Attachment_3_IEE_Representation_Form.pdf
PDF 39 KB Posted
- Solicitation number
- 140A2326Q0283
About this file
This is an Indian Affairs Indian Economic Enterprise Representation Form required for federal contract solicitations under the Buy Indian Act (25 U.S.C. 47). The form serves as a self-certification document for offerors to declare their status as an Indian Economic Enterprise (IEE) as defined in the Department of the Interior Acquisition Regulation (DIAR) Part 1480.
The form applies to Solicitation 140A2326Q0283 for Mattresses, Haskell. Offerors must certify they meet IEE requirements at three critical points: when submitting an offer in response to a written solicitation, at the time of contract award, and throughout the full contract term. The form requires offerors to provide the name of their federally recognized tribal entity, their Unique Entity ID (UEI), legal business name, the name of the 51% or greater owner of the IEE firm, and a certifying signature with printed name. Contracting Officers may request additional documentation of eligibility at any stage of the acquisition lifecycle. False or misleading information carries serious legal penalties, including violations under 18 U.S.C. 1001 for offer submission and liability under 31 U.S.C. 3729-3731 and 18 U.S.C. 287 for false claims during contract performance.
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_140A2326Q0283.pdf | ||
| Attachment_2_DIAR_1452_280-2_Supplement.docx | DOCX document | |
| Attachment_1_SOW__HINU_Mattresses.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 140A2326Q0283 |
| Project Title: Mattresses, Haskell |
| Date: |
| Tribal Entity: |
| UEI: |
| Business Name: |
| Owner: |
| Name: |
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