CTR077259_Listing_of_Employees___Subcontractors_Redacted.pdf

66 KB Posted

Attached to
Master Agreement AZ|CTR077259
Contract number
CTR077259
Issued by
Arizona

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Written by GovTribe AI ·

This document is a "Listing of Contractor Employees and Subcontractors" form from the State of Arizona's Department of Child Safety, Office of Procurement & Contracts, located in Phoenix, Arizona. The document pertains to a specific contract (Solicitation Number BPM006769) with Happy Home Living LLC, which appears to be a service provider for child safety-related services.

The form lists eight employees/subcontractors who will be engaged in direct client services, providing their names, dates of birth, dates of hire, and fingerprinting clearance card numbers. Most employees have hire dates of 03/01/25, with two having a hire date of 05/01/25. One employee, Mya Fields, has a fingerprinting clearance status marked as "Pending". The document is dated for update on 06/09/2025, suggesting it is a forward-looking workforce roster for a upcoming contract period with the Arizona Department of Child Safety.

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Other files

File Type Posted
2-Attachment 3-C Proposed Subcontractors.pdf PDF
2-Attachment 4 Statewide Coverage.pdf PDF
2-Attachment 5-A Confidential Information Designation.pdf PDF
Amended Attachment 4 Statewide Coverage update.pdf PDF
Attachment_3-A_Method_of_Approach.pdf PDF
CTR077259_Certificate_of_Insurance.pdf PDF
2-Attachment 2-B Offerors Experience and Capacity.pdf PDF
2-Attachment 2-E Experience and References.pdf PDF
2-Attachment 3-A Method of Approach.pdf PDF
2-Attachment 3-D Boycott of Israel Disclosure.pdf PDF
2-Attachment 5-B Conformance Statements.pdf PDF
Attachment 3-E Forced Labor of Ethnic Uyghurs Ban Updated.pdf PDF
CTR077259_Business_Associate_Agreement_with_HITECH_HHL.pdf PDF
2-Attachment 2-A Organization Profile.pdf PDF
2-Attachment 3-B Key Personnel Proposal.pdf PDF
CTR077259_Boycott_of_Israel_Disclosure.pdf PDF
2-Attachment 2-C Facility Location and Staffing Chart.pdf PDF
2-Attachment 2-D Listing of Employees and Subcontractors_Redacted.pdf PDF
Attachment_2-E_Experience_and_References.pdf PDF
CTR077259_Amendment_1_Text_Errors_NCNS_Rate_Request.pdf PDF
CTR077259_PTS_Executed_Contract.pdf PDF
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LISTING OF CONTRACTOR EMPLOYEES

AND SUBCONTRACTORS

State of Arizona Department of Child Safety

Office of Procurement & Contracts 3003 N. Central Avenue, 20th Floor

Phoenix, AZ 85012

Contractor Name: Happy Home Living LLC

Contract / Solicitation Number: BPM006769

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.

James Fields 03/01/25 2024R04197

Gloria Fields 03/01/25 2024E10569

Shalin Miller 03/01/25 2024F09487

David Bostice 03/01/25 2020C00349

Darrin Latson 03/01/25 2020A04039

Mya Fields 03/01/25 Pending

Okosa Demaih 05/01/25 2019R06402

Jarhonda Burton 05/01/25 2025S06179

LISTING OF CONTRACTOR EMPLOYEES

AND SUBCONTRACTORS

State of Arizona Department of Child Safety

Office of Procurement & Contracts 3003 N. Central Avenue, 20th Floor

Phoenix, AZ 85012

Updated Date __06/09/2025____________

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