Agenda packet, first session — Bellflower City Council, February 10, 2025 (part 3 of 4)

C. Seek opinions from the Attorney General, HCD, and the OSFM regarding the desirability of the City’s utilization of SPARK in adopting the CFC.

D. Initiate litigation as needed to reaffirm the City’s ability to implement SPARK by, among other actions, adopting the CFC by reference (as reflected in the BMC) and amended by ordinance and implementing its Self Certification Program . No additional City Council authorization is required to initiate litigation in accordance with this Ordinance.

E. Coordinate with HCD, the Governor’s Office of Emergency Services and any other State or local agency to encourage adoption of SPARK as a model for efficient and effective reduction of barriers to development of affordable housing and commercial construction.

SECTION 4. Amendment to BMC. Bellflower Municipal Code (“BMC”) Chapter

15.40 is amended to read as follows:

“Chapter 15.40 FIRE CODE

15.40.010 Fire Code – Adopted by Reference; Where Filed.

* * *

Only the Bellflower Building Official is authorized to exercise the authority in CBSC § 105.4 including, without limitation, issuing building permits.

Pursuant to Health and Safety Code § 13869.7(h)(1)(B), the Building Official, or designee, is authorized to enforce the Fire Code.

15.40.020 Amendments.

* * *

B. Section 202 is amended by revising the following definitions:

FIRE CHIEF. The City Manager for the City of Bellflower, or designee.

Unless otherwise determined by the City Manager, the fire chief for the Consolidated Fire Protection District of Los Angeles County (“Fire District”) may enforce this Chapter as the “fire chief” and “fire official” for purposes of California Fire Code (“CFC”) § 202. Any such enforcement authority must be exercised in cooperation with the Public Safety Director and Building OfficialCity Manager or Designee(s) to ensure a uniform enforcement of applicable law within the City’s jurisdiction.

FIRE CODE OFFICIAL. “Fire Code Official” will have the same definition as “Fire Chief.”means the “Building Official.”
-6-

City of Bellflower
Ordinance No. 1439

Page 6 of 7 ends

SECTION 5. Construction. This Ordinance must be broadly construed to achieve the purposes stated in the Charter and this Ordinance. It is the City Council’s intent that the provisions of this Ordinance be interpreted or implemented by the City and others in a manner that facilitates the purposes set forth in this Ordinance and the Charter.

SECTION 6. Enforceability. Amending any provision of the BMC does not affect any penalty, forfeiture, or liability incurred before, or preclude prosecution and imposition of penalties for any violation occurring before this Ordinance’s effective date.

Any such amended part will remain in full force and effect for sustaining action or prosecuting violations occurring before the effective date of this Ordinance.

SECTION 7. Validity of Previous Code Sections. If this entire Ordinance or its application is deemed invalid by a court of competent jurisdiction, any repeal or amendment of the BMC or other regulations by this Ordinance will be rendered void and cause such previous BMC provision or other regulations to remain in full force and effect for all purposes.

SECTION 8. Reliance on Record. Every one of the findings and determinations in this Ordinance are based on the competent and substantial evidence, both oral and written, contained in the entire record relating to the project. The findings and determinations constitute the independent findings and determinations of the City Council in all respects and are fully and completely supported by substantial evidence in the record.

SECTION 9. Severability. If any part of this Ordinance or its application is deemed invalid by a court of competent jurisdiction, the City Council intends that such invalidity will not affect the effectiveness of the remaining provisions or applications and, to this end, the provisions of this Ordinance are severable.

SECTION 10. Recording. The City Clerk, or her duly appointed deputy, is directed to certify the passage and adoption of this Ordinance; cause it to be entered into the City of Bellflower’s book of original ordinances; make a note of the passage and adoption in the records of this meeting; and, within 15 days after the passage and adoption of this Ordinance, cause it to be published or posted in accordance with California law.

SECTION 11. Electronic Signatures. This Ordinance may be executed with electronic signatures in accordance with Government Code §16.5. Such electronic signatures will be treated in all respects as having the same effect as an original signature.

SECTION 12. Effective Date. This Ordinance will become effective 30 days after second reading and adoption.

-7-

City of Bellflower
Ordinance No. 1439

Page 7 of 7 ends

ORDINANCE NO. 1439 HAD ITS FIRST READING ON JANUARY 27, 2025, ITS SECOND READING ON FEBRUARY 10, 2025, AND WAS DULY PASSED,

APPROVED, AND ADOPTED BY THE CITY COUNCIL OF THE CITY OF BELLFLOWER AT ITS REGULAR MEETING OF FEBRUARY 10, 2025.

Ray Dunton, Mayor
ATTEST:

__________________________
Mayra Ochiqui, City Clerk

APPROVED AS TO FORM:

__________________________
Karl H. Berger, City Attorney

-8-

TO: Honorable Mayor and Members of the City Council

FROM: Ryan Smoot, City Manager
Karl H. Berger, City Attorney

SUBJECT: Consideration and possible action to 1) read by title only, waive further reading, and adopt Urgency Ordinance No. 1438; and 2) read by title only, waive further reading, and introduce Ordinance No. 1439 – An Ordinance amending Bellflower Municipal Code Chapter 15.40 and reaffirming the City Council’s determination that the City comply with regulations promulgated by the State of California to protect public health, safety and from the devastation of uncontrolled fire incidents.

DATE: January 27, 2025

EXECUTIVE SUMMARY

If adopted, Ordinance Nos. 1438 and 1439 will amend Chapter 15.40 of the Bellflower Municipal Code (“BMC”) to (1) reaffirm the City Council’s decision to utilize the California Fire Code (“CFC”) as codified in Title 24 of the California Code of Regulations (“CCR”); and (2) reauthorize the Building Official to utilize the CFC while reviewing building plans submitted to obtain building permits. Additionally, these Ordinances would authorize the City Manager and City Attorney to take certain actions in response to the Consolidated Fire Protection District of Los Angeles County (the “Fire District”) efforts to challenge the City Council’s ability to adopt the CFC in accordance with the CCR and applicable law. A related, but separate, agenda item recommends issuing legislative subpoenas regarding this subject.

RECOMMENDATION TO CITY COUNCIL

1) Adopt Urgency Ordinance No. 1438 upon 4/5ths vote; and

2) Read by title only, waive further reading, and introduce Ordinance No. 1439; or

3) Alternatively, discuss and take other action related to this item.

FISCAL IMPACT

The City will incur costs associated with the codification of the Ordinances. Separately, there will be costs resulting from the City Manager and City Attorney implementing Section 3 of the Ordinances, e.g., seeking opinions from the Department of Housing and Community Development (“HCD”) and the Attorney General’s Office (“AG”). These costs are difficult to substantiate at the time of this writing.

Page 1 of 2 ends

-9-
o“ 01: BELLFLO
“ s a
"o ROWING TOGETk‘YFS t f t

Staff Report – Ordinance Nos. 1438 and 1439
January 27, 2025

Page 2 of 2 ends

DISCUSSION

In February 2019, the City Council opted to amend the BMC to authorize the City’s Building Official to implement the City’s fire regulations when reviewing building plans (see, attached Staff Report dated February 11, 2019). Thereafter, in October 2019, the City Council opted not to ratify the Fire District’s regulations (found at Title 32 of the Los Angeles County Code of Ordinances)1 and instead adopted the CFC, with local amendments (see, attached Staff Report dated October 28, 2019). The Council again adopted the CFC, with local amendments, in 2022 (see, attached Staff Report dated November 14, 2022). Notably, the City specifically notified the Fire District regarding the proposed changes in 2019 (see, e.g., attached e-mail dated September 4, 2019). The Fire District, however, provided no communication on this matter until 2024.

As discussed in the separate agenda item regarding legislative subpoenas, the Fire District in 2024 challenged the City’s legal authority to adopt the CFC. The Fire District’s position is that its fire regulations – not those adopted by the State of California and incorporated by reference into the BMC – control within the City’s jurisdiction.

In November 2024, the voters overwhelming adopted the City Charter for Bellflower. As noted within the findings for the Ordinance, the City Council’s ability to adopt the CFC and authorize the Building Official to implement the CFC while reviewing building plans is squarely within the City’s legal authority: both under California law and the City Charter.

The proposed Ordinances would, if adopted, reaffirm the City Council’s decision to utilize the CFC for reviewing building plans and authorize the Building Official to approve (or deny) such plans. Only the Building Official has the legal authority to issue building permits. Nothing in the Ordinances prevents the Fire District from enforcing the CFC.

Indeed, under the present circumstances, such effort is encouraged.

In addition to amending the BMC, the Ordinances also direct the City Manager and City Attorney to provide the Office of the State Fire Marshal (“OSFM”), HCD, and the AG with copies of the Ordinances. This is to further the Governor’s efforts to expedite and streamline approvals for development in accordance with his January 12, 2025 Executive Order. The Ordinances identify such efforts, including the Executive Order, as the “Sensible Permits, Advice, Regulations and Knowledge” or “SPARK.”

A review of the City’s efforts since (at least) 2019 show that the Ordinances should be considered by OSFM and HCD as a model for SPARK. Reducing bureaucracy, cost, and time for review results building plans to be processed expeditiously and inexpensively.

Implementing such SPARK removes barriers to developing commercial and residential structures and ultimately makes construction and redevelopment of much needed housing and commercial structures more affordable.

ATTACHMENTS:

1. February 11, 2019, Staff Report ........................................................................... 3

2. Correspondence dated September 4, 2019 ........................................................ 13

3. October 28, 2019, Staff Report ........................................................................... 14

4. November 14, 2022, Staff Report ....................................................................... 17

5. Urgency Ordinance No. 1438 ............................................................................. 20

6. Ordinance No. 1439 …………………………………………………………………...27

1 http://lacounty-ca.elaws.us/code/coor_title32 (accessed January 22, 2025) -10-

Page 1 of 2 ends

14-C
TO: Honorable Chairman and Directors of the Bellflower Financing Authority

ATTENTION: Ryan Smoot, Executive Director

FROM: Tae Rhee, Director of Finance/Treasurer

SUBJECT: Consideration and possible action to receive and file Bellflower Financing Authority’s audited financial statements for the fiscal year ended June 30, 2024.

DATE: February 10, 2025

EXECUTIVE SUMMARY

The Bellflower Financing Authority (“BFA”) is a component unit of the City of Bellflower organized on June 26, 2006, pursuant to the California Joint Exercise of Powers Act, which provides financing for public capital improvements in the City. BFA functions as a separate entity and is governed by a Board of Directors. The Board of Directors are comprised solely of City Council Members. The independent Certified Public Accounting firm, Moss, Levy & Hartzheim, LLP, audited BFA’s financial statements for fiscal year 2023-24.

RECOMMENDATION TO BELLFLOWER FINANCING AUTHORITY

1) Receive and file Bellflower Financing Authority’s audited financial statements; or

2) Alternatively, discuss and take other action related to this item.

FISCAL IMPACT

None.

KEY FINANCIAL SUMMARY

 Total cash and investments, at June 30, 2024 $2,016

 2021 COPs payable – transportation related, at June 30, 2024 $6,670,000 (Maturity: October 1, 2032)
FY 2023-24 debt service (principal, interest, and trustee fees) $823,069 Repayment sources: City’s Propositions A/C funds and, if necessary, Measure M/R funds

- 1 -
(:4 01: BELLFLOW
% Staft'eport

Staff Report – BFA audited financial statements for the FY ended June 30, 2024 February 10, 2025

Page 2 of 2 ends

KEY FINANCIAL SUMMARY – Continued

In January 2018, the City and BFA issued the 2018 Transportation Certificates of Participation (COPs) in the amount of $10,000,000 to provide funds for the construction of the four level Regional Transit Center and Parking Structure to add 278 parking spaces. The total project cost was $13.4 million including the site acquisition cost of $1.4 million.

In February 2021, the 2018 Transportation COPs were refinanced with 2021 COPs.

The 2021 COPs are secured by the Civic Center Property (City Hall), and debt service payments are made with the City’s Propositions A/C funds and, if necessary, Measure M/R funds may also be used.

 Note payable to MTB Enterprises, LLC, at June 30, 2024 $703,971 (Maturity: January 15, 2036, approximate)
Related Capital Assets-Butterfly Garden, net of accumulated depreciation $990,650 FY 2023-24 debt service (principal and interest) $72,358 Repayment sources: Lease revenues generated by the Butterfly Garden property and approximately $1,800 per year from the City’s General Fund.

In March 2015, BFA purchased a portion of the land to be developed as the Butterfly Garden in the amount of $995,000 (plus escrow closing costs), financed with a note payable to MTB Enterprises, LLC. In connection with the purchase, BFA acquired ground leases for a billboard and an oil booster pumping station. These lease revenues with annual CPI adjustments and approximately $1,800 per year from the City’s General Fund are used to make the debt service payments on the note.

The other remaining portion of the Butterfly Garden was purchased by the City in the amount of $700,000 using $650,000 from a State Urban Greening Grant and $50,000 in general funds.

ATTACHMENT

BFA audited financial statements for the fiscal year ended June 30, 2024………………...3 - 2 -

BELLFLOWER FINANCING AUTHORITY
(COMPONENT UNIT OF THE CITY OF BELLFLOWER)

BASIC FINANCIAL STATEMENTS

WITH REPORT ON AUDIT

BY INDEPENDENT

CERTIFIED PUBLIC ACCOUNTANTS

JUNE 30, 2024

- 3 -

BELLFLOWER FINANCING AUTHORITY

TABLE OF CONTENTS

June 30, 2024

Independent Auditor’s Report ....................................................................................................... 1

Management’s Discussion and Analysis (Required Supplementary Information)......................... 4

Basic Financial Statements:

Government – wide Financial Statements:

Statement of Net Position ..................................................................................................... 10 Statement of Activities ........................................................................................................... 11

Fund Financial Statements:

Balance Sheet – Governmental Fund .................................................................................. 12 Reconciliation of the Governmental Fund Balance Sheet
to the Statement of Net Position ......................................................................................... 13 Statement of Revenues, Expenditures, and Changes in Fund Balance – Governmental Fund ........................................................................................... 14 Reconciliation of the Governmental Fund Statement of Revenues, Expenditures, and Changes in Fund Balance to the Statement of Activities ...................... 15

Notes to Basic Financial Statements ....................................................................................... 16

Required Supplementary Information:

Schedule of Revenues, Expenditures, and Changes in
Fund Balance – Budget and Actual – General Fund .......................................................... 30

Supplemental Information:

Transportation Bonds Project Supplemental Schedule ......................................................... 31

Independent Auditor’s Report on Internal Control over Financial Reporting and on Compliance and Other Matters Based on an Audit of Financial Statements Performed in Accordance with Government Auditing Standards .................................................................................................................... 32

- 4 -

1 OFFICES: BEVERLY HILLS ∙ CULVER CITY ∙ SANTA MARIA

MEMBER AMERICAN INSTITUTE OF C.P.A.’S ∙ CALIFORNIA SOCIETY OF MUNICIPAL FINANCE OFFICERS ∙ CALIFORNIA ASSOCIATION OF SCHOOL BUSINESS OFFICIALS

PARTNERS COMMERCIAL ACCOUNTING & TAX SERVICES GOVERNMENTAL AUDIT SERVICES CRAIG A HARTZHEIM, CPA 8383 WILSHIRE BLVD., SUITE 800 5800 HANNUM AVE., SUITE E HADLEY Y HUI, CPA BEVERLY HILLS, CA 90211 CULVER CITY, CA 90230 ALEXANDER C HOM, CPA TEL: 310.670.2745 TEL: 310.670.2745 ADAM V GUISE, CPA FAX: 310.670.1689 FAX: 310.670.1689
TRAVIS J HOLE, CPA www.mlhcpas.com www.mlhcpas.com

WILSON LAM, CPA

INDEPENDENT AUDITOR’S REPORT

The Honorable Board of Directors of the
Bellflower Financing Authority
Bellflower, California

Report on the Audit of the Financial Statements

Opinions

We have audited the accompanying financial statements of the governmental activities and the major fund of the Bellflower Financing Authority (the Authority), a component unit of the City of Bellflower, California as of and for the fiscal year ended June 30, 2024, and the related notes to the financial statements, which collectively comprise the Authority’s basic financial statements as listed in the table of contents.

In our opinion, the financial statements referred to above present fairly, in all material respects, the respective financial position of the governmental activities and the major fund of the Authority as of June 30, 2024, and the respective changes in its financial position for the fiscal year then ended in accordance with accounting principles generally accepted in the United States of America.

Basis for Opinions

We conducted our audit in accordance with auditing standards generally accepted in the United States of America and the standards applicable to financial audits contained in Government Auditing Standards, issued by the Comptroller General of the United States. Our responsibilities under those standards are further described in the Auditor’s Responsibilities for the Audit of the Financial Statements section of our report. We are required to be independent of the Authority, and to meet our other ethical responsibilities, in accordance with the relevant ethical requirements relating to our audit. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinions.

Responsibilities of Management for the Financial Statements

Management is responsible for the preparation and fair presentation of these financial statements in accordance with accounting principles generally accepted in the United States of America, and for the design, implementation, and maintenance of internal control relevant to the preparation and fair presentation of financial statements that are free from material misstatement, whether due to fraud or error.

- 5 -

MOSS, LEW & HARTZHEIM LLP

CERTIFIED PUBLIC ACCOUNTANTS

2 OFFICES: BEVERLY HILLS ∙ CULVER CITY ∙ SANTA MARIA

MEMBER AMERICAN INSTITUTE OF C.P.A.’S ∙ CALIFORNIA SOCIETY OF MUNICIPAL FINANCE OFFICERS ∙ CALIFORNIA ASSOCIATION OF SCHOOL BUSINESS OFFICIALS

In preparing the financial statements, management is required to evaluate whether there are conditions or events, considered in the aggregate, that raise substantial doubt about the Authority’s ability to continue as a going concern for twelve months beyond the financial statement date, including any currently known information that may raise substantial doubt shortly thereafter.

Auditor’s Responsibilities for the Audit of the Financial Statements

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinions. Reasonable assurance is a high level of assurance but is not absolute assurance and therefore is not a guarantee that an audit conducted in accordance with generally accepted auditing standards and Government Auditing Standards will always detect a material misstatement when it exists. The risk of not detecting a material misstatement resulting from fraud is higher than for one resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal control. Misstatements are considered material if there is a substantial likelihood that, individually or in the aggregate, they would influence the judgment made by a reasonable user based on the financial statements.

In performing an audit in accordance with generally accepted auditing standards and Government Auditing Standards, we:
 Exercise professional judgment and maintain professional skepticism throughout the audit.
 Identify and assess the risks of material misstatement of the financial statements, whether due to fraud or error, and design and perform audit procedures responsive to those risks.

Such procedures include examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements.
 Obtain an understanding of internal control relevant to the audit in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Authority’s internal control. Accordingly, no such opinion is expressed.
 Evaluate the appropriateness of accounting policies used and the reasonableness of significant accounting estimates made by management, as well as evaluate the overall presentation of the financial statements.
 Conclude whether, in our judgment, there are conditions or events, considered in the aggregate, that raise substantial doubt about the Authority’s ability to continue as a going concern for a reasonable period of time.

We are required to communicate with those charged with governance regarding, among other matters, the planned scope and timing of the audit, significant audit findings, and certain internal control-related matters that we identified during the audit.

Required Supplementary Information

Accounting principles generally accepted in the United States of America require that the management’s discussion and analysis and the schedule of revenues, expenditures, and changes in fund balance – budget and actual – general fund, identified as Required Supplementary Information (RSI) in the accompanying table of contents, be presented to supplement the basic financial statements. Such information is the responsibility of management and, although not a part of the basic financial statements, is required by the Governmental Accounting Standards Board, who considers it to be an essential part of financial reporting for placing the basic financial statements in an appropriate operational, economic, or historical context. We have applied certain limited procedures to the RSI in accordance with auditing standards generally accepted in the United States of America, which consisted of inquiries of management about the methods of preparing the information and comparing the information for consistency with management’s - 6 -

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Culver City, California
January 31, 2025
- 7 -
m, 4.7 vmgw

4 MANAGEMENT’S DISCUSSION AND ANALYSIS

As management of the Bellflower Financing Authority (Authority), we offer readers of the Authority’s financial statements this narrative overview and analysis of the financial activities of the Authority for the fiscal year ended June 30, 2024. We encourage the readers to consider the information presented here in conjunction with additional information furnished in the accompanying basic financial statements.

Overview of the Financial Statements

This discussion and analysis is intended to serve as an introduction to the Authority’s basic financial statements. The basic financial statements are comprised of three components: 1) Government-Wide Financial Statements, 2) Fund Financial Statements and 3) Notes to the Financial Statements.

Government-Wide Financial Statements

These statements are designed to provide information about the activities of the Authority as a whole and present a longer-term view of the Authority’s finances. They are prepared using the accrual basis of accounting, which is similar to the accounting used by most private sector companies.

The Statement of Net Position presents information on all of the Authority’s assets, deferred outflows of resources, liabilities and deferred inflows of resources, with the difference between the assets and deferred outflows of resources less liabilities and deferred inflows of resources reported as net position. In time, increases or decreases in net position may serve as a useful indicator of whether the financial position of the Authority is improving or deteriorating.

The Statement of Activities presents information on how the Authority’s net position changed during the fiscal year. All changes in net position are reported as soon as the underlying event giving rise to the change occurs, regardless of the timing of related cash flows. Thus, revenues and expenses are reported in this statement for some items that will only result in cash flows in future fiscal periods.

In both the Statement of Net Position and Statement of Activities, only the Authority’s basic governmental activities, such as principal and interest payments on certificates of participation and a note payable, are reported. The lease payments received from the City of Bellflower (City), a billboard and an oil booster pumping station are generally sufficient to finance the activities.

The Authority does not have any other business-type activities or separate component units. As referred to in Note 1 of the notes to the basic financial statements, the Authority conforms to accounting principles generally accepted in the United States of America as applicable to governmental units. The Governmental Accounting Standards Board (GASB) is the accepted standard setting body for establishing governmental accounting and financial reporting principles.

Fund Financial Statements

The Fund Financial Statements, in general, provide detailed information about the most significant individual funds – not the Authority as a whole. A fund is a group of related accounts that is used to maintain control over resources that have been segregated for specific activities or objectives.

The Authority, like other state and local governments, uses fund accounting to ensure and demonstrate compliance with finance-related legal requirements. While funds can be divided into three categories (governmental, proprietary, and fiduciary), the Authority’s activities only require the maintenance of a debt service fund (a governmental fund). - 8 -

5 Governmental funds are used to account for essentially the same functions reported as governmental activities in the government-wide financial statements. However, unlike the government-wide financial statements, governmental fund financial statements focus on near- term inflows and outflows of spendable resources, as well as on balances of spendable resources available at the end of the fiscal year. Such information may be useful in evaluating a government’s near-term financing requirements.

Because the focus of governmental funds is narrower than that of the government-wide financial statements, it is useful to compare the information presented for governmental funds with similar information presented for governmental activities in the government-wide financial statements.

By doing so, readers may better understand the long-term impact of the Authority’s near-term financing decisions. Both the governmental fund balance sheet and the governmental fund statement of revenues, expenditures, and changes in fund balances provide a reconciliation to facilitate this comparison between governmental funds and governmental activities.

The Authority only maintains one governmental fund (debt service fund). This fund reports financial transactions using an accounting method called modified accrual accounting. This information is presented in the Governmental Fund – Balance Sheet and in the Governmental Fund – Statement of Revenues, Expenditures, and Changes in Fund Balance. On behalf of the Authority, the City Council adopts an annual appropriated budget for the debt service fund. A budgetary comparison statement has been provided for the fund to demonstrate compliance with this budget.

Proprietary funds are primarily used to account for when a reporting entity charges for the services it provides, whether to outside customers or to other units of the entity. These funds are reported in the same way that all activities are reported in the Statement of Net Position and the Statement of Activities, using an accrual basis of accounting. Fiduciary funds are used to account for resources held for the benefit of parties outside the reporting entity. In these cases, the entity has a fiduciary responsibility and is acting as a trustee. The Statement of Fiduciary Net Position separately reports all of the entity’s fiduciary activities. These activities are excluded from the entity’s other financial statements because the entity cannot use these assets to finance its operations. However, the entity is responsible for ensuring that the assets reported in these funds are used for their intended purposes.

The Authority does not maintain any proprietary or fiduciary funds.

Notes to the Financial Statements provide additional information that is essential to a full understanding of the data provided in the government-wide and fund financial statements.

GOVERNMENT-WIDE FINANCIAL ANALYSIS

Net Position
Governmental
Activities /
Government-Wide
June 30, 2024
Governmental
Activities /
Government-Wide
June 30, 2023

Current assets $ 743,734 $ 734,102 Long-term assets 7,182,515 7,888,633
Total assets 7,926,249 8,622,735

Current liabilities 771,169 761,391
Long-term liabilities 6,654,464 7,374,290
- 9 -

6 Net Position
Governmental
Activities /
Government-Wide
June 30, 2024
Governmental
Activities /
Government-Wide
June 30, 2023
Total liabilities 7,425,633 8,135,681

Deferred inflows of resources 225,230 255,326

Net position:

Net investment in capital assets 286,679 245,772
Unrestricted (11,293) (14,044)
Total net position $ 275,386 $ 231,728

The Authority’s Government-Wide total net position at June 30, 2024 was $275,386. Of this amount, $286,679 was for net investment in capital assets and $11,293 was an unrestricted deficit. The net position for net investment in capital assets represents the net book value of the Authority’s capital assets less the outstanding balance of the debt issued to finance the assets.

On the other hand, the deficit in unrestricted net position represents a shortage in assets needed to cover the accrued interest on a note payable. Funding for any shortage at the time of a debt service payment due date will be provided by the City’s General Fund. The Authority’s assets totaled $7.9 million, comprised of $2 thousand in cash and investments, $742 thousand in current lease and accrued interest receivables, $6.2 million in long-term lease receivable, and $991 thousand in capital assets. The Authority’s liabilities totaled $7.4 million, comprised of 2021 Certificates of Participation of $6.7 million, a note payable of $704 thousand, and related accrued interest payable of $52 thousand. Pursuant to GASB Statement No. 87, the pumping station lease valued at $225 thousand is reported as deferred inflows of resources and the corresponding receivable is included in the current and long-term assets.

In November 2022, the City completed the sale of the Municipal Water System (MWS) infrastructure assets including 700-acre feet of water rights to California-American Water Company in the amount of $17 million. Of this amount, $5.5 million was used to pay off the MWS portion of the 2021 Certificates of Participation (COP) principal and accrued interest. As a result, there were corresponding reductions in the COP liabilities and lease receivables in fiscal year 2022-23.

Changes in Net Position
Governmental
Activities/
Government-Wide
Totals
2023-24
Governmental
Activities/
Government-Wide
Totals
2022-23
Revenues:

General Revenues:

Lease interest revenue $ 231,634 $ 250,538 Investment earnings 1,957 2,508
Total General Revenues 233,591 253,046

Expenses:

Interest and fiscal charges 188,911 218,677
Depreciation expense 1,022 1,022
Total Expenses 189,933 219,699
- 10 -

7 Changes in Net Position
Governmental
Activities/
Government-Wide
Totals
2023-24
Governmental
Activities/
Government-Wide
Totals
2022-23

Increase (decrease) in net position 43,658 33,347
Net position – beginning 231,728 198,381
Net position – ending $ 275,386 $ 231,728

The Authority’s net position increased $44 thousand. The general revenues totaled $234 thousand comprised of lease interest revenue and investment earnings. The expenses totaled $190 thousand comprised of interest expense, fiscal charges, and depreciation expense.

FINANCIAL ANALYSIS OF THE AUTHORITY’S FUND

As noted earlier, the Authority uses fund accounting to ensure and demonstrate compliance with finance-related legal requirements.

Governmental Fund. The focus of the Authority’s governmental fund is to provide information on near-term inflows, outflows, and balances of spendable resources. Such information is useful in assessing the Authority’s financing requirements. Under GASB Statement No. 54, any available fund balance is classified as restricted to reflect its constraint for a specific purpose, namely capital assets and debt service.

At the end of the fiscal year, the Authority’s fund balance restricted for debt service was $2 thousand.

Governmental Revenues – The following table presents a summary of governmental fund revenues for the fiscal year ended June 30, 2024, compared to the prior year revenues.

Comparison of Governmental Revenues
Fiscal Years 2023-24 and 2022-23
Amount
2023-24
% of Total
Revenues
Amount
2022-23
% of Total
Revenues

Variance
% increase
(decrease)
Lease revenue $ 893,659 99.6% $ 6,718,330 99.95% $ (5,824,671) (87)% Other Revenue 1,770 0.2% 489 0.01% 1,281 262%
Investment earnings 1,957 0.2% 2,508 0.04% (551) (22)% Total $ 897,386 100.0% $ 6,721,327 100.00% $ (5,823,941) (87)%

The total revenues of the governmental fund for fiscal year 2023-24 were $897 thousand, a decrease of $5.8 million, or 87%, from the preceding fiscal year. The lease revenue decreased $5.8 million, other revenue increased $1 thousand, and investment earnings decreased $551 compared to the preceding fiscal year. The lease revenue for fiscal year 2022-23 included one- time proceeds of $5.5 million received from the sale of MWS in November 2022 to pay off the MWS portion of the 2021 COP principal and accrued interest.

Governmental Expenditures – The following table presents a summary of governmental fund expenditures for the fiscal year ended June 30, 2024, compared to the prior year expenditures.

- 11 -

8 Governmental Expenditures
Fiscal Years 2023-24 and 2022-23
Amount
2023-24
% of Total
Expenditures
Amount
2022-23
% of Total
Expenditures

Variance
% increase
(decrease)
Debt service $ 895,428 100% $ 6,722,581 100% $ (5,827,153) (87)% Total $ 895,428 100% $ 6,722,581 100% $ (5,827,153) (87)%

The total expenditures of the governmental fund for fiscal year 2023-24 were $895 thousand for debt service on the 2021 Certificates of Participation and a note payable to MTB Enterprises, LLC (note executed in connection with the Butterfly Garden property acquisition), and payment of trustee fees. The total expenditures decreased $5.8 million, or 87%, from the preceding fiscal year due to the MWS portion of the 2021 COP being paid off early in November 2022 ($5.5 million in principal and accrued interest).

CAPITAL ASSET AND DEBT ADMINISTRATION

Capital Assets. At June 30, 2024, the Authority’s investment in capital assets was $991 thousand.

The only capital asset activity for the fiscal year was the depreciation expense on the Butterfly Garden’s building and improvements in the amount of $1,022. For additional information, please refer to the notes to the basic financial statements – Note 5, Capital Assets.

Capital Assets

June 30, 2024

June 30, 2023

Variance
% increase
(decrease)
Land $ 948,941 $ 948,941 $ - - Buildings and improvements 41,709 42,731 (1,022) (2.4)% Total $ 990,650 $ 991,672 $ (1,022) (0.1)%

Long-Term Liabilities. At June 30, 2024, the Authority had $7.4 million in outstanding long-term liabilities for governmental activities. For additional information, please refer to the notes to the basic financial statements – Note 6, Long-Term Liabilities.

Long-Term Debt

June 30, 2024

June 30, 2023

Variance
% increase
(decrease)
2021 COP – Transportation $ 6,670,000 $ 7,330,000 $ (660,000) (9.0)% Note payable 703,971 745,900 (41,929) (5.6)% Total $ 7,373,971 $ 8,075,900 $ (701,929) (8.7)%

During the fiscal year, the Authority made principal payments of $660 thousand for 2021 COP and $42 thousand for the note payable, of which $8,739 was additional principal payment under the terms of the note as excess rent.

ECONOMIC OUTLOOK

The Authority was organized in 2006 to undertake the financing of public capital improvements and other projects for revitalization of the City. The sources of repayment for the transportation portion of the Certificates of Participation are Proposition A and Proposition C local return funds and, if necessary, Measure M and Measure R local return funds (Proposition A/C and Measure M/R are Los Angeles Countywide sale taxes). We believe the local return funds will continue to be sufficient to make the semi-annual debt service payments. The sources of repayment for the note payable to MTB Enterprises, LLC are ground lease revenues for a billboard and an oil booster pumping station and, if necessary, the City’s General Fund revenue. We believe these revenues will continue to be sufficient to make the semi-annual debt service payments. - 12 -

9 CONTACTING THE AUTHORITY’S FINANCIAL MANAGEMENT

This financial report is designed to provide a general overview of the Authority’s finances for all those with an interest. Questions concerning any of the information provided in this report or requests for additional financial information should be addressed to the Director of Finance, Bellflower Financing Authority, 16600 Civic Center Drive, Bellflower, CA 90706. - 13 -

BASIC FINANCIAL STATEMENTS

- 14 -

2024 2023
Assets:

Current Assets:

Cash held by the City of Bellflower $ - $ 3,531 Cash with fiscal agents 2,016 58 Pumping station lease receivable 28,365 28,365 2021 COP Lease receivable 675,000 660,000 Accrued lease interest receivable 38,353 42,148 Total Current Assets 743,734 734,102
Long-term Assets:

Pumping station lease receivable 196,865 226,961
2021 COP Lease receivable 5,995,000 6,670,000
Capital assets:

Not being depreciated 948,941 948,941
Being depreciated (net of accumulated depreciation) 41,709 42,731 Total Long-Term Assets 7,182,515 7,888,633
Total Assets 7,926,249 8,622,735
Liabilities:

Current Liabilities:

Interest payable 51,662 56,250
Unearned revenue - 3,531
Note payable 44,507 41,610
Certificates of participation 675,000 660,000
Total Current Liabilities 771,169 761,391
Long-term Liabilities:

Note payable 659,464 704,290
Certificates of participation 5,995,000 6,670,000
Total Long-Term Liabilities 6,654,464 7,374,290
Total Liabilities 7,425,633 8,135,681
Deferred Inflows of Resources:

Pumping station lease revenue 225,230 255,326
Net Position:

Net investment in capital assets 286,679 245,772
Unrestricted (11,293) (14,044)
Total Net Position 275,386$ 231,728$
10 BELLFLOWER FINANCING AUTHORITY

STATEMENT OF NET POSITION
JUNE 30, 2024
(With comparative totals at June 30, 2023)
Governmental Activities
See accompanying notes to basic financial statements.
- 15 -

Program
Expenses Revenues 2024 2023
Governmental Activities:

Unallocated depreciation expense 1,022$ -$ (1,022)$ (1,022)$ Interest and fiscal charges 188,911 - (188,911) (218,677) Total Governmental Activities 189,933$ -$ (189,933) (219,699) General Revenues:

Lease interest revenue 231,634 250,538
Investment earnings 1,957 2,508
Total General Revenues 233,591 253,046
Change in Net Position 43,658 33,347
Net Position, Beginning of Fiscal Year 231,728 198,381 Net Position, End of Fiscal Year 275,386$ 231,728$

BELLFLOWER FINANCING AUTHORITY

STATEMENT OF ACTIVITIES
For the fiscal year ended June 30, 2024
(With comparative totals for the fiscal year ended June 30, 2023) Function/Program
11 Net (Expense) Revenue and
Changes in Net Position
Governmental Activities
See accompanying notes to basic financial statements.
- 16 -

2024 2023
Assets:

Cash held by the City of Bellflower -$ 3,531$ Cash with fiscal agents 2,016 58
Pumping station lease receivable 225,230 255,326 Total Assets 227,246$ 258,915$
Liabilities:

Unearned revenue -$ 3,531$
Total Liabilities - 3,531
Deferred Inflows of Resources:

Unavailable revenue - pumping station lease 225,230 255,326 Total Deferred Inflows of Resources 225,230 255,326 Fund Balance:

Restricted for debt service 2,016 58
Total Fund Balance 2,016 58
Total Liabilities, Deferred Inflows of Resources, and
Fund Balance 227,246$ 258,915$
12 General Fund

BELLFLOWER FINANCING AUTHORITY

BALANCE SHEET - GOVERNMENTAL FUND
June 30, 2024
(With comparative totals at June 30, 2023)
See accompanying notes to basic financial statements.
- 17 -

Fund balance of governmental fund 2,016$
Amounts reported for governmental activities in the Statement of Net Position are different because:

Long-term lease receivables are not available to pay for current period expenditures and, therefore, is not reported in the fund financial statements 2021 COP lease receivable. 6,670,000
Accrued lease interest receivable is not available to pay for current period Unavailable rental revenue is not available to pay for current period expenditures.38,353
Long-term liabilities are not due and payable in the current period and are not reported as fund liabilities. Interest on long-term liabilities is not accrued in the governmental fund, but rather is recognized as an expenditure when due.

All liabilities, both current and long-term are reported in the Statement of Net Position. Balances at June 30, 2023 are:

Certificates of Participation (6,670,000)
Note payable (703,971)
Interest payable (51,662)
Capital assets, net of accumulated depreciation, used in governmental activities are not current financial resources and, therefore, are not reported in the governmental funds. 990,650
Net position of governmental activities 275,386$
13 BELLFLOWER FINANCING AUTHORITY

RECONCILIATION OF THE GOVERNMENTAL FUND

BALANCE SHEET TO THE STATEMENT OF NET POSITION
June 30, 2024
See accompanying notes to basic financial statements.
- 18 -

2024 2023
Revenues:

Lease revenue 893,659$ 6,718,330$
Other revenue - City of Bellflower 1,770 489 Investment earnings 1,957 2,508
Total Revenues 897,386 6,721,327
Expenditures:

Debt Service:

Principal payments 701,929 6,433,417
Interest and fiscal charges 193,499 289,164
Total Expenditures 895,428 6,722,581
Net Change in Fund Balance 1,958 (1,254)
Fund Balance, Beginning of Fiscal Year 58 1,312 Fund Balance, End of Fiscal Year 2,016$ 58$
14 (With comparative totals for the fiscal year ended June 30, 2023) General Fund

BELLFLOWER FINANCING AUTHORITY

STATEMENT OF REVENUES, EXPENDITURES, AND

CHANGES IN FUND BALANCE - GOVERNMENTAL FUND
For the fiscal year ended June 30, 2024
See accompanying notes to basic financial statements.
- 19 -

Net change in fund balances of governmental fund 1,958$ Amounts reported for governmental activities in the Statement of Activities are different because:

The issuance of long-term debt provides current financial resources to the governmental fund, while the repayment of the principal of long-term debt consumes the current financial resources of the governmental fund. Neither transaction, however, has any effect on net position. The amounts are the net effect of these differences in the treatment of long-term debt:

Repayment of certificates of participation 660,000
Repayment of note payable 41,929
The governmental fund reports capital outlays as expenditures. However, in the Statement of Activities, the cost of those assets is allocated over their estimated useful lives as depreciation expense. (1,022) Revenues in the Statement of Activities do not provide current financial resources and are not reported as revenues in the governmental fund:

Receipt of lease payment and earned finance charge (660,000) Under the modified accrual basis of accounting used in the governmental fund, revenues are recognized when the resources are measurable and become available, and interest on long-term debt is not recognized until it is due.

However, in the Statement of Activities revenues and changes in interest revenue and interest expenses are recognized in the current fiscal year:

Accrued lease interest receivable under the accrual method versus the modified accrual method (3,795)
Interest expense recorded under the accrual method versus the modified accrual method 4,588
Change in net position of governmental activities 43,658$ 15 BELLFLOWER FINANCING AUTHORITY

RECONCILIATION OF THE GOVERNMENTAL FUND STATEMENT OF

REVENUES, EXPENDITURES, AND CHANGES IN FUND BALANCE

TO THE STATEMENT OF ACTIVITIES
For the fiscal year ended June 30, 2024
See accompanying notes to basic financial statements.
- 20 -

NOTES TO BASIC FINANCIAL STATEMENTS

- 21 -

16 BELLFLOWER FINANCING AUTHORITY

NOTES TO BASIC FINANCIAL STATEMENTS

June 30, 2024

NOTE 1 REPORTING ENTITY AND SIGNIFICANT ACCOUNTING POLICIES:

Financial Reporting Entity:

The Bellflower Financing Authority (Authority) was organized on June 26, 2006, by the City of Bellflower (the City) and the Bellflower Redevelopment Agency pursuant to the Joint Exercise of Powers Act (California Government Code Sections 6500, et seq.) to provide the financing of public capital improvements and other projects for revitalization of the City. The Authority is a component unit of the City and is accounted for in the Public Facilities Corporation Debt Service Fund and the Transportation Bond Project Debt Service Fund in the City’s financial statements.

The Authority functions as a separate entity and its policies are determined by the Board of Directors comprised solely of the members of the City Council. All staff work is performed by the officials and staff of the City or by consultants.

Basis of Presentation:

The accounting policies of the Authority conform to accounting principles generally accepted the United States of America as they are applicable to governmental units. The Governmental Accounting Standards Board (GASB) is the accepted standard setting body for establishing governmental accounting and financial reporting principles.

Government-Wide Financial Statements:

The government-wide financial statements (i.e., the Statement of Net Position and the Statement of Activities) report information on all of the nonfiduciary activities of the primary government (the Authority). Governmental activities, which normally are supported by taxes and intergovernmental revenues, are reported separately from business-type activities, which rely to a significant extent on fees and charges for support. The Authority’s activities are governmental; no business-type activities are reported in the statements.

The Statement of Activities demonstrates the degree to which the direct expenses of a given function or segment are offset by program revenues. Direct expenses are expenses that are clearly identifiable with a specific program, project, function or segment. The Authority does not allocate indirect expenses to functions in the Statement of Activities. Program revenues of the Authority include: 1) charges to customers or applicants who purchase, use, or directly benefit from goods, services, or privileges provided by a given function or segment and 2) grants and contributions that are restricted to meeting the operational or capital requirements of a particular function or segment.

Lease revenues and investment income and other items that are properly not included among program revenues are reported instead as general revenues.

- 22 -

17 BELLFLOWER FINANCING AUTHORITY

NOTES TO BASIC FINANCIAL STATEMENTS

June 30, 2024

NOTE 1 REPORTING ENTITY AND SIGNIFICANT ACCOUNTING POLICIES (Continued):

Fund Financial Statements:

The accounts of the Authority are organized on the basis of funds, each of which is considered to be a separate accounting entity. The operations of each fund are accounted for with a separate set of self-balancing accounts that comprise its assets, liabilities, deferred inflows of resources, fund equity, revenues, and expenditures or expenses, as appropriate. Authority resources are allocated to and accounted for in individual funds based upon the purpose for which they are to be spent and the means by which spending activities are controlled. The Authority’s accounts are organized into one major fund as follows:

Major Governmental Fund:

The General Fund is used to account for the accumulation of resources for, and the payment of long-term debt principal, interest, and related costs.

The accounting and financial treatment applied to a fund is determined by its measurement focus.

All governmental funds are accounted for using a flow of current financial resources measurement focus. With this measurement focus, only current assets and current liabilities are generally included on the balance sheet. The Statement of Revenues, Expenditures, and Changes in Fund Balances for these funds, present increases (i.e., revenues and other financing sources) and decreases (i.e., expenditures and other financing uses) in net current assets.

Measurement Focus and Basis of Accounting:

The accounting and financial reporting treatment is determined by the applicable measurement focus and basis of accounting. Measurement focus indicates the type of resources being measured such as current financial resources or economic resources. The basis of accounting indicates the timing of transactions or events for recognition in the financial statements.

The government-wide financial statements are reported using the economic resources measurement focus and the accrual basis of accounting. Under the economic resources measurement focus, all (both current and long-term) economic resources and obligations of the reporting government are reported in the government-wide financial statements. Under the accrual basis of accounting, revenues are recorded when earned and expenses are recorded when a liability is incurred, regardless of the timing of related cash flows.

Governmental fund financial statements are reported using the current financial resources measurement focus and the modified accrual basis of accounting. Under the current financial resources’ measurement focus only current assets, deferred outflows of resources, current liabilities, and deferred inflows of resources are generally included on their balance sheets. The reported fund balance (net current assets) is considered to be a measure of “available spendable resources”. Governmental fund operating statements present increases (revenues and other financing sources) and decreases (expenditures and other financing uses) in fund balance. - 23 -

18 BELLFLOWER FINANCING AUTHORITY

NOTES TO BASIC FINANCIAL STATEMENTS

June 30, 2024

NOTE 1 REPORTING ENTITY AND SIGNIFICANT ACCOUNTING POLICIES (Continued):

Noncurrent portions of long-term receivables in governmental funds are reported on their balance sheets in spite of their spending measurement focus.

Recognition of governmental fund type revenues represented by noncurrent receivables are deferred inflows of resources until they become available.

