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Home My WebLink About; ; Records Destruction Authorization Form-Housing Services; 2009-09-30RECORDS DESTRUCTION REQUEST City Clerk/Records Management Page 1 of 1 Department Requesting Destruction: HOUSING AND REDEVELOPMENT Approvals for Destruction Dafc 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. Person(s) Completing Form: *x PATTI CRESCENTI ^ "y No. 1 2 3 4 5 6 7 8 9 RECORDS DESCRIPTION INACTIVE PARTICIPANTS - AG-AL INACTIVE PARTICIPANTS - AN-AY INACTIVE PARTICIPANTS - BA-BR INACTIVE PARTICIPANTS - BR-CA INACTIVE PARTICIPANTS - CA-CO INACTIVE PARTICIPANTS - CO-DI INACTIVE PARTICIPANTS - DU-FA INACTIVE PARTICIPANTS - FA-FU INACTIVE PARTICIPANTS - GA-GO DATED 2001 2001 2001 2001 2001 2001 2001 2001 2001 BOX No. 1 2 3 4 5 6 7 8 9 RRS No. 0550-20 0550-20 0550-20 0550-20 0550-20 0550-20 0550-20 0550-20 0550-20 RRS Period AU+7 AU+7 AU+7 AU+7 AU+7 AU+7 AU+7 AU+7 AU+7 BARCODE VN\C\ I \^/ APPROVED By City Attorney HsHOLD RECORD DESTRUCTION COMPLETED BY :_ CERTIFICATE OF DESTRUCTION? Yes ^ No T DATE SMEADLINK BARCODES DELETED BY:n C\DATE: This form documents the destruction of City records in accordance with the California Public Records Act Revised 08/25/2005 RECORDS DESTRUCTION REQUEST City Clerk/Records Management Page 1 of I Department Requesting Destruction: HOUSING AND REDEVELOPMENT >royals for Destruction Department Head 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. Person(s) Completing Form: (^ PATH CRESCENTI <^r ^ No. 10 11 12 13 14 15 16 17 18 RECORDS DESCRIPTION INACTIVE PARTICIPANTS - HA-HE INACTIVE PARTICIPANTS - HE-HY> INACTIVE PARTICIPANTS - IN-JO INACTIVE PARTICIPANTS - KA-LE INACTIVE PARTICIPANTS - LO-MC INACTIVE PARTICIPANTS - MC-MO INACTIVE PARTICIPANTS - MO-MO INACTIVE PARTICIPANTS - NA-PR INACTIVE PARTICIPANTS - RA-RU DATED 2001 2001 2001 2001 2001 2001 2001 2001 2001 BOX No. 10 11 12 13 14 15 16 17 18 RRS No. 0550-20 0550-20 0550-20 0550-20 0550-20 0550-20 0550-20 0550-20 0550-20 RRS Period AU+7 AU+7 AU+7 AU+7 AU+7 AU+7 AU+7 AU+7 AU+7 BARCODE rx\0, VWNflSSS isofr~?5'3<i 13,0^75^- rwtl<&\ K \<^ K\^CX- *\°\ APPROVED By City Attorney H=HOLD RECORD DESTRUCTION COMPLETED BY : CERTIFICATE OF DESTRUCTION? Yes Si No DATE SMEADLINK BARCODES DELETED BY: This form documents the destruction of City records in accordance with the California Public Records Act Revised 08/25/2005 RECORDS DESTRUCTION REQUEST City Clerk/Records Management Page 1 of 1 Department Requesting Destruction: HOUSING AND REDEVELOPMENT Approvals for Destruction , UdL G^Ja^ 3//7/W Department Head 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. Person(s) Completing Form: r\ PATH CRESCENTl <^ ^)^f^ \^fj No. 19 20 21 22 23 24 25 26 27 RECORDS DESCRIPTION INACTIVE PARTICIPANTS - SA-SH INACTIVE PARTICIPANTS - SOT-THOM INACTIVE PARTICIPANTS - THOM-VAN INACTIVE PARTICIPANTS - VAS-WRI INACTIVE APPLICANTS - ADLER-KREBS INACTIVE APPLICANTS: A-K INACTIVE APPLICANTS: L-Z CDBG & HOME FUNDED SINGLE FAMILY . REHAB LOANS LFOA/dW^, flPPKoV/AUSj INACTIVE APPLICANTS: BAXTER-STJOHN DATED 2001 2001 2001 2001 2005 2004 2004 2002 2005 BOX No. 19 21 22 23 59 77 7,8 93 108 RRS No. 0550-20 0550-20 0550-20 0550-20 0550-23 y 0550=22^ .