Attachment_3_-_IEE_Representation_Form.pdf

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Northern Cheyenne Youth Detention Center Wastewate
Solicitation number
140A1626Q0093
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This is a federal contracting form used to certify Indian Economic Enterprise (IEE) eligibility for awards under the Buy Indian Act. The form serves as a self-certification document that offerors must complete when responding to solicitations, at contract award, and throughout the full contract term to demonstrate compliance with IEE requirements as defined in Department of the Interior Acquisition Regulation (DIAR) Part 1480.

The form requires offerors to provide the Solicitation/Sources Sought/RFI Number, Project Title, and Date of Form Submission. In the Offeror Representation section, enterprises must supply the Name of Federally Recognized Tribal Entity, Legal Business Name, Unique Entity ID (UEI), Name of the 51% (or greater) Owner of the IEE Firm, Certifying Signature, and Printed Name. By signing the form, the offeror self-certifies that it meets the IEE definition throughout three critical time periods: when an offer is submitted, at contract award, and during the full contract performance term. The document emphasizes that false or misleading information is subject to criminal penalties under 18 U.S.C. 1001, and false claims during contract performance are subject to penalties under 31 U.S.C. 3729-3731 and 18 U.S.C. 287. Contracting Officers may request additional documentation of eligibility at any time during the acquisition lifecycle.

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Sol_140A1626Q0093.pdf PDF
Attachment_1_-_SOW.pdf PDF

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(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:

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:

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:
Project Title:
Date:
Tribal Entity:
UEI:
Business Name:
Owner:
Name:

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