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Home My WebLink About; ; Records Destruction Authorization Form-Contract Administration; 2016-09-06RECORDS DESTRUCTION AUTHORIZATION FORM DATE: 8/5/16 --------~~--------- REQUESTING DEPARTMENT: PW-CONTRACT ADMIN. REQUESTER: JANEAN HAWNEY 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 kno / / BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE PERIOD (if applicable) U2025-26 Working Bid Folders FYll/12 0470-45 AU+4 See attached *If more spaces are needed, click in the last box in right hand corner of table and h1t "tab". Th1s w11f create more fields m the table. To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: /pft)~ CERTIFICATE OF DESTRUCTION? [lf YES 0 NO DATE: tJ&!JcJ(tt DATE: ~ «!!~><o n o• ~CARLSBAD This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 8/5/2016 LIST OF BID FILES I WORKING FOLDERS FOR RECORD DESTRUCTION --FY 11/12 (FY2016-17) NO. BID TITLE I RECORD DESCRIPTION PW BID NO. DATE OF BID BOX NO. IM BOX# RRS NO. RRS COMMENTS OPENING PERIOD 1 LAKE CALAVERA PRESERVE EMP GRANT FENCING PWS12-01PKS 8/31/11 U2025 559997913 0470-45 AU+4 Pu lo Bt,v" 2 2011 PAVEMENT OVERLAY PROJECT PWS 12-02TRAN 8/18/11 U2025 559997913 0470-45 AU+4 IU/0135 v 3 BEACH ACCESS IMPROVEMENTS PWS12-03TRAN 9/13/11 U2025 559997913 0470-45 AU+4 IU/()~5v 4 NORTHWEST QUADRANT STORM DRAIN IMPROVEMENT PROGRAM, CONCRETE REPAIR WORK fUitJ8bv' AND PAVEMENT MANAGEMENT PROGRAM (ROOSEVELT STREET AND MADISON STREET) PWM12-04UTIL N/A U2025 559997913 0470-45 AU+4 5 CIPP LINER FOR SEWER LINE AT COVE DRIVE & MARINA DRIVE PWM12-05UTIL N/A U2025 559997913 0470-45 AU+4 lrA./OBBv 6 REHABILITATION THREE SEWER MANHOLES IN WESTMARTMIEST STEAKHOUSE PARKING LOT PWM12-06UTIL N/A U2025 559997913 0470-45 AU+4 (ti 1 oq tfv 7 CARLSBAD VILLAGE DRIVE GUARDRAIL REPLACEMENT PWS12-07TRAN 10/25/11 U2025 559997913 0470-45 AU+4 ta J08'/v 8 HEMLOCK AVENUE SEWER REPLACEMENT PWI12-0BUTIL 11/1111 U2025 559997913 0470-45 AU+4 IU IOCfOv' 9 OCCIDENTAL INTERCEPTOR SEWER REHABILITATION PWS12-09UTIL 11/22/11 U2025 559997913 0470-45 AU+4 ltl/0'1 I v 10 FOXES LANDING LIFT STATION WETWELL AND MAN HOLD REHABILITATIONS PWS12-10UTIL 11/30/11 U2025 559997913 0470-45 AU+4 Itt. t()CfJ-v 11 REMOVAL & REPLACEMENT OF STREET LIGHT POLE PWM12-11TRAN 10/6/11 U2025 559997913 0470-45 AU+4 tuJtJq1v 12 NORTHWEST QUADRANT STORM DRAIN IMPROVEMENT PROGRAM, INLET AT HOOVER AND ltlta{sv ADAMS PWM12-12UTIL N/A U2025 559997913 0470-45 AU+4 13 NORTHWEST QUADRANT STORM DRAIN IMPROVEMENT PROGRAM, CONCRETE REPAIR WORK Ptt. futtJv AND PAVEMENT MANAGEMENT PROGRAM (ROOSEVELT STAND MADISON ST) PWS 12-13UTIL 12/14/11 U2025 559997913 0470-45 AU+4 14 MALLORCA PLACE STORM DRAIN REPLACEMENT PWM12-14UTIL N/A U2025 559997913 0470-45 AU+4 /UJO'I~Y 15 'D1' AND 'D2' STEEL WATER TANKS INTERIOR AND EXTERIOR COATING AND MISC. REPAIRS PWS12-15UTIL 1/24/12 U2025 559997913 0470-45 AU+4 IU-/IJ'IS v 16 EMERGENCY SPOT REPAIR TO SEWER MAIN-5800 EL CAMINO REAL PWL12-16UTIL N/A U2025 LOA folder 0470-45 AU+4 IV< II :t2v 17 2012 CONCRETE REPLACEMENT PWS12-17TRAN 2/22112 U2025 559997913 0470-45 AU+4 !tl Nlf1v 18 STREET LIGHT WIRE