Attachment_14_-_IEE_Representation_Form.pdf
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- Phase I Environmental Site Assessment for GPRO
- Solicitation number
- 140A0126Q0043
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This is a self-certification form for Indian Owned Economic Enterprise representation required by the United States Department of the Interior for federal contract solicitations.
The form implements clause 1452.280-4 and requires offerors to certify whether they meet the definition of "Indian Owned Economic Enterprise" as defined in 1480.201 under the authority of 25 USC 47 (the Buy-Indian Act). Offerors must make this representation at three critical junctures: when submitting an offer in response to a solicitation, at the time of contract award, and throughout the entire contract performance period. The contractor bears responsibility for maintaining eligibility throughout the contract term and must provide immediate written notification to the Contracting Officer if eligibility status changes at any point. The form includes checkboxes for offerors to indicate whether they do or do not meet the Indian economic enterprise definition. Submission of false or misleading information in an offer for an award set-aside under the Buy-Indian Act constitutes a violation subject to penalties under 18 U.S.C. 1001, while false claims during contract performance are subject to penalties under 31 U.S.C. 3729-3731 and 18 U.S.C. 287. The certification requires business name, SAM UEI number, certifying signature, and printed name of the authorized representative.
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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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