Attachment_1__IEE_Representation_Form.pdf

This is an Indian Affairs Indian Economic Enterprise Representation Form used to certify that an offeror qualifies as an Indian Economic Enterprise (IEE) under the Buy Indian Act. The form serves as a self-certification mechanism in accordance with 25 U.S.C. 47 and DIAR Part 1480.

The form requires offerors to demonstrate IEE eligibility at three critical points: at the time an offer is submitted in response to a written solicitation, at the time of contract award, and throughout the full term of the contract. Contracting officers may request additional documentation to verify eligibility at any stage of the acquisition lifecycle, including pre-award and proposal evaluation phases. The form captures essential information including the solicitation or sources sought number, project title, date of form submission, name of the federally recognized tribal entity, legal business name, Unique Entity ID (UEI), name of the 51% (or greater) owner of the IEE firm, certifying signature, and printed name of the certifying official. The form emphasizes that false or misleading information submitted in connection with an award under the Buy Indian Act constitutes a violation of 18 U.S.C. 1001 and subjects the enterprise to penalties under 31 U.S.C. 3729 to 3731 and 18 U.S.C. 287 for false claims during contract performance.