California Department of Education Form J-90 CDS Code For the Certificated Bargaining Unit

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1 California Department of Education Form J-90 CDS Code For the Certificated Bargaining Unit I. District Information Salary & Benefits Schedule District Name: B. County: J-90 is due July 1, Percentage of regular salary schedule change over regular salary schedule: Or once negotiations are completed 2 One-time or "off the schedule" across the board bonus, if any for indicate $ or %: $. % for Is there contingency language in your collective bargaining agreement that could retroactively increase/decrease your salary schedule Yes No 4 Number of service or work days for returning teachers: Days School Services of California, Inc. 5 Number of teacher instructional days: Days 1121 L Street, Suite A few districts, instead of providing a separate amount for health & welfare benefits, include Sacramento, CA benefits in the salary amounts. Does your salary schedule include benefit amounts? Yes No Attn: Kathe Sadler 7 Please specify the effective date of the certificated salary schedule / / 8 Please specify the highest entry level for an experienced teacher: Step # Column # Questions? 9 Please specify the highest entry level for an emergency or intern credential teacher: Step # Column # Call Kathe at: (916) x Please specify the number of FTEs with an emergency or intern credential: FAX Number: (916) Please provide summer school classroom teachers pay rate in either: Hourly $ Daily $ Session $ kathes@sscal.com Please provide summer school explanation, if necessary below: 12 Does your district's certificated salary schedule as reported on this form include any charter school FTEs? Yes No If yes, please note on the last page names of the charter schools where FTEs are reported on your J-90.

2 II. Salary Schedule IMPORTANT: You must report all teachers that are paid on the teacher's salary schedule including temporary teachers. Column # I II III IV V VI VII VIII Enter the Minimum Education Degree+ Semester Units Required for each Column listed ---- Note: Do not allocate more than 1.0 FTE to any one employee Step Number Annual Salary Longevity Salary Schedule Enter Longevity Steps: Regular Salary + Longevity Amount Year: Year: Year: Year: Year: Year: FTEs Total FTEs above

3 II. Salary Schedule IMPORTANT: You must report all teachers that are paid on the teacher's salary schedule including temporary teachers. Column # I II III IV V VI VII VIII Enter the Minimum Education Degree+ Semester Units Required for each Column listed ---- Note: Do not allocate more than 1.0 FTE to any one employee Step Number Annual Salary FTEs

4 Column # I II III IV V VI VII VIII

5 Mark an X in the applicable box if any of the professionals listed below are included and paid from the same salary schedule as the certificated classroom teachers III -Other Schedule Counselor Nurse Psychologist Librarian Information IV - Certificated Bargaining Unit Bonuses Enter bonuses paid annually EXCLUSIVE of extra duty co-curricular V - Principal Salary Data Average Annualized Salary assignment and that ARE NOT INCLUDED in the Salary Schedule. A. Elementary School Principals $ Do these bonuses increase automatically as across-the-board increases are applied to the salary schedule? Yes No B. Middle School Principals $ Maximum Annual No of Bonus per FTE FTEs C. High School Principals $ Masters Degree $ or % Doctorate Degree $ or % Do not include vice principals, continuation, or adult school principals Special Ed Assignment $ or % VI - Superintendent Salary Data Annualized Bilingual Assignment $ or % Base Salary CLAD Certificate $ or % D. District or County Superintendent $ BCLAD Certificate $ or % National Teacher Certification $ or % If this position is less than full-time, indicate the percent for Superintendent here: Number of Obligated Service Days Number of Obligated Service Days Other Certificated Unit Bonuses: (List the annual number of obligated service days for the principals $ or % and superintendent exclusive of any vacation and holidays) $ or % List only four additional items $ or % Data is needed by CDE to calculate the statewide salary averages for principals/superintendents $ or % for districts' use in their School Accountability Report Cards pursuant to Education Code section