REPLACEMENT-CAMPBELL, EL FUERTE, FARADAY, TAMARACK PWM12-18TRAN N/A U2025 559997913 0470-45 AU+4 IU JHJifv 19 REPAIR DAMAGED PIPE & RAISE STORM DRAIN STRUCTURE PWL 12-19UTIL n/a U2025 LOA folder 0470-45 AU+4 fU.l/'YJ_.,,r 20 REPLACE CLEAN-OUT LID & REPAIR 8" VCP PIPE @l4365 SHASTA PLACE PWM12-20UTIL N/A U2025 559997913 0470-45 AU+4 lvt. IID3V 21 REHABILITATE TWO SEWER MAIN PIPELINES@ TWO LOCATIONS PWM12-21UTIL N/A U2025 559997913 0470-45 AU+4 fu_ 1//~V 22 NORTHWEST QUADRANT STORM DRAIN IMPROVEMENT PROGRAM-2011 PWS 12-22UTIL 3/6/12 U2025 559997913 0470-45 AU+4 ra 11~ov 23 CHEMICAL REMOVAL OF ROOTS FROM CITY SEWER MAINS PWM12-23UTIL N/A U2025 559997913 0470-45 AU+4 fu /!D8V 25 Replacement Program (Washington Street, Badajoz Place, Elmwood Street /'u;;o;v and La Costa Avenue [2524] Storm Drains) PWS12-25UTIL 3/13/12 U2026 559997914 0470-45 AU+4 26 THE CROSSINGS EROSION CONTROL IMPROVEMENTS PWI12-26PKS 3/20/12 U2026 559997914 0470-45 AU+4 tu 1/oz.t/ 27 EMERGENCY SUBFLOOR REPAIR AT BATIQUITOS SEWER LIFT STATION PWM12-27UTIL N/A U2026 559997914 0470-45 AU+4 ru tt()S/ 29 TRAFFIC SIGNAL AT EL FUERTE STREET AND LOKER AVENUE PWS12-29TRAN 4/4/12 U2026 559997914 0470-45 AU +4 YtA 1106/ 30 2012 SLURRY SEAL PROJECT PWS12-30TRAN 4/5/12 U2026 559997914 0470-45 AU+4 IU /101/ LIST OF BID FILES I WORKING FOLDERS FOR RECORD DESTRUCTION--FY 11/12 (FY2016-17) i NO. BID TITLE I RECORD DESCRIPTION PWBID NO. DATE OF BID BOX NO. IM BOX# RRS NO. RRS COMMENTS OPENING PERIOD 31 INSTALL SECURITY GATE & SEDIMENT REMOVAL@ RANCHO SANTA FE AND LA COSTA AVENUE PWL 12-32UTIL N/A U2026 559997914 0470-45 AU+4 Iaiii! v 32 LANDSCAPE IMPROVEMENTS~ CARLSBAD WATER RECYCLING FACILITY PWM12-33UTIL N/A U2026 559997914 0470-45 AU+4 PUJ/12-.,.....-- 33 VALVE REPLACEMENT ALONG CHESTNUT AVE PWM12-34UTIL N/A U2026 559997914 0470-45 AU+4 ltl/10'1 v 34 HILLSIDE DRIVE STORM DRAIN CLEANOUTS AND MANHOLE LID REPLACEMENTS PWM12-35UTIL N/A U2026 559997914 0470-45 AU+4 t?UI//2.~ 35 REPAIR BACKUP GENERATORS AT FOUR SEWER LIFT STATIONS PWM12-36UTIL N/A U2026 559997914 0470-45 AU +4 iJJl!IIL ~ 36 STORM DRAIN CLEANOUT & INSTALLATION OF BLOCK WALL & SUB-DRAIN PWM12-37UTIL N/A U2026 559997914 0470-45 AU +4 ftul/7 .,/' 37 RANCHO CARLSBAD PRESSURE REDUCING STATION AND METER REPLACEMENT PWS12-38UTIL 5/8/12 U2026 559997914 0470-45 AU+4 /U/11~ v 38 PINE AVENUE PARK PREFABRICATED RESTROOM PWS12-39PKS 5/3/12 U2026 559997914 0470-45 AU+4 I'UI/Jt./ ~ 39 LANDSCAPE IMPROVEMENTS@ CARLSBAD WATER RECYCLING FACILITY PWM12-40UTIL N/A U2026 559997914 0470-45 AU+4 JPu/lzJ./ 40 FENCE INSTALLS -GATESHEAD RD & WINTHROP RD LIFT STATIONS PWM12-41UTIL N/A U2026 559997914 0470-45 AU+4 fM)}J-3./ 41 EMERGENCY MANHOLE REHABILITATION PWM12-42UTIL N/A U2026 559997914 0470-45 AU+4 J'U//Zo~ 42 SEWER REHABILITATION WITH CIPP, BASSWOOD AVENUE, CHESTNUT AVENUE, MONROE STREET, /U/118 v AND SIERRA MORENA AVENUE PWS12-43UTIL 5/30/11 U2026 559997914 0470-45 AU +4 43 MANHOLE REHABILITATION, EL CAMINO REAL AND AVENIDA ENCINAS PWS12-44UTIL 5/31/11 U2026 559997914 0470-45 AU +4 /UJ/J~/ 44 REHABILITATE TWO SECTIONS OF SEWER MAIN~ SHELTER COVE SIPHON PWM12-45UTIL N/A U2026 559997914 0470-45 AU+4 ff,{JJZl.,/ 45 CANNON ROAD 24-INCH SEWER TRUNK LINE CLEANOUT PWL12-46UTIL N/A U2026 LOA folder 0470-45 AU+4 fJU//1.2-/ 46 SEWER PIPELINE POINT REPAIRS WITH CIPP LINER, NORTHWEST QUADRANT PWS12-47UTIL 6/12112 U2026 559997914 0470-45 AU +4 IUI12L/ / 47 PACIFIC AVENUE SEWER PWS12-48UTIL 6/13/12 U2026 559997914 0470-45 AU+4 1/l/JZ.