his second operatian, he�'requi.r�d repeat hasp'itai.- � i�.atiori �ar congestive heart Failure. • I consi.der Mr. Floyd Carter to be totall.y and permanently disabled in view of his seveze caronary� artery d�.sea$e �and poar resting left ventricu�ar �unctzon. z do not tha.nk he is a'candidat� for any empl.oymEnt or vacational. rehahilitation. , Sinc�rely, � �' ' � � . C�'�"�- Paul I�. Phil].ips, M.D. . PLP/ 1.dr . Copy: Mr. F�oyd G.. Cart�r (2) " , •R,='.��'. `�} �.�;" � }i� ,:.!''• . � r . . ..� . . , . . . . . . , . � . � . � .i . . .�t. ' "v. . . , . �; � , � ., �: `�, =.S' ,'t'•1' ' • `Y � , . . , � � � � . . . , .. . , • , - , , , 'r,4 _,' i t `if+ Y?I. (� � . . ., , . ' ; I ' � ' . . � , " , ' ' . � e . ' � � ' � . . . , , . ' . . . ' ., .' , . � , .. � � . . . ' � � � . • .� ' � • . . . !. " ; . . . . � � . . . . -�y .,,�. • . � i . . ' _ . � . .. , ' ' . , . . . ° . , ' . � " ; ' f . . � � . ' �+ ' � .. , :�'�'� � " ' . � . . � � ' , , ` � . � . �t ,E! . ? . t .', , � ' , ' , ' . ' . . , 1 . �f' �'F: .� ,y',. � .' ' . . . ` . .' ... e nt •• '' . � ' � e � , . � . , ' . 'r ,' , �' ;�; :lt.'ftf , . � �. ; ;^,� ; . � � . • � •' • � �� ' •' . . �. . i '. ;I 4, t.. .. }, , � . . . . . . .. ' T �S. � . , f . � � � , i � � , . :�i 1�� � i .. . �. , I �.. . ' , � . , ' ' . . . � '' , • . . .. ., . . • � • r • . ' . . ,1�; i] : �r`.� ,'' 3 �l.1� � ,'�� � ' '' , ' .1 � � L , , ' • � ' , 1 ��i�wr'. �. ..l.re.r« . . ... 1 . � ' . �......�. . .. ' . ' . . ... ..>. .. � . ,.. i. .. Ii' 'lr.l.'... .c�r , . .. .. ,.1. : y .p , �� y�. �. . , .. i . .� . � .., e ' � � .. f. " • . ' � , , . � . . � . C1GNA Neallhplar� af FiotECa,lriC, � . � . � . , �E . . i . . ' . � F.rw�+wWww.�.r...�....�n.r..r.wrw.�..wr+r+i...�..•w�wnf....�.......____—�.—� ��i '.•' , 1d47 South @elcher Raad ' . . . � . . � Clearwater, FL 335�6 � ' � ' • (813}S35-O7d4 � � , ' . . ' � . . . . . ' �'�,�,�,_J �: r�� ' December 8 , ]. 9 9 Z ' ; � ' • . : . � � . , , . . . }� ' . • . ' � � � . ; . � Ta Whom �t May Concern: � � � � - " � : RE: £loyd Carter � � � -, , ' � #65�3 , . . • . �� � . Mr. Car��r has asked me to write a letter stating tha� he is �ully . d.isabled and x,gladty do so. Mr. Car�er has Ch� �oJ,�.ow�.ng medical • problems: • ' � . (•7.) Caronary arter.y disease, status pos� revascu].ar.iza��.on surgery times � two . � � � (2}' ischemic cardivrnyopath�r. � . ' . {3) rhron3.c obstructive pulmonary disease. � � (4) Adult ons�t diabetes, die� con�rolled. � � (5) Hyp�rlipi,demia, a�so die� con�rolZed. ' � � I bela.eve th�t based on Mr. Cart�r's medica�. p�oblems and cond.it�.on �e is unab�.e to perform hi.s �ob as general serv.�ce d�.rector Ear th� City o� C�earwater . ' � Shou�d you have any further questions, I would be happy �o prnvide more intQrmat.ion: ` S�ncere].y, � � �n�D . . . Jerol.d J. Rea.bman, M.D. CCW:MRC:059��0 Tape#: CQ903 , ,, 0: 12/U$/92 R: 12/09/92 T: 12/�l/92 �'. �� � . �� 3�a65Q � ..' � .,' `"'.,'. ; . �, :. � . , . , : : , � ' '; �, . I� � ,. ' . . „ , .:;. ' . , , , . ' , . ' . . , I` , � ..F1 • , • r . , i . '.., � � . ' , .. . . � ' � . i:' i . . .. . i , �. ; . . . � . 1 . . , . , . . • , . � . � ' � ' ' . . . ' , � . . ' • ' . S , ' ' . � . .. ... ., r ' . • . ' " 1 ' _ , i. � . I ' ' i . • . . . ' '�. ' . � � . � •• .. . • . .. . ' - • • ' . � '�'L.�'t•. �� ..�"., '....w.. .. . . . . . .... . .. ... .... .. . .. � . r. . ' .. � � .� . .- e , s . . � �. .. : . . . . . l' . ' ' . . � 1 ' ' � • • • � � ' � • � ' . � ' � ' � . ' . i • . '� � � . ' ' ' i j' . . ' . � . . . ' , . . . �'.��.� ' tTndcr ARTxCL�: �II, Ct�tPLOYEES PENSI(]N �'UND, Sc�. . � �� � ' � , . , . � , , ; . ' ` 26.34. Cc�mputA�a.an and deti�rma.nution of pension benef���, Codc . � z � � ', � o£ ��.�y"Of C�,c�r�+nter Ordinunces, I, rlaYd. G. Crzr�Lr, x��qu�st � _ � di��abi�,itv xe�ire�nent: . . . � Ecnp�oy�es who �becom� , in the opina.oiz o`f the adti•isary � � ' - �commi.t�ee,� peim:.�nen��.;•, ph3-szca�.l;- or men��I.