-£•*> 0550-23 0565-30 0550-23 RRS Period AU+7 AU+7 AU+7 AU+7 TE+3 TE+3 TE+3 TE+5y TE+3 «/ BARCODE K A iWJSSSL \T#L*~1ty'h fr\CL. K\C^ tv\Co ^}a^y \ /a (<x^ " ^i1^/ --r*^b*7to^i> APPROVED By City Attorney H=HOLD RECORD DESTRUCTION COMPLETED BY : Cf)rO<Ji CERTIFICATE OF DESTRUCTION? Yesrf No SMEADLINK BARCODES DELETED BY: DATE: DATE: This form documents the destruction of City records in accordance with the California Public Records Act Revised 08/25/2005 RECORDS DESTRUCTION REQUEST City Clerk/Records Management Page 1 of 1 Department Requesting Destruction: HOUSING AND REDEVELOPMENT r~^Approvals for Destruction Department Head Date S'-K-ol yf 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. Person(s) Completing Form: ^ A. PATTI CRESCENT! V^ ^-^ No. 28 RECORDS DESCRIPTION CDBG SUBRECIPIENT FILES DATED 2001 BOX No. 116 RRS No. . 0565-10 RRS Period TE+5 BARCODE ^0^53 V^C l<r\(ji'J,AffiA •^e. (0^) APPROVED By City Attorney H=HOLD it RECORD DESTRUCTION COMPLETED BY : UO^O U#-i— DATE : ^/& IO<? CERTIFICATE OF DESTRUCTION? Yes n No Q C'\ C\ I SMEADLINK BARCODES DELETED BY: KJ A^' ^K y- ' DATE: 2,//«? fz0f£> This form documents the destruction of City records in accordance with the California Public Records Act Revised 08/25/2005 Quantity: 28Date: 09/30/2009 Workorder #: 00667592 THIS IS TO CERTIFY THAT CONFIDENTIAL MATERIAL CONSISTING OF FILE STOCK AND OTHER ARCHIVE MATERIAL HAS BEEN COMPLETELY DESTROYED BEYOND RECOGNITION. WE APPRECIATE YOUR BUSINESS. 5/14/2009 ACCT 04345 Destroy Request Page 1 ftu-c coot U-tft TS» «. .. cyv - l> '' i.llfl* • " " i03. •< (. V3. - " '' aa* 1 " A\. " " cr>. " " 08 . •• " ia. 4 'i gCl, " \S. " 1 U - " A}! •( " i<V " 1( Cfl . '' " oyk ' 11 " I 0. * " 01 .1 1 1 . 1 " Me * il " 1?. - " 03- K - DM . :' " l£o. " " tfi. " OS.^ " 77. Code 13067595 13067610 13067653 13067645 13067540 13067583 13067582 13067534* 13067535 13067539 13067564 13067542 13067541 13067584 13067546 13067536"" 13067529 13067537 13067528 13067538 13067533 13067544 13067530 13067531 13067543 13067545 13067532 13067594 Account Codi 014345\H&R 014345\H&R 014345\H&R 014345VH&R 014345\H&R 014345\H&R 014345VH&R 014345\H&R 014345\H&R 014345\H&R 014345\H&R 014345\H&R 014345WR 014345VH&R 014345\H&R 014345\H&R 014345\H&R 014345\H&R 014345\H&R 014345\H&R 014345\H&R 014345\H&R 014345\H&R 014345\H&R 014345XH&R 014345VH&R 014345VH&R 014345\H&R Item Statu In- In- In. In. In. In, In, In. In. In. In in In. In In In In In In. In In In In In In. In. In. In- Building 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 Floor B B B B C C C C C C C C C C C C C C C C C C C C C C C C Room 1-03 1-03 1-13 1-13 1-17 1-17 1-17 1-17 1-17 1-17 1-17 1-17 1-17 1-17 1-17 1-17 1-17 1-17 1-17 1-17 1-17 1-17 1-17 1-17 1-17 1-17 1-17 1-19 Location Code 3-2-C-13-23 ^ 3-2-0-14-25-^ 2-2-M- 10-39^ 2-2-M-12-2V 4-1-0-07-11- 4-1-0-07-11 4-1-Q-07-12 4-1-Q-07-13 4-1-Q-07-14 4-1-Q-07-16 4-1-0-07-20 4-1-0-07-26 4-1-Q-07-28 4-1-Q-OB-27 4-1-Q-08-29 4-1-Q-09-02 4-1-Q-09-12 4-1-0-09-12 4-1-0-09-21 4-1-Q-09-21 4-1-Q-09-22 4-1-0-10-05 4-1-0-10-13 4-1-Q-11-21 4-1-Q-11-21 4-1-Q-11-21 4-1-0-12-28 3-1-S-11-21 Cor-O-Van Records Management Inc. Fair and Accurate Credit Transactions Act ("FACT Act" or "FACTA") Affidavit This affidavit is designed to facilitate compliance with the rule of the Federal Trade Commission, "Disposal of Consumer Report Information and Records" (16 CFR Part 682), hereinafter referred to as the "FTC Disposal Rule." The initial FTC Disposal Rule is attached as an appendix to this affidavit. Any future amendments to this rule's duties and obligations are automatically incorporated in the definition of "FTC's Disposal Rule." The FTC Disposal Rule was promulgated pursuant to the FACT Act, and it sets for the standard for proper disposal as follows: "Any person who maintains or otherwise possesses consumer information for a business purpose must properly dispose of such information by taking reasonable measures to protect against unauthorized access to or use of the information in connection with its disposal." 