HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Finance; 2016-09-06RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 8/8/2016 ------~~-----------
REQUESTING DEPARTMENT: FINANCE REQUESTER: MARIA EMERY ---------------------
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.
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DEPARTMENT HEAD DATE RECORDS MANAGEMENT DATE
BOX NO. RECORDS DESCRIPTION DATED RRSNO. RRS TAB BARCODE
PERIOD (if applicable)
1994 PURCHASING BIDS 9/2007-0470-45 AU+4 SEE ATIACHED SHEET 2/2008
1995 PURCHASING BIDS & PROPOSALS 3/2008-0470-45 AU+4 SEE ATIACHED SHEET 6/2008
\ I
*If more spaces are needed, c/Jck m the last box m Tight hand corner of table and h1t "tab". Th1s will create more fields m the table.
To be filled out once records have been de strayed.
CERTIFICATE OF DESTRUCTION? NO
DATE:
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
~ . <..<·· ~-«" 0 , Rev1sed: 8/8/2016
~ CARLSBAD p a g e /1
PURCHASING BID Box# BARCODE#
Uniform, Towel, and Mat Rental and Bid No. 09-01 1994 PU955
2007 BMW R 1200 RT-P Motorcycles Bid No. 08-01 1994 PU892
Fords Trucks Bid No. 08-02 1994 PU895
Three (3) 2008 Toyota Prius Hybrid Bid No. 08-04 1994 PU899
Domestic Cold Water Meters Bid No. 08-05 1994 PU900
One (1) 2008 Ford F-250 Super Cab Bid No. 08-06 1994 PU901
Printing of 2008 Carlsbad Calendar & Bid No. 08-07 1994 PU903
Wildland Fire Protective Garments Bid No. 08-08 1994 PU904
Wildland Fire Protective Garments Bid No. 08-08A 1994 PU909
Median, Parkway and Landscape Bid No. 08-09 1994 PU910
HVAC Maintenance Services Bid No. 08-10 1994 PU908
Supercab Pick-up Utility Trucks Bid No. 08-11 1994 PU924
Carpet and Rlooring Replacement Services Bid No. 08-12 1995 PU918
One (1) 2008 GMC Yukon SLE 4x4 Bid No. 08-14 1995 PU919
Ruby Schulman Auditorium Audio RFP 08-01 1995 PU896
One (1) 10/12 Cubic Yard Dump Truck Bid No. 08-15 1995 PU922
One (1) Patch Truck Bid No. 08-16 1995 PU927
One (1) 16FT Sewer Television Inspection Bid No. 08-17 1995 PU928
Parks and Facilities Landscape Bid No. 08-18 1995 PU931
Electrical Maintenance Services Bid No. 08-19 1995 PU932
Generator Maintenance Services Bid No. 08-20 1995 PU946
Window and Skylight Cleaning Services Bid No. 08-13 1995 PU917
Recreation-Carlsbad Triathlon Event Producer RFP 08-03 1995 none
Heavy On-Road Diesel Truck Emissions Modification RFP 08-04 1995 none
Sewer Line Cleaning Services RFP 08-05 1995 none
Assessment District Administration RFP 08-06 1995 none
RFP -Ambulance Billing Services Nov. 2007 1995 none
RFP-Technology Help Desk Support 1995 none
Sewer Line Cleaning Services RFP 08-05A 1995 none
Under Sidewalk Drain Inspection & Cleaning Services RFP 08-06 1995 none
Implementation Services of ZENworks Configuration Mgmt 1995 none
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).
tlcoro data ~~ (~w~ 'f.i~ SSAE16
TyFe II AudTt Cctnr;!et~d • HIP AlA
ClaD IIams
&-Jcorodata
Shredding, Inc.
SAN DIEGO -ORANGE COUNTY/LA
NORTH BAY/SAN FRANCISCO· SAN JOSE/SILICON VALLEY
Tue Sep 6 2016 ' next:10/4/2016l
CITY OF CARLSBAD -RECORDS
MGMTDEPT.
5815 EL CAMINO REAL
CARLSBAD, CA 92008
Contacts
PAT DOWNIE (760)602-2738
MARIA EMERY (760)271-6841
Room Description
1 64 Gallon Bin
1 64 Gallon Bin
1 64 Gallon Bin
1 64 Gallon Bin
Corodata Shredding, Inc.
12375 Kerran Street · Poway, CA 92064
(858) 7 48-1100 Fax (858) 726-6085 I I
II IIIII IIIII IIIII 1111111111 IIIII 11111111
First Available Ticket # 340714
Directions Routine Instructions
********CALL MARIA (20) PRIOR TO ARRIVAL********** ***ENTER ON FARADAY OR
******************************************************************** PRIESTLY***
************************************************************** CALL MARIA (20) PRIOR TO
ARRIVAL-MARIA NEEDS TO
MEET YOU AT
Special Instructions WAREHOUSE/BLDG.
Container Service Item Qty Actual
64 Gallon Bin 1.00 l
64 Gallon Bin 1.00 I
64 Gallon Bin 1.00
64 Gallon Bin 1.00
1 Minimum Service Ticket Amount Minimum Service Ticket Amount 1.00
m------------][Time Out:
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 1