A10 Attachment 2 Sources Sought IEE Self-Performance Worksheet.docx
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- Attached to
- Sources Sought - Peach Springs Sprinkler System, HVAC, and Communication Cabling Federal contract opportunity
- Solicitation number
- 75H701-23-R-00048
About this file
This document includes an attachment for an Indian Economic Enterprise self-performance worksheet and details of a federal sources sought notice. The Indian Health Service is conducting market research for a project to demolish and replace the existing dry-type sprinkler system, ceilings, thermal insulation, and install a wet-pipe sprinkler system, packaged outdoor central-station air-handling units, and communication backbone cabling at the Peach Springs Health Center in Peach Springs, Arizona. The anticipated project value is between $1 million and $5 million. Responses to the sources sought notice are due by April 10, 2023 and must include company information, point of contact, bonding capacity, experience on similar projects, and for Indian-owned businesses, completion of the IEE representation form and self-performance worksheet to demonstrate at least 51% of earnings will go to Indians or Indian tribes.
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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-00048
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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