Attachment_4_IA_-_IEE_Representation_Form.pdf
PDF 29 KB Posted
- Attached to
- Occupational Therapy Services
- Solicitation number
- 140A2326Q0243
About this file
This is the Indian Affairs Indian Economic Enterprise (IEE) Representation Form, a self-certification document used to establish eligibility under the Buy Indian Act (25 U.S.C. 47) for federal contract set-asides. The form requires offerors to certify that they meet the definition of an Indian Economic Enterprise as defined in the Department of the Interior Acquisition Regulation (DIAR) Part 1480.
The form mandates that enterprises meet specified requirements at three critical junctures: at the time an offer is submitted in response to a written solicitation, at the time of contract award, and throughout the full contract term. Contracting Officers retain the authority to request additional documentation or information regarding eligibility at any point in the acquisition lifecycle, including during proposal evaluation. Offerors must complete fields identifying the solicitation number, project title, date of submission, 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 must provide a certifying signature with printed name. The form carries significant legal consequences for misrepresentation, with false or misleading information subject to criminal penalties under 18 U.S.C. 1001, and false claims during contract performance subject to civil fraud penalties under 31 U.S.C. 3729 to 3731 and 18 U.S.C. 287.
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_140A2326Q0243_Amd_0002.pdf | ||
| Sol_140A2326Q0243_Amd_0001.pdf | ||
| Attachment_1_Statement_of_Work.pdf | ||
| Attachment_3_WD_2015-5327_rev_30_5_13_26.pdf | ||
| Sol_140A2326Q0243.pdf | ||
| Attachment_2_Pricing_Schedule.xlsx | XLSX spreadsheet |
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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: |
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