Under the modified accrual basis of accounting, revenues are considered to be available when they are collectible within the current period or soon enough thereafter to pay liabilities of the current period. For this purpose, the Authority considers revenues to be available if they are collected within 60 days of the end of the current fiscal period. Lease revenue and investment earnings are susceptible to accrual. Expenditures generally are recorded when a liability is incurred, except for principal and interest on long-term liabilities which are recognized as expenditures to the extent they have matured. Proceeds of long-term liabilities are reported as other financing sources. General capital asset acquisitions are reported as expenditures in governmental funds.

Deferred Outflows/Inflows of Resources:

In addition to assets, the Statement of Net Position and the Governmental Fund Balance Sheet will sometimes report a separate section for deferred outflows of resources. This separate financial statement element, deferred outflows of resources, represents a consumption of net position that applies to future periods and so will not be recognized as an outflow of resources (expense/expenditure) until then. The Authority does not have any deferred outflows of resources to report.

In addition to liabilities, the Statement of Net Position and the Governmental Fund Balance Sheet will sometimes report a separate section for deferred inflows of resources. This separate financial statement element, deferred inflows of resources, represents an acquisition of net position that applies to future periods and will not be recognized as an inflow of resources (revenue) until that time. The Authority has two items that qualifies for reporting in this category on the Governmental Fund Balance Sheet consisting of unavailable revenue on lease financing and unavailable revenue on lease payments.

Budgets and Budgetary Accounting:

Annual budgets are adopted on a basis consistent with accounting principles generally accepted in the United States of America for all governmental funds.

These budgets are revised by the Authority’s governing board and the Executive Director during the fiscal year, to give consideration to unanticipated income and expenditures.

- 24 -

19 BELLFLOWER FINANCING AUTHORITY

NOTES TO BASIC FINANCIAL STATEMENTS

June 30, 2024

NOTE 1 REPORTING ENTITY AND SIGNIFICANT ACCOUNTING POLICIES (Continued):

Prior Year Data:

Selected information regarding the prior fiscal year has been included in the accompanying financial statements. This information has been included for comparison purposes only and does not represent a complete presentation in accordance with generally accepted accounting principles in the United States of America. Accordingly, such information should be read in conjunction with the Authority’s prior fiscal year financial statements, from which this selected financial data was derived.

Use of Estimates:

The preparation of financial statements in accordance with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that effect certain reported amounts and disclosures. Accordingly, actual results could differ from the estimates.

Assets, Liabilities, and Equity:

Cash and Investments:

Cash includes all demand accounts, savings accounts, and certificates of deposits of the Authority. The Authority’s cash and investments, with the exception of cash and investments with fiscal agent, are pooled with the City to maximize the yield. Investments are reported in the accompanying financial statements at fair value which is the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date.

Receivables:

In the government-wide statements, receivables consist of all revenues earned at fiscal year-end.

Major receivable balances for the governmental activities include lease charges. Under the financing method of accounting for the lease with the City, the minimum lease payable for the remaining term of the lease has been included in the assets of the Authority.

Capital Assets:

Capital assets, which include land and buildings and improvements, follow the City’s policy and are reported in the governmental activities column in the government-wide financial statements.

Capital assets are defined by the Authority as assets with a cost of $5,000 or more and an estimated useful life in excess of one year. Such capital assets are recorded at historical cost or estimated historical cost if purchased or constructed. Donated capital assets are recorded at estimated fair value at the date of donation. The cost of normal maintenance and repairs that do not add to the value of the capital asset or materially extend capital asset lives are not capitalized. - 25 -

20 BELLFLOWER FINANCING AUTHORITY

NOTES TO BASIC FINANCIAL STATEMENTS

June 30, 2024

NOTE 1 REPORTING ENTITY AND SIGNIFICANT ACCOUNTING POLICIES (Continued):

Capital assets of the Authority are depreciated using the straight-line method over their estimated useful lives: The Authority only has buildings and improvements which have useful lives of 20 to 50 years.

Long-term Liabilities:

The accounting treatment of long-term liabilities depends on whether it is reported in the government-wide or fund financial statements.

All long-term liabilities to be repaid from governmental resources are reported as liabilities in the government-wide statements. The long-term liabilities consist of Certificates of Participation and a Note Payable.

Long-term liabilities for governmental funds are not reported as liabilities in the fund financial statements. The debt proceeds are reported as other financing sources and payment of principal, interest, and issuance costs are reported as expenditures.

Equity Classifications:

Government-wide Statements:

Equity is classified as net position which can be further classified as net investment in capital assets, restricted, or unrestricted.

Net investment in capital assets - consists of net position represented by the current net book value of the Authority’s capital assets, less the outstanding balance of any debt issued to finance these assets.

Restricted net position - consists of net position with constraints placed on the use either by (1) external groups such as creditors, grantors, contributors, or laws or regulations of other governments; or (2) law through constitutional provisions or enabling legislation.

Unrestricted - consists of net position which is not restricted or invested in capital assets.

Sometimes the Authority will fund outlays for a particular purpose from both restricted and unrestricted resources. In order to calculate the amounts to report as restricted - net position and unrestricted - net position in the government-wide financial statements, a flow assumption must be made about the order in which the resources are considered to be applied. It is the Authority’s practice to consider restricted - net position to have been depleted before unrestricted - net position is applied.

- 26 -

21 BELLFLOWER FINANCING AUTHORITY

NOTES TO BASIC FINANCIAL STATEMENTS

June 30, 2024

NOTE 1 REPORTING ENTITY AND SIGNIFICANT ACCOUNTING POLICIES (Continued):

Fund Statements:

Governmental fund equity is classified as fund balance. Fund balance is further classified as follows:

Nonspendable - amounts that cannot be spent either because they are in nonspendable form or because they are legally or contractually required to be maintained intact.

Restricted - amounts that can be spent only for specific purposes because of constitutional provisions or enabling legislation or because of constraints that are externally imposed by creditors, grantors, contributors, or the laws or regulations of other governments.

Committed - amounts that can be used only for specific purposes determined by a formal action of the governing board as the highest level of decision-making authority for the Authority.

Commitments may be established, modified, or rescinded only through resolutions approved by the governing board.

Assigned - amounts that do not meet the criteria to be classified as restricted or committed but that are intended to be used for specific purposes. Under the Authority’s adopted policy, only the governing board or director may assign amounts for specific purposes.

Unassigned - all other spendable amounts.

When an expenditure is incurred for purposes for which both restricted and unrestricted fund balance is available, the Authority considers restricted funds to have been spent first. When an expenditure is incurred for which committed, assigned, or unassigned fund balance are available, the Authority considers amounts to have been spent first out of committed funds, then assigned funds, and finally unassigned funds, as needed, unless the governing board has provided otherwise in its commitment or assignment actions.

Future Accounting Pronouncements:

The provisions of Statement Number 101 “Compensated Absences” are effective for fiscal years beginning after December 15, 2023.

The provisions of Statement Number 102 “Certain Risk Disclosures” are effective for fiscal years beginning after June 15, 2024.

The provisions of Statement Number 103 “Financial Reporting Model Improvements” are effective for fiscal years beginning after June 15, 2025.

The provisions of Statement Number 104 “Disclosure of Certain Capital Assets” are effective for fiscal years beginning after June 15, 2025.
.
- 27 -

22 BELLFLOWER FINANCING AUTHORITY

NOTES TO BASIC FINANCIAL STATEMENTS

June 30, 2024

NOTE 2 CASH AND INVESTMENTS:

The Authority’s cash and investments are pooled with the City with the exception of cash and investments with fiscal agents. Investment income earned on pooled cash and investments is allocated based on the average monthly cash balance in each fund.

Cash and investments as of June 30, 2024, are classified in the accompanying financial statements as follows:

Investments Authorized by the California Government Code and the Authority’s Investment Policy:

The table below identifies the investment types that are authorized for the Authority by the California Government Code (or the Authority’s investment policy, where more restrictive). The table also identifies certain provisions of the California Government Code (or the Authority’s investment policy, where more restrictive) that address interest rate risk, credit risk, and concentration of credit risk. This table does not address investments of debt proceeds held by bond trustee that are governed by the provisions of debt agreements of the Authority, rather than the general provisions of the California Government Code or the Authority’s investment policy.

Note: N/A – Not Applicable.

Statement of Net Position:

Cash and cash equivalents held by the
Cash with fiscal agents 2,016$
Total cash and investments 2,016$
Maximum Maximum
Authorized Maximum Percentage Investment
Investment Type Maturity of Portfolio in One Issuer
Certificates of Deposit with Banks or Savings
& Loans None None None
U.S. Treasury Obligations None None None
U.S. Agency Securities None None None
Municipal Obligations None None None
Banker's Acceptances, Prime Quality 360 days None None
Commercial Paper, Prime Quality 270 days None None
Money Market Mutual Funds N/A None None
Investment Contracts None None None
Local Agency Investment Fund (State Pool) None None $75 million - 28 -

23 BELLFLOWER FINANCING AUTHORITY

NOTES TO BASIC FINANCIAL STATEMENTS

June 30, 2024

NOTE 2 CASH AND INVESTMENTS (Continued):

Investments Authorized by Debt Agreements:

Investment of debt proceeds held by bond trustees are governed by provisions of the debt agreements, rather than the general provisions of the California Government Code or the Authority’s investment policy. The table below identifies the investment types that are authorized for investments held by bond trustee. The table also identifies certain provisions of these debt agreements that address interest rate risk, credit risk, and concentration of credit risk.

Disclosures Relating to Interest Rate Risk:

Interest rate risk is the risk that changes in market interest rates will adversely affect the fair value of an investment. Generally, the longer the maturity of an investment, the greater the sensitivity of its fair value to changes in market interest rates. One of the ways that the Authority manages its exposure to interest rate risk is by purchasing a combination of shorter term and longer-term investments and by timing cash flows from maturities so that a portion of the portfolio is maturing or coming close to maturity evenly over time as necessary to provide the cash flows and liquidity needed for operations. The Authority had no investments as of June 30, 2024.

Investments with Fair Values Highly Sensitive to Interest Rate Fluctuations:

The Authority has no investments (including investments held by bond trustees) that are highly sensitive to interest rate fluctuations.

Disclosures Relating to Credit Risk:

Generally, credit risk is the risk that an issuer of an investment will not fulfill its obligation to the holder of the investment. This is measured by the assignment of a rating by a nationally recognized statistical rating organization. The Authority had no investments as of June 30, 2024.

Maximum Maximum
Authorized Maximum Percentage Investment
Investment Type Maturity of Portfolio in One Issuer
Certificates of Deposit with Banks or Savings
& Loans None None None
U.S. Treasury Obligations None None None
U.S. Agency Securities None None None
Municipal Obligations None None None
Banker's Acceptances, Prime Quality 360 days None None
Commercial Paper, Prime Quality 270 days None None
Money Market Mutual Funds N/A None None
Investment Contracts None None None
Local Agency Investment Fund (State Pool) None None None - 29 -

24 BELLFLOWER FINANCING AUTHORITY

NOTES TO BASIC FINANCIAL STATEMENTS

June 30, 2024

NOTE 2 CASH AND INVESTMENTS (Continued):

Concentration of Credit Risk:

The investment policy of the Authority contains limitations on the amount that can be invested in any one issuer. No investments in any one issuer represents 5% or more of total Authority investments.

Custodial Credit Risk:

Custodial credit risk for deposits is the risk that, in the event of the failure of a depository financial institution, a government will not be able to recover its deposits or will not be able to recover collateral securities that are in the possession of an outside party. The custodial credit risk for investments is the risk that, in the event of the failure of the counterparty (e.g., broker-dealer) to a transaction, a government will not be able to recover the value of its investment or collateral securities that are in the possession of another party. The California Government Code and the Authority’s investment policy do not contain legal or policy requirements that would limit the exposure to custodial credit risk for deposits or investments, other than the following provision for deposits. The California Government Code requires that a financial institution secure deposit made by state or local governmental units by pledging securities in an undivided collateral pool held by a depository regulated under state law (unless so waived by the governmental unit). The fair value of the pledged securities in the collateral pool must equal at least 110% of the total amount deposited by the public agencies. California law also allows financial institutions to secure Authority deposits by pledging first trust deed mortgage notes having a value of 150% of the secured public deposits. The Authority pools its cash with the City of Bellflower except for cash with fiscal agents.

Fair Value Measurements:

The Authority categorizes its fair value measurement within the fair value hierarchy established by generally accepted accounting principles. The hierarchy is based on the valuation inputs used to measure the fair value of the assets. Level 1 inputs are quoted prices in active markets for identical assets, Level 2 inputs are significant other observable inputs, and Level 3 inputs are significant unobservable inputs.

The Authority had no investments subject to the fair value hierarchy as of June 30, 2024.

NOTE 3 PUMPING STATION LEASE RECEIVABLE:

The Authority recognized a lease in accordance with Governmental Accounting Standards Account Statement No. 87 “Leases”. At June 30, 2024 the Authority recorded a lease receivable and a deferred inflow of resources in the amount of $225,230.

- 30 -

25 BELLFLOWER FINANCING AUTHORITY

NOTES TO BASIC FINANCIAL STATEMENTS

June 30, 2024

NOTE 3 PUMPING STATION LEASE RECEIVABLE (CONTINUED):

In July 2020, the Authority entered into a land lease with Cardinal Pipeline, LP for usage of real property for a booster pumping station commencing on May 1, 2020. The lease was retroactive to April 20, 2015, and will remain in place until July 13, 2025. At the sole discretion of the Authority, the lease may be extended for an additional five years with the lease expiring in May 2030. Commencing on May 1, 2020, the rent increased by the annual increase in the United States Department of Labor, Bureau of Labor Statistics, for Urban Wage and Clerical Wages (1982-1984=100) in Los Angeles – Long Beach – Anaheim area for the month of February of the anniversary year with a maximum increase of 5%. Payments received during the fiscal year were $3,531 per month from July 2023 through April 2024 and $3,637 per month in May 2024 and June 2024.

The payment schedule for the pumping lease receivable is as follows:

NOTE 4 2021 COP LEASE RECEIVABLE:

The 2021 Certificates of Participation (COPs) issued by the Authority and outstanding at June 30, 2024 bear interest at 2.30% per annum and mature on October 1, 2038. The Certificates represent undivided proportionate interests of the Owners in certain lease payments, to be made by the City to the Authority. The City shall sublease from the Authority a leasehold interest in the Civic Center Property and Thompson Park. The balance outstanding as of June 30, 2024, was $6,670,000.

Fiscal years
Ending June 30, Principal Interest Total
2025 31,906$ 8,430$ 40,336$
2026 33,798 7,119 40,917
2027 35,776 5,732 41,508
2028 37,843 4,263 42,106
2029 40,004 2,710 42,714
2030 45,903 1,081 46,984
225,230$ 29,335$ 254,565$
Pumping Station Lease Receivable
- 31 -

26 BELLFLOWER FINANCING AUTHORITY

NOTES TO BASIC FINANCIAL STATEMENTS

June 30, 2024

NOTE 4 2021 COP LEASE RECEIVABLE (CONTINUED):

Future estimated minimum lease payments to be received are as follows:

Fiscal years
Ending
June 30, Total
2025 820,648$
2026 819,950
2027 818,908
2028 822,463
2029 820,615
2030-2033 3,281,108
Total investment in lease 7,383,692
Less amount representing interest (713,692)
Net investment in lease 6,670,000$
- 32 -

27 BELLFLOWER FINANCING AUTHORITY

NOTES TO BASIC FINANCIAL STATEMENTS

June 30, 2024

NOTE 5 CAPITAL ASSETS:

A summary of changes in the Governmental Activities capital assets at June 30, 2024 is as follows:

Governmental Activities:

NOTE 6 LONG-TERM LIABILITIES:

The following is a summary of changes in the long-term debt for the fiscal year ended June 30, 2024:

Balance Balance
June 30, 2023 June 30, 2024
Capital assets, not being depreciated:

Land $ 948,941 $ - $ - $ 948,941 Total capital assets, not
being depreciated 948,941 - - 948,941 Capital assets, being depreciated:

Buildings and improvements 51,075 - - 51,075 Total capital assets,
being depreciated 51,075 - - 51,075 Less accumulated depreciation for:

Buildings and improvements (8,344) (1,022) - (9,366) Total accumulated depreciation (8,344) (1,022) - (9,366) Total capital assets,
being depreciated, net 42,731 (1,022) - 41,709 Total governmental activities
capital assets, net $ 991,672 $ (1,022) $ - $ 990,650 Additions Deletions
Balance at Balance at Due Within
Governmental Activities June 30, 2023 Increase Decrease June 30, 2024 One Year 2021 Certificates of Participation 7,330,000$ -$ (660,000)$ 6,670,000$ 675,000$ Subtotal 7,330,000 - (660,000) 6,670,000 675,000 Note Payable - Direct Borrowing 745,900 - (41,929) 703,971 44,507 Total long-term liabilities 8,075,900$ -$ (701,929)$ 7,373,971$ 719,507$ - 33 -

28 BELLFLOWER FINANCING AUTHORITY

NOTES TO BASIC FINANCIAL STATEMENTS

June 30, 2024

NOTE 6 LONG TERM LIABILITIES (Continued):

Debt service requirements on long-term debt at June 30, 2024, are as follows:

2021 Certificates of Participation:

On February 22, 2021, the Bellflower Financing Authority (Authority) issued the 2021 Certificates of Participation in the amount of $14,760,000 to pay off the 2008 Certificates of Participation, the 2018 Certificates of Participation, and to pay the costs of issuance of the 2021 Refunding Certificates of Participation.

The Authority assisted the City to (a) finance the costs of acquiring the City’s water system through the execution and delivery of the City of Bellflower 2008 Certificates of Participation (Water System) and (b) finance the Regional Transit Center and Parking Structure through the execution and delivery of the City of Bellflower 2018 Certificates of Participation (Regional Transit and Parking Structure) and the Authority and the City have entered into a lease agreement dated February 1, 2021 to lease certain property consisting of the City’s Civic Center and Thompson Park to the Authority. The City has agreed to lease the real property consisting of the land and building comprising the City’s Civic Center.

The 2021 Refunding Certificates of Participation shall mature on October 1, 2038, and shall bear interest at the rate of 2.30% per annum (see below). The certificates maturing on October 1, 2038, shall be subject to mandatory sinking fund prepayment prior to maturity at a prepayment price equal to the principal amount to be repaid plus accrued interest with respect thereto to the prepayment date, on October 1 of each year, commencing October 1, 2021.

The 2021 Refunding Certificates of Participation may be prepaid before maturity on any date on or after April 1, 2031, at the option of the City exercised by notification at least 30 days prior to the scheduled prepayment date. In addition, an amount not exceeding 90% of then outstanding principal amount may be prepaid in whole or in part before the maturity on any date, at the option of the City, from moneys obtained by the City from the full or any partial sale of the City’s water system with at least 30 days prior notification. In November 2022, the sale of the City of Bellflower’s Municipal Water System (MWS) infrastructure assets was completed and $5.5 million of the proceeds was used to pay off the MWS portion of the 2021 Certificates of Participation (COPs). The balance of the 2021 Certificate of Participation is $6,670,000 at June 30, 2024. The remaining Certificates mature October 1, 2032. In the event of a default of the principal and interest due, the COP owners may request that the trustee re-let the leased premises.

Fiscal Years Fiscal Years
Ending June 30, Principal Interest Total Ending June 30, Principal Interest Total 2025 675,000$ 145,648$ 820,648$ 2025 44,507$ 28,682$ 73,189$ 2026 690,000 129,950 819,950 2026 47,212 26,827 74,039 2027 705,000 113,908 818,908 2027 50,050 24,860 74,910 2028 725,000 97,463 822,463 2028 53,026 22,774 75,800 2029 740,000 80,615 820,615 2029 56,136 20,564 76,700 2030-2033 3,135,000 146,108 3,281,108 2030-2034 332,786 64,912 397,698 2035-2037 - - - 2035-2038 120,254 5,454 125,708 6,670,000$ 713,692$ 7,383,692$ 703,971$ 194,073$ 898,044$ Note Direct Borrowing2021 Certificates of Participation - 34 -

29 BELLFLOWER FINANCING AUTHORITY

NOTES TO BASIC FINANCIAL STATEMENTS

June 30, 2024

NOTE 6 LONG TERM LIABILITIES (Continued):

Note Payable:

On March 31, 2015, the City executed a promissory note with MTB Enterprises, LLC for $995,000 to purchase real property for the Butterfly Garden. The note is secured by a deed of trust on the purchased property. Interest accrues at the annual rate of 4.125% with principal and interest payments due on July 15, and January 15 of each fiscal year. In the event that during the term of the loan the total rental income received by the City from the sign lease and the pumping station lease on the property for any calendar year exceeds $61,004, then the excess rent will be paid by the City to MTB Enterprises, LLC to apply to the principal of the loan on or before February 15th of the year following the receipt of the excess rent. The City’s last one or more payments will be reduced to reflect that reduction in principal. The excess rent collected in fiscal year 2023- 2024 that was paid in addition to the pre-determined principal amount was $8,739. The loan balance as of June 30, 2024 was $703,971.

- 35 -

REQUIRED SUPPLEMENTARY INFORMATION

- 36 -

Variance
with Final
Budget
Actual Positive
Original Final Amounts (Negative)

REVENUES
Lease revenue 894,000$ 894,000$ 893,659$ (341)$ Other revenue - City of Bellflower 2,040 2,040 1,770 (270) Investment earnings 500 500 1,957 1,457 Total Revenues 896,540 896,540 897,386 846

EXPENDITURES
Debt service:

Principal payments 701,610 701,929 701,929 - Interest and fiscal charges 194,430 194,430 193,499 931 Total Expenditures 896,040 896,359 895,428 931 Net Change in Fund Balance 500 181 1,958 1,777 Fund Balance, Beginning of Fiscal year 58 58 58 - Fund Balance, End of Fiscal Year 558$ 239$ 2,016$ 1,777$ For the fiscal year ended June 30, 2024
30 BELLFLOWER FINANCING AUTHORITY

SCHEDULE OF REVENUES, EXPENDITURES, AND

CHANGES IN FUND BALANCE - BUDGET AND ACTUAL
Budgeted Amounts

GENERAL FUND
- 37 -

OTHER SUPPLEMENTAL INFORMATION

- 38 -

Transportation
Bond
Project

REVENUES
Lease revenue 823,070$
Investment earnings 1,957
Total revenues 825,027

EXPENDITURES
Principal retirement 660,000
Interest and other charges 163,069
Total expenditures 823,069
Net change in activity 1,958$
For the fiscal year ended June 30, 2024

BELLFLOWER FINANCING AUTHORITY

TRANSPORTATION BONDS PROJECT SUPPLEMENTAL SCHEDULE
31 - 39 -

32 OFFICES: BEVERLY HILLS ∙ CULVER CITY ∙ SANTA MARIA

MEMBER AMERICAN INSTITUTE OF C.P.A.’S ∙ CALIFORNIA SOCIETY OF MUNICIPAL FINANCE OFFICERS ∙ CALIFORNIA ASSOCIATION OF SCHOOL BUSINESS OFFICIALS

WILSON LAM, CPA

INDEPENDENT AUDITOR’S REPORT ON INTERNAL CONTROL OVER

FINANCIAL REPORTING AND ON COMPLIANCE AND OTHER MATTERS BASED

ON AN AUDIT OF FINANCIAL STATEMENTS PERFORMED IN ACCORDANCE

WITH GOVERNMENT AUDITING STANDARDS

The Honorable Board of Directors of the
Bellflower Financing Authority
Bellflower, California

We have audited, in accordance with the auditing standards generally accepted in the United States of America and the standards applicable to financial audits contained in Government Auditing Standards issued by the Comptroller General of the United States, the financial statements of the governmental activities and the major fund of the Bellflower Financing Authority (the Authority), as of and for the fiscal year ended June 30, 2024, and the related notes to the financial statements, which collectively comprise the Authority’s basic financial statements, and have issued our report thereon dated January 31, 2025.

Report on Internal Control Over Financial Reporting

In planning and performing our audit of the financial statements, we considered the Authority's internal control over financial reporting (internal control) as a basis for designing audit procedures that are appropriate in the circumstances for the purpose of expressing our opinion on the financial statements, but not for the purpose of expressing an opinion on the effectiveness of the Authority’s internal control. Accordingly, we do not express an opinion on the effectiveness of the Authority's internal control.

A deficiency in internal control exists when the design or operation of a control does not allow management or employees, in the normal course of performing their assigned functions, to prevent, or detect and correct misstatements on a timely basis. A material weakness is a deficiency, or a combination of deficiencies, in internal control, such that there is a reasonable possibility that a material misstatement of the Authority’s financial statements will not be prevented or detected and corrected on a timely basis. A significant deficiency is a deficiency, or a combination of deficiencies, in internal control that is less severe than a material weakness, yet important enough to merit attention by those charged with governance.

Our consideration of internal control was for the limited purpose described in the first paragraph of this section and was not designed to identify all deficiencies in internal control that might be material weaknesses or significant deficiencies. Given these limitations, during our audit we did not identify any deficiencies in internal control that we consider to be material weaknesses.

However, material weaknesses or significant deficiencies may exist that have not been identified.

- 40 -

MOSS, LEW & HARTZHEIM LLP

CERTIFIED PUBLIC ACCOUNTANTS

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Moss, Levy & Hartzheim, LLP
Culver City, California
January 31, 2025
- 41 -

4..» ‘7‘“, 47 V“

14-D
TO: Honorable Mayor and Members of the City Council

ATTENTION: Ryan Smoot, City Manager

FROM: Mayra Ochiqui, City Clerk

SUBJECT: Consideration and possible action to adopt Resolution No. 25-07 – A Resolution authorizing the destruction of obsolete records from all City Departments.

DATE: February 10, 2025

EXECUTIVE SUMMARY

On November 27, 2023, the City Council adopted Resolution No. 23 -46, updating the City’s Retention Schedule and establishing the criteria and procedures for the destruction of obsolete records.

If adopted, Resolution No. 25-07 (“Resolution”) will authorize the destruction of obsolete records from all City Departments, as listed on Exhibit A of the Resolution.

RECOMMENDATION TO CITY COUNCIL

1) Adopt Resolution No. 25-07; or

2) Alternatively, discuss and take other action related to this item.

FISCAL IMPACT

The cost to destroy records is $7.00 per box (Retrieval: $2.50; Destruction: $4.50). This Resolution includes a proposed destruction of 56 boxes of obsolete records. The cost to destroy the obsolete records identified in Resolution No. 25-07 will be approximately $392.00 to be paid from Records Destruction Account No. 010-43610-1200.

DISCUSSION

On November 27, 2023, the City Council adopted Resolution No. 23-46, updating the City’s Retention Schedule and establishing the criteria and procedures for the destruction of obsolete records. Obsolete records must be destroyed on a routine and periodic basis in order to maintain the efficient operation of the City and save on record storage expenses.

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1 1: BELLF
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*‘ Sitafteport

Staff Report – Destruction of Obsolete Records
February 10, 2025

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DISCUSSION – Continued

Resolution No. 25-07 is based on the policies and procedures in place and, if adopted, will authorize the destruction of 56 boxes of obsolete records from all City Departments as listed on Exhibit A of the Resolution. If approved, this destruction will bring all identified and catalogued citywide records under compliance with the City’s adopted Retention Schedule and Records Management Program.

ATTACHMENT

Resolution No. 25-07....................................................................................................... 3

2 CITY OF BELLFLOWER

RESOLUTION NO. 25-07

A RESOLUTION AUTHORIZING THE DESTRUCTION OF

OBSOLETE RECORDS FROM ALL CITY DEPARTMENTS

THE CITY COUNCIL RESOLVES AS FOLLOWS:

SECTION 1. Recitals. The City Council finds and declares as follows:

A. Keeping and maintaining public records that are unnecessary or duplicative results in the consumption of significant public resources including money, time, and space;

B. Government Code §§ 34090, et seq. and the City’s Records Retention Schedule (Resolution No. 23-46) establish methods by which the City may approve the destruction of unneeded documents; and

C. It is in the public interest to reduce the City’s cost for storing documents while, at the same time, ensuring that the City preserves those records that are required to conduct City business.

SECTION 2. Factual Findings. As used in this Resolution, “record” has the same definition as set forth in Government Code § 6252.

SECTION 3. Pursuant to Government Code § 34090 and the City’s Records Retention Schedule (Resolution No. 23-46), the City Council approves the destruction of those records listed in the attached Exhibit “A,” which is incorporated by reference, and authorizes the City Clerk to destroy such records.

SECTION 4. This Resolution does not affect any penalty, forfeiture, or liability incurred before, or preclude prosecution and imposition of penalties for any violation occurring before, this Resolution’s effective date. Any such amended part will remain in full force and effect for sustaining action or prosecuting violations occurring before the effective date of this Resolution.

SECTION 5. Upon destroying any documents in accord with this Resolution, the City Clerk is directed to complete a certificate verifying the destruction of such records and file the certificate with the City’s official records.

SECTION 6. Limitations. The City Council’s analysis and evaluation of the project is based on the best information currently available. It is inevitable that in evaluating a project that absolute and perfect knowledge of all possible aspects of the project will not exist. One of the major limitations on analysis of the project i s the City Council’s lack of knowledge of future events. In all instances, best efforts were made to form accurate assumptions. Somewhat related to this are the limitations on the City's ability to solve what are in effect regional, state, and national problems and issues. The City must work within the political framework within which it exists and with the limitations inherent in that framework.

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City of Bellflower
Resolution No. 25-07

Page 2 of 2 ends

SECTION 7. Summaries of Information. All summaries of information in the findings, which precede this section, are based on the substantial evidence in the record.

The absence of any particular fact from any such summary is not an indication that a particular finding is not based in part on that fact.

SECTION 8. Construction. This Resolution must be broadly construed to achieve the purposes stated in this Resolution . It is the City Council’s intent that the provisions of this Resolution be interpreted or implemented by the City and others in a manner that facilitates the purposes set forth in this Resolution.

SECTION 9. Severability. If any part of this Resolution or its Application is deemed invalid by a court of competent jurisdiction, the City Council intends that such invalidity will not affect the effectiveness of the remaining provisions or applications and, to this end, the provisions of this Resolution are severable.

SECTION 10. Electronic Signatures. This Resolution may be executed with electronic signatures in accordance with Government Code §16.5. Such electronic signatures will be treated in all respects as having the same effect as an original signature.

SECTION 11. The Mayor, or presiding officer, is authorized to affix its signature to this Resolution signifying its adoption by the City Council of the City of Bellflower, and the City Clerk, or its duly appointed deputy, is directed to attest.

SECTION 12. Effective Date. This Resolution will become effective immediately upon adoption and will remain effective unless repealed or superseded.

PASSED, APPROVED, AND ADOPTED BY THE CITY COUNCIL OF THE CITY OF BELLFLOWER THIS 10TH DAY OF FEBRUARY 2025.

________________________________
Ray Dunton, Mayor
ATTEST:

________________________________
Mayra Ochiqui, City Clerk

APPROVED AS TO FORM:

________________________________
Karl H. Berger, City Attorney

ATTACHMENT:

Exhibit A – Obsolete Records Authorized for Destruction

5 M m I): WWW-I‘M“
RESOLUTION NO. 25- 07 - EXHIBIT A

OBSOLETE RECORDS AUTHORIZED FOR DESTRUCTION
(ADMINISTRATIONICITY MANAGER'S OFFICE)
SKP BOX CURRENT NUMBER/ FROM DESTROY 90x0 3mm DESCRIPTION OF RECORDS DATE TO DATE RETENPENOTIOND m Number
A019 73142239 PERSONNEL FILES 4/20/1973 10/31/1994 312:: 12/31/2024 A030 73142321 PERSONNEL FILES 12/12/1979 12/2/1994 magi: 12/31/2024

CORRESPONDENCE FILES - CITY OF BELLFLOWER FORD
A033 102004699 IMOTOR CREDIT DEPARTMENT vs. PETER R. ELLIS. 4/26/1993 4/15/1994 2years 12/31/1996 ROQUEMORE. PRINGLE 3. MOORE ATTORNEYS AT LAW. ETC.

F'nal A0597 237309023 GRIEVANCE FILINGS 5/11/1990 7/13/1997 Resolution + 12/31/1999 2 years
Final
Resolution +
A0324 RF127618634|HUMAN RESOURCES-CLOSED CLAIMS 2/11/2015 12/31/2019 “fa": 12/31/2024 daoman‘ tis
minor
Final
Resdution +
A0359 RF1276136231IIUMAN RESOURCES-CLOSED CLAIMS (MISC. YEARS) 3/4/2004 9/17/2019 5f“: 12/31/2024 daman' us .

A0367 RF127619437 ICITIZEN SURVEYS ISSUED BY CITY MANAGER 1/3/2001 12/6/2016 4 yeas 12/31/2020 Total Number Of Boxes: 7
[SIGNATIRES ON NEXT PAGE]
Payne/2

6 M E!” D: mm1mmm
RESOLUTION NO. 25-07 - EXHBIT A

OBSOLETE RECORDS AUTHORIZED FOR DESTRUCTION
(ADMINISTRATIONICITY MANAGER'S OFFICE)
CITYQERK:

CITYMANAGER:

CITY ATTWEY:

SKP BOX
CURRENT BOX a """BER' DESCRIPTION OF Reconns ' non TO DATE mm ”53““ Barcodo DATE PERIOD AFTER Number WM
Pangaea

7 M Elm D: WWI-”32mm
RESOLUTION NO. 25-07 - EXHIBIT A

OBSOLETE RECORDS AUTHORIZED FOR DESTRUCTION (CITY CLERK'S OFFICE) SKP Box CURRENT BOX 8 "”"BER’ DESCRIPTION OF RECORDS FRO" TO DATE RETENTION ”53““ Barcode DATE PERIOD AFTER Number
00326 452734168 LEGISLATION AND MADDY ACT FILES 4/28/1958 3/6/2007 2 years 12/31/2009 NOMINATION PAPERS FOR 2018 COUNCIL VACANCY [TERM Tenn + 4 00524 RF018923865 EXPIRED: 12/2020]; NOMINATION PAPERS FOR 2015 GENERAL 11/14/2018 11/20/2018 m 12/31/2024 MUNICIPAL ELECTION [TERM EXPIRED: 2019] V" 00545 RF018923830 :31? POL'T'CAL PRACT'CES COMM'SS'ON (FPPC) RECORDS ' 10/18/1996 11/28/2017 7 years 12/31/2024 00563 RF127619567 2022 PUBLIC RECORDS REQUESTS NOS. 22-01 TO 22135 1/3/2022 3/15/2022 2 years 12/31/2024 00564 RF127619566 2022 PUBLIC RECORDS REQUESTS NOS. 22—136 TO 22309 3/15/2022 7/6/2022 2 years 12/31/2024 00565 RF127619565 2022 PUBLIC RECORDS REQUESTS NOS. 22310 TO 22470 7/6/2022 10/13/2022 2 years 12/31/2024 2022 PUBLIC RECORDS REQUESTS Nos. 22.471 TO 22-610 AND 00566 RF127619564 2022 SUBPOENAS Nos. 2201 To 2209 7/6/2022 10/13/2022 2 years 12/31/2024 00572 RF127619415 MADDY ACT FILES 4/1/1992 11/30/2012 2 years 12/31/2014 00585 RF127619434 MISCELLANEOUS VIDEO TAPES 1/1/1984 12/31/2008 6 years 12/31/2014 00586 RF127619435 MISCELLANEOUS AUDIO AND VIDEO TAPES 12/10/1992 12/31/2006 6 years 12/31/2012 00587 RF127619436 MISCELLANEOUS VIDEO TAPES 1/1/2001 12/31/2005 6 years 12/31/2011 zo—s GENERAL OFFICE FILES, 2022 ANNO A AG , 2022 CITY COUNCIL MEETING AUDIO FILES, 2017 CITY COUNCIL . 00594 62058034 MEETING VIDEO FILES, AND 2018 CITY COUNCIL MEETING 1’ "2°22 12’31’2022 V" '°“s 12’31’2024

VIDEQEJLES
Total Number of Boxes: 12
[SIGNATURES ON NEXT PAGE]
P09010f2

8 mmnmmm
RESOLUTION NO. 25- 07 - EXHBIT A

OBSOLETE RECORDS AUTHORIZED FOR DESTRUCTION
CITY ATTORNEY:
(CITY CLERK'S OFFICE)

SKP BOX CURRENT
NUMBER I FROM DESTROY BOX # B I DESCRIPTION OF RECORDS DATE TO DATE Ri'l’Efigglgu AFTER Number
A [W T DEST RY RE 0
P190201?

9 DOG“! m D: WWI-“32mm“
RESOLUTION NO. 25- 07 - EXHIBIT A

OBSOLETE RECORDS AUTHORIZED FOR DESTRUCTION (FINANCE DEPARTMENT) SKP Box CURRENT Box II "“35“ DESCRIPTION OF RECORDS FRO" TO DATE RETENTION ”537R" Barcoda DATE PERIOD AFTER Number 349 102004214 MISCELLANEOUS AUDITS (19761983) 1/1/1976 12/31/1983 5 years 12/31/1988 F2656 964586199 ACCOUNTS PAYABLE REPORTS 7/1/2016 6/30/2017 7 years 12/31/2024 F2689 964586344 JOURNAL ENTRIES 7/1/2017 6/30/2018 5 years 12/31/2023 F2706 964586384 CASH RECEIPTS - 010-36800-010-36900 TO 530-37100 7/1/2017 6/30/2018 7 years 12/31/2024 F2707 964586385 CASH RECEIPTS - FUND 600 To FUND 9000 7/1/2017 6/30/2018 7 years 12/31/2024 F2708 964586437 PAYROLL REGISTERS 7/1/2017 11/30/2017 7 years 12/31/2024 2018/2019 ACCOUNTS RECEIVABLES REVENUE FILES - 010- F2716 61937860 11010 TO 01030130 7/1/2018 6/30/2019 5 years 12/31/2024 F2717 61937859 2018/2019 REVENUE FILES - 01030130 (4/4) To 010-31204 7/1/2018 6/30/2019 5 years 12/31/2024 2018/2019 ACCOUNTS RECEIVABLE REVENUE FILES - 010- F2718 61937858 31320 To FTB COLLECTION 7/1/2018 6/30/2019 5 years 12/31/2024 2018/2019 ACCOUNTS RECEIVABLE REVENUE FILES - 010- F2719 61937857 32020 (REPORTS) TO 01032020 (3/12) 7/1/2018 6/30/2019 5 years 12/31/2024 2018/2019 ACCOUNTS RECEIVABLE REVENUE FILES - 010- F2720 61937856 32020 (4/10) TO 01032020 (7,12) 7/1/2018 6/30/2019 5 years 12/31/2024 2018/2019 ACCOUNTS RECEIVABLE REVENUE FILES - 010- F2721 61937855 32020 (8/10) To 01036010 7/1/2018 6/30/2019 5 years 12/31/2024 2018/2019 ACCOUNTS RECEIVABLE REVENUE FILES - 010- F2722 61937854 36030 (1/4) TO 01036120 7/1/2018 6/30/2019 5 years 12/31/2024 201812019 ACCOUNTS RECEIVABLE REVENUE FILES - 010- F2723 61937853 36400 To 010-36650 THRU 010-36672 (4’8) 7/1/2018 6/30/2019 5 years 12/31/2024 2018/2019 ACCOUNTS RECEIVABLE REVENUE FILES - 010- F2724 61937852 36650 THRU 010_36672 (5,8) To 05034200 7/1/2018 6/30/2019 5 years 12/31/2024 2018/2019 ACCOUNTS RECEIVABLE REVENUE FILES - 090- F2725 61937851 2050000560 To Fund 600 (3,3) 7/1/2018 6/30/2019 5 years 12/31/2024 Pago1o€2

10 W Em I): WWI-mamas
RESOLUTION NO. 25- 07 - EXHIBIT A

OBSOLETE RECORDS AUTHORIZED FOR DESTRUCTION (FINANCE DEPARTMENT) SKP BOX CURRENT BOX II "“35“ DESCRIPTION OF RECORDS FRO" TO DATE RETENTION ”53m“ Barcode DATE PERIOD AFTER Number
2018/2019 ACCOUNTS RECEIVABLE REVENUE FILES - 710- F2726 61937850 33110 TO DEPT. 9000 7/1/2018 6/30/2019 5 years 12/31/2024 201812019 ACCOUNTS RECEIVABLE REVENUE FILES - F2737 61937839 CASH REGISTER AUDIT TRAIL (DEC MARCH) 7/1/2018 6/30/2019 5 yeals 12/31/2024 2018/2019 ACCOUNTS RECEIVABLE - P&R/PS VOIDED F2738 61937838 RECEIPTS, CASH RECONCILIATION SHEET 7/1/2018 6/30/2019 5 years 12/31/2024 2018/2019 ACCOUNTS RECEIVABLE - CASH REGISTER F2739 61937837 AUDIT TRAIL (APRIL- JUNE) 7/1/2018 6/30/2019 5 years 12/31/2024 2018/2019 ACCOUNTS RECEIVABLE - CASH REGISTER F2740 61937836 AUDIT TRAIL (JULY-NOVEMBER) 7/1/2018 6/30/2019 5 years 12/31/2024 Total Number Of Boxes: 21
A RITY m OBSOLETE RECORDS
1‘41, flux, DIRECTOR OF FINANCE: msm1mam

11 M m D: WWI-9032mm
RESOLUT|ON NO. 25-07 - EXHIBIT A

OBSOLETE RECORDS AUTHORIZED FOR DESTRUCTION
(PARKS AND RECREATION DEPARTMENT)
SKP BOX CURRENT BOX # "“35“ DESCRIPTION OF RECORDS FRO" To DATE RETENTION ”'53v Barcode DATE PERIOD AFTER Number
PR171 RF127618617 iggfigg'ss'w MEET'NG AUD'O RECORD'NGS ’ ANNOTATED 1/1/2001 12/31/2022 2 years 12/31/2024 GENERAL OFFICE FILES (CORRESPONDENCE, FUNDING PR195 61937616 REQUESTS, FACILITY USE AGREEMENTS. FACILITY USE 1/1/2009 12/31/2022 2 years 12/31/2024 PERMITS) GENERAL OFFICE FILES (ACCIDENT REPORTS (COPIES). ALLIANT INSURANCE. ATTENDANCE REPORTS, CASH RECON. FORMS. . PR196 61937615 CHARITABLE CONTR'BUTION FORMS. DIAMNDE 1/1/2016 12/31/2022 2 years 12/31/2024 APPLICATIONS. REO INVOICES)
PR197 61937614 EMPLOYEMENT APPLICATIONS 1/1/2014 12/31/2015 3 years 12/31/2016 PR198 61937611 EMPLOYEMENT APPLICATIONS 1/1/2015 12/31/2017 3 years 12/31/2020 PR199 61937612 EMPLOYEMENT APPLICATIONS 1/1/2019 12/31/2021 3 years 12/31/2024 PR200 61937813 RECREATION LEADER RECRUITMENT 1/1/2017 12/31/2016 3 years 12/31/2021 Total Number of Boxes: 7
[SIGNATURES ON NEXT PAGE]
PagO1of2

12 Dowdy! M D: mm1mmm
RESOLUTION NO. 25-07 - EXHIBIT A

OBSOLETE RECORDS AUTHORIZED FOR DESTRUCTION
(PARKS AND RECREATION DEPARTMENT)
BOX #

SKP BOX

NUMBER I
Barcode
Number

DESCRIPTION OF RECORDS TO DATE

CURRENT

RETENTION
PERIOD

DESTROY
AFTER

AUTHORITY TO DE RY OBSOLETE RECORDS
WV
DIRECTOR OF PARKS I: RECREATION: amalgam...

CITY ATTORNEY:

PagoZofz

13 Doom Em D: MFWI-W’m
RESOLUTION NO. 25- 07 - EXHIBIT A

OBSOLETE RECORDS AUTHORIZED FOR DESTRUCTION
(PLANNING AND BUSINESS LICENSE DEPARTMENT)
SKP Box CURRENT Box II "UMBER’ DESCRIPTION OF RECORDS FRO" TO DATE RETENTION ”'53v Barcode DATE ”imp AFTER Number
GENERAL OFFICE FILES - CORRESPONDENCE. BANNER PL134 RF127619589 PERM'TS' TUPS' REQU'SITDNS' 'NvomEs 12/17/2019 12/31/2022 2 years 12/31/2024 PL137 RF127619577 CLOSED OUT BUSINESS LICENESES 7/1/1982 12/31/2019 5years 12/31/2024 PL138 RF127619576 CLOSED OUT BUSINESS LICENESES 7/1/1992 12/31/2019 5years 12/31/2024 PL139 RF127619575 CLOSED OUT BUSINESS LICENESES 7/1/1982 12/31/2019 5yeaIS 12/31/2024 Total Number Of Boxes: 4
AUTHORITY TO D§IORY EQLETE RECORD§
and tr-
efiwdh (Hm
DIRECTOR OF PLANNING AND BUILDING SERVICES: mesa/comm...