�3r � �.', � inc�tpacl.tu�4d �o pF�rfurm �hei.r �luties, ma�• reLire after � coz��inuuus �e�v.ice uf� th� c ity fvr. � Perior� u� ��n. {].4 j . �. r ea.rs or mor� , provi��e�i that :��ich rptiremen� �hfxl� ' continue an.Cy m� �.on� �s the pI�ysr�cal� a.r rr�en�aZ � � �. � iricup�ci��y ��ists. . . . It is ra� no5i�i.c�n tli3t m� current iZlne�s i 5 t3c direcr�, . ' �' � result o_f the_ _st_re�s nXaccd__ on r�e_�ersonal�y _�s_anc o f t:h� 1a5� � �xc�utzves of �hc_Ca.4-�__rem�in_i_n� und__c�r _thc ,Civ�i�. Se�rvicc I3a:xrd , ,�„nota the anlv remainin�T L:iE'C:l1�LV•c und�r.the C;�ivi1. Scrv�.c.c �3�,�rd}, � an e_tcci�tive r�ot zpnU int:�c.! t�� �he incumbc:nt,�„ f: i t� �tran..� *er anr� the . � P:�c_� t.hul_I �ave �a���n iri t:he �s.i t;i.an of Centra�/Generr�.� �ervi.cc�s Dir�c#:or For 1on�er th�n �iye_( 5�__ y_e_;:rs and tfi;�� i:a rcturn L•o wurk as G4n�r�1 S�rtrices Director wr�uici �c:.uc� ro � shartened Zi.fe � :�p�n anc� s� less than �_1c�LS�nl: �i i'e. ' Tllerefore, I f►.�r�fi�r requ�st; ih�t this ,lisabili�; L•etirc�ne:i� b� uncl�r e�iiTtCLE �IY. EMPLOY��S PENS70N FU;7D, 5cc. �G.�S. Pension , b�nefzf;s---Perrnmnen� �nc�pa,citation: . • . �any emplay-�e who, in the op.inion of the ��dvisar3. cdmmi.t�ee, sh�tl]. t�ecome ger�ri�.nent�.;; incapraci.Ca�ed throuoh injury sttf £ereri c�z� illness contracted in �he � lzne �f duty .shal� recei�•e r�n anr�ual pension tiana.ch � �.. �hall be �wo nncl �on�-�i�lf { 2 1/^ � per c�nt of the . ' � � average saI.ary receivea by the emplo3•ee�for the last P.iv� ( 5) years of service, multip].ied b�t the number o� � yeurs af service, provid�d, hocaever. ,�.hat no s��c1z _ • �mplc�yee s�2a11 r�ce�.ve� u pension of Z�ss th�n seventy- � five ( 75 ) p�:r cent� of tli� aver��e s�.lr�ry xec�ived by . � sucki e�playee far the ].ust fzv� �51 yetzrs of seruic�, � , � ' ,. ' . � � ��.1' , � ' f , '. .'' � • � �i ' . . . ' . 'r ' . � � . . ; ' ' . i ' . � , ` Y � �� . 1� r , ve. . 1} . . . •' - e f� � ' . � � .� . �. . � . . . . . : . " 1 . , .1 � . . I' kI i.,. 1 ' . . . . . `i� 1 ; ' ,. ;' , ' • � I . , - . , � ' . �. . . . , . . � . . . . . . . � . . . . . . , ' , . ..�;' ' ' . . ' . , � , � I�i['. .. : , '' I � ' r... . �' � � �� . .. � '� , i � . . . � , � . ' , . . ' , I. ,�' � � ,f . , ' . . . . ' � �. � . .. ' . �� s ' . ' � � � � ' .� . . . , , . I...-..._.,�..��.... . . ' ... .r....�. . .' .. .. . . .... . .. . . ' . ' � '- ,,.. , .... , t''' �i'..•,i . . .. � �_ . �. . � ' �' . , , � . , } " . . . , . . � . ;�� � i� I' In support of ��his ��quest :I affer. le�ters ir,am dac�a'r.�, ` at�est.�n�� to my dis�bility and � further nffEr the� fo�lo�:ing " informxttion in support �F ,my iliness being can�raci:ed, i.n �hc line 4� C�U�y: . Th� ac�ven�. of' �.on H� Ra��in as Ci�y �iaiYU�er .oi t�7e Cx�3- uf C�.e�zr��atex• ii� �1�ril., iJ83, 'bro���h� si�nifican� changea �a L•h� intertia� opex�a�,ixi� or;anization o£, �.�ae Cit� . These c�lanbes t�c�re �• direct. restt�." of. �1r. Rabun's sta�ed �O�,iC�� c�ha.ch ��ras ,b�st , , . restat�d b�' tlZe Trii�a Tri��un� . Pinel.�u� ����.�i.ot1 in rc.��otzse �o the ten��re�� r�si;na�ion o� �h� Police Cl�ie�,� Sid Ii1.�ein: ° .. Cleart:ater. Cit; �fat�,a��r Ra�z �.abun izlsists n� . . one �orce�l�Falice Chi�f , 'Sid �il�in �.o resian: , and Iil�in, aLter ei'i�.� 5-�ars iia CI.e�.rwat�i•, , says Fi� si;�p.IS� ta�nts � nec: c�iti.I�Et1�E' .in a.�.czL.�;F�i. �:�L;:. . �;�1��.�:i Ir�l�'� E'�'E311 �E1t�U�:1 �1C' �1:15I1�� rOlitll.� ct ` ' , ja�, ��c: sa�-s. ;le �.�r:c3ered hi� resi�nriticn, ef�'�c;r.iv� iii si;: �nantlss. � ' . n«t consir]e�� Rabtiai's Lr�cl: r�corc� s:�iic:� .i�� t:a . � � ` . � � �rus4 na one S-oLi �iidn' � h.irc� ; OLi�'SeZ� . . Sin�:e arra.�•in�; in C1eax•w�Cer, �.aEaun has � . demo�ed three d�pa.rtm�nt he�ds -- Ceci� I�er�d�rson, former �it;i.�.ities director; I�ai�iz Crat�foz��i, LormF.r • d'irPC�or n� tr�.ffic en�ine�rinp; anci Dan�Dei�nan, f'ormer Pit��nce �.ir4c�or. :�ssistani cit3- rn�tn�.�cr; � 3�t ,,- �{�ese�:er «as �eraa�ec! to ::�n �x�mini�tr�i�s.ti•e pa�itian. - . . Goiie �.r� .P���i�.a FTarve;; , farmer pl�nni.:�a ,' director; Joe �1cFate, former �p��nning und Ll�b�n ' � developrnen�: di.rec�or; Ger�I�{ tYei��n�r, former ass.istant city mai�a�er, Be�,ty H�eselter, former � � assis�mnt city manttger; Dan Petersen, Form�r risl: ��, m�na��r; and Phil Benna.s, former �urchaszna director. , Count�.