IA_-_IEE_Representation_Form.pdf
PDF 29 KB Posted
- Attached to
- Office Furniture for Crow Agency, MT
- Solicitation number
- 140A0426Q0004
About this file
This is a federal contracting form—specifically, the Indian Affairs Indian Economic Enterprise Representation Form—used by the Department of the Interior to certify that an offeror qualifies as an Indian Economic Enterprise (IEE) eligible for set-asides under the Buy Indian Act (25 U.S.C. 47).
The form requires offerors to self-certify that they meet the IEE definition as established in the Department of the Interior Acquisition Regulation (DIAR) Part 1480. Certification must be maintained at three critical points: when the offer is submitted in response to a written solicitation, at the time of contract award, and throughout the full contract term. The form collects essential enterprise information, including the name of the federally recognized tribal entity with which the IEE is affiliated, the legal business name, the Unique Entity ID (UEI), and the name of the individual or entity holding 51 percent or greater ownership of the IEE firm. The certifying official must sign and print their name on the form. Contracting Officers retain the right to request additional documentation or information to verify eligibility at any point during the acquisition lifecycle, including during proposal evaluation. The form carries significant legal consequences: false or misleading information submitted during offer evaluation violates 18 U.S.C. 1001, while false claims during contract performance are subject to penalties under 31 U.S.C. 3729 to 3731 and 18 U.S.C. 287.
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_140A0426Q0004_Amd_0001.pdf | ||
| Sol_140A0426Q0004.pdf |
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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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