Attachment_3_-_DIAR_1452_280-4_IBEE_CERT_FORM.pdf
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- Attached to
- QTRS 140 RENOVATION
- Solicitation number
- 140A0425Q0003
About this file
This document is an Indian Owned Economic Enterprise Representation form from the United States Department of the Interior for a specific solicitation. The solicitation number is 140A0425Q0003 and the project is titled "Crow Agency Quarters 140 Renovations" with a date of 08/19/2025. The form requires offerors to self-certify that they meet the definition of an "Indian Owned Economic Enterprise" as defined in 1480.201, in accordance with the Buy-Indian Act (25 USC 47). The enterprise must maintain this status at the time of offer, contract award, and throughout the entire contract performance period, with a legal obligation to immediately notify the Contracting Officer if eligibility requirements are no longer met. False or misleading information submitted under this provision can result in legal penalties under various U.S. Code sections.
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Text version
UNITED STATES
DEPARTMENT OF THE INTERIOR
Indian Owned Economic Enterprise Representation
(July 2013)
Solicitation/Contract No.:
Project No./Project Title:
Date:
In accordance with 1452.280-4, INDIAN ECONOMIC ENTERPRISE REPRESENTATION, the signature below constitutes self-certification that the offeror 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)
Insert the following provision in each written solicitation for supplies, services, or covered construction.
Provision: The offeror represents as part of its offer that it does, does not meet the definition of Indian economic enterprise as defined in 1480.201.
(End of provision)
(Business Name) (Certifying Signature)
(DUNS No.) (Print Name)
| SolicitationContract No: 140A0425Q0003 |
| Project NoProject Title: Crow Agency Quarters 140 Renovations |
| Date: 08/19/2025 |
| Business Name: |
| DUNS No: |
| Print Name: |
| does: Off |
| doesnot: Off |
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