Elizabeth Ob:

N
cm CLERK:

Sud
CITY MANAGER: 15FE405...
cm! ATTORNEY: , . '
Kldfljer
PagoIOH

14 M Elm. D: WIWWM
RESOLUTION NO. 25 07 - EXHIBIT A

OBSOLETE RECORDS AUTHORIZED FOR DESTRUCTION
(PUBLIC SAFETY DEPARTMENT)
SKP BOX CURRENT NUMBER I FROM DESTROY BOX # B ode DESCRIPTION OF RECORDS DATE TO DATE REPTEERN'EISN AFTER Number
65mm
0501 HEARINGS; ADMIN. PAYMENT PLANS; DUMPSTER DIVING .

P8126 62 88 CITATIONS; ADMIN. CITATION HEARINGS; PERMIT PARKING "1,2018 12,31,2021 VE" I: us 1231,2024 W
WEEKLY FIELD ACTIVITY REPORTS; FALSE ALARM WARNING P8127 62058037 LETTERS; VIOLATION NOTICES 1/1/2021 12/31/2021 2 years 12/31/2023 P8128 62058036 TOW RELEASES 1/1/2021 6/30/2021 2 years 12/31/2023 P8129 62058035 TOW RELEASES 1/1/2021 12/31/2021 3 years 12/31/2023 Total Number of Boxes: 4
[SIGNATURES ON NEXT PAGE]
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RESOLUTION NO. 25- 07 - EXHIBIT A

OBSOLETE RECORDS AUTHORIZED FOR DESTRUCTION (PUBLIC SAFETY DEPARTMENT) SKP BOX CURRENT BOX 1: "”"BER’ DESCRIPTION OF RECORDS FRO" To DATE RETENTION “5“" Barcode DATE PERIOD AFTER Number AU v o LETE necoaos
INTERIM DIRECTOR OF PUBLIC SAFETY. wm
CITYCIIRK:

CITY mm:

CITY ATTORNEY:

PagoZofz

16 M m D: mmmmm
RESOLUTION NO. 25- 07 - EXHIBIT A

OBSOLETE RECORDS AUTHORIZED FOR DESTRUCTION
REMOVALS; TRASH CONTAINERS; TRASH CO.

CORRESPONDENCE; TRASH RECEPTACLES 1978-1981
(PUBLIC WORKS DEPARTMENT)
SKP BOX CURRENT BOX # "”"BER’ DESCRIPTION OF RECORDS FRO" TO DATE RETENTION ”'53v Barcode DATE PERIOD AFTER Number
LEAGUE OF CA CITIES CORRESPONDENCE; GRAFFITI PW 49 84643503 REMOVAL; TREE CREW DAILY LOGS UP TO 1981; TREE 1/1/1978 12/31/1981 2 ye” 12/31/1933 Total Number of Boxes: 1
AUT RITY TO 0 SOLETE RE ROS
baa. éomfi DIRECTOR OF Puwc WORKS: _____________scaeoowaeus~ Len GOI’
CITY CLERK:

CITY MANAGER:

CITY ATTORNEY:

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“Common
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Subject: Sign with Docuaign: Exhibit A - Administrationpdf. Exhibit A - City Clarit.pdf. Exhibit A -...

Source Envelope:

Document Pages: 12 Signatum: 12 Envalopa Originator.

Certificate Pagaa: 5 initials: 0 City Clark
AutoNav: Enabled 16600 Civic Cantar Drivo
Envolopald Stamping: Enablad 16600 Civic Center Drive
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IP Mdraaa: 19624206226
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Detailed Listings of Box Contents
[Note: Boxes crossed off the detailed listings are not included in this Exhibit.

They either have a permanent retention period, were previously destroyed, or held from destruction by the Director of the Department.]

22 CITY OF BELLFLOWER

Page 1 ends

REQUEST FOR

AUTHORITY TO TRANSFER INACTIVE RECORDS
RECORDS OF: Administration
Department)
ITEM
NO.

FILE NAME AND

FUNCTION/CATEGORY
NUMBER
FILE
TYPE
C -Copies
O -Originals
TOTAL

INACTIVE

RETENTION
TIME

INCLUSIVE DATES

IN FILE

DESTROY
AFTER
BOX
NO.

FROM TO
1 Goeke; Chris A. - Terminated 530-010 O Term + 10 yrs: 5/18/91 1/1/94 1/1/07 19 2 Cullen, Tamara L. - Terminated 530-010 O Term + 10 yrs. 5/16/92 1/1/94 1/1/07 19 3 Greene, Shawne T. - Terminated 530-010 0- Term + 10 yrs. 3/19/90 1/27/94- 1/27/07 19 4 Walker, Joseph J. - Terminated 530-010 O Term + 10 yrs. 9/19/92 2/10/94 2/10/07 19 5 Hudson, Arline - Terminated 530-010 O Term + 10 yrs. 10/19/83 3/18/94 3/18/07 19 6 Baldonado, Ramon U. - Retired 530-010 O Term + 10 yrs. 11/22/71 3/31/94 3/31/07 19 7 Heikkila, Melvin D. - Resigned 530-010 O Term + 10 yrs. 9/9/91 4/5/94 4/5/07 19 8 Bostrom, Tamara C. - Resigned 530-010 O Term + 10 yrs. 6/12/93 5/28/94 5/28/07 19 9 Camarillo, Albert M. - Terminated 530-010 O Term + 10 yrs. 10/12/88 6/16/94 6/16/07 19 10 Fajardo, Julia P. - Resigned 530-010 O Term + 10 yrs. 10/16/93 6/24/94- 6/24/07 19 11 Barnes, Byron E. - Terminated 530-010 O Term + 10 yrs. 11/2/91 6/24/94 6/24/07 19 12 Booth, Dan E. - Retired 530-010 O Term + 10 yrs. 10/20/80 6/30/94 6/30/07 19 13 Hageman, Steven, T. - Terminated 530-010 0- Term + 10 yrs. 5/24/90 6/30/94 6/30/07 19 14 Watkins, Donald H. - Terminated 530-010 O Term + 10 yrs. 10/7/85 6/30/94 6/30/07 19 15 Bonstein, Jr., James L. - Resigned 530-010 O Term + 10 yrs. 5/29/93 7/28/94 7/28/07 19 16 Wiltjer, Brian - Resigned - Resigned 530-010 0 Term + 10 yrs. 3/11/88 8/5/94 8/5/07 19 23 w.

CITY OF BELLFLOWER .

REQUEST FOR

AUTHORITY TO TRANSFER INACTIVE RECORDS

Page 1 ends

RECORDS OF: ' Administration
(Department)
FILE ‘ . TOTAL .- . . TYPE INACTIVE . y
' ITEM . FILE NAME AND C-Copies RETENTION ' INCLUSIVE DATES DESTROY BOX NO. FUNCTION/CATEGORY O-Originals TIME IN FILE AFTER NO.

NUMBER '
FROM ‘TO
1 Goeke‘, Chris A. - Terminated 530—01 0 0 Term + .10 yrs; 5/18/91 1l1/94 1I1_/07 19 2 Cullen, Tamara L. - Terminated 530-010. 0 Term + 10 yrs. 5/16/92 1/1/94 1I1/07 1 9 3 Greene, Shawne T. — Terminated 530-010 O~ Term + 10-yrs. 3/19/90 1/27/94. . 1/27/07 19 4 Walker, Joseph J. - Terminated 530-010 I 0 Term + 10 yrs. 9/19/92 2/10/94 - 2/10/07 - 19 5 Hudson, Arline - Terminated 530—01 0 0 ‘ Term + 1 0 yrs. . 1 0/1 9/83 3/18/94 3/18/07 19 ' 6 Baldonado, Ramon U. - Retired 530—010 0 Term + 10 yrs. 11/22/71 ‘ 3/31/94 3/31/07 19 ‘7 HeikkiIa, Melvin D. --Resigned 530—010 0 Term + 10 yrs. 919/91 4/5/94 4/5/07 19 8 7 Bostrom, Tamara C. - Resigned 530-010 0 Term + 10 yrs. '6/12/93 5/28/94 5/28/07 19 .9 Camarillo, Albert M. - Terminated 530—01 0 0 Term + 10 yrs. I '10/12/88 6/16/94 _6/16/07 19 1O Fajardo, Julia P. - Resigned 530-010 0 Term + 10 yrs. 10/16/93 6/24/94- 6/24/07 1 9 h 11 Barnes, Byron E. — Terminated 530—0‘10 0 Term + 10 yrs. 11l2/91 6/24/94 6/24/07 1 9 12 Booth, Dan E. - Retired 530-010 0 Term + 10 yrs. 10l20l80 ‘ 6/30/94 - 6/30/07 19 13 Hageman,‘ Steven, T. - Terminated 530—010 0' ' Term + 10 yrs. 5/24/90 . 6/30/94 . 6/30/07 1 9 14 Watkins, Donald H. - Terminated 530-010 0 Term + 10 yrs. 10/7/85 6/30/94 6/90/07 19 15 Bonstein, Jr., James L._- Resigned 530—010 0 Term + 10 yrs. 5/29/93 7/28/94 7/28/07 , 19 16 Wiltjer, Brian - Resigned - Resigned 530-010 0 Term + 10 yrs. 3/1 1/88 8/5/94 8/5/07 19

CITY OF BELLFLOWER

Page 2 ends

REQUEST FOR

AUTHORITY TO TRANSFER INACTIVE RECORDS
RECORDS OF: Administration
Department)
ITEM
NO.

FILE NAME AND

FUNCTION/CATEGORY

NUMBER -
FILE
TYPE
C -Copies-
O -Originals
TOTAL

INACTIVE

RETENTION
TIME

INCLUSIVE DATES

IN FILE

DESTROY
AFTER.

BOX
NO.

FROM TO
17 Haagsma, Richard - Resigned 530-010 O Term + 10 yrs. 4/28/86 8/11/94 8/11/07 19 18 Freeman, Holly E. - Terminated 530-010 O Term + 10 yrs. 5/18/91 9/2/94 9/2/07 19 19 Judd, Troy G. - Terminated 530-010 O Term + 10 yrs. 5/8/90 9/8/94 9/8/07 19 20 Castelluccio., Anthony - Resigned 530-010 O Term + 10 yrs. 8/31/92 10/3/94 10/3/07 19 21 Esposito, Angelina D. - Resigned 530-010 - O Term + 10 yrs. 4/20/78 10/3/95 10/3/07 19 22 Chavez, Benjamin H. - Terminated 530-010 O Term + 10 yrs. 5/10/94 10/21/94 10/21/07 19 23 Esposito, Angelina D. - Resigned - Workmen's Compensation 145-070
O - Term + 10 yrs. 1/1/94 10/31 /94 10/31/07 19
Approved: Date:

Departmen ead)
Approved: eo_jg ; Date: 5
Ci e
Approved: Date: "/—
City Administrator)
24 CITY OF BELLFLOWER . ' , .
, Page 2 _ of 2

REQUEST FOR -

AUTHORITY TO TRANSFER INACTIVE RECORDS
RECORDS OF: Administration
(Department)
FILE ‘ ' TOTAL
TYPE ' ‘ INACTIVE ‘ .

ITEM FILE NAME AND . C-Copies' RETENTION INCLUSIVE DATES ’ DESTROY BOX NO. ' FUNCTION/CATEGORY O—Originals TIME' IN FILE AFTER- NO. NUJyI BER - .

FROM TO
17 Haagsma, Richard - Resigned 530-010 0 Term + 10 yrs. 4/28/86 8/1 1/94 8/1 1/07 19 18 Freeman, Holly E. - Terminated , 530—010 0 Term + 10 yrs. 5/18/91 9/2/94 9/2/07 19 19 Ju'dd, Troy G. - Terminated 530-010 .0 Term + 10 yrs. ' 5/8/90 9/8/94 9/8/07 19 20 Castelluccio, Anthony -_ Resigned 530-010 0 Term + 10 yrs. 8/31/92 10/3/94 10/3/07 1 9 21 Esposito, Angelina D. - Resigned 530-010 _ 0 Term + 10 yrs. 4/20/78 10/3/95 10/3/07 19 22 Chavez, Benjamin H. Terminated 530-010 0 Term + 10 yrs. I 5/10/94 10/21/94 10/21/07 19 23 ‘Esposito, Angelina D. -Resigned- Workmen' 5 Compensation 0 _ Term + 10 yrs. 1/1/94 ‘ 10/31/94 -10/31/07 19 145- 070 _ . . , _ g .

Approved: M Date: .54 / 8", flL
(Departmenfl‘read) '
Approved: Date: -» {SJ—f} < fl, "fig 7/. (CI . e ’ t” ' ,, “:9 _.f ’. 7 Approved: M Date: «51/ ? “ '
(City Administrator)

CITY OF BELLFLOWER

REQUEST FOR

AUTHORITY TO TRANSFER INACTIVE RECORDS
RECORDS OF: Administration
Department)

Page 1 of 2 ends

ITEM
NO.

FILE NAME AND

FUNCTION/CATEGORY
NUMBER
FILE
TYPE
C -Copies
O -Originals
TOTAL

INACTIVE

RETENTION
TIME

INCLUSIVE DATES

IN FILE

DESTROY
AFTER
BOX
NO.

FROM TO
1 Manalo, Helen V. 530-10 O Term + 10 6/24/90 2/10/94 2/10/07 30 2 Snyder, Angela 530-10 O Term + 10 6/12/93 9/02/94 9/2/07 30 3 Stits, Allison D. 530-10 O Term + 10 6/13/89 6/21/94 6/21/07 30 4 Stits, Allison D. 145-70 O Term + 10 11/18/93 6/21/94 6/21/07 30 5 MacWillie, David B. 530-10 O Term + 10 8/24/91 12/20/94 12/20/07 30 6 MacWillie, David B. 145-70 O Term + 10 3/16/93 5/31/94 5/31/07 30 7 Snyder, Anthony 530-10 O Term + 10 10/30/85 2/10/94 2/10/07 30 8 Kottas, Katie L. 530-10 O Term + 10 6/13/88 5/27/94 5/27/07 30 9 Kouri, Megan A. 530-10 O Term - + 10 6/12/93 5/28/94 5/28/07 30 10 Klein, Jeffrey A. 530-10 O Term + 10 7/18/94 8/12/94 8/12/07 30 11 Mulder, Gregory R. 530-10 O Term + 10 6/28/93 4/7/94 4/7/07 30 12 McClain, Victoria M. 530-10 O Term + 10 5/12/87 4/21/94 4/21/07 30 13 Musser, Noah S. 530-10 O Term + 10 9/28/89 3/01/94 3/1/07 30 14 Piltz, Michael D. 530-10 0 Term + 10 11/12/80 2/10/94 2/10/07 30 25 _"‘§’ :1 . fr
3‘
CITY OF BELLFLOWER Page _1__ of

REQUEST FOR

AUTHORITY TO TRANSFER INACTIVE RECORDS
RECORDS OF: Administration
(Department)
FILE _ TOTAL

TYPE INACTIVE
ITEM FILE NAME AND C-Copies RETENTION INCLUSIVE DATES DESTROY BOX NO. FUNCTION/CATEGORY ‘ O—Originals TIME IN FILE ‘ AFTER NO.

NUMBER

FROM TO
1 Manalo, Helen V. 530-10 0 Term + 10 6/24/90 2/10/94 2/10/07 30 2 Snyder, 'Angela 530—1 0 0 Term + 10 6/12/93 9/02/94 9/2/07 30 3 Stits, Allison D. 530-10 0 Term + 10 6/13/89 6/21/94 6/21/07 30 4 Stits, Allison D. 145—70 0 Term + 10 11/1 8/93 6/21/94 6/21/07 30 5 MacWillie, David B. 530-10 0 Term + 10 8/24/91 12/20/94 12/20/07 30 6 MacWillie, David B. 145-70 0 Term + 10 3/16/93 5/31/94 5/31/07 30 7 Snyder, Anthony 530-10 0 Term + 10 10/30/85 2/10/94 2/10/07 30 8 Kottas, Katie L. 530-10 0 Term + 10 6/13/88 5/27/94 5/27/07 30 9 Kouri, Megan A. 530-10 0 Term' + 10 6/12/93 5/28/94 5/28/07 30 10 Klein, Jeffrey A. 530-10 0 Term + 10 7/18/94 8/12/94 8/12/07 30 11 Mulder, Gregory R. 530-10 0 Term + 10 6/28/93 4/7/94 4/7/07 30 1 2 McClain, Victoria M. 530-10 0 Term + 10 5/12/87 4/21/94 4/21/07 30 13 Musser, Noah S. 530-10 0 Term + 10 9/28/89 3/01/94 3/1/07 30 14 Piltz, Michael D‘. 530-10 O Term + 10 1 1/12/80 2/1 0/94 2/10/07 30 A

CITY OF BELLFLOWER

REQUEST FOR

AUTHORITY TO TRANSFER INACTIVE RECORDS
RECORDS OF: Administration
Department)

Page 2 of 2 ends

ITEM
NO.

FILE NAME AND

FUNCTION/CATEGORY
NUMBER
FILE
TYPE
C -Copies
O -Originals
TOTAL

INACTIVE

RETENTION
TIME

INCLUSIVE DATES

IN FILE

DESTROY
AFTER
BOX
NO.

FROM TO
15 Stone, Robert E. 530-10 O Term + 10 4/17/90 4/18/94 4/17/07 30 16 Ansdell, John 530-10 O Term + 10 4/20/82 4/18/94 4/18/07 30 17 Alvarez, Antonio A. 530-10 O Term + 10 7/01/86 5/31/94 5/31/07 30 18 Pendelton, William J. 530-10 O Term + 10 4/15/86 4/18/94 4/18/07 30 19 Lonnevik, Bonnie L. 530-10 O Term + 10 12/12/79 2/03/94 2/3/07 30 20 Lonnevik, Bonnie L. 145-70 O Term + 10 8/17/89 2/03/94 2/3/07 30 21 Kuykendall, Paul J. 530-10 O Term + 10 7/01/94 12/12/94 12/12/07 30 22 Leach, Bruce G. 530-10 O Term + 10 1/26/87 6/30/94 6/30/07 30 23 Mendoza, Betty 530-10 O Term + 10 6/01/94 12/02/94 12/2/07 30 Approved:

Approved:

Department Fiead)
Date: > -">
Date:

Date: 7 —7 11
26 ul-"u - 3" -‘
CITY OF BELLFLOWER Page 2 of 2

REQUEST FOR

AUTHORITY TO TRANSFER INACTIVE RECORDS
RECORDS OF: Administration
' (Department)

FILE TOTAL

TYPE INACTIVE
ITEM ' FILE NAME AND C—Copies RETENTION INCLUSIVE DATES DESTROY 'BOX NO. FUNCTION/CATEGORY O-Originals TIME IN FILE AFTER NO.

NUMBER

FROM TO
1 5 Stone, Robert E. 530—1 0 0 Term + 10 4/17/90 4/18/94 4/17/07 30 16 Ansdell, John 530-1 0 0 Term + 10 4/20/82 4/18/94 4/18/07 30 17 Alvarez, Antonio A. 530-10 0 Term + 10 7/01/86 5/31/94 5/31/07 30 18 Pendelton, William J. 530-10 0 Term + 10 4/15/86 4/18/94 4/18/07 30 19 Lonnevik, Bonnie L. 530—1 0 0 Term + 10 12/12/79 2/03/94 2/3/07 30 20 > Lonnevik, Bonnie L. 145—70 0 Term + 10 8/17/89 2/03/94 2/3/07 _30 21 Kuykendall, Paul J. 530-10 0 Term + 10 7/01/94 12/12/94 12/12/07 30 22 Leach, Bruce G. 530—10 0 Term + 10 1/26/87 6/30/94 6/30/07 30 23 Mendoza, Betty 530-10 0 Term + 10 6/01/94 12l02/94 12/2/07 30 Approved: M Date: > - P “W
(Depar‘tment fiead) ‘
Approved: .4 -. / ' " Date: 7.,é77 7
(City Cl/. I
Approved: Date: 7 ”’2 ‘9 3
' L I (City AdminisflatoW/A/

CITY OF BELLFLOWER
RECORDS OF:

REQUEST FOR

AUTHORITY TO TRANSFER INACTIVE RECORDS
Administration
Department)

Page 1 of 3 ends

ITEM
NO.

FILE NAME AND

FUNCTION/CATEGORY
NUMBER

ALL FILES CONFIDENTIAL
FILE
TYPE
C -Copies
0 -Originals
TOTAL

RETENTION
TIME

INCLUSIVE DATES

IN FILE

DESTROY
AFTER
BOX
NO.

FROM TO
1 GR -90-01 — Out -of -Class Work, Gerald Hirshman,
et al (Filed 05/11/90) 525-040
0 15 years 05/11/90 12/03/90 12/03/05 597
2 Gr -90-02 — Failure to Pay Employees (Filed 10/24/90) 525-040 0 15 years 10/24/90 10/24/90 10/24/05 597 3 Gr -91-01 — Out -of -Class Work, Ron Terry (Filed 04/01/91) 040525-
0 15 years 04/01/91 04/08/91 04/08/06 597
4 GR -91-02 — Use of City Vehicles and Grievance Processing (Filed 04/17/91) 525-040
0 15 years 04/17/91 06/25/91 05/25/06 597
5 GR -91-03 — Time for Personal Business (Filed 04/17/91) 525-040 0 15 years 04/17/91 06/25/91 06/25/06 597 6 GR -91-04 — Pattern of Intimidation (Filed 05/06/91)
040525-
0 15 years 05/06/91 12/05/91 12/05/06 597
7 GR -91-05 — Wage Increase, Salary Survey, & Failure to Notify AFSCME (Filed 06/21/91) 525-040
0 15 years 06/21/91 07/08/91 07/08/06 597
8 GR -91-06 — Negative Reference to Sheriff's Dept. & Publishing Negative Remarks in WIR (Filed 09/26/91) 525-040
0 15 years 09/26/91 12/03/91 12/0/06 597
9 GR -91-07 — To Reinstate Ron Terry with Full Back Pay 525-040 0 15 years 11/01/91 11/25/91 11/25/06 597 10 GR -91-08 — Return to Past Practice of Using Comp Time as Compensation for Overtime 525-040
0 15 years 10/23/91 11/05/91 11/05/06 597
11 GR -92-01 — Monetary Allowance for Back Braces; Installation of Light Bar, as Needed for Street Sweeper 525-040
0 15 years 1992 1992 12/31/07 597
12 GR -92-02 — Dismiss Memo of 07/22/92 (Re: Dept. Maint.

Standards & Reinforcing Policy on Rules or Regulations( or Adopt Memo as a City -Wide policy)
525-040
0 15 years 08/11/92 08/12/92 08/12/07 597
Doc 99256
27 , CITY OF BELLFLOWER Page 1 of 3

REQUEST FOR
" AUTHORITY TO TRANSFER INACTIVE RECORDS
RECORDS OF: Administration
(Department)

FILE TOTAL FILE NAME AND TYPE RETENTION
ITEM FUNCTION/CATEGORY C-Copies TIME INCLUSIVE DATES DESTROY BOX NO. NUMBER O-Originals IN FILE AFTER NO.

ALL FILES CONFIDENTIAL FROM TO
GR—90-O1 — Out-of-Class Work, Gerald Hirshman, 1 et al (Filed 05/11 /90) 525040 0 15 years 05/11/90 12/03/90 12/03/05 597 2 Gr-90-02 — Failure to Pay Employees (Filed 10/24/90) 525-040 0 15 years 10/24/90 10/24/90 10/24/05 597 3 Gr—91-O1 — Out-of—Class Work, Ron Terry (Filed 04/01/91 )525-040 0 15 years 04,01/91 04/08/91 04/08/06 597 GR-91-02 — Use of City Vehicles and Grievance Processing (Filed 4 04,17,931) 525_040 O 15 years 04/17/91 06/25/91 05/25/06 597 5 GR—91-03 — Time for Personal Business (Filed 04/17/91) 525-040 0 15 years 04/17/91 06/25/91 06/25/06 597 6 GR-91-04 - Pattern of Intimidation (Filed 05/06/91) 525040 0 15 years 05/06/91 12/05/91 12/05/06 597 GR—91-05 — Wage Increase, Salary Survey, & Failure to Notify ' 7 AFSCME (Filed 06/21/91) 525—040 ‘ O 15 years 06/21/91 07/08/91 07/08/06 597 GR—91-06 — Negative Reference to Sheriff‘s Dept. & Publishing 8 Negative Remarks in WIR (Filed 09/26/91) 525-040 0 15 years 09/26/91 12’03’91 120/06 597 9 GR-91-07 — To Reinstate Ron Terry with Full Back Pay 525-040 0 15 years 11/01/91 11/25/91 11/25/06 597 GR—91-08 — Return to Past Practice of Using Comp Time as 10 Compensation for Overtime 525040 0 15 years 10/23/91 11/05/91 11/05/06 597 GR-92-01 — Monetary Allowance for Back Braces; Installation of 11 Light Bar, as Needed for Street Sweeper 525-040 0 15 years 1992 1992 12,31/07 597 GR—92-02 — Dismiss Memo of 07/22/92 (Re: Dept. Maint.

Standards & Reinforcing Policy on Rules or Regulations( or Adopt 12 Memo as a City-Wide policy) 0 15 years 08/11I92 08/12/92 08/12/07 597 525—040
Doc 99256

CITY OF BELLFLOWER
RECORDS OF:

REQUEST FOR

AUTHORITY TO TRANSFER INACTIVE RECORDS
Administration
Department)

Page 2 of 3 ends

ITEM
NO.

FILE NAME AND

FUNCTION/CATEGORY
NUMBER

ALL FILES CONFIDENTIAL
FILE
TYPE
C -Copies
0 -Originals
TOTAL

RETENTION
TIME

INCLUSIVE DATES

IN FILE

DESTROY
AFTER
BOX
NO.

FROM TO
13 GR -92-03- Promotion of Gerald Hirshman in a Fair & Timely Manner as w/other Employees 525-040
0 15 years 06/24/92 09/14/92 09/14/07 597
14 Gr -92-04 — Request from Gerald Hirshman for Retroactive Pay fro 03/01/92 525-040
0 15 years 07/06/92 09/14/92 09/14/07 597
15 GR -92-05 — Overtime Grievance — Leroy Baca
525-040
0 15 years 12/29/92 03/15/93 03/15/08 597
16 GR -93-01 — Verbal/Written Agreement on Training Program for Sweeper 525-040
0 15 years 03/25/93 04/19/93 04/19/08 597
17 GR -93-02 — Hirshman, Gerald — Use of Sick Leave
525-040
0 15 years 07/19/93 07/28/93 07/28/08 597
18 GR -94-01 — Burke, Glennella — Out -of -Class Pay
525-040
0 15 years 12/13/94 01/18/95 01/18/10 597
19 GR -95-01 — All Clerical Workers 525-040 0 15 years 06/06/96 06/10/96 06/10/11 597 20 GR -95-02 — All AFSCME Members 525-040 0 15 years 11/30/95 11/30/95 11/30/10 597 21 GR -96-01 — Zermeno-Ortega — Out -of -Class Pay
040525-
0 15 years 04/12/96 04/17/96 04/17/11 597
22 GR -96-02 — Discrimination of Clerical Workers 525-040 0 15 years 10/10/95 10/18/95 10/18/10 597 23 GR -96-03 — Boyington, Kevin — Unfair Treatment 525-040 0 15 years 09/17/96 07/23/96 07/23/11 597
24 GR -96-04 — Huerta, Irma — Out -of -Class Pay 525-040 0 15 years 09/09/96 09/24/96 09/24/11 597
25 GR -96-05 — Burke, Glennella — Unfair Reprimand 525-040 0 15 years 09/13/96 09/20/96 09/20/11 597
26 GR -96-06 — McGuire, Marlene — Use of Sick Leave 525-040 0 15 years 11/07/96 11/12/96 11/12/11 597
Doc 99256
28 CITY OF BELLFLOWER

Page 2 of 3 ends

‘ REQUEST FOR

AUTHORITY TO TRANSFER INACTIVE RECORDS
RECORDS OF: Administlgtjon
(Department)

FILE T T FILE NAME AND TYPE RETENTION
ITEM FUNCTION/CATEGORY C-Copies TIME INCLUSIVE DATES DESTROY BOX NO. NUMBER O-Originals IN FILE AFTER NO.

ALL FILES CONFIDENTIAL FROM TO
GR-92—03- Promotion of Gerald Hirshman in a Fair & Timely 13 Manner as Mother Employees 5250 40 o 15 years 06/24/92 09/14/92 09/14/07 597 Gr—92—04 - Request from Gerald Hirshman for Retroactive Pay fro 14 03/01/92 525_040 o 15 years 07/06/92 09/14/92 09/14/07 597 15 GR'92‘05 ‘ ovemme Gr'evance ‘ Lem" Baca 525040 0 15 years 12/29/92 03/15/93 03/15/08 597 GR—93-01 — VerbalNVritten Agreement on Training Program for 16 Sweeper 525040 0 15 years 03/25/93 04/19/93 04/19/08 597 17 GR'93'02 " H'mhman' Ge'a'd ‘ use °f 3'“ Leave 525040 0 15 years 07/19/93 07/28/93 07/28/08 597 18 GR'94'01 ‘ Burke' G'enne"a ' OUtfif'C'ass Pay 0 15 years 12/13/94 01/18/95 01/18/10 597 525040 19 GR—95-01 — AII Clerical Workers 525-040 0 15 years 06/06/96 06/10/96 06/10/11 597 20 GR-95-02 — All AFSCME Members 525-040 0 15 years 11/30/95 11/30/95 11/30/10 597 21 GR‘96'01 ‘ zemem'ortega ‘ out'°f'C'ass Pay 525040 0 15 years 04l12/96 04/17/96 04/17/11 597 22 GR-96-02 — Discrimination of Clerical Workers 525-040 0 15 years 10/10/95 10/18/95 10l18/10 597 23 GR-96-03 — Boyington, Kevin — Unfair Treatment 525—040 0 15 years 09,17,915 07/23/96 (17/23/11 597 24 GR'96'04 ‘ Huefla' ”ma ‘ o“*'°f'C'ass Pay 5250‘” o 15 years 09/09/96 09/24/96 09/24/11 597 25 GR-96-O5 - Burke, Glennella - Unfair Reprimand 525-040 0 15 years 09/13/96 09/20/96 09 [20 /1 1 597 26 GR—96-06 — McGuire, Marlene - Use of Sick Leave 525-040 0 15 years 11/07/96 11/12/96 1 1/12/11 597 Doc 99256

CITY OF BELLFLOWER
RECORDS OF:

REQUEST FOR

AUTHORITY TO TRANSFER INACTIVE RECORDS
Administration
Department)

Page 3 of 3 ends

ITEM
NO.
27 28

FILE NAME AND

FUNCTION/CATEGORY
NUMBER

ALL FILES CONFIDENTIAL
GR -97-01 — All AFSCME Members 525-040
Proposed Clerical Bargaining Unit Correspondence
FILE
TYPE
C -Copies
0 -Originals
0 0
TOTAL

RETENTION
TIME
15 years
2 years

INCLUSIVE DATES

IN FILE
FROM
07/18/97
08/08/94
TO
07/25/97
08/08/94

DESTROY
AFTER
12/31/12
12/31/96
BOX
NO.
597
597
Approved:

Approved:

I/ Date: 7'/ 3"-'''-.5---
Department Head)
lerk)
ity Administrator)
Date:

Date: i
Doc 99256
29 00
E'CITY OF BELLFLOWER Page 3 of ' ' REQUEST FOR AUTHORITY TO TRANSFER INACTIVE RECORDS RECORDS OF: Administration
(Department)

FILE FILE NAME AND TYPE RELELAF'I'ON
ITEM ‘ FUNCTION/CATEGORY C-Copies TIME INCLUSIVE DATES DESTROY BOX NO. NUMBER O-Originals IN FILE AFTER NO.

ALL FILES CONFIDENTIAL FROM TO
27 GR—97—O1 — A|| AFSCME Members 525-040 0 15 years 07/18/97 07/25/97 12/31/12 597 28 Proposed Clerical Bargaining Unit Correspondence 0 2 years 08/08/94 08/08/94 12/31/96 597 Approved: Date: 7’} 3" 95’
(Department Head)
Date: 74/.1” 4dr
Date: 7 '/13/’ ’5’
Approved:

Approved:

Doc 99256

AUTHORITY TO TRANSFER INACTIVE RECORDS
AND RECORDS INVENTORY LIST F`0
Retention Period: Final
Department:Human Resources and Risk Management Resolution + 5 years
Destruction
12/31/2024
General Description Eligibility Date:
of Records:

Human Resources— Closed Claim Files FOR CITY CLERK'S OFFICE USE Box No. AD824
SKU No.RF127618634
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
1 9531 Flower Properties, LLC 7/24/2018 1/15/2019
2 Anderson, Anthony 1/24/2019 4/5/2019
3 Arreola, Jacqueline 3/2/2019 8/1/2019
4 Bocskor Enterprises, LLC (1 of 1) 12/17/2018 3/21/2019 5 Bocskor Enterprises, LLC (1 of 2) 7/29/2019 10/17/2019 6 Bosckor Enterprises, LLC (2 of 2) 7/29/2019 10/17/2019 7 Bryan, Richard 8/5/2019 11/22/2019
8 David, Damon 4/9/2019 6/5/2019
9 Esquibel, Theresa 2/11/2015 8/14/2019
10 Franklin, LaTanya 8/26/2018 2/6/2019
11 Harnage, Ben 6/29/2019 11/6/2019
12 James, Demetrist 4/18/2018 3/6/2019
13 Juarez-Garcia, Vanesa 9/14/2018 6/20/2019
14 Kfouri, Nicholas 7/15/2018 5/10/2019
15 Le, Ngan 8/27/2019 11/25/2019
30 AUTHORITY TO TRANSFER INACTIVE RECORDS
AND RECORDS INVENTORY LIST 6“ or “LI-'10.,“
~ 0
(1.0%“ 1003“",
Retention Period: Final
Department: Human Resources and Risk Management Resolution + 5 years
D‘?s.t’!‘.°t'°” _ 12/31 /2024
General Descri tion Ellglb'hty Date. of Records p Human Resources — Closed Claim Files FOR CITY CLERK'S OFFICE USE ' Box No. AD824
SKU No. RF127618634

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM TO
1 9531 Flower Properties, LLC 7/24/2018 1/15/2019
2 Anderson, Anthony 1/24/2019 4/5/2019
3 Arreola, Jacqueline 3/2/2019 8/1/2019
4 Bocskor Enterprises, LLC (1 of 1) 12/17/2018 3/21/2019 5 Bocskor Enterprises, LLC (1 of 2) 7/29/2019 10/17/2019 6 Bosckor Enterprises, LLC (2 of 2) 7/29/2019 10l17/2019 7 Bryan, Richard 8/5/2019 11/22/2019
8 David, Damon 4/9/2019 6/5/2019
9 Esquibel, Theresa 2/11/2015 8/14/2019
10 Franklin, LaTanya 8/26/2018 2/6/2019
1 1 Harnage, Ben 6/29/2019 1 1/6/2019
12 James, Demetrist 4/18/2018 3/6/2019
13 Juarez-Garcia, Vanesa 9/14/2018 6/20/2019
14 Kfouri, Nicholas 7/15/2018 5/10/2019
15 Le, Ngan 8/27/2019 1 1/25/2019

AUTHORITY TO TRANSFER INACTIVE RECORDS 2
AND RECORDS INVENTORY LIST OF DELLFLOweR
410441
44nwna
nrnLTP
Retention Period: Final
Department:Human Resources and Risk Management Resolution + 5 years
Destruction
12/31/2024
General Description Eligibility Date:
of Records:

Human Resources — Closed Claim Files FOR CITY CLERK'S OFFICE USE Box No. j AD824
SKU No.RF127618634
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
16 Miller, Jennifer 1/15/2019 0/26/2019
17 Muk, Alice 6/30/2018 1/20/2019
18 Orr, Roderick 8/17/2018 5/2/2019
19 Padilla, Guadalupe 1/26/2019 11/19/2019
20 Rodriguez, Vincent 2/25/2019 5/6/2019
21 Salazar, Adrian 2/11/2019 6/26/2019
22 Sanchez, Isidro 1/19/2019 3/27/2019
23 So. Cal. Edison 6/20/2019 12/17/2019
24 Thomas, Gregory 10/15/2018 2/25/2019
25 Virgen, Genevie 1/28/2019 11/5/2019
26 Zambrano, Moises 1/15/2019 4/26/2019
31 AUTHORITY TO TRANSFER INACTIVE RECORDS 2
AND RECORDS INVENTORY LIST a“ °' “Mme.
~Q‘D'firlmu mow“;
Retention Period: Final
Department: Human Resources and Risk Management Resolution + 5 years
Efigfi‘fi‘ate. 12/31/2024
General Description H R CI d CI ' F'I %OR CITY CLERK’S OFFICE USE of Records uman esources - ose am I es ' Box No. AD824
SKU No. RF127618634

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM TO
16 Miller, Jennifer 1/15/2019 0/26/2019
17 Muk, Alice 6/30/2018 1/20/2019
18 Orr, Roderick 8/17/201 8 5/2/2019
19 Padilla, Guadalupe 1/26/2019 11/19/2019
20 Rodriguez, Vincent 2/25/2019 5/6/2019
21 Salazar, Adrian 2/1 1/2019 6/26/2019
22 Sanchez, Isidro 1/19/2019 3/27/2019
23 So. Cal. Edison 6/20/2019 12/17/2019
24 ‘ Thomas, Gregory 10l15/2018 2/25/2019
25 Virgen, Genevie 1/28/2019 1 1/5/2019
26 Zambrano, Moises 1/15/2019 4/26/2019

AUTHORITY TO TRANSFER INACTIVE RECORDS 3
AND RECORDS INVENTORY LIST G`
OK BELLFLOweR
410146
4"wuanz•.i,*
Retention Period: Final
Department:Human Resources and Risk Management Resolution + 5 years
Destruction
12/31/2024
General Description Eligibility Date:
of Records:

Human Resources -Closed Claim Files FOR CITY CLERK'S OFFICE USE Box No. AD824
SKU No.RF127618634
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved: z Date: .D/-'r/as a3
Department Head)
Approved:j Date: Z/ iii/2-147- 3t
Approved: Date: 7,3
ity Ma age
32 A AUTHORITY TO TRANSFER INACTIVE RECORDS 3
AND RECORDS INVENTORY LIST w°"“‘”‘°m

14.0% mm“;
Retention Period: Final
Department: Human Resources and Risk Management Resolution + 5 years
Destruction . . Eigibility Date: 12/31/2024 General Description H C . . , of Records: uman Resources — losed Claim FIles FOR CITY CLERK 8 OFFICE USE Box No. AD824
SKU No. RF 127618634

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM L TO
| AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved:W Date: 9/3'[ 3° 33
(Department Head)
Approved: Date: 2 /QZ 2423
Approved Date: ‘ ' 7'
//ltn/)/ Ma age
.\

AUTHORITY TO TRANSFER INACTIVE RECORDS
AND RECORDS INVENTORY LIST OFBELLFLOK,4R
411"
uRu wuw n+:"
dam
Retention Period: Final
Department:Human Resources and Risk Management Resolution + 5 years
Destruction
12/31/2024
General Description Eligibility Date:
of Records:

Human Resources —Closed Claim Files FOR CITY CLERK'S OFFICE USE Box No. AD859
SKU No.RFI27618628
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
1 AT&T Mobility 11/15/2010 6/28/2011
2 Bellflower Recycling vs. Bellflower 9/6/2007 4/29/2008 3 Buenrostro, Erasamo 9/16/2007 12/18/2007
4 McKinley Equpiment 12/30/2005 11/22/2006
5 Medina, Priscilla 3/4/2004 6/24/2004
6 Stearns, Scott 4/16/2007 10/6/2009
7 Triumph Trans. Vs. Bellflower 7/30/2007 2/9/2010
8 Vanderwaal, Wilhelm 4/30/2019 9/17/2019
9 Woodrome, Virginia 9/7/2005 3/1/2006
33 AUTHORITY TO TRANSFER INACTIVE RECORDS
AND RECORDS INVENTORY LIST of BELLFLO 0“” IVQII’
.
“T"Wmu uxlfifl‘v’
Retention Period: Final
Department: Human Resources and Risk Management Resolution + 5 years
_ gg‘gfig‘ate, 12/31/2024
General Descnpfion H R CI d CI ' F'I CTYCL' K'S c use of RecordS' uman esources- ose aIm Ies FOR I ER OFFI E ' Box No. AD859
SKU No. RF127618628

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM TO
1 AT&T Mobility 11/15/2010 6/28/201 1
2 Bellflower Recycling vs. Bellflower 9/6/2007 4/29/2008 3 Buenrostro, Erasamo 9/16/2007 12/18/2007
4 McKinley Equpiment 12l30/2005 11/22/2006
5 Medina, Priscilla 3/4/2004 6/24/2004
6 Stearns. Scott 4/16/2007 10/6/2009
7 Triumph Trans. Vs. Bellflower 7/30/2007 2/9/2010
8 Vanderwaal, Wilhelm 4/30/2019 9/17/2019
9 Woodrome, Virginia 9/7/2005 3/1/2006

AUTHORITY TO TRANSFER INACTIVE RECORDS 2

AND RECORDS INVENTORY LIST
kttNtNc:ttwt tt
Retention Period: Final
Department:Human Resources and Risk Management Resolution + 5 years
Destruction
12/31/2024
General Description Eligibility Date:
of Records:

Human Resources - Closed Claim Files FOR CITY CLERK'S OFFICE USE Box No. AD859
SKU No.RF127618628
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APP IED.

Approved; _)i-t-t -e--vtDate: y 3 ao)3
Department Head
tApproved: i Date: 5 Zc-t2d Z,3
ire Cler.

C/(((-2--->
Approved: Date:

City Manager)
34 AUTHORITY TO TRANSFER INACTIVE RECORDS 2
AND RECORDS INVENTORY LIST Gamm‘mve.

3.0% “mm“
Retention Period: Final
Department: Human Resources and Risk Management Resolution + 5 years
Destruction
General Description Eligibility Date: 12/31/2024
of Records- Human Resources - Closed Claim Files FOR CITY CLERK’S OFFICE use ' Box No. AD859
SKU No. RF127618628

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM I TO
| AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APP IED.

Approved ; L144 Date: ‘1 Dbbj %
Approved: Date: 5 Z 20 if

Approved: Date: CI (’I D

DocuSign Envelope ID:C6D7BB34-6D6E-49D2-9D84-CC33E43FD6B6

AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST
Department: City Manager's Office Retention Period: 4 years Destruction
12/31/2020
General Description Eligibility Date:

Citizen Survey Findings FOR CITY CLERK'S OFFICE_USE
of Records:

Box No.AD867
SKU No. 1 RF127619437
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
1 Citizen Survey Findings Conducted by FM3 1/3/2001 1/31/2007 2 Citizen Survey Findings Conducted by FM3 1/8/2013 1/18/2013 3 Citizen Survey Findings Conducted by FM3 1/7/2015 1/11/2015 4 Citizen Survey Findings Conducted by FM3 12/1/2016 12/6/2016

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

DocuSgned by:

L a 5/23/2024 1 5:42 PM PDT
Approved: c64DB90215FE4c5... Date:

City Manager)
Approved: a( 1-1e7_
Date:
erk)
35 m El”. 0: atom-4mm

AUTHORITY TO TRANSFER INACTIVE RECORDS I
AND RECORDS INVENTORY LIST 6" °"‘“"°-
MM
Dope/Imam: City Manager's 01609 Retention Period: 4 years WW 1 _ 12/31/2020
Gem Citizen Survey Findings son emaciénx's omce use °‘ Rm; Box No. A0667 ,SKU NO. RF127619437

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM TO
1 Citizen Survey Findhos Condom by m3 1/3/2001 1/31/2007 2 Citizen Survey Fm Conducted by m3 1/6/2013 1/16/2013
3 CIlIzen Survey Findings Conducted by m3 1/7/2015 1/11/2015 4 CItIzen Sun/9y Huang: Cowl/dad by m3 12/1/2016 12/6/2016

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

W":
@fi 5/23/2024 1 5:42 911 m
WMM
Approved:
on:
(Cl! W)
‘ 0-6s
I

DocuSign
Certificate Of Completion
Envelope Id:C6D7BB346D6E49D29D84CC33E43FD6B6 Status:Completed Subject:Sign with DocuSign:Authority to Transfer Inactive Records-Citizen Surveys-AD867.pdf Source Envelope:

Document Pages: 1 Signatures: 1 Envelope Originator:

Certificate Pages: 1 Initials:0 City Clerk
AutoNav:Enabled 16600 Civic Center Drive
Envelopeld Stamping:Enabled 16600 Civic Center Drive
Time Zone:(UTC-08:00)Pacific Time(US&Canada) Bellflower,CA 90706 [email protected]
IP Address:-
Record Tracking
Status:Original Holder:City Clerk Location:DocuSign
5/23/2024 5:17:48 PM [email protected]
Signer Events Signature Timestamp
Ryan Smoot 0ou3ipne°b' Sent:5/23/2024 5:20:45 PM
[email protected] Z dIWzZA Viewed:5/23/2024 5:42:27 PM C6'D890215FE/C5_.