�ss o�her City I�Iall empla3'ees• �re ' � , � parznoa,cl, f iouriiig �hey' re ne�t because they ' were�n' � ��.ired by Ralau�i . . :4'��, we r�re to beli���� I{l�in i��sn't Part oF � � Rt�bun' s �xtende� housee3.e�nin� . �►t� th� f.ime af� �ir. �Rabun's �pnoin�ment t�s Ci�y ?1anA�er, . ther� wcre �,hr�e (3} e�ecutive pnsiti.ons in �he Ci.ty ac�cupied by �' ' ' ' � . , . � . 0 ;�. . ' : ,i j . ' .. . ��• Fi '�s� . . � . ' =r . ,. � . . ��° ' �, . ;��! ., ' � . ra.'r'':t' �! .. . .. • . . �i� . � . � . . ' � � . � r , � ' . r, i(; . .. f ' �. . , . � . ' . . . . • ,. . . . . , � . ' . � , : . . . ; � . ' . .. ' I' , ' 1 , . � ,� � '`.� ! • . ' . , � ' � • . . ' . '. ' ' � " . ' . .. � ' ' . ','.. :tiv y, ; ,z . , , ,. " . . . . . ' .. . , � .� ' . . ./.� .. • ; :�:�.;� .;.. � , , `i.. ' • + , , .', - � i , ,' . . . , , . : ' '1 . ,.,. . ' , . ' ' i- �,`. , . . (:. �.• - . � . , . . . . . t , :�. '�., _ ' ,' i:� , s;s . �� �� . , . ' : . � r . , ' !�r:�' `� •:1 •ti . . :i.� +° , ' �: � � • , � , . tir ��' ' . . _. � � �, � ' , ' ,' . � . ': � . ��i � . � 3 ' j , ' , .. '+' , • ' , ' 'l z . �f�� �.,.' 11'x , ' f.i ;!}.f{!e' . ''I.vi; ' ' ` ' f �' - „ ' , �� . . � • • ` � ,. ' . . ' . � .. S. .. � {�' .�i : ' . �r .. . , .1 . � . ' . �.'� � . �� . .. rf�.' . �. . � � . . . � . � � ' � ' ' � �. , . � .. . ;: i ,;. • ,. ,. • � >s � � �f. ' �� • � � ' .� ' ', . . r' , ».�Si�;,fi,'?;4;:i:Y'., `:li. ,4sri�rov�. a..ri.�.,,,k...... �..-. . �_ . . . ' � . �rrr . .,�. 'I•':;"�a�i. �. .r.� � ... . . , � � � ;�:, .,-f . . . . . . .. � � +� i ... ,}� ' . . ' � ` . , " � , ' , ' . . . �I' ' . , ' . . � � . . � � , 1 S ' e , . . . . . . ' . . . . ' r � i $_'� � ' :� �ndic�•idur�ls whn were still und�r ttie .Civil Serva.ce' B'aard, whi.J.e '�,.. • . .., ' . � , . . � aIl a�hcr �;:ecu��iv�s i,�ere� under c�ntr�act� to �he Ca,�y Tiun��rer ��rid ;,:�}; ; . . ,. . . . `s� ���.• s�rved a� hi�s p.���.sur�,� The �Cen�rA� ServXCes D.irector, m�sel.f, :.A . , i. . . , ':� . . wus one o�f those� etiecurivc posi.�i'ans. s�i2l. und�r �he Civi1 . .' � ' � ` . � • ' � - ` .. . Ser�•ice `Ba�.rci. Lir. , R�bun pres�tz��d me witli �.n indi�:idua� `:i� � � . � ' , • � %' . contrzct throu�h �he� Personne2 D.ir�ctar, who, a���eed �hat zf: aaus. ;.; . .. � � . ,� , . � , . . . �, ' �� not in� my best a.nterest to, sign th� �oct�m�n�. A�,a la:er timc �� • . , '� . > � . �.;: , , ' . �tr. R�b�in acl.now���3o�d this �status �.�i�li � s:ri.���n IetL•�r. Sinc;e , �j i . . � . , . . . . . . .s., �.r . L���e TFa.,m,pti Tribc�n� articI.e, the otl�er tt.o inctiti-idtiala i;i1o..�;ere :; , � � . . � , . z; . . . a�ilZ «��r�er �he C.i�•ii 5arvic� BUarc3 ha�•� Ic:i �. cit;; ernpZoy'ment � . . , .3 � (I�ei�h Cr:�.ti,•�orc�,, Trz�ffic En�it�e��in� Director. ;�nd �cici.ie �roz.land, � .� . . � , � , � Bui.�iiin; �. :tuir7t�r��ncc�' Su�erintend�nt } .. ' � , . S,. .' . ' . . ' . � , ' • , { .i. . . � � ' . Priar I:o :•ir. Ru�{1n � �� a��oa.n�m�nt us (;it;; !lana;er, Tlie . .' �, . C�n�ra].'S�r�.•i�.�, D�purtment cnn�i�L•ec� af L•he FOI.�OWItl� �L1�'I51QilS: �� '. ; . �. • . �;; . ' " . . . . �... .' . � , ��. r ,. �,�,a ' . � , , General Dz�•i.sian-. 5t��itchboard S�ct�on�- R`cards �fana�er- � . . Tel�comtnun.ica�ions !1�'ntt;�r Custod�.al llivision-. � Graphi.c Communica�.i.o"ns Diti'isian- Data Pracessing Division- Purcfiasi,ng Division- Flee� Maxn�:enanc�- . ' � Radio Sectzon- . � Refurbishment Shop-- Risk Mana;ement Division- � Bu�.Zdi�g & ►f�intenance D'ivi�ion- Energy ��£�.ce- . , Occupa#.i.an�l L�cense Division�- � TOTAL . � ' i �"umbe r o f �rflU�n���es -�.�] FTE •. 1.0 rTE . Z.a r•T� 1 . 0. FT� 2 r, , 0 �T� 6,0 F'T� Z9.8 FTE � i .0 rTE 39.0 FTE �:6 FTL• 6.0 �'TE , � . 0 �'T � . �9.a" FTE 4.4 P'TE 5.� FT� • 15?.3 I'TE 1. ''i: ..SI.� � ' �. ' . . . . . �. � 1'�� .. . 1 � ' • • � 1 . .. .'I� .t. ' ' ' . , . I ] , . . , ' . i . ,, ' 1 ' . . ' . . . . , f ' . i . 1 . � ' ' �' � ' � . I ' �'. . 'I' . , .. . ' . ` ' e . , . . .� , . ' , ' . � � . .. I � . � . . . '' ' . . ••.1 � • . J ',..iS,,, .�. ,.� . ' r `. .. ° i '' 1 ' ' ,'' . . . . ' . . � � , ' r . . ' 1 � .. . . , . ' � . . ' ; . ♦ a � ,. �. 