Date: December 14, 2010 Page 8

H) Resolution No. 10-11/007, Adopting Revised Board Policies, Bylaws, and GA 11-12Administrative RegulationsApproved Resolution No. 10-11/007 (attached), adopting the revised boardbylaws, policies, and administrative regulations, retroactive to the beginning of the2010-2011 school year.

Motion: Molina Second: Pizano Vote: 3-1-1 [MM: Yes RP: Yes SS: No HR: Yes GR: Abstain]

I) Authorized Signatures Resolution No. 10-11/008 GA 13-14Approved/Ratified the Certification of Signatures as submitted, Resolution No. 10-11/008

Motion: Rojas Second: Ramos Vote: 5-0 [MM: Yes RP: Yes SS: Yes HR: Yes GR: Yes]

J) Approval of Change Order Number One (1) for G Coast Construction, Inc.Approved change order number (l) for G Coast Construction, Inc. regarding theHawthorne High School Fencing project, at a cost of $13,565, funded tln'ough21.0 CV Bond.

GA 15

GA 16

Motion: Ramos Second: Molina Vote: 4-0-1 [MM: Yes RP: Yes SS: Abstain HR: Yes GR: Yes]

K) Approval of Change Order Number One (1) for Excel Paving CompanyApproved change order number (I) for Excel Paving Company on the HawthorneHigh School Sewer & Stonn Drain Replacement ERP Package 212 & 213 project,at a cost of$16,184, funded through 21.0 CV Bond.

Motion: Ramos Second: Rojas Vote: 4-0-1 [MM: Yes RP: Yes SS: Abstain HR: Yes GR: Yes]L) Approval to Attend the F.I.R.S.T. (For Inspiration and Recognition of GA 17

Science and Technology) Robotics Competition in Denver, Colorado, April 6-10,2011Approved/Ratified Jason Takamoto, Lucas Pacheco, Erin Ashwell (Hawthornecertificated teachers), and twelve students to attend F.LR.S.T. RoboticsCompetition on April 6-10, 2011 in Denver, Colorado, funded by Carl D. Perkins.

Motion: Ramos Second: Molina Vote: 5-0 [MM: Yes RP: Yes SS: No HR: Yes GR: Yes]

17. CONSENT CALENDARAll items appearing (which have asterisks(*) on the left hand side of the agenda item) are adopted by one singlemotion, unless a member of the Board or the Superintendent requests that any such item be removed from theConsent Calendar and voted on separately.

Motion: Pizano Second: Molina Vote: 4-1 [MM: Yes RP: Yes SS: No HR: Yes GR: Yes]

*A) MinutesApprovedlRatified regnlar board meeting minntes of Jnne 29, 2010ApprovedlRatified regular board meeting minutes of September 28, 2010Approved/Ratified special board meetiug minutes ofNovember 16, 2010

Curriculum and Instruction

MI-12M 13-26M27-28

*B) Approval to Accept Donation from Schools First Federal Credit UnionApproved/Ratified the acceptance of $300 charitable contribution £i'om Schools FirstFederal Credit Union, to support the ASB Program.

C&Il

INSURED -- JOSE A FERNANDEZPOLICY NUMBERPOLICY DATE -- OCTOBER 28,2010

New York Life Insurance Company (A Mutual Company founded in 1845)51 Madison Avenue, New York, New York 10010 ,

New York Life Insurance Company will pay the benefits of this policy In accordance with Its provisions. The pagesthat follow are also a part of this policy.

Right To Examine Policy Please examine your policy. Within 10 days after delivery, you can return it to New YorkLife Insurance Company, or to the agent through whom it was purchased, with a written request for a refund ofpremium. Upon such a request, the policy will be void from the start, and a full premium refund will be made.

Premiums The premiums payable for this policy are shown on the Premium Schedule Policy Data page. They arepayable in accordance with the Premiums section. No premium payments can be made on or after the ScheduledPaid-Up Date shown on the Polley Data Page.

Effective Date The Effective Date is the date the policy is delivered and the first premium is paid. Coverage does notbegin until the Effective Date unless temporary coverage is obtained under a separate temporary coverage agreement.

Tt1is policy is executed as of the Date of Issue shown on the Policy Information Policy Data page.

READ YOUR POLICY CAREFULLY FOR FULL DETAILS.

President

Secretary

WHOLE LIFE INSURANCE POLICY•LIFE INSURANCE PROCEEDS PAYABLE AT INSURED'S DEATH.PREMIUM PAYMENTS FOR THE BASE POLICY ARE PAYABLE DURING THE INSURED'S LIFETIME, UNTIL

SCHEDULED PAID-UP DATE SHOWN ON THE PREMIUM SCHEDULE POLICY DATA PAGE.NO PREMIUM PAYMENTS FOR THE BASE POLICY ARE PAYABLE ON OR AFTER THE SCHEDULED

PAID-UP DATE.THiS POLICY IS ELIGIBLE FOR DIVIDENDS.

