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FEDERAL EMERGENCY MANAGEMENT AGENCY <br />APPLICANT'S BENEFITS CALCULATION WORKSHEET <br />APPLICANT <br />JURISDICTION <br />CATEGORY <br />DISASTER <br />Countyof Orange <br />Ci of Santa Ana <br />I B <br />4482-DR-CA <br />ENTER TOTAL ANNUAL PAYROLL <br />$111,500,730.00 <br />REGULAR TIME % <br />OVERTIME % <br />Holidays <br />12 4 62% <br />If the benefit is <br />applied to the <br />Vacation Leave <br />14.3 5.50% <br />overtime fringe <br />rate, select the <br />Sick Leave <br />9.6 3.69% <br />proper box <br />* Social Security <br />N/A r <br />* Medicare <br />1 45% r <br />* Unemployment <br />r <br />* Worker's Comp <br />$ 5,838,487,74 5.24% r <br />** Retirement <br />$ 8,997,813.87 8.07% 1— <br />Health Benefits <br />$ 10,489,526.82 9.41/° ° <br />Life Insurance Benefits <br />Otherloe:er.be nerel <br />Total in % of annual salary) 37.97% <br />(FIGURES IN BLUE AUTOMATICALLY 'GO" TO THE FORCE ACCOUNT LABOR SHEETS) <br />COMMENTS: <br />Life <br />Insurance Benefits are Included in the Health Benefits category. <br />I CERTIFY THAT THE INFORMATION ABOVE <br />WAS TRANSCRIBED FROM PAYROLL RECORDS OR OTHER DOCUMENTS <br />WHICH ARE AVAILABLE FOR AUDIT. <br />CERTIFIED: Kristine Ridge City Manager <br />DATE: LL117 Z% <br />' Only categories for overtime fringe benefits. <br />"' Only an overtime fringe benefitwhen supported by employee contract <br />