1 ' . . y ', , . , ' . ., f . ' . . � � . . . � , . . • , . '.4 , ' . . 1 . . . . , ,. {�, , r . • , `r , , I , , � ' 1 ' . . ' , • , � . .. , ; ; , • - , . • . � ' � � � .� . . . , ' ' . �,,. ' . ��1 � ' I ..,.., " ' . . . ' ' ' . i • � . . 1 .. . • . ' l. `� 5 . . 1 . . . : ' . ' � • . I 1 . , . , ' ' � ' , ' ' . � � ' ' ' . . . . � � . ;1 .. _� .v .. . . � I. , . ., . . . �� , � S ,���.,�•9�»t;�. %:il� ;o� " - • ' . . � , � . , . . . ' . Ji":t� . . ..� ;.t...���'`�.�Y''';r.�,` 1ttr�6s:,zh �..... ., ,... . i .. ' .,� . , '���.�'� .. , r ..�, �� � . `3 . , . � .. . . � � ' , . � . , . . . , � :, , , .. � .„ � ,i ' THe Gener�I. Servi,ces 17e��.x�ment {nume ch�inged by� Mr. Ft��uri) currertt].Y cnns��tis of Che fvl.low�.n� •d�visiQns; .. . � . • � .� . . � � • Num�cr of . � . _ � ' �mrs_�nye�s � G�neral Division- , .� 2.0 FTE� � . � � Te�.ecomr�un.ications Sectiar�- ' � �,� I�TE � . , Build�.n� & �i�intenance Di� i..�i.on� � �2 . � FTL � . , F1.eet �inintemm�ce Di�•is�.on- � -�L,6 rT� � � , . Radio �ec tion- •S : Q rT� ' TOTaI. . � � "r 2 . Q �'Tt . , The r�sipna�i.on of ?!r. R�bu:� �nd the apPvzn�m�n� oi �iich��l �Yriali� hns no� si;n�fir_ant�.;; impro�-ed �:he situation, .:�� a � ���rer�t f'or c�enartmen� direc�ors anc� assistant ci�;r- m�r�a�ers, tze.�,�i sl�art.�3• ��tier �lr. Rab�it�'s arriv�,3, �lr. 4tiri�l�� stst�d �l��.i s�n5•on�. stiho h�id be�n in a„o� oc•er. fi�-e ( a}.y-�ars h.�d bQeci �her� • '�oo Iong. 5ir. irfri,��� r�enforcer.i this s�at���nt ~tiizer, iic �z;re�d wi�h Com�issioner�II�ll �unamal:e.• who statcd durino ti buc;e� mee�in� �.ha�t �.n��-�ne: �.ho. h�d becn z,n a position for f:.c-� ( 5 l ;.•�a�s. had l�een th�re �oa long . ' vot l�nowin� wha�. is going to ha�p�n ne�.� or if I itiil� h���e a �joh tvmarrnw, h�zs nl�ced me unc�er immense stress �h�zt is not .. nax�maJ.1.3� as�ocia�ed �vitil ttze posi�i.on. res�r of bein; �ired �or non-p�rform�ance in n posi�i.on af this type i.s �. typical. and acceptaE��.e form o� s�ress for �he incumben�. , ' Dur�na th�s I�st budgeL• prepuratian pera:od, �ir. S1ri�h� �.et me kno:a� in no �uncertsin 'terms that GenerAl Serv�ces Di��isions cau�d be glac�rl in other Ca��► depar�ments. Since neitt3er Ron Rmbun nax !�%ch��.Z �dri;;ht has ever qu�s�ior�ed my abz�i�y, �here is only �ne cnnclusion �hnt cun i�� drawn and �hnt :'t� my current ilZness is tne direct resu.�t o� the ,�ress�pJ.aced on me ,� °f��:F4Y� �Ii"'�`Y �=Y!'' 'i.t`•.:�}��r��4a�s ��e::��: ? � ,,r; ' r.� ° f3 .l��',e �� :y.�;'t� '.'� °- .:,i• ��.��.5'i.,��'.� �.a,: -si..� r,'• sr.,�. �.r��,i.. . ar..,, �ri,C� �r ��[ _.i. �i 4R.; '}: .�i'� r'r,�i �'� r ,':tl:^'�, :`r.'.J' -tif.i d: :V �r.,.i:, ':if.,� '.Js?i+i .iiN, i} y,�3'c , � •.;t� .�:a:''� .`S• ::,�: ' i•.a � � � .. .r' � � i , °�4',.� .F - �i� rp`� .} ���'�.A'-.� S •�'i'. > �1,� °:i , .I�� �1 ' � F '{'• . . - - . . s4i ��i'I dd,•,�' "i3 . .l% ;•�1'�}: ',PF;'' '"j' _. '�7�t .l .),1i f.' S �i. .11, � ,r ¢s• r�i ���ik'"-4.. 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' ' ' • , ' ' ' ' . �t. ti';t. `! ... • , . � ' , f + . . ,. i �, � � ' '. . ..vr.w�;.,;,»..... .?'�. �! � �:': �j.,......Y . �. .. .......� .... , .. .•K,...7E • :.i,, ' ,'. ��,-,... . � •i . . ;. � . . .: , . , ' .._. ,... . " , � . 3 � ' � . . . . � � � . � . ' 1 . . . . � . . � " ' � , . .. . 1 ' 1 . . i i � � . . . ' . . � ' . � , � . , � M�DICAL STUD��S AND R�PORT'S IN S[IPPORT� • ' . ': " ' � , . � � �C JOB R�LAT�D DTSASILYTY - • . , � : . '; . � , . . � , ' - . � , '. , . • . , . .x. • ' • . : , . . ,�� . • , � � In Gheir. ar.�iele "Threat of unemployment and Cr1i'C��OVASCUa.�i' ' . � � . � � : .risI:� factora, " publ3shec! ire �tie Br� ta,sh �led�eal .7ourna.�. ( 1.990�, � , . • ' 5eptember 8},, �rs.� ?i�t�iasson, L�.r�d�a�rc�e, �lz].ssan, and Theorre�.l. ' � � repox�ted ti�a� the�,r siud,- ��' u cah�rt oF c1or�.�rs and a;raug oi � ,,� ' con�ra�s ove.r a� periad of G. � years founa : .. , ., . ' . ,. ' � � � . . � , . l. seruin chales�erol concen�r:�x�.ions increused maxe�. '� � � . � � amon� m�n threa.�ened with un�mpin; m�nt i•}•1 . 