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<br />ORI (Assigned by FJ3I): -I- ....x. -L 3- -2- JL -2 <br /> <br />Texas <br /> <br /> <br />Applicant Legal Name: eft of Paris <br />3. Cost Per Part-Time Officer - Year 2 <br /> <br />Enter the base annual salary that your department currently <br />pays a new, entry-level part-time officer in their second year. <br /> <br />% of base salary <br /> <br />.00 <br /> <br />Cost for Social Security may not exceed 6.2%. If exempt check here (] <br />Cost for Medicare may not exceed 1.45%. If exempt check here 0 <br />Costs toward health insurance coverage; please indicate if this <br />is for Family Coverage (] Yes (] No <br />Costs toward life insurance coverage. <br />Vacation costs, jf not included in base salary. # of hours annually:_ <br />Sick leave costs, if not included in base salary. # of hows annually:_ <br />Contribution to retirement benefits. <br />Costs of worker's compensation. (See Part III, Question 4) <br />Costs of unemployment insurance. (See Part III, Question 4) <br />Costs of equipment, training, uniforms, vehicles and overtime <br />are not permitted. <br /> <br />% <br />% <br />% <br /> <br />% <br />% <br />% <br />% <br />% <br />% <br />% <br />% <br /> <br />.00 <br />.00 <br />.00 <br /> <br />.00 <br />.00 <br />.00 <br />.00 <br />.00 <br />.00 <br />.00 <br />.00 <br /> <br />(A)$ <br /> <br />$ <br />$ <br />$ <br /> <br />Base Salary <br /> <br />Current <br /> <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br /> <br />Life Insurance <br />Vacation <br />Sick Leave <br /> <br />Retirement <br /> <br />*Worker's Camp. <br />*Unemployment Ins. <br />Other. <br />Other <br /> <br />Annual Entry-Level <br /> <br />Annual Fringe Benefits: <br />*Social Security <br />*Meclicare <br />Health Insurance <br /> <br />Sum of department's annual fringe benefits for Year 2. <br />Year 2 base salary plus Year 2 fringe benefits <br /> <br />.00 <br />.00 <br /> <br />$ <br />$ <br /> <br />Total Fringe Benefits <br />Total Year 2 Salary and Benefits <br /> <br />Enter the base annual salary that your department currently <br />pays a new, entry-level part-time officer in their third year. <br /> <br />% of base salary <br /> <br />.00 <br /> <br />4. Cost Per Part-Time Officer - Year 3 <br /> <br />Annual Entry-Level Base Salary (A)$ <br /> <br />Current <br /> <br />Cost for Social Security may not exceed 6.2%. If exempt check here 0 <br />Cost for Medicare may not exceed 1.45%. If exempt check here (] <br />Costs toward health insurance coverage; please indicate if this <br />is for Family ClIlverage (] Yes (] No <br />Costs toward life insurance coverage. <br />Vacation costs, if not included in base salary. # of hours annually:_ <br />Sick leave costs, if not included in base salary. # of hours annually:_ <br />Contribution to retirement benefits. <br />Costs of worker's compensation. (See Part III, Question 4) <br />Costs of unemployment insurance. (See Part III, Question 4) <br />Costs of equipment, training, uniforms, vehicles and overtime <br />are not permitted. <br /> <br />% <br />% <br />% <br /> <br />% <br />% <br />% <br />% <br />% <br />% <br />% <br />% <br /> <br />.00 <br />.00 <br />.00 <br /> <br />.00 <br />.00 <br />.00 <br />.00 <br />.00 <br />.00 <br />.00 <br />.00 <br /> <br />.00 <br />.00 <br /> <br />$ <br />$ <br />$ <br /> <br />, <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br /> <br />Annual Fringe Benefits: <br />*Social Security <br />*Medicare <br />Health Insurance <br /> <br />Life Insurance <br />Vacation <br />Sick Leave <br />Retirement <br />*Worker's Compo <br />*Unemployment Ins. <br />Other. <br />Other <br /> <br />Sum of department's annual fringe benefits for Year 3. <br />Year 3 base salary plus Year 3 fringe benefits. <br /> <br />27 <br /> <br />$ <br />$ <br /> <br />Total Fringe Benefits <br />Total Year 3 Salary and Benefits <br />