A10 Attachment 3 Sources Sought IEE Self-Performance Worksheet.docx

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Grindstone Finish Tank and Pumps
Solicitation number
75H70123R00042
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This document provides details on a forthcoming construction contract opportunity with the Department of Health and Human Services Indian Health Service. The solicitation will be for installation of a 10,000-gallon water storage tank, construction of a booster station, replacement of two well pumps, installation of fencing and electrical conduit, and water main and plumbing work at the Grindstone Indian Rancheria in Elk Creek, California. Responses to the sources sought notice are due no later than March 31, 2023. Interested firms should provide company and point of contact information, business type including Native American-owned or various small business designations, bonding capacity, and up to three examples of relevant past project experience. The opportunity is anticipated to be set aside for either an Indian Economic Enterprise or small business with a value between $250,000 and $500,000.

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Indian Economic Enterprise Self-Performance Worksheet

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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