1 PASADENA AREA COMMUNITY COLLEGE DISTRICT ADOPTED BUDGET 09-10 FUND: 61 SELF-INSURANC FD-WORKER'S COMP 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 754,203.00 8000-8499 TOTAL 8XXX REVENUES/OTH FINANCING SOURCES 88XX LOCAL REVENUES 8839 OTHER CONTRACT SERVICES 3104/0000 WORKERS' COMPENSATION 775,000.00 8839 OTHER CONTRACT SERVICES 775,000.00 ============== 8860 INTEREST AND INVESTMENT INCOME 0000/0000 GENERAL LEDGER 21,875.00 8860 INTEREST AND INVESTMENT INCOME 21,875.00 ============== 88XX TOTAL LOCAL REVENUES 796,875.00 8500-8999 TOTAL STATE/LOCAL/OTHER IN 796,875.00 8XXX TOTAL INCOME 796,875.00 TOTAL INCOME + CARRY FORWARDS 796,875.00 TOTAL AVAILABLE 1,551,078.00 GRAND TOTAL AVAILABLE 1,551,078.00 BUDR10 PAGE 591 09/11/09 1 PASADENA AREA COMMUNITY COLLEGE DISTRICT ADOPTED BUDGET 09-10 FUND: 61 SELF-INSURANC FD-WORKER'S COMP 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 31,443.00 2120 CLASSIFIED MANAGEMENT SALARI .25 31,443.00 ======= ============== 2130 CLASSIFIED MONTHLY SALARIES 3104/0000 WORKERS' COMPENSATION .50 26,233.00 2130 CLASSIFIED MONTHLY SALARIES .50 26,233.00 ======= ============== 2189 DSTB RES CLAS NONINST MONTHLY 3104/0000 WORKERS' COMPENSATION 1,000.00 2189 DSTB RES CLAS NONINST MONTHL 1,000.00 ============== 21XX TOTAL CLASSIFIED MONTHLY SAL .75 58,676.00 2XXX TOTAL CLASSIFIED & OTH NON-A .75 58,676.00 3XXX EMPLOYEE BENEFITS 31XX STATE TEACHERS RETIREMENT SYS 3189 DSTB RES FRINGE BENEFITS 3104/0000 WORKERS' COMPENSATION 1,000.00 3189 DSTB RES FRINGE BENEFITS 1,000.00 ============== 31XX TOTAL STATE TEACHERS RETIREM 1,000.00 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 592 09/11/09 1 PASADENA AREA COMMUNITY COLLEGE DISTRICT ADOPTED BUDGET 09-10 FUND: 61 SELF-INSURANC FD-WORKER'S COMP 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 3XXX TOTAL EMPLOYEE BENEFITS 32,104.00 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 BUDR10 PAGE 593 09/11/09 1 PASADENA AREA COMMUNITY COLLEGE DISTRICT ADOPTED BUDGET 09-10 FUND: 61 SELF-INSURANC FD-WORKER'S COMP EXPENSE OBJECT/ <--UNRESTRICTED APPROPRIATIONS--> <--RESTRICTED APPROPRIATIONS--> CCTR/PRGM DESCRIPTION FTE C.F. NET BUDGET FTE C.F. NET BUDGET ======================================================================================================================= 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 20,000.00 5120 CONSULTANTS 20,000.00 ============== 5150 OTH PERSONAL & CONSULTANT SERV 3104/0000 WORKERS' COMPENSATION 112,110.00 5150 OTH PERSONAL & CONSULTANT SE 112,110.00 ============== 5189 DSTB RES CONTRACT SERVICES 3104/0000 WORKERS' COMPENSATION 1,000.00 5189 DSTB RES CONTRACT SERVICES 1,000.00 ============== 51XX TOTAL PERSONAL & CONSULTANT 133,110.00 52XX TRAVEL AND CONFERENCE EXPENSES 5210 CONFERENCE/SEMINARS/WORKSHOPS 3104/0000 WORKERS' COMPENSATION 2,000.00 5210 CONFERENCE/SEMINARS/WORKSHOP 2,000.00 ============== BUDR10 PAGE 594 09/11/09 1 PASADENA AREA COMMUNITY COLLEGE DISTRICT ADOPTED BUDGET 09-10 FUND: 61 