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HomeMy WebLinkAboutRes 04-78 01/17/1978 II Il il II II II ~ II II Ii I' Ii I !I II Ii !I I, II " ,I !! !~VHEREAS, the Congress of the United States has enacted a statute l'cqn:.n.ng Ipublic Employees to be covered by unemployment compensation; and Ii IWHEREAS, Illinois leg'islation provider3 that a local publ:i.c entity rnay protect l~ts(J1f against liability under the Local Governmental and Go\"ernnH~ntal I ~m:):oye.es T01I'~ Im~1Uni~y. P::t: the ~'VOJ~k~1en' s compe~siJ;ion; l~.Ct :,,,H:~.~/ 0\. ~:~~. c',,' 1 jPCClJ.patJOnal DlS8Rves r...ct cLloUgh Insuran.ce,. throu. gh .:,elf-__r.lsu,..ctl,..:,e, LL.UdSl', '[ I 1 . . th h t" t" . , . F--m.ms serVIces, or roug par lCJ.pa Ion In a reCJ.prOCll1 In::)urer; I l~ovv, THEREFORE, BE IT RESOLVED BY THE MAYOR AND BOARD OF TRUSTET':SI ibE' THE VILLAGE OF 1\10'JNT PROSPECT, COOK COUNTY, ILLJNOIS: IbECTION ONE: That the ViUn~e of Mount Prospect does hereby and hel'"witll ! I~le'ct-t;-becom.e a 1Treimbul'Se1rent municipality" and, insofar as the i3forc- lrescribed state rmd feder<ll leg'islatlon may here8.fter affect the s[dci 'i/illage of IfHount Prospect, does hen.'by obligate itself to reimburse tlw State of r.Uinoi2- ror all chargeable claims that may be hereafter filed against the ViIlage. !~ECTION TWO: That this Resolution shall be in full 1'o1'ee and effect fJ:'om and Irfter its passage and approval in the rna.nner provided by law. Ii ip...YES: 4 Ii II INAYS: 0 II i~ASSED this ~7th day of January 11. I~PPROVED this 17th day of ___!amary Ii I 1/9/'" RESOLUTION NO. 4-73 A RESOLUTION OPTING TO PH.OVIDE UNEMPLOYMENT COMPENSA TION INSURANCE ON A REIMBURSEMENT BASIS , 1978, , 19'78. , .1 ;1 I, Ii II II IA! r">TE' .0'-'. 1... "-' J . I !l~,_~1~ IVI'll') 0'0 C''1''I,1K J - < b" l - . Ii II d Ii II II .J APPROVED: ,// (/ If )/ {<~/ (/l-,// *" ., ____Ldi.".:'::::!::e,:j't ...J--.-~:2~~ -(-:.e.~,-{~, ,______ .__..__....._.. Mayor . 4l pr..,", 'LG) ~ < ;"';;:77) ofuCk ,,~o. 7788 STAlE OF ILLINOIS - DEPARTMENT OF lABO~ BUREAU OF fMPLOYME~T SECURITY DIVISIO~ OF UNEMPLOYMENT IHSURAMCE 910 South Hi chi gan Avenue, Ch i ca.go, n 1 i no is 60605 ElECTION BY LOCAL GOVEfnlMHHAl ENTITY TO REIMBURSE BENEFITS IN LIEU OF PAYING CONTRIBUTIONS NA.'1E OF ENTITY VILLAGE OF MOUNT PROSPECT ADDRESS 100 S. EMERSON STREET {Street and Xu.ber or Rur<l~ RO'll.te} NOUNT PROSPECT {(City 01' Town) COOK (County) IL {State} 60056 312-392-6000. (Zip Code) (Telephone Humber) The undersigned Local Governmental Entity does hereby elect, pursuant to the provisions of Sectioos 14Q4 and 14.()S of the Illinois Un~loyment Insurance Act, to pay when due, in lieu of contributions, an amount equal to the ~t of ~gulal" benefits and the amount of exten&ed benefits paid to its 'M:>rkers or fonner ~r!ccrs for any weeks beginning on and after the effective date of this election, OIl the basis of wages for insured 'M:>rlc paid to them by it during the period this election is in effect. ~_ The undersigned local governmental entity makes its election with the understanding that: 1. TIle election becomes binding upon its approval by the Director of Labor) and the duration of the election period cannot be less than one calendar year from the date the undersigned has first become subject to the Unemployment Insurance Act) and cannot be less than two calendar yearS if the undersigned has previously in- curred liability for the pa)'ll1ent of contributionS; 2. The undersigned local governmental entity as a self-insurer, shall be liable for reimbUr5<Ement of any S\lIll erroneously paid as benefits on any of its 'IlOrkers or fonner ~rk:ers) unless such sum has been recovered by the State. 