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HomeMy WebLinkAboutCC Reso 2022-29 - Destruction of Records RESOLUTION NO. 2022-29 RESOLUTION OF THE CITY COUNCIL OF THE CITY OF UKIAH AUTHORIZING THE DESTRUCTION OF CERTAIN RECORDS WHEREAS, the Community Services and Human Resources departments, along with the City Attorney and City Clerk have reviewed and approved the list of records that are attached as Exhibit A, and determined that said records are no longer necessary and may at this time be destroyed. NOW, THEREFORE, BE IT RESOLVED, that the Ukiah City Council hereby approves the destruction of certain records,contained in Exhibit A of this Resolution, and authorizes the City Clerk to destroy the records. PASSED AND ADOPTED this 181 day of May, 2022, by the following roll call vote: AYES: Councilmembers Orozco, Crane, Rodin, Duenas, and Mayor Brown NOES: None ABSTAIN: None ABSENT: None &�7 Brown, Mayor ATTEST: ristine Lawler, City Clerk EXHIBIT A CITY OF UKIAH RECORDS DESTRUCTION NOTICE Date: 415122 Department: Community Services Current retention schedules show that the attached records listed are now ready for review for records destruction. Instructions: 1. Review the attached listing (if needed, you may obtain a copy of the retention guidelines from City Clerk) 2. If only a portion of the box is to be kept, remove it and start a new box with a new transfer notice; Follow normal retention box submission instructions, which can be obtained from City Clerk if needed. 3. If the entire box is to be kept, change the date/year to consider destruction on the attached list, and give back to the City Clerk. 4. For boxes that are okay to proceed with destruction, obtain Department Head's signature and return this notice, along with the attached list to the City Clerk. NOTE. Please keep in mind that we only have a set number of box storage locations. Only keep records past their retention deadline if it is necessary. Thank you for your cooperation in keeping our records management system working smoothly. Kristine Lawler, City Clerk DATE SIGNATURE Department Head 5 9 2Z-- lA,- City Clerk 5'Lf i ZZ I City Attorney May 4, 2022 Darcy Vau hn(May 4, 02212:53 PDT) City Council Destroyed y COMMUNITY SERVICES CONTAINER SHELF LOCATION BOX# Date Rec'd Con I Central RECORD TITLE RECORD DATES RETAIN USERISENDER DEPARTMENT COMMENT Pub File# UNTIL_ 1 a 18 4774 12/20/2017 Con Class Registrations 2008-2013 2020 Marianne Davison Community Services 1 a 23 00472 1113/2020 Pub 509.03 Liability Insurance Forms 12101119-12131119 2022 McKayla Taylor Community Services 1 a 31 4775 12/20/2017 Con Class Registrations 2013-2016 2020 Marianne Davison Community Services 1 a 32 4776 12/20/2017 Con Class Registrations 2008-2013 2020 Marianne Davison Community Services 1 a 34 00475 con 509.14 Schedules,Classes and Events 0 110111 7-1 2I31117 2022 Mikki Taylor Community Services 1 b 78 474 Con 509,03 Liability Insurance Forms 01101/12-12131/19 2021 Mikki Taylor Community Services 1 b 81 3498 Can Miscellaneous Recreation Files 2002-2003 2022 Merz Community Services 1 c 99 464 1/13/2020 Pub 509.14 Schedules,Classes and Events 10/01113-12131/18 2021 McKayla Taylor Community Services 1 c 102 3502 Can Miscellaneous Recreation Files 2001 -2002 2021 Merz Community Services 1 c 103 3503 Con Miscellaneous Recreation Files 1999-2003 2022 Merz Community Services I c 120 467 1/13/2020 Pub 509.14 Schedules,Classes and Events 01101I15-08130118 2021 McKayla Taylor Community Services 1 d 130 4795 10/19/2018 Pub Maintenance and Operations 1998-2012 2022 Maya Simerson Community Services RDA!Golf Course 1 d 131 00463 1/13/2020 Pub 509.14 Schedules,Classes and Events 1211/18-01130119 2022 McKayla Taylor Community Services 1 d 142 4705 4/27/2018 Con Liability Insurance Forms 2017-2018 2020 Daniel Spence Community Services Ice Rink 1 d 143 4706 4/27/2018 Con Liability Insurance Forms 2017-2018 2020 Daniel Spence Community Services Ice Rink 1 d 145 4707 4/27/2018 Can Liability Insurance Forms 2017-2018 2020 Daniel Spence Community Services Ice Rink 1 g 267 465 1/13/2020 Pub 509.14 Schedules,Classes and Events 01/01117-12131/18 2021 McKayla Taylor Community Services 1 g 282 3431 Pub Recreation Binders 2001-2002 2021 Maya Simerson Community Services 1 g 283 3432 Pub Recreation Binders 1997-2001 2020 Maya Simerson Community Services 1 h 295 468 1/13/2020 Pub 509.14 Schedules,Classes and Events 01/01118A2131118 2021 McKayla Taylor Community Services 1 h 297 469 1/13/2020 Pub 509.14 Schedules,Classes and Events 10101115-08130117 2020 McKayla Taylor Community Services 1 h 301 470 1/13/2020 Pub 509.14 Schedules,Classes and Events 01101/09-08130/17 2020 McKayla Taylor Community Services 2 j 397 108 1/30/2019 Con Schedules,Classes and Events 111117-12131/17 2020 IJulie Whiteaker Community Services Adult Softball 2 I 492 3867 6/21/2010 Con Sports Registrations 2006-2006 2021 1 Merz Community Services 2 1 494 3868 6/21/2010 Youth Basketball 2006-07Forms&Files 2006-07 2021 Merz Community Services 2 n 569 3437 Pub Recreation Sports and Class Binders 2002-2003 2021 Maya Simerson Community Services 2 r 756 3235 Pub Various Files 1999-2002 2020 Jake Burgess Community Services w 931 4662 3/16/2017 Pub Multiple" 2010-2015 2019 Julie Webb Community Services 'Personnel Records) mixed Facility Rentals&Use 3 3 w 950 4362 9/2/2014 Con Schedules.Classes and Events 4/1102-9125/02 2020 Rilee Dockins Community Services 3 x 992 106 1/3/2019 Con Schedules,Classes and Events 111118-12131118 2021 Marianne Davison Community Services A 3 y 1011 2487 Con Swim Lesson Registration Forms 6/25/1905 2022 Wright Community Services 3 y 1014 2490 Pub Pool Records 6/24/1905 2021 Wright Community Services 3 y 1015 2491 Pub Pool Records 6/23/1905 2020 Wright Community Services 