| Attachment A AD NOAT 04-106 | |||||||
| California State University Risk Management Authority | |||||||
| Annual Program Contribution Summary For PFA 04-9033 | |||||||
| FY 2004/05 | |||||||
| Program | |||||||
| Workers' | Invoice | Payment | |||||
| Campus | Liability | Compensation | IDL/NDI/UI | Property | AIME | Total | Date |
| PFA Amounts: | |||||||
| Bakersfield * | (112,790.00) | 65,193.00 | 13,301.00 | 13,663.00 | (1,654.00) | (22,287.00) | |
| Dominguez Hills | 441,111.00 | 1,927,999.00 | 329,696.00 | 124,050.00 | 63,361.00 | 2,886,217.00 | |
| Hayward * | (109,715.00) | 1,996,668.00 | 373,792.00 | 206,701.00 | 2,467,446.00 | ||
| Humboldt | See below | See below | See below | See below | 115,486.00 | 115,486.00 | |
| Los Angeles | 343,637.00 | 2,674,876.00 | 372,696.00 | 378,621.00 | 3,769,830.00 | ||
| Monterey Bay | 429,732.00 | 583,098.00 | 103,864.00 | 56,101.00 | 11,364.00 | 1,184,159.00 | |
| Northridge * | (157,318.00) | 598,461.00 | 646,480.00 | 146,096.00 | 114,674.00 | 1,348,393.00 | |
| Pomona | See below | 2,765,878.00 | See below | 327,657.00 | 56,886.00 | 3,150,421.00 | |
| San Bernardino * | (11,475.00) | (94,654.00) | 77,632.00 | (28,497.00) | |||
| San Jose * | (278,271.00) | 1,021,992.00 | 529,528.00 | 604,281.00 | 152,654.00 | 2,030,184.00 | |
| Sonoma | 343,120.00 | 1,660,004.00 | 320,192.00 | 156,300.00 | 25,807.00 | 2,505,423.00 | |
| Chancellor's Office-Systemwide | 351,816.00 | 1,286,988.00 | 1,638,804.00 | ||||
| PFA Totals | 1,239,847.00 | 13,199,515.00 | 2,689,549.00 | 3,378,090.00 | 538,578.00 | 21,045,579.00 | |
| Payments By Check: | |||||||
| Channel Islands | 67,903.00 | 184,384.00 | 1,184.00 | 32,775.00 | 286,246.00 | 07/07/2004 | |
| Chico | 476,218.00 | 1,564,107.00 | 248,704.00 | 210,016.00 | 62,568.00 | 2,561,613.00 | 07/07/2004 |
| Fresno | 594,893.00 | 2,185,237.00 | 310,008.00 | 296,050.00 | 473,531.00 | 3,859,719.00 | 06/29/2004 |
| Fullerton | 518,637.00 | 2,451,536.00 | 391,384.00 | 143,513.00 | 141,872.00 | 3,646,942.00 | 06/16/2004 |
| Humboldt | 293,196.00 | 1,147,080.00 | 225,072.00 | 211,911.00 | See above | 1,877,259.00 | 06/30/2004 |
| Long Beach | (210,116.00) | 557,918.00 | 109,857.00 | (109,334.00) | (15,995.00) | 332,330.00 | 06/21/2004 |
| Los Angeles | See above | See above | See above | See above | 57,422.00 | 57,422.00 | 08/11/2004 |
| Maritime Academy | (36,986.00) | 67,979.00 | 16,430.00 | (129.00) | (1,419.00) | 45,875.00 | 06/16/2004 |
| Pomona | 407,543.00 | See above | 385,344.00 | See above | See above | 792,887.00 | 08/02/2004 |
| Sacramento | (321,785.00) | 398,836.00 | 136,441.00 | (109,280.00) | (3,805.00) | 100,407.00 | 06/28/2004 |
| San Diego | 247,625.00 | 3,804,359.00 | 740,768.00 | 469,976.00 | 238,390.00 | 5,501,118.00 | 06/28/2004 |
| San Francisco | 1,210,344.00 | 2,839,326.00 | 732,360.00 | 388,881.00 | 5,170,911.00 | 08/11/2004 | |
| San Luis Obispo | (199,594.00) | 425,066.00 | 194,458.00 | 106,360.00 | (4,646.00) | 521,644.00 | 06/30/2004 |
| San Marcos | (36,282.00) | 132,863.00 | (442.00) | 22,047.00 | (1,300.00) | 116,886.00 | 06/16/2004 |
| Stanislaus | (198,334.00) | 160,170.00 | 67,044.00 | 3,997.00 | (16,100.00) | 16,777.00 | 06/28/2004 |
| Chancellor's Office | (68,711.00) | 82,870.00 | 36,833.00 | 8,545.00 | 59,537.00 | 07/02/2004 | |
| Payment Totals | 2,744,551.00 | 16,001,731.00 | 3,595,445.00 | 1,675,328.00 | 930,518.00 | 24,947,573.00 | |
| Grand Totals | 3,984,398.00 | 29,201,246.00 | 6,284,994.00 | 5,053,418.00 | 1,469,096.00 | 45,993,152.00 | |
| Please record the PFA charges to the following FIRMS Object and Program Code: | |||||||
| Liability, IDL/NDI/UI & AIME | Workers' Comp | Property | |||||
| Debit 660010 0606 | Debit 660010 ** | Debit 660010 0701 | |||||
| Credit 305022 9002 | Credit 305022 9002 | Credit 305022 9002 | |||||
| ** Allocate to various expenditure program codes, using payroll as the basis. | |||||||
| * Credit amounts should be credited to expense (660010) and debited to fund balance clearing (305022) | |||||||
| Prepared by Lisa Gibbons, 8/10/2004. | |||||||