Buy Indian Act Form.pdf
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- Solicitation number
- IHS1523580
About this file
This is an Indian Economic Enterprise Representation Form required by the Indian Health Service (IHS) under the Buy Indian Act authority for federal contract opportunities.
The form serves as a self-certification document that offerors must complete to demonstrate eligibility as an "Indian Economic Enterprise" (IEE) with Indian Ownership under 25 U.S.C. 47 and EHSAR 326.601. The enterprise must maintain eligibility status at three critical junctures: when submitting an offer, at contract award, and throughout the full contract performance period. Offerors must declare whether they do or do not meet the IEE definition and provide the name of the Federally Recognized Tribal Entity, the 51% owner information, business name, UEI number, and authorized signatory certification. Contracting Officers may require documentation of eligibility before awarding set-aside or sole source contracts, and awards are subject to protest if the successful offeror's eligibility is questioned. Offerors must also maintain registration with the System of Award Management (SAM). The form emphasizes that false or misleading information submitted during the offer phase constitutes a violation 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. Contractors must provide immediate written notification to the Contracting Officer if they cease to meet eligibility requirements at any point during the specified periods.
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Text version
DEPARTMENT OF HEALTH & HUMAN SERVICES
Indian Health Servic
Division of Acquisition Policy 5600 Fishers Lane
Rockville, MD 20857
INDIAN HEALTH SERVICE
BUY INDIAN ACT
IN
REPRESENTATION FORM
SOLICI ATION : _________________________________________________
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 ” (HHSAR 326.60 ) in response to this olicitation and resultant contract.
The enterprise must meet the definition of “Indian ” 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 ” with “Indian Ownership” under the authority of the Buy Indian Act.
File details come from the government source that posted it. Updated .