Attachment_2_IA_-_IEE_Representation_Form.pdf

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Attached to
7A--KMS Key Management Licenses for OIT
Solicitation number
140A1625Q0006
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About this file

This document is an Indian Economic Enterprise (IEE) Representation Form that must be completed by offerors in response to a federal solicitation under the Buy Indian Act. The form requires the offeror to self-certify that it meets the definition of an IEE throughout the acquisition lifecycle, including at the time of offer, award, and contract performance. The form collects information such as the name of the federally recognized tribal entity, the offeror's legal business name, the name of the 51% or greater owner, and the offeror's unique entity ID (UEI). Completion of this form is required for consideration under the set-aside solicitation identified, which is for KMS Key Management Licenses for the Department of the Interior, Bureau of Indian Affairs Central Office.

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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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