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RICK SCOTT KEN DETZNER
Governor Secretary of State
November 2, 2015
Ms. Susy Pita
City of Sanford Firefighters'Pension Board
21629 Stirling Pass
Leesburg, FL 34748
Dear Ms. Pita:
As a Florida public agency, you are required by Rule 1B-24.003(11),Florida Administrative Code, to
submit annually to the Division of Library and Information Services "a signed statement attesting to the
agency's compliance with records disposition laws,rules, and procedures." Based on these annual
statements, an annual report on statewide compliance is submitted to the Legislature and the Executive
Office of the Governor for their consideration and action.
For your convenience, we are providing the enclosed Records Management Compliance Statement to
report your agency's compliance status. Please complete all information in Section I, the Compliance
Certification, and make any necessary additions or corrections in Sections II and III. Please return one
signed copy of the form (do not return this letter) to the mailing address or email address indicated at
the bottom of the form by December 31,2015.
We appreciate your prompt attention to this matter. If we can be of service to your agency, please do not
hesitate to contact us at 850.245.6750 or recmgt@dos.myflorida.com.
Sincerely,
Gerard J. Clark, Bureau Chief, Archives and Records Management
Division of Library and Information Services
GJC/eg
Enclosure
Division of Library and Information Services
R.A. Gray Building • 500 South Bronough Street* Tallahassee, Florida 32399
wi� 850.245.6600 • 850.245.6735 (Fax) info.florida.gov i
VIVA 110PIOA. Promoting Florida's History and Culture VivaFlorida.org n
RECORDS MANAGEMENT COMPLIANCE STATEMENT
Fiscal Year 2014-2015
AgencylD: N0001869
1. This agency is in compliance with Section 257.36(5), Florida Statutes,' and Rule 1B-24.003(9), Florida
Administrative Code,2 for all public records regardless of medium or format(e.g., paper; electronic, including
email; microfilm; audio;video;etc.).
o es ❑ No(Unmarked responses will be recorded as not in compliance.)
2. This agency disposed of cubic feet of records during the fiscal year indicated above.
— 3. This agency disposed of records in electronic form during the fiscal year indicated above.
= a�
o V ❑Yes No(It is not necessary to indicate volume of electronic records disposed.)
0 U 4. ❑ Check here if you would like to be contacted for assistance. Indicate your questions/areas of concern on
U) r the reverse side of this form.
0- Agency Head Signature: T Date: 111`-1 11-5
E
0
v Name of Agency Head(please print): c H Fit+a—
Title of Agency Head(please print): ���Ad cF✓�
c Please indicate changes to Agency Information on the lines provided on the right.
Current Information:
E Please do not erase or cover information below. Indicate changes or additions on the lines below.
0 L-
,� Agency Name: City of Sanford Firefighters'Pension Board
V �
v Agency Head: Ms.Susy Pita
_
W Address: 21629 Stirling Pass
Q Leesburg,Florida 34748-
Section 257.36(5)(a),Florida Statutes,' requires public agencies to designate a Records Management Liaison Officer
(RMLO). Please indicate changes to RMLO Information on the lines provided on the right. If Current Information is blank,
= please designate an RMLO for your agency on the lines provided on the right.
c Current Information:
E Please do not erase or cover information below. Indicate changes or additions on the lines below.
C ,0 RMLO: Ms.Susy Pita
v �
N p Address: 21629 Stirling Pass
Leesburg, FL 34748
Phone: (352)787-9795 Ext.:
Email: susypita @comcast.net
'Section 257.36(5),Florida Statutes:"For the purposes of this section,the term'agency'shall mean any state,county,district,or municipal officer,department,division,
bureau,board,commission,or other separate unit of government created or established by law.It is the duty of each agency to:(a)Cooperate with the division in complying
with the provisions of this chapter and designate a records management liaison officer.(b)Establish and maintain an active and continuing program for the economical and
efficient management of records."
2Rule 1B-24.003(9),Florida Administrative Code:"Public records may be destroyed or otherwise disposed of only in accordance with retention schedules established by
the Division.Photographic reproductions or reproductions through electronic recordkeeping systems may substitute for the original or paper copy,per Section 92.29,F.S.,
Photographic or electronic copies.... Prior to records disposition,agencies must ensure that all retention requirements have been satisfied.For each record series being
disposed of,agencies shall identify and document the following:1.Records retention schedule number;2.Item number;3.Record series title;4.Inclusive dates of the
records;5.Volume in cubic feet for paper records;for electronic records,record the number of bytes and/or records and/or files if known,or indicate that the disposed
records were in electronic form;and 6.Disposition action(manner of disposition)and date."
Please complete and return this compliance statement by December 31, 2015(submit one copy only, please)to:
Department of State
Records Management Program, Mail Station 9E OR recmgt @dos.myflorida.com
Tallahassee, FL 32399-0250