PSA-16-R-0012_-_Contractor_Staffing_Change_Report_-_Attachment__VI.pdf
PDF 133 KB Posted
- Attached to
- Substance Use Disorder Treatment Services Federal contract opportunity
- Solicitation number
- PSA-16-R-0012
- Issued by
- Pretrial Services Agency
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PSA-16-R-0012 - Contractor Staffing Change Report - Attachment VI
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Text version
PSA-16-R-0012
ATTACHMENT VI
CONTRACTOR STAFFING CHANGE REPORT
Contractor Staffing Change Report
Contract/Order/Call Number: ________________
Employees who left the contract in the past 60 days:
(If no employees have left the contract during this period, indicate “none in the column labeled
“last name.”)
Last Name First MI Date Separated
Employees who joined the contract in the past 60 days:
(If no employees have joined the contract during this period, indicate “none in the column labeled “last name.”)
Last Name First MI Date Separated
Manager’s Certification:
Contract Number:
Company Name: Project Manager
(Please Print):
Date:
Project Manager’s Signature Date
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