IA_-_IEE_Representation_Form.pdf

PDF 1 MB Posted

Attached to
UPM SUMMER MIX ASPHALT MATERIAL Federal contract opportunity
Solicitation number
140A0926Q0019
Issued by
Department of the Interior Bureau of Indian Affairs Navajo Region

About this file

This is the Indian Affairs Indian Economic Enterprise Representation Form, a federal certification document required for contract opportunities set aside under the Buy Indian Act.

The form serves as a self-certification mechanism whereby offerors attest that they meet the definition of an "Indian Economic Enterprise" (IEE) as defined in the Department of the Interior Acquisition Regulation (DIAR) Part 1480. Enterprises must maintain IEE status at three critical junctures: at the time an offer is submitted in response to a written solicitation, at the time of contract award, and throughout the full contract term. Contracting Officers retain the authority to request additional eligibility information or documentation at any point during the acquisition lifecycle, including pre-award proposal evaluation. The form requires offerors to provide the solicitation or sources sought number, project title, date of submission, name of the federally recognized tribal entity, the legal business name, the Unique Entity ID (UEI), the name of the 51% or greater owner of the IEE firm, a certifying signature, and the printed name of the signatory. False or misleading information submitted with an offer is punishable under 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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File Type Posted
Sol_140A0926Q0019_Amd_0001.pdf PDF
Solicitation_Q0019.pdf PDF
Sol_140A0926Q0019.pdf PDF
Quote_Delivery_Locations.pdf 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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