3 y 1038 2514 Pub Softball,Youth Basketball 1999-2002 2021 Wright Community Services 3 y 1046 518 8/29/2017 con Schedules.Classes and Events 111/13-12/31114 2020 Marianne Davison Community Services 3 as 1134 103 1/3/2019 Con Schedules,Classes and Events 111116-1131/18 2021 Marianne Davison Community Services D 4 ee 1271 00655 8l512021 501 04 Personnel Records 111119-12/31116 2019 Kristine Lawler Community Services Clerk submitted in lieu of missing notice RECORDS TRANSFER NOTICE Date Department(from Records Retention Schedule) User/Sender(first and last) Location Box 12/20/2017 Community Services Marianne Davison + 9-7-7L/ Official Record Title(from Records Retention Schedule) Records are? Record Dates Class Registrations Public❑ or Personnel (Employee Files/Documents) Confidential 0 Information FROM 2008 to 2013 DateNear to consider destruction Permanent? Retention Period (from Records Retention Schedule) Qk'4ma P-0 ZD I Yes ❑ or No ❑x CU+2 Detailed Listing of Tote Box Contents (Please type onlv): Summer Safari S Pool Personnel Files—(2008-2013) Receipt Books—312016-812016 Instructions: 1. Please complete form, typed, supplying all information 2. Place 3 copies inside Tote Box on top of records (one copy will be returned to you indicating the Location and Box Number) 3. Email klawlerecityofukiah.com notification box is ready for pickup RECORDS TRANSFER NOTICE Location: i a.23 Box: 509.03 Title (from Records Retention Schedule): Liability Insurance Forms Dates of Contents: December 2019 Detailed Listing of Contents: (Please list contents of box in as much detail as possible, imagine searching for something in this box 10 years from now and needing to use key words for the search engine-please include that type of detail) Ukiah on Ice Liability Forms 2019 t RECORDS TRANSFER NOTICE 'An Date Department User/Sender Location Box 10/30/2006 1 Payroll Finance � 3 I l Record Title (From Records Retention Schedule) Records are Record Dates: FEATURE DISTRIBUTION Public Information Month/Year Month/Year or Confidential XX From: MAY 2006 To: JUNE 2006 Year to consider destruction Permanent? Retention Period: December 2031 Yes No XX 25 YEARS Detailed fisting of box contents: FEATURE DISTRIBUTION MAY 2006 FEATURE DISTRIBUTION JUNE 2006 Instructions: 1. Please complete form, typed, supplying all information 2. Place 3 copies inside Tote Box on top of records(one copy will be returned to you indicating the Location and Box number) U. Email marieu ci ofukiah.com notification box is ready for Pickup RECORDS TRANSFER NOTICE Date Department(from Records Retention Schedule) User/Sender(first and last) Location Box 12/20/2017 Community Services Marianne Davison Ll -7 Official Record Title (from Records Retention Schedule) Records are? Record Dates Class Registrations Public ❑ or Personnel (Employee Files/Documents) Confidential 19 Information FROM 2013 to 2016 DateNear to consider destruction Permanent? Retention Period (from Records Retention Schedule) �2t2e- — ,— Yes ❑ or No ❑x CU+2 Detailed Listing of Tote Box Contents (Please type only): Summer Safari Personnel Fi es(2007-2008) Instructions: 1. Please complete form, typed, supplying all information 2. Place 3 copies inside Tote Box on top of records (one copy will be returned to you indicating the Location and Box Number) 3. Email klawler@cityofukiah.com notification box is ready for pickup RECORDS TRANSFER NOTICE Date Department(from Records Retention Schedule) User/Sender(first and last) Location Box 12/20/2017 Community Services Marianne Davison L177& Official Record Title(from Records Retention Schedule) Records are? Record Dates Class Registrations Public ❑ or Personnel (Employee Files/Documents) Confidential ❑x Information FROM 2008 to 2013 Date/Year to consider destruction Permanent? Retention Period (from Records Retention Schedule) 42'2619— I Yes ❑ or No ❑x CU+2 Detailed Listing of Tote Box Contents(Please type only): Summer Safari & Pool Personnel Files—(2008-2013) Instructions: 1. Please complete form, typed, supplying all information 2. Place 3 copies inside Tote Box on top of records (one copy will be returned to you indicating the Location and Box Number) 3. Email klawler(a)_cityofukiah.com notification box is ready for pickup �022 C� RECORDS TRANSFER NOTICE Location: 'I a- 3+ Box: 00475 Title (from Records Retention Schedule): 509.14 Schedules, Classes, and Small Events Detailed Listing of Contents: (Please list contents of box in as much detail as possible;imagine searching for something in this box 10 years from now and needing to use key words for the search engine—please include that type of detail.) C,� 4�- RECORDS TRANSFER NOTICE Location: 1 a34 Box: 00157 Title: 716.01 Bids, RFQs, RFPs - Successful Detailed Listing of Contents: June 2006 through August 2007 Request for Bids �oaR Cum wwww 0-i'l RECORDS TRANSFER NOTICE '"' Location: I b �? Box: 6121-11"1 03 Title (from Records Retention Schedule): , Liability R949ases, Events Dates of Contents: 2012-2019 Detailed Listing of Contents: (Please list contents of box in as much detail as possible;imagine searching for something in this box 10 years from now and needing to use key words for the search engine—please include that type of detail) Returned Checks 2012-2017 Volunteers 2015-2016 PRGC 2016 Scholarships 2017-2019 Nco Daycamp-2017 Daycamp Employee Cards- 2017 Unknown Insurance 2017 RECORDS TRANSFER NOTICE Date Department User/Sender(first and last) Location Box 7/20/07 Community Services Katie Merz ?