Security Level:Email,Account Authentication Signed:5/23/2024 5:42:45 PM None)
Signature Adoption:Drawn on Device
Using IP Address
Signed using mobile
Electronic Record and Signature Disclosure:

Not Offered via DocuSign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 5/23/2024 5:20:45 PM
Certified Delivered Security Checked 5/23/2024 5:42:27 PM Signing Complete Security Checked 5/23/2024 5:42:45 PM
Completed Security Checked 5/23/2024 5:42:45 PM
Payment Events Status Timestamps
36 .w ,Ju. , . “I Es1!;1’7£,;f?¢91§935113) ;_,.:, 1'05!!- Envalopo Id: 0607353450654m Status: Corrupt-Ind
Subject: smmmsmnzmmmRm-cmsm-mm
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5/23/2024 5:20:45 PM
5/23/2024 5:42:27 PM
5/23/2024 5:42:45 PM
5/23/2024 5:42:45 PM

CITY OF BELLFLOWER Page 1 of 1

REQUEST FOR

AUTHORITY TO TRANSFER INACTIVE RECORDS
RECORDS OF: City Clerk
Department)
Approved:

Department Head)
Approved:

City Clerk)
Approved: '
City Manag r)
Date:

Date:

Doc 225060
FILE
TOTAL
ITEM

FILE NAME AND

FUNCTION/CATEGORY
TYPE
C -Copies

RETENTION

INCLUSIVE DATES IN DESTROY BOX
NO. NUMBER O -Ori inals
TIME FILE AFTER NO.

Legislation and Maddy Act Files FROM TO

CENTRAL FILES
Legislation — Voting Rights Act O P 12/11/92 09/27/96 P CC 326 Liability Insurance — Research Results O P 12113/99 12/13/99 P CC 326 Election Workshop Files O P 11!7106 03/06/07 P CC 326
Legislation — Maddy Act O P 12/01/92 11/07/05 P CC 326
Legislation W- Maddy Act File No. 2 O P 06/14/94 04/20/06 P CC 326 Legislation — Brown Act O P 12/13/84 03/31/99 P CC 326
Legislation — Proposition 62 General Correspondence O P 09/29/95 06/01/96 P CC 326 Legislation — Proposition 62 Potential Taxes Affected O P 04/28/58 07/14/92 P CC 326 Legislation — Proposition 208 Political Reform Act O P 12/05/96 01/13/97 P CC 326 Legislation — Proposition 218 O P 09/24/96 12/06/96 P CC 326 Approved:

Department Head)
Approved:

City Clerk)
Approved: '
City Manag r)
Date:

Date:

Doc 225060
37 CITY OF BELLFLOWER Page _1_ of __1_

REQUEST FOR

AUTHORITY TO TRANSFER INACTIVE RECORDS
RECORDS OF: Citv Clerk
(Department)
FILE NAME AND til/I55 REEELQILON
ITEM FUNCTION/CATEGORY C—Cppies TIME INCLUSIVE DATES IN DESTROY BOX NO. NUMBER O-Orlglnals FILE AFTER NO.

LegislatéogNfilgtAflalgEEétct Files FROM TO
Legislation - Voting Rights Act 0 P 12/11/92 09/27/96 P CC 326 Liability Insurance - Research Results 0 P 12/13/99 12/13/99 P CC 325 Election Workshop Files 0 P 11/7/06 03/06/07 P ‘30 325
Legislation — Maddy Act 0 P 12/01/92 11/07/05 P CC 326
L'egislation - Maddy Act File No. 2 o P 06/14/94 04/20/06 P CC 326 Legislation — Brown Act 0 P 12/13/84 03/31/99 P CC 325
Legislation — Proposition 62 General Correspondence 0 P 09/29/95 06/01/96 P CC 326 Legislation — Proposition 62 Potential Taxes Affected 0 P 04/26/58 07/14/92 P 00 326 Legislation — Proposition 208 Political Reform Act in P 12/05/96 01/13/97 P CC 326 Legislation — Proposition 219 0 P 09/24/96 12/06/96 P CC 326 Approved: Date:
(Department Head)
Approved: ' Date: )7 .5. &
Approved: W154 - Date: {Ayfwffg/UZO
Doc 22 5060

c'
ov BELLFL°''''

AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST
ROW1NG roof '
Department:City Clerk
Retention Period: Term +
4 years
Destruction
12/31/2024
General Description Nomination Papers for 2018 Council Vacancy Eligibility Date:
of Records: FILES ARE CONFIDENTIAL; CONTAIN VOTERS' SIGNATURES]

FOR CITY CLERK'S OFFICE USE
Box No. CC524
SKU No.RF018923865
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
2018 City Council Vacancy—Appointment—Application Packets received from: Ray Hamada, Anita McInnis, John Paul 1 Drayer, George Franzen, Aaron Drake, Michele Worley, Joseph Edward Schnablegger, Charlene (CJ) Nord, Ronny North, 11/14/2018 11/20/2018 Cheryl Williams [TERM EXPIRED: 12/2020]

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved:i i , , , , Date:PJ17P--
Depa meat ead)/
Approved:
ardw
I Date: - aa-
Approved: Date: 2 ti S 22
City Manager)
38 a“ Tiwli I“? AUTHORITY TO TRANSFER INACTIVE RECORDS
AND RECORDS INVENTORY LIST "seem.
. . Retention Period: Term + Department. City Clerk 4 years D?s."9‘.°"°“ _ 12/31/2024 . . . . . EIInIIIty Date. General Description Nomination Papers for 2018 CounCIl Vacancy FOR CITY CLERKS OFFICE USE of Records: [FILES ARE CONFIDENTIAL; CONTAIN VOTERS’ SIGNATURES] Box N 0 00524 SKU No. RF018923865

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM I TO
2018 City Council Vacancy — Appointment — Application Packets received from: Ray Hamada, Anita Mclnnis, John Paul 1 Drayer, George Franzen, Aaron Drake, Michele Worley, Joseph Edward Schnablegger, Charlene (CJ) Nord, Ronny North, 11/14/2018 11/20/2018 Cheryl Williams [TERM EXPIRED: 12/2020]
| AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved:

Approved:
t
Date: figs/7?
Date:
flew
Approved: Date: L L7 Z
W
/ flity Manager)

AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST
Department:City Clerk Retention Period: 7 years
Destruction
12/31/2024
General Description Eligibility Date:
of Records:

Fair Political Practices Commission (FPPC) Records - 2017 FOR CITY CLERK'S OFFICE USE Box No. CC545
SKU No.RF018923830
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
2017 FPPC Annual File— Includes correspondence, log, Real Property Interest List, Local Agency Biennial Notice, Forms 1 501 (candidates without a committee), 806 (Agency Report of Public Official Appointments), 496 (Independent Expenditure 1/1/2017 12/31/2017 Reports), and other miscellaneous forms
Leaving Office Statements of Economic Interests (Form 700s) 2 Ashpaugh, Janet B. 9/16/1998 6/14/2017
3 Bashmakian, Artashes 2/23/2016 6/29/2017
4 Butts, John George 1/14/2013 5/18/2017
5 Friedman, Jason Daniel 8/5/2015 2/17/2017
6 Gazallo, Julene 3/14/2017 5/8/2017
7 Glenn, Kenny M. 1/14/2013 6/12/2017
8 Hamada, Ray 6/20/2006 5/30/2017
9 Hause, Elizabeth 3/20/2017 3/20/2017
10 Leon, Angel 2/16/2016 7/19/2017
11 Lake, Robert James 9/3/2015 10/25/2017
12 Mingle, Leo Lester 10/18/1996 3/31/2017
13 Nguyen, Christina 1/6/2017 11/28/2017
14 Royse III, George Frederick 1/14/2013 5/24/2017
15 Seruntine, Jean Marie 3/1/2012 5/31/2017
39 «q of “Eu-PLOW m AUTHORITY TO TRANSFER INACTIVE RECORDS 1 . AND RECORDS INVENTORY LIST 9.0%
Department: City Clerk Retention Period: 7 years
gfsgtfit'cg' t , 12/31/2024
General Description . . . . . _ Igl I I y a e.
of Records FaIr Political PractIces CommIssIon (FPPC) Records - 2017 FOR CITY CLERK’S OFFICE USE ' Box No. CC545
SKU No. RFO18923830

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM TO
2017 FPPC Annual File — Includes correspondence, log, Real Property Interest List, Local Agency Biennial Notice, Forms 1 501 (candidates without a committee), 806 (Agency Report of Public Official Appointments), 496 (Independent Expenditure 1/1/2017 12/31/2017 Reports), and other miscellaneous forms
Leaving Office Statements of Economic Interests (Form 7003) 2 Ashpaugh, Janet B. 9/16/1998 6/14/2017
3 Bashmakian, Artashes 2/23/2016 6/29/2017
4 Butts, John George 1/14/2013 5/18/2017
5 Friedman, Jason Daniel 8/5/2015 2/17/2017
6 Gazallo, Julene 3/14/2017 5/8/2017
7 Glenn, Kenny M. 1/14/2013 6/12/2017
8 Hamada, Ray 6/20/2006 5/30/2017
9 Hause, Elizabeth 3/20/2017 3/20/2017
10 Leon, Angel 2/16/2016 7/19/2017
11 Lake, Robert James 9/3/2015 10/25/2017
12 Mingle, Leo Lester 10l18/1996 3/31/2017
13 Nguyen, Christina 1/6/2017 11/28/2017
14 Royse III, George Frederick 1/14/2013 5/24/2017
15 Seruntine, Jean Marie 3/1/2012 5/31/2017

G'`
YOFBELL.L"""
k AUTHORITY TO TRANSFER INACTIVE RECORDS 2
oR

AND RECORDS INVENTORY LIST
wnva rooe'
Department:City Clerk Retention Period: 7 years
Destruction
12/31/2024
General Description Eligibility Date:
of Records:

Fair Political Practices Commission (FPPC) Records - 2017 FOR CITY CLERK'S OFFICE USE Box No. CC545
SKU No.RF018923830
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
16 Terkeurst, Jon 11/13/1996 3/30/2017
17 Williams, Cheryl Marie 5/5/2015 6/7/2017
Terminated Committees
18 John Paul Drayer: Drayer 4 Council 9/18/2015 5/3/2017

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved: ,___ Date: 5!I qI -eZ2—
Depa ment ead)
Approve. , , _ Date: 5 l G/ZdZZ
1/
y Clerk)
Approved: Date: 7 11/#2,-7
City Manager)
40 ”WWW“ AUTHORITY TO TRANSFER INACTIVE RECORDS 2

AND RECORDS INVENTORY LIST
B‘Ma
Department: City Clerk Retention Period: 7 years
DFSF'FFM“ . 12/31/2024
General Description Ehg'bmty Date. of Records Fair Political Practices Commission (FPPC) Records - 2017 FOR CITY CLERK’S OFFICE USE ' Box No. 00545
SKU No. RF018923830

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM TO
16 Terkeurst, Jon 11/13/1996 3/30/2017
17 Williams, Cheryl Marie 5/5/2015 6/7/2017
Terminated Committees
18 John Paul Drayer: Drayer 4 Council 9/18/2015 5/3/2017

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Date; WWI/2&1:—
Date:M‘L
Date: 7" 2
Approved:

Approve
Approved: /%£ag/>

G'
pp BE LLF,

AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST - MULTIPLE BOXES IN SINGLE RECORD SERIES w,Nc,noef`e"
Department:City Clerk Retention Period: 2 years
General Description
2022 Public Records Act Requests and 2022 Subpoenas
Destruction Eligibility 12/31/2024
of Records: Date:

ITEM

INCLUSIVE DATES
Box No. SKU No.

NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
1 PRA Nos. 22-01 to 22-135 1/3/2022 3/15/2022 CC563 RF127619567 2 PRA Nos. 22-136 to 22-309 3/18/2022 7/6/2022 CC564 RF127619566 3 PRA Nos. 22-310 to 22-470 7/6/2022 10/13/2022 CC565 RF127619565 4 PRA Nos. 22-471 to 22-610 and Subpoenas No. 22-01 to 22-09 10/13/2022 12/9/2022 CC566 RF127619564

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved: /, , , , Date: Z 20 2
Depa en ea-d) /
Approved:. Y441i ./
1t,_/,/,‘
Ar 2 MIDate: 1 7-4 23
Approved: Date: C y67-2:3
C Hager)
41 ‘5‘" “WWW AUTHORITY TO TRANSFER INACTIVE RECORDS 1
AND RECORDS INVENTORY LIST — MULTIPLE BOXES IN SINGLE RECORD SERIES B'b‘wtmm
Department: City Clerk Retention Period: 2 years
General Description . Destruction Eligibility of Records: 2022 PublIc Records Act Requests and 2022 Subpoenas Date: 12/31/2024 INCLUSIVE DATES '13" DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE B°x N°' SK” N°' ' FROM TO
1 PRA Nos. 22-01 to 22-135 1/3/2022 3/15/2022 CC563 RF127619567 2 PRA Nos. 22-136 to 22-309 3/18/2022 7/6/2022 C0564 RF127619566 3 PRA Nos. 22-310 to 22—470 7/6/2022 10/13/2022 CC565 RF127619565 4 PRA Nos. 22—471 to 22-610 and Subpoenas No. 22-01 to 22-09 10/13/2022 12/9/2022 CC566 RF127619564 | AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved: Date: L 202
(Depa n ead)
Approved: Date:

Approved: Date:
flcpénager)
SE
E

AUTHORITY TO TRANSFER INACTIVE RECORDS 40,046ANDRECORDSINVENTORYLIST Department: City Clerk's Office Retention Period: 2 years Destruction
12/31/2014
General Description Eligibility Date:
of Records: Maddy Act Files FOR CITY CLERK'S OFFICE USE Box No. CC572
SKU No.RF127619415
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
1 Maddy Act Files— Public Notices 10/1/2003 11/31/2012
2 Maddy Act Files—Staff Reports, Public Notice, Local Appointments List 4/1/1992 11/31/2005 3 Maddy Act Files— Resolutions, Public Notice, Local Appointments List 6/1/1994 4/31/2006

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved: Date: Sit I 12Lf
Dep rtment H d/City Clerk)
42 AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST
wd'w've. 1
MM
Department: City Clerk's Office Retention Period: 2 years Destruction
General Description Eligibility Date: 12/31/2014
of R e cor d s, Maddy Act Files FOR CITY CLERK'S OFFICE USE ' Box No. CC572
SKU No. RF127619415

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM TO
1 Maddy Act Files — Public Notices 10/1/2003 11/31/2012 2 Maddy Act Files — Staff Reports. Public Notice, Local Appointments List 4/1 /1 992 11/31/2005 3 Maddy Act Files — Resolutions, Public Notice. Local Appointments List 6/1 /1 994 4/31/2006 | AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved: Clerk) a M Date: 51/71 29

AUTHORITY TO TRANSFER INACTIVE RECORDS 1
AND RECORDS INVENTORY LIST41.106
Gy
Department:City Clerk's Office Retention Period: 6 years Destruction
12/31/2014
General Description Eligibility Date:
of Records:

Miscellaneous Video Tapes FOR CITY CLERK'S OFFICE USE
Box No. CC585
SKU No.RF127619434
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
1 State of the City Address for City of Bellflower 1/1/1995 12/31/1996 2 All About Bellflower VHS Tapes 71//2002 12/31/2004
3 Liberty Day Parade VHS Tapes 1/1/1996 12/31/2005
4 Mayor's Prayer Breakfast VHS Tapes 10/1/1999 10/31/2002 5 Bellflower Honors VHS Tapes 8/1/2002 6/31/2005
6 8th Annual BRAVO Awards 1/1/2002 12/31/2002
7 Public Safety Services 1/1/1993 12/31/1993
8 Safe Schools -Chaos to Calm 1/1/1984 12/31/1984
9 Core Connections 7/1/2003 7/31/2003
10 Bellflower Liberty Day Parade Cassette Tapes 1/1/2002 12/31/2005 11 Bravo Awards Cassette Tapes 1/1/2004 12/31/2008
12 Miscellaneous Cassette Tapes— Reviewed; Unidentifiable Records 1/1/2003 12/31/2003 13 Miscellaneous VHS Tapes—No Dates or Damaged— Reviewed; Unidentifiable Records NA NA SIGNATURES ON NEXT PAGE]
43 AUTHORITY TO TRANSFER INACTIVE RECORDS
AND RECORDS INVENTORY LIST 0' DEMON 31n- M uflw'
Department: City Clerk's Office Retention Period: 6 years D?S.t’!‘.‘3t'°" _ 12/31/2014
General Description El'glb'hty Date. of Records Miscellaneous Video Tapes FOR CITY CLERK’S OFFICE USE ' Box No. CC585
SKU No. RF127619434

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM TO
1 State of the City Address for City of Bellflower 1/1/1995 12/31/1996 2 All About Bellflower VHS Tapes 71//2002 12/31/2004
3 Liberty Day Parade VHS Tapes 1/1/1996 12/31/2005
4 Mayor’s Prayer Breakfast VHS Tapes 10/1/1999 10/31/2002 5 Bellflower Honors VHS Tapes 8/1/2002 6/31/2005
6 8th Annual BRAVO Awards 1/1/2002 12/31/2002
7 Public Safety Services 1/1/1993 12/31/1993
8 Safe Schools - Chaos to Calm 1/1/1984 12/31/1984
9 Core Connections 7/1/2003 7/31/2003
10 Bellflower Liberty Day Parade Cassette Tapes 1/1/2002 12/31/2005 11 Bravo Awards Cassette Tapes 1/1/2004 12/31/2008
12 Miscellaneous Cassette Tapes — Reviewed; Unidentifiable Records 1/1/2003 12/31/2003 13 Miscellaneous VHS Tapes — No Dates or Damaged - Reviewed; Unidentifiable Records NA NA [SIGNATURES ON NEXT PAGE]

AUTHORITY TO TRANSFER INACTIVE RECORDS 2
AND RECORDS INVENTORY LIST Cc or DELL1,1,04,,
r'krrN rNr,irx,r
Department:City Clerk's Office Retention Period: 6 years Destruction
12/31/2014
General Description Eligibility Date:
of Records:

Miscellaneous Video Tapes FOR CITY CLERK'S OFFICE USE
Box No. CC585
SKU No.RF127619434
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved: ` e(l&f, ,( Date: s/3/2`i'
e (Depa nt ead)
Approved: Q— Date. / " 3/3'y
City Clerk)
44 AUTHORITY TO TRANSFER INACTIVE RECORDS 2
AND RECORDS INVENTORY LIST wimp
MM
Department: City Clerk's Office Retention Period: 6 years Destruction . . Eligibility Date: 12/31/2014 General Description M' II V' d T c , SE of Records: Isce aneous I eo apes FOR CITY LERKS OFFICE u Box No. CC585
SKU No. RF127619434

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM I TO

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved: ~ ‘ Date: 51/ fl 7:1
(Depa nt ead)
Approved: Date: 222 2‘1 [a
(City Ierk) a

AUTHORITY TO TRANSFER INACTIVE RECORDS
AND RECORDS INVENTORY LIST BBLLFLoI
Department:City Clerk's Office Retention Period: 6 years Destruction
12/31/2012
General Description Eligibility Date:
of Records:

Miscellaneous Audio and Video Recordings FOR CITY CLERK'S OFFICE USE Box No. CC586
SKU No.RF127619435
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
1 Precinct Officer Training Cassette Tapes NA NA
2 Prior Publications of BMC—Obsolete Records Floppy Discs NA NA 3 Outdated Records Management Software Floppy Discs NA NA 4 Ron Yary—Drug Awareness Commercial NA NA
5 IBM Licensed Programming Material: AIX Version 3.2.3 For RISC/6000 12/10/1992 12/10/1992 6 RDA Meeting Audio Tape 5/22/1995 5/22/1995
7 9614 Alondra Blvd. Recording 5/11/2004 5/11/2004
8 State of the City '06 1/1/2006 12/31/2006
9 City Council Meeting (Damaged Tape) 7/9/2001 7/9/2001 10 Miscellaneous Tape—Reviewed; Unidentifiable Record NA NA SIGNATURES ON NEXT PAGE]
45 AUTHORITY TO TRANSFER INACTIVE RECORDS
AND RECORDS INVENTORY LIST wa’wwm
M M
Department: City Clerk's Office Retention Period: 6 years D‘?S."!J.°t'°” _ 12/31/2012
General Description El'g'b'my Date. of Records Miscellaneous Audio and Video Recordings FOR CITY CLERK'S OFFICE USE ' Box No. 00586
SKU No. RF127619435

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM TO
1 Precinct Officer Training Cassette Tapes NA NA
2 Prior Publications of BMC — Obsolete Records Floppy Discs NA NA 3 Outdated Records Management Software Floppy Discs NA NA 4 Ron Yary — Drug Awareness Commercial NA NA
5 IBM Licensed Programming Material: AlX Version 3.2.3 For RlSC/6000 12/10/1992 12/10/1992 6 RDA Meeting Audio Tape 5/22/1995 5/22/1995
7 9614 Alondra Blvd. Recording 5/11/2004 5/11/2004
8 State of the City ‘06 1/1/2006 12/31/2006
9 City Council Meeting (Damaged Tape) 7/9/2001 7/9/2001 10 Miscellaneous Tape — Reviewed; Unidentifiable Record NA NA [SIGNATURES ON NEXT PAGE]

AUTHORITY TO TRANSFER INACTIVE RECORDS 2
AND RECORDS INVENTORY LIST 0.4 OF BELLFLOw
Department:City Clerk's Office Retention Period: 6 years Destruction
12/31/2012
General Description Eligibility Date:
of Records:

Miscellaneous Audio and Video Recordings FOR CITY CLERK'S OFFICE USE Box No. CC586
SKU No.RF127619435
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved: . Date: hJ// ( I .2eiaq
Department Head)
ly/2o;YApproved: Date: s/
City )
46 AUTHORITY TO TRANSFER INACTIVE RECORDS 2
AND RECORDS INVENTORY LIST 46“.“?
”M100" .

Department: City Clerk's Office Retention Period: 6 years Destruction
General Description Eligibility Date: 12/31/2012
of Records- Miscellaneous Audio and Video Recordings FOR CITY CLERK'S OFFICE use ' Box No. CC586
SKU No. RF127619435

ITEM INCLUSIVE DATES
NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE . FROM I TO

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION PPLIED.

Date: 51/ H ”M
(Department Head)
Approved. WM/ 91;; Data—ML; 4/ 2y (cnycma' U
Approved:

AUTHORITY TO TRANSFER INACTIVE RECORDS 1
AND RECORDS INVENTORY LIST OF Ae"F`
pwek
uRrrWrNr n%rtl'[N'
Department:City Clerk's Office Retention Period: _6 years Destruction
12/31/2011
General Description
g
Eligibility Date:
of Records:

Miscellaneous Video Recordings FOR CITY CLERK'S OFFICE USE Box No. CC587
SKU No.RF127619436
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
1 Illegal Fireworks VNR 1/1/2003 12/31/2003
2 Avon Walk for Breast Cancer B-Roll 1/1/2005 12/31/2005 3 Bellflower Tribute to Ron Yary 1/1/2001 12/31/2001
4 Budget Crisis 1/1/2002 12/31/2003
5 Ron Yary Banquet 1/1/2001 12/31/2001
6 Bellflower Day of Remembrance 1/1/2002 12/31/2002
7 City of Bellflower Pam Welty—Cancer Awareness Event& Fundraiser 3/2003 12/31/2003 8 Drunk Driving Awareness Video NA NA
9 Miscellaneous Tapes— Reviewed; Unidentifiable Records NA NA SIGNATURES ON NEXT PAGE]
47 AUTHORITY TO TRANSFER INACTIVE RECORDS 1
AND RECORDS INVENTORY LIST w"l“'*"°-.|
.MM“:

Department: City Clerk’s Office Retention Period: 6 years Efisigfifty‘g‘ate 12/31 /201 1
General Description M' ii V'd R d' % R ”Y L'E , of Records: Isce aneous I e0 ecor Ings O c c RK 5 OFFICE USE Box No. CC587
SKU No. RF127619436

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM TO
1 Illegal Fireworks VNR 1/1/2003 12/31/2003
2 Avon Walk for Breast Cancer B-RoII 1/1/2005 12/31/2005 3 Bellflower Tribute to Ron Yary 1/1/2001 12/31/2001
4 Budget Crisis 1/1/2002 12/31/2003
5 Ron Yary Banquet 1/1/2001 12/31I2001
6 Bellflower Day of Remembrance 1/1/2002 12/31/2002
7 City of Bellflower Pam Welty - Cancer Awareness Event & Fundraiser 3/2003 12/31/2003 8 Drunk Driving Awareness Video NA NA
9 Miscellaneous Tapes — Reviewed; Unidentifiable Records NA NA [SIGNATURES ON NEXT PAGE]

AUTHORITY TO TRANSFER INACTIVE RECORDS 2
AND RECORDS INVENTORY LIST C`
oVUeLLPto
4111141
ii*4Wntt1 n%as.ta#
Department:City Clerk's Office Retention Period: 6 years Destruction
12/31/2011
General Description Eligibility Date:
of Records:

Miscellaneous Video Recordings FOR CITY CLERK'S OFFICE USE Box No. CC587
SKU No.RF127619436
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTIO PP D.

Approved: Date: c//6 /,iq
Department Head)
Approved: Date: qitiberar
City Clerk)
48 AUTHORITY TO TRANSFER INACTIVE RECORDS
AND RECORDS INVENTORY LIST ad 1“"?
MM
Department: City Clerk’s Office Retention Period: 6 years Destruction
General Description Eligibility Date: 12/31/2011
of Records- Miscellaneous Video Recordings FOR CITY CLERK’S OFFICE use ' Box No. CC587
SKU No. RF127619436

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM I TO

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL

APPROVED RECORD RETENTIO
Approved:
( 67 (City Clark) a Datezmgy

AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST
1 Department:City Clerk Retention Period:Various
General Description
of Records:
2022 General Office Files, 2022 Annotated Agendas, 2022 City Council Meeting Audio Files, 2017 City Council Meeting Video Files, and 2018 City Council Meeting Video Files
Destruction
Eligibility Date:12/31/2024

FOR CITY CLERK'S OFFICE USE
Box No.CC594
Barcode No.62058034
ITEM
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES

INCLUSIVE DATES

IN FILE

FROM TO
1 Appeals 1/1/2022 12/31/2022
2 Annotated Agendas 1/1/2022 12/31/2022
3 City Attorney Correspondence — Confidential 1/1/2022 12/31/2022 4 Certifications 1/1/2022 12/31/2022
5 City Council Meeting Materials (Mayor's Agenda, Potential Conflicts, Roll Call, Condolence/Memorial Letters)1/1/2022 12/31/2022 6 General Correspondence — October — December 10/1/2022 12/31/2022 7 General Correspondence — July — September 7/1/2022 9/30/2022 8 General Correspondence — April — June 4/1/2022 6/30/2022 9 General Correspondence — January — March 1/1/2022 3/31/2022 10 City Council Correspondence 1/1/2022 12/31/2022
11 Maddy Act 1/1/2022 12/31/2022
12 Posted Outside Agencies 1/1/2022 12/31/2022
13 Proof of Publication 1/1/2022 12/31/2022
14 Requisitions 1/1/2022 12/31/2022
15 City Council Meeting Audio Files 1/1/2022 12/31/2022 16 City Council Meeting Video Files 1/1/2017 12/31/2017 49 AUTHORITY TO TRANSFER INACTIVE RECORDS
AND RECORDS INVENTORY LIST 0! a“: in...“ w."
Department: City Clerk Retention Period: Various
Des‘tmfim 12/31/2024 General Descri tio n 2022 General Office Files, 2022 Annotated Agendas, 2022 City Council Meeting Eligibility Date:
of Records p Audio Files, 2017 City Council Meeting Video Files, and 2018 City Council Meeting FOR CITY CLERK'S OFFICE USE ' Video Files Box No. C0594
Barcode No. 62058034

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM I TO
1 Appeals 1/1/2022 12/31/2022
2 Annotated Agendas 1/1/2022 12/31/2022
3 City Attorney Correspondence — Confidential 1/1/2022 12/31/2022 4 Certifications 1/1/2022 12/31/2022
5 City Council Meeting Materials (Mayor’s Agenda, Potential Conflicts, Roll Call. Condolence/Memorial Letters) 1/1/2022 12/31/2022 6 General Correspondence — October — December 10/1/2022 12/31/2022 7 General Correspondence — July — September 7/1 /2022 9/30/2022 8 General Correspondence — April — June 4/1/2022 6/30/2022 9 General Correspondence — January — March 1/1/2022 3/31/2022 10 City Council Correspondence 1/1/2022 12/31/2022
11 Maddy Act 1/1/2022 12/31/2022
12 Posted Outside Agencies 1/1/2022 12/31/2022
13 Proof of Publication 1/1/2022 12/31/2022
14 Requisitions 1/1/2022 12/31/2022
15 City Council Meeting Audio Files 1/1/2022 12/31/2022 16 City Council Meeting Video Files 1/1/2017 12/31/2017

AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST
2 Department:City Clerk Retention Period:Various
General Description
of Records:
2022 General Office Files, 2022 Annotated Agendas, 2022 City Council Meeting Audio Files, 2017 City Council Meeting Video Files, and 2018 City Council Meeting Video Files
Destruction
Eligibility Date:
12/31/2024

FOR CITY CLERK'S OFFICE USE
Box No. l CC594
Barcode No.62058034
ITEM
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES

INCLUSIVE DATES

IN FILE

FROM TO
17 City Council Meeting Video Files 1/1/2018 12/31/2018

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Date:
50 AUTHORITY TO TRANSFER INACTIVE RECORDS 2
AND RECORDS INVENTORY LIST wwmwm
Mommy“
Department: City Clerk Retention Period: Various
Destruction 1231/2024
General D e s cri ti on 2022 General Office Files, 2022 Annotated Agendas, 2022 City Council Meeting Eligibility Date:
of R e cord 5' p Audio Files, 2017 City Council Meeting Video Files, and 2018 City Council Meeting FOR CITY CLERK'S OFFICE USE ' Video Files Box No. 00594
Barcode No. 62058034

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM I TO
17 City Council Meeting Video Files 1/1/2018 12/31/2018 | AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APP IED.

Approved:
/ Approved: 'xfl/fl/j/M
Date: 037/ 2225

r
CITY OF BELLFLOWE +, .

Page 1 of 3 ends

REQUEST FOR

AUTHORITY TO TRANSFER INACTIVE RECORDS
RECORDS OF: Finance
Denartment)
No Dates Available
Document No. 36414

FILE TOTAL -

TYPE INACTIVE
ITEM FILE NAME AND C -Copies RETENTION INCLUSIVE DATES DESTROY BOX NO. FUNCTION/CATEGORY O -Originals TIME IN FILE AFTER NO.

NUMBER

FROM TO
1 73/74 Ledger Entries, Rev. & Exp. Statements 74/75; G/L 73/74; C/O 3 yrs. 1973 1975 P 58 Excavation Permits #1438-5099; Construction Permits #1-2299 2 Cash Receipts; Master Payroll Register C/O 3 yrs. 5/1/95 6/30/96 6/30/00 801 3 POs 83/84, 84/85; Goldenrods; Pink Rev. Check Copies 83/84, C/O 3 yrs. 7/1/83 6/30/85 6/30/00 388 84/85; White Rev. 84/85
4 PERS Reports -All C/O 3 yrs. P 429*
5 Finance Bonds BCWD C/O 1 yr. P 297
6 ID Bonds #656-1977; Parade Expenses; Canceled checks; Petty C/O 1 yr. P 148 Cash Acct.; Rev. Acct.; Street Improvement Bond Acct. Prior to 1978
7 Master Payroll Register 7/3/96-10/11/96 C/O 3 yrs. 7/3/96 10/11/96 10/11/00 807 8 Financial Water Bonds C/O 1 yr. P 353*
9 A/P Invoice; Audit Trail; Cash Disb. 1/97-4/97 C/O 3 yrs. 1/97 4/97 4/01 803 10 A/P Check Listing/Update 7/1/96-6/97; A/P G/L Interface 7/1/96- C/O 3 yrs. 7/1/96 6/97 6/01 804 6/97
11 Bus. License Late Charge Notices 8/93-5/97; New Ceased Bus. C/O 3 yrs. 8/93 6/97 6/01 800 Monthly Report 1/96-6/96; Open Balance Bus. Reprt 5/97; Bus.

License Billing Audit Trail 7/96-6/97; 7/95-6/96
12 A/P Month -End Reports 7/95-5/97 C/O 3 yrs. 7/95 5/97 5/01 805 No Dates Available
Document No. 36414
51 \- '. L .' .~.

CITY oi: BELLFLOWE‘B:_-?"\
1'
. - . Page 1 of 3

REQUEST FOR

AUTHORITY TO TRANSFER INACTIVE RECORDS
RECORDS OF: Finance
(Department)
FILE TQTAL. .
. ' _ TYPE INACTIVE . .

ITEM ‘ . FILE NAME AND C-Copies RETENTION INCLUSIVE DATES .. DESTROY BOX NO. FUNCTION/CATEGORY O—Originals TIME IN FILE . AFTER NO.

NUMBER

FROM ' TO
1 73/74 Ledger Entries, Rev. & Exp. Statements 74/75; G/L 73/74; C/O 3 yrs. 1973 1975 P 58 Excavation Permits #1438-5099; Construction Permits #1 -2299 . 2 Cash Receipts; Master Payroll Register ' C/O 3 yrs. 5/1 /95 6/30/96 6/30/00 801 3 PCs 83/84, 84/85; Goldenrods; Pink Rev. Check Copies 83/84, C/O 3 yrs. 7/1/83 6/30/85 6/30/00 388 84/85; White Rev. 84/85 . '
4 - PERS Reports - All C/O . 3 yrs. .— — P 429*
5 Finance Bonds BCWD C/O 1 yr. — — P 297
6 ID Bonds #656-1977; Parade Expenses; Canceled checks; Petty C/O 1 yr. — V — P 148 Cash Acct.; Rev. Acct; Street Improvement Bond Acct. Prior to - 1 978
7 Master Payroll Register 7/3/96-10/1 1/96 C/O 3 yrs. ‘ 7/3/96 10/11/96 10/11/00 807 8 Financial Water Bonds ClO 1 yr. — — P 353*
9 NP Invoice; Audit Trail; Cash Disb. 1/97-4/97 C/O 3 yrs. 1/97 4/97 4/01 803 10 NP Check Listing/Update 7/1/96-6/97; A/P GIL interface 7/1/96— do 3 yrs. 7/1/96 6/97 ”6/01 804 6/97
I 11 Bus. License Late Charge Notices 8/93-5/97; New Ceased Bus. C/O ' 3 yrs. 8/93 6/97 6/01 800 Monthly Report 1/96-6/96; Open Balance Bus. Reprt 5/97; Bus. - License Billing Audit Trail 7/96-6/97; 7/95-6/96
12 . A/P Month-End Reports 7/95-5/97 C/O . 3 yrs. 7/95 5/97 - 5/01 805 *No Dates Available
Document No. 36414

S ,

CITY OF BELLFLOWER

Page 2 of 3 ends

REQUEST FOR

AUTHORITY TO TRANSFER INACTIVE RECORDS
RECORDS OF: Finance
tnP_nartmPnt)
ITEM
NO.

FILE NAME AND

FUNCTION/CATEGORY
NUMBER
FILE
TYPE
C -Copies
O -Originals
TOTAL

INACTIVE

RETENTION
TIME

INCLUSIVE DATES

IN FILE

DESTROY
AFTER
BOX
NO.

FROM TO
13 BCWD Finance Bonds C/O 1 yr. P 298*
14 Master Payroll Register 11/10/95 to 2/23/96 C/O 3 yrs. 11/10/95 2/23/96 2/23/00 790 15 Taxpayer Guides and RDA Records C/O 1 yr. 1971 1979 P 350 16 Miscellaneous Audits 1976-1983 C/O 1 yr. 1976 1983 P 349 17 A/P T -Z 95/96 C/O 3 yrs. 7/95 6/96 6/00 773
18 Full Time Time Cards A -Z 95/96 C/O 3 yrs. 7/95 6/96 6/00 777 19 A/P L -M 95/96 C/O 3 yrs. 7/95 6/96 6/00 770
20 P/R Acct. Dist. Report 4/4/96-6/27/96; Cash Disb. Report 4/96- 6/96; Reports for Revenue Exp. & Balance Sheet 6/95; Master Aged Balance Sheet Report 4/97-6/97; A/R Invoice Update 7/95- 6/96
C/O 3 yrs. 4/96 6/97 6/01 799
21 A/P H -K 95/96 C/O 3 yrs. 7/95 6/96 6/00 769
22 Business License Month -End 7/95-6/96; 7/96-6/97 C/O 3 yrs. 7/95 6/97 6/01 795 23 Cash Receipts 7/95-6/96 C/O 3 yrs. 7/95 6/96 6/00 797 24 A/P Q -S 95/96 C/O 3 yrs. 7/95 6/96 6/00 772
25 Payroll Acct. Dist. 11 /94-1/20/95, 1/96-3/96; Tax Benefit and Deduction 12/95-6/96
C/O 3 yrs. 11/94 6/96 6/00 747
26 Miscellaneous Audits and 1981 Budget State C/O 1 yr. 1981 1981 1 P 351 No Dates Available
Document No. 36414
52 i . 1'9

CITY OF BELLFLOWER

REQUEST FOR

AUTHORITY TO TRANSFER INACTIVE RECORDS

Page 2 of 3 ends

RECORDS OF: Finance
(Department)

FILE TOTAL

TYPE INACTIVE
ITEM FILE NAME AND C-Copies RETENTION INCLUSIVE DATES DESTROY BOX N0. FUNCTION/CATEGORY \ O-Originals TIME IN FILE AFTER NO.

NUMBER '
' FROM ' TO
13 BCWD Finance Bonds CIO 1 yr. — — P . 298*
14 Master Payroll Register 11/10/95 to 2/23/96 ClO 3 yrs. 11/10/95 2/23/96 2/23/90 790 15 Taxpayer Guides and RDA Records CIO 1 yr. 1971 1979 P 350 1 6 Miscellaneous Audits 1 976-1983 ClO 1 yr. 1976 1 983 P 349 17 NP T-Z 95/96 C/O '- 3 yrs. 7/95 6/96 6/00 V 773
18 Full Time TIme Cards A-Z 95/96 ClO 3 yrs. 7/95 6/96 6/00 777 19 NP L-M 95196 010 3 yrs. 7195 6/96 6/00 770
20 P/R Acct. Dist. Report 4/4/96-6/27/96; Cash Disb. Report 4/96- ClO 3 yrs. ‘ 4/96 6/97 6/01 799' 6/96; Repons for Revenue Exp. & Balance Sheet 6/95; Master - Aged Balance Sheet Report 4/97-6/97; AIR Invoice Update 7/95- 6/96 -
21 NP H-K 95/96 ClO 3 yrs. 7/95 6/96 6/00 769
22 Business License Month-End 7/95-6/96; 7/96-6/97 C/O 3 yrs. 7/95 6/97 6/01 ’ 795 23 Cash Receipts 7/95-6/96 C/O 3'y'rs. 7/95 6/96 6/00 797 24 NP o-s 95/96 ' C/O A 3 yrs. 7195 6196 6100 772
25 Payroll Acct. Dist. 11/94-1/20/95, 1/96-3/96; Tax Benefit and ClO 3 yrs. ' 11/94 6/96 6/00 747 Deduction 12/95-6/96
26 Miscellaneous Audits and 1981 Budget State CIO 1 yr. 1981 1981 P 351 *No Dates Available
Document No. 36414

CITY OF BELLFLOWER
RECORDS OF: Finance
tnPnartmPnt)

REQUEST FOR

AUTHORITY TO TRANSFER INACTIVE RECORDS

Page 3 of 3 ends

ITEM
NO.

FILE NAME AND

FUNCTION/CATEGORY
NUMBER
FILE
TYPE
C -Copies
O -Originals
TOTAL.

INACTIVE

RETENTION
TIME

INCLUSIVE DATES

IN FILE

DESTROY
AFTER
BOX
NO.

FROM TO
27 A/P C -D 95/96 C/O 3 yrs. 7/95 6/96 6/00 767
28 Part Time Time Cards A -Z 95/96 C/O 3 yrs. 7/95 6/96 6/00 778 29 Finance Bonds C/O 1 yr. P 1 Y*
30 A/P N -P 95/96 C/O 3 yrs. 7/95 6/96 6/00 771
31 A/P E -G 95/96 C/o 3 yrs. 7/95 6/96 6/00 768
32 Quarterly Tax Federal Withholdings; FICA Reports; A/P 5/97- 6/97; Master W2 Listing 1995; Quarter -end Repot 1/1/95; Year - End Report 1995.

C/O 3 yrs. 1/95 6/97 6/01 811
33 BCWD Auditor Files C/O 1 yr. P 137*
34 A/P Invoice / Prepaid Check Audit Trail 7/96-10/96 C/O 3 yrs. 7/96 10/96 10/00 802 35 Numerical Warrants 2537=3548 C/O 3 yrs. 7/63 11/63 12/00 115 No Dates Available
Approved: Date:

Department Head)
Approved:

City C r
Approved:

City/Administrator)
Date:

S'-3-00 .

Date:

Document No. 36414
53 I -5
CITY OF BELLFLOWER . Page 3_ of 3

REQUEST FOR
. AUTHORITY TO TRANSFER INACTIVE RECORDS
RECORDS OF: Finance ‘
(Department) .

FILE TOTAL.
. . . TYPE INACTIVE -
ITEM FILE NAME AND C—Copies RETENTION INCLUSIVE DATES DESTROY BOX NO. FUNCTION/CATEGORY O-Originals TIME IN FILE AFTER NO. , NUMBER

FROM TO
27 NP C—D 95/96 ClO 3 yrs. 7/95 6/96 6/00 767
28 Part Time Time Cards A-Z 95/96 CIO 3 yrs. . 7/95 ' 6/96 6/00 fie 29 Finance Bonds ClO 1 yr. — t— P 1Y*
30 . NP N-P 95/96 , » . ' ClO 3 yrs. 71% 6/96 6/00 771
31 NP E-G 95/96 0/0 3 yrs. 7/95 6/96 6/00 768
32 Quarterly Tax Federal Withholdings; FICA Reports; NP 5/97- C/O ' 3 yrs. 1/95 6/97 6/01 811 6/97; Master W2 Listing 1995; Quarter-end Report 1/1/95; Year- - End Report 1995 '
33 BCWD Auditor Files ' ~ 0/0 1 yr. — . ' — P 137*
34 NP Invoice / Prepaid Check Audit Trail 7/96-10/96 C/O ‘ 3 yrs. 7/96 10/96 10l00 802 35 Numerical Warrants 2537-3548 ,C/O 3 yrs. 7/63 11/63 12/00 115 *No Dates Available
(Department Head)
Approved: %- I Date: 5" 3 ~17 O .

