Buy Indian Cert 21-55.pdf
PDF 52 KB Posted
- Attached to
- Hospitalist Physician Services Federal contract opportunity
- Solicitation number
- CRHC21-55
About this file
This document is a combined synopsis and solicitation from the Department of Health and Human Services Indian Health Service seeking proposals for Hospitalist Physician Services at the Cheyenne River Health Center in Eagle Butte, South Dakota. The period of performance is from November 1, 2021 through October 31, 2022. The solicitation is set aside for Indian Economic Enterprise small businesses and responses are due by September 1, 2021. Proposals will be evaluated based on technical approach, management plan, and relevant past performance. Offerors must meet eligibility requirements for an Indian firm and include a completed Buy Indian certification form with their response. Pricing should be an all-inclusive firm fixed price for the hospitalist services described in the attached statement of work.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment 2.pdf | ||
| Amendment Letter 2 - CRHC21-55.pdf | ||
| Amendment No 1 Signed.pdf | ||
| CRHC21-55.pdf |
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Text version
DEPARTMENT OF HEALTH & HUMAN SERVICES
Indian Health Service
Division of Acquisition Policy (DAP) 5600 Fishers Lane
Rockville, MD 20857
INDIAN HEALTH SERVICE
BUY INDIAN ACT
INDIAN FIRM REPRESENTATION FORM
SOLICIATION NUMBER: _________________________________________________
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 Firm” (HHSAR 326.602) with “Indian Ownership” (HHSAR 326.603), in response to this solicitation and resultant contract.
The enterprise must meet the definition of “Indian Firm” 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 DUN and Bradstreet (D&B) and 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 Firm” with “Indian Ownership” under the authority of the Buy Indian Act.
Business Name Certifying Signature
DUNS Number Print Name
| SOLICITATION NUMBER: CRHC-21-55 |
| PROJECT TITLE: Hospitalist Physician Services, CRHC |
| DATE: |
| Business Name: |
| DUNS Number: |
| Print Name: |
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