California Public Employees’ Retirement System
Financial Office | Pension Contracts and Prefunding Programs Division P.O. Box 942703, Sacramento, CA 94229‐2703
888 CalPERS (or 888‐225‐7377) | TTY: (877) 249‐7442 | www.calpers.ca.gov
PERS‐CON5 (Rev. 1/31/20)
CERTIFICATION
OF
FINAL ACTION OF GOVERNING BODY
I hereby certify that the ___________________________________________________ of the (governing body)
____________________________________________________________________________ (public agency)
considered and adopted on ______ _________________, ________, by an affirmative vote of a (date)
majority of the members of said Governing Body, Ordinance/Resolution No. ____________ approving the attached contractual agreement between the Governing Body of said Agency and the Board of Administration of the California Public Employees' Retirement System, a certified copy of said Ordinance/Resolution in the form furnished by said Board of Administration being attached hereto.
Adoption of the retirement benefit increase/change was not placed on the consent calendar.
_____________________________________
Clerk/Secretary
_____________________________________
Title
Date ___________________