HomeMy WebLinkAbout; ; Records Destruction Authorization Form-City Clerk; 2023-06-15This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 2021
Page | 1
DATE: 04/24/2023
REQUESTING DEPARTMENT: CITY CLERK REQUESTER: RACHEL JAMESON
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.
DEPT. HEAD/DIVISION MANAGER DATE RECORDS MANAGEMENT DATE CITY ATTORNEY DATE
*If more spaces are needed, click in the last box in right hand corner of table and hit “tab”. This will create more fields in the table.
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: ___________________________ DATE: ______________
CERTIFICATE OF DESTRUCTION? YES NO
TAB BARCODES DELETED BY: _____ _______________________________ DATE: ______________
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
TAB BARCODE
(if applicable)
5 Staff Reports 2021 CW-015 No Barcode Files
1 Minor Public Works and Professional Services
Agreements
2021 CW-020 No Barcode Files
RECORDS DESTRUCTION AUTHORIZATION FORM
4/28/2023 04-28-2023 5/3/2023
Copies –
When No Longer
Required
I
Copies – When No
Longer Required
Corodata 6/15/2023
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Name Contract Title
Allstar Fire Equipment Inc; 2017-06-01;Personal Protective Garments
Bear Electrical Solutions Inc; 2021-02-17; PWM21-1357TRAN Emergency Traffic Signal Repairs at Palomar Airport Rd and Yarrow Dr
California Conservation Corps; 2021-06-16;City of Carlsbad Urban Thinning 21/22
Cardio Partners Inc; 2021-04-09;Premium Service Contract - Equipment Services
Coherence Associates Inc; 2020-10-19;Mental Health Counseling Services
Compressed Air Specialties Inc; 2021-08-09;Bauer Breathing Air Compressor Maintenance
County of San Diego; 2020-12-30;Fire Agency Mutual Aid Agreement for COVID-19 Vaccine Administration
DCS Testing and Equipment Inc; 2020-04-29;Fire Hose Testing ServicesDiamondback Fire and Rescue Inc; 2021-10-19;Comprehensive Hydraulic Rescue System Inspection and Maintenance Services
Elle Vending; 2021-06-23;Vending Location Agreement
Engineering Solutions Services; 2019-10-02;Professional Grant Writing Services
Exact Construction; 2021-01-29; PKRC21-0127 Stagecoach Community Park Concrete Sidewalk and Drinking Fountain Improvements
FailSafe Testing LLC; 2020-11-20;Ladder Testing Services
Ferandell Tennis Courts Inc; 2021-04-23; PKRC21-0219 La Costa Canyon and Poinsettia Community Parks: Tennis and Pickleball Court ResurfacingFit to Work Inc; 2021-07-28;Ergonomic Evaluations and Related Safety Services
Gaetke Medical Corporation; 2021-05-03;NFPA National Fire Protection Association 1582 Medical Exams
Griffin Structures Inc; 2018-08-30; PSA19-502TRAN CM&I Services for the City of Carlsbad Public Safety and Service Center Improvements
Habitat Restoration Sciences Inc; 2021-05-12; PKRC21-0326 Trail Repair Work at Sage Creek Trail
J. C. Baldwin Construction Co; 2021-10-27; PWM22-1668TRAN Basin B Hydrauger Installations
L.B. Civil Construction Incorporated; 2021-03-18; PWM21-1413TRAN Sunnyhill Drive Rolled Gutter Installation and Monroe Street Cross Gutter RepairL.C. Paving and Sealing Inc; 2021-06-22; PWM21-1453TRAN Avenida Encinas AC Repair
Lekos Electric Inc; 2021-02-02; PWM21-1343TRAN Fiber Optic Traffic Signal Communications
LMUU Inc dba Sparkle Freshness; 2020-07-21;Decontamination and Disinfecting Services
MEK Enterprises Inc; 2021-04-20; PSA21-1448FAC Citywide Parks Restroom Custodial Maintenance Services
Municipal Emergency Services Inc; 2021-06-29;Self Contained Breathing Apparatus Flow Tests
Nakoa Physical Fitness and Therapy LLC; 2019-11-06;Physical Fitness and Therapy Services
Nu Line Technologies LLC; 2021-11-16; PWM22-1679UTIL Pipeline Rehabilitation Services for Sewer Main 30D-12 to 30D-19 On PAR/Yarrow Dr
PAL General Engineering Inc; 2021-06-30; PWM21-1472TRAN Traffic Calming on Harwich Drive and Segovia Way
Patterson Brothers Lighting Inc; 2021-08-10; PWM22-1537TRAN Pole Repair at Five Locations
PBA LTD South; 2021-12-21; PWM22-1731TRAN Kelly Channel Maintenance
Performance Plumbing and Mechanical Inc dba PPM Contracting; 2021-07-19; PWM21-1497TRAN Sidewalk, Curb and Gutter Replacement
Rivelle Consulting Services; 2021-03-16;Actuarial Consulting Services
Robertson Recreational Surfaces; 2021-04-23; PKRC21-0324 Parks Playground Surface Repair & Protective Surface CoatingS2 Ethics Strategies; 2021-04-22;Workshop Facilitation Services
Sillman Wright Architects; 2019-11-25; PSA20-921TRAN Safety Center Design Services
Swaim, Jill; 2021-04-30;Art Instruction Services
The City of San Diego Office of Emergency Services; 2021-08-24;Distribution of FY 2020 UASI Grant Funds
Tri-City Healthcare District; 2020-08-25;Emergency Medical Technician Paramedic Field Care Audit Services
Trueline Construction and Surfacing Inc; 2021-05-18; PKRC21-0412 Park Blockhouse Floor Repair & Surfacing ProjectUniversal Building Maintenance LLC; 2021-04-20; PSA21-1447FAC Agreement for Citywide Facility Custodial Maintenance Services
USA Shade and Fabric Structures; 2021-06-28; PKRC21-0512 Pine Ave Community Park Shade Sail Replacement
VelocityEHS; 2021-06-29;VelocityEHS Master Subscription & Services Agreement
Vesule Group LLC; 2019-03-15;Vending Location Agreement
Western State Builders; 2021-04-23; PKRC20-1221 Cannon Park Playground Refresh
Wiz Kid Coding Inc; 2021-04-30;Educational Programming Services
WPOHS A Medical Corporation dba Work Partners OHS; 2021-10-27;Occupational Health Services
Wright Construction Engineering Corp; 2021-04-21; PWM21-1409TRAN Fire Stations 1 and 5 Wash Water BMPs
Zoubek Consulting LLC; 2019-02-01;Safety and Loss Control Consultant Services
Account #(s)SD012455
Certificate #102455
Date Issued Monday, June 19, 2023
Service Locations 5815 EL CAMINO REAL
Date Range of Service Jun-15-2023 thru Jun-15-2023
Work Ticket(s)1153680
Quantity/Item 116 -116 Boxes for Destruction (standard)
* Nothing in this certificate shall be deemed to modify the terms of the parties’ Service Agreement(s) or Work Ticket(s).
CERTIFICATE OF DESTRUCTION & RECYCLING
This Certificate is presented to: CITY OF CARLSBAD - RECORDS MANAGEMENT DIVISION
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.
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