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HomeMy WebLinkAbout2015-09-03 CC Form 700 - B & CDate: —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