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Get NJ Non-Police and Non-Fire Summary Form 2016-2024

New Jersey Public Employment Relations Commission NON-POLICE AND FIRE COLLECTIVE NEGOTIATIONS AGREEMENT SUMMARY FORM Line SECTION I Parties and Term of Contracts Public Employer County Employee Organization Number of Employees in Unit Base Year Contract Term New Contract Term SECTION II Type of Contract Settlement please check only one Contract settled without neutral assistance If contract was settled in fact-finding did the fact-finder issue a report with recommendations Yes No SECTION III Salary Base The salary base is the cost of salaries in the final year of the expired or expiring agreement. This is the base cost from which the parties negotiate the salary increases. Salary Costs in Base Year Longevity Costs in Base Year Total Salary Base Year 1 Year 2 Year 3 Year 4 Year 5 12 Effective Date month/day/year 13 Cost of Salary Increments 14 Salary Increase Above Longevity Increase 16 Total Increase sum of lines 13-15 17 New Salary Base 18 Percentage increase over prior year If contract duration is longer than five years please add an additional page. Page 1 of 3 complete all pages Employer Page 2 SECTION V Increases in Other Contractual Economic Items or Newly Added Economic Items 19 Item Description Base Year Cost Increase 20 Totals SECTION VI Medical Costs Health Plan Cost Prescription Plan Cost Dental Plan Cost Vision Plan Cost Total Cost of Insurance Employee Insurance Contributions Employee Contributions as of Total Insurance Cost Page 3 Section VI Medical Costs continued Identify any insurance changes that were included in this CNA. SECTION VII Certification and Signature The undersigned certifies that the foregoing figures are true Print Name Position/Title Signature Date Send this completed and signed form along with an electronic copy of the contract and the signed certification form to contracts perc*state. This is the base cost from which the parties negotiate the salary increases. Salary Costs in Base Year Longevity Costs in Base Year Total Salary Base Year 1 Year 2 Year 3 Year 4 Year 5 12 Effective Date month/day/year 13 Cost of Salary Increments 14 Salary Increase Above Longevity Increase 16 Total Increase sum of lines 13-15 17 New Salary Base 18 Percentage increase over prior year If contract duration is longer than five years please add an additional page. Page 1 of 3 complete all pages Employer Page 2 SECTION V Increases in Other Contractual Economic Items or Newly Added Economic Items 19 Item Description Base Year Cost Increase 20 Totals SECTION VI Medical Costs Health Plan Cost Prescription Plan Cost Dental Plan Cost Vision Plan Cost Total Cost of Insurance Employee Insurance Contributions Employee Contributions as of Total Insurance Cost Page 3 Section VI Medical Costs continued Identify any insurance changes that were included in this CNA. Page 1 of 3 complete all pages Employer Page 2 SECTION V Increases in Other Contractual Economic Items or Newly Added Economic Items 19 Item Description Base Year Cost Increase 20 Totals SECTION VI Medical Costs Health Plan Cost Prescription Plan Cost Dental Plan Cost Vision Plan Cost Total Cost of Insurance Employee Insurance Contributions Employee Contributions as of Total Insurance Cost Page 3 Section VI Medical Costs continued Identify any insurance changes that were included in this CNA. SECTION VII Certification and Signature The undersigned certifies that the foregoing figures are true Print Name Position/Title Signature Date Send this completed and signed form along with an electronic copy of the contract and the signed certification form to contracts perc*state. .

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