Att I - Pre-proposal Network Form.docx

This is a pre-proposal network opportunities form attachment for Request for Proposal 26-84336 related to pharmacy management services issued by the Indiana Department of Administration (IDOA). The form is optional and designed to gather preliminary information from potential bidders interested in participating in the pharmacy management contract opportunity. Companies are required to complete specified fields including company name, minority business enterprise (MBE), women business enterprise (WBE), or Indiana Veteran-Owned Small Business (IVOSB) designations if applicable, company address, contact name and title, telephone number, and email address. Completed forms must be submitted via email to rfp@idoa.in.gov with a subject line clearly stating "RFP-26-84336 Attachment I - INSERT COMPANY NAME" in accordance with RFP Section 1.24.

This form serves as an optional preliminary submission mechanism to identify interested network participants prior to formal proposal submission. No specific pricing, set-asides, incumbent contractor information, or other financial terms are outlined in this attachment. The form functions solely as a tool for prospective bidders to indicate their interest and provide basic organizational contact details for the pharmacy management contract opportunity.