Approved: Date: 55%
Date: f? 5%
(Cityfdministrator) .. Approved:

Document No. 36414

CITY OF BELLFLOWER

AUTHORITY TO PROCESS INACTIVE RECORDS
RECORDS OF: Finance Department (dept 1300)
Department)
GENERAL DESCRIPTION OF RECORDS: FY16/17 Accounting Records ITEM
NO.

FILE NAME AND

FUNCTION/CATEGORY
NUMBER
FILE
TYPE
C -Copies
O -Ori inals
TOTAL

RETENTION
TIME

INCLUSIVE DATES IN
FILE

DESTROY
AFTER
BOX
NO.

FROM TO PR
1 ACCOUNTS PAYABLE — A - BELL O 5 yrs. 07/01/16 06/30/17 06/30/22 F2635 2 ACCOUNTS PAYABLE — BELL -CAL O 5 yrs. 07/01/16 06/30/17 06/30/22 F2636 3 ACCOUNTS PAYABLE — CAL — C MISC. O 5 yrs. 07/01/16 06/30/17 06/30/22 F2637 4 ACCOUNTS PAYABLE — D - GRA O 5 yrs. 07/01/16 06/30/17 06/30/22 F2638 5 ACCOUNTS PAYABLE — G MISC. - 1 O 5 yrs. 07/01/16 06/30/17 06/30/22 F2639 6 ACCOUNTS PAYABLE — J - L O 5 yrs. 07/01/16 06/30/17 06/30/22 F2640 7 ACCOUNTS PAYABLE — M - PAR O 5 yrs. 07/01/16 06/30/17 06/30/22 F2641 8 ACCOUNTS PAYABLE — PLA — SOU (PARTIAL) O 5 yrs. 07/01/16 06/30/17 06/30/22 F2642 9 ACCOUNTS PAYABLE — SOU (PARTIAL) — S MISC. O 5 yrs. 07/01/16 06/30/17 06/30/22 F2643 10 ACCOUNTS PAYABLE — T - V O 5 yrs. 07/01/16 06/30/17 06/30/22 F2644 11 ACCOUNTS PAYABLE — W - Z O 5 yrs. 07/01/16 06/30/17 06/30/22 F2645 12 PAYROLL TIMECARDS — A — I (NOT D) O 5 yrs. 07/01/16 06/30/17 06/30/22 F2646 13 PAYROLL TIMECARDS — J - Y (NOT L, M, R) O 5 yrs. 07/01/16 06/30/17 06/30/22 F2647 14 PAYROLL TIMECARDS — D, L, M, R O 5 yrs. 07/01/16 06/30/17 06/30/22 F2648 15 PAYROLL VENDORS — A - H O 5 yrs. 07/01/16 06/30/17 06/30/22 F2649 16 PAYROLL VENDORS — I - W O 5 yrs. 07/01/16 06/30/17 06/30/22 F2650

Page 1 of 3 ends

54 CITY OF BELLFLOWER

AUTHORITY TO PROCESS INACTIVE RECORDS
RECORDS OF: Finance Department (dept 1300)
GENERAL DESCRIPTION OF RECORDS: FY16/17 Accountinq Records (Department)
FILE NAME AND FYIPEI; RELELSHLON
ITEM FUNCTION/CATEGORY C—Cpples TIME INCLUSIVE DATES IN DESTROY BOX NO. NUMBER O-OrIgInals AFTER NO.
r FROM TO PR
1 ACCOUNTS PAYABLE — A - BELL O 5 yrs. 07/01/16 06l30l17 06/30/22 F2635 2 ACCOUNTS PAYABLE — BELL —CAL O 5 yrs, 07l01l16 06l30l17 06l30/22 F2636 3 ACCOUNTS PAYABLE — CAL — C MISC. O 5 yrs. 07l01/ 16 06l30/ 17 06/30/22 F2637 4 ACCOUNTS PAYABLE _ D _ GRA o 5 yrs. O7/01l16 06l30l17 06/30/22 F2638 5 ACCOUNTS PAYABLE _ G MlSC_ - | o 5 yrs. 07l01l16 06l30l17 06/30/22 F2639 6 ACCOUNTS PAYABLE _ J _ L o 5 yrs. 07l01l16 06l30l17 06l30/22 F2640 7 ACCOUNTS PAYABLE _ M _ PAR o 5 yrs. 07l01l16 06l30l17 06l30/22 F2641 8 ACCOUNTS PAYABLE — PLA — SOU (PARTIAL) O 5 yrs. 07l01/ 16 06l30/17 06/30/22 F2642 9 ACCOUNTS PAYABLE — SOU (PARTIAL) — S MISC. O 5 yrs. 07l01/ 16 06l30/ 17 06l30/22 F2643 10 ACCOUNTS PAYABLE _ T _ v o 5 yrs. 07l01l16 06l30l17 06/30/22 F2644 1 1 ACCOUNTS PAYABLE _ w _ z o 5 yrs. - 07l01l16 06l30l17 06l30/22 F2645 12 PAYROLL TIMECARDS — A — I (NOT D) O 5 yrs, 07l01l16 06l30l17 06l30/22 F2645 13 PAYROLL TIMECARDS — J — Y (NOT L, M, R) O 5 yrs. 07l01l16 06l30l17 06/30/22 F2647 14 PAYROLL TIMECARDS — D, L, M, R O 5 yrs_ 07l01l16 06l30l17 06/30/22 F2548 15 PAYROLL VENDORS — A - H O 5 yrs, 07/01/16 06/30/17 06/30/22 F2649 16 PAYROLL VENDORS — I — w o 5 yrs_ 07l01l16 06l30l17 06l30/22 F2650

Page 1 of 3 ends

CITY OF BELLFLOWER

AUTHORITY TO PROCESS INACTIVE RECORDS
RECORDS OF: Finance Department (dept 1300)
Department)
GENERAL DESCRIPTION OF RECORDS: FY16/17 Accounting Records

Page 2 ends

FILE

FILE NAME AND TYPE
TOTAL
ITEM FUNCTION/CATEGORY C -Copies

RETENTION

INCLUSIVE DATES IN DESTROY BOX
NO. NUMBER O -Ori finals
TIME
FILE AFTER NO.

FROM TO PR
17 PAYROLL REGISTER O 5 yrs 07/01/16 12/31/17 06/30/22 F2651 18 PAYROLL REGISTER O 5 yrs 01/01/17 05/31/17 06/30/22 F2652 19 JOURNAL ENTRIES 0 5 yrs 07/01/16 06/30/17 06/30/22 F2653 20 END OF PAYROLL REPORTS; GENERAL LEDGER
O 5 yrs 07/01/16 06/30/17 06/30/22 F2654
INTERFACE REPORTS; PERSONNEL CHANGES
21 MASTER PAYROLL REPORTS; MONTH END PERIODIC
O 5 yrs 07/01/16 06/30/17 06/30/22 F2655
REPORT; 06/17 PAYROLL REGISTER
ACCOUNTS PAYABLE GENERAL LEDGER INTERFACE;
CHECK LISTING UPDATES; APPROVED PURCHASE
22 ORDERS; PURCHASE ORDER AUDIT TRAIL; CHECK O 5 yrs 07/01/16 06/30/17 06/30/22 F2656 REVERSALS; ACCOUNTS PAYABLE MONTH END
REPORTS; PURCHASE ORDER MONTH END REPORTS
23 ACCOUNTS RECEIVEABLE AUDIT TRAIL REPORTS;
O 5 yrs 07/01/16 06/30/17 06/30/22 F2657

INVOICE/PREPAID CHECK AUDIT TRAIL REPORTS
24 BANK RECEIPT FOLDERS (BOW, BNY, LAIF, CALTRUST,
O 5 yrs 07/01/16 06/30/17 06/30/22 F2658

LACPIF & UNION BANK
25 CASH REGISTER AUDIT TRAIL O 5 yrs 07/01/16 12/31/17 06/30/22 F2659 26 CASH REGISTER AUDIT TRAIL O 5 yrs 01/01/17 05/31/17 06/30/22 F2660 27 CASH REGISTER AUDIT TRAIL 6/17; CASH RECEIPT
O 5 yrs 07/01/16 06/30/17 06/30/22 F2661
AUDIT TRAIL — HDL WEB PAYMENTS
28 CASH RECEIPTS — 010-12000 TO 010-31320 5 yrs 07/01/16 06/30/17 06/30/22 F2662

Page 2 ends

55 CITY OF BELLFLOWER

AUTHORITY TO PROCESS INACTIVE RECORDS
RECORDS OF: Finance Department (dept 1300)
GENERAL DESCRIPTION OF RECORDS: FY16/17 Accountinq Records (Department)
FILE FILE NAME AND TYPE REEF/[ON .

ITEM FUNCTION/CATEGORY C-Copies TIME INCLUSIVE DATES IN DESTROY BOX NO. NUMBER O-Originals AFTER NO.

FROM TO PR
17 PAYROLL REGISTER O 5 yrs 07/01/16 12/31/17 06/30/22 F2651 18 PAYROLL REGISTER o 5 yrs 01/01/17 05/31/17 06/30/22 F2652 19 JOURNAL ENTRIES O 5 yrs 07/01/16 06/30/17 06/30/22 F2653 20 END OF PAYROLL REPORTS; GENERAL LEDGER O 5 yrs 07/01 I16 06/30/17 06l30/22 F2654 INTERFACE REPORTS; PERSONNEL CHANGES 21 MASTER PAYROLL REPORTS; MONTH END PERIODIC O 5 rs 07/01 I16 06/30l17 06l30/22 F2655 REPORT; 06/17 PAYROLL REGISTER V ACCOUNTS PAYABLE GENERAL LEDGER INTERFACE; CHECK LISTING UPDATES; APPROVED PURCHASE 22 ORDERS; PURCHASE ORDER AUDIT TRAIL; CHECK O 5 yrs 07’01/16 06/30/ 17 06/30/22 F2656 REVERSALS; ACCOUNTS PAYABLE MONTH END REPORTS; PURCHASE ORDER MONTH END REPORTS ACCOUNTS RECEIVEABLE AUDIT TRAIL REPORTS; 23 INVOICE/PREPAID CHECK AUDIT TRAIL REPORTS 0 5 yrs 07’ 01’ 16 06’30’ 17 0630’” F2557 BANK RECEIPT FOLDERS (BOW, BNY, LAIF, CALTRUST, 24 LACPIF & UNION BANK) o 5 yrs 07/01/16 06l30/17 06/30/22 F2658 25 CASH REGISTER AUDIT TRAIL o 5 yrs 07/01/16 12/31/17 06/30/22 F2659 26 CASH REGISTER AUDIT TRAIL O 5 yrs 01/01/17 05/31/17 (36/30/22 F2660 CASH REGISTER AUDIT TRAIL 6/17; CASH RECEIPT 27 AUDIT TRAIL _ HDL WEB PAYMENTS O 5 yrs 07/01/16 06l30l17 06/30/22 F2661 28 CASH RECEIPTS — 010-12000 TO 010—31320 5 yrs 07/01/16 06/30/17 06l30/22 F2662

Page 2 of 3 ends

CITY OF BELLFLOWER

AUTHORITY TO PROCESS INACTIVE RECORDS
RECORDS OF: Finance Department (dept 1300)
Department)
GENERAL DESCRIPTION OF RECORDS: FY16/17 Accountina Records Authority to Transfer
Approved: Date: i
artment Head)
App
S
Date: (/ Z
Date: y

Page 3 of 3 ends

Approved:

Authority to Destroy
Department Head)
Approved:

City Clerk)
Approved:

City Manager)
Approved:

Attorney)
Date:

Date:

FILE

FILE NAME AND TYPE
TOTAL
ITEM FUNCTION/CATEGORY C -Copies

RETENTION

INCLUSIVE DATES IN DESTROY BOX
NO. NUMBER O -Ori inals
TIME
FILE AFTER NO.

FROM TO PR
Aq CASH RECEIPTS — 010-31320 TO 010-32020 5 yrs 07/01/16 06/30/17 06/30/22 F2663 L3 CASH RECEIPTS — 010—,39LO,-EG O 5 yrs 07/01/16 06/30/17 06/30/22 F2664 31 CASH RECEIPTS —01C 3UgoTO 010-36542 O 5 yrs 07/01/16 06/30/17 06/30/22 F2665 0 CASH RECEIPTS — 010-36000 TO 010-36540 O 5 yrs 07/01/16 06/30/17 06/30/22 F2666 33 CASH RECEIPTS — 010-36570 TO 010-36650-010-36672 O 5 yrs 07/01/16 06/30/17 06/30/22 F2667 J 5OF8
CASH RECEIPTS — 010-36650-010-36672 (6 OF 8) TO 090- O 5 yrs 07/01/16 06/30/17 06/30/22 F2668 20500
CASH -RECEIPTS — 090-20506 TO DEPT 8000 O 5 yrs 07/01/16 06/30/17 06/30/22 F2669 Authority to Transfer
Approved: Date: i
artment Head)
App
S
Date: (/ Z
Date: y

Page 3 of 3 ends

Approved:

Authority to Destroy
Department Head)
Approved:

City Clerk)
Approved:

City Manager)
Approved:

Attorney)
Date:

Date:

Date:
56 CITY OF BELLFLOWER

AUTHORITY TO PROCESS INACTIVE RECORDS
RECORDS OF: Finance Department (dept 1300)
(Department)
GENERAL DESCRIPTION OF RECORDS: FY16/17 Accountinq Records

Page 3 of 3 ends

(City Attorney)

FILE FILE NAME AND TYPE REIELIIILON
ITEM FUNCTION/CATEGORY C-Copies TIME INCLUSIVE DATES IN DESTROY BOX NO. NUMBER O—Originals FILE AFTER NO.

FROM TO PR
a? CASH RECEIPTS — 010—31320 TO 010—32020 5 yrs 07/01/16 06/30/17 06/30/22 F2663 : 3 0 CASH RECEIPTS — 010—- 33.0510 0 5 yrs 07/01/16 06l30/17 06/30/22 F2664 , 3 / CASH RECEIPTS 4106):;[01'0 010-36542 O 5 yrs 07I01/16 06/30I17 06/30/22 F2665 32 CASH RECEIPTS — 010—36000 To 010-36540 O 5 yrs 07I01/16 06/30/17 06/30/22 F2666 I 33 CASH RECEIPTS — 010-36570 TO 010-36650—010—36672 O 5 yrs 07I01/16 06/30/17 06/30/22 F2667 (5 OF 8)
3 fié CASH RECEIPTS — 010-36650—010-36672 (6 OF 8) TO 090— O 5 yrs 07,01 I16 06/30/17 06/30/22 F2668 _ 20500
I 33 CASH RECEIPTS — 090-20506 To DEPT 8000 0 5 yrs 07I01/16 06/30l17 06I30122 F2669 Authority to Transfer Authorig to Destroy
Approved: Date: éz [l (W! Approved: Date:
\(Bepir'tment Head) . (Department Head)
Approved' Date: 52 ”[2 Z Approved: Date: , (City Clerk) Approved: fl/ Date: [3/ Approved: Date: fyflmrbgfi) ‘ (City Manager) Approved: Date:

CITY OF BELLFLOWER

AUTHORITY TO PROCESS INACTIVE RECORDS
RECORDS OF: Finance Department (dept 1300)
Department)
GENERAL DESCRIPTION OF RECORDS: FY16/17 Accounting Records Authority to Transfer
Approved:

Department Head)
Approved:

City Clerk)
Approved:

City Manager)
Date:

Date:

Page 3 of 3 ends

Authority to Destroy
Approved:

Department Head)
Approved:

City Clerk)
Approved:

City Manager)
Approved:

City Attorney)
Date:

Date:

FILE

FILE NAME AND TYPE
TOTAL
ITEM FUNCTION/CATEGORY C -Copies

RETENTION

INCLUSIVE DATES IN DESTROY BOX
NO. NUMBER O -Ori inaIs
TIME
FILE AFTER NO.

FROM TO PR
29 CASH RECEIPTS — 010-31320 TO 010-32020 5 yrs 07/01/16 06/30/17 06/30/22 F2663 30 CASH RECEIPTS — 010-32020 0 5 yrs 07/01/16 06/30/17 06/30/22 F2664 31 CASH RECEIPTS —010-32020 TO 010-36542 0 5 yrs 07/01/16 06/30/17 06/30/22 F2665 32 CASH RECEIPTS — 010-36000 TO 010-36540 0 5 yrs 07/01/16 06/30/17 06/30/22 F2666 33 CASH RECEIPTS - 010-36570 TO 010-36650-010-36672 0 5 yrs 07/01/16 06/30/17 06/30/22 F2667 5OF8
34 CASH RECEIPTS — 010-36650-010-36672 (6 OF 8) TO 090- 0 5 yrs 07/01/16 06/30/17 06/30/22 F2668 20500
35 CASH RECEIPTS — 090-20506 TO DEPT 8000 0 5 yrs 07/01/16 06/30/17 06/30/22 F2669 Authority to Transfer
Approved:

Department Head)
Approved:

City Clerk)
Approved:

City Manager)
Date:

Date:

Page 3 of 3 ends

Authority to Destroy
Approved:

Department Head)
Approved:

City Clerk)
Approved:

City Manager)
Approved:

City Attorney)
Date:

Date:

Date:
57 CITY OF BELLFLOWER

AUTHORITY TO PROCESS INACTIVE RECORDS
RECORDS OF: Finance Department (dept 1300)
(Department)
GENERAL DESCRIPTION OF RECORDS: FY16l17 Accounting Records FILE FILE NAME AND TYPE REICErTr/IION
ITEM FUNCTION/CATEGORY C—Copies TIME INCLUSIVE DATES IN DESTROY BOX NO. NUMBER O-Originals FILE AFTER . NO.

FROM TO PR
29 __ _ CASH RECEIPTS - 010—31320 TO 010-32020 5 yrs 07/01/16 06/30/17 06l30l22 F2663 30 CASH RECEIPTS — 010-32020 0 5 yrs 07/01/16 06l30/17 06l30/22 F2664 31 CASH RECEIPTS 410.32020 TO 010—36542 O 5 yfs 07/01/16 06/30/17 06l30l22 F2665 32 CASH RECEIPTS — 010-36000 T0 010-36540 0 5 yrs 07/01/16 06l30/17 06l30/22 F2666 33 CASH RECEIPTS - 010-36570 TO 010-36650-010-36672 o 5 yrs 07/01 I16 06l30/17 06l30/22 F2667 (5 OF 8)
34 CASH RECEIPTS — 010-36650—010-36672 (6 OF 8) TO 090- 0 5 yrs 07,01 I16 06l30/17 06l30l22 F2668 20500
35 CASH RECEIPTS — 090-20506 TO DEPT 8000 0 5 yrs 07101/16 06l30/17 06l30l22 F2669 Authoriy to Transfer Authority to Destroy
Approved: Date: Approved: Date:
(Department Head) (Department Head)
Approved: Date: Approved: Date: (City Clerk) (City Clerk) Approved: Date: Approved: Date:
(City Manager) (Gin/Manager) Approved: Date: (CityAnomev)

Page 3 of 3 ends

CITY OF BELLFLOWER

AUTHORITY TO PROCESS INACTIVE RECORDS
RECORDS OF: Finance Department (dept 1300)
Department)
GENERAL DESCRIPTION OF RECORDS: FY17/18 Accounting Records ITEM
NO.

FILE NAME AND

FUNCTION/CATEGORY
NUMBER
FILE
TYPE
C -Copies
O -Ori inals
TOTAL

RETENTION
TIME

INCLUSIVE DATES IN
FILE

DESTROY
AFTER
BOX
NO.

FROM TO PR
1 ACCOUNTS PAYABLE — A - BELL O 5 yrs. 07/01/17 06/30/18 06/30/23 F2670 = 2 ACCOUNTS PAYABLE — BELL -CIT O 5 yrs. 07/01/17 06/30/18 06/30/23 F2671 3 ACCOUNTS PAYABLE — CIV - DUA O 5 yrs. 07/01/17 06/30/18 06/30/23 F2672 4 ACCOUNTS PAYABLE — D MISC. — G MISC. O 5 yrs. 07/01/17 06/30/18 06/30/23 F2673 5 ACCOUNTS PAYABLE — H&H - JHM O 5 yrs. 07/01/17 06/30/18 06/30/23 F2674 6 ACCOUNTS PAYABLE — JOE - LOS O 5 yrs. 07/01/17 06/30/18 06/30/23 F2675 7 ACCOUNTS PAYABLE — L MISC. - ORI O 5 yrs. 07/01/17 06/30/18 06/30/23 F2676 8 ACCOUNTS PAYABLE — OUR - SNO O 5 yrs. 07/01/17 06/30/18 06/30/23 F2677 9 ACCOUNTS PAYABLE — SOU - STA O 5 yrs. 07/01/17 06/30/18 06/30/23 F2678 10 ACCOUNTS PAYABLE — STO — T MISC. O 5 yrs. 07/01/17 06/30/18 06/30/23 F2679 11 ACCOUNTS PAYABLE — UND — V MISC O 5 yrs 07/01/17 06/30/18 06/30/23 F2680 12 ACCOUNTS PAYABLE — W - Z O 5 yrs. 07/01/17 06/30/18 06/30/23 F2681 13 PAYROLL TIMECARDS — A — I (NOT D) O 5 yrs. 07/01/17 06/30/18 06/30/23 F2682 14 PAYROLL TIMECARDS — J - Y (NOT L, M, R) O 5 yrs. 07/01/17 06/30/18 06/30/23 F2683 15 PAYROLL TIMECARDS — D, L, M, R O 5 yrs. 07/01/17 06/30/18 06/30/23 F2684 16 PAYROLL VENDORS — A - 1 O 5 yrs. 07/01/17 06/30/18 06/30/23 F2685

Page 1 of 4 ends

58 RECORDS OF: Finance Department (dept 1300)
GENERAL DESCRIPTION OF RECORDS: FY17I18 Accountinq Records

CITY OF BELLFLOWER

AUTHORITY TO PROCESS INACTIVE RECORDS
(Department)

FILE NAME AND EYIPTE RETENTILON
ITEM FUNCTION/CATEGORY C-Cpples TIME INCLUSIVE DATES IN DESTROY BOX NO. NUMBER O-OrIgInaIS AFTER NO.

FROM TO PR
1 ACCOUNTS PAYABLE — A — BELL O 5 yrs. ' 07/01/17 06/30/18 06/30/23 F2670 - 2 ACCOUNTS PAYABLE — BELL -CIT O 5 yrs. 07l01l17 06/30/18 06/30/23 F2671 3 ACCOUNTS PAYABLE — CIV - DUA O 5 yrs. 07l01l17 06/30/18 05/30/23 F2572 4 ACCOUNTS PAYABLE — D MISC. — G MISC. O 5 yrs. 07l01l17 06/30/18 06/30/23 F2673 5 ACCOUNTS PAYABLE — H&H — JHM o 5 yrs, 07/01/17 06/30/18 06/30/23 F2674 6 ACCOUNTS PAYABLE — JOE — L08 0 5 yrs_ 07/01/17 06l30/18 06/30/23 F2675 7 ACCOUNTS PAYABLE — L MISC. - ORI O 5 yrs. 07l01l17 06/30I18 06/30/23 F2675 8 ACCOUNTS PAYABLE _ OUR _ SNO o 5 yrs. 07l01l17 06I30l18 06/30/23 F2677 9 ACCOUNTS PAYABLE — SOU — STA O 5 yrs. 07l01l17 06/30I18 06/30/23 F2578 10 ACCOUNTS PAYABLE — STO — T MISC. O 5 yrs. 07l01l17 06/30/18 06/30/23 F2679 11 ACCOUNTS PAYABLE — UND — v MISC O 5 yrs 07l01l17 06/30I18 06/30/23 F2680 12 ACCOUNTS PAYABLE — w - z o 5 yrs, 07/01/17 06/30l18 06/30/23 F2681 13 PAYROLL TIMECARDS — A — I (NOT D) o 5 yrs, 07/01/17 O6/30l18 06/30/23 F2682 14 PAYROLL TIMECARDS — J - Y (NOT L, M, R) O 5 yrs, 07/01/17 06/30/10 06/30/23 F2583 15 PAYROLL TIMECARDS — D, L, M, R o 5 yrs_ 07/01/17 06/30/18 06/30/23 F2534 16 PAYROLL VENDORS — A - I O 5 yrs_ 07/01/17 06l30/18 06/30/23 F2585

Page 1 of 4 ends

CITY OF BELLFLOWER

AUTHORITY TO PROCESS INACTIVE RECORDS
RECORDS OF: Finance Department (dept 1300)
Department)
GENERAL DESCRIPTION OF RECORDS: FY17/18 Accounting Records

Page 2 of 4 ends

FILE
TOTAL

FILE NAME AND TYPE

RETENTION
ITEM FUNCTION/CATEGORY C -Copies INCLUSIVE DATES IN DESTROY BOX NO. NUMBER O -Ori inals
TIME
FILE AFTER NO.

FROM TO PR
17 PAYROLL VENDORS — J - W O 5 yrs. 07/01/17 06/30/18 06/30/23 F2686 18 MASTER PAYROLL 12/17; PERSONNEL CHANGES O 5 yrs 07/01/17 06/30/18 06/30/23 F2687 19 MASTER PAYROLL O 5 yrs 01/01/18 05/31/18 06/23 F2688 20 JOURNAL ENTRIES 0 5 yrs 07/01/17 06/30/18 06/30/23 F2689 21 PAYROLL GENERAL LEDGER INTERFACE; YEAR END
O 5 yrs 07/01/17 06/30/18 06/30/23 F2690
REPORTS; YEAR END SALARY CHANGES
22 PAYROLL VENDOR CHECK REGISTER; VENDOR CHECK
O 5 yrs 07/01/17 06/30/18 06/30/23 F2691REGISTER; 06/18 MASTER PAYROLL 23 PAYROLL FLSA RETRO CALCULATIONS; END OF
O 5 yrs 07/01/17 06/30/18 06/30/23 F2692

PAYROLL REPORTS
INVOICE/PREPAID CHECK AUDIT TRAIL; CHECK
24 REVERSALS; APPROVED PURCHASE ORDERS; O 5 yrs 07/01/17 06/30/18 06/30/23 F2693

PURCHASE ORDER AUDIT TRAIL
CASH REISTER AUDIT TRAIL; GENERAL LEDGER
INTERFACE; CHECK LISTING UPDATE; ACCOUNTS
25 PAYABLE MONTH END REPORTS; PURCHASE ORDER O 5 yrs 07/01/17 06/30/18 06/30/23 F2694 MONTH END REPORTS; ACCOUNTS RECEIVEABLE

AUDIT TRAIL AND MONTH END REPORTS
26 CASH REGISTER AUDIT TRAIL — HDL WEB PAYMENTS O 5 yrs 07/01/17 06/30/18 06/30/23 F2695 27 CASH REGISTER AUDIT TRAIL O 5 yrs 07/01/17 12/31/17 06/30/23 F2696 28 CASH REGISTER AUDIT TRAIL O 5 yrs 01/01/17 05/31/18 06/30/23 F2697

Page 2 of 4 ends

59 CITY OF BELLFLOWER

AUTHORITY TO PROCESS INACTIVE RECORDS
RECORDS OF: Finance Department (dept 130m
GENERAL DESCRIPTION OF RECORDS: FY17/18 Accountinq Records (Department)

FILE FILE NAME AND TYPE RETENTION
ITEM FUNCTION/CATEGORY C-Copies TIME INCLUSIVE DATES IN DESTROY BOX NO. NUMBER O-Originals AFTER NO.

FROM TO PR
17 PAYROLL VENDORS _ J - w o 5 yrs. 07/01/17 06/30/18 06/30/23 F2686 18 MASTER PAYROLL 12/17; PERSONNEL CHANGES O 5 yrs 07/01/17 06/30/18 06/30/23 F2687 19 MASTER PAYROLL 0 5 yrs 01/01/18 05/31/18 06/23 F2688 20 JOURNAL ENTRIES o 5 yrs 07/01/17 06/30/18 06/30/23 F2689 21 PAYROLL GENERAL LEDGER INTERFACE; YEAR END 0 5 yrs 07,01/17 06/30/18 06/30/23 F2690 REPORTS; YEAR END SALARY CHANGES
22 PAYROLL VENDOR CHECK REGISTER; VENDOR CHECK O 5 yrs (37/01/17 06/30/18 06/30/23 F2691 REGISTER; 06/18 MASTER PAYROLL
23 PAYROLL FLSA RETRO CALCULATIONS; END OF 0 5 yrs 07,01/17 06/30/18 (36/30/23 F2692

PAYROLL REPORTS
INVOICE/PREPAID CHECK AUDIT TRAIL; CHECK 24 REVERSALS; APPROVED PURCHASE ORDERS; O 5 yrs 07/01/17 06/30’18 (36/30/23 F2693

PURCHASE ORDER AUDIT TRAIL
CASH REISTER AUDIT TRAIL; GENERAL LEDGER
INTERFACE; CHECK LISTING UPDATE; ACCOUNTS
25 PAYABLE MONTH END REPORTS; PURCHASE ORDER 0 5 yrs 07/01/17 06/30/18 06/30/23 F2694 MONTH END REPORTS; ACCOUNTS RECEIVEABLE

AUDIT TRAIL AND MONTH END REPORTS
26 CASH REGISTER AUDIT TRAIL — HDL WEB PAYMENTS O 5 yrs 07/01/17 06/30/18 06/30/23 F2695 27 CASH REGISTER AUDIT TRAIL O 5 yrs 07/01/17 12/31/17 05/30/23 F2696 28 CASH REGISTER AUDIT TRAIL O 5 yrs o1/o1/17 05/31/13 06l30/23 F2697

Page 2 of 4 ends

CITY OF BELLFLOWER

AUTHORITY TO PROCESS INACTIVE RECORDS
RECORDS OF: Finance Department (dept 1300)
Department)
GENERAL DESCRIPTION OF RECORDS: FY17/18 Accountina Records, ITEM
NO.

FILE NAME AND

FUNCTION/CATEGORY
NUMBER
FILE
TYPE
C -Copies
O -Ori inals
TOTAL

RETENTION
TIME

INCLUSIVE DATES IN
FILE

DESTROY
AFTER
BOX
NO.

FROM TO PR
29 CASH RECEIPTS — 010-11000 TO 010-30130 0 5 yrs 07/01/17 06/30/18 06/30/23 F2698 30 CASH RECEIPTS — 010=30140 TO 010-31202 O 5 yrs 07/01/17 06/30/18 06/30/23 F2699 31 CASH RECEIPTS — 010-31204 TO 010-31320 (2 OF 3) 0 5 yrs 07/01/17 06/30/18 06/30/23 F2700 32 CASH RECEIPTS — 010-31320 (3 OF 3) TO 010-32020
2OF8
O 5 yrs 07/01/17 06/30/18 06/30/23 F2701
33 CASH RECEIPTS — 010-32020 (3 THRU 7 OF 8) 0 5 yrs 07/01/17 06/30/18 06/30/23 F2702 34 CASH RECEIPTS — 010-32020 (8 OF 8) TO 010-36030
1 OF 4
O 5 yrs 07/01/17 06/30/18 06/30/23 F2703
35 CASH RECEIPTS — 010-36030 (2 OF 4) TO 010-36650-010- 36672 1 OF 6
0 5 yrs 07/01/17 06/30/18 06/30/23 F2704
36 CASH RECEIPTS — 010-36650-010-36672 (2 THRU 6 OF 6) 0 5 yrs 07/01/17 06/30/18 06/30/23 F2705 37 CASH RECEIPTS — 010-36800-010-36900 TO 530-37100 0 5 yrs 07/01/17 06/30/18 06/30/23 F2706 38 CASH RECEIPTS — FUND 600 TO FRUND 9000 0 5 yrs 07/01/17 06/30/18 06/30/23 F2707

Page 3 of 4 ends

60 CITY OF BELLFLOWER

AUTHORITY TO PROCESS INACTIVE RECORDS
RECORDS OF: Finance Department (dept 1300)
GENERAL DESCRIPTION OF RECORDS: FY17/18 Accounting Records‘ (Department)
FILE FILE NAME AND TYPE REEEEILON ITEM FUNCTION/CATEGORY C-Copies TIME INCLUSIVE DATES IN DESTROY BOX NO. NUMBER O—Ominals FILE AFTER NO.

FROM TO PR
29 CASH RECEIPTS — 01o-11000 TO 010-30130 o 5 yrs 07/01/17 06l30/18 06/30/23 F2698 30 CASH RECEIPTS — 010-30140 TO 010-31202 o 5 yrs 07/01/17 06/30/18 06/30/23 F2699 31 CASH RECEIPTS — 010-31204 TO 010-31320 (2 OF 3) O 5 yrs 07/01/17 06l30/18 06/30/23 F2700 32 E32733: 8|§ECE|PTS - 010-31320 (3 0F 3) T0 010-32020 o 5 yrs 07/01/17 06/30/18 06/30/23 F2701 33 CASH RECEIPTS — 010-32020 (3 THRU 7 OF 8) o 5 yrs 07/01/17 06/30/18 06I30/23 F2702 34 gAgltlSECEIPTS - 010-32020 (8 0F 8) TO 010-36030 o 5 yrs o7/o1/17 06I30l18 06/30/23 F2703 35 CASH RECEIPTS — 010-36030 (2 OF 4) TO 010-36650-010- o 5 yrs 07/01/17 06I30/18 06/30/23 F2704 36672 (1 OF 6) 36 CASH RECEIPTS — 010-36650-010-36672 (2 THRU 6 OF 6) O 5 yrs 07/01/17 06I30/18 06/30/23 F2705 37 CASH RECEIPTS — 010-36800-010-36900 TO 530-37100 O 5 yrs 07/01/17 06I30l18 06/30/23 F2706 38 CASH RECEIPTS — FUND 600 TO FRUND 9000 0 5 yrs 07/01/17 06I30/18 06I30/23 F2707

Page 3 of 4 ends

CITY OF BELLFLOWER

AUTHORITY TO PROCESS INACTIVE RECORDS
RECORDS OF: Finance Department (dept 1300)
Department)
GENERAL DESCRIPTION OF RECORDS: FY17/18 Accounting Records Authority to Transfer
Date: ?i
Date: ll 2
Date: S 3 21
Approved: 7r5g—,
ue-a%

Page 4 of 4 ends

Authority to Destroy
Approved:

Department Head)
Approved:

City Clerk)
Approved:

City Manager)
Approved:

City Attorney)
Date:

Date:

FILE
TOTAL

FILE NAME AND TYPE

RETENTION
ITEM FUNCTION/CATEGORY C -Copies
TIME

INCLUSIVE DATES IN DESTROY BOX
NO. NUMBER O -Ori inals FILE AFTER NO.

FROM TO PR
F2670
TO
F2707
Authority to Transfer
Date: ?i
Date: ll 2
Date: S 3 21
Approved: 7r5g—,
ue-a%

Page 4 of 4 ends

Authority to Destroy
Approved:

Department Head)
Approved:

City Clerk)
Approved:

City Manager)
Approved:

City Attorney)
Date:

Date:

Date:
61 CITY OF BELLFLOWER

AUTHORITY TO PROCESS INACTIVE RECORDS
RECORDS OF: Finance Department (dept 1300)
(Department)
GENERAL DESCRIPTION OF RECORDS: FY17/18 Accountinq Records

FILE FILE NAME AND TYPE RELELAHLON
ITEM FUNCTION/CATEGORY C-Copies TIME INCLUSIVE DATES IN DESTROY BOX NO. NUMBER O—Originals FILE AFTER NO.

FROM TO PR
F2670
TO
F2707
Authorig to Transfer Authority to Destroy
Approved: Date: 22 fizz Vi Approved: Date:

L/Tfepartment Head) (Department Head)
Approved: . \ Date: (I 2- Approved: Date: ‘ (0' Cler ) (City Clerk) Approved: W/ Date: 51; M $ I Approved: Date:
«I/IWIager) (City Manager)
Approved: Date:

Page 4 of 4 ends

(City Attorney)

CITY OF BELLFLOWER
b AUTHORITY TO PROCESS INACTIVE RECORDS
RECORDS OF: FINANCE
Department)
GENERAL DESCRIPTION OF RECORDS: FY17/18 FINANCE RECORDS Authority to Transfer Authority to Destroy
Approved:

Department Head)
l Approved:

City Clerk)
Approved:

City Manager)
Approved:

City Attorney)

Page 1 of 1 ends

Date:

FILE
TOTAL

FILE NAME AND TYPE

RETENTION
ITEM FUNCTION/CATEGORY C -Copies
TIME

INCLUSIVE DATES IN DESTROY BOX
NO. NUMBER O -Ori inals FILE AFTER NO.

FROM TO PR
1 PAYROLL REGISTERS O 5 YRS 07/01/2017 11/30/2017 06/30/2023 F2708 2 QUARTERLY INTEREST ALLOCATION O 5 YRS' 07/01/2017 06/30/2018 06/30/2023 F2709 3 CASH RECONCILIATION REPORTS (PS, P&R), C 5 YRS 07/01/2017 06/30/2018 06/30/2023 F2710ACCOUNTSRECEIVEABLENUMBEREDINVOICES Authority to Transfer Authority to Destroy
Approved:

Department Head)
l Approved:

City Clerk)
Approved:

City Manager)
Approved:

City Attorney)

Page 1 of 1 ends

Date:

Date:
62 &_.

CITY OF BELLFLOWER
AUTHORITY TO PROCESS INACTIVE. RECORDS
RECORDS OF: FINANCE
(Department)
GENERAL DESCRIPTION OF RECORDS: FY17I18 FINANCE RECORDS

FILE I FILE NAME AND TYPE RETENTION
ITEM FUNCTION/CATEGORY C-Copies TIME INCLUSIVE DATES IN DESTROY BOX NO. NUMBER O-On'ginals FILE AFTER NO.

FROM TO I PR
1 PAYROLL REGISTERS O 5 YRS 07/01/2017 11/30/2017 06/30/2023 F2708 2 QUARTERLY INTEREST ALLOCATION 5 YRS’ 07/01/2017 06/30/2018 06/3OI2023 F2709 CASH RECONCILIATION REPORTS (PS, P&R), 3 ACCOUNTS RECEIVEABLE NUMBERED INVOICES C 5 YRS 07/01/2017 06l30/2018 06l30/2023 F2710 Authoriy to Transfer Authority to Destroy
Approved: 2% a Date: 32 :7z I%2 Approved: Date:
artment Head) (Department Head)
Approve: 4 , / , 1 , , A. ’ late: £2 lg 21 Approved: Date: (City Clerk) Approved: / Date: I Z21 [44 Approved: Date:

I (City Manager) -
7 Approved: Date:
(CityAttomey)

Page 1 of 1 ends

Docusign Envelope ID: C3942A4D-DE10-4599-B80B-8855A7A70261

AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST - MULTIPLE BOXES IN SINGLE RECORD SERIES 1 Department:Finance Retention Period:5 years
General Description
of Records:

Accounts Receivable — Revenue Files
Destruction Eligibility
Date:
12/31/2024

INO DESCRIPTION OF SPECIFIC RECORDS OR FILES

INCLUSIVE DATES

IN FILE
Box No.

BARCODE
NUMBER

FROM TO
1 REVENUE ACCOUNT: 010-11010 to 010-30130 (3 of 4)7/1/2018 6/30/2019 F2716 61937860 2 REVENUE ACCOUNT: 010-30130 (4 of 4) to 010-31204 7/1/2018 6/30/2019 F2717 61937859 3 REVENUE ACCOUNT: 010-31320 to FTB COLLECTION 7/1/2018 6/30/2019 F2718 61937858 4 REVENUE ACCOUNT: 010-32020 (reports) to 010-32020 (3 of 12)7/1/2018 6/30/2019 F2719 61937857 5 REVENUE ACCOUNT: 010-32020 (4 of 10) to 010-32020 (7 of 10)7/1/2018 6/30/2019 F2720 61937856 6 REVENUE ACCOUNT: 010-32020 (8 of 10) to 010-36010 7/1/2018 6/30/2019 F2721 61937855 7 REVENUE ACCOUNT: 010-36030 (1 of 4) to 010-36120 7/1/2018 6/30/2019 F2722 61937854 8 REVENUE ACCOUNT: 010-36400 to 010-36650 thru 010-36672 (4 of 8)7/1/2018 6/30/2019 F2723 61937853 9 REVENUE ACCOUNT: 010-36650 thru 010-36672 (5 of 8) to 050-34200 7/1/2018 6/30/2019 F2724 61937852 10 REVENUE ACCOUNT: 090-20500/20560 to Fund 600 (3 of 3)7/1/2018 6/30/2019 F2725 61937851 11 REVENUE ACCOUNT: 710-33110 to Dept. 9000 7/1/2018 6/30/2019 F2726 61937850

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved:

Signed by:
1Lut a Grain,
3F AOC 74 SF 140482
Departm
Date:
10/14/2024 I 2:16 PM PDT
63 M Em. D: CWZMD-DE INWTANIZBI
AUTHORITY TO TRANSFER INACTIVE RECORDS 1

AND RECORDS INVENTORY LIST - MULTIPLE BOXES IN SINGLE RECORD SERIES of BELLF
0"“ Low“
.. a t ’ "“s unmefl“
Depanment Finance Retention Period: 5 years
mggmfim Accounts Receivable — Revenue Files gfgudm 3‘9“” 12/31/2024 ”EM INCLUSIVE DATES Box Na BARCODE No. DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE NUMBER FROM To 1 REVENUE ACCOUNT: 010-11010 to 01030130 (3 61 4) 7/1/2016 6/30/2019 F2716 61937860 2 REVENUE ACCOUNT: 01030130 (4 or 4) to 01031204 7/1/2016 6/30/2019 F2717 61937659 3 REVENUE ACCOUNT: 010-3132016 FTB COLLECTION 7/1/2016 6/30/2019 F2716 61937656 4 REVENUE ACCOUNT: 010-32020 (reports) to 01032020 (3 Of 12) 7/1/2016 6/30/2019 F2719 61937657 5 REVENUE ACCOUNT: 010-32020 (4 of 10) to 01032020 (7 of 10) 7/1/2016 6/30/2019 F2720 61937656 6 REVENUE ACCOUNT: 01032020 (6 of 10) to 010-36010 7/1/2016 6/30/2019 F2721 61937855 7 REVENUE ACCOUNT: 01036030 (1 of 4) to O10-36120 7/1/2016 6/30/2019 F2722 61937654 6 REVENUE ACCOUNT: 010-36400 to 010-36650 thru 01036672 (4 of 6) 7/1/2016 6/30/2019 F2723 61937653 9 REVENUE ACCOUNT: 010-36650 thru 01036672 (5 of 6) to 050-34200 7/1/2016 6/30/2019 F2724 61937652 10 REVENUE ACCOUNT: 090-20500/20560 to Fund 600 (3 Of 3) 7/1/2018 6/30/2019 F2725 61937651 11 REVENUE ACCOUNT: 710-3311016 Dept. 9000 7/1/2016 6/30/2019 F2726 61937650

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Non-div:
1m £11m» 10/14/2024 I 2:16 m m Appmved: amcusnmg... - Date:

Approved: W Beam

DocuSign
Certificate Of Completion
Envelope Id: C3942A4DDE104599B80BB855A7A70261
Subject: Sign with Docusign: Authority to Transfer Records Inventory List - 2018-2019 Accounts Rece....

Source Envelope:

Document Pages: 6 Signatures: 6
Certificate Pages: 4 Initials: 0
AutoNav: Enabled
Envelopeld Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
Status: Completed
Envelope Originator:

City Clerk
16600 Civic Center Drive
16600 Civic Center Drive
Bellflower, CA 90706
[email protected]
IP Address:

Record Tracking
Status: Original Holder: City Clerk Location: DocuSign
10/14/2024 1:49:08 PM [email protected]
Signer Events Signature Timestamp
Anna Garan
[email protected]
Security Level: Email, Account Authentication
None)
Electronic Record and Signature Disclosure:

Accepted: 10/14/2024 2:16:23 PM
ID:33eb6eee-8c1d-45a0-8ac5-732176e36f1c
e --Signed by
itAJAA AMA.
3FA0C745F 140482
Signature Adoption: Pre -selected Style
Using IP Address:

Sent: 10/14/2024 1:51:11 PM
Viewed: 10/14/2024 2:16:23 PM
Signed: 10/14/2024 2:16:39 PM
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 10/14/2024 1:51:11 PM
Certified Delivered Security Checked 10/14/2024 2:16:23 PM Signing Complete Security Checked 10/14/2024 2:16:39 PM Completed Security Checked 10/14/2024 2:16:39 PM
Payment Events Status
Electronic Record and Signature Disclosure
Timestamps
64 DocuSign
Envelope ld: C3942A4DDE10459938033855A7A70261 Status: Completed Subject: Sign with Docusign: Authority to Transfer Records Inventory List - 2018-2019 Accounts Reoe....

