Att A1 - INSBP Commitment Form - rtp.docx
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- Solicitation number
- 27-88516
- Issued by
- Marion County, Indiana
About this file
This is an Indiana Small Business Program (INSBP) Subcontractor Commitment Form for RFP 27-88516, Statewide Pharmacy Services for the Indiana Department of Correction, administered by the Indiana Department of Administration (IDOA). The form requires respondents to identify and document proposed INSBP subcontractors that will participate in the contract performance. Respondents must provide comprehensive information for each subcontractor, including a description of products or services to be delivered, the manner of service delivery, specific deliverables, applicable UNSPSC codes, and the subcontract dollar amount and percentage of the total proposal. Each proposed subcontractor must be certified by the State of Indiana on or before the proposal due date and must submit a signed Letter of Commitment on official letterhead acknowledging the subcontracted amount, percentage, services to be provided, and anticipated performance dates.
A contract goal of 10% for Indiana Small Businesses has been established for this solicitation. All proposed subcontractors must meet defined criteria, including current listing on the State of Indiana Certified INSBP list, possession of a Bidder ID, and provision of a Valuable Scope Contribution (VSC) directly related to contract requirements and consistent with the subcontractor's certified industry areas. If awarded the contract with INSBP participation, the contractor must report monthly payments made to IDOA certified subcontractors using the online "Pay Audit" system and submit copies of all subcontractor agreements to IDOA within thirty days of the contract effective date. Failure to meet these reporting and documentation requirements may be considered a material breach of contract and result in sanctions. Prime contractors who are themselves INSBP certified entities may count their own workforce or companies toward meeting the 10% goal.
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Indiana Small Business Program RFP Subcontractor Commitment Form RFP 27-88516 Statewide Pharmacy Services for Indiana Dept of Correction Attachment A1
1.0 Introduction
It has been determined that there is a reasonable expectation of Indiana Small Business Program (INSBP) subcontracting opportunities on a contract awarded under this solicitation. Therefore, a contract goal of 10% for Indiana Small Businesses has been established.
Respondents proposing INSBP participation must submit this form, Attachment A1, and ensure all information submitted is complete, accurate, and compliant with governing State requirements. This Attachment sets forth the requirements and conditions for participation and must be submitted only when INSBP participation is proposed by the Respondent. The State will not follow up with the Respondent if the subcontracting opportunities are not submitted.
1.1 Certification of Accuracy and Agreement to Conditions
Submission of this Attachment signifies the Respondent’s certification that all information contained herein is accurate, complete, and compliant with all applicable statutes, regulations, and program requirements. By submission of the Proposal, the Respondent acknowledges and agrees to be bound by the rules and requirements of the State’s Indiana Small Business Program.
1.2 Contact Information
Questions involving the regulations governing the Subcontractor Commitment Form should be directed to: Indiana Department of Administration (IDOA) at (317) 232-3061, IDOAISB@idoa.in.gov, or the IDOA website at https://www.in.gov/idoa/. Any changes to this information during the term of the contract must be approved by IDOA.
2.0 Requirements for Participation
Respondents must supply all information requested within this Attachment for each proposed subcontractor, including a description of the products or services to be provided, the manner in which such services will be delivered and utilized, the specific deliverables to be furnished, the certified UNSPSC code(s) applicable to the subcontractor’s role, and the subcontract dollar amount and percentage of the total proposal. The Attachment must be completed in full. Missing or incomplete information may affect the determination of INSBP participation and associated evaluation scoring. See Section 3.2.6 of the RFP Main Document for scoring formulas and bonus point criteria.
All proposed subcontractors must be properly certified by the State of Indiana on or before the proposal due date.
A Prime Contractor who is a certified Indiana Small Business can count their own workforce or companies to meet this requirement. The INSBP respondent must list their company contact information only on the Subcontractor Commitment Form. The INSBP Respondent will receive the total points, and the bonus point, for the INSBP evaluation criteria.
2.1 Subcontractor Letter of Commitment
A signed Subcontractor Letter of Commitment, prepared on the subcontractor’s official letterhead, must accompany this Attachment for each proposed INSBP firm. Each letter shall state and will serve as acknowledgement from the firm of the subcontracted amount and percentage, describe the products and/or services to be provided on this project, and identify the anticipated date or period of performance. If the Respondent to the solicitation is an INSBP certified entity, the letter submitted with their response must confirm as much. For scoring purposes only, the INSBP subcontractor amount and subcontractor percentage is based on the initial term of the contract. However, the subcontractor commitment shall apply to the life of the contract including any time after the initial term.
