B11 - IEE Representation.pdf
PDF 169 KB Posted
- Attached to
- BFSU Dell Computer Upgrade Federal contract opportunity
- Solicitation number
- 75H709-BF25Q-001
About this file
This is an Indian Health Service (IHS) Buy Indian Act Indian Economic Enterprise (IEE) Representation Form for Solicitation 75H709-BF25Q-001 for the IHS BFSU Dell Computer Upgrade. The solicitation is a 100% Indian Small Business Economic Enterprise (ISBEE) Set-Aside for purchasing 100 DELL OptiPlex Micro 7020 computers, with a NAICS code of 334111 and a small business standard of 1,250 employees. The procurement is for new equipment only, with no remanufactured or refurbished items allowed.
Key details include a delivery location of Blackfeet Service Unit in Browning, MT, with a 90-day delivery period from award date, and a quote submission deadline of April 30th, 2025 at 12:00 pm MT. The award will be made on a Lowest Price, Technically Acceptable (LPTA) basis, with requirements including brand name item specification compliance, meeting delivery schedules, and completing the Indian Firm Representation Form. Quotes must be submitted with comprehensive details including technical descriptions, pricing, warranties, and various certifications, with a required quote validity period of at least 60 days.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| A09 - Dell Specs 4-3-2025.pdf | ||
| B01 - IT Provisions and Clauses.pdf | ||
| B01 - RFQ 75H709-BF25Q-001.pdf |
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Text version
DEPARTMENT OF HEALTH & HUMAN SERVICES
Indian Health Service
Office of Management Services Division of Acquisition Policy (DAP)
5600 Fishers Lane Rockville, MD 20857
INDIAN HEALTH SERVICE
BUY INDIAN ACT
INDIAN ECONOMIC ENTERPRISE
REPRESENTATION FORM
SOLICITATION/SOURCES SOUGHT/RFI #: _________________________________________________
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 Economic Enterprise” (HHSAR 326.601) in response to this Sources Sought Notice, Request for Information (RFI) or Solicitation and resultant contract.
The enterprise must meet the definition of “Indian Economic Enterprise” 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 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 Economic Enterprise” with “Indian Ownership” under the authority of the Buy Indian Act.
Name of the 51% owner of IEE Firm
Certifying Signature
Print Name
Name of Federally Recognized Tribal Entity
Business Name
UEI SAM Number
| DATE: 04/14/2025 |
| DUNSnumber: |
| BusinessName: |
| NameOfTribalEntity: |
| OwnerName: |
| PrintName: |
| SOLICITATION_NUMBER: 75H709-BF25Q-001 |
| PROJECT_TITLE: IHS BFSU Dell Computers |
| DoesNot: 0 |
| Does: Off |
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