SAGE_Counseling_Listing_of_Employees_Subcontractors__July_2021_.doc

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Attached to
Master Agreement AZ|CTR055537
Contract number
CTR055537
Issued by
Arizona

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This document is a Listing of Contractor Employees and Subcontractors for SAGE Counseling, associated with the State of Arizona Department of Child Safety's Office of Procurement, specifically for contract CTR055537. The document provides a detailed roster of employees and subcontractors who will be engaged in direct client services, including their personal identifiers such as names and dates of hire.

The listing comprises 16 individual employees/subcontractors, each with a unique Arizona Fingerprinting Clearance Card number, indicating they have undergone background screening for child safety-related work. The document is dated 6/9/21 and serves as an official record of personnel authorized to provide services under the state contract. While specific service details are not elaborated, the context suggests these individuals are likely involved in counseling or child welfare services for the Arizona Department of Child Safety.

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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: SAGE Counseling Contract / Solicitation Number: CTR055537 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.

Marjorie Rodriguez

7/24/2017
2A50279965

Amy Carden

4/26/2013
2A05674260

Natalie Munoz

10/3/2018
2018C03243

Arlene Baez

1/22/2019
2019S08639

Leslie Collier

9/10/2019
2018C05189

Monica Adams

11/17/2016
2019H05313

Alyssa Martinez

5/25/2018
2A50238220

Wendell Hairston

3/26/2019
2020H08313

Kalli Lee

5/18/2016
2A50212900

Jasmine Ponce

10/26/2018
2A50472299

Regina Lopez

1/3/2017
2018C10640

Breanna Lerma

10/29/2015
2A50269572

Lucia Tripp

3/4/2020
2020E00182

Tatiana Madrid

9/15/2015
2122015284

Susana Velazco

3/10/2017
2018E11819

Alicia Maciejewski

12/14/2020
2019K11697

Veronica Encinas

1/4/2021
4A01138877

Robin Nunn

6/11/2018
2A01067951

Updated Date _____6/9/21_________

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