Attachment_3_IA_-_IEE_Representation_Form.pdf

PDF 29 KB Posted

Attached to
7E--ITEMS 2. 0 for Indian Affairs and DO
Solicitation number
140A1625R0008
Issued by

About this file

This is an Indian Affairs Indian Economic Enterprise (IEE) Representation Form required for companies responding to solicitations under the Buy Indian Act (25 U.S.C. 47). The form serves as a self-certification document where offerors must certify they meet the definition of an Indian Economic Enterprise as defined in Department of Interior Acquisition Regulation (DIAR) Part 1480.

The form requires offerors to maintain IEE eligibility throughout three key periods: when making an offer, at contract award, and during the full contract term. Required information includes the solicitation/RFI number, project title, submission date, name of federally recognized tribal entity, Unique Entity ID (UEI), legal business name, name of 51% or greater owner, and certifying signature. The form includes warnings about penalties for false or misleading information under 18 U.S.C. 1001 and 31 U.S.C. 3729-3731. This specific form is associated with solicitation 140A1625R0008 for IT Equipment under the ITEMS 2.0 IDIQ contract for Indian Affairs and DOI.

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Text version

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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