IA_-_IEE_Representation_Form_011325.pdf
PDF 1004 KB Posted
- Attached to
- SCATTERED WILLOW WASH SILVICULTURAL PRESCRIPTION Federal contract opportunity
- Solicitation number
- 140A0925R0004
About this file
The document is an Indian Affairs Indian Economic Enterprise Representation Form for contracts under the Buy Indian Act. The form requires offerors to self-certify as an "Indian Economic Enterprise" (IEE) meeting specific eligibility criteria during three key time periods: (1) when making an offer, (2) at contract award, and (3) throughout the full contract term. Contracting Officers retain the right to request additional eligibility documentation at any point in the acquisition lifecycle.
The form mandates that offerors provide critical information including the name of the Federally Recognized Tribal Entity, Unique Entity ID (UEI), Legal Business Name, and the name of the 51% (or greater) Owner of the IEE Firm. The document explicitly warns that submitting false or misleading information is a violation punishable under 18 U.S.C. 1001, with potential penalties for false claims during contract performance under 31 U.S.C. 3729 to 3731 and 18 U.S.C. 287.
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Text version
(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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