2011-781 RESOLUTION NO. 2011 -781
A resolution authorizing the City of Janesville to join and allow eligible employees to participate in the ETF
WRS supplemental life insurance program at the employee's expense.
Whereas the Janesville Common Council, pursuant to the applicable provisions of Chapter 40 of the
Wisconsin Statutes now in effect and from time to time amended or renumbered, hereby determine, authorize,
and find it appropriate that the City of Janesville join and participate in, and that its eligible personnel be
included under, the following Group Life Insurance program(s) provided by ETF WRS, pursuant to Chapter 40
of the Wisconsin Statutes:
[X] Supplemental Group Life Insurance
Whereas the proper officers and /or officials of the City of Janesville are herewith authorized and directed to
take all actions, make such deductions, and submit such eligible and participating City personnel payments as
are required, from time to time and at any time, by the Group Insurance Board of the State of Wisconsin to
provide such supplemental and /or other group life insurance, based upon the number of eligible employees
enrolling in this benefit; and
Whereas the City of Janesville WRS Agent will submit a certified copy of this adopted Resolution to the State
of Wisconsin Department of Employee Trust Funds (ETF WRS).
NOW, THEREFORE, the Common Council of the City of Janesville hereby authorize the City of Janesville and
the City's eligible personnel to join and participate in the WRS ETF supplemental Group Life Insurance
program. Further, each of the above recitals is reiterated and included herein by reference as if fully set forth
verbatim.
Be It Further Resolved that the City Manager, City Clerk- Treasurer, and /or other City Manager designee(s), on
behalf of the Common Council and the City of Janesville, may take any and all actions, enter into such
additional agreement(s), and amend such actions and agreement(s) from time to time and at any time as may
be deemed necessary and /or desirable by the City Manager for the City of Janesville to join and provide this
benefit to the City's eligible employees at their expense and /or so as to effectuate the intent and purpose of
this Resolution; and that the City Clerk- Treasurer position, and its incumbent and acting Janesville City Clerk -
Treasurer Jean Ann Wulf and her successors and her /their designee(s), be the City of Janesville WRS Agent
for purposes of this supplemental life insurance program and benefit.
CERTIFICATION [Required by ETF WRS]
I hereby certify that the foregoing Resolution is a true, correct, and complete copy of the original Resolution
duly and regularly passed by the Common Council of the City of Janesville, Wisconsin, on the 28 day of
March 2011; and that said Resolution has not been repealed or amended, and is now in full force and effect. I
understand that Wis. Stat. Sec. 943.395 provides criminal penalties for knowingly making false and fraudulent
statements on this form and hereby certify that, to the best of my knowledge and belief, the information is true
and correct.
Employer Identification Number (EIN) 69- 036 -0985
Dated this 28th day of March 2011. « LLB✓
Jea Ann Wulf, Clerk- Treasurer, WRS -gent
18 . Jackson St.
Number of WRS Eligible Employees: 444 Janesville, WI 53545
608 - 755 -3000
wulfiCa�ci.ianesville.wi.us
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Motion by: Steeber
ADOPTED: March 28, 2011
Second b : Rashkin
APPROVED: / Councilmember Aye Nay Pass Absent
i / Brunner X
i ,
i/
ric J. %�t,/ . it Manager McDonald X
Perrotto X
ATT ' :
Rashkin X
1 �� Z - ‘(/...A111/ Steeber X
Jean - nn Wulf, ityClerk- Treasurer Truman X
APPROVED AS TO FORM: i Voskuil X
li f/�:`
Wald Klimczyk, City Attorney
Proposed by: Human Resources
Prepared by: Human Resources & City Attorney
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