8°0 ) th�n . ' � , , among thvse stiho were not, ' - - �. . '� - 2. � a pos'Y tive corr�latic�n c:�s f�und b�ti��en chan�e in ' ' '. cho�es�exoi �nd churiae in UZoad pr���ur.e, inil.ica�.in� , . � th�t rhe o�•�ral? risl. �rof�i� e had i�•or�en�c �cnona rnF'n . , �,' ' with increased serum chal.e�terol- c4ncentratio�3s. � , mli�ir eonclus�.on was tl�a�. the "risl� o£ unemp].oyment in�cre�ses � �h�: 5er�im cholest�rol cqi�ccntrA�ion in middZe, a�ed men." , � . � I i E i` � � � IZ. In S�ress Revisi�.er�. S�stemic Eflects of Stress, Jasmin & Prosche�:. ( Ed.� }, �lont,x�eal., Que. , Canada: Basel R� Firu�Ar; 1991 , val . 15, pp 47-57, Drs. Pasternac and Ta�.njic st�te tha�. � �"Psychoemotional stress is nati� reeognizec� as an impar�ant � ,coniribu�zn�, fac�or �o caz�d3ovascul�xr disea�� .... Once coron�ry artery diseuse is cletec��ed and medical trer�tmen� be;un, �sa�ients ne�d to alter their s�ress-fi.I3ed ].ife-styles." . �"' ,....... � .. , . . • � . �. •�';1L; ' ,r� �`� . s, . � , . • ' . . ��; , . . . ., .. . . � . � ' � �,' . ' , . �' 1 1. �'S'! . ' � • . � . .. • . . . ' , � ' . . s . � . ' 1 . ' : .I�. � � � 6, � . . • > ' • . � . � ' . � : !' ' � . . . � ' � � � � � . . �. � ' � ' � � • . i 1 ' . 1 ' ' '..•.� ,.. !'. . . . � '� . . ' 1 � . , , ' . ' . , � � , � � � 1 iI ` � .. ` 1 . `'y5°, . ...,,,•. � ' .. . ,; '.s' , . �, �' , , r '' , . . , . . ' . �. ' . f . ', . ,�� ', ' �. �,'.' . `., ''" . � f _ .. ' � ' •. ,� ` .. . . , , , ' .� � ' . . ' � . . , ' � . , . . . , ' . , . i� .'� � , � ��. ' . . , . ' ' .. � 1 '. .. . . , � • . � � . . . . . �f ' � . , r �•!.f'. � . -}� . . . , . � ' . . .. ' .. ' . � � , , . . . � ' � . e . ' .1' ' �. � �tl�' � ' � 1 ' � •, ' ' . . . . . . . , . r . �i> 1 •. � �P.� � . , .• ' . . . . ' � . � . . . . ' . � . � . . ,. ' .:1:'. ' � � '��' �� . ' 'I' . � . . " ' ' . i . , , , � . ' . ` ' ' � . � f�. .f •�. � , < • , •• . . . ; r.' f . ' . ,. ' , ,1 `' r i ' . . . . }� i � • ��: . .. � i. . i . . . ' ` ` ' ' ' . I. . ' ' ' . . � . . � r • . • • I 1 � r. . . '' r . . � . 1 � . � ' . . . ' • . � � '' " � � . 1 . . • . , . ' ��f'7i�� '"9��..1`r''�i'l,�Yaaryl.n..l.L'..�.., e. .i .... � . .. .. .� ,'�' i� . . . ...... �r.4.{� " •!'�. . . , e.,_, , ,+. ��� .�0� "�t' .. . . . � ' ' , . ... . . � ' , � .. . ' , .f • � � ' 1 ' ' , , . , �E � ' " � . . t . . � ' , ' .. . , . I ' , ' .. ' ' i, . . ' � . ' ' f I` : • � , . xII. � " , ' i • � Dr. .7ar�es E� Skinner af Ba�lar Callege of �lec�icine stutes in � Sntc�,�rr�tive;Ph�rsioln�ical And_B�h�.__v_i,vrai �Sc'ence, va�. 26, no. �#, . , �pp., 330=3�1�, Oc�-Dec, �99X, s��.te� •th�:� "Fsycho�oc�a1. s�ressors �re � st�tistic�l�y. sipn�,f�icarit, retrospecti,v�. predictnrs of suc�den �' c�rdi,�c deatt� i.n a o�ne.�l �opu'lation,',� , . , � , . � . IV. . • ' 1]r. p���zd ?iir_l7ael.s, Th� Ci�J lina.�•ersif:y oi `:�sti Yarit :�fedical School, and Dr. S�eph�n io�.o�ti, The C1t3' I:SiI.�'E,'?'Sl�y af \ew �'ori: • tcri�e ,in v41.. 20, no. 2, pp. 3ga_.�Q-!, June, 19�7., T_nt.ern� ti�onal. . ,Tourn�sl oF E�;�eni_� c�i���•_: •"as defined bf .Ei�.rase�:, jc�b s�:r�in is . � cnrn�o�4a af tt�o obj�ctiti•c15- mc��atir:�bl.c job c'��xacteris�;cs, :tia:'..-: �l.acc� demans �.nc� dec i� icn-mal�zn,. 3.z� i.ttide nr caritroZ . �{e :�ryc� others hu��� +�e�onstr�ted th�zt occupcstions charwcter�.��d b�• z hi;l� deoree of ,7�� strain are associat�d cci.th incr�ase� risl: �� � c�rd��o�-asctalar di��ase �nd suc�den �eath." V. Dr. P. �.. Biihler, t�r5.�.inb in a Sc:iss r�eciical jaurn��., Schw�iznrische !ledi�inisch� Sdachenschri�t, in 1�91, sta�c�: "?, large body of .etipe��rn�n�a�. and clinical d�ta, concerrzznb the 'classicaJ. cardiovascular risk factars' may b� inteora�ed in�o a unifyin; concept in which an increase in sympmthe�ic �c�zvity and '°� nutri�ian�:! fac�ors p�.ay a crucinl rale. The enhancement of . � sympr�the��.c: ac�ivit3= (e.g, As a. conseq�ence of psycholobical. stress ), i.nduces-via 'direct �nd indirec� mechani.sms-activation of � renin-angi.o�ensi.n--aYdasterone sS-st�m and the ins��.in atiis. �..W ((�;, � ... ', , � � 1 . � .� � , '. , . : . ,. � , , , � ', ' ". , .. ;, ':.. ' : ; -� , ,�. � � , .�e, � ' , , ' � . , ' '' � ' , . ' , ' , , '. ., t� .. � .. , , .