2-Employees and Subcontractos - PTS_Redacted.pdf
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- Attached to
- Master Agreement AZ|CTR077251
- Contract number
- CTR077251
- Issued by
- Arizona
About this file
This document is an Offer Forms Request for Proposal (Solicitation No. BPM006769) issued by the State of Arizona Department of Child Safety, Office of Procurement & Contracts, located in Phoenix, Arizona. The specific attachment (2-D) is a Listing of Employees and Subcontractors form for a Parenting Time Services contract.
The document provides a detailed table listing employees and subcontractors who will be engaged in direct client services, including their names, dates of hire, and fingerprinting clearance card numbers. The list contains 16 individuals with various hire dates ranging from 2014 to 2025, each with a unique fingerprinting clearance card number. The form is part of a solicitation process for parenting time services, requiring comprehensive background and employment verification for personnel who will be directly involved in client services.
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Text version
Offer Forms Request for Proposal
Solicitation No. BPM006769 Parenting Time Services
State of Arizona Department of Child Safety
Office of Procurement & Contracts 3003 N. Central Avenue, 20th Floor
Phoenix, AZ 85012
Solicitation Instructions Part 2
SECTION 2-D: Offer Forms, Attachment 2-E
A v a i l a b l e o n l i n e a t : A P P . A Z . g o v
Attachment 2-D Listing of Employees and Subcontractors
Please provide information in the table below for all employees and subcontractors who will be engaged in direct client services under this contract. List the names, date of birth, date of hire, and fingerprinting clearance card number (put pending if card not obtained yet).
Employee/Subcontractor Name
Date of Birth Date of Hire Fingerprinting Clearance Card No.
End of Attachment 2-D
Christi Chalmers 1/24/2024 2018G07627
Trumell Smiley 6/15/2022 2023K14107
Tessa Northcraft
Jennifer Riecke 1/15/2025
11/13/2024
Jenet Piggott 7/16/2024
Hope Skief 12/2/2024
Tia Sok-Lopez 11/13/2023
Askia Muhammad 7/17/2024
Regina Encinas 6/3/2014
Emily Beltran 12/1/2023
Raven Bradley 10/26/2024
Doeminique Contreras 6/26/2014
Andrew Jonda 11/10/2021
Inga Slade 4/9/2021
Alina Stanciou 4/5/2024
Sanchez Smith 7/17/2015
Bianka Modesto-Millan 9/13/2024
2021P09976
2022G16769
2019H12773
2020F11319
2023E11060
2023H07363
2024K00783
2024P03949
2024J06491
2021H11113
2022S00742
2022H05098
2018A07520
2020H08782
2019H04588
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