IA_-_IEE_Representation_Form.pdf

PDF 1 MB Posted

Attached to
REPLACE/INSTALL CHAIN LINK FENCE LAGOON Federal contract opportunity
Solicitation number
140A2325Q0142
Issued by
Department of the Interior Bureau of Indian Affairs Bureau of Indian Education

About this file

The document is an Indian Affairs Indian Economic Enterprise (IEE) Representation Form used to certify eligibility for contracts set aside under the Buy Indian Act. The form requires offerors to self-certify as an Indian Economic Enterprise by providing details including the name of a federally recognized tribal entity, Unique Entity ID (UEI), legal business name, and the name of the 51% or greater owner of the IEE firm. The form emphasizes that false or misleading information is a violation of law punishable under 18 U.S.C. 1001, with potential penalties for fraudulent claims during contract performance.

The form is specifically related to a Bureau of Indian Education solicitation (140A2325Q0142) for a fixed-price construction project to replace/install a chain link fence at the Wingate High School lagoon in Fort Wingate, New Mexico. The solicitation is set aside for Indian Small Business Economic Enterprises (ISBEE), with a site visit scheduled for May 27, 2025, and a closing date of June 16, 2025, at 12:00 p.m. Mountain Daylight Time. Interested parties must submit a Price Schedule (Volume I) and Response to Evaluation Factors (Volume II), with questions to be submitted by May 30, 2025, to maryjane.johnson@bie.edu.

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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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