BI_IEE Representation Form.pdf
PDF 1 MB Posted
- Attached to
- Autodesk Software License Renewal 2024-2027
- Solicitation number
- IHS-SS-24-07022024
About this file
This document is an Indian Economic Enterprise (IEE) Representation Form related to a federal contract opportunity from the Indian Health Service (IHS) for Autodesk software license renewal for the period of 2024-2027.
The key details are: IHS is conducting market research to determine the availability of small businesses, including VOSB, SDVOSB, HUBZone SB, SDB, WOSB, and IEEs/ISBEEs, to provide annual Autodesk software subscription services for 135 seats of AutoCAD with specialized toolsets and AEC Collections. The subscription services include technical support, collaboration tools, software upgrades, and home use licenses. No additional software procurement is anticipated at this time, but the contract may be modified to add more software if needed. Responses to this sources sought notice should include a cover page, relevant past performance, and descriptive literature demonstrating the respondent's capabilities. Responses are due by July 17, 2024 and should be emailed to the contracting officer.
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Other files
| File | Type | Posted |
|---|---|---|
| IHS SS 24 07022024 Autodesk.pdf | ||
| Scope of Work Autodesk 07022024.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
DUNS Number
| DATE: |
| DUNSnumber: |
| BusinessName: |
| NameOfTribalEntity: |
| OwnerName: |
| PrintName: |
| SOLICITATION_NUMBER: |
| PROJECT_TITLE: |
| DoesNot: 0 |
| Does: Off |
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