HomeMy WebLinkAbout2012-211 8 . G -
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FLORIDA DEPARTMENT Ot STATE
IN
RICA SCOTT REN DETWER
Governor Secretary of State
November l ; 2012
Ms. Laura E. Vasquez
Indian River County Board of County Commissioners
1801 27th Street, Building A
Vero Beach, FL 32960-3365
Dear Ms. Vasquez :
As a Florida public agency, you are required by Rule 1B-24.003 ( 11 ), Florida Administrative Code, to
submit annually to the Division of Library and Information Services "a signed statement attesting to the
agency' s compliance with records disposition laws, rules, and procedures." Based on these annual
statements, our office submits an annual report on statewide compliance to the Legislature and the
Executive Office of the Governor for their consideration and action.
For your convenience, we are providing you with the enclosed Records Management Compliance
Statement to report your agency' s compliance status. Please complete all information in Section I,
Compliance Certification, and make any necessary additions or corrections to your agency or Records
Management Liaison Officer information in Sections II and III. Please return one signed copy of the form
(do not return this letter) to the mailing address or email address (no faxes) indicated at the bottom of the
form by December 31 , 2012 .
We appreciate your prompt attention to this matter. If we can be of service to your agency, please do not
hesitate to contact us at 850.245 .6750 or by email at recingtWosmAorida. come
Sincerely,
Gerard J. Clark, Bureau Chief, Archives and Records Management
Division of Library and Information Services
GJC/eg
Enclosure
DIVISION OF LIBRARY AND INFORMATION SERVICES
R. A. Gray Building • 500 South Bronough Street • Tallahassee, Florida 32399-0250
Telephone: 850.245.6600 • Facsimile: 850.245.6282 • httpe //Info6florida.gov
Commemorating500ymm ofFiorida history www.fla500:com
VIVA 110IIIIIA5011. VIVA ADRIB5004
RECORDS MANAGEMENT COMPLIANCE STATEMENT
for Fiscal Year 2011 =2012
AgencylD: C0620500
1 . This agency is in compliance with Section 257.$6(5), Florida Statutes', and Rule 18-24.003(9), Florida
AdmjVj#;radve Codes, for all public records regardless of media or format (e.g., paper, electronic including
lr jl% m e n @* , audio, video, etc.).
400 Of
Ye Please explain and indicate areas in need of assistance on reverse side.)
m 2:' a as�iiseosed of 42 cubic feet of records for the fiscal year indicated above. (it Is not
a tr' k no indioa4 volume of electronic records disposed.)
m •
C * NEW
43111 Agelogo N S�'�,.•Q re: < • Date: 1 —(kl- 1
CL 004 1
0 y'�lead ( . ea print): Joseph E . Flescher
Title of Agency Head (please print). Chairman , Board of County Commissioners
Please indicate changes to Agency Information on lines provided on right.
C Current Information:
Please do not erase or cover Information below. Indicate changes or additions on lines below:
Agency Name: Indian River County Board of County Commissioners ,
O
0 = Agency Head: Mr. Gary C. Wheeler Joseph E . Flescher
H Address: 180127th Street, Building A
d
Or
Q
Vero Beach, Florida 32960-3365
Section 257.36(5)(a), Florida Statutes' , reu res public agencies to designate a Records Management Liaison Officer
(RMLO). Please indicate changes to RMLO Information on lines provided on right. If Current Information is blank, please
designate an RMLO for your agency on lines provided on right.
0
Current Information:
_ Please do not erase or cover Information below. Indicate changes or additions on lines below
0 RMLO: Ms. Laura E. Vasquez
00 ddress: 1801 27th Street, Building A
Vero Beach, FL 32960-3365
J
Phone: (772) 226-1919 Ext.:
Fax: (772) 770-5334
Email: Ivasquezercgov.00m
'Section 257.38(5), Florida Staft0s. TO the purposes of this section, the tern °agency° shall mean any state, county, district, or municipal officer,
department, division, bureau, board, commission, or other separate unit of govemment created or established by law. It is the duty of each agency
to:
(a) Cooperate with the division in complying with the provisions of this chapter and designate a records management liaison officer. (b) Establish
and
maintain an active and continuing program for the economical and efficient management of records,"
YRule 18-24.003(9), Florida Adminis6 ative Code: °Public records may be destroyed or otherwise disposed of only in accordance with retention
schedules established by the Division. Photographic reproductions or reproductions through electronic reoordkeeping systems may substitute for the
original or paper copy, per Section 92.29, F.S., Photographic or electronic copies. . .Prior to records disposition, agencies must ensure that all
retention
requirements have been satisfied. For each record series being disposed of, agencies shall identify and document the following: l . Records retention
schedule number, 2. Item number, 3. Record series title; 4. Inclusive dates of the records; 5. Volume in cubic feet for paper records; for electronic
records, record the number of bytes and/or records and/or files If known, or indicate that the disposed records were In electronic form , and 6.
Disposition action (manner of disposition) and date."
Please complete and return this compliance statement by December 3j . 2012 (submit one cony only, please) to:
Department of State
Records Management Program , Mail Station 9E OR Email to: recmgt@dos.myflorida.com
Tallahassee, FL 32399=0250
RECORDS DISPOSITION DOCUMENT NO.
PAGE 1 OF 1 PAGES
1 . AGENCY NAME and ADDRESS 2. AGENCY CONTACT (Name and Telephone Number)
Indian River County BCC
Human Resources Department Shelley Nowlin
1800 27th Street , ( 772 ) 226 - 1456 Ext .
