IA_-_IEE_Representation_Form.pdf

PDF 1 MB Posted

Attached to
Removal/Installation New Blinds, Building 222, Eas Federal contract opportunity
Solicitation number
140A0926Q0034
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 self-certification document required for enterprises seeking to compete for contract awards set aside under the Buy Indian Act (25 U.S.C. 47).

The form requires offerors to certify 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 eligibility throughout three critical time periods: at the time an offer is submitted in response to a written solicitation, at the time of contract award, and during the full term of the contract. The Contracting Officer may request additional eligibility documentation at any point in the acquisition lifecycle, including during pre-award and proposal evaluation phases. The form requires completion of the following fields: Solicitation/Sources Sought/RFI Number; Project Title; Date of Form Submission; Name of Federally Recognized Tribal Entity; Legal Business Name; Unique Entity ID (UEI); Name of the 51% (or greater) Owner of the IEE Firm; Certifying Signature; and Printed Name. The signature constitutes self-certification of IEE status and carries legal consequences for false or misleading information, with violations subject to penalties under 18 U.S.C. 1001 for false statements in offers and 31 U.S.C. 3729-3731 and 18 U.S.C. 287 for false claims during contract performance.

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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:

File details come from the government source that posted it. Updated .