IA_-_IEE_Representation_Form_011325.pdf

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Attached to
TIMBER SALE PREPARATION (OAK RIDGE TS)
Solicitation number
140A0925Q0005
Issued by

About this file

This is an Indian Economic Enterprise (IEE) Representation Form used to certify eligibility for contracts under the Buy Indian Act. The form is specifically associated with solicitation #140A0925Q0005 for Timber Sale Preparation services at Oak Ridge for the Bureau of Indian Affairs, Navajo Region, Branch of Forestry.

The form requires businesses to self-certify their status as an Indian Economic Enterprise throughout three key periods: at offer submission, contract award, and during the full contract term. It requires submission of the federally recognized tribal entity, Unique Entity ID (UEI), legal business name, and information about the 51% or greater Indian owner. The document emphasizes that false representations are subject to penalties under 18 U.S.C. 1001 and false claims during performance are subject to penalties under 31 U.S.C. 3729-3731 and 18 U.S.C. 287.

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(1) At the time an offer is made in response to a written solicitation;

(2) At the time of contract award; and,

(3) During the full term of the contract.

Contracting Officers may require additional information or documentation of eligibility at any time in the acquisition life-cycle, including pre-award/proposal evaluation.

Any false or misleading information submitted by an enterprise when submitting an offer in consideration for an award set aside under the Buy Indian Act is a violation of the law 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.

Indian Affairs Indian Economic Enterprise Representation Form

Solicitation/Sources Sought/RFI Number:

Project Title:

Date of Form Submission:

In accordance with 25 U.S.C. 47 of the Buy Indian Act, the signature in the Offeror Section below constitutes self-certification that the Offeror meets the definition of an "Indian Economic Enterprise (IEE)" as defined in Department of the Interior Acquisition Regulation (DIAR) Part 1480 titled, "Acquisitions Under the Buy Indian Act."

The enterprise must meet the requirements of (i) through (iii) throughout the following time periods:

OFFEROR REPRESENTATION

By filling out the information below, the Offeror represents that it does meet the definition of an "Indian Economic Enterprise" as defined in DIAR Part 1480.

Name of Federally Recognized Tribal Entity:

Unique Entity ID (UEI):

Legal Business Name:

Name of the 51% (or greater) Owner of the IEE Firm:

Certifying Signature:

Printed Name:

Blank Page
R
Notice Number:
Project Title:
Date:
Tribal Entity:
UEI:
Business Name:
Owner:
Name:

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