Attachment_1__IEE_Representation_Form.pdf

This is an Indian Affairs Indian Economic Enterprise Representation Form used for federal contracting purposes under the Buy Indian Act.

The form serves as a self-certification document that allows offerors to represent that they meet the definition of an "Indian Economic Enterprise" (IEE) as defined in the Department of Interior Acquisition Regulation (DIAR) Part 1480. Offerors must meet the IEE requirements at three critical points: when submitting an offer in response to a written solicitation, at the time of contract award, and during the full term of the contract. Contracting Officers retain the authority to request additional information or documentation of eligibility at any point during the acquisition lifecycle, including pre-award and proposal evaluation phases. The form warns that any false or misleading information constitutes a violation of 18 U.S.C. 1001, and false claims submitted during contract performance are subject to penalties under 31 U.S.C. 3729 to 3731 and 18 U.S.C. 287.

The form requires offerors to provide specific information including the name of the Federally Recognized Tribal Entity, the name of the 51% (or greater) owner of the IEE firm, the legal business name, the unique entity ID (UEI), and certifying signature with printed name. Submission of this form with the required information and signature constitutes binding self-certification of IEE status under the Buy Indian Act.