Att I - Pre-proposal Network Form.docx

This is a pre-proposal network opportunities form for RFP 26-86529 related to an ISPHN Centralized Billing Office, issued by the Indiana Department of Administration (IDOA). The form is an optional submission that allows prospective bidders to provide their company information and network participation status prior to submitting a full proposal. Companies must complete the form with their name, address, contact information, and any applicable certifications such as Minority Business Enterprise (MBE), Women Business Enterprise (WBE), or Indiana Veteran-Owned Small Business (IVOSB) designations. Submissions must be sent via email to rfp@idoa.in.gov with a specific subject line format that includes the RFP number and company name.

This form serves as a preliminary networking tool rather than a binding submission document. No pricing, contract terms, award dates, site visits, or bidder conferences are specified in this particular attachment. The form functions as an optional mechanism for interested vendors to register their participation in the procurement process and document any applicable socioeconomic certifications that may be relevant to evaluation or set-asides under the RFP.