Listing_of_Employees___Subcontractors_FSA.pdf

PDF 95 KB Posted

Attached to
Master Agreement AZ|CTR055542
Contract number
CTR055542
Issued by
Arizona

About this file

This document is a "Listing of Contractor Employees and Subcontractors" form issued by the State of Arizona's Department of Child Safety, Office of Procurement, located in Phoenix. The document is associated with Family Service Aides, a contractor with contract/solicitation number CTR055542 / BPM003267. The form requires the listing of 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 form lists five employees/subcontractors: Claudia Bonne-Annee, Kami O'Connell, Korey M Chantawari, Colleen Bruffy, and Jessica Diaz. Most of these individuals have already obtained their fingerprinting clearance cards, with one (Kami O'Connell) still having a pending status. The document was updated on 06/10/21 and appears to be a standard compliance document ensuring that all personnel working directly with clients have appropriate clearance and background checks for a child safety-related contract.

View the file

Other files

Show all 19

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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 Service Aides

Contract / Solicitation Number: CTR055542 / 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.

Claudia Bonne-Annee 1/3/2017 2018B04967

Kami O’ Connell 06/09/21 Pending

Korey M Chantawari 06/28/21 2019K01410

Colleen Bruffy 8/31/20 2019F11617

Jessica Diaz 1/27/21 2019R02140

Updated Date ______06/10/21________

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