Source Envelope:

Document Pages: 6 Signatures: 6 Envelope Originator:

Certificate Pages: 4 Initials: 0 City Clerk
AutDNav: Enabled 16600 Civic Center Drive
Envelopeld Stamping: Enabled 16600 Civic Center Drive
Time Zone: (UTC-08100) Pacific Time (US & Canada) Bellilower. CA 90706 [email protected]
IP Address: _
Status: Original Holder: City Clerk
10/14/2024 1:49:08 PM [email protected]
1W“ «1‘ i‘
might—:1 mnfifi‘ ’3 I m -. m,
Anna Garan Sent: 10/14I2024 1:51:11 PM
agaran®bellflower.org 1m 44m» Viewed: 10/14/2024 2:16:23 PM Security Level: Email, Account Authentication ”WWW: Signed: 10/14/2024 2:16:39 PM (None)
Signature Adoption: Pro-selected Style
Uslnii IP Addressr _
Electronic Record and Signature Diocloeure:

Accepted: 10/14/2024 2:16:23 PM
ID: 33eb6eee-8c1d-45a0—8ac5—732176e3611 c
1"”"527mvwmumm E39960" Sign“ Events, 1 "
EQfir‘Delivery Events
‘ Timestamp £53m Delivery Events
ifiiermediary Delivery Events“: Statue i I '11 A" " ‘ ., t‘ ’ Timestamp §értified Delivery Events status ' 4‘ ' ‘ - ‘ *Timestamp Carbon Copy Events ‘ , ' . Status ‘ . ~ . f}f“z‘l’imestamp Witness Events ’ «Signature 1 ’ C ' " ~':Timestamp ‘
Notary Events ‘ ‘ Signature ' 4 . , Timestamp
Envelope SummaryEvenu 4’ {memos 4 4. __ ’.Timestamps 4
Envelope Sent Haehed/Encrypted ' 10/14/2024 1:51:11 PM Certified Delivered Security Checked 10/14/2024 2:16:23 PM Signing Complete Security Checked 10/14/2024 2:16:39 PM Completed Security Checked 10/14/2024 2:16:39 PM Payment Events '_ 4 ’4' ' 4. Status Timeotamps 4
Electronic. Record mu Signature Disclosure i.- ' '

Docusign Envelope ID: C3942A4D-DE10-4599-8806-B855A7A70261

AUTHORITY TO TRANSFER INACTIVE RECORDS
AND RECORDS INVENTORY LIST — MULTIPLE BOXES IN SINGLE RECORD SERIES 1 Department:Finance Retention Period:5 years
General Description
of Records:

Accounts Receivable
Destruction Eligibility
Date:12/31/2024

INS DESCRIPTION OF SPECIFIC RECORDS OR FILES

INCLUSIVE DATES
IN FILE Box No.

BARCODE
NUMBER

FROM TO
1 Cash Register Audit Trail (December 2018 to March 2019)12/1/2018 3/31/2019 F2737 61937839 2 P&R/PS Voided Receipts / Cash Reconciliation Sheets: P&R, PS, FM, PW, FM 7/1/2018 6/30/2019 F2738 61937838
EBT
3 Cash Register Audit Trail (April 2019 to June 2019)4/1/2018 6/30/2019 F2739 61937837 4 Cash Register Audit Trial (July 2018 to November 2018)7/1/2018 6/30/2019 F2740 61937836

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved:

Signed by
awl/ a. etroan,
3FA0C745F 140482
Department Head)
Date:
10/14/2024 1 2:16 PM PDT
65 W Erwdwo D: WWD-DEINWW7A7ORI
AUTHORITY TO TRANSFER INACTIVE RECORDS 1

AND RECORDS INVENTORY LIST - MULTIPLE BOXES IN SINGLE RECORD SERIES 0‘: mar.” . vi “as.
. .
“'"Vlma “mew"
Department: Finance Retention Period: 5 years
General Description . Destruction Eligibility of Records: Accounts Recervable Date: 12/31/2024 ITEM INCLUSIVE DATES Box N o BARCODE

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE ' NUMBER ' FROM TO
1 Cash Register Audit Trail (December 2018 to March 2019) 12/1/2018 3/31/2019 F2737 61937839 2 Egys Voided Receipts / Cash Reconciliation Sheets: P&R. PS. FM. PW. FM 7/1/2018 6/30/2019 F2738 61937838 3 Cash Register Audit Trail (April 2019 to June 2019) 4/1/2018 6/30/2019 F2739 61937837 4 Cash Register Audit Trial (July 2018 to November 2018) 7/1/2018 6/30/2019 F2740 61937836

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

WW-
Imam
JFMC745F 140402
(Department Head) Wei—W
e:10/14/2024 I 2:16 PM PDT

DocuSign
Certificate Of Completion
Envelope Id: C3942A4DDE104599B80BB855A7A70261
Subject: Sign with Docusign: Authority to Transfer Records Inventory List - 2018-2019 Accounts Rece....

Source Envelope:

Document Pages: 6
Certificate Pages: 4
AutoNav: Enabled
Envelopeld Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
Signatures: 6
Initials: 0
Status: Completed
Envelope Originator:

City Clerk
16600 Civic Center Drive
16600 Civic Center Drive
Bellflower, CA 90706
[email protected]
IP Address:

Record Tracking
Status: Original
10/14/2024 1:49:08 PM
Holder: City Clerk
[email protected]
Location: DocuSign
Signer Events Signature Timestamp
Anna Garan
[email protected]
Security Level: Email, Account Authentication
None)
Electronic Record and Signature Disclosure:

Accepted: 10/14/2024 2:16:23 PM
ID:33eb6eee-8c1d-45a0-8ac5-732176e36f1c
s!ened by
Q n to a avau,
3FAOC745F14048:

Signature Adoption: Pre -selected Style
Using IP Address:

Sent: 10/14/2024 1:51:11 PM
Viewed: 10/14/2024 2:16:23 PM
Signed: 10/14/2024 2:16:39 PM
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent
Certified Delivered
Signing Complete
Completed
Payment Events
Hashed/Encrypted
Security Checked
Security Checked
Security Checked
Status
Electronic Record and Signature Disclosure
10/14/2024 1:51:11 PM
10/14/2024 2:16:23 PM
10/14/2024 2:16:39 PM
10/14/2024 2:16:39 PM
Timestamps
66 Envelope Id: C3942MDDE10459988083855A7A70261 Status: Completed Subject: Sign with Docusign: Authority to Transfer Records Inventory List - 2018-2019 Accounts Reoe....

Source Envelope:

Document Pages: 6 Signatures: 6 Envelope Originator:

Certificate Pages: 4 Initials: 0 City Clerk
AutoNav: Enabled 16600 Civic Center Drive
Envelopeld Stamping: Enabled 16600 Civic Center Drive
Time Zone: (UTC—08:00) Pacific 11me (US a Canada) Bellflower. CA 90706 [email protected]
IP Address: _
Status: Original I I C Hoider: City Clerit Location: DocuSign 10/14/2024 1:49:08 PM [email protected]
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agaran®beiitiewenorg 1m 54km Viewed: 10/14/2024 2:16:23 PM Security Level: Email, Account Authentication ”WWW" Signed: 10/14/2024 2:16:39 PM (None)
Signature Adoption: Pro-selected Style
Using IP Address: _
Electronic Record and Signature Disclosure:

Accepted: 10/14/2024 2:16:23 PM
ID: 33eb6eee-8c1d-45a0—8ac5-73217693611c
In Benson Signer Events _
Eaiter Delivery Events ” 'Timestamp
Agent Delivery Events .wgéstatus M ‘Timestamp
intermediary Delivery Events "Status . ” ‘ .I i .Timestamp Certified Delivery Events Status I " ‘ :1 ’ ~_j:*J-‘?Timestamp Carbon Copy Events 1 Status ' ' - - *v'l'imestamp
Witness Events ' «Signature ‘ “f f C t "Tirnestamp
Notary Events l V , Signature ‘V‘ ' 1‘; “Timestamp
Envelope SummaryEvents , "-‘JStatus , . Timestamps ,
Envelope Sent Hashed/Encrypted 10/14/2024 1:51:11 PM
Certified Delivered Security Checked 10/14/2024 2:16:23 PM Signing Complete Security Checked 10l14/2024 2:16:39 PM Completed Security Checked 10/14/2024 2:16:39 PM
Payment Events V _ ‘ ‘ Status . Timestamps
Electronic Racerd end SignattrrebisClosura

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oq u'e+c,
TooBTHEa"

AND RECORDS INVENTORY LIST
Department:Parks & Recreation Retention Period: 2 years Destruction
12/31/2024
General Description Eligibility Date:
of Records:

Parks & Recreation Commission Meeting Audio Recordings /Annotated Agendas FOR CITY CLERK'S OFFICE USE Box No. PR171
SKU No.RF127618617
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
1 Parks & Recreation Commission Meeting Audio Recordings 1/1/2005 12/31/2018 2 Parks & Recreation Commission Annotated Agendas 1/1/2001 12/31/2022

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved: Date: Yi/ ZOZ3
Department Head)
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Approved: Date: L17/ 0
Manager)
67 61'" “uni“ AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST
“Wino
Department: Parks & Recreation Retention Period: 2 years D9?"9.°"°” _ 12/31/2024
General Description Ellglb'my Date. _ Parks & Recreation Commission Meeting Audio Recordings / Annotated Agendas FOR CITY CLERK’S OFFICE USE of Records. Box No. PR171 SKU No. RF127618617

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM TO
1 Parks & Recreation Commission Meeting Audio Recordings 1/1/2005 12/31/2018 Parks & Recreation Commission Annotated Agendas 1/1/2001 12l31/2022 | AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved: /W/ Date: (I I} 202
Approved:

Approved:
' (Department Head)
Date: ‘/ 2’2 “if Date:
($19 M%ager)

Docustgn Envelope ID: 57B6A67E-8668-4066-B7CE-160B47A13461

AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST
1 Department:Parks and Recreation Retention Period:2 Years Destruction
12/31/2024
General Description Eligibility Date:
of Records:

General Office Files FOR CITY CLERK'S OFFICE USE
Box No.PR195
Barcode No.61937816
ITEM
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES

INCLUSIVE DATES

IN FILE

FROM TO
1 P&R Director Correspondence 1/1/2019 12/31/2022
2 Staff Correspondence 1/1/2019 12/31/2022
3 Cultural Arts + Community Service Programs Funding Requests 1/1/2009 12/31/2021 4 Facility Use Agreements 1/1/2022 12/31/2022
5 Facility Use Permits — BAC 1/1/2022 12/31/2022
6 Facility Use Permits — Cancelled 1/1/2021 12/31/2022
7 Facility Use Permits — Caruthers Park 1/1/2022 12/31/2022 8 Facility Use Permits — Simms Park 1/1/2022 12/31/2022

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved:

Approved:
r—DocuSipnW by:

F 161 C 1887428482
Departmen ead)
City C
Date:
11/15/2024 1 2:09 PM PST
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AND RECORDS INVENTORY LIST w
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Dope/Imam: Parks and Ream Retention Petiod: 2 Yeats
E - - .. Date 12/31/2024
General Jm—-‘ ——-—— “M. commence/=39. Foncmcwwsomceusefi ‘ Box No. PR195
Bucode No. 61937816

ITEM INCLUSIVE DATES
NO DESCRIPTION OF SPECFIC RECORDS OR FlES IN FILE
' FROM TO
1 MR Dim 001W 1/1/2019 12/31/2022
2 SM W 1/1/2019 12/31/2022
3 WM+WWWWW 1/1/2009 12/31/2021
4 Faulty Use Agreement 1/1/2022 12/31/2022
5 Fadfly Use Pam — SAC 1/1/2022 12/31/2022
6 Faulty Use Pm - CM 1/1/2021 12/31/2022
7 FacflyePemfls-Cmmm 1/1/2022 12/31/2022
8 mpm—summ 1/1/2022 12/31/2022

I AUTHORIZE THE RECORDS CONTAIIED I'EREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

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.. Date: F1010 Ammo:

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0 docusign
Certificate Of Completion
Envelope Id: 57B6A67E86BB4DB6B7CE1B0B47A134B1
Subject: Sign with Docusign: Authority to Transfer Records Inventory List - General Office Files - P...

Source Envelope:

Document Pages: 7 Signatures: 7
Certificate Pages: 4 Initials: 0
AutoNav: Enabled
Envelopeld Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
Status: Completed
Envelope Originator:

City Clerk
16600 Civic Center Drive
16600 Civic Center Drive
Bellflower, CA 90706
cclerk@bellflower. org
IP Address:

Record Tracking
Status: Original Holder: City Clerk
11/15/2024 1:58:38 PM [email protected]
Location: DocuSign
Signer Events Signature Timestamp
PJ Mellana
[email protected]
Security Level: Email, Account Authentication
None)
Electronic Record and Signature Disclosure:

Accepted: 4/16/2024 9:30:04 AM
ID: 013dce47-89c0-4cd5-al b8-27bbd90d629e
DocuSgn.d by
5,C,BE,a26462
Signature Adoption: Uploaded Signature Image
Using IP Address:

Sent: 11/15/2024 2:00:54 PM
Viewed: 11/15/2024 2:09:30 PM
Signed: 11/15/2024 2:09:48 PM
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent
Certified Delivered
Signing Complete
Completed
Hashed/Encrypted
Security Checked
Security Checked
Security Checked
11/15/2024 2:00:54 PM
11/15/2024 2:09:30 PM
11/15/2024 2:09:48 PM
11/15/2024 2:09:48 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
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11/15/2024 2:00:54 PM
11/15/2024 2:09:30 PM
11/15/2024 2:09:40 PM
11/15/2024 2:09:48 PM

Docusign Envelope ID: 57B6A67E-866B-4D66-B7CE-1B0B47A134B1

AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST
2 Years
1 Department:

General Description
of Records:

Parks and Recreation
General Office Files
Retention Period:

Destruction
Eligibility Date:12/31/2024

FOR CITY CLERK'S OFFICE USE
Box No.PR196
Barcode No.61937815
ITEM
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES

INCLUSIVE DATES

IN FILE

FROM TO
1 Accident Reports 1/1/2016 12/31/2021
2 Alliant Insurance 1/1/2022 12/31/2022
3 Attendance Reports 1/1/2022 12/31/2022
4 Cash Reconciliation Forms (Copies)1/1/2022 12/31/2022 5 Charitable Contribution Forms 1/1/2022 12/31/2022
6 Dial -A -Ride Applications 1/1/2019 12/31/2021
7 Req-Invoices (A -Z)1/1/2020 12/31/2021

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved:

DocuSlgned by:
f
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F1611CC1`967426462
Department Head)
Date:

Date:
11/15/2024 1 2:09 PM PST
1(qm
70 m m D: ”mm-IM‘IAI 3481

AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST
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of Record: Generd Office File: FOR CITY CLERK'S OFFICE use ’ Box No. PR196
Barcodc No. 61937815

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM TO
1 Accident Reports 1/1/2010 12/31/2021
2 Mam Insurance 1/1/2022 12/31/2022
3 Attendance Rope/ts 1/1/2022 12/31/2022
4 Cash Reconcfliaflon Foam (Codes) - 1/1/2022 12/31/2022 5 Ohm Camila/(Ion Foam 1/1/2022 12/31/2022
6 DIaI-A-Ride Appflcatbm 1/1/2019 12/31/2021
7 Req-InvoIces (A-Z) 1/1/2020 12/31/2021
I AUTHORIZE THE RECORDS CONT AIIED I-EREW TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUI‘KIIL APPROVED RECORDS RETENTION APPLIED.

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L docusign
Certificate Of Completion
Envelope Id: 57B6A67E86BB4DB6B7CE1B0B47A134B1
Subject: Sign with Docusign: Authority to Transfer Records Inventory List - General Office Files - P...

Source Envelope:

Document Pages: 7 Signatures: 7
Certificate Pages: 4 Initials: 0
AutoNav: Enabled
Envelopeld Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
Status Completed
Envelope Originator:

City Clerk
16600 Civic Center Drive
16600 Civic Center Drive
Bellflower, CA 90706
cclerk@ bellflower. org
IP Address:

Accepted: 4/16/2024 9:30:04 AM
ID: 013dce47-89c0-4cd5-al b8-27bbd90d629e
r—DocuSpned by:

Signature Adoption: Uploaded Signature Image
Using IP Address:

Sent: 11/15/2024 2:00:54 PM
Viewed: 11/15/2024 2:09:30 PM
Signed: 11/15/2024 2:09:48 PM
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent
Certified Delivered
Signing Complete
Completed
Hashed/Encrypted
Security Checked
Security Checked
Security Checked
11/15/2024 2:00:54 PM
11/15/2024 2:09:30 PM
11/15/2024 2:09:48 PM
11/15/2024 2:09:48 PM
Payment Events Status
Electronic Record and Signature Disclosure
Timestamps
71 11.n- " H ’ V w '- ' , ’ 5311‘) JR X4421 _ ‘
Enwbpcld: W7CE1IOB41A13481 “macaw
WSignwimDoaubnMuMbmmmLH-wmm-Pm
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AM: 4/10/2024 03094 AM
ID: 013d0047-8900-4065-n1b0-m
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11/15I2024 2:00:54 PM
11/15/2024 2:09:30 PM
11/15/2024 2:00:48 PM
"/1 51/2024 2:00:48 PM

Docusign Envelope ID: 57B6A67E-86B6-4DB6-B7CE-160847A134B1

AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST
1 Department:Parks and Recreation Retention Period:3 Years Destruction
12/31/2018
General Description Eligibility Date:

FOR CITY CLERK'S OFFICE USE
PR197
of Records:Employment Applications
Box No.

Barcode No.61937814
ITEM
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES

INCLUSIVE DATES

IN FILE

FROM TO
1 Program Assistant (Simms Park)1/1/2014 12/31/2014
2 Sr. Rec. Leader (BRIM)1/1/2015 12/31/2015
3 Rec. Leader I (File 1-2), Sound Tech. I (Winter)1/1/2014 12/31/2015 4 Rec. Leader I (File 1-2) (BRIM) (Summer)1/1/2015 12/31/2015 5 Lifeguard I (File 1-2) (Summer)1/1/2015 12/31/2015
7 Miscellaneous Application 1/1/2015 12/31/2015
8 Rec. Leader I (File 1-6) (Summer)1/1/2015 12/31/2015
9 Rec. Leader I (Therapeutic)1/1/2015 12/31/2015

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

DocuSipmd by:

L 11/15/2024 1 2:09 PM PST
Approved: F161c1B67^28°82 Date:

Department Head)
Approved: Date: 1 ((( /
Cit
72 “0* EM“. I): WWMJW‘IA13‘O1
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AND RECORDS INVENTORY LIST w
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' Box No. PR197
Burcode No. 61937814

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM TO
1 Prov-m Assistant (81mm: Park) 1/1/2014 12/31/2014
2 St. Rec. Leader (BRIM) 1/1/2015 12/31/2015
3 Rec. Leads: I (Flo 1-2). Sound Team. I (WHO!) 1/1/2014 12/31/2015 4 Rec. Leader 1 (Fle 1-2)(BR1M) (Summer) 1/1/2015 12/31/2015 5 ”award I (FiIe 1-2) (Summon 1/1/2015 12/31/2015
7 Mboelaneous Application 1/1/2015 12/31/2015
8 Rec. LeaderI (Flo 1-6) (81mm) 1/1/2015 12/31/2015
9 Rec. LeaderI (ThompeuIIc) 1/1/2015 12/31/2015

I AUTHORIZE THE RECORDS CONTAIIED PEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETEW APPLIED.

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0 docusign
Certificate Of Completion
Envelope Id: 57B6A67E86BB4DB6B7CE1B0B47A13481
Subject: Sign with Docusign: Authority to Transfer Records Inventory List - General Office Files - P...

Source Envelope:

Document Pages: 7 Signatures: 7
Certificate Pages: 4 Initials: 0
AutoNav: Enabled
Envelopeld Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
Status: Completed
Envelope Originator:

City Clerk
16600 Civic Center Drive
16600 Civic Center Drive
Bellflower, CA 90706
[email protected]
IP Address:

Record Tracking
Status: Original Holder: City Clerk
11/15/2024 1:58:38 PM [email protected]
Location: DocuSign
Signer Events Signature Timestamp
PJ Mellana
pmellana@bel (flower. org
Security Level: Email, Account Authentication
None)
Electronic Record and Signature Disclosure:

Accepted: 4/16/2024 9:30:04 AM
ID: 013dce47-89c0-4cd5-alb8-27bbd90d629e
CleusSigned by
F 161C1E167426462
Signature Adoption: Uploaded Signature Image
Using IP Address:

Sent: 11/15/2024 2:00:54 PM
Viewed: 11/15/2024 2:09:30 PM
Signed: 11/15/2024 2:09:48 PM
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent
Certified Delivered
Signing Complete
Completed
Hashed/Encrypted
Security Checked
Security Checked
Security Checked
11/15/2024 2:00:54 PM
11/15/2024 2:09:30 PM
11/15/2024 2:09:48 PM
11/15/2024 2:09:48 PM
Payment Events Status
Electronic Record and Signature Disclosure
Timestamps
73 .J 744.
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smsmmmmmmwurmmmmm-wmm-Pm
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Docusign Envelope ID: 57B6A67E-868B-4DB6-B7CE-1B0B47A134B1

AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST
3 Years
1 Department:

General Description
of Records:

Parks and Recreation
Employment Applications
Retention Period:

Destruction
Eligibility Date:

FOR CITY CLERK'S OFFICE USE
Box No. PR198
Barcode No. 61937811
12/31/2020
ITEM
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES

INCLUSIVE DATES

IN FILE

FROM TO
1 Miscellaneous Applications 1/1/2016 12/31/2017
2 Rec. Leader I (BRIM, Lifeguard I, Light Tech. I/11) (Summer)1/1/2016 12/31/2017 3 Recreation Specialist — Admin Recruitment 1/1/2015 12/31/2016 4 Lifeguard 1 (Fall/Winter)1/1/2016 12/31/2017

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

DocuSigned by:

CApproved: F161C1B67426462
Department Head)
Approved:

Date:
11/15/2024 1 2:09 PM PST
Date: l f 7/5/2-1?
74 m m D: MWMTCE-IWTA‘INDI
AUTHORITY TO TRANSFER INACTIVE RECORDS 1
AND RECORDS INVENTORY LIST ”GIMP
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‘ Box No. PR198
Baroode No. 61937811

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
‘ FROM TO
1 mm: Amati/ms 1/1/2016 12/31/2017
2 Rec. Leader I (BRIM, Llewatd I, 1.19111 Tech. I/II) (Sm) 1/1/2016 12/31/2017 3 Reusafion Specie!“ — Admin Rec/unmet! 1/1/2015 12/31/2016 4 Lueguard I (Fal/WinIer) 1/1/2016 12/31/2017

I AUTHORIZE THE RECORDS CONT AIIED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

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0 docusign
Certificate Of Completion
Envelope Id: 57B6A67E86BB4DB6B7CE1B0B47A134B1
Subject: Sign with Docusign: Authority to Transfer Records Inventory List - General Office Files - P...

Source Envelope:

Document Pages: 7 Signatures: 7
Certificate Pages: 4 Initials: 0
AutoNav: Enabled
Envelopeld Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
Status: Completed
Envelope Originator:

City Clerk
16600 Civic Center Drive
16600 Civic Center Drive
Bellflower, CA 90706
[email protected]
IP Address:

Accepted: 4/16/2024 9:30:04 AM
ID:013dce47-89c0-4cd5-alb8-27bbd90d629e
DocuSgn.d by
Ff
161C1B67426J62
Signature Adoption Uploaded Signature Image
Using IP Address:

Sent: 11/15/2024 2:00:54 PM
Viewed: 11/15/2024 2:09:30 PM
Signed: 11/15/2024 2:09:48 PM
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent
Certified Delivered
Signing Complete
Completed
Hashed/Encrypted
Security Checked
Security Checked
Security Checked
11/15/2024 2:00:54 PM
11/15/2024 2:09:30 PM
11/15/2024 2:09:48 PM
11/15/2024 2:09:48 PM
Payment Events Status
Electronic Record and Signature Disclosure
Timestamps
75 Ema/ope W84033:5736A37E7¢E130347A13431 m: W
SW: Signwilh mzmmuybfmmmmmm.womm-P...

SamEnvolopc:

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‘ Accepted: 4/18/2024 9:30:04 AM
ID: 013doo47-8900-40d5-O1M27W
11/15/2024 2:00:54 PM
11I15/2024 2:09:80 PM
11I1512024 2:09:48 PM
11I15I2024 2:09:48 PM

Docusign Envelope ID 57B6A67E-86BB-4DB6-B7CE-1 B0B47A134B1

AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST
3 Years
1 Department:

General Description
of Records:

Parks and Recreation
Employment Applications
Retention Period:

Destruction
Eligibility Date:

FOR CITY CLERK'S OFFICE USE
Box No. PR199
Barcode No. 61937812
12/31/2024
ITEM
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES

INCLUSIVE DATES

IN FILE

FROM TO
1 Employment Applications 1/1/2019 12/31/2021
2 Applicants (Not Selected for Further Consideration)1/1/2019 12/31/2021 3 Applicants (Selected for Position)1/1/2019 12/31/2021

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved:

DocuSigned by:

F1R1f 1F4R7d7AdR?
Department Head)
Approved: /ie
City'tlerk
11/15/2024 1 2:09 PM PST
Date:

Date:
76 m m D: MEW‘ICE-IWTAIMD‘I

AUTHORITY TO TRANSFER INACTIVE RECORDS
AND RECORDS INVENTORY LIST (I w IMF
1 mm
W Pm and Ram Retention Period: 3 Years
gfim 1 , 12/31/2024
General Donation a e. __
of R | , Employment Appicatiom FOR CITY CLERK’S OFFICE use ' Box No. PR199
Baroode No. 61937812

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM TO
1 Emptoyvm AppIIcatIun 1/1/2019 12/31/2021
2 Applcants (Not Setocted for PM 00110100106011) 1/1/2019 12/31/2021 3 mm (89100100 tor Petition) 1/1/2019 12/31/2021

I AUTHORIZE THE RECORDS CONTAINED I'EREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

W":
l WV 11/15/2024 1 2:09 m m
Approved: Odo:

WHO-d)

L docusign
Certificate Of Completion
Envelope Id: 57B6A67E86BB4DB6B7CE1B0B47A134B1
Subject: Sign with Docusign: Authority to Transfer Records Inventory List - General Office Files - P...

Source Envelope:

Document Pages: 7 Signatures: 7
Certificate Pages: 4 Initials: 0
AutoNay. Enabled
Envelopeld Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
Status: Completed
Envelope Originator:

City Clerk
16600 Civic Center Drive
16600 Civic Center Drive
Bellflower, CA 90706
[email protected]
IP Address:

Record Tracking
Status: Original Holder: City Clerk Location: DocuSign
11/15/2024 1:58:38 PM [email protected]
Signer Events Signature Timestamp
PJ Meliana
[email protected]
Security Level: Email, Account Authentication
None)
Electronic Record and Signature Disclosure:

Accepted: 4/16/2024 9:30:04 AM
ID: 013dce47-89c0-4cd5-alb8-27bbd90d629e
Docasronm by.

LF 51C 16€7126462
Signature Adoption: Uploaded Signature Image
Using IP Address:

Sent: 11/15/2024 2:00:54 PM
Viewed: 11/15/2024 2:09:30 PM
Signed: 11/15/2024 2:09:48 PM
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 11/15/2024 2:00:54 PM
Certified Delivered Security Checked 11/15/2024 2:09:30 PM Signing Complete Security Checked 11/15/2024 2:09:48 PM Completed Security Checked 11/15/2024 2:09:48 PM
Payment Events Status
Electronic Record and Signature Disclosure
Timestamps
77 '3. ' ‘11:”; g} 4:111 ”it”?!
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Accepted: 4/10/2024 0:30:04 AM
It 013dee41-89e0-4w5-e1b6-27W
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EnvelopeSem Heehed/Enayphd
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Oelflower,CA00706
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IPA/66m:—
Sent: 11/15/2024 2:00:54 PM
Viewed: 11/15/2024 2:00:30 PM
Simed: 11/15/2024 2:00:48 PM
11/15/2024 2:30:54 PM
11/15/2024 2:09:30 PM
11/15/2024 2:00:48 PM
11/15/2024 2:09:40 PM

Docusign Envelope ID: 57B6A67E-86BB-4D66-B7CE-1B0847A13481

AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST
1 Department:Parks and Recreation Retention Period:3 Years General Description
of Records:

Recreation Leader Recruitment
Destruction
Eligibility Date:
12/31/2021

FOR CITY CLERK'S OFFICE USE
Box No.PR200
Barcode No.61937813
ITEM
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES

INCLUSIVE DATES

IN FILE

FROM TO
1 Questionnaires (Hired) (Summer 2.0 Recruitment)1/1/2018 12/31/2018 2 Stage Tech. I, Rec. Leader I (BRIM), Lifeguard I (Hired)1/1/2018 12/31/2018 3 Stage Tech. I, Light Tech. I, Rec. Leader I (Therapeutic) (Summer Recruitment)1/1/2018 12/31/2018 4 Miscellaneous Recruitment 1/1/2018 12/31/2018
5 Rec. Leader I, Sr. Rec. Leader (BRIM) (Summer Recruitment)1/1/2017 12/31/2017 6 Stage Tech. (Fall/Winter Recruitment)1/1/2017 12/31/2017

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL

APPROVED RECORDS RETENTION APPLIED
Approved:

Approved:

Doc uSigned by.
41 F161C1B67426462
Department Head)
Date:
11/15/2024 1 2:09 PM PST
Date: l ( ( / s'21
78 M m D: WWW-1WTA13‘D‘I
AUTHORITY TO TRANSFER INACTIVE RECORDS 1
AND RECORDS INVENTORY LIST “Mm
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monument Perks and Recreehon Retention Petiod: 3 Years
2???? _ 12/31/2021 G ' ate.
0! R ecu'ds' Recreation Leader Rec/111mm FOR CITY CLERK’S OFFICE use ' Box No. PR200
Barcode No. 61937813

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM TO
1 01mm (Hi/ed) (Summer 2.0 RectuItment) 1/1/2018 12/31/2018 2 Stage Tech. I, Rec. Leader I (BRIM). Lifeguard I (HI/ed) 1/1/2018 12/31/2018 3 Stage Tech. I. Liv/1 Tech. I. Rec. Lew I (Manet/tic) (Summet W) 1/1/2018 12/31/2018 4 Misceflaheous Recmnmeht 1/1/2018 12/31/2018
5 Rec. Leader I, Sr. Rec. Leader (BRIM) (Summet W) 1/1/2017 12/31/2017 6 Shoe Tech. (Fm Rec/11101111111) 1/1/2017 12/31/2017

I AUTHORIZE THE RECORDS CONT AIINED I-EREN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.
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C/fil/ 11/15/2024 1 2:09 1-11 m . ad: Deb: _
Approved: ' Date: 441457

L docusign
Certificate Of Completion
Envelope Id: 57B6A67E86BB4DB6B7CE1B0B47A134B1
Subject: Sign with Docusign: Authority to Transfer Records Inventory List - General Office Files - P...

Source Envelope:

Document Pages: 7 Signatures: 7
Certificate Pages: 4 Initials: 0
AutoNav: Enabled
Envelopeld Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
Status: Completed
Envelope Originator:

City Clerk
16600 Civic Center Drive
16600 Civic Center Drive
Bellflower, CA 90706
[email protected]
IP Address:

Accepted: 4/16/2024 9:30:04 AM
ID: 013dce47-89c0-4cd5-a1b8-27bbd90d629e
MausSynod by'.

F161C1B67426462
Signature Adoption. Uploaded Signature Image
Using IP Address:

Sent: 11/15/2024 2:00:54 PM
Viewed: 11/15/2024 2:09:30 PM
Signed: 11/15/2024 2:09:48 PM
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent
Certified Delivered
Signing Complete
Completed
Hashed/Encrypted
Security Checked
Security Checked
Security Checked
11/15/2024 2:00:54 PM
11/15/2024 2:09:30 PM
11/15/2024 2:09:48 PM
11/15/2024 2:09:48 PM
Payment Events Status
Electronic Record and Signature Disclosure
Timestamps
79 '3 31111112139111”, W121; ~ ‘ .

Em M'WW7CE1W7A13481 m: 60111010101!
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ID: 0130004169004005-01 00270011900029.
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Envelope Sent WW 11/15/2024 2:00:54 PM

0.1111100 W Sou/my 011001100 11/15/2024 2:09:30 PM
Signing Comp/0b Sou/My 011001100 11/15/2024 2:09:48 PM
Compldod Set—wily Chock-d 11/15/2024 2:09:40 PM

AUTHORITY TO TRANSFER INACTIVE RECORDS 1
AND RECORDS INVENTORY LIST OF BELLFLOweR
016
ilyrWlrv ic%1L'\\\VP
Department:Planning Department Retention Period: _2 years Destruction
12/31/2024
General Description Eligibility Date:
of Records:

General Office Files FOR CITY CLERK'S OFFICE USE
Box No. PL134
SKU No.RF127619589
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
1 Planning Correspondence 12/17/2019 12/4/2020
2 Planning Correspondence 7/21/2021 12/20/2021
3 Planning Correspondence 1/28/2022 12/15/2022
4 Banner Permits 4/30/2020 12/20/2022
5 Temporary Use Permits (TUP's) 2/4/2021 11/17/2021
6 Cal Card Requisitions 11/1/2020 5/31/2022
7 Code Enforcement CACEO Invoices 8/1/2020 8/31/2022
8 Williams Printing Invoices 11/1/2020 5/31/2022
9 Varitek Invoices 6/1/2020 11/302021
10 California Dept of Conservation and CBSC Requisitions 4/1/2020 1/31/2022 11 Digital Dolphin Invoices 11/1/2020 11/30/2022
12 Fed Ex Invoices 1/1/2020 2/28/2022
13 Staples Invoices 4/1/2020 6/30/2022
14 Refund Requisitions 9/1/2020 6/30/2022
15 Public Notice Invoices 1/1/2020 6/30/2022
80 AUTHORITY TO TRANSFER INACTIVE RECORDS
AND RECORDS INVENTORY LIST admww've.
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Department: Planning Department Retention Period: 2 years . . Eigféifityifiate; 12/31/2024 gegggilrggscflptlon General Office Files FOR cm! CLERK’S OFFICE use Box No. PL134
SKU No. RF 127619589

ITEM INCLUSIVE DATES
NO. DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
1 Planning Correspondence 12/17/2019 12/4/2020
2 Planning Correspondence 7/21/2021 12/20/2021
3 Planning Correspondence 1/28/2022 12/15/2022
4 Banner Permits 4/30/2020 12/20/2022
5 Temporary Use Permits (TUP’s) 2/4/2021 11/17/2021
6 Cal Card Requisitions 11/1/2020 5/31/2022
7 Code Enforcement CACEO Invoices 8/1/2020 8/31/2022
8 Williams Printing Invoices 11/1/2020 5/31/2022
9 Varitek Invoices 6/1/2020 1 1/302021
10 California Dept of Conservation and CBSC Requisitions 4/1/2020 1/31/2022 11 Digital Dolphin Invoices 11l1/2020 1 1/30/2022
12 Fed Ex Invoices 1/1/2020 2/28/2022
13 Staples Invoices 4/1/2020 6/30/2022
14 Refund Requisitions 9/1/2020 6/30/2022
15 Public Notice Invoices 1/1/2020 6/30/2022

AUTHORITY TO TRANSFER INACTIVE RECORDS 2

AND RECORDS INVENTORY LIST
Cay
OV BELLFLOweR
40"
VRON.IN<i ixF1 v'
Department:Planning Department Retention Period: 2 years Destruction
12/31/2024
General Description Eligibility Date:
of Records:

General Office Files FOR CITY CLERK'S OFFICE USE
Box No. PL134
SKU No.RF127619589

ITEM INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.
67 S ZS I2--cApproved: v
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Department: Planning Department Retention Period: 2 years Destruction . . Eligibility Date: 12/31/2024 General Description G . , of Records: enerai Office Files FOR CITY CLERK 8 OFFICE USE Box No. PL134
SKU No. RF 127619589

ITEM INCLUSIVE DATES
NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE . FROM | TO

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved: W W Date; BILSIZ§
( I (Department Head)
Approved: Date: Z 201
Date: ( ¢ 7 Approved:
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AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST
cRCM'Wc x
QgcHEa
Department:Planning Department— Business License Division Retention Period: Close + 5
years
Destruction
12/31/2024
General
oDescription
Eligibility Date:

Of dS:

Closed Out Business Licenses FOR CITY CLERK'S OFFICE USE Box No. PL137
SKU No.RF127619577
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
1 8700 Alondra Blvd. —Curtis—2 Units— Business License#14606 4/8/2008 4/12/2019 2 9020 Alondra Blvd. Suite B— Fashionista— Business License#16912 2/18/2014 1/30/2019 3 9119 Alondra Blvd. — Lola's Beauty Bar— Esthetician: Wendy A. Lopez— Business License#19757 3/12/2018 5/9/2019 4 9119 Alondra Blvd. — Lola's Beauty Bar— Business License#18670 8/26/2016 1/3/2019 5 9223 Alondra Blvd. Unit A, B, C —G & B Tire Repair— Business License#20720 6/17/2019 9/1/2019 6 9251 Alondra Blvd. Unit B—@ Clawed Nail Salon —Contract Manicurist: Jovelyn Anne Cruz Geron — Business License 8/15/2018 4/1/2019
20110
7 9251 Alondra Blvd. — La Michoacana The Ice Cream Spot— Business License#18946 1/5/2017 7/1/2019 8 9345 Alondra Blvd. —Advance America#5086—Business License#05337 6/8/1999 6/21/2019 9 9345 Alondra Blvd. —2nd Business License—Advance America— Business License#18786 9/22/2016 6/21/2019 10 9501 Alondra Blvd. — Elite Industrial Supply, LLC— Business License#15629 7/23/2012 12/31/2019 11 9530 Alondra Blvd. #65—Abby West Transportation— Business License#20274 11/5/2018 11/4/2019 12 9631 Alondra Blvd. #202— Universal Copy — Business License#16283 1/1/2007 8/21/2019 13 9741 Alondra Blvd. —Sinaloa Fish Market& Restaurant— Business License#18709 8/22/2016 7/29/2019 14 9747 Alondra Blvd. —Wonderfone, Inc./Metro PCS— Business License#18802 10/3/2016 12/15/2019 15 9823 Alondra Blvd. — Pro X Motors— Business License#18708 8/19/2016 10/21/2019 16 9873 Alondra Blvd. —Persian Gulf Auto Trade DBA Gulf Momentun, Inc. — Business License#20175 9/13/2018 6/6/2019 82 «4 o? DELI-PLOW *3 AUTHORITY TO TRANSFER INACTIVE RECORDS . AND RECORDS INVENTORY LIST
"o‘mvmamo
Department: Planning Department — Business License Division Retention Period: $2: + 5 _ . Eiéfiiflate; 0/31/2024
oeeIeegzlrgsescnptlon Closed Out Business Licenses FOR C'TY CLERK'S OFF'CE USE Box No. PL137 SKU No. RF127619577

ITEM INCLUSIVE DATES
NO. DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
1 8700 Alondra Blvd. - Curtis - 2 Units — Business License #14606 4/8/2008 4/12/2019 2 9020 Alondra Blvd. Suite B - Fashionista - Business License #16912 2/18/2014 1/30/2019 3 9119 Alondra Blvd. — Lola’s Beauty Bar - Esthetician: Wendy A. Lopez — Business License #19757 3/12/2018 5/9/2019 4 9119 Alondra Blvd. — Lola's Beauty Bar — Business License #18670 8/26/2016 1/3/2019 5 9223 Alondra Blvd. Unit A, B. C — G & B Tire Repair — Business License #20720 6/17/2019 9/1/2019 6 3331 1A)Iondra Blvd. Unit B —- @ Clawed Nail Salon — Contract Manicurist: Jovelyn Anne Cruz Geron - Business License 8/15/2018 4/1/2019 7 9251 Alondra Blvd. — La Michoacana The Ice Cream Spot — Business License #18946 1/5/2017 7/1/2019 8 9345 Alondra Blvd. — Advance America #5086 — Business License #05337 6/8/1999 6/21/2019 9 9345 Alondra Blvd. — 2rld Business License — Advance America — Business License #18786 9/22/2016 6/21/2019 10 9501 Alondra Blvd. — Elite Industrial Supply, LLC — Business License #15629 7/23/2012 12/31/2019 11 9530 Alondra Blvd. #65 — Abby West Transportation — Business License #20274 11/5/2018 11/4/2019 12 9631 Alondra Blvd. #202 - Universal Copy — Business License #16283 1/1/2007 8/21/2019 13 9741 Alondra Blvd. — Sinaloa Fish Market & Restaurant — Business License #18709 8/22/2016 7/29/2019 14 9747 Alondra Blvd. — Wonderfone. Inc/Metro PCS — Business License #18802 10/3/2016 12/15/2019 15 9823 Alondra Blvd. — Pro X Motors — Business License #18708 8/19/2016 10/21/2019 16 9873 Alondra Blvd. — Persian Gulf Auto Trade DBA Gulf Momentun, Inc. — Business License #20175 9/13/2018 6/6/2019

AUTHORITY TO TRANSFER INACTIVE RECORDS 2

AND RECORDS INVENTORY LIST
ORUMTNG i'<K+
ETNEti
Department:Planning Department— Business License Division Retention Period: Close + 5
years
Destruction
12/31/2024
General Description Eligibility Date:
of Records:

Closed Out Business Licenses FOR CITY CLERK'S OFFICE USE Box No. _ PL137
SKU No.RF127619577
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
17 9885 Alondra Blvd. —Jonhny Tach's Barber Shop— Business License#18717— Business License#18717 8/23/2016 8/27/2019 18 10054 Alondra Blvd. #103—Centeno Law— Business License#20386 1/9/2019 12/31/2019 19 10220 Alondra Blvd. — Pizza USA— Business License#18740 8/16/2016 4/18/2019 20 9615 Arkansas St. —Carl Crouse Computers— Business License#05862 1/31/2000 12/31/2019 21 9725 Arkansas St. —Carolyn Perry— Business License#00441 7/12/1982 5/23/2019 22 8572 Artesia Blvd. —Vall's Auto Service Shop— Business License#13558 12/21/2009 12/31/2019 23 8608 Artesia Blvd. — Isamitl—Business License#19049 2/27/2017 3/6/2019 24 8626 Artesia Blvd. — ISM Investments/Ignacio I. Mendez—47 Units— Business License#17704 2/26/2015 1/14/2019 25 8724 Artesia Blvd. #23—Rock N Roll Victim— Business License#19195 5/11/2017 5/9/2019 26 8523-8525 Artesia Blvd. — Melecio, Inc. — Business License#17659 2/6/2015 6/13/2019 27 9070 Artesia Blvd. —Jeff Hall — Business License#17047 4/9/2014 3/11/2019 28 9338 Artesia Blvd. —3 R's Trailer Park— Business License#01012 7/7/1986 7/2/2019 29 9339 Artesia Blvd. — Pedro Sanchez Auto Detail—Business License#19869 4/19/2018 6/24/2019 30 9405 Artesia Blvd. —Cellular Empire, Inc. — Business License#20053 7/17/2018 7/16/2019 31 9601 Artesia Blvd. —Ram's Auto Services, Inc. — Business License#18615 7/5/2016 4/15/2019 32 9604 Artesia Blvd. #102—Joong G. Kim M.D. — Business License#15163 11/30/2011 3/31/2019 33 9709 Artesia Blvd. —The LME Group, Inc. DBA Exclusive Luxury Motorsports— Business License#20042 7/11/2018 6/30/2019 83 0‘6 OF BMW
.,

AUTHORITY TO TRANSFER INACTIVE RECORDS
AND RECORDS INVENTORY LIST 0.0%
Department: Planning Department — Business License Division Retention Period: :12: + 5 Destruction Eligibility Date: ”/3100“ General Description Closed Out Business Licenses FOR CITY CLERK’S OFFICE USE °f Re°°rds¢ Box No. PL137 SKU No. RF127619577

ITEM INCLUSIVE DATES
NO. DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
17 9885 Alondra Blvd. — Jonhny Tach's Barber Shop — Business License #18717 — Business License #18717 8/23/2016 8/27/2019 18 10054 Alondra Blvd. #103 — Centeno Law — Business License #20386 1/9/2019 12/31/2019 19 10220 Alondra Blvd. — Pizza USA — Business License #18740 8/16/2016 4/18/2019 20 9615 Arkansas St. — Carl Crouse Computers — Business License #05862 1/31/2000 12/31/2019 21 9725 Arkansas St. — Carolyn Perry — Business License #00441 7/12/1982 5/23/2019 22 8572 Artesia Blvd. — Vall’s Auto Service Shop — Business License #13558 12l21/2009 12/31/2019 23 8608 Artesia Blvd. — lsamitl — Business License #19049 2/27/2017 3/6/2019 24 8626 Artesia Blvd. — ISM Investments/Ignacio l. Mendez — 47 Units — Business License #17704 2/26/2015 1/14/2019 25 8724 Artesia Blvd. #23 — Rock N Roll Victim - Business License #19195 5/11/2017 5/9/2019 26 8523-8525 Artesia Blvd. — Melecio, Inc. — Business License #17659 2/6/2015 6/13/2019 27 9070 Artesia Blvd. — Jeff Hall — Business License #17047 4/9/2014 3/11/2019 28 9338 Artesia Blvd. — 3 R’s Trailer Park — Business License #01012 7/7/1986 7/2/2019 29 9339 Artesia Blvd. — Pedro Sanchez Auto Detail — Business License #19869 4/19/2018 6/24/2019 30 9405 Artesia Blvd. — Cellular Empire, Inc. — Business License #20053 7/17/2018 7/16/2019 31 9601 Artesia Blvd. — Ram's Auto Services, Inc. — Business License #18615 7/5/2016 4/15/2019 32 9604 Artesia Blvd. #102 — Joong G. Kim M.D. — Business License #15163 11/30/2011 3/31/2019 33 9709 Artesia Blvd. — The LME Group, Inc. DBA Exclusive Luxury Motorsports — Business License #20042 7/11/2018 6/30/2019

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k AUTHORITY TO TRANSFER INACTIVE RECORDS 3
p.

