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Res 1601 - Workers Comp Voluntr COUNCIL BILL NO. 2265 RESOLUTION NO. 1601 A RESOLUTION EXTENDING WORKERS' COMPENSATION COVERAGE TO CERTAIN VOLUNTEERS OF THE CITY OF WOODBURN. WHEREAS, the City wishes to protect its volunteer workers from injuries arising out of or in the scope of their service to the City, now, therefore, THE CITY OF WOODBURN RESOLVES AS FOLLOWS: Section 1. Pursuant to ORS 656.031, the City of Woodburn elects to provide workers' compensation insurance to the following classes of volunteer workers listed on the attached Volunteer Election Form (Exhibit A), by reference incorporated herein. Section 2. Hours worked by non-public safety volunteers will be accounted for on an hourly basis and hours worked will be reported in the correct class code for the type of work being performed using Oregon minimum wage. Section 3. A roster of active volunteers will be kept monthly for reporting purposes. It is acknowledged that City/County Insurance Services (CIS) may request copies of these rosters during year-end audit. Section 4. Unanticipated volunteer projects or exposures not addressed herein will be added onto the City of Woodburn's coverage agreement (1) by endorsement, (2) with advance notice to CIS, and (3) allowing two weeks for processing, It is hereby acknowledged that coverage of this type cannot be backdated. Approved as to for:n~ (?Jv:O City Attorney q- Zz- 201)'0 Date Passed by the Council Submitted to the Mayor Approved by the Mayor Filed in the Office of the Recorder ATTEST b ~ Mary Tennan Recorder City of Woodburn, Oregon September 25, 2000 September 27, 2000 September 27. 20QO September 27, 2000 Page 1 - COUNCil... BILL NO. 2265 RESOLUTION NO. 1601 -T~- .' ~ VOLUNTEER ELECTION FORM Keep monthly rosters! CIS may request copies o/rosters during year-end audit. Public Safety Volunteers The following volunteer positions are reported in NCCI Classification Code 8411, using an assumed monthly wage of no less than $800 per month (regardless if one day or 30 are worked) for premium payment and calculation of benefits. This assumed monthly wage may be increased at the employer's discretion in increments of$100. Please refer to your entity's volunteer resolution for the amount to use infilling out Column No.2 below. City/County Insurance Services Volunteer Election Form for Coverage Year 7/112000 to 613012001 Multiply (1) x (2) = Estimated Assumed Payroll Volunteer Category NeCI (1) (2) (3) Code Est. No. of Assumed 2000-01 Estimated Volunteer Monthly Assumed Payroll Months* Wage Ambulance Driver 8411 ~ Ambulance Technician 8411 - Crime Prevention Unit 8411 - Deputy Sheriff 8411 - Emergency Medical Technician 8411 - Explorer Scout 8411 - Fire Chief/Asst. Fire Chief 8411 .... Firefighter 8411 - Police Officer 8411 - Police Reserve 8411 - Probation Officer 8411 - Search and Rescue 8411 - Sheriff's Posse 8411 - Surf Rescue 8411 - Other (please specify) 8411 - .Using last year's rosters, estimate the number of volunteer months for each position and enter the total on the appropriate line in Column (1). Some volunteers are not active evCty month, i.e.. one volunteer firefighter may be active five months out of the year, two volunteer firefighters may be active 12 months out of the year, and five volunteer firefighters may be active only one month out ~fthe year. Thus, th~ number.ofvolunteer firefighter months would be 34. . .;'/' ..: .. lof3 ._....T~.' Other Volunteers Unpaid boards, commissions, councils, and public officials: If these officials receive any "remuneration," they would be considered subject workers and reported using regular payroll categories. If they receive no remuneration and you wish to provide workers' compensation benefits, you will need to either establish an assumed monthly wage or keep monthly time records and estimate/report assumed payroll using Oregon minimum wage. CIS has designated Class Code 8742V for this type of exposure. Please call if you have questions or need advice. Inmates/Community Service Workers: If your entity uses workers from the correctional system (i.e., community service workers, inmates on work release, peer review crews, etc.), it is important to address and clarify in writing PRIOR to work inception which entity will be responsible for covering this exposure. CIS recommends you obtain a Certificate of Coverage for Workers' Compensation from the sentencing court or make arrangements to provide coverage through your own entity. If the second option is chosen, keep monthly time records and report these workers using Oregon minimum wage. CIS has designated Class Code 7720V for this type of exposure. Miscellaneous: Assumed payroll for all other volunteer elections should be computed at Oregon minimum wage using actual hours worked and reported in the appropriate NCCI classification code with a "V" added to the end. Unanticipated volunteer projects or exposure can be added on throughout the coverage year (1) by endorsement, (2) with advance notice to CIS, and (3) allowing two weeks for processing. Coverage of this type cannot be backdated. City/County Insurance Services Volunteer Election Form for Coverage Year 711/2000 to 6/30/2001 Multiply (1) x (2) x (3) x (4) = Estimated Assumed Payroll Volunteer Category NCCI (1) (2) (3) (4) (5) Code Est. No. of No. of No. of Oregon 2000-01 Volunteers Hours Months Minimum Estimated per month per month per year Wage Assumed Payroll Boards, Commissions, 8742V Councils, Public Officials Building Maintenance 9015V Clerical 8810V IDA;~ ,/-0 /;)... &,.5'0 3,,1:20 ~ Community Center 9102V Community Service Workers 7720V Community Project (please call CIS for proper class code) Community Sponsored Events (please call CIS for proper class code) Emergency Telecommunicators 8810V Fireworks 9410V 3x(P~ -: /rA~h !r (,,- SD //7,00 I .J 20f3 ""Y' City/County Insurance Services Volunteer Election Form for Coverage Year 7/112000 to 6/3012001 Multiply (1) X (2) x (3) X (4) = Estimated Assumed Payroll Volunteer Category NCCI (1) (2) (3) (4) (5) Code Est. No. of No. of No. of Oregon 2000-01 Volunteers Hours Months Minimum Estimated per month per month per year Wage Assumed Payroll Garbage/Refuse 9403V Hospital (please call CIS For proper class code) Inmates on Work Release 7720V Interpreters 8810V Janitorial 9015V Landscaping 9102V Library 8810V 1/ tt<<' I h .;1.5 /~ 4-,s-0 ;; lj SO c.,E -- Lifeguards (pools) 9015V Lifeguards (beaches & rivers) 9102V Mealsite Volunteers 9079V Parks & Drivers 9102V Planting 0042V Public Health (please call CIS for proper class code) Replacement Workers RV Park 9015V Senior Center 9061V Sewer & Drivers 7580V Sewer/Street Cleaning 9402V ~, Snow Removal 9402V Street/Road Maintenance 5506V Victim Assistance 8810V Waterworks & Drivers 7520V 30f3 *Estimate the number of volunteer hours in each class code and enter it in Column (1). -- "T-- .. ',,-_.- .+'" _. . ,.. ....-.. -., ..