IA_-_IEE_Representation_Form.pdf

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Attached to
FENCING SUPPLIES Federal contract opportunity
Solicitation number
140A0925Q0031
Issued by
Department of the Interior Bureau of Indian Affairs Navajo Region

About this file

The document is an Indian Affairs Indian Economic Enterprise Representation Form used for certifying an enterprise's eligibility under the Buy Indian Act. The form requires offerors to self-certify that they meet the definition of an "Indian Economic Enterprise (IEE)" as defined in the Department of the Interior Acquisition Regulation (DIAR) Part 1480. Offerors must maintain IEE status at three key points: when making an offer, at contract award, and throughout the contract term. The form includes fields for the name of a federally recognized tribal entity, Unique Entity ID (UEI), legal business name, and the 51% or greater owner of the IEE firm. The document warns that false or misleading information is a violation of law punishable under 18 U.S.C. 1001 and 31 U.S.C. 3729-3731, with potential penalties for false claims during contract performance.

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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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