6 VII - Benefits Schedule for ACTIVE EMPLOYEES HEALTH INSURANCE DENTAL, VISION, LIFE & OTHER IMPORTANT: Single Plan Two Party Plan Family Plan Composite IMPORTANT: Single Plan Two Party Plan Family Plan Composite (List all plans in boxes below) (Employee only) (Employee+1 dep) (Employee+2 dep) (List all plans in boxes below) (Employee only) (Employee+1 dep) (Employee+2 dep) Health & Welfare A. HEALTH Per FTE Per FTE Per FTE Per FTE B. DENTAL Per FTE Per FTE Per FTE Per FTE Benefit Caps 1 Annual Cost of Plan $ $ $ $ Annual Cost of Plan $ $ $ $ (maximum amount paid) for each of the following: 2 Annual Cost of Plan $ $ $ $ Annual Cost of Plan $ $ $ $ Cap for Single Employee Per Employee $ 3 Annual Cost of Plan $ $ $ $ C. VISION Annual Cost of Plan $ $ $ $ Cap for 2-Party Plan Per Employee $ 4 Annual Cost of Plan $ $ $ $ Annual Cost of Plan $ $ $ $ Cap for Family Plan Per Employee $ 5 Annual Cost of Plan $ $ $ $ D. LIFE Annual Cost of Plan $ $ $ $ Cap for Cafeteria Plan Per Employee $ 6 Annual Cost of Plan $ $ $ $ E. OTHER Annual Cost of Plan $ $ $ $ 7 Annual Cost of Plan $ $ $ $ Annual Cost of Plan $ $ $ $ 8 Annual Cost of Plan $ $ $ $ Annual Cost of Plan $ $ $ $

7 VIII - Certificated Bargaining Unit Benefits Schedule for RETIREES Only complete this section if the district contributes to health and welfare benefits Does district contribute to retiree health and welfare benefits? Yes No If the district has an actuarial study for its post-employment benefits, indicate the date of the latest study: If so, at what age does the district's contribution end? Age: or Lifetime Provide the unfunded liability amount as reported in the study: RETIREES 65 YEARS OF AGE AND UNDER RETIREES 66 YEARS OF AGE AND OVER IMPORTANT: Single Plan 2-Party Plan Family Plan Composite IMPORTANT: Single Plan 2-Party Plan Family Plan Composite (List all plans in boxes below) (Retiree only) (Retiree+1 dep) (Retiree+family) (List all plans in boxes below) (Retiree only) (Retiree+1 dep) (Retiree+family) HEALTH Per Retiree Per Retiree Per Retiree Per Retiree HEALTH Per Retiree Per Retiree Per Retiree Per Retiree 1 Annual Cost of Plan $ $ $ $ 1 Annual Cost of Plan $ $ $ $ 2 Annual Cost of Plan $ $ $ $ 2 Annual Cost of Plan $ $ $ $ 3 Annual Cost of Plan $ $ $ $ 3 Annual Cost of Plan $ $ $ $ 4 Annual Cost of Plan $ $ $ $ 4 Annual Cost of Plan $ $ $ $ 5 Annual Cost of Plan $ $ $ $ 5 Annual Cost of Plan $ $ $ $ DENTAL Annual Cost of Plan $ $ $ $ DENTAL Annual Cost of Plan $ $ $ $ VISION Annual Cost of Plan $ $ $ $ VISION Annual Cost of Plan $ $ $ $ OTHER Annual Cost of Plan $ $ $ $ OTHER Annual Cost of Plan $ $ $ $

8 IX - Certification I HEREBY CERTIFY, to the best of my knowledge, that the salary & benefits data on this report are true and correct. (Signature) Superintendent or Designee Date ( ) Contact Person to call if we have questions (Please PRINT) Telephone Number & extension Address Please use this space for any explanations or clarifications regarding your J-90 report and to report Charter schools included in this report. Send To: School Services of California, Inc. Questions? 1121 L Street, Suite 1060 Call Kathe at: (916) x 1200 Sacramento CA kathes@sscal.com FAX Number: (916) Attn: Kathe Sadler IMPORTANT: Please send a copy of the Certificated Bargaining Unit Salary Schedule for with this report.

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