CTR055551_Listing_of_Employees__Subcontractors_6-11-21.pdf

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Attached to
Master Agreement AZ|CTR055551
Contract number
CTR055551
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 pertains to Family Focused Services, LLC, under Contract/Solicitation Number CTR05551. The form requires the contractor to list all employees and subcontractors who will be engaged in direct client services, including their names, dates of birth, dates of hire, and fingerprinting clearance card numbers.

The document lists 10 employees with hire dates primarily in 2018 and early 2019, including Andrea Arvin, Nina Camacho, Laura Castorena, Julie Cheetham, Maegan Cronin, Toni Lira, Laura Ormeroid, Lee Ann Pinkerton, Kristine Romero, and Donna Salazar. Each employee has been assigned a unique fingerprinting clearance card number, which is a standard requirement for personnel working in child safety services. The form provides space for future updates, suggesting it is a dynamic document that can be modified as the contractor's staff changes.

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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: Family Focused Services, LLC

Contract / Solicitation Number: CTR05551

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.

Andrea Arvin 12/21/18 2A01666178

Nina Camacho 02/11/19 2018C05581

Laura Castorena 11/26/18 2A01015752

Julie Cheetham 06/01/18 2A01090535

Maegan Cronin 06/01/18 2A04157228

Toni Lira 06/24/19 2A21861037

Laura Ormeroid 06/01/18 2A01345096

Lee Ann Pinkerton 10/15/86 2A01819780

Kristine Romero 01/28/19 2019508829

Donna Salazar 06/01/18 2A2109934

Updated Date ______________

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