Appendix A Certificated Salary Schedules 82
St. Helena Unified School District Certificated Salary Schedule 186 Days FY 2016/17 4.25% Applied 07/01/16 Credential BA + 30 BA + 45 BA + 60 BA + 75 BA + 90 Column 0 I II III IV V Step 1 65,753 69,041 72,493 75,945 79,397 82,849 2 70,767 74,305 77,844 81,382 84,920 3 72,536 76,163 79,790 83,417 87,043 4 74,350 78,067 81,785 85,502 89,220 5 76,208 80,019 83,829 87,640 91,450 6 78,114 82,019 85,925 89,831 93,736 7 80,066 84,070 88,073 92,076 96,080 8 82,068 86,171 90,275 94,378 98,482 9 84,120 88,326 92,532 96,738 100,944 10 86,223 90,534 94,845 99,156 103,467 11 88,378 92,797 97,216 101,635 106,054 12 90,588 95,117 99,647 104,176 108,705 13 97,495 102,138 106,780 111,423 14 99,932 104,691 109,450 114,209 15 107,308 112,186 117,064 16 109,991 114,991 119,990 17 117,865 122,990 18 120,812 126,065 19 129,216 20 132,447 21* 135,758 *Longevity Step 21 begins in the 21st year of certificated service in the District Stipend for MA: $ 1,657 2% of V-1 Stipend for PhD, EdD: $ 1,657 2% of V-1 Stipend for National Certification: $ 1,657 2% of V-1 SHTA rate : $61.86 [ (I-1/186)/6 ] Board Approved: 6/16/2016 83
St. Helena Unified School District Certificated Salary Schedule 206 Days FY 2016/17 4.25% Applied 07/01/16 Credential BA + 30 BA + 45 BA + 60 BA + 75 BA + 90 Column 0 I II III IV V Step 1 79,324 83,290 87,454 91,619 95,783 99,948 2 85,372 89,641 93,909 98,178 102,447 3 87,506 91,882 96,257 100,632 105,008 4 89,694 94,179 98,663 103,148 107,633 5 91,936 96,533 101,130 105,727 110,324 6 94,235 98,947 103,658 108,370 113,082 7 96,591 101,420 106,250 111,079 115,909 8 99,005 103,956 108,906 113,856 118,807 9 101,481 106,555 111,629 116,703 121,777 10 104,018 109,219 114,419 119,620 124,821 11 106,618 111,949 117,280 122,611 127,942 12 109,284 114,748 120,212 125,676 131,140 13 117,616 123,217 128,818 134,419 14 120,557 126,298 132,038 137,779 15 129,455 135,339 141,224 16 132,691 138,723 144,754 17 142,191 148,373 18 145,746 152,082 19 155,885 20 159,782 21* 163,776 *Longevity Step 21 begins in the 21st year of certificated service in the District Stipend for MA: $ 1,657 2% of Appendix A V-1 Stipend for PhD, EdD: $ 1,657 2% of Appendix A V-1 Stipend for National Certification: $ 1,657 2% of Appendix A V-1 SHTA rate : $61.86 Appendix A [ (I-1/186)/6 ] Board Approved: 6/16/2016 84
St. Helena Unified School District Counselor Salary Schedule 201 Days FY 2016/17 4.25% Applied 07/01/16 Credential BA + 30 BA + 45 BA + 60 BA + 75 BA + 90 Column 0 I II III IV V Step 1 71,000 74,550 78,277 82,005 85,732 89,459 2 76,413 80,234 84,055 87,875 91,696 3 78,324 82,240 86,156 90,072 93,988 4 80,282 84,296 88,310 92,324 96,338 5 82,289 86,403 90,518 94,632 98,747 6 84,346 88,563 92,781 96,998 101,215 7 86,455 90,777 95,100 99,423 103,746 8 88,616 93,047 97,478 101,908 106,339 9 90,831 95,373 99,915 104,456 108,998 10 93,102 97,757 102,412 107,068 111,723 11 95,430 100,201 104,973 109,744 114,516 12 97,816 102,706 107,597 112,488 117,379 13 105,274 110,287 115,300 120,313 14 107,906 113,044 118,183 123,321 15 115,870 121,137 126,404 16 118,767 124,166 129,564 17 127,270 132,803 18 130,451 136,123 19 139,526 20 143,014 21* 146,590 *Longevity Step 21 begins in the 21st year of certificated service in the District Stipend for MA: $ 1,657 2% of Appendix A V-1 Stipend for PhD, EdD: $ 1,657 2% of Appendix A V-1 Stipend for National Certification: $ 1,657 2% of Appendix A V-1 SHTA rate : $61.86 Appendix A [ (I-1/186)/6 ] Board Approved: 6/16/2016 85
