IA_-_IEE_Representation_Form.pdf
PDF 1 MB Posted
- Attached to
- STRIPING (PAVEMENT MARKING) Federal contract opportunity
- Solicitation number
- 140A0925Q0058
About this file
The document is an Indian Affairs Indian Economic Enterprise Representation Form for solicitations under the Buy Indian Act. The form requires offerors to self-certify as an "Indian Economic Enterprise" (IEE) in accordance with Department of the Interior Acquisition Regulation (DIAR) Part 1480. Offerors must meet specific eligibility requirements at three key stages: (1) when submitting an offer, (2) at contract award, and (3) throughout the entire contract term. The form requires documentation including the name of a federally recognized tribal entity, Unique Entity ID (UEI), legal business name, and the name of the 51% or greater owner of the IEE firm. False or misleading information can result in legal penalties under 18 U.S.C. 1001 and other federal statutes, with Contracting Officers retaining the right to request additional eligibility documentation at any point in the acquisition process.
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| Sol_140A0925Q0058.pdf | ||
| B08_Solicitation_Q0058_1.pdf |
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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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