Addiction Awareness OSCA 11-036 response - REDACTED.pdf

EXHTBIT A
PRIOR EXPERIENCE
The offeror should copy and complete this form for each reference being submitted as demonstration of
the offeror and subcontractor's prior experience. In addition, the offeror is advised that if the contact
person listed for the reference is unable to be reached during the evaJu8tion, the listed experience may not
be considered.
Offeror Name or Subcontractor Name! Addiction Awareness LLC
Reference Information (prior Services Performed For:)
Name of Reference
Company:
Buchanan COUDty Prosecutor's office
Address of Reference
Company:
./ Street Address
./ City, State, Zip 411 Jules Room 132
Buchanan County Courthouse
SI. Joseph, MO 64501
Reference Contact Person
Information:
Dwight Scroggins
./ Name
./ Phone # (816) 271 -1412
./ E-mail Address
Dates of Prior Services: Provided Drug Court Substance Abuse Treatment Services since July 1, 2009
Provided Domestic Violence Court Treatment Services since June of2007
Dollar Value of Prior
Services:
Description of Prior
Services Performed:
Drug Court Contract is split with another provider. Domestic Violence Court is
paid for by the participants.
Substance Abuse Outpatient Services
Domestic Violence Counseling and Education Services.
As the contact person for the reference provided above, my signature below verifies that the tnformatlOn
presented on this form ;s accurate. I am available for contact by OSCA for additional discussions
regardin ompa, y ' ociation with the offeror referenced above:
.J;ltai!s{gnature