- I ! I Official Record Title(from Records Retention Schedule) Records are: Record Dates Misc. Recreation Files Confidential FROM 2002 To 2003 Date/Year to consider destruction: 2022 Permanent? Retention Period(from Records Retention Schedule) No 19 years Detailed Listing of Tote Box Contents Please Do Not Write on Box): 2002-2003 Basketball forms • Rec Class Reg Forms • Softball Reg Forms Instructions: 1. Please complete form, typed, supplying all information 2. Place 3 copies inside Tote Box on top of records(one copy will be returned to you indicating the Location and Box number) 3. Email Iindab9Dcityofukiah notification box is ready for pickup RECORDS TRANSFER NOTICE Location: Box: J-0 bi tr 1-( 509.14 Title (from Records Retention Schedule): Classes, Schedules, Events Dates of Contents: October 2013-December 2018 Detailed Listing of Contents: Rec Guide WS 2019 — Class Proposals and Ads PumpkinFest Baking Contests 2013-2017 Moonlight Movie Madness 2016 — Sponsors, Purchases All American Picnic 2016 — Sponsors, Purchases (Please list contents of box in as much detail as possible, imagine searching for something in this box 10 years from now and needing to use key words for the search engine—please include that type of detail.) RECORiV%"P" TRANSFER NOTICE Date Department UserlSender(first and last) Location Box 7124/07 Community Services Katie Merz I O a C� Official Record Title(from Records Retention Schedule) Records are: Record Dates Misc. Recreation Files Confidential FROM 2001 To 2002 DateNear to consider destruction: 2021 Permanent? Retention Period (from Records Retention Schedule) No 19 years Detailed Listing of Tote Box Contents(Please Do Not Write on Box): 2001 • Recreaction Classes Registration Forms Instructor Payments 2002 • Recreaction Classes • Registration Forms • Instructor Payments Instructions: 1. Please complete form, typed, supplying all information 2. Place 3 copies inside Tote Box on top of records(one copy will be returned to you indicating the Location and Box number) 3. Email lin b cit cfukiah notification box is ready for pickup RECORDS TRANSFER NOTICE Date Department User/Sender(first and last) Location Box 7124/07 Community Services Katie Merz ) 63 3503 Official Record Title(from Records Retention Schedule) Records are: Record Dates Misc. Recreation Files Confidential FROM 1999 To 2003 DateNear to consider destruction: 2022 Permanent? Retention Period (from Records Retention Schedule) No 19 years Detailed Listing of Tote Box Contents(Please Do Not Write on Box): Misc.files from 1999-2003 For Rec Classes Basketball Forms 2003-2004 Instructions: 1. Please complete form, typed, supplying all information 2. Place 3 copies inside Tote Box on top of records(one copy will be returned to you indicating the Location and Box number) 3. Email fin b cit ofukiah notification box is ready for Rickup i RECORDS TRANSFER NOTICE Location: 1120 Box: (S-b t-f io 7 509.14 Title (from Records Retention Schedule): Schedules, Classes, and Events Dates of Contents: January 2015 — August 2018 Detailed Listing of Contents: All American Picnic 2015: 2016 Sponsors, Deposits, Purchases Family Fun in the Sun 2015 Sponsors, Deposits, Purchases Moonlight Movie Madness 2015 Sponsors, Deposits, Purchases Summer Vendors 2016 Sundays in the Park 2016 Sponsors, Deposits, Purchases, Band Info All American Picnic in the Park 2018 Deposits Family Fun in the Sun 2018 Deposits Bounce to the Stars 2018 Deposits (Please list contents of box in as much detail as possible;imagine searching for something in this box 10 years from now and needing to use key words for the search engine—please include that type of detail.) r r`% RECORDS TRANSFER NOTICE Date Department(from Records Retention Schedule) User/Sender(first and last) Location Box 10/19/2018 Administration Maya Simerson 13-6 ��- Official Record Title(from Records Retention Schedule) Records? Record Dates Ukiah Redevelopment Agency Public G or Golf Course Drainage Ditch Repair Confidential ❑ Information FROM 1998 to 2012 Date/Year to consider destruction Permanent? Retention Period(from Records Retention Schedule) Yes or No ❑ Ck4—f1,0 Detailed Listing of Tote Box Contents(Please type only): Redevelopment Ageney pfflpefty off AiFpeFt Read i�FmatieA aAd Long Range MaAagemen!PlaR Moved to Location 4ff1294,Box#00706 ,Redevelopment Agency Hi"of housing alleeatiens-Moved to Location 4 R294,Box#00706 Report on Redevelopment Agemey Low and Moderate 1 letising ABI 484 9R&F-2942i Pue diligence reviewW housing esset transferl firneaheetsO psym" Moved to Location 4ff1294,Box#00706 Agreed-upon procedures report 7/1/2011-1131/2012 AB1X26&A81X27 Financial Transactions of the Redevelopment Agency FY2011-2012 Redevelopment Agency status reports and project implementation plan 2009 Moved to Location 4ff1294,Box#00706 Instructions: 1. Please complete form, typed, supplying all information 2. Place 3 copies inside Tote Box on top of records(one copy will be returned to you indicating the Location and Box Number) 3. Email klawler(ft4yofukiah-com notification box is ready for pickup ay RECORDS TRANSFER NOTICE Location: l off. i 3 f Box: 6V`1(03 509.14 Title (from Records Retention Schedule): Schedules, Classes, and Events Dates of Contents: December 2018-January 2019 Detailed Listing of Contents: Ukiah on Ice Liability Forms 2018 (Please list contents of box in as much detail as possible;imagine searching for something in this box 10 years from now and needing to use key words for the search engine-please include that type of detail.) RECORDS TRANSFER NOTICE Location: 1 d131 Box: 00181 Title: 716.01 Bids, RFPs, RFQs, - Successful Detailed Listing of Contents: January 2009 through June 2009 Request for Bids(Civic Center/Annex Staff) l RECORDS TRANSFER NOTICE Date Department User/Sender(first and last) Location Box 4/27/2018 Community Services Daniel Spence , „ � Y-7 Official Record Title(from Records Retention Schedule) Records are? Record Dates Liability Insurance Forms(C) Public ❑ or Confidential ❑x Information FROM 2017—2018 