SELF-INSURANC FD-WORKER'S COMP EXPENSE OBJECT/ <--UNRESTRICTED APPROPRIATIONS--> <--RESTRICTED APPROPRIATIONS--> CCTR/PRGM DESCRIPTION FTE C.F. NET BUDGET FTE C.F. NET BUDGET ======================================================================================================================= 5220 MILEAGE EXPENSE 3104/0000 WORKERS' COMPENSATION 200.00 5220 MILEAGE EXPENSE 200.00 ============== 52XX TOTAL TRAVEL AND CONFERENCE 2,200.00 54XX INSURANCE 5430 OTHER INSURANCE 3104/0000 WORKERS' COMPENSATION 230,000.00 5430 OTHER INSURANCE 230,000.00 ============== 54XX TOTAL INSURANCE 230,000.00 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 58XX OTHER EXPENSES AND SERVICES 5820 OTHER SERVICES 3104/0000 WORKERS' COMPENSATION 15,000.00 5820 OTHER SERVICES 15,000.00 ============== 5880 POSTAGE 3104/0000 WORKERS' COMPENSATION 25.00 5880 POSTAGE 25.00 ============== 58XX TOTAL OTHER EXPENSES AND SER 15,025.00 59XX SELF-INSURANCE EXPENSES 5910 MEDICAL EXPENSES 3104/0000 WORKERS' COMPENSATION 120,000.00 5910 MEDICAL EXPENSES 120,000.00 ============== 5911 TRAVEL BUDR10 PAGE 595 09/11/09 1 PASADENA AREA COMMUNITY COLLEGE DISTRICT ADOPTED BUDGET 09-10 FUND: 61 SELF-INSURANC FD-WORKER'S COMP EXPENSE OBJECT/ <--UNRESTRICTED APPROPRIATIONS--> <--RESTRICTED APPROPRIATIONS--> CCTR/PRGM DESCRIPTION FTE C.F. NET BUDGET FTE C.F. NET BUDGET ======================================================================================================================= 3104/0000 WORKERS' COMPENSATION 3,000.00 5911 TRAVEL 3,000.00 ============== 5912 INVESTIGATIVE/LEGAL EXPENSES 3104/0000 WORKERS' COMPENSATION 25,000.00 5912 INVESTIGATIVE/LEGAL EXPENSES 25,000.00 ============== 5915 BENEFIT PAYMENTS 3104/0000 WORKERS' COMPENSATION 45,000.00 5915 BENEFIT PAYMENTS 45,000.00 ============== 5930 RESERVE FOR PENDING CLAIMS 3104/0000 WORKERS' COMPENSATION 800,000.00 5930 RESERVE FOR PENDING CLAIMS 800,000.00 ============== 59XX TOTAL SELF-INSURANCE EXPENSE 993,000.00 5XXX TOTAL OTHER OPERATING EXP & 1,373,735.00 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 1,000.00 6489 DSTB RES EQUIPMENT 1,000.00 ============== 64XX TOTAL EQUIPMENT 3,000.00 6XXX TOTAL CAPITAL OUTLAY 3,000.00 7XXX OTHER OUTGO 79XX RESERVE FOR CONTINGENCIES 7900 RESERVE FOR CONTINGENCIES 3104/0000 WORKERS' COMPENSATION 79,163.00 BUDR10 PAGE 596 09/11/09 1 PASADENA AREA COMMUNITY COLLEGE DISTRICT ADOPTED BUDGET 09-10 FUND: 61 SELF-INSURANC FD-WORKER'S COMP EXPENSE OBJECT/ <--UNRESTRICTED APPROPRIATIONS--> <--RESTRICTED APPROPRIATIONS--> CCTR/PRGM DESCRIPTION FTE C.F. NET BUDGET FTE C.F. NET BUDGET ======================================================================================================================= 7900 RESERVE FOR CONTINGENCIES 79,163.00 ============== 79XX TOTAL RESERVE FOR CONTINGENC 79,163.00 7XXX TOTAL OTHER OUTGO 79,163.00 TOTAL APPROPRIATIONS .75 1,551,078.00 TOTAL UNRESTRICTED/RESTRICTED APPROP. .00 1,551,078.00 GRAND TOTAL APPROPRIATIONS .75 1,551,078.00 BUDR10 PAGE 597 09/11/09