Ceo Contract

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					                                  COUNTY OF IMPERIAL
                            YEAR-END ENCUMBRANCES REQUEST
                                   AS OF JUNE 30, ______
        Budget Unit/Org Key Title:

        Org Key Code:
                                                                     CEO Office Use Only

   Object                Account                   Requested           Approved            Minute
   Code                 Description                 Amount              Amount             Order Contract

Justification:



   Object                Account                   Requested           Approved            Minute
   Code                 Description                 Amount              Amount             Order Contract

Justification:



   Object                Account                   Requested           Approved            Minute
   Code                 Description                 Amount              Amount             Order Contract

Justification:




                Total Amount Requested:

It is requested that appropriation accounts of this department be encumbered in the above
amounts to cover anticipated expenditures in accordance with the Auditor-Controller's
guidelines.

          Signature of Department Head                                           Date

                                           For CEO Office Use Only


                Total Amount Approved:


         Signature of CEO/Representative                                         Date
Form B007 (02/04)
                                          COUNTY OF IMPERIAL
                                           POSITION REQUEST
                                                                                                         APPENDIX G
PART 1. DEPARTMENT/BUDGET UNIT INFORMATION

 Department/Budget Unit:     Name: ___________________________________________ Org Key:

 ACTION:                            FUNDS:                STATUS:
     Add New Position                  Budgeted               Full Time
     Delete Existing Position          Unbudgeted             Part Time _____Hrs.
                                                              Regular
                                                              Limited Term (Expiration Date)
                                                              Contract Employee

 Title Description:                                                      Title Code:

 Requested Effective Date:

 Number of Positions Requested:                               FTE(s) Requested:

 Proposed Duties/Program:



 Justification Attached:

 Department Head Signature: ____________________________________         Date:


PART 2. HUMAN RESOURCES DEPARTMENT

      Recommended
      Not Recommended                    Other               Bargaining Unit

 Position Status:                                             Pay Class Code:

 Human Resources Signature:                                  Date:

 Comments:




PART 3. COUNTY EXECUTIVE OFFICE/BUDGET MANAGEMENT

         Recommended                    Not Recommended       Freeze                         Other** (see below)
                                                              Unfreeze
 CEO/Budget Analyst:                                                                       Date:

 FTE(s): _______________               Permanent             Temporary                 Effective Date:

PART 4: OTHER--ADDITIONAL INFORMATION




 Form B002 (02/04)
                                 COUNTY OF IMPERIAL
                            EXPENDITURE TRANSFER REQUEST

To be completed by Originating Budget Unit:
PLEASE CHECK TRANSFER TYPE
1. EXPENDITURE TRANSFER TYPE:
         Inter-Fund                                     BUDGET ADJUSTMENT REQUEST
         Intra-Fund

                               Use This Section for Single Budget Unit Transfers Only
EXPENDITURE REIMBURSEMENT (CREDIT)
2. BUDGET UNIT/ORG KEY TITLE


3. OBJECT DESCRIPTION


4. ORG KEY CODE                    5. OBJECT CODE                                6. AMOUNT


EXPENDITURE TRANSFERRED TO (DEBIT)
7. BUDGET UNIT/ORG KEY TITLE


8. OBJECT DESCRIPTION


9. ORG KEY CODE                    10. OBJECT CODE                               11. AMOUNT




12. PURPOSE:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________

13. DEPARTMENT HEAD AUTHORIZATION                                                14. DATE



15. OFFSET BUDGET UNIT/FUND APPROVAL                                             16. DATE



                                              CEO OFFICE USE ONLY
APPROVED BY:                                                                     DATE


COMMENTS:
EXPENDITURE TRANSFERS BETWEEN MULTIPLE BUDGET UNITS:
                              This section replaces Items 2 through 11 on Page 1
  BUDGET UNIT/ORG KEY TITLE             OBJECT DESCRIPTION                     OBJECT CODE    AMOUNT

EXPENDITURE REIMBURSEMENT (CREDIT)




EXPENDITURE TRANSFERRED TO (DEBIT)




                                                                                      Total
Form B003 (02/04)
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
                                 COUNTY OF IMPERIAL
                                BUDGET AUGMENTATION REQUEST

SECTION 1: BUDGET UNIT/DEPARTMENT INFORMATION

Budget Unit Name: ____________________________________________       Budget Unit Org Key:
Department Name: ____________________________________________
Contact Name: _______________________________________________        Phone No. __________________________

