IA_-_IEE_Representation_Form.pdf

PDF 29 KB Posted

Attached to
BOILER REPLACEMENT PROJECT, LAME DEER Federal contract opportunity
Solicitation number
140A0425R0006
Issued by
Department of the Interior Bureau of Indian Affairs Rocky Mountain Region

About this file

The document is an Indian Affairs Indian Economic Enterprise (IEE) Representation Form associated with the Boiler Replacement Project in Lame Deer, solicitation number 140A0425R0006. The form is designed to self-certify that an offeror meets the definition of an Indian Economic Enterprise under the Buy Indian Act, as defined in the Department of the Interior Acquisition Regulation (DIAR) Part 1480.

The form requires offerors to provide key information including the name of the federally recognized tribal entity, Unique Entity ID (UEI), legal business name, and the name of the 51% (or greater) owner of the IEE firm. Offerors must meet the enterprise requirements at the time of offer, contract award, and throughout the contract term. The form warns that false or misleading information is a violation of law, punishable under 18 U.S.C. 1001 and other federal statutes, and contracting officers may request additional eligibility documentation at any point in the acquisition lifecycle.

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Sol_140A0425R0006.pdf PDF
Statement_of_Work-NCA.pdf 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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