DatelYear to consider destruction Permanent? Retention Period (from Records Retention Schedule) 512020 Yes ❑ or No ❑x CU f 2 Detailed Listing of Tote Box Contents (Please Do Not Write on Box): Ice Rink Liability Insurance Forms (C) 2017-2018 Participant Release from liability forms for 2017-2018 Ice Rink Instructions: 1. Please complete form, typed, supplying all information 2. Place 3 copies inside Tote Box on top of records (one copy will be returned to you indicating the Location and Box number) 3. Email klawler ci ofukiah notification box is ready for pickup RECORDS TRANSFER NOTICE Date Department User/Sender(first and last) Location Box 4/27/2018 Community Services Daniel Spence j Ll 3 1�-7 D to Official Record Title (from Records Retention Schedule) Records are? Record Dates etc Liability Insurance Forms (B) Public ❑ or Confidential ❑x Information FROM 2017—2018 DateNear to consider destruction Permanent? Retention Period (from Records Retention Schedule) 512020 Yes ❑ or No 0 CU + 2 Detailed Listing of Tote Box Contents (Please Do Not Write on Box): Ice Rink Liability Insurance Forms (B) 2017-2018 Participant Release from liability forms for 2017-2018 Ice Rink Instructions: 1. Please complete form, typed, supplying all information 2. Place 3 copies inside Tote Box on top of records (one copy will be returned to you indicating the Location and Box number) 3. Email klawler(o)cityofukiah notification box is ready for pickup RECORDS TRANSFER NOTICE Date Department User/Sender(first and last) Location Box 4/27/2018 Community Services Daniel Spence Official Record Title(from Records Retention Schedule) Records are? Record Dates lee;Rrnlc Liability Insurance Forms(A) Public❑ or Confidential 0 Information FROM 2017—2018 Date/Year to consider destruction Permanent? Retention Period (from Records Retention Schedule) 512020 Yes ❑ or No ❑x CU + 2 Detailed Listing of Tote Box Contents (Please Do Not Write on Box): Ice Rink Liability Insurance Forms (A) 2017-2018 Participant Release from liability forms for 2017-2018 Ice Rink Instructions: 1. Please complete form, typed, supplying all information 2. Place 3 copies inside Tote Box on top of records (one copy will be returned to you indicating the Location and Box number) 3. Email klavvler(a-)citvofukiah notification box is ready for pickup RECORDS TRANSFER NOTICE �ZMWMIKA,� LerW.W_& Location: 19 i4,7 Box: 5121-1U5 509.14 Title (from Records Retention Schedule): Schedules, Classes, and Small Events Dates of Contents: January 2017 — December 2018 Detailed Listing of Contents: Co-ed Futsal 2017 Summer Basketball 2017 Adult Basketball 2018 Summer Basketball 2018 Sand Volleyball 2018 Co-ed Volleyball 2018 Adult Softball 2018 Softball Tournaments 2018 (Please list contents of box rn as much detail as possible, imagine searching for something in this box 10 years from now and needing to use key words for the search engine—please include that type of detail) RECORD— ,RANSFER NOTICE Date Department: User/Sender: Location Box 419107 Community Services Maya Simerson Record Title(From Records Retention Schedule) Records are Record Dates: Month Year Month Year Recreation Binders Public Information or Confidential FROM: 2001 TO: 2002 Year to consider destruction: 2021 Permanent:? Retention Period: 19 yrs Yes or No _ Detailed Listing of Tote Box Contents(Do not write on Box): - 2001 Class Binder - 2001 Sundays in the Park - 2002 Sundays in the Park Instructions: 1.Please type or print legibly 2.Place 3 copies inside Tote Box on top of records one copy wilI be returned to you indicating the Location and Box number Records: Retention RECORD: .RANSFER NOTICE Date Department: User/Sender: Location Box 419107 Community Services Maya Simerson 9 3 3 J L 3 a Record Title(From Records Retention Schedule) Records are Record Dates: Month Year Month Year Recreation Binders Public Information or Confidential FROM: 1997 TO: 2001 Year to consider destruction: 2020 Permanent:? Retention Period: 19 yrs Yes _or No _ Detailed Listing of Tote Box Contents(Do not write on Box): - 1997 Concerts in the Park - 1998 Concerts in the Park - 2001 Girls Youth Softball Instructions: 1. Please type or print legibly 2. Place 3 co ies inside Tote Box on top of records(one copy will be returned to you indicating the Location and Box number) Records: Retention 016h RECORDS TRANSFER NOTICE Location: 2�5+ Box: OD 1-1 509.14 Title {from Records Retention Schedule): Schedules, Classes, and Small Events Dates of Contents: January 2018 — December 2018 Detailed Listing of Contents: Kids Triathlon 2018 - Registration Forms, Purchases Youth Basketball 2018 - Registration, Coach Forms, Sponsor Forms, Deposits Girls Youth Softball 2018 - Registration Forms, Deposits (Please list contents of box in as much detail as possible; imagine searching for something in this box 10 years from now and needing to use key words for the search engine-please include that type of detail.) RECORDS TRANSFER NOTICE Location: �.a7 Box: ? 