Attachment 1.docx

This is an Experience Verification Form used to document a contractor's and any subcontractors' current or prior experience relevant to services required under a state and local contract opportunity. The form requires vendors to provide comprehensive information about their previous work experience, including the name and contact details of companies or clients they have served, specific dates of service, reasons for contract termination if applicable, dollar values of services rendered, and detailed descriptions of services performed. The vendor must ensure that the contact person listed for verification purposes remains available during the evaluation period, as failure to reach this individual may result in the listed experience not being considered for evaluation.

The form serves as a compliance verification tool for minimum experience requirements and does not establish pricing terms, set-asides, or funding allocations. It is designed to validate the qualifications and track record of bidders prior to award determination. The form requires vendors to supply complete contact information for each relevant project reference, enabling evaluators to independently verify claimed experience and service delivery capabilities.