HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Risk Management; 2010-02-19RECORDS DESTRUCTION REQUEST
City Clerk/Records Management
Page 1 of 1
Department Requesting Destruction: Risk Management
Approvals for Destruction
Date
ecords Manager Date
(,0
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:
Michelle Brencola
No.RECORDS DESCRIPTION
Loss Recovery Files
City Vehicle Accident Reports
Outgoing RM correspondence
Special Event Insurance Certificates
Insurance Review Requests
Litigated Claim Files (see attached list of names)
DATED
2002-
2006
2004-
2006
2004
2004-
2006
2004
2000
BOX
No.
RM10.
RM09
RM09
RM09
RM09
RM09
RRS No.
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Period
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BARCODE APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY ;
CERTIFICATE OF DESTRUCTION? Yes 3" No D
DATE :
SMEADLINK BARCODES DELETED BY: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: Risk Management
Approvals for Destruction
Department Head Date
Records Manager Date
(O
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:
Michelle Brencola
No.
/
/
/
RECORDS DESCRIPTION
/
litigated Claim File: Donnally, Mark
x Litigated Claim File: Gallegos, Lorenzo
/Litigated Claim File: Gorell, Lisel
HtifHit — ' r'1 iin r ill H'vvV'n PitrioL' —
-
Litigated Claim File: Saak, Margaret
DATED
(Loss Date)
3/11/2000
12/20/2000
7/4/2000
-i i/a^uuu -
3/25/2000
BOX
No.
RM09
RM09
RM09
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RM09
RRS No.
014510
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RRS
Period
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CIS6
BARCODE APPROVED By
City Attorney
H=HOLD
RECORD DESTRUCTION COMPLETED BY ;
CERTIFICATE OF DESTRUCTION? Yes Jf No D
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
WE RECYCLE Shred-It
Campo Enterprises Inc.. P. O Box 2Q77
Vista, CA 920852077
PHONE 760-598-6700
Q910473261
2/19/2010
PURGE
Cfty Of Carlsbad- Records Management
5815 BCarnino Real
**NQ BUR-CHARGE
Carlsbad, CA 92008
LIVE INVOICE
FORWARD TO ACCOUNTS
PROCESS PAYMENT IMMEDIATELY
"NO SUR-CHARGE,
This is to certify that Shred-it destroyed confidential information
for the above mentioned company by
This year, through Shred-it's
recycling program, your firm
has saved trees from destruction.
CERTIFICATE OF
DESTRUCTION
THANK YOU FOR
YOUR BUSINESS.
SECURING YOUR OFFICE
AND THE ENVIRONMENT
tfired-ft
A SECURIT COMPANY