CTR056423_Listing_of_Employees__Subcontractors.pdf
PDF 140 KB Posted
- Attached to
- Master Agreement AZ|CTR056423
- Contract number
- CTR056423
- 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 specifically related to a contract (CTR056423/BPM003267) with JFCS of Southern Arizona, detailing personnel who will be engaged in direct client services.
The form lists six employees with their respective dates of birth, dates of hire, and fingerprinting clearance card numbers. These employees - Melanie Dowler, Rosalinda Flores, Nicholas Kang, Clasahem Lara, Claressa Phillips, and Phallon Williams - are presumably contracted to provide services for the Arizona Department of Child Safety. The document appears to be a standard compliance document ensuring that all personnel working directly with clients have been properly vetted and have obtained the necessary clearance documentation.
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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: JFCS of Southern Arizona
Contract / Solicitation Number: CTR056423/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.
Melanie Dowler 12/04/2019 2A05157484
Rosalinda Flores 03/09/2020 2A05650047
Nicholas Kang 03/04/2019 2020G03459
Clasahem Lara 09/16/2019 2A50222559
Claressa Phillips 02/10/2020 2021S00577
Phallon Williams 03/06/2018 2019E10139
Updated Date ______________
File details come from the government source that posted it. Updated .