AND RECORDS INVENTORY LIST
Department:Planning Department — Business License Division Retention Period: Close + 5
years
Destruction
12/31/2024
General Description Eligibility Date:
of Records:

Closed Out Business Licenses FOR CITY CLERK'S OFFICE USE Box No. PL137
SKU No.RF127619577
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
34 10251 Artesia Blvd. — Pioneer Medical Group— Business License#06311 10/12/2000 9/30/2019 35 10251 Artesia Blvd. — ProHealth Partner's, A Medical Group Inc. — Business License#20278 10/1/2018 10/28/2019 36 10301 Artesia Blvd. #112— Latin Agencia Insurance Services—Business License#12973 5/8/2009 3/1/2019 37 10301 Artesia Blvd. #104-105—The Original Lapid's Filipino Cuisine, Inc. — Business License#18294 1/6/2016 2/6/2019 38 10338 Artesia Blvd. #25— DLA Maintenance Renovations and Repairs— Business License#20191 1/10/2017 1/18/2019 39 10450 Artesia Blvd. Suite A—Square Box— Business License#19085 3/20/2017 11/25/2019 40 10453 Artesia Blvd. #3B—Soleg Electric, Inc. — Business License#18855— Business License#18855 10/31/2016 1/18/2019 41 10470 Artesia Blvd. —Terry's Beauty & Barber Supplu — Business License#06178 7/26/2000 4/30/2019 42 10474 Artesia Blvd. —Action Wellness— Business License#16452 9/30/2013 12/1/2019 43 10160 Artesia Pl. —Quality Solutions Installation Services, Inc. — Business License#17387 9/22/2014 3/31/2019 44 10515 Ashworth St. —Material Recovery Solution, Inc. — Business License#18267 12/14/2015 9/25/2019 45 14228 Bellflower Blvd. —YR Tobacco— Business License#20717 6/17/2019 8/13/2019 46 14320 Bellflower Blvd. —Taqueria El Sabrosito, Inc. — Business License#16346 8/13/2013 8/1/2019 47 14762 Bellflower Blvd. —Rightstop Insurance Services, Inc. — Business License#14240 10/12/2010 7/1/2019 48 14762 Bellflower Blvd. — Bargain Auto Insurance Agency— Business License#06897 7/25/2001 6/1/2019 49 14772 Bellflower Blvd. —Video 999 Only— Business License#10089 5/1/2005 12/12/19 50 15107 Bellflower Blvd. Suite A—Glady's Donut— Business License#15609 7/12/2012 5/30/2019 84 wOFBBI-l-Plom AUTHORITY TO TRANSFER INACTIVE RECORDS . AND RECORDS INVENTORY LIST "MN...”
Department: Planning Department — Business License Division Retention Period: 5;: + 5 gfisgfifi‘g‘ t _ 12/31/2024
General Description Closed Out Business Licenses gFIOIRI gITYaC‘iERK'S OFFICE USE of Records: Box No. PL137 SKU No. RF127619577

ITEM INCLUSIVE DATES
NO. DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
34 10251 Artesia Blvd. — Pioneer Medical Group — Business License #06311 10/12/2000 9/30/2019 35 10251 Artesia Blvd. — ProHealth Partner’s, A Medical Group Inc. — Business License #20278 10/1/2018 10/28/2019 36 10301 Artesia Blvd. #112 - Latin Agencia Insurance Services — Business License #12973 5/8/2009 3/1/2019 37 10301 Artesia Blvd. #104-105 - The Original Lapid’s Filipino Cuisine, Inc. — Business License #18294 1/6/2016 2/6/2019 38 10338 Artesia Blvd. #25 - DLA Maintenance Renovations and Repairs — Business License #20191 1/10/2017 1/18/2019 39 10450 Artesia Blvd. Suite A — Square Box — Business License #19085 3/20/2017 11/25/2019 40 10453 Artesia Blvd. #33 — Soleg Electric, Inc. — Business License #18855 — Business License #18855 10/31/2016 1/18/2019 41 10470 Artesia Blvd. — Terry’s Beauty & Barber Supplu — Business License #06178 7/26/2000 4/30/2019 42 10474 Artesia Blvd. — Action Wellness — Business License #16452 9/30/2013 12/1/2019 43 10160 Artesia Pl. — Quality Solutions Installation Services. Inc. — Business License #17387 9/22/2014 3/31/2019 44 10515 Ashworth St. — Material Recovery Solution. Inc. — Business License #18267 12/14/2015 9/25/2019 45 14228 Bellflower Blvd. — YR Tobacco — Business License #20717 6/17/2019 8/13/2019 46 14320 Bellflower Blvd. — Taqueria EI Sabrosito, Inc. — Business License #16346 8/13/2013 8/1/2019 47 14762 Bellflower Blvd. — Rightstop Insurance Services. Inc. — Business License #14240 10/12/2010 7/1/2019 48 14762 Bellflower Blvd. — Bargain Auto Insurance Agency — Business License #06897 7/25/2001 6/1/2019 49 14772 Bellflower Blvd. — Video 999 Only — Business License #10089 5/1/2005 12/12/19 50 15107 Bellflower Blvd. Suite A — Glady’s Donut — Business License #15609 7/12/2012 5/30/2019

AUTHORITY TO TRANSFER INACTIVE RECORDS 4

AND RECORDS INVENTORY LIST
Department:Planning Department — Business License Division Retention Period: Close + 5
years
Destruction
12/31/2024
General Description Eligibility Date:
of Records:

Closed Out Business Licenses FOR CITY CLERK'S OFFICE USE Box No. PL137
SKU No.RF127619577
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
51 15357 Bellflower Blvd. —Jun &Toshiko Fukushima Somerset Plaza— Business License#00132 7/1/1982 5/17/2019 52 15545 Bellflower Blvd. #A— Elite Staffing Solutions, LLC—Business License#19724 2/7/2018 2/11/2019 53 15545 Bellflower Blvd. Suite G— Dean Capital Home Loans— Business License#13620 1/21/2010 1/9/2019 54 15709 Bellflower Blvd. — Boos Window& Floor Coverings— Business License#00049 7/1/1982 12/31/2019 55 15749 Bellflower Blvd. -$1 Dollar Plus Market— Business License l#19257 6/14/2017 3/12/2019 56 15749 Bellflower Blvd. - $1 Dollar Plus Market— Key Vending Machine— Business License#19450 9/20/2017 3/12/2019 57 15750 Bellflower Blvd. —Cricket Wireless DBA Lex Cel CA, Inc. — Business License#18882 9/1/2016 10/31/2019 58 15923 Bellflower Blvd. — Plaza Cleaners— Business License#19316 7/19/2017 6/30/2019 59 16106 Bellflower Blvd. — Bell Dental Care— Business License#14806 6/23/2011 5/1/2019 60 16118 Bellflower Blvd. Spc#10—Fruit Loc: 16159 Bellflower Blvd. —21 Fruit— Business License#20493 3/7/2019 8/26/2019 61 16536 Bellflower Blvd. — Movement Mortgage, LLC — Business License#19866 5/1/2018 4/22/2019 62 16540 Bellflower Blvd. —Avalon Jewelers— Business License#02078 1/25/1995 1/23/2019 63 16901 Bellflower Blvd. —Cross Country Mortgage, Inc. — Business License#20173 9/7/2018 6/5/2019 64 17001 Bellflower Blvd. — Kimo Wireless— Business License#18724 8/29/2016 11/4/2019 65 17011 Bellflower Blvd. #C— Devermont& Dvermont A La Corp. — Business License#16208 5/21/2008 6/1/2019 66 17012 Bellflower Blvd. — Brides of Bellflower— Business License#00251 7/2/2002 9/23/2019 67 17057 Bellflower Blvd. — Kimberly Beauty Salon— Business License#11337 1/29/2007 10/28/2019 85 “4 ol' Bil-mom m AUTHORITY TO TRANSFER INACTIVE RECORDS 4 . AND RECORDS INVENTORY LIST “~0m mm
Department: Planning Department — Business License Division Retention Period: :12: + 5 ”WWW“ , 12/31/2024
General Description . . El'g'b'my Date. , of Records: Closed Out Busmess Licenses FOR CITY CLERK 3 OFFICE USE Box No. PL137
SKU No. RF127619577

ITEM INCLUSIVE DATES
NO. DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
51 15357 Bellflower Blvd. — Jun & Toshiko Fukushima Somerset Plaza - Business License #00132 7/1/1982 5/17/2019 52 15545 Bellflower Blvd. #A — Elite Staffing Solutions, LLC — Business License #19724 2/7/2018 2/11/2019 53 15545 Bellflower Blvd. Suite G — Dean Capital Home Loans — Business License #13620 1/21/2010 1/9/2019 54 15709 Bellflower Blvd. — Boos Vlfindow & Floor Coverings — Business License #00049 7/1/1982 12/31/2019 55 15749 Bellflower Blvd. - $1 Dollar Plus Market — Business License l#19257 6/14/2017 3/12/2019 56 15749 Bellflower Blvd. - $1 Dollar Plus Market — Key Vending Machine - Business License #19450 9/20/2017 3/12/2019 57 15750 Bellflower Blvd. — Cricket Wireless DBA Lex Cel CA, Inc. — Business License #18882 9/1/2016 10/31/2019 58 15923 Bellflower Blvd. - Plaza Cleaners — Business License #19316 7/19/2017 6/30/2019 59 16106 Bellflower Blvd. — Bell Dental Care — Business License #14806 6/23/2011 5/1/2019 60 16118 Bellflower Blvd. Sp0#10 — Fruit Loc: 16159 Bellflower Blvd. — 21 Fruit — Business License #20493 3/7/2019 8/26/2019 61 16536 Bellflower Blvd. — Movement Mortgage, LLC — Business License #19866 5/1/2018 4/22/2019 62 16540 Bellflower Blvd. — Avalon Jewelers — Business License #02078 1/25/1995 1/23/2019 63 16901 Bellflower Blvd. — Cross Country Mortgage. Inc. — Business License #20173 9/7/2018 6/5/2019 64 17001 Bellflower Blvd. — Kimo Vlfireless — Business License #18724 8/29/2016 11/4/2019 65 17011 Bellflower Blvd. #0 - Devermont & Dvennont A La Corp. — Business License #16208 5/21/2008 6/1/2019 66 17012 Bellflower Blvd. — Brides of Bellflower — Business License #00251 7/2/2002 9/23/2019 67 17057 Bellflower Blvd. — Kimberly Beauty Salon - Business License #11337 1l29/2007 10/28/2019

AUTHORITY TO TRANSFER INACTIVE RECORDS 5

AND RECORDS INVENTORY LIST
Department:Planning Department— Business License Division Retention Period: Close + 5
years
Destruction
12/31/2024
General Description Eligibility Date:
of Records:

Closed Out Business Licenses FOR CITY CLERK'S OFFICE USE Box No. 1 PL137
SKU No.RF127619577
ITEM

INCLUSIVE DATES
NO. DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
68 17143 Bellflower Blvd. — Exotic Ink & Smoke, LLC— Business License#20615 4/30/2019 11/1/2019 69 17427 Bellflower Blvd. — Exotic Ink— Business License#20571 6/1/2019 4/10/2019 70 17431 Bellflower Blvd. — Ron Touch — Business License#20567 4/4/2019 4/15/2019 71 17600 Bellflower Blvd. —Jack in Box— Business License#07345 12/18/2001 7/8/2019 72 17812 Bellflower Blvd. — Ming's Restaurant— Business License#09286 3/16/2004 2/25/2019 73 17840 Bellflower Blvd. —S1 Health Center—Contract Massage Technician: Bo Ding 3/21/2016 3/19/2019 74 14747 Blaine Ave. —Zims Heating &Air Cond— Business License#00750 9/21/1982 6/24/2019 75 14002 Cabell Ave. —Valenzuela Cleaning — Business License#19681 1/18/2018 1/28/2019 76 15120 Cabell Ave. #2—Georgiy Levashow— 1 Unit— Business License#14326 11/23/2010 10/25/2019 77 8535 Cedar St. — Pushaz— Business License#19481 11/01/2017 1/18/2019 78 8550 Cedar St. — Lim Rental— 1 Unit—Business License#12969 5/6/2009 4/12/2019 79 9657 Cedar St. — Blue Garden— Business License#20893 9/4/2019 9/19/2019 80 9857 Cedar St. —Global Tides Industries, Inc. DBA Global Ties— Business License#20913 9/19/2019 10/15/2019 81 9903 Cedar St. #9—Tom Conlin The Hubcap Man— Business License#01369 7/1/1990 4/29/2019 82 9929 Cedar St. #1 — Brazilian Stitchery by Evelyn— Business License#11266 10/22/1998 6/12/2019 83 14634 Cerritos Ave. —Sabala Rental— 1 Unit— Business License#14347 12/2/2010 1/2/2019 84 14961 Cerritos Ave. —William Nadalsky—4 Units— Business License#14333 11/29/2007 3/12/2019 86 w “I’m“wws
a“;

AUTHORITY TO TRANSFER INACTIVE RECORDS
AND RECORDS INVENTORY LIST 1»

0.0%“
Department: Planning Department — Business License Division Retention Period: Sgt: + 5 D‘?s.tr5‘.°fi°” , 12/31/2024
General Description - Cl . . Ehg'b'l'ty Date. , of Records: osed Out Busrness Licenses FOR CITY CLERK 8 OFFICE USE Box No. PL137
SKU No. RF 127619577

ITEM INCLUSIVE DATES
NO. DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
68 17143 Bellflower Blvd. - Exotic Ink & Smoke, LLC — Business License #20615 4/30/2019 11/1/2019 69 17427 Bellflower Blvd. — Exotic Ink — Business License #20571 6/1/2019 4/10/2019 70 17431 Bellflower Blvd. — Ron Touch — Business License #20567 4/4/2019 4/15/2019 71 17600 Bellflower Blvd. — Jack in Box — Business License #07345 12/18/2001 7/8/2019 72 17812 Bellflower Blvd. — Ming’s Restaurant — Business License #09286 3/16/2004 2/25/2019 73 17840 Bellflower Blvd. — S1 Health Center — Contract Massage Technician: Bo Ding 3/21/2016 3/19/2019 74 14747 Blaine Ave. — Zims Heating & Air Cond — Business License #00750 9/21/1982 6/24/2019 ’75 14002 Cabell Ave. — Valenzuela Cleaning — Business License #19681 1/18/2018 1/28/2019 76 15120 Cabell Ave. #2 - Georgiy Levashow - 1 Unit — Business License #14326 11/23/2010 10/25/2019 77 8535 Cedar St. — Pushaz — Business License #19481 11/01/2017 1/18/2019 78 8550 Cedar St. — Lim Rental — 1 Unit - Business License #12969 5/6/2009 4/12/2019 79 9657 Cedar St. — Blue Garden — Business License #20893 9/4/2019 9/19/2019 80 9857 Cedar St. — Global Tides Industries, Inc. DBA Global Ties — Business License #20913 9/19/2019 10/15/2019 81 9903 Cedar St. #9 — Tom Conlin The Hubcap Man — Business License #01369 7/1/1990 4/29/2019 82 9929 Cedar St. #1 — Brazilian Stitchery by Evelyn — Business License #11266 10/22I1998 6/12/2019 83 14634 Cerritos Ave. — Sabala Rental — 1 Unit — Business License #14347 12/2/2010 1/2/2019 84 14961 Cerritos Ave. - William Nadalsky — 4 Units — Business License #14333 11l29l2007 3/12/2019

c"' h AUTHORITY TO TRANSFER INACTIVE RECORDS 6

AND RECORDS INVENTORY LIST
RUWNCi GF.TµE0.Department:

Planning Department— Business License Division Retention Period: Close + 5 years
Destruction
12/
31/2024 General
Description Eligibility Date:of
Records: Closed Out Business Licenses FOR CITY CLERK'S OFFICE USE Box No. PL137 SKU
No.RF127619577 ITEM

INCLUSIVE
DATES NO.

DESCRIPTION

OF SPECIFIC RECORDS OR FILES IN FILE FROM
TO 85
16637 Chicago Ave. —Jessie Whiteny— Business License#00600 7/19/1982 9/23/2019 86 13713 Clark Ave. —Stacking Footage, LLC— Business License#20532 6/6/2018 5/10/2019 87 13719 Clark Ave. — Denton Rental (Clark Ave.)— Business License#04217 12/9/1998 8/31/2019 88 13762 Clark Ave. —Uncle Reds Pizzeria— Business License#18241 11/1/2015 1/25/2019 89 14343 Clark Ave. —Cleaners Royale— Business License#19353 8/8/2017 6/24/2019 90 14353 Clark Ave. — Pinoy Cuisine— Business License#19325 7/25/2017 6/15/2019 91 15920 Clark Ave. — Daru Sushi— Business License#17889 5/18/2015 10/16/2019 92 16200 Clark Ave. —One Stop Beauty Shop— Business License#18720 9/8/2016 8/22/2019 93 16314 Clark Ave. —C Van Der Wall—3 Units— Business License#13248 8/20/2006 6/30/2019 94 16416 Clark Ave. —United Armstrong Builders—Various Job Locations— Business License#02279 1/16/1996 1/24/2019 95 16925 Clark Ave. —Arms Development& Designs— Business License#18940 1/4/2017 1/1/2019 96 17024 Clark Ave. #A—Cathay Massage Therapy—Contract Massage Tech: Hou Jing 10/17/2018 7/5/2019 97 17024 Clark Ave. #A—Cathay Massage Therapy—Contract Massage Tech: Shukim Tian— Business License#19913 5/8/2018 4/12/2019 98 17024 Clark Ave. #A—Cathay Massage Therapy—Contract Massage Tech: Zhang Na 4/27/2018 4/15/2019 99 17411 Clark Ave. —Thrifty Wash —Business License#18936 1/3/2017 3/1/2019 100 17655 Clark Ave. —Vicious Wrapz— Business License#20719 3/1/2019 10/1/2019 101 17824 Clark Ave. — Beast Mode Kitchen— Business License#18950 4/3/2017 1/18/2019 87 «4 of ”ELI-PLOW ‘5. AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST
“W100
Department: Planning Department — Business License Division Retention Period: $22: + 5 DSSFWFM” . 12/31 /2024
General Description . . El'glbmty Date. , of Records: Closed Out Busmess Licenses FOR CITY CLERK 3 OFFICE USE Box No. PL137
SKU No. RF127619577

ITEM INCLUSIVE DATES
NO. DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
85 16637 Chicago Ave. — Jessie Whiteny - Business License #00600 7/19/1982 9/23/2019 86 13713 Clark Ave. - Stacking Footage, LLC - Business License #20532 6/6/2018 5/10/2019 87 13719 Clark Ave. — Denton Rental (Clark Ave.) — Business License #04217 12/9/1998 8/31/2019 88 13762 Clark Ave. — Uncle Reds Pizzeria — Business License #18241 11/1/2015 1/25/2019 89 14343 Clark Ave. — Cleaners Royale — Business License #19353 8/8/2017 6/24/2019 90 14353 Clark Ave. — Pinoy Cuisine - Business License #19325 7/25/2017 6/15/2019 91 15920 Clark Ave. — Daru Sushi — Business License #17889 5/18/2015 10/16/2019 92 16200 Clark Ave. — One Stop Beauty Shop - Business License #18720 9/8/2016 8/22/2019 93 16314 Clark Ave. — C Van Der Wall — 3 Units — Business License #13248 8/20/2006 6/30/2019 94 16416 Clark Ave. — United Armstrong Builders - Various Job Locations — Business License #02279 1/16/1996 1/24/2019 95 16925 Clark Ave. — Arms Development & Designs — Business License #18940 1/4/2017 1/1/2019 96 17024 Clark Ave. #A — Cathay Massage Therapy — Contract Massage Tech: Hou Jing 10/17/2018 7/5/2019 97 17024 Clark Ave. #A — Cathay Massage Therapy — Contract Massage Tech: Shukim Tian — Business License #19913 5/8/2018 4/12/2019 98 17024 Clark Ave. #A — Cathay Massage Therapy — Contract Massage Tech: Zhang Na 4/27/2018 4/15/2019 99 17411 Clark Ave. — Thrifty Wash — Business License #18936 1/3/2017 3/1/2019 100 17655 Clark Ave. — Vicious Wrapz — Business License #20719 3/1/2019 10/1/2019 101 17824 Clark Ave. - Beast Mode Kitchen — Business License #18950 4/3/2017 1/18/2019

L"""'`
k AUTHORITY TO TRANSFER INACTIVE RECORDS 7

AND RECORDS INVENTORY LIST
OROwIN<I.
nwETNCP
Department:Planning Department— Business License Division Retention Period: Close + 5
years
Destruction
12/31/2024
General Description Eligibility Date:
of Records:

Closed Out Business Licenses FOR CITY CLERK'S OFFICE USE Box No. PL137
SKU No.RF127619577
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
102 13639 Cornuta Ave. — Bakeup— Business License#20491 4/1/2019 5/10/2019 103 16448 Cornuta Ave. —Curtis Wheel—Tire— Business License#15380 4/2/2012 3/28/2019 104 16508 Cornuta Ave. — Bellflower House of Style— Business License#19281 6/29/2017 4/30/2019 105 11543 Destino St. — Kin LA Jewelry— Business License#20736 7/15/2019 10/1/2019 106 17036 Downey Ave. Unit C — Davida A. Hagan Trust— 1 Unit— Business License#16118 4/17/2013 4/1/2019 107 17244 Downey Ave. — Enriques— Business License#02832 7/7/1997 6/30/2019 108 17618 Downy Ave. — Reynaldo Sandoval— 1 Unit— Business License#13271 8/18/2006 6/29/2019 109 10424 Eastbrook Ave. — Nikki's All Around Town Bartending— Business License#20373 1/2/2019 5/10/2019 110 9120 Flower St. — Moore Rental— Business License#08958 10/10/2003 10/3/2019 111 9154 Flower St. — Legal Technology Consulting, LLC— Business License#18730 10/3/2016 12/31/2019 112 9238 Flower St. —Crown Prints— Business License#08805 7/29/2003 6/1/2019 113 9432 Flower St. — King Arthur Insurance @ More DBA King Arthur Insurance Agency— Business License#19649 12/11/2017 12/31/2019 114 9631 Flower St. —Gomez Heating &Air Conditioning, Inc. — Business License#18391 3/1/2016 2/1/2019 115 9733 Flower St. #B— S. Health Center- Massage Technician: Yan Chen — Business License#18536 5/24/2016 4/8/2019 116 9849 Flower St. Suite C—Solution Registration Service— Business License#18178 10/27/2015 1/2/2019 117 9915 Flower St. —Tony Roland Salon —Contract Stylist: Derek Lewis— Business License#18842 10/24/2016 12/28/2019 118 9915 Flower St. —Tony's Affair With Hair— Business License#16564 11/18/2013 12/11/2019 88 «(cram-“10%
6“
M

AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST
"0.0% 1'00
Department: Planning Department - Business License Division Retention Period: 5:;e + 5 D?SF'PFtI°“ , 12/31/2024
General Description . . El'g'b'my Date. , of Records: Closed Out Busmess Licenses FOR CITY CLERK 5 OFFICE USE Box No. PL137
SKU No. RF127619577

ITEM INCLUSIVE DATES
NO. DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
102 13639 Cornuta Ave. —- Bakeup - Business License #20491 4/1/2019 5/10/2019 103 16448 Cornuta Ave. - Curtis Wheel - Tire — Business License #15380 4l2/2012 3/28/2019 104 16508 Cornuta Ave. — Bellflower House of Style — Business License #19281 6/29/2017 4/30/2019 105 11543 Destino St. — Kin LA Jewelry — Business License #20736 7/15/2019 10/1/2019 106 17036 Downey Ave. Unit C -— Davida A. Hagan Trust — 1 Unit — Business License #16118 4/17/2013 4/1/2019 107 17244 Downey Ave. — Enriques — Business License #02832 7/7/1997 6/30/2019 108 17618 Downy Ave. — Reynaldo Sandoval — 1 Unit — Business License #13271 8/18/2006 6/29/2019 109 10424 Eastbrook Ave. — Nikki’s All Around Town Bartending — Business License #20373 1/2/2019 5/10/2019 110 9120 Flower St. - Moore Rental — Business License #08958 10/10/2003 10/3/2019 111 9154 Flower St. — Legal Technology Consulting, LLC — Business License #18730 10/3/2016 12/31/2019 112 9238 Flower St. — Crown Prints — Business License #08805 7/29/2003 6/1/2019 113 9432 Flower St. — King Arthur Insurance @ More DBA King Arthur Insurance Agency - Business License #19649 12/11/2017 12/31/2019 114 9631 Flower St. — Gomez Heating & Air Conditioning, Inc. - Business License #18391 3/1/2016 2/1/2019 115 9733 Flower St. #3 — S. Health Center - Massage Technician: Yan Chen — Business License #18536 5/24/2016 4/8/2019 116 9849 Flower St. Suite C — Solution Registration Service — Business License #18178 10/27/2015 1/2/2019 117 9915 Flower St. — Tony Roland Salon — Contract Stylist: Derek Lewis — Business License #18842 10/24l2016 12/28I2019 118 9915 Flower St. — Tony's Affair With Hair — Business License #16564 11/18/2013 12/11I2019

G,,.

OF BELLFLO{{
FR AUTHORITY TO TRANSFER INACTIVE RECORDS 8

AND RECORDS INVENTORY LIST
Department:Planning Department— Business License Division Retention Period: Close + 5
years
Destruction
12/31/2024
General Description Eligibility Date:
of Records:

Closed Out Business Licenses FOR CITY CLERK'S OFFICE USE Box No. PL137
SKU No.RF127619577
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
119 9944 Flower St. — Law Offices of Mark Borden, Apc— Business License#12154 3/26/2008 2/11/2019 120 10212 Foster Rd. — Uribina— 1 Unit— Business License#15437 4/30/2009 7/31/2019 121 9560 Glandon St. — DBW Enterprises— Business License#18722 8/29/2016 8/26/2019 122 9747 Glandon St. —Carr Rental— Business License#04189 12/7/1998 7/5/2019 123 16430 Grand Ave. — Philippe Brassard — 1 Unit— Business License#12712 1/23/2009 3/27/2019 124 16613 Grand Ave. —Cruz Moran — 1 Unit— Business License#14915 8/18/2008 8/7/2019 125 9501 Harvard St. —Noemi Ballesteros— 1 Unit— Business License#13464 11/6/2009 4/1/2019 126 16925 Hayter Ave. —The Best Maintenance— Business License#19988 6/12/2018 6/4/2019 127 9020 Hegel St. —Oscar J. Serrano— 1 Unit— Business License#17073 4/21/2014 5/1/2019 128 9030 Hegel St. — EpicMaid— Business License#19063 3/15/2017 9/9/2019 129 9103 Hegel St. —Johns Lock and Key— Business License#06658 4/17/2001 12/31/2019 130 9234 Janna St. —AC Battle Consulting Services— Business License#18894 12/1/2016 9/13/2019 Signatures on Next Page]
89 of ammo w‘ is AUTHORITY TO TRANSFER INACTIVE RECORDS s .0 AND RECORDS INVENTORY LIST
"°Wmamo
Department: Planning Department — Business License Division Retention Period: :12: + 5 Efisitlgiigmg‘ate' 1231/2024 Genera' Descriptb“ Cl d o B ' L' S1m gm CLERK’S ace use of Records ose ut usmess Icenses ' Box No. PL137
SKU No. RF127619577

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM TO
119 9944 Flower St. — Law Offices of Mark Borden, Apc — Business License #12154 3/26/2008 2/11/2019 120 10212 Foster Rd. — Uribina — 1 Unit — Business License #15437 4/30/2009 7/31/2019 121 9560 Glandon St. — DBW Enterprises — Business License #18722 8/29/2016 8/26/2019 122 9747 Glandon St. — Carr Rental — Business License #04189 12/7/1998 7/5/2019 123 16430 Grand Ave. — Philippe Brassard — 1 Unit — Business License #12712 1l23/2009 3/27/2019 124 16613 Grand Ave. — Cruz Moran — 1 Unit — Business License #14915 8/18/2008 8/7/2019 125 9501 Harvard St. — Noemi Ballesteros — 1 Unit — Business License #13464 11/6/2009 4/1/2019 126 16925 Hayter Ave. — The Best Maintenance — Business License #19988 6/12/2018 6/4/2019 127 9020 Hegel St. - Oscar J. Serrano — 1 Unit — Business License #17073 4/21/2014 5/1/2019 128 9030 Hegel St. — EpicMaid — Business License #19063 3/15/2017 9/9/2019 129 9103 Hegel St. — Johns Lock and Key — Business License #06658 4/17/2001 12/31l2019 130 9234 Janna St. - AC Battle Consulting Services — Business License #18894 12/1/2016 9/13/2019 [Signatures on Next Page]

ur iia._Fi<,
AUTHORITY TO TRANSFER INACTIVE RECORDS 9
oR a AND RECORDS INVENTORY LIST
Department:Planning Department— Business License Division Retention Period: Close + 5
years
Destruction
12/31/2024
General Description Eligibility Date:
of Records:

Closed Out Business Licenses FOR CITY CLERK'S OFFICE USE Box No. PL137
SKU No.RFI27619577
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved: Date: Ioflq110
Department Head)
Approved: #.< , ,, Date: 10 4'i20ti3
City Clerk)
Approved: Date:

City Manager)
90 w AUTHORITY TO TRANSFER INACTIVE RECORDS 9
AND RECORDS INVENTORY LIST . O “FM-name
Department: Planning Department — Business License Division Retention Period: 5;: + 5 Destruction
General Description Eligibility Date: 12/31/2024
of Records' Closed Out Business Licenses FOR CITY CLERK’S OFFICE use ' Box No. PL137
SKU No. RF127619577

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM I TO

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved: Wow Q?“ Date ’0! M l 2-?
(Department Head)
(City Clem) y
Approved: M Date 5
/ V (City Manager)
Approved: MW“ Date: 0 ? Z5

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pF BGLLFL°'
4' AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST
0 OWflgG OOE'HEa
Department:Planning Department— Business License Division Retention Period: Closed + 5
years
Destruction
12/31/2024
eneral Description Eligibility Date:G G neral D
Closed Out Business Licenses FOR CITY CLERK'S OFFICE USEof Box No. PL138
SKU No.RF127619576
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
1 13418 Lakewood Blvd. #28— USA— Business License#19359 8/5/2017 1/18/2019 2 13512 Lakewood Blvd. Unit D— Sport Transmissions— Business License#15939 1/11/2013 12/31/2019 3 13536 Lakewood Blvd. #141 — Ron Touch— Business License#20558 4/3/2019 4/4/2019 4 16400 Lakewood Blvd. — Bellflower Travel Inn — Business License#05809 1/4/2000 4/1/2019 5 16900 Lakewood Blvd. #306— Rebecca S. Ahlers D.D.S. Dental Corporation — Business License#15201 12/22/2011 12/17/2019 6 16900 Lakewood Blvd. #203—Teriyaki House Grill— Business License#19416 9/5/2017 5/31/2019 7 17615 Lakewood Blvd. — Bright Now Dental— Business License#19579 11/1/2017 11/30/2019 8 17616 Lakewood Blvd. — Economy Tires and Auto Repair— Business License#17861 5/1/2015 6/25/2019 9 8722 Laurel St. — 1 Unit—Alicia Godinez— Business License#13244 8/5/2009 7/30/2019 10 8738 Laurel St. — Bolinger Rental*- Business License#04198 12/9/1998 3/7/2019 11 15704 Leahy Ave. — Lara Cleaning Services— Business License#20695 6/4/2019 11/25/2019 12 9517 Linden St. — 1 Unit— NG Trading, Inc. — Business License#15429 4/25/2009 1/24/2019 13 9025 Los Angeles St. —Dahlia Glamour— Business License#19308 7/17/2017 1/3/2019 14 9621 Maple St. — Pollard Rentals*- Business License#05004 4/12/1999 1/10/2019 15 9829 Maplewood St. — Keylu Janitorial Service— Business License#18132 10/1/2015 7/9/2019 16 8703 Mayne St. — Elizabeth Gallardo— Business License#19837 4/30/2018 1/18/2019 17 8744 Mayne St. — Devine Naturalistics— Business License#19931 5/15/2018 1/18/2019 91 9“ ”We AUTHORITY TO TRANSFER INACTIVE RECORDS 1
. . AND RECORDS INVENTORY LIST
M10030"
Department: Planning Department — Business License Division Retention Period: $22? + 5 Destruction
General Descri tion Eligibility Date: 12/31/2024 of Records p Closed Out Business Licenses FOR CITY CLERK’S OFFICE USE ' Box No. PL138
SKU No. RF127619576

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM TO
_L

13418 Lakewood Blvd. #28 — USA — Business License #19359 8/5/2017 1/18/2019 2 13512 Lakewood Blvd. Unit D — Sport Transmissions — Business License #15939 1/11/2013 12/31/2019 3 13536 Lakewood Blvd. #141 — Ron Touch — Business License #20558 4/3/2019 4/4/2019 4 16400 Lakewood Blvd. — Bellflower Travel Inn — Business License #05809 1/4/2000 4/1/2019 5 16900 Lakewood Blvd. #306 — Rebecca S. Ahlers D.D.S. Dental Corporation — Business License #15201 12/22/2011 12/17/2019 6 16900 Lakewood Blvd. #203 — Teriyaki House Grill — Business License #19416 9/5/2017 5/31/2019 7 17615 Lakewood Blvd. — Bright Now Dental — Business License #19579 11/1/2017 11/30/2019 8 17616 Lakewood Blvd. — Economy Tires and Auto Repair — Business License #17861 5/1/2015 6/25/2019 9 8722 Laurel St. — 1 Unit — Alicia Godinez — Business License #13244 8/5/2009 7/30/2019 10 8738 Laurel St. — Bolinger Rental* - Business License #04198 12/9/1998 3/7/2019 11 15704 Leahy Ave. — Lara Cleaning Services — Business License #20695 6/4/2019 11/25/2019 12 9517 Linden St. — 1 Unit — NG Trading, Inc. — Business License #15429 4/25/2009 1/24/2019 13 9025 Los Angeles St. — Dahlia Glamour — Business License #19308 7/17/2017 1/3/2019 14 9621 Maple St. — Pollard Rentals* - Business License #05004 4/12/1999 1l10/2019 15 9829 Maplewood St. — Keylu Janitorial Service — Business License #18132 10/1/2015 7/9/2019 16 8703 Mayne St. - Elizabeth Gallardo — Business License #19837 4/30/2018 1/18/2019 17 8744 Mayne St. - Devine Naturalistics — Business License #19931 5/15/2018 1/18/2019

HELLP!-rk,Fk AUTHORITY TO TRANSFER INACTIVE RECORDS 2

AND RECORDS INVENTORY LIST
Department:Planning Department — Business License Division Retention Period: Closed + 5
years
Destruction
12/31/2024
eneral Description Eligibility Date:GG
Colds:

Closed Out Business Licenses FOR CITY CLERK'S OFFICE USE ofBox No. PL138
SKU No.RF127619576
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
18 9037 Mayne St. — DS Inspections— Business License#19807 3/19/2018 5/1/2019 19 14500 McNab Ave. #604—Vosso Apparel — Business License#18679 8/2/2016 8/6/2019 20 14500 McNab Ave. #2407—Creative Cakes— Business License#19801 3/15/2018 1/18/2019 21 10208 Muroc St. — Boenzi Rental— Business License#04128 11/24/1998 3/13/2019 22 9339 Nichols St. — 1 Unit—Syed Nagri— Business License#13260 8/15/2009 8/2/2019 23 9460 Nichols— 1 Unit—Setha Lim— Business License#13831 4/21/2008 7/11/2019 24 10419 Nichols St. — Roses Are Blue— Business License#20508 3/16/2019 5/10/2019 25 9307 Oak St. —A Child's World Daycare/Preschool — Business License#13888 5/20/2010 2/13/2019 26 9462 Oak St. —8 Units—Wilber Place Properties, LLC — Business License#17804 4/13/2015 8/26/2019 27 9626 Oak St. — Black Excellency— Business License#19417 8/1/2017 1/18/2019 28 8707 Olive St. —Iconixx Deluxe Jason Hun — Business License#20770 7/1/2019 9/30/2019 29 9241 Olive St. —VCA Glam House— Business License#20642 5/10/2019 8/13/2019 30 9454 Olive St. —H &A Investments— Business License#00459 7/12/1982 10/23/2019 31 9635 Olive St. —Serrano Management— Business License#03020 11/6/1997 6/1/2019 32 9306 Palm St. #10—Sandra Ulrey Photography— Business License#17728 3/6/2015 3/5/2019 33 9430—9036 1/
2 Park St. —8 Units— Fortin Family Trust— Business License#00393 7/9/1982 12/31/2019 34 9326 Prichard St. —McClellan Rental*- Business License#04889 3/30/1999 2/28/2019 92 «(0“ BELLHOWQQ m AUTHORITY TO TRANSFER INACTIVE RECORDS 2 . . AND RECORDS INVENTORY LIST “0mm
Department: Planning Department - Business License Division Retention Period: 11:? + 5 Destruction
General Description Eligibility Date: 1251/2024 of Records Closed Out Business Licenses FOR CITY CLERK'S OFFICE USE ' Box No. PL138
SKU No. RF127619576

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM TO
18 9037 Mayne St. — DS Inspections - Business License #19807 3/19/2018 5/1/2019 19 14500 McNab Ave. #604 — Vosso Apparel — Business License #18679 8/2/2016 8/6/2019 20 14500 McNab Ave. #2407 — Creative Cakes — Business License #19801 3/15/2018 1/18/2019 21 10208 Muroc St. — Boenzi Rental — Business License #04128 11/24/1998 3/13/2019 22 9339 Nichols St. — 1 Unit — Syed Nagri — Business License #13260 8/15/2009 8/2/2019 23 9460 Nichols — 1 Unit — Setha Lim — Business License #13831 4/21/2008 7/11/2019 24 10419 Nichols St. — Roses Are Blue — Business License #20508 3/16/2019 5/10/2019 25 9307 Oak St. — A Child's World Daycare/Preschool — Business License #13888 5/20/2010 2/13/2019 26 9462 Oak St. - 8 Units — Vlfilber Place Properties, LLC — Business License #17804 4/13/2015 8/26/2019 27 9626 Oak St. —- Black Excellency — Business License #19417 8/1/2017 1/18/2019 28 8707 Olive St. — lconixx Deluxe Jason Hun — Business License #20770 7/1/2019 9/30/2019 29 9241 Olive St. — VCA Glam House — Business License #20642 5/10/2019 8/13/2019 30 9454 Olive St. — H & A Investments — Business License #00459 7/12/1982 10/23/2019 31 9635 Olive St. — Serrano Management — Business License #03020 11/6/1997 6/1/2019 32 9306 Palm St. #10 — Sandra Ulrey Photography — Business License #17728 3/6/2015 3/5/2019 33 9430 — 9036 ‘/2 Park St. — 8 Units - Fortin Family Trust — Business License #00393 7/9/1982 12/31/2019 34 9326 Prichard St. — McClellan Rental* - Business License #04889 3/30/1999 2/28/2019

11y t)1i{I-:I I.1'll1lL,l:AUTHORITY TO TRANSFER INACTIVE RECORDS 3

AND RECORDS INVENTORY LIST
o owinc 1oo2"'
Department:Planning Department— Business License Division Retention Period: Closed + 5
years
Destruction
12/31/2024
General Description Eligibility Date:
of Records:

Closed Out Business Licenses FOR CITY CLERK'S OFFICE USE Box No. PL138
SKU No.RF127619576
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
35 8539 Ramona St. — Doyle &Annie Trent— Business License#02084 2/3/1995 2/5/2019 36 8800 Ramona St. — Scott Rental*- Business License#04792 3/17/1999 2/17/2019 37 9346 1/
2 Ramona St. —360 Industrial Services— Business License#20568 4/30/2019 8/13/2019 38 9715 Ramona St. Unit E—ABC Supplies— Business License#17958 6/23/2015 6/23/2019 39 9918 Ramona St. Unit A—The Curve Aesthetic— Business License#20372 1/15/2019 1/14/2019 40 10030 Ramona St. —Garden House/Lorte Bella— Business License#19716 2/2/2018 12/31/2019 41 17734 Regency Cir. — 1 Unit— Rick Wilson/Dave Lingtenbog— Business License#17320 8/11/2014 3/14/2019 42 9058 Rose St. —Alans Paint Rental— Business License#17029 1/1/2014 2/3/2019 43 10022 Rose St. —2 Units— Kingdom Causes Bellflower— Business License#20509 3/15/2019 8/13/2019 44 10022 Rose St. — 1 Unit— Margaret Streelman — Business License#14607 4/8/2008 3/15/2019 45 9065 Rosecrans Ave. — Pacific Video Image— Business License#10458 9/28/2005 6/15/2019 46 9073 Rosecrans Ave. — Family Tires— Business License#19479 10/2/2017 3/20/2019 47 9080 Rosecrans Ave. —Carl F. Ewig, Inc. DBA Martec International— Business License#07392 1/9/2002 9/30/2019 48 9137 Rosecrans Ave. —Olympic Auto Body & Transmission— Business License#01575 7/1/1992 1/10/2019 49 9137 Rosecrans Ave. —Olympic Transmission— Business License#05841 1/20/2000 1/2/2019 50 9152 Rosecrans Ave. —Glen L. Witt Corporation — Business License#16797 1/1/2014 2/14/2019 51 9162 Rosecrans Ave. —J & S Properties, Inc. — Business License#20643 5/10/2019 9/25/2019 93 (5d of “Wm AUTHORITY TO TRANSFER INACTIVE RECORDS 3
. . AND RECORDS INVENTORY LIST
°.°‘V'Na 100”
Department: Planning Department — Business License Division Retention Period: said + 5 gfsgtfit'? t _ 12/31/2024
General Description . . '5' ' ' y a e. of Records' Closed Out Busmess Licenses FOR CITY CLERK'S OFFICE use ' Box No. PL138
SKU No. RF127619576

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM TO
35 8539 Ramona St. — Doyle & Annie Trent — Business License #02084 2/3/1995 2/5/2019 36 8800 Ramona St. — Scott Rental“ - Business License #04792 3/17/1999 2/17/2019 37 9346 ‘/2 Ramona St. — 360 Industrial Services — Business License #20568 4/30/2019 8/13/2019 38 9715 Ramona St. Unit E — ABC Supplies — Business License #17958 6/23/2015 6/23/2019 39 9918 Ramona St. Unit A — The Curve Aesthetic — Business License #20372 1/15/2019 1/14/2019 40 10030 Ramona St. — Garden House/Lorte Bella — Business License #19716 2/2/2018 12/31/2019 41 17734 Regency Cir. — 1 Unit — Rick Wilson/Dave Lingtenbog — Business License #17320 8/11/2014 3/14/2019 42 9058 Rose St. — Alans Paint Rental — Business License #17029 1/1/2014 2/3/2019 43 10022 Rose St. — 2 Units — Kingdom Causes Bellflower — Business License #20509 3/15/2019 8/13/2019 44 10022 Rose St. — 1 Unit — Margaret Streelman - Business License #14607 4/8/2008 3/15/2019 45 9065 Rosecrans Ave. - Pacific Video Image — Business License #10458 9/28/2005 6/15/2019 46 9073 Rosecrans Ave. - Family Tires — Business License #19479 10/2/2017 3/20/2019 47 9080 Rosecrans Ave. - Carl F. Ewig, Inc. DBA Martec International — Business License #07392 1/9/2002 9/30/2019 48 9137 Rosecrans Ave. - Olympic Auto Body & Transmission — Business License #01575 7/1/1992 1/10/2019 49 9137 Rosecrans Ave. - Olympic Transmission — Business License #05841 1/20/2000 1/2/2019 50 9152 Rosecrans Ave. — Glen L. \Mtt Corporation — Business License #16797 1/1/2014 2/14/2019 51 9162 Rosecrans Ave. — J & S Properties, Inc. - Business License #20643 5/10/2019 9/25/2019

AUTHORITY TO TRANSFER INACTIVE RECORDS 4

AND RECORDS INVENTORY LIST
GRGM'M4
TOGETKE0.