St. Helena Unified School District Counselor Salary Schedule 196 Days FY 2016/17 4.25% Applied 07/01/16 Credential BA + 30 BA + 45 BA + 60 BA + 75 BA + 90 Column 0 I II III IV V Step 1 69,251 72,713 76,349 79,985 83,620 87,256 2 74,531 78,258 81,984 85,711 89,437 3 76,394 80,214 84,034 87,854 91,673 4 78,304 82,220 86,135 90,050 93,965 5 80,262 84,275 88,288 92,301 96,314 6 82,269 86,382 90,495 94,609 98,722 7 84,325 88,541 92,758 96,974 101,190 8 86,433 90,755 95,077 99,398 103,720 9 88,594 93,024 97,454 101,883 106,313 10 90,809 95,350 99,890 104,430 108,971 11 93,079 97,733 102,387 107,041 111,695 12 95,406 100,177 104,947 109,717 114,488 13 102,681 107,571 112,460 117,350 14 105,248 110,260 115,272 120,283 15 113,016 118,153 123,291 16 115,842 121,107 126,373 17 124,135 129,532 18 127,238 132,770 19 136,090 20 139,492 21* 142,979 *Longevity Step 21 begins in the 21st year of certificated service in the District Stipend for MA: $ 1,657 2% of Appendix A V-1 Stipend for PhD, EdD: $ 1,657 2% of Appendix A V-1 Stipend for National Certification: $ 1,657 2% of Appendix A V-1 SHTA rate : $61.86 Appendix A [ (I-1/186)/6 ] Board Approved: 6/16/2016 86
Appendix B Extra Duty Stipend Schedule 87
St. Helena Unified School District Certificated Stipend Schedule (Extra Duty) FY 2016-17 4.25% Applied 07/01/16 Salary Schedule Column I, Step 1 $69,041 Activity Percentage Amount VISUAL AND PERFORMING ARTS Primary/Elementary Music 5.00% 3,452 Elem/Middle/Music-Instrumental 5.00% 3,452 High School Music-Instrumental 9.00% 6,214 Drama Director 7.00% 4,833 ST HELENA HIGH SCHOOL ADVISORS* Academic Decathlon Advisor 5.00% 3,452 Yearbook Advisor 4.00% 2,762 DEPARTMENT CHAIR POSITIONS AVID 4.00% 2,762 English 4.00% 2,762 Fine Arts 4.00% 2,762 Math 4.00% 2,762 Physical Ed 4.00% 2,762 Science 4.00% 2,762 Social Studies 4.00% 2,762 Special Education 4.00% 2,762 Voc Ed/ AG 4.00% 2,762 World Language / ELL 4.00% 2,762 SPORTS** Cheerleader Coach 9.00% 6,214 Var Football Head Coach 10.00% 6,904 JV Football - Head Coach 7.00% 4,833 Football - Asst Coach - 4 6.00% 4,142 Girls Varsity Basketball 9.00% 6,214 Girls JV Basketball 6.00% 4,142 Boys Varsity Basketball 9.00% 6,214 Boys JV Basketball 6.00% 4,142 Girls Varsity Volleyball 9.00% 6,214 Girls JV Volleyball 6.00% 4,142 Girls Varsity Softball 9.00% 6,214 Girls JV Softball 6.00% 4,142 Swimming - Head Coach 9.00% 6,214 Swimming - Asst Coach 6.00% 4,142 88
St. Helena Unified School District Certificated Stipend Schedule (Extra Duty) FY 2016-17 Activity Percentage Amount SPORTS - SHHS** Boys Varsity Baseball 9.00% 6,214 Boys JV Baseball 6.00% 4,142 Tennis 9.00% 6,214 Track 9.00% 6,214 Track Assistant - 2 5.00% 3,452 Cross Country Track 6.00% 4,142 Boys Varsity Soccer 9.00% 6,214 Girls Varsity Soccer 9.00% 6,214 Wrestling Coach 9.00% 6,214 JV Wresting Coach 6.00% 4,142 Golf Coach 9.00% 6,214 Speed/Strength Training (SST) 9.00% 6,214 RLS MIDDLE SCHOOL ADVISORS* Inst team Advisors - 5 4.00% 2,762 AVID Advisor 4.00% 2,762 Yearbook Advisor 4.00% 2,762 Activities Advisor 4.00% 2,762 Web Advisor - 2 3.00% 2,071 SPORTS** Athletic Director 5.00% 3,452 Floating Coaches, Boys*** - 5 4.00% 2,762 Floating Coaches, Girls*** - 5 4.00% 2,762 SHES Leadership Stipends - 5 4.00% 2,762 SHPS Leadership Stipends - 5 4.00% 2,762 *If an advisor has a class associated with the stipend, the stipend will be reduced by 50%. **For any sport that goes into "play-off" status (or similar cumulative activity), all paid coaches will receive an additional $100 per "play-off" game (or similar cumulative activity). ***Prior to the end of each school year, the Principal and the Athletic Director at the Middle School will meet and determine the sports for the upcoming school year. In the event the sports change over the summer, or during the school year, they will meet to determine if any changes are warranted for that given year. 89
Appendix C Salary Formula 90
91
Appendix D Domestic Partnership Forms 92
a California Public Employees Retirement System P.O. Box 942715 Sacramento, CA 94229-2715 888 CalPERS (or 888-225-7377) TTY (877) 249-7442 Fax (800) 959-6545 www.calpers.ca.gov AFFIDAVIT OF MARRIAGE/DOMESTIC PARTNERSHIP I, am unable to secure a copy of my Marriage/Domestic (Print Name) Partnership Certificate. To receive health benefit coverage for my spouse/domestic partner through the Public Employees' Medical and Hospital Care Act Program, I certify that on the day of, in the year, (Day of Month) (Month) Year (YYYY) in the state (or Country if outside the U.S.) of, that I,, (Print Name) was legally and ceremonially