A10 Attachment 2 Sources Sought IEE Self-Performance Worksheet.docx

Attachment 2. Indian Economic Enterprise Self-Performance Worksheet Solicitation Number: 75H701-23-R-00009

IEE REPRESENTATION SELF-PERFORMED CALCULATION SHEET

Prospective Offerors that self-certify as an Indian Economic Enterprise (IEEs) are required to meet the definition of an Indian Economic Enterprise (HHSAR 326.601), including 51% ownership by an Indian or Indian Tribe, and receive at least 51% of the earning from the contract. The full definition of an IEE is provided on page 2.

IEEs shall demonstrate the ability allocate at least 51% of the earnings to one or more Indians or Indian Tribal entities in the table below.

List of Proposed Prime Contractor and Subcontractors, their work activities and value:

(i.e., SB, 8(a), SDB, SDVOSB, HUBZone, etc.)

Signed at submission of Sources Sought notice:

Name: ___________________________________ Title: ______________________________________ Signature: _________________________________ Date: ______________________________________

Definitions (HHSAR 326.601):

Indian Economic Enterprise (IEE) means any business activity owned by one or more Indians or Indian Tribes that is established for the purpose of profit provided that: The combined Indian or Indian Tribe ownership must constitute not less than 51 percent of the enterprise; the Indians or Indian Tribes must, together, receive at least a majority of the earnings from the contract; and the management and daily business operations of an enterprise must be controlled by one or more individuals who are Indians. To ensure actual control over the enterprise, the individuals must possess requisite management or technical capabilities directly related to the primary industry in which the enterprise conducts business. The enterprise must meet these requirements throughout the following time periods:

(1) At the time an offer is made in response to a written solicitation;

(2) At the time of the contract award; and

(3) During the full term of the contract.