Attachment_10_-_IEE_Representation_Form.pdf
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- Solicitation number
- 140A0126Q0044
About this file
This is an Indian Owned Economic Enterprise Representation form issued by the United States Department of the Interior in July 2013 for use in federal solicitations.
The form serves as a self-certification provision that offerers must complete to represent whether they meet the definition of "Indian Owned Economic Enterprise" as defined in 1480.201, in accordance with 25 USC 47 (the Buy-Indian Act). Offerers must certify their status by checking either "does" or "does not" meet the definition. The enterprise must maintain eligibility throughout three critical time periods: at the time an offer is submitted in response to a solicitation, at the time of contract award, and during the full contract performance period. Any loss of eligibility at any point requires immediate written notification to the Contracting Officer. The form requires completion of four fields: Solicitation/Contract Number, Project Number/Title, Date, and offerer information including Business Name, SAM UEI Number, Certifying Signature, and Print Name. The document includes penalties for false or misleading information, including violations under 18 U.S.C. 1001 for false representations in offers and liability under 31 U.S.C. 3729-3731 and 18 U.S.C. 287 for false claims during contract performance.
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Text version
UNITED STATES
DEPARTMENT OF THE INTERIOR
Solicitation/Contract No.:
Indian Owned Economic Enterprise
Representation
{July 2013)
Project No./Project Title:
Date:
In accordance with 1452.280-4, INDIAN ECONOMIC ENTERPRISE REPRESENTATION, the signature below constitutes self-certification that the offerer meets the definition of "Indian Owned Economic Enterprise", as defined in 1480.201, in response to the solicitation and resultant contract, in accordance with 25 USC 47 the Buy-Indian Act. The enterprise must meet the definition of "Indian-Owned Economic Enterprise" throughout the following time periods: (1) At the time an offer is made in response to a solicitation; (2) At the time of contract award; and (3) During the full term of the contract performance period. At any point during these time periods, if the contractor no longer meets the eligibility requirements, the contractor must provide immediate written notification to the Contracting Officer.
Any false or misleading information submitted by an enterprise when submitting an offer in consideration of an award set-aside under the authority of the Buy-Indian Act is a violation of the law and 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.
REPRESENTATION
1452.280-4 INDIAN ECONOMIC ENTERPRISE REPRESENTATION (JUL 2013)
Prescription: 1480.801{a)
Provision:
Insert the following provision in each written solicitation for supplies, services, or covered construction.
The offerer represents as part of its offer that it D does, D does not meet the definition of Indian economic enterprise as defined in 1480.201.
{End of provision)
(Business Name} (Certifying Signature}
(SAM UEI No.} (Print Name}
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