HomeMy WebLinkAboutDispositions Forms_04-24_11/13/2024_Public Works NO. D(f —�
RECORDS DISPOSITION DOCUMENT PAGE ( OF --)- PAGES
1. AGENCY NAME and ADDRESS 2. AGENCY CONTACT (Name and Telephone
VILLAGE OF TEQUESTA Number)
345 Tequesta Drive Lori McWilliams, MPA, MMC, (561) 768-0443 or
Tequesta, FL 33469 Mary Ann Grieser, CMC, (561) 768-0445
3. NOTICE OF INTENTION: The scheduled records listed in Item 5 are to be disposed of in the manner specified
below (specify only one).
Oa. Shred at Department Level O c. Send to Storage until O e. Recycle
Disposition Date Met
b. Send to Storage for Shredding O d. Remove from Server 0 f. Other
4. SUBMITTED BY(Department./Head/Senior Staff Member Only):
I hereby cert that the r r to'be disposed of are correctly represented below, that any audit requirements for the
records have b en# �;. and that further retention is not required for any litigation pending or imminent.
Doug Chambers, Director of Public Works _ c
Signat Name and Title (Dept. Head/Senior Staff only) Date
5. LIST OF RECORD SERIES
a. b. C. d. e. f. g.
Schedule Item Title Retention Inclusive Volume Disposition
No. No. Dates in Action and
Cubic Date
Feet (Completed After
Authorization
GS1-SL 193 Inspection Records: 4 CY 2018G1
Fire/Security/Safety/Health .01 I -(3 lOzV
GS1-SL 41 Property Transfer Records 1 FY 2017-2020 .02
GS1-SL 104 Equipment/Vehicle Maintenance Records 1FYafter 2002-2019 .01
disposition or
5FY after
GS1-SL 136 Project Files: Capital Improvement 10FY 2002 .01
GS1-SL 238 Public Program/Event Records 5FY 2018 .01
TOTAL CUBIC FEET THIS PAGE: .06
6. DISPOSAL AUTHORIZATION: Disposal for ;i"gnatureo'
DISPAL CERTIFICATE: The above listed records have been
the above listed records is authorized. Anydisposed of in the manner and on the date shown in column g.
de et' ns or modifications are indicated.
anL
,.e-- // I (� �� Janet McCorkle, Admin Ash h—13��
Jerk's Office Signature Date of Person Disposing of Records Name/Title Date
Routing:
1. Originates with Department Senior Manager, then 1. Originates with Department Senior Manager, then
2. Village Clerk's Office authorizes disposition, and returns to 2. Village Clerk's Office authorizes disposition and/or storage
3. Originating department to dispose and document column g, at the storage room and will contact Public Works to remove
then sends records
4. Completed form to Village Clerk's Office for permanent 3. Clerk's Office will be responsible for final disposition of
archival records at this point
Form Updated:9/21/21
OR
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Continuation Page
a. b. C. d. e. f. g.
Schedule Item Title Retention Inclusive Volume Disposition
No. No. Dates in Action and
Cubic Date
Feet (Completed
After
Authorization
1OFY after `
GS1-SL 64 completion or 2006 •01
termination of
agreement
GS1-SL 2 Administrative Convenience Records Obsolete 2012 .01
TOTAL CUBIC FEET THIS PAGE: .02