Department:Planning Department— Business License Division Retention Period: Closed + 5
years
Destruction
12/31/2024
General Description Eligibility Date:
of Records:

Closed Out Business Licenses FOR CITY CLERK'S OFFICE USE Box No. PL138
SKU No.RF127619576
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
52 9863 Rosecrans Ave. —Cristal Clear Cleaning Services— Business License#14230 10/4/2010 4/8/2019 53 10030 Rosecrans Ave. Apt.#10- Nessa Tax and Stationary Services— Business License#20408 1/24/2019 5/10/2019 54 10058-10064 Rosecrans Ave. —Opportunities For Learning — Business License#17336 8/20/2014 10/3/2019 55 10126 Rosecrans Ave. —Gummee Nails & Spa— Business License#20524 3/21/2019 9/18/2019 56 10126 Rosecrans Ave. —Gummee Nails & Spa— Business License#18700 8/16/2016 3/21/2019 57 10234 Rosecrans Ave. — Pioneer Medical Group— Business License#06310 10/12/2000 9/30/2019 58 10248 Rosecrans Ave. — Paris Hair Salon — Business License#18260 12/10/2015 12/1/2019 59 10318 Rosecrans Ave. —Jacob Vayner DMD DBA Jacob Vayner DMD A Professional Dental Corporation— Business 9/2/2019 10/10/2019
License#20852
60 10318 Rosecrans Ave. — Raymond Wang DDS Dental Corp. — Business License#18783 1/3/2017 5/21/2019 61 10460 Rosecrans Ave. — 1688 Investment, Inc. DBA King Palace Buffet— Business License#16271 7/1/2013 6/13/2019 62 17675 Sarentina Ct. — K& K Motors— Business License#19588 11/30/2017 9/10/2019 63 9023 Scott St. — HP Photography— Business License#16388 8/29/2013 6/1/2019 64 9035 Somerset Blvd. —Cal State Construction— Business License#19686 1/22/2018 4/10/2019 65 9135 Somerset Blvd. —Jody's New Home Furniture & Gifts 3/6/2015 3/15/2019 66 9402 Somerset Blvd. —The Sewing Basket— Business License#07489 2/21/2002 6/3/2019 67 9409 Somerset Blvd. — Kinetic Professional Barber Shop— Business License#16172 5/16/2013 7/1/2019 94 as “im’ml We»
25"”
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°*°Wmci T00

AUTHORITY TO TRANSFER INACTIVE RECORDS
. AND RECORDS INVENTORY LIST
Retention Period: Closed + 5 Department: Planning Department — Business License Division years D85F'F‘P“°“ _ 12/31/2024 . . Eligibility Date. General Description Cl d O B . L' F CITY , c USE of Records ose ut usmess Icenses 0R CLERK 3 OFF] E ' Box No. PL138
SKU No. RF 127619576

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM TO
52 9863 Rosecrans Ave. -— Cristal Clear Cleaning Services — Business License #14230 10/4/2010 4/8/2019 53 10030 Rosecrans Ave. Apt.#10- Nessa Tax and Stationary Services — Business License #20408 1/24/2019 5/10/2019 54 10058-10064 Rosecrans Ave. — Opportunities For Learning — Business License #17336 8/20/2014 10/3/2019 55 10126 Rosecrans Ave. — Gummee Nails & Spa — Business License #20524 3/21/2019 9/18/2019 56 10126 Rosecrans Ave. — Gummee Nails & Spa — Business License #18700 8/16/2016 3/21/2019 57 10234 Rosecrans Ave. — Pioneer Medical Group — Business License #06310 10/12/2000 9/30/2019 58 10248 Rosecrans Ave. — Paris Hair Salon — Business License #18260 12/10/2015 12/1/2019 10318 Rosecrans Ave. — Jacob Vayner DMD DBA Jacob Vayner DMD A Professional Dental Corporation — Business 59 License #20852 9/2/2019 10/10/2019 60 10318 Rosecrans Ave. — Raymond Wang DDS Dental Corp. — Business License #18783 1/3/2017 5/21/2019 61 10460 Rosecrans Ave. -— 1688 Investment, Inc. DBA King Palace Buffet — Business License #16271 7/1/2013 6/13/2019 62 17675 Sarentina Ct. — K & K Motors — Business License #19588 11/30/2017 9/10/2019 63 9023 Scott St. — HP Photography — Business License #16388 8/29/2013 6/1/2019 64 9035 Somerset Blvd. — Cal State Construction — Business License #19686 1/22/2018 4/10/2019 65 9135 Somerset Blvd. — Jody’s New Home Furniture & Gifts 3/6/2015 3/15/2019 66 9402 Somerset Blvd. — The Sewing Basket — Business License #07489 2/21/2002 6/3/2019 67 9409 Somerset Blvd. — Kinetic Professional Barber Shop — Business License #16172 5/16/2013 7l1/2019

OF BGLLFLO
AUTHORITY TO TRANSFER INACTIVE RECORDS 5

AND RECORDS INVENTORY LIST
Department:Planning Department— Business License Division Retention Period: Closed + 5
years
Destruction
12/31/2024
General Description Eligibility Date:

Of Cords:

Closed Out Business Licenses FOR CITY CLERK'S OFFICE USE Box No. PL138
SKU No.RFI27619576
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
68 9523 Somerset Blvd. —2 Units— Reiter Living Trust— Business License Trust— Business License#13068 6/8/2009 1/1/2019 69 9727 Somerset Blvd. —Maideles, Co. — Business License#19530 10/31/2017 10/29/2019 70 9765 Somerset Blvd. — Mini Culichi— Business License#18874 11/9/2016 9/5/2019 71 10506 Trabuco St. — House of MD - Business License#06640 4/9/2001 12/31/2019 72 9604 Van Ruiten St. — Landy Promotions, Inc. — Business License#20848 8/12/2019 9/5/2019 73 17439 Virginia Ave. Unit 7— 1 Unit— Faurum Doshi — Business License#15821 11/1/2012 9/30/2019 74 9142 Walnut St. —2 Units— Pablo & Elba Rodriguez— Business License#13966 6/23/2010 6/13/2019 75 9641 Walnut St. —Apex Cornerstone Construction — Business License#20146 8/31/2018 8/2/2019 76 13424 Woodruff Ave. — Dr. Paz Casanova Dental Group, Inc. — Business License#20563 4/15/2019 10/8/2019 77 13747 Woodruff Ave. —4 Units—Woodruff— Business License#17149 5/29/2014 9/20/2019 78 13823 Woodruff Ave. —4 Units—J & N Property Investment— Business License#18846 10/24/2016 5/24/2019 79 13823 Woodruff Ave. — Rohnda Jones Safe Keeping — Business License#19939 6/11/2018 1/1820/19 80 13829 Woodruff Ave. —4 Units— Lynn Diep— Business License#13333 2/7/2009 5/16/2019 81 14329 Woodruff Ave. Suite B & C—Venus Miscro—Contract Microblading Tech: Ratchanan Hernandez— Business 5/25/2018 5/23/2019
License#19959
82 15728 Woodruff Ave. —One Place Financial— Business License#16666 12/30/2013 5/15/2019 83 15921 Woodruff Ave. —Jackie's Smog Check— Business License#17975 7/6/2015 5/24/2019 95 0““! of BELLFLOWEQ AUTHORITY TO TRANSFER INACTIVE RECORDS . AND RECORDS INVENTORY LIST 1"m
Department: Planning Department — Business License Division Retention Period: 33:? + 5 Destruction - - -- . 12/31/2024 General Description EIIQIbllltY Date.

Closed Out Business Licenses FOR CITY CLERK’S OFFICE USE °f Re°°rd53 Box No. PL138 SKU No. RF127619576

ITEM INCLUSIVE DATES
NO. DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
68 9523 Somerset Blvd. — 2 Units — Reiter Living Trust — Business License Trust — Business License #13068 6/8/2009 1/1/2019 69 9727 Somerset Blvd. — Maideles, Co. — Business License #19530 10/31/2017 10/29/2019 70 9765 Somerset Blvd. — Mini Culichi - Business License #18874 11/9/2016 9/5/2019 71 10506 Trabuco St. — House of MD - Business License #06640 4/9/2001 12/31/2019 72 9604 Van Ruiten St. — Landy Promotions, Inc. — Business License #20848 8/12/2019 9/5/2019 73 17439 Virginia Ave. Unit 7 — 1 Unit - Faurum Doshi — Business License #15821 11/1/2012 9/30/2019 74 9142 Walnut St. - 2 Units — Pablo & Elba Rodriguez — Business License #13966 6/23/2010 6/13/2019 75 9641 Walnut St. - Apex Cornerstone Construction — Business License #20146 8/31/2018 8/2/2019 76 13424 Woodruff Ave. - Dr. Paz Casanova Dental Group, Inc. — Business License #20563 4/15/2019 10/8/2019 77 13747 Woodruff Ave. — 4 Units — Woodruff — Business License #17149 5/29/2014 9/20/2019 78 13823 Woodruff Ave. — 4 Units — J & N Property Investment — Business License #18846 10/24/2016 5/24/2019 79 13823 Woodruff Ave. — Rohnda Jones Safe Keeping — Business License #19939 6/11/2018 1/1820/19 80 13829 Woodruff Ave. — 4 Units — Lynn Diep — Business License #13333 2/7/2009 5/16/2019 81 {$22193 mogdgrgg Ave. Suite B & C — Venus MISCI'O — Contract Microbladlng Tech: Ratchanan Hernandez — Busmess 5/25/2018 523/2019 82 15728 Woodruff Ave. — One Place Financial — Business License #16666 12/30/2013 5/15/2019 83 15921 Woodruff Ave. — Jackie’s Smog Check — Business License #17975 7/6/2015 5/24/2019

G`'`
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AUTHORITY TO TRANSFER INACTIVE RECORDS 6
Owuvo 0oFT'.`e`

AND RECORDS INVENTORY LIST
Department:Planning Department— Business License Division Retention Period: Closed + 5
years
Destruction
12/31/2024
General Description Eligibility Date:
of Records:

Closed Out Business Licenses FOR CITY CLERK'S OFFICE USE Box No. PL138
SKU No.RF127619576
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
84 15921 Woodruff Ave. —Snack/Freshment Vending Machine—Vending Machine— Business License#19782 3/8/2018 2/14/2019 85 16134 Woodruff Ave. —Sam's Market— Business License#16514 10/21/2013 6/1/2019 86 16251 Woodruff Ave. #5—Sparkle Mobile Car Wash— Business License#20257 10/26/2018 10/26/2019 87 17111 S. Woodruff Ave. — De Young Rental*- Business License#04383 12/29/1998 5/13/2019 88 17308 '/2 Woodruff Ave. — Brooks Millwork, LLC— Business License#11638 7/1/2007 3/31/2019 89 17310 Woodruff Ave. —Americana Blinds & Shutters— Business License#19834 4/5/2018 6/30/2019 90 17510 Woodruff Ave. —A-1 Auto Repair&Trans. Overhaul— Business License#07296 11/30/2001 9/28/2019 91 17908 Woodruff Ave. #16— Patisserie— Business License#20546 3/30/2019 8/27/2019 92 15157 1/4 Woodruff PI. —Tyler Pool and Spa Service— Business License#06969 8/20/2001 1/1/2019 93 15327 Woodruff PI. —Alvin R. Haveson — Business License#00575 7/19/1982 12/16/2019 94 15351 Woodruff PI. #58— Express Carpet Care— Business License#19857 4/13/2018 8/27/2019 95 10581 Garden Grove Blvd., Garden Grove, CA 92843— Mastroianni Family Enterprises— Business License#18992 1/30/2017 12/31/2019 96 320 Goddard#200., Irvine, CA 92618—GHD, Inc. — Business License#20438 2/15/2019 12/31/2019 97 23297 S. Pointe Dr. Suite 120, Laguna Hills, CA 92653—Quality Medical Imaging of California— Business License#19969 5/31/2018 1/31/2019 98 5363 Alhambra Ave., Los Angeles, CA 90032—Southern California Ambulance— Business License#18472 4/19/2016 1/1/2019 99 3400 Hillview Ave. Bldg 1, Palo Alto, CA 94304— Nest Labes, Inc. — Business License#20725 6/24/2019 12/3/2019 100 5132 Paramount Blvd., Pico Rivera, CA 90660—Gill Ice Cream— Business License#15723 9/17/2012 9/10/2019 96 a“ $.3l "be
100

AUTHORITY TO TRANSFER INACTIVE RECORDS

AND'RECORDS INVENTORY LIST
Department: Planning Department — Business License Division Retention Period: a??? + 5 D85???“ _ 12/31/2024
General Description . . El'g'b'hty Date. , of Records: Closed Out Busmess Licenses FOR cm, CLERK 3 OFFICE USE Box No. PL138
SKU No. RF 127619576

ITEM INCLUSIVE DATES
NO. DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
84 15921 Woodruff Ave. — Snack/Freshment Vending Machine — Vending Machine — Business License #19782 3/8/2018 2/14/2019 85 16134 Woodruff Ave. — Sam’s Market — Business License #16514 10/21/2013 6/1/2019 86 16251 Woodruff Ave. #5 — Sparkle Mobile Car Wash — Business License #20257 10/26/2018 10/26/2019 87 17111 S. Woodruff Ave. — De Young Rental* - Business License #04383 12/29/1998 5/13/2019 88 17308 1/2 Woodruff Ave. — Brooks Millwork, LLC — Business License #11638 7/1/2007 3/31/2019 89 17310 Woodruff Ave. — Americana Blinds & Shutters — Business License #19834 4/5/2018 6/30/2019 90 17510 Woodruff Ave. — A-1 Auto Repair & Trans. Overhaul — Business License #07296 11/30/2001 9/28/2019 91 17908 Woodruff Ave. #16 — Patisserie — Business License #20546 3/30/2019 8/27/2019 92 15157 1/4 Woodruff Pl. — Tyler Pool and Spa Service — Business License #06969 8/20/2001 1/1/2019 93 15327 Woodruff PI. — Alvin R. Haveson - Business License #00575 7/19/1982 12/16/2019 94 15351 Woodruff PI. #58 — Express Carpet Care — Business License #19857 4/13/2018 8/27/2019 95 10581 Garden Grove Blvd., Garden Grove, CA 92843 — Mastroianni Family Enterprises — Business License #18992 1/30/2017 12/31/2019 96 320 Goddard #200, Irvine, CA 92618 — GHD, Inc. — Business License #20438 2/15/2019 12/31/2019 97 23297 S. Pointe Dr. Suite 120, Laguna Hills, CA 92653 — Quality Medical Imaging of California — Business License #19969 5/31/2018 1/31/2019 98 5363 Alhambra Ave., Los Angeles, CA 90032 — Southern California Ambulance — Business License #18472 4/19/2016 1/1/2019 99 3400 Hillview Ave. Bldg 1, Palo Alto, CA 94304 — Nest Labes, Inc. — Business License #20725 6/24/2019 12l3/2019 100 5132 Paramount Blvd., Pico Rivera, CA 90660 — Gill Ice Cream — Business License #15723 9/17/2012 9/10/2019

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Department:Planning Department— Business License Division Retention Period: Closed + 5
years
Destruction
12/31/2024
General Description Eligibility Date:
of Records:

Closed Out Business Licenses FOR CITY CLERK'S OFFICE USE Box No. PL138
SKU No.RF127619576
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
101 12349 Hawkins St., Santa Fe Springs, CA 90670—Collicutt Energy Services, Inc. —Business License#18687 9/1/2016 1/18/2019 102 10423 Atlantic Ave., Southgate, CA 90280—Carewest Non-Emergency Services, LLC — Business License#20609 4/27/2019 5/23/2019 103 1385 Park Center Dr. #501, Vista, CA92081 —GW Services, LLC DBA Glacier Water— Business License#03037 11/17/1997 10/31/2019 104 201 N. Franklin St. #3300, Tampa, FL 33602—Verizon Credit, Inc. — Business License#02357 4/11/1996 12/31/2019

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.
dig / 23Approved: Date. IdepartmentHead)
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Department: Planning Department — Business License Division Retention Period: $3? + 5 $5339“? , 12/31/2024
General Description . . '9' ' 'ty ate. of Records Closed Out Busuness Licenses FOR CITY CLERK'S OFFICE USE ' Box No. PL138
SKU No. RF127619576

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM TO
101 12349 Hawkins St., Santa Fe Springs, CA 90670 — Collicutt Energy Services, Inc. — Business License #18687 9/1/2016 1/18/2019 102 10423 Atlantic Ave., Southgate, CA 90280 — Carewest Non-Emergency Services, LLC — Business License #20609 4/27/2019 5/23/2019 103 1385 Park Center Dr. #501, Vista, CA92081 - GW Services, LLC DBA Glacier Water — Business License #03037 11/17/1997 10/31/2019 104 201 N. Franklin St. #3300, Tampa, FL 33602 - Verizon Credit, lnc. - Business License #02357 4/11/1996 12/31/2019 | AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved: {effzéfli 9V7” Date _I_[_O[ [q 23
( epartment Head)
Approved: Date: /d 19/20 2023
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Approved: Date:
/ (W Manager)

AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST
RUW,N4 rc ciP-TNE
Department:Planning Department— Business License Division Retention Period: Close + 5
years
Destruction
12/31/2024
General Description Eligibility Date:
of Records: Closed Out Business Licenses FOR CITY CLERK'S OFFICE USE Box No. PL139
SKU No.RF127619575
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
1 Contractors: Out of City (Single)—January 2019 1/1/2019 12/31/2019 2 Contractors: Out of City (Single)— February 2019 2/1/2019 12/31/2019 3 Contractors: Out of City (Single)— March 2019 3/1/2019 12/31/2019 4 Contractors: Out of City (Single)—April 2019 4/1/2019 12/31/2019 5 Contractors: Out of City (Single)—May 2019 5/1/2019 12/31/2019 6 Contractors: Out of City (Single)—June 2019 6/1/2019 12/31/2019 7 Contractors: Out of City (Single)—July 2019 7/1/2019 12/31/2019 8 Contractors: Out of City (Single)—August 2019 8/1/2019 12/31/2019 9 Contractors: Out of City (Single)—September 2019 9/1/2019 12/31/2019 10 Contractors: Out of City (Single)—October 2019 10/1/2019 12/31/2019 11 Contractors: Out of City (Single)— November 2019 11/1/2019 12/31/2019 12 Contractors: Out of City (Single)—December 2019 12/1/2019 12/31/2019 13 Contractors: Out of City (Yearly)—January 2019 1/1/2019 12/31/2019 14 Contractors: Out of City (Yearly)— February 2019 2/1/2019 12/31/2019 15 Contractors: Out of City (Yearly)—March 2019 3/1/2019 12/31/2019 16 Contractors: Out of City (Yealy)—April 2019 4/1/2019 12/31/2019 17 Contractors: Out of City (Yearly)—May 2019 5/1/2019 12/31/2019 98 «1 of BWWQQ a AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST
M100“
Department: Planning Department — Business License Division Retention Period: 5;:e + 5 Destruction Eligibility Date: 12’31’2024 General Description Closed Out Business Licenses FOR CITY CLERK’S OFFICE USE °f Re°°rd$ Box No. PL139 SKU No. RF127619575

ITEM INCLUSIVE DATES
NO. DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
1 Contractors: Out of City (Single) — January 2019 1/1/2019 12/31/2019 2 Contractors: Out of City (Single) — February 2019 2/1/2019 12/31/2019 3 Contractors: Out of City (Single) — March 2019 3/1/2019 12/31/2019 4 Contractors: Out of City (Single) — April 2019 4/1/2019 12/31/2019 5 Contractors: Out of City (Single) —— May 2019 5/1/2019 12/31/2019 6 Contractors: Out of City (Single) — June 2019 6/1/2019 12/31/2019 7 Contractors: Out of City (Single) — July 2019 7/1/2019 12/31/2019 8 Contractors: Out of City (Single) — August 2019 8/1/2019 12/31/2019 9 Contractors: Out of City (Single) — September 2019 9/1 /201 9 12/31/2019 10 Contractors: Out of City (Single) — October 2019 10/1/2019 12/31/2019 11 Contractors: Out of City (Single) - November 2019 11/1/2019 12/31/2019 12 Contractors: Out of City (Single) —- December 2019 12/1/2019 12/31/2019 13 Contractors: Out of City (Yearly) — January 2019 1/1/2019 12/31/2019 14 Contractors: Out of City (Yearly) — February 2019 2/1/2019 12/31/2019 15 Contractors: Out of City (Yearly) — March 2019 3/1/2019 12/31/2019 16 Contractors: Out of City (YeaIy) — April 2019 4/1/2019 12/31/2019 17 Contractors: Out of City (Yearly) — May 2019 5/1/2019 12/31/2019

o'.BEILL"",`
k AUTHORITY TO TRANSFER INACTIVE RECORDS 2

AND RECORDS INVENTORY LIST
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Department:Planning Department— Business License Division Retention Period: Close + 5
years
Destruction
12/31/2024
General Description Eligibility Date:

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Closed Out Business Licenses FOR CITY CLERK'S OFFICE USE - Box No. PL139
SKU No.RF127619575
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
18 Contractors: Out of City (Yearly)—June 2019 6/1/2019 12/31/2019 19 Contractors: Out of City (Yearly)—July 2019 7/1/2019 12/31/2019 20 Contractors: Out of City (Yearly)—August 2019 8/1/2019 12/31/2019 21 Contractors: Out of City (Yearly)—September 2019 9/1/2019 12/31/2019 22 Contractors: Out of City (Yearly)—October 2019 10/1/2019 12/31/2019 23 Contractors: Out of City (Yearly)— November 2019 11/1/2019 12/31/2019 24 Contractors: Out of City (Yearly)— December 2019 12/1/2019 12/31/2019 25 2019 Fireworks Stands Refundable Deposits 3/29/2019 12/31/2019 26 2019 Approved Fireworks Stands Letters 5/2/2019 12/31/2019 27 2019 Approved Fireworks Stands Waiting List Groups 5/2/2019 12/31/2019 28 2019 Fireworks Stands Misc. Permits 3/27/2019 12/31/2019 29 2019 Fireworks Stands Application Packets 3/27/2019 12/31/2019 30 2019 Fireworks Stand Financial Reports 3/27/2019 12/31/2019 31 2019 Fireworks Stands Waiting List 3/1/2019 12/31/2019 32 2019 Fireworks Stands Application Packets Letters 2/7/2019 12/31/2019 33 2019 Fireworks Stands Letters of Intent 12/27/2018 12/31/2019 34 9030 Somerset Blvd.—Filming Date: November 05,2019—(Hollywood Sports Park)-(Condor Entertainment Group, Inc.— 19-09-PD 11/5/2019 12/31/2019 99 «q of Eula-0% m AUTHORITY TO TRANSFER INACTIVE RECORDS .0. M, AND RECORDS INVENTORY LIST
("Wham
Department: Planning Department — Business License Division Retention Penod: $2: + 5 DFSFWF’M“ . 12/31/2024
General Description . . El'g'b'l'ty Date. of Records- Closed Out Busmess Licenses FOR CITY CLERK’S OFFICE use ' Box No. PL139
SKU No. RF127619575

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM TO
18 Contractors: Out of City (Yearly) — June 2019 6/1/2019 12/31/2019 19 Contractors: Out of City (Yearly) — July 2019 7/1/2019 12l31l2019 20 Contractors: Out of City (Yearly) — August 2019 8/1/2019 12/31/2019 21 Contractors: Out of City (Yearly) — September 2019 9/1/2019 12/31/2019 22 Contractors: Out of City (Yearly) — October 2019 10/1/2019 12/31/2019 23 Contractors: Out of City (Yearly) — November 2019 11/1/2019 12/31/2019 24 Contractors: Out of City (Yearly) - December 2019 12/1/2019 12/31/2019 25 2019 Fireworks Stands Refundable Deposits 3/29/2019 12l31l2019 26 2019 Approved Fireworks Stands Letters 5/2/2019 12/31/2019 27 2019 Approved Fireworks Stands Waiting List Groups 5/2/2019 12/31/2019 28 2019 Fireworks Stands Misc. Permits 3/27/2019 12/31/2019 29 2019 Fireworks Stands Application Packets 3/27/2019 12/31/2019 30 2019 Fireworks Stand Financial Reports 3/27/2019 12l31l2019 31 2019 Fireworks Stands Waiting List 3/1/2019 12l31l2019 32 2019 Fireworks Stands Application Packets Letters 2/7/2019 12l31l2019 33 2019 Fireworks Stands Letters of Intent 12/27/2018 12/31/2019 34 9030 Somerset Blvd. — Filming Date: November 05, 2019 - (Hollywood Sports Park) - (Condor Entertainment Group, Inc. — 19—09—PD 11/5/2019 12l31l2019

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FR AUTHORITY TO TRANSFER INACTIVE RECORDS 3

AND RECORDS INVENTORY LIST
R wwa moes+Q
Department:Planning Department— Business License Division Retention Period: Close + 5
years
Destruction
12/31/2024
Eligibility Date:General Description
Closed Out Business Licenses FOR CITY CLERK'S OFFICE USE of Records:

Box No. PL139
SKU No.RF127619575
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO
35 9625 Van Ruiten St. — Film Date: October 18, 2019—(Lynn Pace Elementary School)— Buckingham Television— 19-08-PD 10/18/2019 12/31/2019 36 8559 Artesia Blvd. — Film Date: October 14, 2019—(Luxury Preowned Motorcars)—Castle Productions— 19-07-PD 10/14/2019 12/31/2019 37 16400 Bellflower Blvd. —Walkway in N.E. Corner of city Lot— Film Date: September 23, 2019—Simon Sager Director DBA 9/23/2019 12/31/2019
Sinner's List(Chapman University)— 19-06-PD
38 17450 Bellflower Blvd. —(Hard Times Billiards)— Filming Date: August 27-29, 2019—Somesuch, Inc. — 19-05-PD 8/27/2019 12/31/2019 39 Oak St. from Bellflower Blvd. E. 200"— Filming Date: August 20, 2019— Burrito Productions— 19-04-PD 8/20/2019 12/31/2019 40 9030 Somerset Blvd. —(Hollywood Sports Park)— Filming Date: June 27, 2019— Mythical Venture, LLC— 19-03-PD 6/27/2019 12/31/2019 41 9030 Somerset Blvd. —(Hollywood Sports Park)— Filming Date: March 03, 2019— Underwonder Films & Entertainment, 3/13/2019 12/31/2019
LLC— 19-02-PD
42 9030 Somerset Blvd. —(Hollywood Sports Park)— Filming Date: January 30, 2019— Nvidia— 19-01-PD 1/30/2019 12/31/2019 43 2019 Approved Bingo Licenses 1/30/2019 12/31/2019
44 2019 Bingo Renewals 1/30/2019 12/31/2019
45 2019 Block Party Permits 1/30/2019 12/31/2019
46 2019 Parade Permits 1/30/2019 12/31/2019
47 2019 D & E Permit Renewals 1/30/2019 12/31/2019
48 13400 Bellflower Blvd. —Carnival Dates: September 27-29, 2019—Carnival Midway Attractions— Business License#08134 9/27/2019 12/31/2019 49 On Bellflower Blvd. from Walnut St. to Flora Vista St. — Event Date: September 28, 2019— Bellflower Blvd. Car Show— 9/28/2019 12/31/2019
Business License#13272
50 1068 S. Vail Ave., Montebello, CA 90660— Event Dates: August 23, 2019, September 12-13, 2019, October 25, 2019, 8/23/2019 12/31/2019
November 01, 2019— Kona Ice of Montebello— Business License#20147 100
“4 o? DELI-PLOW“ m AUTHORITY TO TRANSFER INACTIVE RECORDS 3 . . AND RECORDS INVENTORY LIST
100
Department: Planning Department — Business License Division Retention Period: $122+ 5 Destruction . . Eligibility Date: 12’31’2024 General Description Cl . . . of Records: osed Out Busmess Licenses FOR CITY CLERK 3 OFFICE USE Box No. PL139
SKU No. RF127619575

ITEM INCLUSIVE DATES
' NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM TO
35 9625 Van Ruiten St. — Film Date: October 18, 2019 — (Lynn Pace Elementary School) — Buckingham Television — 19-08-PD 10/18/2019 12/31/2019 36 8559 Artesia Blvd. — Film Date: October 14, 2019 — (Luxury Preowned Motorcars) — Castle Productions — 19-07-PD 10/14/2019 12/31/2019 . 37 16400 Bellflower Blvd. — Walkway in NE. Comer of city Lot — Film Date: September 23, 2019 — Simon Sager Director DBA Sinner’s List (Chapman University) — 19—06—PD 9,23/2019 1231/2019 38 17450 Bellflower Blvd. — (Hard Times Billiards) — Filming Date: August 27-29, 2019 — Somesuch, lnc. — 19-05-PD 8/27/2019 12/31/2019 39 Oak St. from Bellflower Blvd. E. 200” - Filming Date: August 20, 2019 — Burrito Productions — 19-04-PD 8/20/2019 12/31/2019 40 9030 Somerset Blvd. — (Hollywood Sports Park) — Filming Date: June 27, 2019 — Mythical Venture, LLC — 19-03-PD 6/27/2019 12/31/2019 41 ago—3:35:30 Blvd. — (Hollywood Sports Park) — Filming Date: March 03, 2019 — Underwonder Films & Entertainment, 3,13,2019 1231/2019 42 9030 Somerset Blvd. — (Hollywood Sports Park) — Filming Date: January 30, 2019 — Nvidia — 19-01-PD 1/30/2019 12/31/2019 43 2019 Approved Bingo Licenses 1/30/2019 12/31/2019
' 44 2019 Bingo Renewals 1/30/2019 12/31/2019
45 2019 Block Party Permits 1/30/2019 12/31/2019
46 2019 Parade Permits 1/30/2019 12/31/2019
47 2019 D & E Permit Renewals 1/30/2019 12/31/2019
48 13400 Bellflower Blvd. - Carnival Dates: September 27-29, 2019 - Carnival Midway Attractions — Business License #08134 9/27/2019 12I31/2019 49 On Bellflower Blvd. from Walnut St. to Flora Vista St. — Event Date: September 28, 2019 - Bellflower Blvd. Car Show — Business License #13272 9/28/2019 12/31/2019
50 1068 S. Vail Ave., Montebello, CA 90660 — Event Dates: August 23, 2019, September 12—13, 2019, October 25, 2019, November 01, 2019 — Kona Ice of Montebello — Business License #20147 803/2019 1231,2019

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AUTHORITY TO TRANSFER INACTIVE RECORDS 4
0 AND RECORDS INVENTORY LIST
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Department:Planning Department— Business License Division Retention Period: Close + 5
years
Destruction
12/31/2024
General Description Eligibility Date:

RecoS:

Closed Out Business Licenses FOR CITY CLERK'S OFFICE USE ofBox No. PL139
SKU No.RF127619575
ITEM

INCLUSIVE DATES
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE

FROM TO

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved:QC(' ,/• Date: I.b lit 123
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101
wffim‘i‘r AUTHORITY TO TRANSFER INACTIVE RECORDS 4 . AND RECORDS INVENTORY LIST “(MM Department: Planning Department — Business License Division Retention Period: Selig: + 5 Destruction
General Description Eligibility Date: 12/31/2024 of Records Closed Out Business Licenses FOR CITY CLERK’S OFFICE USE ' V Box No. PL139
SKU No. RF127619575

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
‘ FROM I TO

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved: Qa 7MP EVA" Date: IO IQ 7’3
apartment Head)
Approved: é $247 : 2?/ %Z%, 4 Date: /
Approved. Date: (”Z 7'1! 22
IV M Manager)

Docusign Envelope ID: F14B752A-3417-43F4-A224-3037BB085E70

AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST
1 Department:Public Safety Retention Period:Various
General Description
of Records:General Office Files
Destruction
Elicibility Date:
12/31/2024

FOR CITY CLERK'S OFFICE USE
Box No.PS126
Barcode No.62050488
ITEM
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES

INCLUSIVE DATES

IN FILE

FROM TO
1 2018 — Parking and administrative citation hearings 1/1/2018 12/31/2018 2 2020 — Administrative payment plans 1/1/2020 12/31/2020 3 2021 — Dumpster diving citations, payment plans, and administrative hearing forms 1/1/2021 12/31/2021 4 2021 —Administrative citation payment plans 1/1/2021 12/31/2021 5 2021 — Administrative citations 1/1/2021 12/31/2021
6 2021 —Administrative citation hearings 1/1/2021 12/31/2021 7 2021 — Permit parking applications 1/1/2021 12/31/2021 8 2021 — Incoming/outgoing correspondence 1/1/2021 12/31/2021 9 2021 — Informal security guard price quote 1/1/2021 12/31/2021 10 2021 — Public Safety Commission and Public Safety Review Committee Annotated Agendas 1/1/2021 12/31/2021 11 2021 — Parking citations (hand written)1/1/2021 12/31/2021

I AUTHORIZE

APPROVED

THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL I: RM RETENTION APPLIED.

Approved: 9D3C555C0AD44D2...

Approved:

Department He
City Clerk)
Date:
1/21/2025 I 9:09 AM PST
102
DocuoIgn Envelope ID: F148752Aa3417-43F4-A224-303738085E70 AUTHORITY TO TRANSFER INACTIVE RECORDS 1
AND RECORDS INVENTORY LIST cw °" Mm
Mm»;
Department: Public Safety Retention Period: Various
. . gigsgfii‘tzsgate: 1231/2024
Seéieeglrgsescnption General Office Files FOR CITY CLERK’S OFFICE USE ' Box No. PS126
Barcode No. 62050488

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM [ TO
1 2018 - Parking and administrative citation hearings 1/1/2018 12/31/2018 2 2020 — Administrative payment plans 1/1/2020 12/31/2020 3 2021 - Dumpster diving citations, payment plans, and administrative hearing forms 1/1/2021 12/31/2021 4 2021 — Administrative citation payment plans 1/1/2021 12/31/2021 5 2021 — Administrative citations 1/1/2021 12/31/2021
6 2021 - Administrative citation hearings 1/1/2021 12/31/2021 7 2021 — Permit parking applications 1/1/2021 12/31/2021 8 2021 - Incoming/outgoing correspondence 1/1/2021 12/31/2021 9 2021 - Informal security guard price quote 1/1/2021 12/31/2021 10 2021 — Public Safety Commission and Public Safety Review Committee Annotated Agendas 1/1/2021 12/31/2021 11 2021 — Parking citations (hand written) 1/1/2021 12/31/2021 l AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RETENTION APPLIED.
brim MW _ 1/21/2025 | 9:09 AM PST
Approved: ooscssscmouoz.“ Date.

UwL—v Date: 4424213— Approved:

Docusign Envelope ID: F14B752A-3417-43F4-A224-3037BB085E70

AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST
1 Department:Public Safety Retention Period:2 Years
General Description
of Records:

Weekly Field Activity Reports, False Alarm Warning Letters, Violation Notices, and Stypmann Hearings
Destruction
Eligibility Date:
12/31/2023

FOR CITY CLERK'S OFFICE USE
Box No.PS127
Barcode No.62058037
ITEM
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES

INCLUSIVE DATES

IN FILE

FROM TO
1 2021 — Weekly field activity reports 1/1/2021 12/31/2021 2 2021 — False alarm warning letters and violation notices 1/1/2021 12/31/2021 3 2021 —Stypmann hearings 1/1/2021 12/31/2021

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECQL geJTENTION APPLIED.
bifiau,. Mcnl.vw.y
9O3C555C0AD44O2...

Approved: Date:

Department Head)
1/21/2025 I 9:09 AM PST
Approved:Date: //,2//? -12"s--
103
Damion Envelope ID: F14B752A-341743F4-A224-3037BBOSSE70

AUTHORITY TO TRANSFER INACTIVE RECORDS
AND RECORDS INVENTORY LIST 66“.“?
MM
Department Public Safety Retention Period: 2 Years
. . . . . . . . . Efiggfiifigate: 1231/2023 cOfelgzglnliiezscription \évtsggggelljiegfiggéy Reports, False Alarm Wamlng Letters, Violation Notices, and 3020300“ CLERK,S 32:3; use Barcode No. 62058037

ITEM INCLUSIVE DATES

NO DESCRIPTION OF SPECIFIC RECORDS OR FILES IN FILE
' FROM I TO
1 2021 -— Weekly field activity reports 1/1/2021 12/31/2021 2 2021 - False alarm warning letters and violation notices 1/1/2021 12/31/2021 3 2021 — Stypmann hearings 1/1/2021 12/31/2021

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL TENTION APPLIED. APPROVED RECfiBfiflE
bvim 1W1)?
9D3C555COADMDZ... . Approved:

Approved:
1/21/2025 | 9:09 AM PST
Date:
(Department Head)
( Clerk)
‘ Date: M

Docusign Envelope ID: F14B752A-3417-43F4-A224-3037BB085E70

AUTHORITY TO TRANSFER INACTIVE RECORDS

AND RECORDS INVENTORY LIST - MULTIPLE BOXES IN SINGLE RECORD SERIES 1 Department:Public Safety Retention Period:2 Years
General Description
of Records:

Tow Releases
Destruction Eligibility
Date:
12/31/2023
ITEM
NO.

DESCRIPTION OF SPECIFIC RECORDS OR FILES

INCLUSIVE DATES

IN FILE
Box No.Barcode No.

FROM TO
1 2021 — Tow release documents 1/1/2021 6/30/2021 PS128 62058036 2 2021 — Tow release documents 7/1/2021 12/31/2021 PS129 62058035

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

Approved:

Approved:
p -Signed by:
9D3C555C0AD44D2...

Department Head)
Date:
1/21/2025 I 9:09 AM PST
104
Doeuslgn Envelope ID: F14B752A-3417-43F4-A224-303788085E70 AUTHORITY TO TRANSFER INACTIVE RECORDS 1

AND RECORDS INVENTORY LIST - MULTIPLE BOXES IN SINGLE RECORD SERIES 4“ “IWI
Department: Public Safety Retention Period: 2 Years
General Description Destruction Eligibility of Records: Tow Releases Date: 12/31/2023 INCLUSIVE DATES '13” DESCRIPTION OF SPECIFIC RECORDS 0R FILES IN FILE 3°“ N°' Bar°°de N°' ' FROM I TO
1 2021 — Tow release documents 1/1/2021 6/30/2021 PS128 62058036 2 2021 - Tow release documents 7/1 /2021 12/31/2021 P8129 62058035

I AUTHORIZE THE RECORDS CONTAINED HEREIN TO BE TRANSFERRED TO THE OFFSITE STORAGE FACILITY AND CITY COUNCIL APPROVED RECORDS RETENTION APPLIED.

WNW?
bum WWW», 1/21/2025 9-09 m psr macssscmouoz... Date: I
(Department Head)
‘ \
Approved: Date: [171/ fig
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docusign
Certificate Of Completion
Envelope Id: F14B752A-3417-43F4-A224-3037BB085E70
Subject: Sign with Docusign: Authority to Transfer Records - PS126.pdf, Authority to Transfer Record...

Source Envelope:

Document Pages: 3 Signatures: 3
Certificate Pages: 4 Initials: 0
AutoNav: Enabled
Envelopeld Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
Status: Completed
Envelope Originator:

City Clerk
16600 Civic Center Drive
16600 Civic Center Drive
Bellflower, CA 90706
[email protected]
IP Address:

Record Tracking
Status: Original Holder: City Clerk
1/21/2025 9:06:15 AM [email protected]
Location: DocuSign
Signer Events Signature Timestamp
Brian McNerney
[email protected]
Security Level: Email, Account Authentication
None)
Electronic Record and Signature Disclosure:

Accepted: 1/21/2025 9:09:05 AM
ID: 09517c71-91ae-41ba-8490-66d6e9fe081f
CSigned
by.
03C555G0AD44DItt
Signature Adoption: Pre -selected Style
Using IP Address:

Sent: 1/21/2025 9:07:29 AM
Viewed: 1/21/2025 9:09:05 AM
Signed: 1/21/2025 9:09:14 AM
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent
Certified Delivered
Signing Complete
Completed
Hashed/Encrypted
Security Checked
Security Checked
Security Checked
1/21/2025 9:07:29 AM
1/21/2025 9:09:05 AM
1/21/2025 9:09:14 AM
1/21/2025 9:09:14 AM
Payment Events Status
Electronic Record and Signature Disclosure
Timestamps
105
D docusign
Envelope id: F14B752A-341743F4-A224-303788085E70 Status: Completed Subject: Sign with Docusign: Authority to Transfer Records - PS126.pdf. Authority to Transfer Record...

Source Envelope:

Document Pages: 3 Signatures: 3 Envelope Originator:

Certificate Pages: 4 initials: 0 City Clerk
AutoNav: Enabled 16600 Civic Center Drive
Envelopeld Stamping: Enabled 16600 Civic Center Drive
Time Zone: (UT008200) Pacific Time (US a Canada) Beliflower. CA 90706 [email protected]
IP Address: —
Status: Original Holder: City Clerk
1/21/2025 9:06:15 AM [email protected]
Brien McNemey
[email protected] brim MW Viewed: 1/21/2025 9:09:05 AM Security Level: Email, Account Authentication ”mm“ a ”2 Signed: 1/21/2025 9:09:14 AM (None)
Signature Adoption: Pre-salected Style
Using IP Address: —
Electronic Record and Signature Disclosure:

Accepted: 1/21/2025 9:09:05 AM
ID: 09517c71-91ae-41ba-8490—66d6e9fe081f
mgtnésigmévanm
m ,éibaliVél'y EVGMS I , , 3 p2," >1 m, v «Timastamp
a :5- . TimeStamp
‘ V'Timeétamp‘
I : Timestamp 1“
Timestamp
'_ 'l’imestamp’»~
“ Time‘st'amp
3&6}, , _ . iiiéstamps *'
Envelope Sent Hashed/Encrypted 1/21/2025 9:07:29 AM
Certified Delivered Security Checked 1/21/2025 9:09:05 AM Signing Complete Secun‘ty Checked 1I21/2025 9:09:14 AM
Completed Security Checked 1/21/2025 9:09:14 AM

CITY OF BELLFLOWER
3 REQUEST FOR

AUTHORITY TO TRANSFER INACTIVE RECORDS
RECORDS OF: Public Works
Denartment)

Page 1 of 5 ends

Bellflower City CouncilFebruary 10, 2025

Bellflower City Council
February 10, 2025