1 PASADENA AREA COMMUNITY COLLEGE DISTRICT ADOPTED BUDGET 08-09 FUND: 61 SELF-INSURANCE FUND BEG. BAL. & INCOME OBJECT/ <--UNRESTRICTED APPROPRIATIONS--> <--RESTRICTED APPROPRIATIONS--> CCTR/PRGM DESCRIPTION FTE C.F. NET BUDGET FTE C.F. NET BUDGET ======================================================================================================================= 9790 FUND BALANCE UNRESTRICTED 0000/0000 GENERAL LEDGER 14,739,017.00 8000-8499 TOTAL 8XXX REVENUES/OTH FINANCING SOURCES 88XX LOCAL REVENUES 8839 OTHER CONTRACT SERVICES 3104/0000 WORKERS' COMPENSATION 775,000.00 3105/0000 PROP DAMAGE & PUBLIC LIABILITY 700,000.00 3201/0000 DENTAL COVERAGE 1,325,000.00 3202/0000 SUPPLEMENTAL HEALTH INSURANCE 2,450,000.00 8839 OTHER CONTRACT SERVICES 5,250,000.00 ============== 8860 INTEREST AND INVESTMENT INCOME 0000/0000 GENERAL LEDGER 500,000.00 8860 INTEREST AND INVESTMENT INCOME 500,000.00 ============== 88XX TOTAL LOCAL REVENUES 5,750,000.00 8500-8999 TOTAL STATE/LOCAL/OTHER IN 5,750,000.00 8XXX TOTAL INCOME 5,750,000.00 TOTAL INCOME + CARRY FORWARDS 5,750,000.00 TOTAL AVAILABLE 20,489,017.00 GRAND TOTAL AVAILABLE 20,489,017.00 BUDR10 PAGE 629 11/10/08 1 PASADENA AREA COMMUNITY COLLEGE DISTRICT ADOPTED BUDGET 08-09 FUND: 61 SELF-INSURANCE FUND EXPENSE OBJECT/ <--UNRESTRICTED APPROPRIATIONS--> <--RESTRICTED APPROPRIATIONS--> CCTR/PRGM DESCRIPTION FTE C.F. NET BUDGET FTE C.F. NET BUDGET ======================================================================================================================= 2XXX CLASSIFIED & OTH NON-ACDMC SAL 21XX CLASSIFIED MONTHLY SALARIES 2120 CLASSIFIED MANAGEMENT SALARIES 3104/0000 WORKERS' COMPENSATION .25 30,074.00 2120 CLASSIFIED MANAGEMENT SALARI .25 30,074.00 ======= ============== 2130 CLASSIFIED MONTHLY SALARIES 3104/0000 WORKERS' COMPENSATION .50 24,375.00 2130 CLASSIFIED MONTHLY SALARIES .50 24,375.00 ======= ============== 2189 DSTB RES CLAS NONINST MONTHLY 3104/0000 WORKERS' COMPENSATION 5,858.00 2189 DSTB RES CLAS NONINST MONTHL 5,858.00 ============== 21XX TOTAL CLASSIFIED MONTHLY SAL .75 60,307.00 2XXX TOTAL CLASSIFIED & OTH NON-A .75 60,307.00 3XXX EMPLOYEE BENEFITS 31XX STATE TEACHERS RETIREMENT SYS 3189 DSTB RES FRINGE BENEFITS 3104/0000 WORKERS' COMPENSATION 2,000.00 3189 DSTB RES FRINGE BENEFITS 2,000.00 ============== 31XX TOTAL STATE TEACHERS RETIREM 2,000.00 32XX PUBLIC EMPLOYEE RETIREMENT SYS 3220 PERS CLASSIFIED 3104/0000 WORKERS' COMPENSATION 8,000.00 3220 PERS CLASSIFIED 8,000.00 ============== 32XX TOTAL PUBLIC EMPLOYEE RETIRE 8,000.00 33XX OLD AGE SURV DISAB & HLTH INS 3320 OASDI - CLASSIFIED 3104/0000 WORKERS' COMPENSATION 7,000.00 3320 OASDI - CLASSIFIED 7,000.00 ============== BUDR10 PAGE 630 11/10/08 1 PASADENA AREA COMMUNITY COLLEGE DISTRICT ADOPTED BUDGET 08-09 FUND: 61 SELF-INSURANCE FUND EXPENSE OBJECT/ <--UNRESTRICTED APPROPRIATIONS--> <--RESTRICTED APPROPRIATIONS--> CCTR/PRGM DESCRIPTION FTE C.F. NET BUDGET FTE C.F. NET BUDGET ======================================================================================================================= 3360 MEDICARE - CLASSIFIED 3104/0000 WORKERS' COMPENSATION 2,000.00 3360 MEDICARE - CLASSIFIED 2,000.00 ============== 33XX TOTAL OLD AGE SURV DISAB & H 9,000.00 34XX HEALTH AND WELFARE BENEFITS 3420 