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2015-09-03 CC Form 700 - B & C
Date: —4�T Department: i C RECORDS DESTRUCTION AUTHORIZATION FORM The records listed below (or on the attached list) are scheduled to be destroyed, as indicated on the Records Retention Schedule. The records are not the subject of any claim, litigation, investigation, or audit. (List records here, or attach a list) File # Records Description Start Date End Date Box # Retention Retention r # Period Shredding is Required (Records contain private information) DOCUMENTS HAVE BEEN REVIEWED AND APPROVED FOR DESTRUCTION Department Head / Division Manager City Clerk City Attorney 9 /Z/2.o, %-- Date Date 9/2po /s - Date Date (Complete after destruction has been performed, if done by City Employees. If destruction is performed by a commercial vendor, have them provide you with a certificate.) HEREBY CERTIFY that the items listed above have been destroyed in accordance with City policies and procedures: 19. '-� - Employee Performing Destruction 01998-2008 Gladwell Governmental Services, Inc glglzols I�I Date Name Board or Commission Start End Luther Wallace Park & Recreation 10/6/2000 8/7/2001 Richard Wolfe Park & Recreation 10/6/2000 11/8/2000 C. Paul Bettini Park & Recreation 10/6/2000 7/3/2003 Patrick Webb Park & Recreation 10/6/2000 11/25/2004 Chandra Murphy Park & Recreation 7/14/2003 7/31/2007 Craig Murray Park & Recreation 11/2/2004 4/2/2007 Walter Kreissmann Park & Recreation 10/23/2003 3/26/2007 Craig Yates Park & Recreation 10/3/2001 3/3/2007 Fred Warneke Park & Recreation 10/6/2000 3/7/2007 Armanda Quintero Park & Recreation 10/26/2000 3/28/2007 Mark Lubamersky Park & Recreation 11/7/2000 3/5/2007 Ralph Mihan Park & Recreation 10/6/2000 3/22/2007 Jeff Jones Park & Recreation 10/19/2007 10/17/2007 Mark Bustillos Park & Recreation 10/19/2007 11/4/2007 Name Board or Commission Start End Duane Butler Geotechnical Review Board 4/22/1988 10/8/2001 Eugene Miller Geotechnical Review Board 5/9/1990 3/24/2002 Keith Bergman Geotechnical Review Board 7/9/1980 3/14/2007 Terry Craven Geotechnical Review Board 3/25/2004 3/28/2007 Lyle Lewis lGeotechnical Review Board 3/1/1995 3/1/2004 Scott Stephens IGeotechnical Review Board 6/7/2002 4/19/2007 Name Board or Commission Start End Andrea MacLeod Design Review Board 7/18/1995 7/10/2002 Anne Laird -Blanton Design Review Board 8/7/2002 2/15/2007 Joseph Grasso Design Review Board 1/22/2003 7/16/2015 Jacek Machnowski Design Review Board 6/27/2005 5/10/2007 Ann Crew Design Review Board 9/10/1998 3/23/2007 Brent Dickens Design Review Board 8/9/2002 3/18/2007 Richard Olmsted Design Review Board 4/25/2007 4/25/2007 Stewart Summers Design Review Board 7/6/2007 7/6/2007 Jeff Kent Design Review Board 9/20/2000 3/25/2007 Robert 'Bob" l luntsberry Design Review Board 4/11/1994 3/24/2007 Name Board or Commission Start End Paul Sroa Business Improvement District 9/6/2005 4/28/2006 Cheryl Moody Business Improvement District 9/6/2005 11/27/2006 Jennifer Conroy Business Improvement District 3/18/2005 11/28/2006 Sharon Chistovich Business Improvement District 3/18/2005 10/30/2007 Paula Bailey Business Improvement District 3/18/2005 9/27/2005 Jaime Ortiz Business Improvement District 3/18/2005 7/28/2007 Maika Llorens Business Improvement District 7/10/2007 7/17/2007 Jennifer Islas Business Improvement District 7/10/2007 7/13/2007 Barry Lazarus Business Improvement District 7/10/2007 7/12/2007 Ron Bolds Business Improvement District 3/18/2005 3/28/2007 Joanne Webster Business Improvement District 3/18/2005 3/29/2007 Steve Mack Business Improvement District 3/18/2005 5/16/2007 Jolie Jones Business Improvement District 9/6/2005 4/2/2007 John Godsey Business Improvement District 3/18/2005 4/16/2007 Stan Gibbs Business Improvement District 9/7/2005 3/2/2007 Noah Berry lBusiness Improvement District 7/10/2007 7/30/2007 Ver. 3.0 RECORDS RETENTION SCHEDULE: CITY CLERK Page CC -4 Office of Retention No. Records Description Retention I Disposition Comments I Reference Record Inactive Image: Destroy (OFR) Active (Records Total Media 1=Import Paper after Vital? (in office) Center) Retention Options M=Mfr Imaged & S=Scan QC'd? If the record is not listed here, refer to the Retention for City -Wide Standards Retentions begin when the act is completed, and imply a full rile folder (e.g. last document + 2 ears), since destruction is normally performed by file folder. Litigation, complaints, claims, public records act requests, audits and/or investigations suspend normal retention periods retention resumes after settlement or completion). Committee Rosters / Boards, City Clerk CC -009 Commissions and Committees 2 years 2 years Mag, Ppr GC §34090 (Maddy Act) Economic Interest Filings City maintains original City Clerk CC -010 (FPPC 700 Series Forms - 2 years 5 years 7 years Mag, Mfr. 'k S / I Yes statements; GC §81009(e)&(g); ;Statement of Economic OD, Ppr GC §81009(f)&(g); 2 CCR 'Interests): ALL 4 years 18615(d) City Clerk CC -011 FPPC Form 801 (Gift to 4 years Mag, Ppr Must post on website; 2 CCR Agency Report) _ - 18944-2(c)(3)(G) ...— —. FPPC Form 802 (Event Ticket -- Should post on website for 4 City Clerk CC -012 / Pass Distributions Agency 7 years 1 7 years Mag, Ppr years; GC §81009(e) Report) FPPC Form 806 (Agency Must post on website; 2 CCR City Clerk CC -013 Report of Public Official 2 years 2 years Mag. Ppr 18705.5; GC §34090 Appointments) SAN RAFAEL, CA. ©1995-2012 Gladwell Govemmental Services, Inc. - all rights reserved Do not duplicate or distribute without prior written permission from GGS (909) 337-3516 Adopted: 02/04/13 Updated: 10/24/13