Attachment_3__IEE_Representation_Form.pdf

PDF 29 KB Posted

Attached to
VMWare Support for OIT Federal contract opportunity
Solicitation number
140A1625R0009
Issued by
Department of the Interior Bureau of Indian Affairs Central Office

About this file

This is an Indian Economic Enterprise (IEE) Representation Form issued by the Department of the Interior Bureau of Indian Affairs for solicitation #140A1625R0009 regarding VMWare Support for OIT. The form serves as a self-certification document under the Buy Indian Act (25 U.S.C. 47).

The form requires offerors to certify they meet IEE eligibility requirements at three key times: when submitting an offer, at contract award, and throughout the contract term. It includes fields for the offeror to provide their federally recognized tribal entity name, Unique Entity ID (UEI), legal business name, and name of the 51% or greater owner of the IEE firm. The form warns that false or misleading information is punishable 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 eligibility documentation at any point in the acquisition process.

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

File details come from the government source that posted it. Updated .