Agency Schedule Detail

Authorization Number : 17701662

Agency Series No. : PERMIT-11

Status : Active

Agency Web Link :

Agency : DOT

Confidential Description :

Division : DOT0022

Vital Description :

Section : DOT00220514

Record Title : Contractual Endorsement for Liability Insurance

Revision : 2

Record Description : This form is completed and signed by the insurance company/agent with a 30-day cancellation clause, to include the minimum amounts of insurance, policy numbers and effective dates. This form guarantees the State of Ohio will be reimbursed for any damages that may occur during any permitted move.

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain paper documents for two years after expired or cancelled or until scanned, then destroy.		Paper	Recycle
Retain scanned images for two years after expired or cancelled, then delete.		Electronic	Delete

Approvals

Status	Name	Title	Date
Approved	Jenny Gams	Records Officer	5/29/2019 10:39:00 AM
Approved	Terri Dittmar	Record Administrator	5/30/2019 9:19:00 AM
Approved	Fred Previts	State Archivist	5/30/2019 1:17:00 PM

Notes

Date	Reason	User