IA_-_IEE_Representation_Form.pdf
PDF 29 KB Posted
- Attached to
- SCIP-IW BUILDING TRANSFER ESA/ LEAD/ASB
- Solicitation number
- 140A1125Q0030
About this file
This is an Indian Affairs Indian Economic Enterprise (IEE) Representation Form required for contract opportunities under the Buy Indian Act (25 U.S.C. 47). The form serves as a self-certification document where offerors must certify they meet the definition of an "Indian Economic Enterprise" as defined in Department of the Interior Acquisition Regulation (DIAR) Part 1480.
The form requires offerors to maintain IEE eligibility throughout three key periods: when making an offer in response to a written solicitation, at contract award, and during the full contract term. Required information includes the solicitation/RFI number, project title, name of federally recognized tribal entity, Unique Entity ID (UEI), legal business name, and name of the 51% or greater owner of the IEE firm. The form includes warning statements about penalties for false or misleading information (18 U.S.C. 1001) and false claims (31 U.S.C. 3729-3731 and 18 U.S.C. 287). This specific form is associated with solicitation 140A1125Q0030 for SCIP-IW Building Transfer ESA/Lead/ASB under the Department of the Interior Bureau of Indian Affairs Western Region.
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Text version
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:
(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:
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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