HWB - CLASSIFIED 3104/0000 WORKERS' COMPENSATION 13,000.00 3420 HWB - CLASSIFIED 13,000.00 ============== 34XX TOTAL HEALTH AND WELFARE BEN 13,000.00 35XX STATE UNEMPLOYMENT INSURANCE 3520 SUI - CLASSIFIED 3104/0000 WORKERS' COMPENSATION 304.00 3520 SUI - CLASSIFIED 304.00 ============== 35XX TOTAL STATE UNEMPLOYMENT INS 304.00 36XX WORKERS COMPENSATION INSURANCE 3620 WCI CLASSIFIED 3104/0000 WORKERS' COMPENSATION 800.00 3620 WCI CLASSIFIED 800.00 ============== 36XX TOTAL WORKERS COMPENSATION I 800.00 39XX OTHER BENEFITS 3915 WRAP AROUN EMPOLY BENEFIT/1440 3202/0000 SUPPLEMENTAL HEALTH INSURANCE 400,000.00 3915 WRAP AROUN EMPOLY BENEFIT/14 400,000.00 ============== 39XX TOTAL OTHER BENEFITS 400,000.00 3XXX TOTAL EMPLOYEE BENEFITS 433,104.00 BUDR10 PAGE 631 11/10/08 1 PASADENA AREA COMMUNITY COLLEGE DISTRICT ADOPTED BUDGET 08-09 FUND: 61 SELF-INSURANCE FUND EXPENSE OBJECT/ <--UNRESTRICTED APPROPRIATIONS--> <--RESTRICTED APPROPRIATIONS--> CCTR/PRGM DESCRIPTION FTE C.F. NET BUDGET FTE C.F. NET BUDGET ======================================================================================================================= 4XXX SUPPLIES AND MATERIALS 41XX BOOKS 4189 DSTB RES SUPPLIES 3104/0000 WORKERS' COMPENSATION 1,000.00 4189 DSTB RES SUPPLIES 1,000.00 ============== 41XX TOTAL BOOKS 1,000.00 43XX SUPPLIES, DUPL, PRINTING, FUEL 4301 SUPPLIES 3104/0000 WORKERS' COMPENSATION 3,000.00 4301 SUPPLIES 3,000.00 ============== 4303 DUPLICATING 3104/0000 WORKERS' COMPENSATION 100.00 4303 DUPLICATING 100.00 ============== 4304 PRINTING 3104/0000 WORKERS' COMPENSATION 300.00 4304 PRINTING 300.00 ============== 43XX TOTAL SUPPLIES, DUPL, PRINTI 3,400.00 4XXX TOTAL SUPPLIES AND MATERIALS 4,400.00 5XXX OTHER OPERATING EXP & SERVICES 51XX PERSONAL & CONSULTANT SERVICES 5120 CONSULTANTS 3104/0000 WORKERS' COMPENSATION 105,000.00 5120 CONSULTANTS 105,000.00 ============== 5150 OTH PERSONAL & CONSULTANT SERV 3105/0000 PROP DAMAGE & PUBLIC LIABILITY 22,000.00 5150 OTH PERSONAL & CONSULTANT SE 22,000.00 ============== 5189 DSTB RES CONTRACT SERVICES 3104/0000 WORKERS' COMPENSATION 1,000.00 5189 DSTB RES CONTRACT SERVICES 1,000.00 ============== BUDR10 PAGE 632 11/10/08 1 PASADENA AREA COMMUNITY COLLEGE DISTRICT ADOPTED BUDGET 08-09 FUND: 61 SELF-INSURANCE FUND EXPENSE OBJECT/ <--UNRESTRICTED APPROPRIATIONS--> <--RESTRICTED APPROPRIATIONS--> CCTR/PRGM DESCRIPTION FTE C.F. NET BUDGET FTE C.F. NET BUDGET ======================================================================================================================= 51XX TOTAL PERSONAL & CONSULTANT 128,000.00 52XX TRAVEL AND CONFERENCE EXPENSES 5210 CONFERENCE/SEMINARS/WORKSHOPS 3104/0000 WORKERS' COMPENSATION 2,000.00 5210 CONFERENCE/SEMINARS/WORKSHOP 2,000.00 ============== 5220 MILEAGE EXPENSE 3104/0000 WORKERS' COMPENSATION 200.00 5220 MILEAGE EXPENSE 200.00 ============== 52XX TOTAL TRAVEL AND CONFERENCE 2,200.00 54XX INSURANCE 5410 PROPERTY & LIABILITY INSURANCE 3105/0000 PROP DAMAGE & PUBLIC LIABILITY 700,000.00 5410 PROPERTY & LIABILITY INSURAN 700,000.00 ============== 5430 OTHER INSURANCE 3104/0000 WORKERS' COMPENSATION 570,000.00 3105/0000 PROP DAMAGE & PUBLIC LIABILITY 25,000.00 5430 OTHER INSURANCE 595,000.00 ============== 54XX TOTAL INSURANCE 1,295,000.00 56XX