509.14 Title {from Records Retention Schedule): Schedules, Classes, and Events Dates of Contents: October 2015 — October 2017 Detailed Listing of Contents: PumpkinFest: Sponsors, Purchases, Contracts Baking Contest, Parade PumpkinFest 2015 PumpkinFest 2016 PumpkinFest 2017 (Please list contents of box in as much detail as possible;imagine searching for something in this box 90 years from now and needing to use key words for the search engine-please include that type of detail.) RECORDS TRANSFER NOTICE CtW Wwvvw'k j 2�rv7 -S Location: _ h Box: 6V Li70 509.14 Title (from Records Retention Schedule): Schedules, Classes, and Events Dates of Contents: January 2009 — August 2017 Detailed Listing of Contents: Art in the Foyer 2009-2017 Recreation Guide: Class Proposals, Ads, Proofs Winter Spring 2016 Recreation Guide Summer 2016 Recreation Guide Fall 2016 Recreation Guide Winter Spring 2017 Recreation Guide Summer 2017 Recreation Guide (Please list contents of box in as much detail as possible;imagine searching for something in this box 10 years from now and needing to use key words for the search engine-please include that type of detail.) RECORDS TRANSFER NOTICE Date Department(from Records Retention Schedule) User/Sender(first and last) Location Aj 317 Box 1130/19 Community Services Julie Whiteaker Q-$ Official Record Title (from Records Retention Schedule) Records are? Record Dates Adult Softball & Kids Triathlon (2017) Public❑ or Confidential El Information FROM Jan 1 2017—Dec 312017 DateNear to consider destruction Permanent? Retention Period (from Records Retention Schedule) 12J31120T9 ' 7�0 Zz' Yes ❑ or No El CU+2 Detailed Listing of Tote Box Contents (Please_tyge only): Adult Softball Files • 2017 Bud Light Tournament 2017 Adult Softball League • 2017 Coors Light Tournament • 2017 Fall Ball League • 2017 Strike Out Cancer Tournament Kids Triathlon 2017 Kids Triathlon—All Files Old Short Form Books Instructions: 1. Please complete form, typed, supplying all information 2. Place 3 copies inside Tote Box on top of records(one copy will be returned to you indicating the Location and Box Number) 3. Email klawler acitvofukiah corn notification box is ready for pickup RECO TRANSFER NOTICE ) Date Department User/Sender(first and last) Location Box 6-21-10 Community Services Katie Merz Official Record Title(from Records Retention Schedule) Records are? Record Dates Recreation &Youth Basketball r 22 Public❑ or C`'�2 q D r4 O Confidential ❑ Information FROM 2006 to 2006 Date/Year to consider destruction Permanent? Retention Period (from Records Retention Schedule) 2021 Yes ❑ or No ❑ Detailed Listing of Tote Box Contents (Please Do Not Write on Box): 2005 Youth Basketball • Coach Forms • Sponsor Forms • Schedules 2006 Classes • Recreation Leisure Classes for all ages • Registration Forms • Instructor Payments Instructions: 1. Please complete form, typed, supplying all information 2. Place 3 copies inside Tote Box on top of records(one copy will be returned to you indicating the Location and Box number) 3. Email lindab4cityofukiah notification box is ready for pickup RECO , S TRANSFER NOTICE 1 Date Department User/Sender(first and last) Location Box 6-21-10 Community Services Katie Merz Official Record Title(from Records Retention Schedule) Records are? Record Dates Youth Basketball 2006-2007 Forms& Files Public❑ or Confidential ❑ Information FROM 2006 to 2007 Date/Year to consider destruction Permanent? Retention Period(from Records Retention Schedule) 2021 Yes ❑ or No ❑ Detailed Listing of Tote Box Contents(Please Do Not Write on Boxl: Youth Basketball Program Files • Staff Application forms • Youth registration forms • Coach forms Instructions: 1. Please complete form, typed, supplying all information 2. Place 3 copies inside Tote Box on top of records (one copy will be returned to you indicating the Location and Box number) 3. Email lindabOcitvofukiah notification box is ready for pickup RECORDS ..<ANSFER NOT ICE Date Department: User/Sender: Location Box 412107 Community Services Maya Simerson Record Title(From Records Retention Schedule) Records are Record Dates: Month Year Month Year Public Information Recreation Sports and Class Binders or Confidential FROM: 2002 TO: 2003 Year to consider destruction: 2021 Permanent:? Retention Period: 19 yrs Yes or No Detailed Listing of Tote Box Contents(Do not write on Box): - 2002 Co-Ed Softball - 2002 Men's Softball - 2003 Youth Basketball - 2003 Men's Basketball Instructions: 1.Please type or print legibly 2.Place 3 copies inside Tote Box on top of records(one copy will be returned to you indicating the Location and Box number RECORDS TRANSFER NOTICE Date Department: Community Services User/Sender: Location Box MARiE ULVILA � 2/7/2006 U Record Title (From Records Retention Schedule) Records are Record Dates: Month Year Month Year Public Information or Confidential _ ? FROM: 1999 TO: 2002 Year to consider destruction: Permanent:? Retention Period: Yes or No Detailed Listing of Tote Box Contents(Do not write on Box): Banner Program Does Skatepark Does Pool/ American Red Cross Does Pumpkinfest Misc. Grants Instructions: 1. Please type or print legibly 2. Place 3 copies inside Tote Box on top of records (one copy will be returned to you indicating the Location and Box number) Records: Retention RECORDS TRANSFER NOTICE Date Department User/Sender(first and last) Location Box 3116/17 Community Services Julie Webb 13t' Lf(e U'� Official Record Title(from Records Retention Schedule) Records are? Record Dates �A' ll -X Public ❑ or Personn L �mpl ee i ed Documents) Confidential ❑x InformationrLej FROM 0110 1 1201 1 TO 12/31/16 Date/Year to consider destruction Permanent? Retention Period (from Records Retention Schedule) December 2019 _ Gk Ter �h �'1 f"3 Yes ❑ or No ❑x AeTfOIE­+-S' &,t4 f 2-/ T-t-3 Detailed Listing of Tote Box Contents (Please Do Not Write on Box): *Miscellaneous Employee Documents (Sports) Bailey Anderson, Mario Aparicio, Dimitri Betts, Kevin Bonner, Emily Brooks, Quintin Brown, Emily Broaddus, Eric Budar Morales, Jacob Carter, Thomas Carter,Tyler Carter, William Cayler, Andrea Chase, London Chase, Michelle Chown, Sydney Claybon, Raquel Contreras, Yarely Contreras, Baillee Dayton, Cheyanne Davis, Payton De Los Santos, Led Fissel, William Forbes, Vanessa Garcia, Josh Gernert, Jocelyn Hale, Jasmyne Haralson, Haley Higgins, Corey James,Taylor Janowicz, Caden Johnson, William Johnson, Bayliee Kaiser, Delaney Kindopp, Jordon King, Mahala Kuchne, Kelsea LaRue, Eliana Malicay, Adrian Mata, Tyler Mendosa, Cesar