Name of Augmentation Request:

Budget Unit Priority Ranking:

SECTION 2: JUSTIFICATION

Justification Reason: (Mark One)           Program Expansion
                                           New Program
                                           Improve Service Quality
                                           Reorganization
                                           Other

SECTION 3: JUSTIFICATION NARRATIVE




SECTION 4: REQUEST DETAIL

Cost by Category
Salaries & Benefits:                     Object Code                 Budget Year            Ongoing Expense
Permanent Salaries                         501000
Shift Differential                         501105
Extra Help                                 501115
Stand-By                                   501120
Location Differential                      501125
Bilingual Pay                              501130
Overtime                                   501135
Redemption of Benefits                     501145
Social Security-Medicare                   501150
County Contrib. Retirement                 502000
Ins-Workers Comp                           502005
Ins.-Unemployment                          502010
Group Insurance                            502015
Ins. Dental/Vision                         502020
Retirement-Pension Bond                    502040
Retirement-Health Plan                     502045
Ins-Voluntary Life                         502050
Other: (List)


                    Totals
                                      COUNTY OF IMPERIAL
                                 BUDGET AUGMENTATION REQUEST
SECTION 4: REQUEST DETAIL
Cost by Category
Supplies & Services: (List)                          Object Code                 Budget Year               Ongoing Expense




                     Totals

Equipment: (List)                                    Object Code                 Budget Year               Ongoing Expense

                      Total

Other: (List)                                        Object Code                 Budget Year               Ongoing Expense


                     Totals

Revenue
Sources: (List)                                      Object Code                 Budget Year               Ongoing Revenue


                     Totals
                     Net County Cost

Additional Comments or Explanations:




SECTION 5: DEPARTMENT HEAD CERTIFICATION

I, certify that all possibilities for existing resources have been exhausted and that all program priorities have been
re-evaluated for all funds under my control prior to submitting this request.


Department Head Signature & Certification:                                                 Date

CEO Recommended Action:
                                                          Approved               Priority Number
                                                          Denied

CEO Comments:




Form B001 (02/04)
                                                           COUNTY OF IMPERIAL
                                                       BUDGET ADJUSTMENT REQUEST

SECTION 1: BUDGET UNIT/DEPARTMENT INFORMATION

Budget Unit Name: _________________________________________________________                   Org Key
Department Name: _________________________________________________________
Contact Name: ____________________________________________________________

SECTION 2: TYPE OF ADJUSTMENT
Title of Adjustment(s):              (1)
                                                                                                        Department Head Signature
                                      (2)
                                      (3)
SECTION 3: ADJUSTMENT                                                                                                 Date

                                                                                      (1)          (2)          (3)
                                            ORG KEY   OBJECT       PROPOSED      ADJUSTMENT    ADJUSTMENT   ADJUSTMENT          ADJUSTED
    OBJECT CODE DESCRIPTION                  CODE      CODE         BUDGET       REQUESTED     REQUESTED    REQUESTED           PROPOSED
                                                         REVENUE BUDGET ADJUSTMENT




                                                      Revenue Total
                                                          EXPENSE BUDGET ADJUSTMENT
Salaries & Benefits:
 Permanent Salaries
 Shift Differential
 Extra Help
 Stand-By
 Location Differential
 Bilingual Pay
Overtime
 Social Security-Medicare
 County Contribution to Retirement
 Insurance-Workers' Comp.
 Insurance-Unemployment
 Group Insurance
 Insurance-Dental/Vision
 Other (List)
                                                                                                       (1)              (2)       (3)
                                                  ORG KEY     OBJECT           PROPOSED            ADJUSTMENT    ADJUSTMENT   ADJUSTMENT   ADJUSTED
      OBJECT CODE DESCRIPTION                      CODE        CODE         BUDGET       REQUESTED                REQUESTED   REQUESTED    PROPOSED
                                                                 EXPENSE BUDGET ADJUSTMENT
Supplies & Services (List):




                                                             Expense Total
                               Net County Cost              Increase         Decrease

SECTION 4: JUSTIFICATION/COMMENTS:




                                                                             CEO USE ONLY


                                       Approved             Denied                      Modified

                    CEO/Analyst Comments:




                        CEO/Analyst:                                                                            Date:

Form B004 (02/04)

				
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