208-50

INSURED - JOSE A FERNANOU..·~.

POLICY NUMBER -•••

POLICY INFORMATION

AGE -. MALE

CLASS OF RiSK·..•••

POLICY DATE - OCTOBER 28,2010

OWNER - INSURED

DATE OF ISSUE - NOVEMBER 8,2010

PLAN NEW YORK LIFE CUSTOM WHOLE LIFE (WHOLE LIFE WITH 10 YEAR PREMIUM PAYING PERIOD) WITHOPTION TO PURCHASE PAID·UP ADDITIONS (OPP) ANDACCELERATED BENEFITS (AD) ANDDIVIDEND OPTION TERM (DOT)

PREMIUMS FOR THE DOT RIDER COVERAGE ARE PAYABLE THROUGHOUT THE ENTIRE TERM THE RIDERIS IN EFFECT. ALTHOUGH THERE ARE NO MORE PREMIUMS DUE FOR THE BASE POLICY AND OTHERRIDERS LISTED ABOVE AS OF THE SCHEDULED PAID-UP POLICY DATE, DOT RIDER PREMIUMS MUSTCONTINUE TO BE PAID IN ORDER FOR THE RIDER COVERAGE TO REMAIN IN EFFECT. #7

AMOUNT FACE AMOUNTDIVIDEND OPTION TERM (TARGET FACE AMOUNT)

BENEFICIARY(subject to change) AS DESIGNATED ON APPLICATION, OR AS SUBSEQUENTLY CHANGED

IN ACCORDANCE WITH THE CHANGE OF BENEFICIARY PROVISIONS

$750',000.00$10,000.00

UPROMISE ACCOUNT BENEFIT· $25.00A$25.00 UPROMISE CONTRIBUTION AMOUNT TO YOUR UPROMISE ACCOUNT WILL BE MADE IF YOU REGISTER

THIS POLICY WITH UPROMISE WITHIN 90 DAYS OF THE POLICY'S DELIVERY DATE. PLEASE SEE THE UPROMISE RIDERATIACHED TO THIS POLICY FOR DETAILS. THIS UPROMISE CONTRIBUTION AMOUNT IS NOT TAXABLE, BUT WILL BEREFLECTED IF YOU SURRENDER THIS POLICY.

#7 Dividends are not guaranteed. Therefore, subsequent to the Initial Premium Paying Period, any premium amountspayable by availabJe policy values may require an additional out-af-pocket payment if slich values in the policy are notsufficient to pay the entire premium.

SEE CONTINUATION OF PAGE 2NEW YORK LIFE INSURANCE COMPANY

POLICY DATA PAGE 2D850LP-2

4/17/2014 GAMUT Online : Centinela Valley Union HSD : Health & Welfare Benefits AR 4354

http://www.gamutonline.net/district/centinelavalley/displayPolicy/681826/4 1/1

Centinela Valley Union HSD | 4000 | AR 4354 Personnel

Health & Welfare Benefits   

In order to secure and hold staff committed to student learning, the Governing Board recognizes theimportance of an attractive compensation package which includes salaries, health benefits and otheramenities.

It is the intent of the district to assure Classified and Certificated Contract Senior Management,Management, Supervisory, and Confidential employees similar benefits as those granted to bargaining unitemployees. While those benefits may not be identical, they will provide for similar types of coverage.However, Classified and Certificated Contract Senior Management, Management, Supervisory, andConfidential employees may receive other types or levels of coverage as part of an annual compensationreview.

The district will contribute $6,000 annually towards health benefits to Contract Senior Management,Management, Supervisory, and Confidential employees. The district's contribution shall be adjusted upwardto equal the contributions provided to the bargaining unit members in the event the bargaining units receivean increased contribution amount toward their benefits.

In addition to any other life insurance benefits the district currently provides, management employees shallreceive the following:

* The Superintendent shall receive a $750,000 whole life policy in addition to any other policy received,under the same terms and conditions stated in his/her contract.

* Assistant Superintendents and Business Services Administrator shall receive a $300,000 whole life policyin addition to any other policy received, under the same terms and conditions stated in their contract orauthorized by the Superintendent.

* All other management level employees shall receive $150,000 term life insurance.

Regulation CENTINELA VALLEY UNION HIGH SCHOOL DISTRICT

approved: December 14, 2010 Lawndale, California