HomeMy WebLinkAboutHR Advanced Disabiltiy; Kaitlin MaleyAGREEMENT FOR ADVANCED DISABILITY PENSION PAYMENTS
Ther Agreement is made as of the 18 day of October 2023, by and between Kaitlin Maley
("Maley") and the City of San Rafael ("San Rafael")
RECITALS
WHEREAS, Maley has asserted that she was injured during the course and scope of her
employment for San Rafael; and
WHEREAS, Maley, as a result of her injuries, applied for Disability Retirement with the Marin
County Employees' Retirement Association ("MCERA") on September 19, 2023; and
WHEREAS, Maley has requested advanced disability pension payments from San Rafael
pursuant to Labor Code §4850.4; and
WHEREAS, San Rafael has agreed to make advanced disability pension payments to Maley
pending a determination of her eligibility for Disability Retirement by MCERA; and
WHEREAS, Maley is aware of her responsibilities pursuant to Labor Code §4850.4, including
the repayment of funds to San Rafael of any funds advanced to her.
AGREEMENT
NOW, THEREFORE, the parties agree as follows:
1. San Rafael will advance disability pension payments to Maley pursuant to the provisions
of Labor Code §4850.3 and §4850.4, in the amount of $4,369.14 per month payable from November 1,
2023 through the first day of retirement. This amount is based upon MCERA's estimate of the monthly
amount payable as calculated based upon 50% of the estimated highest average annual compensation
earnable by Maley during her period of employment from November 7, 2016 through October 10, 2023.
2. Maley agrees that she will fully cooperate in providing San Rafael with medical
information and in attending all statutorily required medical examinations and evaluations set by San
Payments
Final Audit Report
Created:
2023-10-10
By:
Jennifer Alcantara Qennifer.alcantara@cityofsanrafael.org)
Status:
Signed
Transaction ID:
CBJCHBCAABAA5P1T_YymtcDFY-nOn8fB1_i_ADmFVF_
2023-10-23
"Maley - Agreement for Advanced Disability Payments" History
IEj' Document created by Jennifer Alcantara Qennifer.alcantara@cityofsanrafael.org)
2023-10-10 - 9:50:42 PM GMT- IP address: 199.88.113.8
Document emailed to Kaitlin Maley (kaitlinanne@gmail.com) for signature
2023-10-10 - 9:53:43 PM GMT
Email viewed by Kaitlin Maley (kaitlinanne@gmail.com)
2023-10-10 - 10:41:27 PM GMT- IP address: 98.210.177.144
t?, Document e-signed by Kaitlin Maley (kaitlinanne@gmail.com)
Signature Date: 2023-10-14 - 5:55:51 PM GMT - Time Source: server- IP address: 98.210.177.144
Document emailed to jgreyatty@aol.com for signature
2023-10-14 - 5:55:52 PM GMT
Email viewed by jgreyatty@aol.com
2023-10-18 - 7:31:53 PM GMT- IP address: 50.209.169.185
Signer jgreyatty@aol.com entered name at signing as John J. Grey
2023-10-18 - 7:35:04 PM GMT- IP address: 50.209.169.185
" o Document e-signed by John J. Grey Qgreyatty@aol.com)
Signature Date: 2023-10-18 - 7:35:06 PM GMT - Time Source: server- IP address: 50.209.169.185
- v,. Document emailed to Genevieve Coyle (genevieve.coyle@cityofsanrafael.org) for signature
2023-10-18 - 7:35:07 PM GMT
i Email viewed by Genevieve Coyle(genevieve.coyle@cityofsanrafael.org)
2023-10-18 - 8:25:44 PM GMT- IP address: 104.47.64.254
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