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95-210 Resolution No. 95-210 4, OUT-OF-STATE CREDIT AUTHORIZATION R IMRF Form 6.33 (Rev. 3/93) INSTRUCTIONS AND REQUIREMENTS ON REVERSE SIDE PLEASE PRINT OR TYPE Member's Last Name First Middle Initial Social Security Number Deibert LawsencP � 342-36-9284 Present Position Current Position Water Operations Director Water Operations Director Current Employer Name Employer Number City of Elgin (State SSA Number) 69.O33,i_a-4 7 Certification by Member I certify that l was an employee of City Utilities - Fart Wjyno , Name of Local Government Indiana from septPmhar icuc to February 1988 Name of State Date Date in the position(s)of Director of Water Resources such service having been covered under PERF - Public Employees Retirement Fund Nam.of Public Employee Pension System whose address isSuite 800, Harrison Bldg. , 143 W. Market St. Indianapnt i c Tu aA9nn-213a9 Street City Stet. by Code and that I have irrevocably forfeited all service credits in said pension system and am not entitled to benefits of any type therefrom.I understand that no service credit will be established under the Illinois Municipal Retirement Fund until I have made the required payment to RF. l� 7 V i (708)931-6155 Date Member's Signature Member's Daytime Telephone No. Certification by Clerk or Secretary of Governing Body I certify that a regular or special meeting held on 9/27/9 5 ,the City Council Date Name of Governing Body of the City of Elgin. Illinois authorized the granting of service credits for out-of-state service with Nam.of Governmental Unit the out-of-state governmental unit named herein from September 19 8 5 to Februua y 1 R 8 (not to exceed 120 l months for the above named member). September 28. 1995 Dolonna Mecum Date Clerk or Secretary Signature Illinois Municipal Retirement Fund Suite 500, 2211 York Road,Oak Brook Illinois 60521-2374 708/368-1010 IMRF Form 6.33 (Rev.3/93) Service Representatives 80D/ASK-IMRF ! . Eltrin Agenda Item No . September 5, 199.5 TO: Mayor and Members of the City Council FROM: Richard B. Helwig, City Manager SUBJECT: Out-Of-State Service Credit in the Illinois Municipal Retirement Fund ( IMRF) PURPOSE The purpose of this memorandum is for the Mayor and members of the City Council to consider out-of-state service credit in IMRF for Mr. Larry Deibert. BACKGROUND Mr. Deibert was employed by the City of Fort Wayne, Indiana from September, 1985 to February, 1988 and participated in the Indiana Public Employees Retirement Fund. IMRF permits the granting of out-of-state service credit if both the employee and current employer agree to pay for their respective contributions . Similar approval has been given in the past by the City Coun- cil to employees who were employed by other municipalities before their employment with the City of Elgin. FINANCIAL IMPACT The cost to the City can not be precisely determined but it is built into the annual contribution rate for the City. IMRF actuarially determines the City' s contribution resulting from the out-of-state service credit and assesses it over a 20 year period. Therefore, the City's actual dollar contribu- tion for this out-of-state service is negligible. • . 4 Out-of-State Service Credit September 5, 1995 Page 2 LEGAL IMPACT None. RECOMMENDATION It is recommended that the City Council authorize Mr. Deibert to obtain service credit for the time he worked in Indiana. Respectfully submitted, • Olufemi olarin Human,Re,ources - irector Richard B. Helwig City Manager OF/vis r • r