HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Contract Administration; 2009-01-06RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of3
Department Requesting Destruction: P W ADMINISTRATION
Approvals for Destruction
Department Hea£f-yLinda Kermott, PW Manager Date
Records Manager Date
Attorney Date
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.
BID PACKAGES FOR RECORD DESTRUCTION - FY05/06
Person(s) Completing Form:
RHONDA GASPER-HEATHER, Associate Contract Administrator - PW Contract Administration ^
No.
1
2
3
4
5
6
7
8
9
RECORDS DESCRIPTION
STAGECOACH GYM BASKETBALL
EQUIPMENT REPLACEMENT
PWS06-01
CURB, GUTTER & SIDEWALK
REPLACEMENT
PWS06-02STS
MAHR RESERVOIR IMPROVEMENTS
PWS06-03ENG
SEA CLIFF SEWER NO BATIQUITOS
INTERCEPTOR REACH ACCESS HOLE
REPLACEMENTS
PWS06-04ENG
TRAFFIC SIGNAL AT PASEO DEL NORTE
AND CAR COUNTRY DRIVE
PWS06/05ENG
EXTERIOR MASONRY COATING OF FIRE
STATION #5
PWS0606FAC
GEORGINA COLE LIBRARY
PWS06-07FAC
SAN MARCOS BLVD TRANSMISSION MAIN
AND STREET IMPROVEMENTS
PWS06-08ENG
STAGECOACH GYM BASKETBALL
EQUIPMENT REPLACEMENT
PWS06-09FAC
DATED
09/01/05
08/24/06
08/30/05
08/31/05
09/20/05
09/13/05
09/27/05
09/28/05
10/04/05
BOX
No.
1
1
1
1
1
1
1
1
1
RRS No.
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
RRS
Period
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
BARCODE
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
APPROVED By
City Attorney
H=HOLD
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
BID PACKAGES FOR RECORD DESTRUCTION - FY05/06
City Clerk/Records Management
Page 2 of 3
Person(s) Completing Form:
RHONDA GASPER-HEATHER, Associate Contract Administrator - PW Contract Administration
No.
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
RECORDS DESCRIPTION
BLACK RAIL ROAD IMPROVEMENTS
PWS06-13ENG
SAN MARCOS BLVD TRANSMISSION MAIN
AND STREET IMPROVEMENTS - REBID
PWS06-14ENG
CARLSBAD BLVD OH BRIDGE RETROFIT
PWS06-15ENG
SAFETY CENTER CHILLER
REPLACEMENT
PWS06-16FAC
MISSION BASIN WATER WELLS
DESTRUCTION PROJECT
PWS06-18ENG
FARADAY AVENUE AND EL CAMINO REAL
INTERSECTION IMPROVEMENTS
PWS06-20ENG
CONCRETE REPLACEMENT
PWS08-21ENG
CITY LIBRARY LEARNING CENTER
PWS06-22ENG
TOT LOT IMPROVEMENTS
PWS06-23GEN
HVAC REPLACEMENT AT TWO
COMMUNITY CENTERS
PWS06-24FAC
FURNISHING & INSTALLING FOUR NEW
ROOFS AT MULTIPLE CITY STRUCTURES
PWS06-25FAC
EROSION REPAIRS & DRAINAGE
IMPROVEMENTS @ CARRILLO PARK
PWS06-26REC
2006 PAVEMENT OVERLAY PROJECT
PWS06-27ENG
STREET LIGHTS INSTALLATIN ON
ROOSEVELT STREET
PWS06-28ENG
CITYWIDE ASPHALT REPAIRS
PWS06-29STS
SUMMER 2006 CITY WIDE CURB, GUTTER,
SIDEWALK REPAIR
PWS06-30STS
FY05-06 CLARY UPS PURCHASE &
INSTALLATION
PWS06/31STS
TWO PARK RESTROOM REMODELS & RE-
ROOF OF MAINTENANCE BUILDING
PWS06-32FAC
DATED
10/11/05
12/07/05
12/14/05
12/15/05
01/10/06
02/09/06
03/28/06
03/22/06
03/29/06
04/17/06
04/12/06
04/20/06
05/18/06
06/06/06
08/10/06
08/29/06
06/28/06
07/19/06
BOX
No.
2
2
2
2
2
2
2
2
3
3
3
3
3
3
3
3
3
3
RRS No.
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
0470-50
RRS
Period
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
CL + 2
BARCODE
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
APPROVED By
City Attorney
H=HOLD
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
City Clerk/Records Management
Page 3 of3
BID PACKAGES FOR RECORD DESTRUCTION - FY05/06
Person(s) Completing Form:
RHONDA GASPER-HEATHER, Associate Contract Administrator - PW Contract Administration
No.
28
29
RECORDS DESCRIPTION
COLLEGE BLVD MEDIANS IRRIGATION &
LANDSCAPING
PWS06-33STS
ON-SITE WETLAND MITIGATION
RESTORATION FOR RANCHO SANTA FE
ROAD NORTH
PWS06-34ENG
DATED
08/16/06
08/17/06
BOX
No.
3
3
RRS No.
0470-50
0470-50
RRS
Period
CL + 2
CL + 2
BARCODE
N/A
N/A
APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY :_
CERTIFICATE OF DESTRUCTION? Yes B No D
SMEADLINK BARCODES DELETED BY:V\/.A
DATE
DATE:
This form documents the destruction of City records in accordance with the California Public Records Act
Revised 08/25/2005
CJNlAS
DOCUMENT MANAGEMENT
CITY OF CARLSBAD
2351 FARADAY AVE
CARLSBAD, CA 920087217
CONTACT: Tanya Bjork - Phone: (760)602-2786
SERVICE PERFORMED
Pounds
Minutes i/M1VC1D_ADD1L
CERTIFICATE OF DESTRUCTION
O<
SERVICE TICKET #:
DATE:
CUSTOMER #:
SERVICE/TYPE:
NEXT SERVICE DATE:
NEXT SERVICE TYPE:
Lock(s) Present/Operable:
Clasp(s) Present/Operable:
OOG36 - 66715
01/06/2009
10284
Purge/Onsite
Not scheduled.
Not scheduled.
Yes
Yes
No
No
COMMENTS:
,
This certificate is to certify that Cintas Document Management will shred confidential data per customer's instructions and according to H1PAA & GLBA
regulations for the above-mentioned company. Mobile destruction services are NAID certified. Non-Paper destruction services are not NA1D certified.
CUSTOMER SIGNATURE:
SERVICE REP SIGNATURE:
DATE:
DATE:
9455 WAPLES ST • STE. 110- SAN DIEGO, CA 921213924 • Phone: (858)678-0460 • Fax: (858)678-0894