B08_Attachment_3_IA_-_IEE_Representation_Form.pdf

PDF 29 KB Posted

Attached to
Programmatic Environmental Assessments (PEA) for G Federal contract opportunity
Solicitation number
140A0126Q0040
Issued by
Department of the Interior Bureau of Indian Affairs Northwest Region

About this file

This is a template form used for Indian Economic Enterprise (IEE) self-certification under the Buy Indian Act. The form is required when an offeror responds to a Department of the Interior solicitation that includes a Buy Indian Act set-aside.

Offerors must certify that they meet the IEE definition as outlined in DIAR Part 1480 at three critical junctures: at the time of offer submission, at the time of contract award, and throughout the entire contract term. The form requires the offeror to provide the name of the federally recognized tribal entity, the legal business name, the Unique Entity ID (UEI), and the name of the 51% (or greater) owner of the IEE firm. A certifying signature and printed name from an authorized representative must accompany the submission. Contracting Officers may request additional documentation of eligibility at any point during the acquisition lifecycle. The document emphasizes that false or misleading information constitutes a violation of law under 18 U.S.C. 1001, with false claims during contract performance subject to penalties under 31 U.S.C. 3729-3731 and 18 U.S.C. 287.

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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 .