3. At the close of each calendar quarter, the undersigned local governmental entity will receive a Statement of the :>mount due fmu it for the benefits paid to its ;;orkers or former workers during the calendar quarter, and will pay the :lmOunt due to the Di rector within 30 days after the date of mailing of the Statement. in the event that it fails to make any payment when due, or fails to file, when due, any quarterly report of the wages paid to its \'\Orkers, it shall be subject to the interest or penalty provisioos of the law, as the case Iny be, 4. In the event:, at: any future time) the undersigned local governmental entity ca.ncds its electim., it shall, thereafter, root.i.m\e w remain liable for P;!y'lllents in lieu of contributions in ~ equ~l to the ;.no.ml:s of regular benefits and the :1IllOunts of extended benefits paid to its \'\Orkers or fonner v.urkers, for any weeks ~hich beg.in after the effective date of the cancellation, 00 the basis of the wages for insured ~r!c paid to th<:1ll by it during the pedal the election was in effect, whether or not) following the cance llation of the elex: cion, the undersigned incurs l.iability for the payment of contributions. This report must be signed by the chief acJministrative officer of the local goverrmental entity. If si~d by any other perSOn. evidence of authority to ~o act must be attached hereto. Signed by Official TitleVIL LAG~ MAN AQER ~- _'1: <gf,:;~,r:> Date Signed ~ ~~ ll) (Submit origin'al, retain copy for your n.:::ords) ::-,'~~r:::...,j.J-;~U } s:3'c~ NO. 7','89 ;)0 Ilrr~ e; state of Illinois - Department of L~or Bureau of Employment Security DIVISION OF UNEMPLOYMENT INSURAaCE 910 South Michi9a~ Avenue Chicago, III inoia 60605 n ::i.te~ -----...---..-..-,.. ~~._---,~.~_.~ (no Mot U:$1'l AI CWo. D3te Qt r. Va e DOl"!:;; !) ate r:-'- ~ rl ame,. I I I Sec. Address & Federal Employer Identification Number: VILLAGE OF MOUNT PROSPECT 100 S. EMERSON STREET MT. PROSPECT, IL. 60056 36-6006011 REPORT TO ESTABtISH LlABIL~TY FOR LOCAL GOVERNMENT ENTiTlES UNDER THE ILLINOIS UHEMPLOY~ENT INSURANCE ACT 1. Legal Na.'1le of Local Government Entity: V ILLAGE OF MOUNT PRO SPECT MT. PROSPECT 100 S. EMERSON STREET (Street and Humber or Rural Route) COOK ILLINOIS 60056 312\'392-6000 2. Address and Telephone No: ( C i 1: Y 0 r l' 0 wn) (County) (State) (ZiP Code) (Tetephone Hu~ber) 3. . Adiress to Which Correspondence Should be Mailed if Different From Above: (Street and Number) (City) (County (State) (Zip Code) 4. N93ne, Capacity and Telephohe Number of Person Who May Be Contacted For Information: EDWARD A. GEICK, ASSISTANT VILLAGE MANAGER 312-392-6000 5. Enter Your Federal Employer Identification Number Under ~mich You File Federal Social Security Returns (Form 941) If Not Shown In The Box Above Your Name and Address: 6. W:''1at Is The Form Of Your Organization: 0 POLITICAL SUBDIVISION 0 INSTRUlv'\ENTALITY* [!][I,fLJNICIPAL Cor-iPORATION OOTHER (Spe cify) *If An Instr'umentalitYr Of What Political Entity? SA. Date Created: 1917 How Created (Specify) Charter G]VES DrlO If "1.0" Answer The Two Questions Below: '" I' - Do You Have Taxing Power? V[~at Is Your Source Of Revenue? W~'10 Bas The Authori ty To Establish Policy For Your Uni t? 8. Enter The