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

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Whiteriver Administration Office Building
Solicitation number
75H701-23-R-00022
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This document contains a sources sought notice and attachments for a federal construction project. The Indian Health Service is seeking information from interested parties for the construction of a new 14,557 square foot single story administration office building on the Whiteriver Indian Hospital campus in Whiteriver, Arizona. The anticipated project value is between $5 million to $10 million. Responses are requested by January 19, 2023 and must include company information, bonding capacity, and descriptions of up to five similar past projects completed within the last seven years. Indian Economic Enterprises must also submit the two attachments demonstrating at least 51% Indian or tribal ownership and control of the enterprise, as well as allocation of at least 51% of earnings to Indians or tribal entities.

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A10 Attachment 1 IHS IEE Representation Form.pdf PDF

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Attachment 2. Indian Economic Enterprise Self-Performance Worksheet Solicitation Number: 75H701-23-R-00022

IEE REPRESENTATION SELF-PERFORMED CALCULATION SHEET

Prospective Offerors that self-certify as an Indian Economic Enterprise (IEEs) and Indian Economic Small Business Enterprises (ISBEEs) are required to meet the definition of an Indian Economic Enterprise (HHSAR 326.601). The full definition of an IEE and an ISBEE are provided on page 2.

IEEs/ISBEEs shall list the work activities below that they are self-performing along with the remaining percentages of work proposed with each subcontractors’ SBA concern status in the table below. Percentages of proposed work shall come to a sum equal to 100%.

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

Prime Contractor/Subcontractor/ Tribal Entity
Concern Status

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

Work Activities
Percentage of Work Proposed (%)

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.

Indian Small Business Economic Enterprise (ISBEE) means an IEE that is also a small business concern established in accordance with the criteria and size standards of 13 CFR part 121.

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