B08_Attachment_IA_-_IEE_Representation_Form.pdf

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Attached to
Crow Creek Agency's Brush Chipper
Solicitation number
140A0126Q0019
Issued by

About this file

This is an Indian Affairs Indian Economic Enterprise Representation Form required under the Buy Indian Act (25 U.S.C. 47) for a federal contract opportunity.

The form applies to Solicitation/Sources Sought/RFI Number 140A0126Q0019 for the "Crow Creek Agency's Brush Chipper" project, with a submission date of February 5, 2026. The form serves as a self-certification mechanism requiring offerors to represent that they meet the definition of an "Indian Economic Enterprise (IEE)" as defined in Department of the Interior Acquisition Regulation (DIAR) Part 1480. Offerors must maintain IEE eligibility at three critical junctures: at the time of offer submission, at contract award, and throughout the entire contract term. The form requires completion of five data fields: the name of the federally recognized tribal entity, the legal business name, the Unique Entity ID (UEI), the name of the 51% or greater owner of the IEE firm, and a certifying signature with printed name. Contracting officers retain the authority to request additional documentation of eligibility at any point in the acquisition lifecycle. False or misleading information submitted in offers is punishable under 18 U.S.C. 1001, while false claims during contract performance are subject to penalties under 31 U.S.C. 3729-3731 and 18 U.S.C. 287.

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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: 140A0126Q0019
Project Title: Crow Creek Agency's Brush Chipper
Date: 2/5/2026
Tribal Entity:
UEI:
Business Name:
Owner:
Name:

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