Attachment_3__IEE_Representation_Form.pdf

The document is an Indian Affairs Indian Economic Enterprise Representation Form, which enables federally recognized tribal businesses to self-certify as an Indian Economic Enterprise (IEE) for federal contract opportunities under the Buy Indian Act. The form requires offerors to verify their eligibility at three key stages: (1) when submitting an offer in response to a solicitation, (2) at contract award, and (3) throughout the full contract term.

Contracting officers may request additional documentation to verify eligibility at any point in the acquisition process. The form includes critical legal warnings about submitting false information, noting that misrepresentation can result in penalties under 18 U.S.C. 1001, 31 U.S.C. 3729 to 3731, and 18 U.S.C. 287. The form provides fields for key business information including the name of the federally recognized tribal entity, legal business name, unique entity ID, name of the primary owner, and spaces for signatures and certification.