Buy Indian Act Form.pdf
PDF 182 KB Posted
- Attached to
- Optical Coherence Tomography with Angiography
- Solicitation number
- IHS1526599
About this file
This is a representation form used by the Indian Health Service (IHS) under the Buy Indian Act to certify that an offeror qualifies as an "Indian Economic Enterprise" (IEE) for federal contracting purposes.
The form requires offerors to self-certify their eligibility as an Indian Economic Enterprise with Indian Ownership under 25 U.S.C. 47 in response to Sources Sought Notices, Requests for Information (RFI), or Solicitations. The enterprise must maintain this eligibility status at three critical points: when submitting an offer, at the time of contract award, and throughout the full contract performance period. Any change in eligibility status during contract performance requires immediate written notification to the Contracting Officer. Successful offerors must be registered with the System of Award Management (SAM) in addition to completing this self-certification. The form includes warnings that false or misleading information constitutes a violation of 18 U.S.C. 1001 and carries penalties, while false claims during contract performance are subject to penalties under 31 U.S.C. 3729-3731 and 18 U.S.C. 287. The representation section requires the offeror to indicate whether it does or does not meet the IEE definition and must be signed by an authorized representative, with fields for the federally recognized tribal entity name, business name, UEI number, and the 51% owner of the IEE firm.
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Other files
| File | Type | Posted |
|---|---|---|
| Sources Sought.pdf | ||
| Lawton Service Unit SOW Optical Coherence Tomography with Angiography Updated.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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