Attachment 2 Sources Sought IEE Self-Performance Worksheet.docx
DOCX document 23 KB Posted
- Attached to
- Whiteriver Hospital Backup Generator Federal contract opportunity
- Solicitation number
- 75H70123R00024
About this file
This document contains a sources sought notice and attachments for a federal contract opportunity to install a backup generator at Whiteriver Hospital on the White Mountain Apache Indian Reservation. The Indian Health Service is seeking information from small businesses including Native American/Indian-owned, 8(a), HUBZone, woman-owned, veteran-owned, small disadvantaged, and small businesses to provide infrastructure for a backup generator. Responses are requested by January 20, 2023 and should include company information, point of contact, confirmation of proposal submission, business type and certifications, bonding capacity, and experience on two to five similar projects in the last seven years. Indian economic enterprises must also complete two attachments demonstrating 51% Indian or tribal ownership and control and the ability to allocate the majority of earnings to Indians or tribes.
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| File | Type | Posted |
|---|---|---|
| Attachment 1 IHS IEE Representation Form.pdf |
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Text version
Attachment 2. Indian Economic Enterprise Self-Performance Worksheet Solicitation Number: 75H701-23-R-00024
IEE REPRESENTATION SELF-PERFORMED CALCULATION SHEET
Prospective Offerors that self-certify as an Indian Economic Enterprise (IEEs) and Indian Economic Small Business Enterprises (ISBEEs) are required to meet the definition of an Indian Economic Enterprise (HHSAR 326.601). The full definition of an IEE and an ISBEE are provided on page 2.
IEEs/ISBEEs shall list the work activities below that they are self-performing along with the remaining percentages of work proposed with each subcontractors’ SBA concern status in the table below. Percentages of proposed work shall come to a sum equal to 100%.
List of Proposed Prime Contractor and Subcontractors, their work activities and value:
| Prime Contractor/Subcontractor/ Tribal Entity |
| Concern Status |
(i.e., IEE/ISBEE, SB, 8(a), SDB, SDVOSB, HUBZone, etc.)
| Work Activities |
| Percentage of Work Proposed (%) |
Signed at submission of Sources Sought notice:
Name: ___________________________________ Title: ______________________________________ Signature: _________________________________ Date: ______________________________________
Definitions (HHSAR 326.601):
Indian Economic Enterprise (IEE) means any business activity owned by one or more Indians or Indian Tribes that is established for the purpose of profit provided that: The combined Indian or Indian Tribe ownership must constitute not less than 51 percent of the enterprise; the Indians or Indian Tribes must, together, receive at least a majority of the earnings from the contract; and the management and daily business operations of an enterprise must be controlled by one or more individuals who are Indians. To ensure actual control over the enterprise, the individuals must possess requisite management or technical capabilities directly related to the primary industry in which the enterprise conducts business. The enterprise must meet these requirements throughout the following time periods:
(1) At the time an offer is made in response to a written solicitation;
(2) At the time of the contract award; and
(3) During the full term of the contract.
Indian Small Business Economic Enterprise (ISBEE) means an IEE that is also a small business concern established in accordance with the criteria and size standards of 13 CFR part 121.
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