� � ' � ' " . ' ' ', � . �,,, �r � . � - � , ' ' .., ' , ' . � , ti ., . .' , , . . . . . ' . ` `, ` ' i/ , • . . . I t . ! ' � • � � • �'t • � 1• � . . � S'1� � ' .� e • .. � �.1� , . � • . ' . r .• , , t� �,� , ' ' • e •. . t . : ... , ' i '��,�.�� !' ' ., . . ' ' ' ., 3 I j . . , r' ' . . , . . . ' � . , , . . { . , , , , . . I � ` . . ..� � . �I` .. �. ' ' i . � ` ., . , . � � . . � � I. , ' • � ..! . �' � 1 • � . • r ' • • • :I .I .' ' r � � • ' ' ' . . i ' . ' . . . � � � � ' �' ' , . , .i • ;� �i . . `. . . :. . ' .� . � . ' , ' , � . ' ' . ' , . � � � �. � . . . . . . '�t1 ' , � ' ' ' . .' ' . � . ; . ..� � ; . . . ' ' .. � r. . . . ' � � � . 1 ' , ' . . .1 � , • ' ' � ' � f ' , � � . . � � . . ' , � . �<ay�..[sA � xf� . �-�. �r i i . . . . .. . .... � i � . . .� ... .' . _. .... .. N .. . . . � . ,��. .. ,, o . : !. -1 .'�i 3. .. . ♦. , . . � . . . . . . . . ..1 . . . . I . ♦ . . I� . r ' . . � r ' � . . I . . , Ba�unced.endo�he,iiul func�ion muy be�disrupted. Subsequent3.3`, �` . these r�lter�ti'ons 1er�d �.o c�rd�.avascular remQdelling �nd � ;°' ,� deveio�ment�af the er�rZy,s��aes of ar�erioscZerasis." . . � vz. . ' In a� stud3 titled, "Wor�.--r���a�ed s�ress �fm�tams �� agi.n� �� empl.ayees iii mun�.cipa�. occup�tion," p��iish�d in.�he Scz�d�.nac-ian � Jou�•nal of S+ori:, En�•ironment & HPaI�t1, i7r. Lcena �sl��J.inen, E� aY. , �� : cancluded: •"4n the basis of Fh�se res�.l �s, canciLisions on �I�e . �: � � � , � a.pprvach t�o s4ress and tl:e �zdj�,;s'tmenk oE c;orl: accordinn to a �� , sub,ject's czp�►cit�- cran be ar�►t:n. TrAr�itianall.f the e£�ects of ,ph'�-si.cul��s�ressors� h:.iv� beerl in�-f�s�idst�d i2t p�.ysio�o�ic�1. s�u�3ies �. �of itiorl;� �rid of thQSe of inent�al �t.resscars in gs}�ch��.o�.ica? s�uii:.r�� , of wurl., Th� combinati.ai; af t;i�c�� appro�c�iGS seems ta bL ii^.titf:,�l � b�ct���se o f the. simul i�ne�us e f�ac t o f both t_: pes a f strr�s��i•s at�ri tlir: nnn�-sp�:cii�c:it;; of str�ss �c�;�ctions. F1e::ibili�y- �n �lie ot•�ani�ation o.£ tJOrl� Fin� ,iti �co:!:� arr�n7�metit.s seems to af£e�t essen�i�.13y �he str=ss .���•e�. �rid F�:nc�ian�i c.�pac.it� of e�.d�:].;. per�nns in ;enera�l..." Th� a�es n� �h� ��2�5 munici�fil srar!:�x�s is: •�0 �if��r�n� occuputions r:�n;cc?�, frorn -�8-6�. 4 • � S • � Ii� � s�ud3r by Dr. R, L. !�urph3- ior the Vati�an�l Institute �or Occupt�LionaZ Sa�etZr and Nea�l�n an �"Job dim�nsions associateci z�it,h severe disa�ility dtie to cardiovascu].ar disease," job dimensions associ�.ted wi�h cardiovascu�a� disut�i.�it3� were (r�) h�zardous si�ua�ions ;(b )�rioilant; worl: and respons�bi3.zt3• far otliers; ( c) � E.':{C�'IAt'l';ing job relAted infarm��ion; and ( d� af:tention �o devices ." ',i: s` . � r��• ,� 'p.�r=t..:' . � , � . ' . , . � .... . � _ , ., F. .. , '.t`.1�t'� . � . � ' ". . , . . � ' r . � ' ' .. ' , .3 ' I .. ' .'!' . `L • . . ' ,., . , . . . � ' . � ' . , • 1 . � ' �3 , � . � . ' . . .� � � , .. . , . . .+. r " ' � . � . . . .. . i , ' � i . ; . ' " ' � . � � 1 ' . ! . : , . . . . ` . � . ' . ' � 1 ' . [ • . ' I i , ' . � , ' tl • • � , � � . .. � � . , . � �� � •f � ' �f �. ' � ' 1( � ' � . . . . . , '1 . � . , . . . . � . . . � � . . • •!. ' • � ~ 11'. �'41�` i • t ��� � a� . , .` . . . ,. . ' ' ' , . � . ' .� ' f,,£. � � . � `i. � I `f } �,': 3 ' .• ' '.l .. . ' � � ' . .. . � � • �.i.I ' � . . ., .; I ' ' � � � ' j :'� ; !'., t ' .. .. � i . � � � ' . . � � . . ' ' .. ' ' . , , . �,l' 'tt ' t , fl. 1.. ' ' .41`' ' . . . ; . , . . .'. � . ' . , • • � � � � . .' � �; . �� . ,.. ':�� ;t; :" f.1, t .. . ' ' •�. .. ., �� ... . , .. ' � ' . , . , . . , . , , • . . ' � i ' � . . f � � . . ' .. . ' . � . . . ' . � . . ; � I ' . � � - , � ' .:Yta�b!'� `��}� � .. . r. x c ...l.�r�. . . ., � i „ . � _. . . � . ' .t ...a . .. . . . .. ' �si ' . .. . .. r- . . . . � � . ,.. �. � . � . . � . r e . . � . e � 1'.' I. ' I • ' 1 ' . ' ' ' • ' i, ,. . , �. , ' �� I Dis�bili.ty da.�a�'w�re ��xl:en �ror� a l�ealth �.nterview s�irvey (n = . 