7__IA_-_IEE_Representation_Form.pdf
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- 140A1627B0003
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This is an Indian Affairs Indian Economic Enterprise Representation Form used for federal contract opportunities set aside under the Buy Indian Act. The form serves as a self-certification document for offerors to demonstrate eligibility as an Indian Economic Enterprise (IEE) as defined in the Department of the Interior Acquisition Regulation (DIAR) Part 1480. Offerors must complete the form at three critical points: when submitting an offer in response to a written solicitation, at the time of contract award, and throughout the full contract term. The form requires offerors to provide the solicitation/sources sought/RFI number, project title, date of form submission, name of the federally recognized tribal entity, legal business name, unique entity ID (UEI), name of the 51 percent or greater owner of the IEE firm, and a certifying signature with printed name.
Contracting Officers retain the authority to request additional eligibility documentation at any point during the acquisition life-cycle, including during pre-award and proposal evaluation phases. The form emphasizes that false or misleading information submitted by an enterprise constitutes a violation of federal law punishable under 18 U.S.C. Section 1001, while false claims during contract performance are subject to penalties under 31 U.S.C. Sections 3729 to 3731 and 18 U.S.C. Section 287. This representation is a required federal contracting form applicable to acquisitions conducted under the Buy Indian Act statutory authority.
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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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