Attachment_2__IA_-_IEE_Representation_Form.pdf

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Attached to
Rifles and related accessories for BIA OJS
Solicitation number
140A1626Q0089
Issued by

About this file

This is an Indian Affairs Indian Economic Enterprise Representation Form used for federal contract set-asides under the Buy Indian Act (25 U.S.C. 47). The form is a certification template that allows offerors to self-certify their eligibility as Indian Economic Enterprises (IEEs) in response to solicitations restricted to such enterprises.

The form applies to RFQ 140A1626Q0089 for "Rifles & accessories for BIA Office of Justice Services." Offerors must meet IEE eligibility requirements at three critical points: when submitting an offer, at the time of contract award, and throughout the full contract term. An IEE must be at least 51 percent owned by a member of a federally recognized Indian tribe. The form requires offerors to provide the name of their federally recognized tribal entity, legal business name, Unique Entity ID (UEI), the name of the 51 percent (or greater) owner, and a certifying signature with printed name. Contracting Officers may request additional documentation to verify eligibility at any stage of the acquisition process. False or misleading certifications carry significant 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.

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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: RFQ 140A1626Q0089
Project Title: Rifles & accessories for BIA Office of Justice Services
Date:
Tribal Entity:
UEI:
Business Name:
Owner:
Name:

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