Attachment 2-IEE Representation Form.pdf
PDF 4 MB Posted
- Attached to
- ISBEE/IEE-Dell Laptops or equal Federal contract opportunity
- Solicitation number
- 75H70424Q00022
About this file
This document contains a sources sought notice from the Indian Health Service seeking capability statements from interested vendors. The agency is seeking to identify Indian Small Business Economic Enterprises capable of providing Dell laptops or equivalent equipment in accordance with the specifications in Attachment 1. Responses must demonstrate the company's capability and experience providing these products, and include information such as the company name and socioeconomic status, SAM UEI number, points of contact, and an authorized reseller letter if proposing Dell brand laptops. Responses are due by February 23, 2024 and are limited to five pages excluding the cover page. The notice provides instructions for vendors to register on SAM and submit the required IEE representation form with their response. The information received will be used to potentially issue a pre-solicitation synopsis and solicitation on a government website.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 1-Equipment List -Dell or Equivalent.pdf | ||
| 75H70424Q00022 Sources Sought - Laptops.pdf |
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Text version
DEPARTMENT OF HEALTH & HUMAN SERVICES
Indian Health Service
Office of Management Services Division of Acquisition Policy (DAP)
5600 Fishers Lane Rockville, MD 20857
INDIAN HEALTH SERVICE
BUY INDIAN ACT
INDIAN ECONOMIC ENTERPRISE
REPRESENTATION FORM
SOLICITATION/SOURCES SOUGHT/RFI #: _________________________________________________
PROJECT TITLE: ________________________________________________________
DATE: ___________________________________________________________________
In accordance with 25 U.S.C. 47 the Buy Indian Act, the signature below constitutes self-certification that the Offeror meets the definition of an “Indian Economic Enterprise” (HHSAR 326.601) in response to this Sources Sought Notice, Request for Information (RFI) or Solicitation and resultant contract.
The enterprise must meet the definition of “Indian Economic Enterprise” throughout the following time periods:
(1) At the time an offer is made in response to this solicitation;
(2) At the time of contract award; and
(3) During the full term of the contract performance period. At any point during these periods, if the Contractor no longer meets the eligibility requirements, the contractor must provide immediate written notification to the Contracting Officer.
Individual Contracting Officers may require documentation of eligibility before awarding a set-aside or sole source contracts under the Buy Indian Act and awards may be subject to protest if the eligibility of the successful Offeror is in question. In addition to the self-certification requirements, successful Offerors must also be registered with the System of Award Management (SAM).
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
The Offeror represents as part of its offer that it does _____, does not _____ meet the definition of an “Indian Economic Enterprise” with “Indian Ownership” under the authority of the Buy Indian Act.
Name of the 51% owner of IEE Firm
Certifying Signature
Print Name
Name of Federally Recognized Tribal Entity
Business Name
DUNS Number
| DATE: |
| DUNSnumber: |
| BusinessName: |
| NameOfTribalEntity: |
| OwnerName: |
| PrintName: |
| SOLICITATION_NUMBER: 75H70424Q00022 |
| PROJECT_TITLE: Dell Laptops or Equivalent |
| DoesNot: 0 |
| Does: Off |
File details come from the government source that posted it. Updated .