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CC Resolution 11375 RESOLUTION NO. 1 117 "i RESOLUTION TO AMENDMENT TO THE CITY OF CAMPBELL CONTRACT WITH EMPLOYEE BENEFIT SPECIALISTS (EBS), SECTION 125 FLEXIBLE BENEFITS CAFETERIA PLAN WHEREAS, City of Campbell (the "Agency") has previously adopted the City of Campbell EBS Section 125 Flexible Benefits Plan (the "Plan"); and WHEREAS, the Agency has the right to amend that Plan; and WHEREAS, the Agency deems it to be in the best interest of the Agency and the Plan to amend the Plan. NOW, THEREFORE, BE IT RESOLVED, the plan is hereby amended as follows, effective January 1, 2012: Claims 1. Claims for reimbursement for an active Participant must be filed with the Plan Administrator within 90 days following the last day of each Plan Year. 2. The Plan does not provide for an earlier deadline for claims submission for Terminated Participants. 3. Claims for reimbursement for a Terminated Participant must be filed with the plan Administrator within 90 days following the last day of each Plan Year. PASSED AND ADOPTED this following roll call vote: day of , 2012 by the AYES: Councilmembers: Cristina, Baker, Waterman, Low, Kotowski NOES: Councilmembers: None ABSENT: Councilmembers: ATTEST: tl~N~ Anne Bybee, City Clerk APPROVED: ~. _. (--------~__,. A ~ .... ~L(, .-<--. Michael F. Kotowski, Mayor /'