Attachment_3__IEE_Representation_Form.pdf

The document is an Indian Affairs Indian Economic Enterprise Representation Form used to certify a business's eligibility under the Buy Indian Act. The form requires offerors to self-certify as an Indian Economic Enterprise (IEE) as defined in the Department of the Interior Acquisition Regulation, with verification required at three key points: when making an offer, at contract award, and throughout the contract term.

The form mandates that businesses provide details including the name of the Federally Recognized Tribal Entity, the name of the 51% (or greater) owner of the IEE firm, legal business name, and unique entity ID. Contracting officers may request additional eligibility documentation at any stage of 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. sections 3729 and 3731.