CTR055531_Listing_of_Employees__Subcontractors_ES_6-21.doc
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- Attached to
- Master Agreement AZ|CTR055531
- Contract number
- CTR055531
- Issued by
- Arizona
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Text version
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: Easter Seals Blake Foundation 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. |
Marely Lievanos
| 5/1/2019 |
| 2A01357161 |
Rosa Martinez
| 10/29/2014 |
| 2A50133448 |
Tanya Tapia
| 08/07/2019 |
| IVP0518721 |
Lucrecia Mercado Dobson (subcontractor)
| 11/19/2018 |
| 2018B03074 |
Updated Date ______________
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