CTR055540_Listing_of_Employees__Subcontractors.pdf
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- Attached to
- Master Agreement AZ|CTR055540
- Contract number
- CTR055540
- Issued by
- Arizona
About this file
This document is a Listing of Contractor Employees and Subcontractors form from the State of Arizona's Department of Child Safety, Office of Procurement, located in Phoenix. The form is specifically for Southwest Human Development, associated with Contract/Solicitation Number BPM003267, and requires detailed information about employees who will be engaged in direct client services.
The document lists six employees with their respective dates of birth, hire dates, and fingerprinting clearance card numbers. These employees include Emily Jimenez, Raul Solorzano, Evelyn Alvarez, Kali Dupree, Shirley Avery, and Tera Stevenson. The form is designed to track and verify the credentials of personnel working directly with clients, ensuring proper background checks and employment documentation are in place for this child safety-related contract.
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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: Southwest Human Development
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.
Emily Jimenez Oct. 20, 2014 2A05742766
Raul Solorzano Feb. 1, 2021 2A02092237
Evelyn Alvarez June 22, 2020 2A50421211
Kali Dupree July 12, 2021 2A01515664
Shirley Avery Aug. 20, 2007 2019J08860
Tera Stevenson Nov. 11, 2011 2019A03092
Updated Date ______________
File details come from the government source that posted it. Updated .