Attachment_3__IEE_Representation_Form.pdf

The document is an Indian Affairs Indian Economic Enterprise Representation Form, designed to verify a business's status as an Indian Economic Enterprise (IEE) under the Buy Indian Act. The form requires offerors to self-certify that they meet the IEE definition throughout three key periods: (1) when submitting an offer, (2) at contract award, and (3) during the full contract term.

The form mandates that businesses provide details including the name of a Federally Recognized Tribal Entity, the name of the firm's 51% (or greater) owner, legal business name, and Unique Entity ID (UEI). Contracting officers may request additional eligibility documentation at any point in the acquisition process. The document explicitly warns that submitting false or misleading information is a violation of law punishable under 18 U.S.C. 1001, with potential penalties under 31 U.S.C. 3729 to 3731 and 18 U.S.C. 287.