16 CFR § 6 82.3 (a) "'Consumer information* means any record about an individual, whether in paper, electronic, or other form, that fa a consumer report or l» derived from a consumer report. Consumer information also means a compilation of such records. Consumer information does not include information that does not identify individuals, such as aggregate information or blind data." 16 CFR § 682.1 (b) In signing this addendum, $L( (jdfy Q-f (jU~\^J^A^ ^ ("THE CLIENT') acknowledges that (Cor-O-Van Records Mpnagemait Inc. ^("THE COMPANY") has made THE CLIENT aware of its obligation to properly dispose of "consumer information." In order to facilitate compliance with the FACT Act, THE CLIENT hereby certifies that its records and information materials provided to THE COMPANY for offsite information management on [date] ("Stored Material") comply with one of the following conditions indicated below: I hereby certify that NO Stored Material contains any "consumer information" as defined in!6CFR§682.1(b). I hereby certify that all Stored Material which contains "consumer information" as defined in 16 CFR § 682. l(b) has been identified clearly. THE CLIENT further directs THE COMPANY to facilitate proper disposal of all identified "consumer information" at its final disposition date, in accordance with the FTC Disposal Rule. I hereby certify that, because it is not known whether any of the STORED MATERIAL to which this Affidavit applies contains "consumer information" as denned by 16 CFR 682.l(b), THE CLIENT authorizes THE COMPANY to dispose of all Stored Material to which this Affidavit applies as if it contains consumer information, and to facilitate proper disposal of all such Stored Material owned by THE CLIENT for which THE COMPANY is custodian at its final disposition date, in accordance with the FTC Disposal Rule standards applicable to disposal of consumer information. I, the undersigned, certify that 1 have read the information contained in this addendum and have informed THE COMPANY of the true condition of the records owned by THE CLIENT. Representing THE CLIENT. THIS PAGE MUST BE SIGNED AND SUBMITTED WITH YOUR DESTRUCTION AUTHORIZATION AND REQUEST Appendix 16 CFR Part 682—Disposal of Consumer Report Information and Records §682.1 Definitions. (a) In general. Except as modified by this part or unless the context otherwise requires, the terms used in this part have the same meaning as set forth in the Fair Credit Reporting Act, IS U.S.C. 1681 et seq. (b) "Consumer information" means any record about an individual, whether in paper, electronic, or other form, that is a consumer report or is derived from a consumer report. Consumer information also means a compilation of such records. Consumer information does not include information that does not identify individuals, such as aggregate information or blind data. (c) "Dispose," "disposing," or "disposal" means: < 1) The discarding or abandonment of consumer information, or (2) The sale, donation, or transfer of any medium, including computer equipment, upon which consumer information is stored. § 682.2 Purpose and scope. (a) Purpose. This part ("rule") implements section 