RENTS, LEASES, AND REPAIRS 5640 REPAIR/MAINTENANCE OF EQUIPMNT 3104/0000 WORKERS' COMPENSATION 400.00 5640 REPAIR/MAINTENANCE OF EQUIPM 400.00 ============== 56XX TOTAL RENTS, LEASES, AND REP 400.00 57XX LEGAL, ELECTION, AUDIT 5730 LEGAL EXPENSES 3105/0000 PROP DAMAGE & PUBLIC LIABILITY 10,000.00 5730 LEGAL EXPENSES 10,000.00 ============== BUDR10 PAGE 633 11/10/08 1 PASADENA AREA COMMUNITY COLLEGE DISTRICT ADOPTED BUDGET 08-09 FUND: 61 SELF-INSURANCE FUND EXPENSE OBJECT/ <--UNRESTRICTED APPROPRIATIONS--> <--RESTRICTED APPROPRIATIONS--> CCTR/PRGM DESCRIPTION FTE C.F. NET BUDGET FTE C.F. NET BUDGET ======================================================================================================================= 57XX TOTAL LEGAL, ELECTION, AUDIT 10,000.00 58XX OTHER EXPENSES AND SERVICES 5820 OTHER SERVICES 3104/0000 WORKERS' COMPENSATION 52,943.00 3105/0000 PROP DAMAGE & PUBLIC LIABILITY 10,500.00 5820 OTHER SERVICES 63,443.00 ============== 58XX TOTAL OTHER EXPENSES AND SER 63,443.00 59XX SELF-INSURANCE EXPENSES 5910 MEDICAL EXPENSES 3104/0000 WORKERS' COMPENSATION 75,971.00 5910 MEDICAL EXPENSES 75,971.00 ============== 5911 TRAVEL 3104/0000 WORKERS' COMPENSATION 3,000.00 5911 TRAVEL 3,000.00 ============== 5912 INVESTIGATIVE/LEGAL EXPENSES 3104/0000 WORKERS' COMPENSATION 30,000.00 5912 INVESTIGATIVE/LEGAL EXPENSES 30,000.00 ============== 5915 BENEFIT PAYMENTS 3104/0000 WORKERS' COMPENSATION 45,972.00 3201/0000 DENTAL COVERAGE 1,250,000.00 3202/0000 SUPPLEMENTAL HEALTH INSURANCE 650,000.00 5915 BENEFIT PAYMENTS 1,945,972.00 ============== 5920 ADMINISTRATIVE CHARGES 3201/0000 DENTAL COVERAGE 75,000.00 5920 ADMINISTRATIVE CHARGES 75,000.00 ============== 5930 RESERVE FOR PENDING CLAIMS 3104/0000 WORKERS' COMPENSATION 1,000,000.00 3105/0000 PROP DAMAGE & PUBLIC LIABILITY 206,827.00 5930 RESERVE FOR PENDING CLAIMS 1,206,827.00 ============== 59XX TOTAL SELF-INSURANCE EXPENSE 3,336,770.00 BUDR10 PAGE 634 11/10/08 1 PASADENA AREA COMMUNITY COLLEGE DISTRICT ADOPTED BUDGET 08-09 FUND: 61 SELF-INSURANCE FUND EXPENSE OBJECT/ <--UNRESTRICTED APPROPRIATIONS--> <--RESTRICTED APPROPRIATIONS--> CCTR/PRGM DESCRIPTION FTE C.F. NET BUDGET FTE C.F. NET BUDGET ======================================================================================================================= 5XXX TOTAL OTHER OPERATING EXP & 4,835,813.00 6XXX CAPITAL OUTLAY 64XX EQUIPMENT 6410 NEW EQUIPMENT BETW $500-$4,999 3104/0000 WORKERS' COMPENSATION 2,000.00 6410 NEW EQUIPMENT BETW $500-$4,9 2,000.00 ============== 6489 DSTB RES EQUIPMENT 3104/0000 WORKERS' COMPENSATION 2,000.00 6489 DSTB RES EQUIPMENT 2,000.00 ============== 64XX TOTAL EQUIPMENT 4,000.00 6XXX TOTAL CAPITAL OUTLAY 4,000.00 7XXX OTHER OUTGO 79XX RESERVE FOR CONTINGENCIES 7900 RESERVE FOR CONTINGENCIES 3104/0000 WORKERS' COMPENSATION 279,865.00 3105/0000 PROP DAMAGE & PUBLIC LIABILITY 726,631.00 3201/0000 DENTAL COVERAGE 2,232,406.00 3202/0000 SUPPLEMENTAL HEALTH INSURANCE 11,912,491.00 7900 RESERVE FOR CONTINGENCIES 15,151,393.00 ============== 79XX TOTAL RESERVE FOR CONTINGENC 15,151,393.00 7XXX TOTAL OTHER OUTGO 15,151,393.00 TOTAL APPROPRIATIONS .75 20,489,017.00 TOTAL UNRESTRICTED/RESTRICTED APPROP. .00 20,489,017.00 GRAND TOTAL APPROPRIATIONS .75 20,489,017.00 BUDR10 PAGE 635 11/10/08