ICHD_FC_List_Employees__Subcontractors_6.14.21.doc
DOC document 66 KB Posted
- Attached to
- Master Agreement AZ|CTR055539
- Contract number
- CTR055539
- Issued by
- Arizona
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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: Intermountain Centers for Human Development, Inc.
Contract / Solicitation Number: Family Connections CTR055539 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. |
Christine Spina
| 11/9/2020 |
| 2020C05380 |
Christian Carter
| 5/10/2021 |
| 2020G02510 |
Tracey Kolodzie
| 1/4/2021 |
| 3101021557 |
Connie Mixer
| 2/1/1964 |
| 2018C08275 |
Amber Ness
| 11/23/2020 |
| 2020B01612 |
Suzanne Skotheim
| 01/26/2015 |
| 2A01477149 |
Christina Griffin
| 2/18/2020 |
| 2A0130910 |
Jacqueline Serrano
| 8/17/2020 |
| 2021S0348 |
Jessica Santoyo
| 7/8/2019 |
| 2020C08252 |
Mike Soto
| 12/28/2015 |
| 2201002522 |
Courtney Starkey
| 5/11/2020 |
| 2019H10510 |
Alyssa Matus
| 6/7/2021 |
| 4A01152808 |
Updated Date ______________
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