Buy Indian Act Form.pdf
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- Ophthalmic Exam Chairs
- Solicitation number
- RFQ24626Q0025
About this file
This is a form template used by the Indian Health Service (IHS), a division of the Department of Health & Human Services, to verify that offerors meet the eligibility requirements under the Buy Indian Act for Indian Economic Enterprise (IEE) status.
The form requires self-certification that an enterprise qualifies as an "Indian Economic Enterprise" with "Indian Ownership" under 25 U.S.C. 47 and EHSAR 326.601. Offerors must meet this definition at three critical junctures: when submitting an offer, at contract award, and throughout the entire contract performance period. Failure to maintain eligibility requires immediate written notification to the Contracting Officer. The form applies to solicitations including Sources Sought Notices, Requests for Information (RFI), and formal Solicitations. Offerors must check a box indicating whether they do or do not meet the IEE definition and provide signatures and documentation including the name of the Federally Recognized Tribal Entity, the 51% owner of the IEE firm, business name, and Unique Entity Identifier (UEI) number. The form warns that false or misleading information submitted in connection with a Buy Indian Act set-aside award violates 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. Successful offerors must also maintain registration with the System of Award Management (SAM), and awards may be subject to protest if the offeror's eligibility is questioned.
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Other files
| File | Type | Posted |
|---|---|---|
| Specifications.pdf | ||
| Combinded Synopsis Solicitation - Small Business.pdf |
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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.
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