Mendosa, Solana Mirata, Mia Mendoza, Amanda Moniz, Jr. Bett Moniz, Sabrina Moore, Katrina Ohleyer, Richard Ortega-Knox, Stasia Pinnegar, Cassidy Schutz, Robin Stout, Michaela Terrell, Will Thom, Kenneth Trotter, Courtney Warren, Cara Watts, Jevin Wolfe, Hailey Young *Decline Applications *Interview information for non-hires *Mist PAFs Employee Timesheets (YB 2010-2013) Facility Rental Applications & Insurance (2011-2015) Instructions: 1. Please complete form, typed, supplying all information 2. Place 3 copies inside Tote Box on top of records (one copy will be returned to you indicating the Location and Box number) 3. Email clawler cit ofukiah notification box is ready for pickup r-MN, RECORDS TRANSFER NOTICE Date Department(from Records Retention Schedule) User/Sender(first and last) Location Box 9-2-14 Community Services Rilee Dockins 16-0 Official Record Title(from Records Retention Schedule) Records are? Record Dates Schedules, Classes& Events Public 0 or Confidential ❑ Information FROM 4/1/2002 to 9/25/2002 DateNear to consider destruction Permanent? Retention Period (from Records Retention Schedule) Sept. 2020 Yes ❑ or No ❑x CU + 6 Detailed Listing of Tote Box Contents (Please type only): 2002 Employee Applications for SSDC Counselors - SSDC Program Evaluations - SSDC Sign-in Sheets SSDC Purchases& Orders SSDC Payment Records NCO Child Care Certificates from SSDC SSDC Sign-up Sheets SSDC Pick-up Authorization Sheets SSDC Registration Forms Instructions: 1. Please complete form, typed, supplying all information 2. Place 3 copies inside Tote Box on top of records(one copy will be returned to you indicating the Location and Box Number) 3. Email klawler(acityofuk-ah com notification box is ready for pickup RECORDS TRANSFER NOTICE 01 Date Department User/Sender(first and last) Location rk `Q Box 113119 Community Services Marianne Davison `� 0J6& Official Record Title(from Records Retention Schedule) Records are? Record Dates Schedules, Classes, and Events Public or Confidential 21 Information FROM January 2018-December 2018 Date/Year to consider destruction Permanent? Retention Period (from Records Retention Schedule) .G�-2- "< Yes ❑ or No ❑x CU +2 Detailed Listing of Tote Box Contents(Please Do Not Write on Box): Instructor Payments Instructions: 1. Please complete form, typed, supplying all information 2. Place 3 copies inside Tote Box on top of records (one copy will be returned to you indicating the Location and Box number) 3. Email k!awleracityofukLah notification box is ready for pickup RECORDS TRANSFER NOTICE Date Department: User/Sender: Location Box 8/29/03 Community Services Lindsey Wright O Record Title (From Records Retention Schedule) Records are Record Dates: Month Year Month Year Public Information Swim Lesson Registration Forms or Confidential FROM: 2003 TO: 20 Year to consider destruction: 2022 Permanent:? Retention Period: 19 years Yes or No Detailed Listing of Tote Box Contents (Do not write on Box): -SWIM LESSON REGISTRATION FORMS Instructions: 1. Please type or print legibly 2. Place 3 copies inside Tote Box on top of records one copy will be returned to you indicating the Location and Box number Records: Retention RECORDS TRANSFER NOTICE Date Department: User/Sender: Location Box 8/29/03 Community Services Lindsey Wright joiq 2qqo Record Title(From Records Retention Schedule) Records are Record Dates: Month Year Month Year Public Information 2002 Pool Records or Confidential FROM: 2002 TO: 2,<1 Year to consider destruction: 2021 Permanent:? Retention Period: 19 years Yes —or No Detailed Listing of Tote Box Contents (Do not write on Box): -Session 1 —Swim Lessons (2 Envelopes) -Session 2—Swim Lessons -Session 3—Swim Lessons (2 Envelopes) -Session 4—Swim Lessons (2 Envelopes) Instructions: 1. Please type or print legibly 2. Place 3 copies inside Tote Box on top of records one copy will be returned to you indicating the Location and Box number Records: Retention RECORDS TRANSFER NOTICE Date Department: User/Sender: Location Box 8/29/03 Community Services Lindsey Wright Record Title (From Records Retention Schedule) Records are Record Dates: Month Year Month Year Public Information ` 2001 Pool Records or Confidential FROM: 2001 TO: Year to consider destruction: 2020 Permanent:? Retention Period: 19 years Yes or No Detailed Listing of Tote Box Contents (Do not write on Box): -Session 1 —Swim Lessons -Session 2—Swim Lessons -Session 3—Swim Lessons Session 4—Swim Lessons - Session 5--Swim Lessons -Time Cards - Birthday! Private Parties Accident Reports - Incident Reports - Old Schedules -Count out - Daily Admissions -Chemical Reports Instructions: 1. Please type or print legibly 2. Place 3 co ies inside Tote Box on to of records one copy will be returned to you indicating the Location and Box number Records: Retention RECORDS TRANSFER NOTICE Date Department: User/Sender: Location Box 9/25/03 Community Services Lindsey Wright 1036 25 I q Record Title(From Records Retention Schedule) Records are Record Dates: Month Year Month Year Softball, youth basketball registration forms &other Misc. forms Public Information or Confidential FROM: 1999 TO: 2002 Year to consider destruction. 