CTR055548_Employee_Listing.pdf

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Attached to
Master Agreement AZ|CTR055548
Contract number
CTR055548
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 document is associated with Pilgrim Rest Foundation Inc. and is linked to Contract/Solicitation Number BPM003267/CTR055548. The form requires the contractor to provide detailed information about employees and subcontractors who will be engaged in direct client services.

The document lists seven individuals who are part of the Pilgrim Rest Foundation Inc. team, including two individuals with doctoral titles (Dr. Carlian Dawson and Dr. Patricia Neff) and five other employees. Each listing includes the employee's name, hire date, and fingerprinting clearance card number. Most employees were hired on 7/1/2021, with one (Jennifer Sandate) hired on 3/1/2021. The form is designed to ensure that all personnel working directly with clients have been properly vetted and have the necessary clearance to work in child safety services. The document provides a template for tracking and updating employee information for this specific contract with 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: Pilgrim Rest Foundation Inc.

Contract / Solicitation Number: BPM003267/CTR055548

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.

Dr. Carlian Dawson 7/1/2021 2A01428334

Dr. Patricia Neff 7/1/2007 2A01968132

Anna Bustard 7/1/2021 2A01101934

Glenda Dees 7/1/2021 2019804426

Aurora Ochoa 7/1/2021 2A02148275

Jennifer Sandate 3/1/2021 2018A05068

Hesma Stephens 7/1/2021 2019501763

Updated Date ______________

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