985a )'. �� ; � � � � � , , � VIIT. � � • � . � . � In Ar: T. G... Picl:ering's�.stud3-, "D�oes ps; cholo�,ical 5tr�.ss con�rib��te �ta thc� d��-�iopment of l�yPer�;ens�.on a.nd cflronury lieur�t d�,seuse,." ss re�ar��d in �h� Etiro �ean Jour €�l of C�.i.t�zc:a� _Ph�rr��zcola�-r, that in "L'sin; �h� Iti�r��e:: �Job Content Surti•ey �( a l:n.awn �predictnr af coronary hea�r� disease; , c;e ha�•� fatind �hat men in hiph st�ain ,jobs ide£ined by � cornb:.na:�t:.on of hz�ti c�ema.na� �n�. lot: con�.ral ? ar� more l,il:�l�- �o be h3•��rtensi�-e, and �o �haia le�t hSpertr�oph�- than men in i�ess �tre��fu3. jotas. � . ' � IY, . Dr. .J. ::, Cohn, Dtipartmen� �.�f '!ec�ic�n�, � �'n:�-�i•s.'t:.�• �£ ' �linn�s�t� :•Iedi,cal Scho�l, in his artic? ���Sym��;atlietic� ner�•o�.�s system uc�x�•it;� and the ��eurt�„ as puE�li���e�i in t1:E� .1mc�ric:iiz Ja�.erntil of Ii��p�rr�ns�on, s�.ates; "The �y�npu�hetic nervdus s5-stem has b�en viec��e� a: tf�e �.ritical m+�r_hnni��n for cArdio��aseu�.�r res�nnse �a incrcus�d circula�c�r�` nca4ds durin� 'actitt� str�ss, au�rr��ni.ing �ard.ia� ri��e arid c�nGrizct�.lai1�.�3' and ch:�n�in; per:��licra� �•ascular ton�. Th`se phy-sialUaic�.l r�sp�nses, howe�•er, are � incre�sing3.s �hou�h� to ca�s� J.on�-�erm adverae �ffects--such as � al�er�d m�•o�cardial function; r�na1., sy-stemic, and caran�rs� v�.soc:onstriction; v�n�.riculur �rrh3-thmir�s; �.nd �.�f� ventrict�Zar "� hypotro�hy--for some patients with cardiovascular di.se��P. Hor,r the symp�thetic n�rvous system a���cts th� pa�Hophysiolo;y of caxdiov�scu��xr di���.ses is no� Eu11y undersCofld, quan�it��ti.na sY�np�zthetic �ctiyi �;� are z�dd.zn; to our l:nos+rlec�o� ." � _�. ' • •� t• '� r ' .... • . " � . . . � . . . 'f . .. � � � . . 3� . . • , .. . , ,i; 1 � ''�1��' �. . . .,+i. . / . . ` . � �,.. � . . - � � . �' . , , . � . . . . � +r. , . ' ; � ' , . � ' . . � ' . . . . . . . . ' . . . j, y� ' � . .. ,`. ' .. r," ' ' � ' ' ' ' '' . . . � .�. . , . . � . . b' . . . . � . . ' ' , � ` . , ' � i ! ( ' ' . . . , ' .. ' i . , i . . ' . . . � � . • ' � � � ' � , � � ' � . � ,. . 7 . ' ' ' ' . . . � , 1 . 1 . r ' , , ' i' , ' , ' ' � ' r ' 1 � ..' . . i'.; , . ; , „ � , - . � . ' ' � ' '.. • ` • , ; , ., � . .,i ' . • . ' �� � ,� . •. � ' � , • � ' �. ', � ; � � ' ' � . � ' � � . ' � ' .. . � - � � 'I . ' .. , : ' . � ' � • � . • ' "� ��� �� ' . . ' ' . �. . � � . �� . . , , " . . , i . . , . . ' . . ti. , �' .i• . '� ,�t �i ,1�� . . ` � �� ,.. • . '' ' . . • � �' •, � . .. ' �' .. .. ' I -' . ' f „ .. � I' i � . ' �.S'• 5� r 1 ° • . , • � . � 1 . 5 . . . 1 •• � ' , . ` ` �. . ' � . . � . . . ^.�..ae.e . .. . .....✓.�b.L�.r.._ . .. ' .. .. , � . .i:l� e.. .. ., . . . .... . . . . � . ........ . . .. . , . . . � . . . . i' . . . ' • � . . 1 , r r ' ` ' ' .. � ' , � � � . . � , ' f ' � . ' .. , . . , , . . ' , . 1 . . . e . . . . . ' i�• � . � , . , ' . � Under �. gran�� Pram the . Federal Government, Drs . P�cl�cr, �'• � � . . �•' �� GnCFlieb,�and Blum s�udied th� "Imm�d�a���.and ��.ongr�erm � , . - � . . . � ' � . ' ' . � , pathop�xy��.�lo��c �r,�ech�nisms under].y-infl the �enesis af sudd�n , � . � cardi.�c death �in patients wit�a conee��i�•� heur� f�i�ure ," The ` �, , . . � . � � . ', � � resuZts of �his s�udy c�as pubZ�shed in �he �rn�ri�:.�n Joi�rna? of � . �ledicine, 'I3�( 3:�i , PP.� •�-�p, !i�rch ?Q, 198 i . �n summa�r5 �he reflort . � Fuund: ' �. � . f : � Con�esti��c i�enr� failcirc is � the mnst �.mport�n� • �� � predisposinb £�ctor �o th� occurrencc of sud�en cEeath in � ' � pa.tien�s w�itih c�rdiovascular dzseas�. :�s lc£t t•enfiricuZ�r , ciy s£unc � ion de �e: icr�tes and sy-mp�.orns o f hcar� , fui 1.ure }��co�nc . �. � �ti'i:�en�, ulnbul.a�ory ven�ri.cular �rr��,�thmi�s bccome increr�sir���� �'re�7t�ent and c�mple,�., and sud��n carc3%ac• d�ath .� . . . brcan�es an incr��sin��3 �rec�t��nt oc�urr�nc�, .�4h�n tl��� lef�- ,, �°entricu�ar ej�.•ction £�ac,;tion h�s dec�.i.n�d tv l.��sa �tian 3� , • �ercen� �n�E �,�mp�oms af }.eFtrt ia�ltirc beca�n�� � r•�fr�cvoc� tn treatmen� s�•.i�:z c.fa�i�al.is �nd cii�irn�ic:,, 35 to �� pe�•c�e�t o� � . 'pat.i�n�.s �.�il]. cii� af a�.eth�z�. arrhyL•hmia aYit��in �:�rc� �•e�xs. . • r� n�tmb�r o£ fact�r.� int�fi.ict �o det�rmine ihe c�c�tirx•ence vf , �nalignarit vei�tricul<�i� ai•rli� L-h��ii�s in pat'i�nra c,w.z'�h co�ia���a.�:c � hesrt failure. "�eurahormon�.l acta.�a�ion ma�- e�acerbate tFi� � , frequency and �co�npie��.t;� af. am�u3.