buy indian compliant form.pdf
PDF 218 KB Posted
- Solicitation number
- 246-24-Q-0112
About this file
This document is an Indian Health Service (IHS) solicitation for a firm fixed-price contract to provide pharmacist services at the Clinton Indian Health Center. It is a 100% Indian Small Business Economic Enterprise set-aside under the Buy Indian Act. The solicitation number is 246-24-Q-0112, and the period of performance is 12 months, with a tentative start date of June 3, 2024.
The key requirements include that the pharmacist candidate must have a valid, unrestricted Oklahoma pharmacist license, current professional liability insurance, and a valid Basic Life Support (BLS) training certificate. The vendor/pharmacist must also have at least one year of pharmacy experience, including experience with RPMS/EHR systems and pharmacy automation. Quotes are due by May 17, 2024, and the award will be made based on a best value determination considering personnel qualifications and prior experience, which are more important than price. The successful offeror must be registered in the System for Award Management (SAM) database.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 Number
| DATE: |
| DUNSnumber: |
| BusinessName: |
| NameOfTribalEntity: |
| OwnerName: |
| PrintName: |
| SOLICITATION_NUMBER: RFQ 246-24-Q-0112 |
| PROJECT_TITLE: CLINTON IHS - PHARMACIST SERVICES NON-PERSONAL |
| DoesNot: 0 |
| Does: Off |
File details come from the government source that posted it. Updated .