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FEDERAL EMERGENCY MANAGEMENT AGENCY <br />APPLICANT'S BENEFITS CALCULATION WORKSHEET <br />APPLICANT <br />JURISDICTION <br />CATEGORY <br />DISASTER <br />Countyof Oran a <br />Ci of Santa Ana <br />B <br />4482-DR-CA <br />ENTER TOTAL ANNUAL PAYROLL <br />$111,500,730.00 <br />REGULAR TIME % <br />OVERTIME % <br />Holidays 12 4,62% <br />If the benefit is <br />applied to the <br />Vacation Leave 14.3 5.50% <br />overtime fringe <br />rate, select the <br />Sick Leave 9.6 3,69% <br />proper box <br />* Social Security N/A F- <br />* Medicare 1 45% r <br />* Unemployment f <br />• Worker's Comp $ 5,838,487.74 5,24% F- <br />** Retirement $ 8,997,813.87 8.07% r <br />Health Benefits $ 10,489,526.82 9A1% <br />Life Insurance Benefits <br />Other we,=rme °Mel . <br />Total in % of annual salary)37.97% <br />(FIGURES IN BLUE AUTOMATICALLY "GO" TO THE FORCE ACCOUNT LABOR SHEETS) <br />COMMENTS: <br />Life Insurance Benefits are included in the Health Benehts category. <br />I CERTIFY THAT THE INFORMATION ABOVE WAS TRANSCRIBED FROM PAYROLL RECORDS OR OTHER DOCUMENTS <br />WHICH ARE AVAILABLE FOR AUDIT. <br />CERTIFIED: Kristine Ridge City Mana er L-- <br />DATE: /() ( %Z�/ <br />` Only categories for overtime fringe benefits. <br />Only an overtime fringe benefit when supported by employee contract <br />