�xtor� arrhy-thmias i�ti �h`�e p�ti�n�s. � � XI. LJndc�r �;ran� irom �he Fed�r�l Ga�•ernrs��n�, Dr P. !i. Cinciri�ini r��ar��d on "Co�nitiv��stress.and card�ov�scu�ar reactzvity. I�. ReJ.ativnsh5.p �o ath�rascl�ros�.s, arr!�y�hm�.as, and - cooni�ive ccn�roZ." This repar�. in the 'am�rican He�r� Jo�trnnl, � ].1Zi81, pp. 1051-FOS5, �ovember, L986 r�<<ir�wed �hc� relationship ,�� be�ween, cogniti.ve stress mnci c�rdzovascular reacti.va.�.3� ms it� ,. r�I�tes �Q the deve�opment of Atl�erascZerosis �3nd arrhythm�as. zn . � addil:ion,' the mociermtion of cardiov�scul.ar remc�ivity b� � � oppart,unity �tn ex�rcise contro.� ovei� the stressar is da.scussed. ,tii� �..�, `1; :' : "' . ;�� ' ' ,:. �.,. ' . � . ' ',' � .. F. . , - . � . .' .. i: � , ,� ' �'� . ' . . ' : ' 1 ' ' . .. , . � �. ' ' � , „ � , .. � . " �� � . , ' ' _ ' � ' . , 'i 4 , • ' . , ' � ' , s .. . . �� . :�� � , � . � . ' . � . ' . . ' , ' . r � . � ' . .. . � ' , r ' .. .. ^ ' . . ., � � . ' . ' � • ' � ' . , . . 1 ' 1 . . ' . . ' ' . . � . . i.. � . . . . + , 6: . � .. ' . � . . .. . , ' ' ' . . i . � .. .i�, ' , . �� },.�1 �.. �'1;. . �E - : .. . • � . ,. . . . . ' . . . . . . , .. � � , i, � ' . � .3� . . �� � � •' `.�:' � •. . . ' ', ' , � . • � . . ' � „t ; , . . , : r� ' • ��' . . x . � . . . . . . , . � f :' � , � ' ' ''� •. , ' '` ''' �• . ' ' ' ' . � � � � . ' � � . , . . . � � i � � � . . , ' , - , ' '� ' ' , � . ' . . . ' . ' ; ,' � . 1 •. . ., t �'f . , ' ;} _' . / ` �' �' . . . . � � ' � ' � ' . . � • , . � . ,t'- .. . � j . . . • . „ ., , . . ,. , , . . • . .�''..�v...u..,.•..r..,. .� . �r � `i .. .� .�...r,..s, .. � ? .•.., ...r. ..._-.•....... .t.. . . ' '.l...��.1 Ye ..�.. .'i�����'� � �.f ,t ... ... .�.. . � .. .. . � . ..�_. ' • j, ��e . . , . . ' . . . [ ' � ' ' . . . ' ; I ` , • 1 , ' , . f; ' . ' . . � . , .� � 1 �r ' , . . ' . ' ' , . . � t� The £i.ndings' m�y 6e summarized A5 fol.lows: First., recent anim�..l ►York h�s � su�ge5�ed �ha� ttae magnitud�: of heart rate ch�ng� in �tte presence of a 'canditiioned aversa.ve s�imu�.us i� positiveJ.� cvrrela�ed wi.i:h the e�t�ry�, of coronary atheroscl.ez�nsis Einder diets hi�h �nd • low in '��heco�enic poten,t.zal. S�:cond, c�rdiov�.scuZfzr reactit�xt� in t��lman: can be �•e].a��� t� sev�r�� �actors that . h�.ive an in£'ltt�nce on Che paGhc�etti�sis of �the�rosc�.erosis. � �These f�c�ars .include: incr��.sed be�.�.-�di�nNr]ic, inc.rease3 �hearin� farce ❑n tl�� intim�.2 linir�� o£ the vessels, ' chan�es �.n pu�.sati.i� f�.os: �.nd the �ubsequent smontll m��scles repura�or5• ���proce�s. CUf.,,*T1itYV� �PSVCitc�l.o��.c:1i) ��ress ��aw alsa been rel�~��ed t� ST ��;�ent �iepressa.on, r�t�-Press��rc procl��rt � r_hran�es, a�zd c:ha�7;es z.n cardiac contract' Iit;-. 5hi.idies fia�-� �h��•e sha��n �h��; the susce��i.bi.Ii� � ta �•eiitric�i;.ur f.ibri�lati�n ma� b� ei�hance� b�- �h� pres�nce c�f a c:vtZr�iti�n�d ±�nri.ronment. � T��e b��.lanc� betc.•ec�n s�-mL�tFi.h`, i.�, rin+l.par��1-mptitheti� inf�u�i�ces on �.h� m,:ar.rir�.i�i��n ma;• alsc� '�1.�z5' � cri�ica? rol-� in L•he �.��scc.pri3�ilil:y-. a� �n alre�cl;.•. ciiseaseci hes�r� �o ��ccumb �o Patal, urrh;; trlrnius� r�«ring •�3 bc��a�•inr�.l s� re�.��r. i inally, st:��c:it�� in S��lI.C�l s�.ib.jcact, Fn..�;• e:;err,ise sc�rne cuntx•oI o�-.ar an �z�•�rsic-�: �,`.itnultts s�t»est L-�i�i:, c,�rt�i.u�'ascttlur rL'£�.CL'.L�•�.i:y. ��;.- . Ue �ronuiince�3 ��n�i sus�ain�:c� in situations �ef:�uirin:; Freqi.��n�• �.djus��ment �n C�1.1Ilo�s a.�� k.fz� cri��ri.a fa�• ��uccess£ul per�nrm��r,ce, an�!/or �tie pr���ezicc� of ��o.�i':it•�� ].i�Celli:i�.•es. Thes� r�purt� r��r�sent onl3� a �amp].a.tZ� of tlie repo� �s •' avai.��b�e �i•� this s�tb.ject. The�e ar�� Z.ite.rl.1.�5- thousandj of �hher .� sti�portin� cioeiimenf:s. � ha�•� aric:l.�icie�i r�pnrL•s from other coun�.ries ta prav,i�3e �n internat �an�3L vietiti on the subject. ,;• �; � ;�. �;• ;, 1. i 1, 'r �.�'� � ., 't �1 ��>. . . 1. � . �� ' �; . �f�/�• . '�'.� .4 .,. . . i '`. '� ��, � r�., . ..��: r,��.. . . .. � � � � '''�� .✓,�`� ,;,' : { �� �r,�'~ �.: ,� �� � � • .. � . . ._ \ , . ... �l!_ . . .,_ . �/�if - ..... .. . . ',Ir . �.. �� . 0