married to/formed a domestic partnership with (Spouse/Domestic Partner's Name) I acknowledge this affidavit is a legally binding document. By signing this document below, I agree, pursuant to Government Code section 22818(a)(3), that I may be required to reimburse my employer, the health benefit plan, and/or CalPERS for any expenditures made for medical claims, processing fees, administrative expenses, and attorney's fees on behalf of the person I claim as my spouse/domestic partner, if any information submitted in this document is found to be inaccurate or fraudulent. I further agree to notify my Personnel Office or CalPERS immediately of any changes pertaining to marital/domestic partnership status. Some domestic partners may not be eligible for CalPERS Health benefits. If you are applying for health benefits on the basis of domestic partnership, contact the California Secretary of State s office to determine whether you are eligible for domestic partnership with the State of California. Some exceptions may be made in the case of contracting agencies that defined and adopted domestic partnership criteria prior to January 1, 2000. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date (mm/dd/yyyy) Employee/Annuitant Signature ACKNOWLEDGEMENT OF NOTARY PUBLIC State of California, County of On before me,, Date (mm/dd/yyyy) Name of Notary personally appeared, personally known to me or (proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness my hand and official seal. Notary Seal Signature of Notary Position Title Date (mm/dd/yyyy) Print Name PERS-HBSD-1965 (06/13) 93
State of California Secretary of State FILE NO: Declaration of Domestic Partnership IMPORTANT Read instructions before completing this form. This Space For Filing Use Only We the undersigned, do declare that we meet the requirements of Family Code section 297, which are as follows: Neither person is married to someone else or is a member of another domestic partnership with someone else that has not been terminated, dissolved, or adjudged a nullity. The two persons are not related by blood in a way that would prevent them from being married to each other in this state. Both persons are at least 18 years of age, OR if one or both persons are under 18 years of age, a certified copy of the court order(s) granting permission to the underage person(s) to establish a domestic partnership is attached. Both persons are members of the same sex, OR one or both of the persons is over 62 years of age and one or both meet the eligibility criteria under Title II of the Social Security Act as defined in United States Code, title 42, section 402(a) for old-age insurance benefits or Title XVI of the Social Security Act as defined in United States Code, title 42, section 1381 for aged individuals. Both persons are capable of consenting to the domestic partnership. Both persons consent to the jurisdiction of the Superior Courts of California for the purpose of a proceeding to obtain a judgment of dissolution or nullity of the domestic partnership or for legal separation of partners in the domestic partnership, or for any other proceeding related to the partners' rights and obligations, even if one or both partners ceases to be a resident of, or to maintain a domicile in, this state. The representations are true and correct, and contain no material omissions of fact to the best of our knowledge and belief. Filing an intentionally and materially false Declaration of Domestic Partnership shall be punishable as a misdemeanor. (Family Code section 298(c).) PARTNER 1 Printed Name (Last) (First) (Middle) PARTNER 2 Printed Name (Last) (First) (Middle) Signature of Partner as Stated Above OPTIONAL Name Changes: New Last Name New Middle Name Date of Birth (required for name change) Signature of Partner as Stated Above OPTIONAL Name Changes: New Last Name New Middle Name Date of Birth (required for name change) Mailing Address City State Zip SEC/STATE NP/SF DP-1 (Rev 04/2015) (Page 1 of 2) 94
ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of ) On before me, (insert name and title of the officer) personally appeared, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (Seal) SEC/STATE NP/SF DP-1 (Rev 04/2015) (Page 2 of 2) 95
Instructions for Completing the Declaration of Domestic Partnership (Form NP/SF DP-1) For easier completion, this form is available on the Secretary of State s website at www.sos.ca.gov/registries/domesticpartners-registry/. It can be viewed, filled in and printed from your computer. If you do not complete this form online, please type or legibly print in black or blue ink. Do not alter this form. Statutory filing provisions are found in California Family Code sections 297 and 298. All statutory references are to the California Family Code, unless otherwise stated. Complete the Declaration of Domestic Partnership (Form NP/SF DP-1) as follows: Both persons must meet all of the requirements of Section 297, as stated on the front of the Declaration of Domestic Partnership form. Both persons must sign and affix their signatures to the same Declaration of Domestic Partnership form. Both persons must print their names legibly. The names must be printed in the order requested: Last name, First name, Middle name. If there is a suffix, i.e. Jr., Sr., etc., include this as part of the last name. One or both persons to a registered domestic partnership may change the middle or last names by which that person wishes to be known after registration of the domestic partnership by entering the new name and including their date of birth in the spaces provided on the Declaration of Domestic Partnership form. A person may adopt any of the following middle or last names: the current last name of the other domestic partner; the last name of either domestic partner given at birth; a name combining into a single last name all or a segment of the current last name or the last name of either domestic partner given at birth; or a hyphenated combination of last names. (Section 298.6.) A complete mailing address is required (address, city, state, zip code.) Print legibly. Do not abbreviate city names. The signature of both persons must be notarized with a certificate of acknowledgment. The Declaration of Domestic Partnership must be signed using the name of the individual prior to the name change, if any, listed on this form. The completed form can be mailed to Secretary of State, Domestic Partners Registry, P.O. Box 942870, Sacramento, CA 94277-2870 or delivered in person to the Sacramento office, 1500 11 th Street, 2 nd Floor, Sacramento, CA 95814 OR can be hand delivered for over-the-counter processing to the Los Angeles regional office. Please refer to the Secretary of State s website at www.sos.ca.gov/registries/domestic-partners-registry/ for office locations and phone numbers. FEES: The fee for filing Form NP/SF DP-1 is $10.00. For same-sex partners, an additional $23.00 fee must be paid at the time of filing the form, for a total of $33.00. There is an additional $15.00 special handling fee for processing a document delivered in person to the Sacramento office or to the Los Angeles regional office. Payments for documents submitted: by mail to Sacramento can be made by check or money order. over-the-counter in Sacramento can be made by check, money order, cash, or credit card (Visa or MasterCard). over-the-counter in the Los Angeles regional office can be made by check, money order, or credit card (Visa or MasterCard). The Los Angeles regional office is not able to accept cash. Checks or money orders should be made payable to the Secretary of State. The additional $23.00 fee will be used to develop and support a training curriculum specific to lesbian, gay, bisexual, and transgender domestic abuse support service providers who serve that community in regard to domestic violence, and to provide brochures specific to lesbian, gay, bisexual, and transgender domestic abuse. Brochures developed by the State Department of Public Health will be available upon request from the Secretary of State, as funding allows. 96