IA_-_IEE_Representation_Form_011325.pdf
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- Attached to
- TUBA CITY OU2 & 3 - EXCAVATION & BIO-REMEDIATION
- Solicitation number
- 140A0925R0003
About this file
This is an Indian Economic Enterprise (IEE) Representation Form used by Indian Affairs under the Department of the Interior for procurements set aside under the Buy Indian Act. The form requires offerors to self-certify that they meet the definition of an Indian Economic Enterprise as defined in Department of the Interior Acquisition Regulation (DIAR) Part 1480, with enterprises needing to maintain eligibility requirements throughout three key time periods: when making an offer in response to a written solicitation, at contract award, and during the full contract term.
The form includes fields for basic identification information including the solicitation number, project title, submission date, name of the federally recognized tribal entity, legal business name, Unique Entity ID (UEI), name of the 51% or greater owner of the IEE firm, and certifying signature with printed name. The document emphasizes that false or misleading information is punishable under federal law, with violations subject to penalties under 18 U.S.C. 1001 for false statements and 31 U.S.C. 3729-3731 and 18 U.S.C. 287 for false claims during contract performance. Contracting officers may require additional documentation of eligibility at any time during the acquisition lifecycle, including during pre-award and proposal evaluation phases.
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(1) At the time an offer is made in response to a written solicitation;
(2) At the time of contract award; and,
(3) During the full term of the contract.
Contracting Officers may require additional information or documentation of eligibility at any time in the acquisition life-cycle, including pre-award/proposal evaluation.
Any false or misleading information submitted by an enterprise when submitting an offer in consideration for an award set aside under the Buy Indian Act is a violation of the law punishable under 18 U.S.C. 1001.
False claims submitted as part of contract performance are subject to the penalties enumerated in 31 U.S.C.
3729 to 3731 and 18 U.S.C. 287.
Indian Affairs Indian Economic Enterprise Representation Form
Solicitation/Sources Sought/RFI Number:
Project Title:
Date of Form Submission:
In accordance with 25 U.S.C. 47 of the Buy Indian Act, the signature in the Offeror Section below constitutes self-certification that the Offeror meets the definition of an "Indian Economic Enterprise (IEE)" as defined in Department of the Interior Acquisition Regulation (DIAR) Part 1480 titled, "Acquisitions Under the Buy Indian Act."
The enterprise must meet the requirements of (i) through (iii) throughout the following time periods:
OFFEROR REPRESENTATION
By filling out the information below, the Offeror represents that it does meet the definition of an "Indian Economic Enterprise" as defined in DIAR Part 1480.
Name of Federally Recognized Tribal Entity:
Unique Entity ID (UEI):
Legal Business Name:
Name of the 51% (or greater) Owner of the IEE Firm:
Certifying Signature:
Printed Name:
| Blank Page |
| R |
| Notice Number: |
| Project Title: |
| Date: |
| Tribal Entity: |
| UEI: |
| Business Name: |
| Owner: |
| Name: |
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