HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Construction Management & Inspection; 2026-01-26This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 11/25/2025 Page | 1
DATE:11/25/2025
REQUESTING
DEPARTMENT(S): CM&I REQUESTER: KARI KOZLOWSKI
DESTRUCTION APPROVALS:
We certify that the records listed below have been retained for the scheduled retention period, required audits have been
completed, and no pending or ongoing litigation or investigation involving these records is known to exist.
DEPARTMENT HEAD DATE RECORDS MANAGEMENT DATE CITY ATTORNEY DATE
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD TAB BARCODE
(if applicable)
CM&I 6
Capital Improvement Projects (CIP) & Land Development Projects (LDE)
–where Construction Management& Inspection is the Lead (MS 05-2, CUP 10-08, PWM 14-06PEM, 50241, CT 05-14, PWM14-62TRAN, PD 14-07, CT 07-03, MS 13-04)
2015
PW-000
PW-005
PW-010
Completion + 10 years or
After Funding Agency Audit, if required, whichever is longer
N/A
CM&I 7
Capital Improvement Projects (CIP) & Land Development Projects (LDE) –where Construction Management& Inspection is the Lead
(CT 06-25, CUP 06-11, 6016, 3557, CT 04-08)
2015
PW-000
PW-005
PW-010
Completion + 10 years orAfter Funding Agency Audit, if required, whichever is longer
N/A
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: ___________________________ DATE: ______________
CERTIFICATE OF DESTRUCTION? YES NO
RECORDS DESTRUCTION AUTHORIZATION FORM
Docusign Envelope ID: D33C0C1B-F5FD-4FD7-8969-4384526AD956
12/2/2025 12-02-2025 12/29/2025
Corodata 1/26/2026
City of
Carlsbad
□
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 11/25/2025 Page | 2
If more spaces are needed, click in the last box in right hand corner of table and hit “tab”. This will create more fields in the table
TAB BARCODES DELETED BY: _____ ________________________ DATE: ______________
Docusign Envelope ID: D33C0C1B-F5FD-4FD7-8969-4384526AD956
-- --I
City of
Carlsbad
I
CERTIFICATE OF DESTRUCTION & RECYCLING
This Certificate is presented to: CITY OF CARLSBAD - RECORDS MANAGEMENT DIVISION
Per the express request of Client, Corodata has received the Material referred to below and has/will destroy and then
recycle said Material in accordance with its standard procedures. As the parties have agreed, Corodata will not
inventory, record or track any information contained within or related to the Material.
Account #(s)SD012455
Certificate #105599
Date Issued Thursday, January 29, 2026
Service Locations 5815 EL CAMINO REAL
Date Range of Service Jan-26-2026 thru Jan-26-2026
Work Ticket(s)1616978
Quantity/Item 100 -100 Boxes for Destruction (standard -
10x12x15)
* Nothing in this certificate shall be deemed to modify the terms of the parties’ Service Agreement(s) or Work Ticket(s).
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