HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Information Technology; 2024-03-21This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 2021
Page | 1
DATE: 1/26/2024
REQUESTING DEPARTMENT: RECORDS MGMT/IT 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.
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.
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS
PERIOD
TAB BARCODE
(if applicable)
Agreements & Contracts: UNSUCCESSFUL BIDS, UNSUCCESSFUL PROPOSALS or RESPONSES to RFPs (Request for Proposals) and/or RFQs (Request for Qualifications) that don't result in a contract (GIS Schema Migration & Modification Services, Tivoli Storage Managed Services, Remittance Processing System, Employee Performance Management System)
2010-2014 CW-035 2 yrs
Surveys / Questionnaires (that the City issues) 2014 CW-285 2 yrs
Copies or duplicates of any record 2007-2014 CW-105
Copies - When No Longer Required
RECORDS DESTRUCTION AUTHORIZATION FORM
2/12/24 02-12-2024 3/4/24
C cityof
Carlsbad
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
Revised: 2021
Page | 2
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: ___________________________ DATE: ______________
CERTIFICATE OF DESTRUCTION? YES NO
TAB BARCODES DELETED BY: _____ _______________________________ DATE: ______________
C cityof
Carlsbad
□ □
CORODATA 3/21/2024
X
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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.
Account #(s)SD012455
Certificate #104371
Date Issued Tuesday, March 26, 2024
Service Locations 5815 EL CAMINO REAL
Date Range of Service Mar-21-2024 thru Mar-21-2024
Work Ticket(s)1287533
Quantity/Item 53 -53 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).