§./ 48 CARLSBAD BLVD ROAD MEDIAN IMPROVEMENTS PWM12-49TRAN N/A U2026 559997914 0470-45 AU+4 I'UIIZ7/ 50 CMWD YARD ASPHALT & CONCRETE REMEDIATION PWM12-51UTIL N/A U2026 559997914 0470-45 AU+4 f1ttll2if v 51 RAISE & REPLACE 2 STORM DRAIN LIDS PWM12-52UTIL N/A U2026 559997914 0470-45 AU +4 /U/13~/ 52 INSTALL MODIFIED CONCRETE CHANNEL AT CARLSBAD BLVD & PALOMAR AIRPORT ROAD PWL12-53UTIL N/A U2026 LOA folder 0470-45 AU+4 PU/IZ2v 53 TERRAMAR SEWER LIFT STATION AND FORCEMAIN REPLACEMENT PWS 12-54UTIL 8/6/12 U2026 559997914 0470-45 AU +4 fu J/J-1 v- 55 MODIFY D-25 & INSTALL BROWDITCH AT CHINQUAPIN NEAR RAILROAD TRACKS PWM12-56UTIL N/A U2026 559997914 0470-45 AU +4 tUt!J£/ ./ CERTIFICATE OF DESTRUCTION & RECYCLING This certificate is presented to: CITY OF CARLSBAD -RECORDS MGMT DEPT. 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) Certificate # Date Issued Service Locations Date Range of Service Work Ticket(s) Quantity/Item SD012455 104525 Tuesday, September 13, 2016 5815 EL CAMINO REAL Sep-06-2016 thru Sep-06-2016 340714 4 - 4 64 Gallon Bin *Nothing in this certificate shall be deemed to modify the terms of the parties' Service Agreement(s) or Work Ticket(s). t:l corodata ~ ·~ . . ~ "'""~ . SSAE 16 Ty~e II .O.udit Comr-letsd • HIP AlA GD!IIIIIIImu &-Jcorodata Corodata Shredding, Inc. 12375 Kerran Street · Poway, CA 92064 Shredding, Inc. SAN DIEGO -ORANGE COUNTY/LA (858) 7 48-1100 Fax (858) 726-6085 Tue Sep 6 2016 next: 10/4/20161 1111111111111111111111111111111111111111 NORTH BAY/SAN FRANCISCO-SAN JOSE/SILICON VALLEY ' Ticket # 340714 First Available CITY OF CARLSBAD -RECORDS Directions Routine Instructions MGMTDEPT. ********CALL MARIA (20) PRIOR TO ARRIVAL********** ***ENTER ON FARADAY OR 5815 EL CAMINO REAL ******************************************************************** PRIESTLY*** CARLSBAD, CA 92008 ************************************************************** CALL MARIA (20) PRIOR TO ARRIVAL-MARIA NEEDS TO MEET YOU AT Contacts WAREHOUSE/BLDG. PAT DOWNIE (760)602-2738 Special Instructions MARIA EMERY (760)271-6841 Room Description Container Service Item Qty Actual 1 64 Gallon Bin 64 Gallon Bin 1.00 1 1 64 Gallon Bin 64 Gallon Bin 1.00 I 1 64 Gallon Bin 64 Gallon Bin 1.00 1 64 Gallon Bin 64 Gallon Bin 1.00 1 Minimum Service Ticket Amount Minimum Service Ticket Amount 1.00 Service I Comments Corodata Shredding, Inc. represents that it received the aforementioned materials for confidential destruction and hereby certifies such materials will be confidentially handled and destroyed and that the shredded materials will be recycled. Client represents that it has authority to provide to Corodata Shredding, Inc. the aforementioned materials for confidential destruction and hereby acknowledges and accepts the terms and conditions on the reverse side. SD BT Stop 99 BC SD012455 Page I