2021 Permanent:? Retention Period: 19 yrs Yes —or No Detailed Listing of Tote Box Contents(Do not write on Box): -Softball Reg.Forms K-2,3-4,5-6, 7-8,&High School 9-12 -Youth Clinic -Pool inspection -Misc.CO-ED Softball 1999 -Girl's softball league - Basketball—girls 1 &2 - Basketball—girls 3 &4 - Basketball—girls 5 & 6 - Basketball—girls 7 & 8 - Basketball—girls high school -Basketball—boys 1 &2 -Basketball—boys 3&4 -Basketball--boys 5&6 - Basketball—boys 7 &8 - Basketball—boys high school -2001 —02 basketball -2001 basketball -2001 basketball -Scholarships Instructions: 1. Please type or print legibly 2. Place 3 copies inside Tote Box on top of records one copy will be returned to you indicating the Location and Box number Records: Retention RECORDS TRANSFER NOTICE Date Department(from Records Retention Schedule) User/Sender(first and last) Location '�y l oq� Box 8/29/17 Community Services Marianne Davison j GG G Official Record Title (from Records Retention Schedule) Records are? Record Dates Class Registrations Public ❑ or Schedules, Classes, and Small Events FROM 2013 to 2014 Confidential ❑ Information Date/Year to consider destruction Permanent? Retention Period (from Records Retention Schedule) �J) 23 I Yes ❑ or No ❑x CU+2 Detailed Listing of Tote Box Contents (Please type only): Summer Safari Spring Break Style Daycamp Binders • Pick Up Authorization Forms 2013 • Admission Agreement/Payment Records 2013 • Release From Liability Forms 2013 • Sign in/Sign out Forms 2013 Summer Safari Daycamp Binders • Pick Up Authorization Forms 2014 • Admission Agreement/Payment Records 2014 • Release From Liability Forms 2014 • Sign in/Sign out Forms 2014 Instructions: 1. Please complete form, typed, supplying all information 2. Place 3 copies inside Tote Box on top of records (one copy will be returned to you indicating the Location and Box Number) 3. Email klawler .citvofukiah.com notification box is ready for pickup RECORDS TRANSFER NOTICE Date Department User/Sender(first and last) Location 4 Box 1/3/19 Community Services Marianne Davison to G,3 Official Record Title(from Records Retention Schedule) Records are? Record Dates Schedules, Classes, and Events Public or Confidential 1E Information FROM January 2016-January 2018 DateNear to consider destruction Permanent? Retention Period (from Records Retention Schedule) 1/2021 Yes ❑ or No ❑x CU +2 Detailed Listing of Tote Box Contents (Please Do Not Write on Box).- Instructor Payments Banner Program Deposit Sundays in the Park and Moonlight Movie Madness Vendor Information 2018 Instructions: 1. Please complete form, typed, supplying all information 2. Place 3 copies inside Tote Box on top of records(one copy will be returned to you indicating the Location and Box number) 3. Email klawler ci. ofukiah notification box is ready for icku RECORDS TRANSFER NOTICE Location 4ee1271 Box # 00655 _ Title 501.04 Personnel Records (from Records Retention Schedule;please include number Dates of Contents 111116-12131116 mm/dd/ —mm/dd/ Department Community Services Name of Person ? (box was left in N. chamber hallway w/o a Submitting Box transfer notice Date of Submission 815121 (clerk is submitting in lieu of missing notice Confidential ® Public❑ CU + 2 = 2019 Detailed Listing of Contents: (Please list contents of box in as much detail as possible; imagine searching for something in this box 10 years from now and needing to use key words for the search engine-please include that type of detail.) Poindexter, Jordan Duncan, Ashlee Myers, Christina More, Zoe Duncan, Cardell Ortega, Brianna Mayfield, Kate Ferrick, Jay Pardini, Kayla Young, Hailey Franco, Adriana Perez, Selana Lopez, Cristina Forbes, Hannah Peters, Easton Killen, Shelby Franzen, Beau Quadrio, Autumn Maki, Alex Frausto, Carlos Ramirez, Kenya Ferrick, Thomas Gamble, Sequoia Ramsey, MyKala Grebil, Nathan Grivette, Kendra Raya, Ivan Shoemaker, Jamie Handy, Sarah Ruiz, Karina Gonzalez, Emmanual Hardwick, Crhis Scott, Nina Ferrick, Thomas (second Henson — Parsons, Natae Smallcomb, Kyndle folder) Hume, Robert Smith, Devon Dockins, Rilee Kemp, Nico Smith, Jordon Dewey, Jonathan Khan, Mohandus Smith, Peyton Armstrong, Christopher Kirsch, Gracianne Solomon, Cameron Barajas, Isaisah Krofchik, Robert Terrell, Michaela Barba, Giovanni La Monica, Zachary Turkvan, Tyana Bowman, Desiree Lieben, Daniel Turner, Tristan Carson, Craig Lincoln, Lanie Vargas, Esmeralda Carter, Zachary Laflin, Hannah Vau, Victoria Coburn — Pruett, Melissa Loflin, Rylie Wam, Ema Coly, Bakyne Maurer, Sidney Wann, Jack Cantreras, Miguel (Mikey) McClure, Kira Whiteaker, Andrew Correa, Susana Medina, Ivan Wieden, Tyler De Los Santos, Donoavan Milani, Desiree Williams, Jesse Duong, Kim Murry, Clayton Ortega, Melissa CITY OF UKIAH RECORDS DESTRUCTION NOTICE Date: 4/5/22 Department: Human Resources-Risk Management Current retention schedules show that the attached records listed are now ready for review for records destruction. Instructions: 1. Review the attached listing (if needed, you may obtain a copy of the retention guidelines from City Clerk) 2. If only a portion of the box is to be kept, remove it and start a new box with a new transfer notice; Follow normal retention box submission instructions, which can be obtained from City Clerk if needed. 3. If the entire box is to be kept, change the date/year to consider destruction on the attached list, and give back to the City Clerk. 4. For boxes that are okay to proceed with destruction, obtain Department Head's signature and return this notice, along with the attached list to the City Clerk. NOTE: Please keep in mind that we only have a set number of box storage locations. Only keep records past their retention deadline if it is necessary. Thank you for your cooperation in keeping our records management system working smoothly. Kristine Lawler, City Clerk DATE SIGNATURE Department Head City Clerk v � City Attorney May 4, 2022 � G V�� h Darcy Vau n(May 4, 02212:54 PDT) City Council Destroyed HUMAN RESOURCES CONTAINER SHELF LOCATION BOX# Date Rec'd Central RECORD TITLE RECORD DATES RETAIN USER/SENDER DEPARTMENT COMMENT File# UNTIL 1 a 30 4247 2/3/2014 Immigrant; Fingerprint App.; Motor 2003-2013 2021 Denise Olmstead HR/Risk Mgmt Vehicle Pulls 2 k 431 202 8/23/2019 902.23 Training Records: Safety 1/1/94-12/31/14 2021 Lory Limbird HR/Risk Mgmt 3 s 789 4594 6/22/2016 Incident