Attachment 02 Sources Sought IEE Self-Performance Worksheet.docx
DOCX document 23 KB Posted
- Attached to
- Santa Fe Indian Hospital Pharmacy Renovation
- Solicitation number
- 75H70123R00015
About this file
This document provides information for a sources sought notice regarding a pharmacy renovation project at the Santa Fe Indian Hospital. The Indian Health Service is seeking information from capable firms, with a preference for Indian Economic Enterprises, to renovate the existing pharmacy area in two phases. The first phase includes demolition and removal of existing structures and fixtures. The second phase consists of construction of new partitions, finishes, casework, mechanical and electrical systems. Interested prime contractors are invited to submit capabilities statements by November 23rd demonstrating experience with similar healthcare construction projects valued between $1 million to $5 million. Statements should include company information, bonding capacity, and descriptions of 2-5 relevant past projects with references completed in the last seven years, identifying the firm's role as prime or subcontractor.
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| File | Type | Posted |
|---|---|---|
| Attachment 01 IHS IEE Representation Form.pdf |
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Attachment 2. Indian Economic Enterprise Self-Performance Worksheet Solicitation Number: 75H701-23-R-00015
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:
| Prime Contractor/Subcontractor/ Tribal Entity |
| Concern Status |
(i.e., 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.
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