IA_-_IEE_Representation_Form.pdf
PDF 1 MB Posted
- Attached to
- 5YR LANDFILL MONITORING
- Solicitation number
- 140A0926Q0016
About this file
This is a federal contracting form used to certify Indian Economic Enterprise (IEE) eligibility for acquisitions under the Buy Indian Act. The form serves as a self-certification document that offerors must complete when responding to written solicitations issued by the Department of the Interior or other federal agencies conducting set-aside acquisitions for Indian economic enterprises.
The form requires offerors to provide specific identification information including the name of the federally recognized tribal entity, the legal business name, the Unique Entity ID (UEI), and the name of the 51% or greater owner of the IEE firm. Offerors must certify that they meet the definition of an "Indian Economic Enterprise" as defined in the Department of the Interior Acquisition Regulation (DIAR) Part 1480 by providing a signature and printed name. The certification must be accurate at three critical points: when an offer is submitted in response to a written solicitation, at the time of contract award, and during the full term of the contract. Contracting Officers may request additional eligibility documentation at any point in the acquisition lifecycle. Submission of false or misleading information is subject to significant penalties under 18 U.S.C. 1001, while false claims during contract performance may incur penalties under 31 U.S.C. 3729-3731 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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