Attachment_03_ISBEE_Representation_Form.pdf
PDF 45 KB Posted
- Solicitation number
- 140L5725Q0058
About this file
The document is an Indian Affairs Indian Economic Enterprise (IEE) Representation Form related to the Bureau of Land Management's solicitation for gravel hauling and delivery services. The form requires offerors to self-certify as an Indian Economic Enterprise under the Buy Indian Act, with compliance required at offer submission, contract award, and throughout the contract term. The form mandates disclosure of the federally recognized tribal entity, legal business name, Unique Entity ID, and 51% owner information, with a warning that false or misleading information constitutes a legal violation punishable under federal statutes. The form is specifically associated with solicitation number 140L5725Q0058 for gravel hauling and delivery services near Moab, Utah, which is an Indian Small Business Economic Enterprise (ISBEE) set-aside procurement.
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| Attachment_02_Bid_Schedule_Kokopelli-Old_Spanish_Trail.xlsx | XLSX spreadsheet | |
| Sol_140L5725Q0058.pdf | ||
| Attachment_01_SOW_Kokopelli-Old_Spanish_Trail_Materials.pdf |
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Text version
In accordance with 25 U.S.C. 47 of the Buy Indian Act, the signature in the Offeror Section below constitutes self-certification that the Offeror meets the definition of an "Indian Economic Enterprise (IEE)" as defined in Department of the Interior Acquisition Regulation (DIAR) Part 1480 titled, "Acquisitions Under the Buy Indian Act."
The enterprise must meet the requirements of (i) through (iii) throughout the following time periods:
(1) At the time an offer is made in response to a written solicitation;
(2) At the time of contract award; and,
(3) During the full term of the contract.
Contracting Officers may require additional information or documentation of eligibility at any time in the acquisition life-cycle, including pre-award/proposal evaluation.
Any false or misleading information submitted by an enterprise when submitting an offer in consideration for an award set aside under the Buy Indian Act is a violation of the law punishable under 18 U.S.C. 1001.
False claims submitted as part of contract performance are subject to the penalties enumerated in 31 U.S.C.
3729 to 3731 and 18 U.S.C. 287.
Indian Affairs Indian Economic Enterprise Representation Form
Solicitation/Sources Sought/RFI Number:
Project Title:
Date of Form Submission:
OFFEROR REPRESENTATION
By filling out the information below, the Offeror represents that it does meet the definition of an "Indian Economic Enterprise" as defined in DIAR Part 1480.
Name of Federally Recognized Tribal Entity:
Unique Entity ID (UEI):
Legal Business Name:
Name of the 51% (or greater) Owner of the IEE Firm:
Certifying Signature:
Printed Name:
| Blank Page |
| R |
| Notice Number: |
| Project Title: |
| Date: |
| Tribal Entity: |
| UEI: |
| Business Name: |
| Owner: |
| Name: |
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