The Total Bid Amount reported in this Attachment must correspond exactly to the Total Bid Amount submitted in Attachment D – Cost Proposal. The State may deny evaluation points if the letter(s) is/are not attached, not on company letterhead, not signed and/or does not reference and match the subcontract amount, the subcontract amount as a percentage of the Total Bid Amount, and the anticipated period that the Subcontractor will perform work for this solicitation.
2.2 Valuable Scope Contribution (VSC)
Proposed INSBP subcontractors must provide a Valuable Scope Contribution directly related to the requirements of this solicitation and consistent with the industry areas for which the subcontractor is certified. Participation must represent a value‑added contribution to the project. Activities that do not directly support the scope of work are not sufficient to qualify as INSBP contribution for purpose of evaluation.
2.3 Payment Reporting and Subcontractor Agreements
If awarded the contract with INSBP Subcontractor participation, the Respondent will be required to report payments made to IDOA certified Subcontractors under the Contract monthly using the online audit tool, commonly referred to as “Pay Audit.” The Contractor should also notify Subcontractors that they must confirm payments received from Contractor in Pay Audit. The Pay Audit system can be accessed at https://www.in.gov/idoa/.
Further, a copy of each Subcontractor agreement must be submitted to IDOA within thirty (30) days of the effective date of this contract. The contracts may be uploaded into Pay Audit, emailed to IDOAISB@idoa.in.gov or mailed to IDOA at 402 W. Washington Street, Indianapolis IN 46204. Failure to provide a copy of any Subcontractor agreement or failure to meet these commitments could be considered a material breach of this contract and result in sanctions per 25 IAC 5.
3.0 Summary of Subcontractor Criteria
It is the responsibility of the Prime Contractor to ensure that each proposed INSBP subcontractor meets the following criteria.
· Must be listed on State of Indiana Certified INSBP list on or before the proposal due date.
· Prime Contractor must include with their proposal the subcontractor’s INSBP Certification Letter provided by IDOA to show current status of certification.
· INSBP must have a Bidder ID.
· A Prime Contractor who is an INSPB can count their own workforce or companies to meet this requirement.
· Must serve a Valuable Scope Contribution (VSC). The firm must serve a value-added purpose on the engagement, as confirmed by the State.
State of Indiana INSBP Subcontractor Form
RFP#: 27-88516 Statewide Pharmacy Services for Indiana Department of Correction
TOTAL BID AMOUNT: Click or tap here to enter text.
Company Name: Click or tap here to enter text.
Contact Person: Click or tap here to enter text.
Email: Click or tap here to enter text.
Address: Click or tap here to enter text.
Telephone Number: Click or tap here to enter text.
Describe service/product to be provided and how this is a Valuable Scope Contribution of the Contract.
Include the applicable UNSPSC that applies to this commitment: Click or tap here to enter text.
Subcontract Amount: Click or tap here to enter text.
Subcontract Percentage of Total Bid: Click or tap here to enter text.
Provide approximate dates when Subcontractor will perform on this project: Click or tap here to enter text.
Company Name: Click or tap here to enter text.
Contact Person: Click or tap here to enter text.
Email: Click or tap here to enter text.
Address: Click or tap here to enter text.
Telephone Number: Click or tap here to enter text.
Describe service/product to be provided and how this is a Valuable Scope Contribution of the Contract.
Subcontract Amount: Click or tap here to enter text.
Subcontract Percentage of Total Bid: Click or tap here to enter text.
Provide approximate dates when Subcontractor will perform on this project: Click or tap here to enter text.
☐ Please check if additional forms are attached.
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State of Indiana INSBP Subcontractor Form
RFP#: Click or tap here to enter text.
TOTAL BID AMOUNT: Click or tap here to enter text.
Company Name: Click or tap here to enter text.
Contact Person: Click or tap here to enter text.
Email: Click or tap here to enter text.
Address: Click or tap here to enter text.
Telephone Number: Click or tap here to enter text.
Describe service/product to be provided and how this is a Valuable Scope Contribution of the Contract.
Subcontract Amount: Click or tap here to enter text.
Subcontract Percentage of Total Bid: Click or tap here to enter text.
Provide approximate dates when Subcontractor will perform on this project: Click or tap here to enter text.
Click or tap here to enter text.
Click or tap here to enter text.
Respondent Firm Click or tap here to enter text.
Telephone Number Click or tap here to enter text.
Address
Fax Number
Click or tap here to enter text.
Click or tap here to enter text.
City/State/Zip Code Click or tap here to enter text.
Email Address
Representative Click or tap here to enter text.
Authorizing Signature Click or tap here to enter text.
Date
Printed Name and Title
☐ Please check if additional forms are attached.
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FORM MUST BE COMPLETED IN ITS ENTIRETY WITH COMPLETED LETTERS OF COMMITMENT.
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