CTR077264_Listing_of_Employees___Subcontractors_Redacted.pdf

102 KB Posted

Attached to
Master Agreement AZ|CTR077264
Contract number
CTR077264
Issued by
Arizona

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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, specifically for MIH Ventures LLC dba Echelon Services under Contract/Solicitation Number CTR077264. The document provides a comprehensive roster of employees who will be engaged in direct client services, including their names, dates of hire, and fingerprinting clearance card numbers.

The form lists 18 employees with varying hire dates ranging from September 2021 to August 2023, all of whom have been assigned unique fingerprinting clearance card numbers. While the specific scope of services is not detailed in this document, the context suggests these employees are involved in child safety-related services. The document serves as an official record for the Arizona Department of Child Safety to track and verify the credentials of contractor personnel who will be working in direct client service roles.

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2-Attachment 2C Facility Location and Staffing Chart.pdf PDF
2-Attachment 3A Method of Approach.pdf PDF
2-Attachment 3B Key Personnel.pdf PDF
2-Attachment 5A confidential Information designation.pdf PDF
CTR077264_Boycott_of_Israel_Disclosure.pdf PDF
CTR077264_PTS_Executed_Contract.pdf PDF
2-Attachment 3E Forced Labor of Ethnic Uyghurs Ban.pdf PDF
2-Attachment 5B Conformance Statements.pdf PDF
2-Attachment 2A Organizational Profile.pdf PDF
2-Attachment 2D Listing of Employees and Subcontractors_Redacted.pdf PDF
2-Attachment 4 Statewide Coverage.pdf PDF
2-Attachment 2B Offerors Experience and Capacity.pdf PDF
2-Attachment 2E Experience and References.pdf PDF
2-Attachment 3C Proposed Subcontractors.pdf PDF
2-Attachment 3D Boycott of Israel Disclosure.pdf PDF
CTR077264_Amendment_1_Text_Errors_NCNS_Rate_Request.pdf PDF
CTR077264_Business_Associate_Agreement_with_HITECH.pdf PDF
CTR077264_Certificate_of_Insurance.pdf PDF
MIH_BAFO.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: MIH Ventures LLC dba Echelon Services

Contract / Solicitation Number: CTR077264

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.

Christina Smith 2021H11705

Ebtehal Moses 12/6/22 2023S09366

Abrea Thomas 12/6/22 2018F04379

Kennedy Sacha 9/14/2021 2020R04418

Evangeline Atterberry 9/14/2021 2022R06080

Kimberly Perez 11/15/2021 2020P08532

Brittney Rockwell 11/23/2021 2023F00769

Joey Aminov 7/18/2022 2022H08816

Jessica Phillips 7/20/2022 2022G11741

LaRue Randolph 3/8/2023 2023S03296

Nancy Jiminez 4/21/2023 2023S04233

Andrea Rocha 7/24/2023 2019P10412

Mari Badart 7/24/2023 2021P07239

Margo Moore 8/2/2023 2018G07776

Julie Donald 8/2/2023 2022F00365

Jessica Cortez 8/2/2023 2702094617

Aimee Gonzales 8/2/2023 2022E03672

Kalisha Fannin 9/14/2021 2020C00142

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 ______________

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