CDLN_-_Listing_of_Employees__Subcontractors_Standard.doc

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Master Agreement AZ|CTR055525
Contract number
CTR055525
Issued by
Arizona

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LISTING OF CONTRACTOR EMPLOYEES

AND SUBCONTRACTORS

State of Arizona

Department of Child Safety

Office of Procurement

3003 N. Central Ave Phoenix, AZ 85012

Contractor Name: Casa de los Ninos Contract / Solicitation Number: BPM003267 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.

Jane Ramirez

11/13/2018
2A05204871

Jolene Castillo

09/11/2017
4A01088352

Angela Martinez

02/26/2018
2A01368892

Kristen Wagstaff

12/07/2020
2020K01584

Ashley Rocha

08/31/2020
2A05758445

Marisa Zuniga

02/26/2018
2A05660381

Anna “Sophie” Santa Cruz

10/22/2018
2A05757448

Sarah Carmello

05/29/2018
2019R08264

Marie Deuschle-Sanchez

03/04/2019
2018E11912

Maria Lopez

07/22/2019
2019G04455

Deanna White

12/07/2020
2020A02582

Loveta Hearn

09/22/2008
2018G02670

Denise Carbajal

02/26/2018
2A01220089

Updated Date ______________

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