ATTACHMENT NO. 5 - INDIAN FIRM REPRESENTATION FORM.pdf
PDF 46 KB Posted
- Attached to
- Accounts Receivable Technician Services Federal contract opportunity
- Solicitation number
- 75H71323Q00004
About this file
This document contains an Indian Health Service solicitation for accounts receivable technician services. The solicitation seeks competitive fixed unit pricing for providing 2,080 hours of accounts receivable technician services per year over a five year period including one base year and four option years. The services are to be performed in Salem, Oregon. The solicitation requires submission of past performance and pricing information by December 19, 2022. This requirement is set aside for Indian small businesses with a NAICS code of 561440 and $17 million size standard.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| ATTACHMENT NO. 2 - STATEMENT OF WORK - V2.docx | DOCX document | |
| ATTACHMENT NO. 4 - BUSINESS ASSOCIATE AGREEMENT.pdf | ||
| ATTACHMENT NO. 2 - STATEMENT OF WORK.pdf | ||
| ATTACHMENT NO. 1 - 75H71323Q00004 SF1449.pdf | ||
| ATTACHMENT NO. 3 - WAGE DETERMINATION.pdf |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
DEPARTMENT OF HEALTH & HUMAN SERVICES
Indian Health Service
Division of Acquisition Policy (DAP) 5600 Fishers Lane
Rockville, MD 20857
INDIAN HEALTH SERVICE
BUY INDIAN ACT
INDIAN FIRM REPRESENTATION FORM
SOLICIATION NUMBER: _________________________________________________
PROJECT TITLE: ________________________________________________________
DATE: ___________________________________________________________________
In accordance with 25 U.S.C. 47 the Buy Indian Act, the signature below constitutes self-certification that the Offeror meets the definition of an “Indian Firm” (HHSAR 326.602) with “Indian Ownership” (HHSAR 326.603), in response to this solicitation and resultant contract.
The enterprise must meet the definition of “Indian Firm” throughout the following time periods:
(1) At the time an offer is made in response to this solicitation;
(2) At the time of contract award; and
(3) During the full term of the contract performance period. At any point during these periods, if the Contractor no longer meets the eligibility requirements, the contractor must provide immediate written notification to the Contracting Officer.
Individual Contracting Officers may require documentation of eligibility before awarding a set-aside or sole source contracts under the Buy Indian Act and awards may be subject to protest if the eligibility of the successful Offeror is in question. In addition to the self-certification requirements, successful Offerors must also be registered with DUN and Bradstreet (D&B) and the System of Award Management (SAM).
Any false or misleading information submitted by an enterprise when submitting an offer in consideration of an award set-aside under the authority of the Buy Indian Act is a violation of the law and 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.
REPRESENTATION
The Offeror represents as part of its offer that it does _____, does not _____ meet the definition of an “Indian Firm” with “Indian Ownership” under the authority of the Buy Indian Act.
Business Name Certifying Signature
DUNS Number Print Name
| SOLICITATION NUMBER: |
| PROJECT TITLE: |
| DATE: |
| Business Name: |
| DUNS Number: |
| Print Name: |
File details come from the government source that posted it. Updated .