Attachment_3__IEE_Representation_Form.pdf

The document is an Indian Affairs Indian Economic Enterprise Representation Form used to verify and certify an enterprise's eligibility under the Buy Indian Act. The form requires offerors to self-certify that they meet the definition of an "Indian Economic Enterprise" (IEE) as defined in the Department of Interior Acquisition Regulation, with compliance required at the time of offer submission, contract award, and throughout the full contract term.

The form includes spaces for key information such as the name of a Federally Recognized Tribal Entity, legal business name, Unique Entity ID (UEI), name of the 51% (or greater) owner of the IEE firm, and certifying signature. The document 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. Contracting officers retain the right to request additional eligibility documentation at any point in the acquisition process.