IA_-_IEE_Representation_Form.pdf
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- Solicitation number
- 140A1126Q0062
About this file
This is a federal contracting representation form used to certify Indian Economic Enterprise (IEE) eligibility under the Buy Indian Act (25 U.S.C. 47). The form is required when an offeror submits a bid in response to a Department of the Interior solicitation set aside for Indian Economic Enterprises.
By completing and signing this form, the offeror self-certifies that it meets the definition of an IEE as specified in the Department of the Interior Acquisition Regulation (DIAR) Part 1480. The enterprise must satisfy the IEE requirements at three critical junctures: when submitting an offer in response to a written solicitation, at the time of contract award, and throughout the full contract term. Contracting Officers may request additional documentation to verify eligibility at any point during the acquisition lifecycle, including pre-award evaluation. The form requires the offeror to provide the name of the Federally Recognized Tribal Entity, the legal business name, the Unique Entity ID (UEI), the name of the 51% or greater owner, a certifying signature, and the printed name of the authorized representative. False or misleading information submitted on this form violates 18 U.S.C. 1001 and subjects the offeror to civil and criminal penalties. False claims during contract performance are subject to penalties under 31 U.S.C. 3729-3731 and 18 U.S.C. 287.
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_140A1126Q0062.pdf | ||
| Specification_Sheet.pdf |
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Text version
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:
(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:
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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