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1995-076-Execute An Agreement With Hicks & Company For Flexible Spending Account Administration ServicesRESOLUTION 1995 - 76 RESOLUTION OF THE TOWN OF LOS GATOS AUTHORIZING THE TOWN MANAGER TO EXECUTE AN AGREEMENT WITH HICKS & COMPANY FOR FLEXIBLE SPENDING ACCOUNT ADMINISTRATION SERVICES RESOLVED, by the Town Council of the Town of Los Gatos, County of Santa Clara, State of California, that the Town of Los Gatos enter into an agreement (attached draft agreement) with Hicks & Company for Flexible Spending Account Administration Services, and that the Town Manager is authorized, and is hereby directed, to execute said agreement in the name and on behalf of the Town of Los Gatos. PASSED AND ADOPTED at a regular meeting of the Town Council of the Town of Los Gatos, California, held on the 19th day of June, 1995 by the following vote: COUNCIL MEMBERS: AYES: Randy Attaway, Joanne Benjamin, Steven Blanton, Linda Lubeck, Mayor Patrick O'Laughlin. NAYS: None ABSENT: None ABSTAIN: None SIGNED: )o MAYOR OF THE T LOS GATOS LOS GATOS, CALIFORNIA ATTEST: CLERK OF THE TOWN OF LOATOS LOS GATOS, CALIFORNIA CAFETERIA PLAN SERVICE AGREEMENT HICKS & COMPANY, hereafter known as HICKS, hereby agrees to provide the services of Cafeteria Plan (Flexible Benefit Plan) herein known as PLAN, administration services for and on the behalf of ABC COMPANY here after known as the Employer, as shown below, organized under the laws of the State of California. Employer agrees HICKS will provide contract administrative services including: Administrative Services to be Provided bV HICKS & COMPANY 1) Preparation of Summary Plan Descriptions to be provided for the employees of the Employer. 2) Provide participant election forms to be used during the enrollment process. 3) Process initial enrollment forms and revocation forms to initiate the administration function. 4) Provide discrimination reports. 5) Provide forms to the Employer for use by the Employer in communicating participant termination and changes of family status. 6) Provide monthly Employer statements of participation by plan by participant. 7) Preparation and implementation of Plan Documents which Employer understands will not be submitted to the IRS for a determination letter. 8) Provide annual preparation of form 5500. The first plan year ends on December 31st, and the return is due on July 31st. 9) Provide participant election forms at the end of each year for use in making elections for the following year. 10) Periodic preparation of the financial records and reports benefits for the purpose of plan administration. The accuracy of this information is the responsibility of the Employer who agrees to indemnify and hold HICKS harmless from any liability and expense in connection with disputes arising from any type of inaccurate information. 11) HICKS will furnish to the Employer, according to its records, as part of each month's account, a detailed statement showing all costs and the total amount due for services. Responsibilities of the Employer 1) Report participant terminations and changes of family status to Administrative Firm. 2) Reconciliation of payroll amount redirected to the Cafeteria plan based on reports provided each month by Administrative Firm. 3) Employer will deduct from the earnings of participating employees, the amounts shown on the Election Forms, (Elections) signed by the employees. 4) The Employer agrees to indemnify and hold HICKS harmless from overdraft charges or unpaid claims arriving from insufficient funds based on the Employer's failure to make the correct deposits. 5) Distribution of checks and participant statements of account to Company employees. 6) Secure legal review of the Cafeteria Plan Document and Summary Plan Description from Company's legal counsel if desired. 7) Initiate any action necessary in the event plan becomes discriminatory. 8) Employer agrees that the above services will be rendered by HICKS on regular workday(s) during regular working hours and in such areas as HICKS shall choose. 9) Employer hereby agrees to notify in writing prior to monthly reimbursements, of any discrepancies or changes in the amounts withheld by Employer from the wages of the participants. Employer will also notify HICKS if Employer has reason to believe that any reimbursement request of ELECTIONS are in any way invalid, erroneous or fraudulent. Fees and Terms of Payment At each month end, HICKS will submit a statement showing the amount of fees for that month. The Company will pay HICKS the amount within 30 days of receipt of the statement. Employer shall bear any and all costs of the account including imprinting checks which conform to the requirements of HICKS and any bank charges or costs which may be incurred. The Administrative fees quoted for the plan are as follows: Plan Installation: $ Monthly Administration $ 2 The fee schedule as quoted is in effect for twelve (12) months from the date of this agreement. HICKS will notify Employer of any fee schedule changes within sixty (60) days prior to the anniversary date of this agreement. Additional fees will be incurred if the plan is modified. Plan modifications include but are not limited to changes in the frequency of reimbursements, benefit choices or design features. Reports and Data All reports and data remain the property of the Company. HICKS will provide the Company all data, upon request, in the electronic or printed format used by HICKS in its administration procedures. Reimbursements and payments will be based on vouchers and other documentation submitted by the employees and transmittals and other documentation which the Employer may provide. Terms of this Agreement This agreement will be for a period of twelve (12) months commencing upon the date shown below and shall automatically renew for each succeeding twelve (12) month period until it is terminated by either party in writing at least sixty (60) days prior to the anniversary date hereof. In the event either party terminates this agreement, the Employer shall remit to HICKS any amounts due for the administrative services rendered to the Employer along with any charges for the final administration to terminate the plan. HICKS will assume no responsibility for damages which may occur should Employer elect to terminate the agreement and not elect to have HICKS complete the final administration. This agreement shall be governed by the laws of the State of California. Hicks & Company and ABC COMPANY have executed this agreement as of the date below. ABC COMPANY by: Name & Title Date HICKS & COMPANY by: Tom K. Hicks, Attorney at Law Date