CTR055533_Listing_of_Employees___Subcontractors_RISE.pdf

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Attached to
Master Agreement AZ|CTR071086
Contract number
CTR071086
Issued by
Arizona

About this file

This document is a "Listing of Contractor Employees and Subcontractors" form issued by the State of Arizona's Department of Child Safety, Office of Procurement, located in Phoenix, Arizona. The document is specific to RISE Arizona Family Services LLC, associated with Contract/Solicitation Number CTR055533. The form requires the contractor to list all employees and subcontractors who will be engaged in direct client services under the contract.

The listing includes 10 employees with their respective dates of birth, dates of hire, and fingerprinting clearance card numbers. The employees include Kara Maynes, Melissa Looney, Caitlin Humphryes, Jessica Marler, Jarion Brown, Latrice Jackson-Anderson, Tiyana Taumanu, Carmen Embry, Rosa Mabior, and Ayesha Ismail. Hire dates range from July 2018 to March 2021, and each employee has a unique fingerprinting clearance card number, which is a requirement for working in direct client services within the Arizona Department of Child Safety.

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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: RISE Arizona Family Services LLC

Contract / Solicitation Number: CTR055533

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.

Kara Maynes 07/09/2018 4A01031480

Melissa Looney 08/19/2019 2A50179899

Caitlin Humphryes

9/13/2019

2A05751132

Jessica Marler 7/9/2018

2018G05967

Jarion Brown 8/11/2020

2A50207506

Latrice Jackson-Anderson 7/20/2020

2020G07450

Tiyana Taumanu 2/17/2020

2A50054447

Carmen Embry 3/8/2021

2A01369573

Rosa Mabior 3/1/2021

2A05916489

Ayesha Ismail 12/1/2020

2018F00334

LISTING OF CONTRACTOR EMPLOYEES

AND SUBCONTRACTORS

State of Arizona Department of Child Safety

Office of Procurement 3003 N. Central Ave Phoenix, AZ 85012

Updated Date ______________

File details come from the government source that posted it. Updated .