216 of the Fair and Accurate Credit Transactions Act of 2003, which is designed to reduce the risk of consumer fraud and related harms, including identity theft, created by improper disposal of consumer information. (b) Scope. This rule applies to any person over whom the Federal Trade Commission has jurisdiction that, for a business purpose, maintains or otherwise possesses consumer information. § 682.3 Proper disposal of consumer information. (a) Standard. Any person who maintains or otherwise possesses consumer information for a business purpose must properly dispose of such information by taking reasonable measures to protect against unauthorized access to or use of the information in connection with its disposal. (b) Examples. Reasonable measures to protect against unauthorized access to or use of consumer information in connection with its disposal include the following examples. These examples are illustrative only and are not exclusive or exhaustive methods for complying with the rule in this part. 1I) Implementing and monitoring compliance with policies and procedures that require the burning, pulverizing, or shredding of papers containing consumer information so that the information cannot practicably be read or reconstructed. (2) Implementing and monitoring compliance with policies and procedures that require the destruction or erasure of electronic media containing consumer information so that the information cannot practicably be read or reconstructed. (3) After due diligence, entering into and monitoring compliance with a contract with another party engaged hi the business of record destruction to dispose of material, specifically identified as consumer information, in a manner consistent with this rule. In this context, due diligence could include reviewing an independent audit of the disposal company's operations and/or its compliance with this rule, obtaining information about the disposal company from several references or other reliable sources, requiring that the disposal company be certified by a recognized trade association or similar third party, reviewing and evaluating the disposal company's information security policies or procedures, or taking other appropriate measures to determine the competency and integrity of the potential disposal company. (4) For persons or entities who maintain or otherwise possess consumer information through their provision of services directly to a person subject to this part, implementing and monitoring compliance with policies and procedures that protect against unauthorized or unintentional disposal of consumer information, and disposing of such information in accordance with examples (b)(I) and (2) of this section. (5) For persons subject to the Gramm-Leach-Bliley Act, 15 U.S.C. 6081 et seq., and the Federal Trade Commission's Standards for Safeguarding Customer Information, 16 CFR part 3I4 ("Safeguards Rule"), incorporating the proper disposal of consumer information as required by this rule into the information security program required by the Safeguards Rule. § 682.4 Relation to other laws. Nothing in the rule in this pan shall be construed: (a) To require a person to maintain or destroy any record pertaining to a consumer that is not imposed under other law; or (b) To alter or affect any requirement imposed under any other provision of law to maintain or destroy such a record. § 682.5 Effective date. The rule in this part is effective on June 1,2005.