Vero Beach , Florida 32960
3. NOTICE OF INTENTION : The scheduled records listed in Item 5 are to be disposed of in the manner checked below (specify only
one) .
® a . Destruction ❑ b . Microfilming and Destruction ❑ c. Other
4. SUBMITTED BY: I hertooteby c ify that the records to be disposed of are correctly represented below, that any audit requirements
for
the re fu stifle nd that further retention is not required for any litigation pending or imminent.
es A. Sexton Director 01 /12/2012
Sign Name andTtitle Date i3R13
5 LIST �1F Re
f. g1
a. b. c, d. e• Volume Disposition
Inclusive In Action an
Schedule Item Title Retention InDates Cubic Date �
No. No. Feet Completed
After
Authorization
Personnel Records : FL Retirement
GS1 -SL o1 9 System 25 FY 10/1 /85 — 09/30/86 3 . 0
_.............. ........._..._......_...... . . ..... _._...._..........._._.__..............._......._....._. ......_._.__........._._...._... _................._.__..._.
.._......................_..._..._......_..................._....._.__..._._.__.. ........._.__.... .._.__. _._....__......_.......__._.............._..
GS1 -SL 111 Insurance Records 5 FY 10/1 /05 — 09/30/06 5 . 0
.........................I.........._... _....._..... ..__...._. .............._.....__........................._...._.............._-_...................................._........._......
._..__._..............................._...._......... .._........._...._._............_... ......_.__...._.......-___-.._..._..._..............._....._................_...._._......._......_......
......._ _.._..__._........_._.... __...._..._.........._....._.....................
GS1 -SL 17 Correspondence & Memoranda :
Administrative 3 FY 10/1 /06 — 09/30/07 2 . 0
.....................I.....I._.... ..........._. _. _. . ...._................,...................._.._........................_...................................._.._........_._..
_.._......_.._.__._..........._........... ............................._.__.._... ..._........_.._....__.._.._................._.._....__..._.....__...............__......._.._._......_.....
.._...._......_.........._.......... .._....__........_..._..................._._.........
.. ..... .. .
Equal Employment Opportunity
GS1 -SL 103 Compliance Records
A/A Survey Forms ) _ _ _ 4 Yrs 01 /01 — 12/31 /07 1 . 0
.... ......_...... . ........ ... ........ . . . . . . . . . . . . ..... _ _ .. .__.......... _. .............. _ _..........I....._.
. _ ........................._.............__.................._.............. ...... . _. .........._..;....... ._........_ ._..._ ......_........._ ._...._.
GS1 -SL 24 Employment Application & Selection
_._.._................._......_._. ......_. _. _.... ....Records (Record .Copy) __.._ ___._...................._......._..__.........._. .._..._2 Yrs 01 /01
— 12/31 /09 5 . 0
.... _.....�_..._..._............_.._.._. _ _ _ _..........__......... _._..__..............__.._.............__....
GS1 - SL 195 Payroll Records : Supporting Documents 3 Yrs 01 /01 - 12/31 /07 24 . 0
_._. ......_......._..._...._.._.... ..........._..._ ._..._.._....._ ---............_._..._......._._._..__............._......_. .._._._
_._........_...... .._....__..._....__....._._...._.......
GS1 -SL 66 Personnel Records : OPS/Volunteer/
Intern/Tem orary Employment ...........-444.1.........___.... _ ......_._3..FY.......... _._.._...__......._10/ 1 /07...__ ._09/30!08 1
. 0
_.............................. ... ......_......_.. ... .........._.......__..._._ ___......_ p. ._ _ . ........................
......................._... ......_..........__........_........ ......_._.._......_..............._._..._...........
GS1 -SL Bud et Records 2 FY 10/1 /08 — 09/30/09 1 . 0
6. DISPOSAL AUTHORIZATION : Disposal for the above listed records 7. DISPOSAL CERTIFIC TE: The above listed records have
been
is authorized. Any deletions or modifications are indicated. di f ' e m er and the date shown in column
Z ! � Iz
` Sign Date
James A. Sexton . H man Resources Director
Custodian/Records anagement Liaison Officer Date Name,W Title 1
Darcy R . Vasilas Az"
Witness
FOR HUMAN RESOURCES RECORDS ONLY :
Box # 1 =
2009 Employee Verification folder (more then 3 yrs)
09/ 10 Information Req.
y
January 19 , 2012
A F F I D A V I T
This is to certify that the following Personnel office files were taken to
the Indian River out landfill to be buried by Indian River County Landfill
employees on
Date
27 boxes containing a variety of legal and letter sized folders with .
personnel records - FRS ( FY 85 / 86 ) ; insurance records ( FY 05 / 06 ;
correspondence & memoranda ( FY 06 / 07 ) ; affirmative action records ( 2007 ) ;
employment applications & selection records ( 2009 ) ; payroll records
( supporting documents ) ( 2007 ) . personnel records temporary em p oyment ( FY
07 / 08 ) ; budget records ( FY 08 / 09 ) ; were disposed of on , in
accordance with authorization received from the Commissioner Assistant , Darcy
- Vasilas Board of County Commissioners Office , on
Date
I . Andrew R . Lawson , Personally witnessed the burying of the above Personnel
offic Mes at the Indian River County Landfill on
_ a:
rq:
D to
Andrew R . Lawson , Affiant
Tradesworker I
Facilities Management
Public Works Department
I , Shelley Nowlin , witnessed Andrew R . Lawson pick up the above
referenced Personas 1 office files for transport to the Indian River County
Landfill on a
Date
Shelley Now
Staff Assistant III
. Human Resources
records , 01 / 2012
1R