A10 Attachment 2 Sources Sought IEE Self-Performance Worksheet.docx
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- Attached to
- Sources Sought - Whiteriver Boiler Replacement & Steam System Conversion Federal contract opportunity
- Solicitation number
- 75H701-23-R-00033
About this file
This document contains an Indian Economic Enterprise self-performance worksheet and details of a federal sources sought notice for a boiler replacement and steam system conversion project at an Indian Health Service facility. The worksheet requires prospective Indian Economic Enterprise and Indian Economic Small Business Enterprise offerors to list the work activities and percentages they will self-perform and have subcontracted. The sources sought notice seeks capability statements from small businesses, including Native American-owned firms, for a project to replace two steam boilers with condensing boilers and convert supported steam systems at a hospital in Whiteriver, Arizona. Responses are requested by February 13, 2023 and must include company and point of contact information, bonding capacity, experience on similar past projects, and required documentation for Indian Economic Enterprise certification.
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| File | Type | Posted |
|---|---|---|
| A10 Attachment 1 IHS IEE Representation Form.pdf |
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Text version
Attachment 2. Indian Economic Enterprise Self-Performance Worksheet Solicitation Number: 75H701-23-R-00033
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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