I'ollovnng Information For '['i'i", O"i!,,"I'S Of Your Orcanization: lU1<4:':: T i TL E: MAYOR CAROLYN H.. KRAUSE ROBERT ,I. EPPLEY (SPR a~tached list) VILLAGE HANAGER g. Date E~at you Began Employing Workers In The State Of Illinois If Later Than January 1, 1978. n IN I A la. As A Loea2- Goverenrnental Entity You Are Liable For The Payment Of Contributions Under The Provisions Of The Illinois Unemployment Insurance Act. Are You Interested In The' Option Of Reimbur.sement Of Benefits Paid To Your Former Workers In Lieu Of Paying Contribu~ions'On The Wages Paid To Your Workers? [iJ'fES DNO ..--- If' your Answer Above Is "YES", Please Complete The Enclosed Form UC-5(LG} Jl~d Re- t~lrn It To Us. lL Bnter Below The Information For EACH or Your Facilities. r ~. I I I L ! ~ P I ~ , L ( a) LCCATICHI (b) E~~? LOY EES ( c) 1 I mE Of ACTIVITf AT rtca A!}ORESSi Street and iltiillOar or Rural Rou te, Ci ty Co?" ty ~erage Use tern that best descri bes ~ or To~..;n, and Zip Code (List each In HU!l\ber your.organization SU?fl 33: I Locatior1 or Br~l1cn in 111 inoi s) Illinois at hoo" tal. ,el>ooh, I, b,..... Ci tY"1 Each Address 100 S . Emerson Street Cook 47 f Village Hall J 11 S . Pine Street Cook T 52 Public ~vorks Police -I :J..L.E. Northwest Highway Cook 15~re Sta. III & <1("- 3 J-.6...QI W. Golf Road Cook 4 Fire Station #2 -- ?OOO E. Kensington Road Cook 4 Fire Station #3 - .!JLB,........Jilll e r son Street Cook 4 Health I . .. J - .. -- CJ:t-:RTIYICATION: I hereby certify that tl:e information contai.ned in this report and in any sheets attached hereto lS true and correct. This report nustbesigned by ~l officer. Y f signed by any 0 tiler person, Itvidt'!!1ce of the authority for such. person must be at tnc.ood. . ~LLLAGE OF HOUNT PROSPECT , 'Legal Name af Organization Signed by ~~, Official Ti tIe VILLAGE MANAGER Date signed !Ce>. I<'~ r,~~ RETURN THiS COpy iM THE ENCLOSED ENVELOPE Village of Mount: Prospect: 100 S, Emerson Mount Prospect. Illinois 60056 CAROLYN H. KRAUSE LEO FLOROS RICHARD N. HENDRICKS MICHAEL H. MINTON NORMA J. MURAUSKIS E. F. RICHARDSON THEODORE J. WATTENBERG DONALD W. GOODMAN ROBERT J. EPPLEY EDWARD A. GEICK CAROL A. FIELDS DOLORES HAUGH JOHN J. ZIMMERMANN BUELL B. DUTTON H. THOMAS MURPHY BERNARD H.R. HEMMETER RICHARD L. JESSE LAWRENCE A. PAIRITZ LARRY M. ElLS RALPH J. DONEY HERBERT L. WEEKS MAYOR VILLAGE TRUSTEE " " " " " " " " " " VILLAGE CLERK VILLAGE HANAGER ASST. VILLAGE MANAGER DEPUTY VILLAGE CLERK PUBLIC INFORMATION OFFICER VILLAGE ATTORNEY DIRECTOR OF BUILDING & ZONING COMMUNITY DEVELOPMENT DIR. DIRECTOR OF ENGINEERING DIRECTOR OF FINANCE FIRE CHIEF DIRECTOR OF HEALTH SERVICES POLICE CHIEF DIRECTOR OF PUBLIC WORKS " < ~ Village of Mount: Prospect: 100 S, Emerson Mount Prospect. Illinois 60056 CAROLYN H. KRAUSE LEO FLOROS RICHARD N. HENDRICKS MICHAEL H. MINTON NORMA J. MURAUSKIS E. F. RICHARDSON THEODORE J. WATTENBERG DONALD W. GOODMAN ROBERT J. EPPLEY .... HAYOR VILLAGE TRUSTEE " " " " " " " " " " EDWARD A. GEICK CAROL A. FIELDS DOLORES HAUGH JOHN J. ZIMMERMANN BUELL B. DUTTON H. THOMAS MURPHY BERNARD H.R. HEMMETER RICHARD L. JESSE LAWRENCE A. PAIRITZ LARRY M. ElLS RALPH J. DONEY HERBERT L. WEEKS VILLAGE CLERK VILLAGE HANAGER ASST. VILLAGE MANAGER DEPUTY VILLAGE CLERK PUBLIC INFORMATION OFFICER VILLAGE ATTORNEY DIRECTOR OF BUILDING & ZONING COMMUNITY DEVELOPMENT DIR. DIRECTOR OF ENGINEERING DIRECTOR OF FINANCE FIRE CHIEF DIRECTOR OF HEALTH SERVICES POLICE CHIEF DIRECTOR OF PUBLIC WORKS