Attachment_3_IEE_Representation_Form.pdf

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Attached to
CISCO SECURE FIREWALL MANAGEMENT
Solicitation number
140A2326Q0275
Issued by

About this file

This is an Indian Affairs Indian Economic Enterprise Representation Form used for the Buy Indian Act set-aside contract opportunity Solicitation 140A2326Q0275 for Cisco Secure Firewall, SIPI.

The form serves as a self-certification document in which offerors represent that they meet the definition of an "Indian Economic Enterprise" (IEE) as defined in the Department of the Interior Acquisition Regulation (DIAR) Part 1480. Offerors must satisfy IEE requirements at three critical points: at the time an offer is submitted in response to the written solicitation, at the time of contract award, and during the full term of the contract. The Contracting Officer retains the right to request additional information or documentation of eligibility at any point during the acquisition lifecycle, including during pre-award proposal evaluation. The form requires offerors to provide the name of the federally recognized tribal entity, the legal business name, the unique entity identifier (UEI), the name of the 51% (or greater) owner of the IEE firm, and a certifying signature with printed name. Submission of false or misleading information constitutes a violation of 18 U.S.C. Section 1001, while false claims during contract performance are subject to penalties under 31 U.S.C. Sections 3729-3731 and 18 U.S.C. Section 287.

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Attachment_1_Pricing_Sheet__Cisco_Internet_Licensing__SIPI.docx DOCX document
Attachment_2_DIAR_1452_280-2_Supplement.docx DOCX document
Sol_140A2326Q0275.pdf PDF

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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: Solicitation 140A2326Q0275
Project Title: Cisco Secure Firewall, SIPI
Date:
Tribal Entity:
UEI:
Business Name:
Owner:
Name:

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