IEE Form.pdf
PDF 183 KB Posted
- Solicitation number
- 75H71425Q00011
About this file
This document is an Indian Economic Enterprise (IEE) Representation Form for a federal solicitation by the Indian Health Service (IHS). The form relates to Solicitation #75H71425Q00011 for the Purchase of Trimble GPS Survey Equipment, which is a small business set-aside procurement under the Buy Indian Act. The solicitation seeks commercial survey equipment for the Tucson Area Sanitation Facilities Construction Branch, with a NAICS code of 334511 for navigation and guidance system manufacturing. Proposals are due by August 18, 2025 at 5:00 PM MST, with equipment delivery expected 4-6 weeks after award. Vendors must be registered in the System for Award Management (SAM) and will be required to use the Invoice Processing Platform (IPP) for electronic invoicing. All future solicitation information will be distributed solely through SAM.gov, and questions must be submitted via email to susan.protho@ihs.gov by August 12, 2025.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| SF18 75H71425Q00011.pdf | ||
| SOW Trimble Equipment 8425.docx | DOCX document | |
| Brand Name Justification Trimble 31825 signed LBE signed 031925 rlp.pdf | ||
| Terms ad Conditions 080525.docx | DOCX document | |
| Instructions to Offerors GPS 8525.docx | DOCX document |
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Text version
DEPARTMENT OF HEALTH & HUMAN SERVICES
Indian Health Service
Office of Management Services Division of Acquisition Policy (DAP)
5600 Fishers Lane Rockville, MD 20857
INDIAN HEALTH SERVICE
BUY INDIAN ACT
INDIAN ECONOMIC ENTERPRISE
REPRESENTATION FORM
SOLICITATION/SOURCES SOUGHT/RFI #: _________________________________
PROJECT TITLE: ________________________________________________________
DATE: ___________________________________________________________________
In accordance with 25 U.S.C. 47 the Buy Indian Act, the signature below constitutes self-certification that the Offeror meets the definition of an “Indian Economic Enterprise” (HHSAR 326.601) in response to this Sources Sought Notice, Request for Information (RFI) or Solicitation and resultant contract.
The enterprise must meet the definition of “Indian Economic Enterprise” throughout the following time periods:
(1) At the time an offer is made in response to this solicitation;
(2) At the time of contract award; and
(3) During the full term of the contract performance period. At any point during these periods, if the Contractor no longer meets the eligibility requirements, the contractor must provide immediate written notification to the Contracting Officer.
Individual Contracting Officers may require documentation of eligibility before awarding a set-aside or sole source contracts under the Buy Indian Act and awards may be subject to protest if the eligibility of the successful Offeror is in question. In addition to the self-certification requirements, successful Offerors must also be registered with the System of Award Management (SAM).
Any false or misleading information submitted by an enterprise when submitting an offer in consideration of an award set-aside under the authority of the Buy Indian Act is a violation of the law and 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.
REPRESENTATION
The Offeror represents as part of its offer that it does _____, does not _____ meet the definition of an “Indian Economic Enterprise” with “Indian Ownership” under the authority of the Buy Indian Act.
Name of the 51% owner of IEE Firm
Certifying Signature
Print Name
Name of Federally Recognized Tribal Entity
Business Name
UEI SAM Number
| DATE: |
| DUNSnumber: |
| BusinessName: |
| NameOfTribalEntity: |
| OwnerName: |
| PrintName: |
| SOLICITATION_NUMBER: 75H71425Q00011 |
| PROJECT_TITLE: Purchase of Trimble GPS Survey Equipment |
| DoesNot: 0 |
| Does: Off |
File details come from the government source that posted it. Updated .