Reports 2008 - 2014 2021 Melody Harris HR/Risk Mgmt EXTRA SPACE AVAILABLE HERE 3 s 792 4595 6/22/2016 Claims for Damage 2011 - 2016 2021 Melody Harris HR/Risk Mgmt RECORuS TRANSFER NOTICE Date Department(from Records Retention Schedu e) User/Sender(first and last) Location Box 02103/2014 HUMAN RESOURCES 1 RISK MANAGEMENT DENISE OLMSTEAD i 7 Official Record Title(from Records Retention Schedule) Records are? Record Dates Immigrant Public❑ of Immigrant- From:2003 To:2013 Fingerprint-Application Files Confidential 3+ Information Fingerprint-From:2003 To:2013 Motor Vehicle Pulls(DMV) DMV-from:2008 To:2013 DateNear to consider destruction 2021 Retention Period(from Records Retention Schedule) Detailed Listing of Tote Box Contents(Please type only) Permanent? Immigrant:Date of Hire+3 Yes ❑ or No IFingerprint:T+2 1-9(former Employees)2003—2013 1-9(former Recreation)2010-2012 Live Scan(Former Employees)2003-2013 Live Scan(Former Recreation)2007-2012 DMV Pull Notices—Inactive Employees 2009-2013 Instructions: 1.Please complete form,typed,supplying all information 2.Place 3 copies inside Tote Box on top of records(one copy will be returned to you indical ng the Location and Box Number) 3.Email k ruk h rorn notification box is reacy for p tcku r RECORDS TRANSFER NOTICE Location: 2 k 431 Box: 00202 Detailed Listing of Contents: (Please list contents of box in as much detail as possible;imagine searching for something in this box 10 years from now and needing to use key words for the search engine—please include that type of detail) Trainina Records —Safety Rubber Glove Training 2014 Defibulator/CPR Training 8/26/2009 CPR/AED & First Aid Training May 2010 Forklift Training Aug 2011, March 2014 CPR & First Aid Training June 2008 City Vehicle Use/Rental procedure LCW "Preventing Workplace Harassment, Discrimination & Retaliation 6/11/2008 Safety related invoices Vaccination research Misc Training Health & Safety Requests Safety Rules and Practices, no date IIPP revisions July 2007 IIPP masters IIPP revisions & notes Employee Emergency Evacuation/Relocation Procedures IIPP Forms Emergency Management Training 2007-2008 Disaster Service Workers Emergency cards —GETS Water/Sewer Spill Response & Notification Plan 1/30/2002 Sewer Overflow Emergency Response Plan 2009 My Safety Officer My Safety Officer Training 2010 Past Employer Info DOT Employee Training Certificates 1994 City's DOT policy Signed DOT Drug Alcohol testing Driver Evaluation Forms DMVICHP Regulations DOT— Employee Training 2008 DMV Audit 2007 CHP— DOT Audit 2010 DOT Supervisory Training Certificates —Alcohol misuse DOT Supervisory Training Certificates — Substance Abuse DOT Supervisory Training Acknowledgements Signed Employee Training for CDL Policy Drafts Original DOT policy t" RECORDS E RANSFER NOTICE Date Department(from Records Retention Schedule) UsertSender(first and last) Location Box 612212016 RISK MANAGEMENT Melody Harris Official Record Title(from Records Retention Schedule) Records are? Record Dates !! Public❑ or Incident Reports Confidential Information FROM 2008 to 2014 DatetYear to consider destruction Permanent? Retention Period(from Records Retention Schedule) 2021 res ❑ or No❑ CL+7 Detailed Listing of Tote Box Contents(Please type onlv). AirportlAshlin Pacific Corp.USA Incident 1012/2009 Electrical Outage 118/2009 Pumpkinfest Incident 10/1812008 Miscellaneous Corp Yard Thefts 2008 Ph Water Treatment Plan Incident 2007 NCRA incident 2008 Ukiah Valley Conference Ctr Painting Inquiry 2008 Pac Bel Class Action Notification 2008 Marsh Class Action/Settlement 2008 incident Reports 2012-2014 Instructions 1 P ease complete form,typed,supplying all information 2 P ace 3 copies inside Tote Box on top of records(one copy will be returned to you indicating the Location and Box Number) 3 Email klawleEQcjtvofukiah com notification box is ready for pickup RECORDS t RANSFER NOTICE Date Department(from Records Retention Schedule) UserlSender(first and last) Location Box 612212016 RISK MANAGEMENT Melody Harris p 459 Official Record Title(from Records Retention Schedule) Records are? Record Dates Publicjx or Claims,Damage Confidential Information FROM 2011 to 2016 Date/Year to consider destruction Permanent? Retention Period(from Records Retention Schedule) 2021 Yes ❑ or No Or CL+5 Detailed Listing of Contents: Mendocino County Board of Supervisors Claim&Lawsuit 2011 Murray.Clayton 2014 Allman,Thomas D.c10 Pano Stephens 2014 2015 Andrade,Shawn 2014 Pear Orchards Danielle Associates Atterbury,Daniel 2015 Pearson,Sydney 2012sates 2015 Beltrami,Tricia 2015 Pettit,Brianna 2013 Black,Elizabeth 2015 Pummill,Carolyn 2014 Chan,Paul&Hing Family Trust 2015 Reams,Stephan 2015 County of Mendocino for Emma Saucido 2014 Redwood Business Park of Ukiah 2010 Crowder,James 2013 Reyes,Rolando 2014 Dunn,George&Julie 2013 Rogers,John&Delynne 2015 Electric Expiosion 1.8.09 Roth,Kim 2015 Elliott,Patricia 2015 Tate.Kim 2014 Fackrell,Robert F.2013 Thompson,Don to 2015 Garcia Ortiz,Adriana 2014 Travis Janice Mane 2013 Gonzalez,Jaime 2014 Trent Jason K T 2014 liar,Jaanne 2014 Trombley.Jessica Go Editte Lerman 2014 Jaques,Jacob 2014 Ukiah Unified School District for Anita McAvoy 2011 Jones,Ernest 2008 Water Theft Claims 2013 Kaufman Abbey 2013 Weselsky.Tammi 2016 Kelly,Shirley 2014 White,Anna 2011 Kennedy,Jeanne 2014 White,Brenda 2011 Kueberth,Noelle 2012 White,William 2011 Lair,Steve and Cathy 2012 Wolk Renna-Le 2013 Lyly,Galen 2015 Young,Gregg 2016 Mac Nab's Mens Wear 2015 Zeman,Mike 2013 Mayland,Laurel 2014 Instructions. 1.Please complete form,typed,supply ng all information 2.Place 3 copies inside Tote Box on top of records(one copy will be returned to you indicating the Location and Box Number) 3.Email[� _t�olulc�ah.tom notification box is ready for pickup