IEE Representation Form.pdf
PDF 154 KB Posted
- Attached to
- Purchase of a Cisco Network Switch
- Solicitation number
- 75H71425Q00006
About this file
The document is an Indian Economic Enterprise (IEE) Representation Form for the Indian Health Service's solicitation to purchase a Cisco Network Switch. The procurement is set-aside specifically for Indian Small Business Economic Enterprises (ISBEE) under the Buy Indian Act, with solicitation number 75H71425Q00006 for supporting the Casa Grande, AZ office. The NAICS code is 334111, and the contract will be awarded as a single award firm-fixed price type.
Key details include a quote submission deadline of March 31, 2025, at 5:00 PM MST, with questions accepted via email to susan.protho@ihs.gov until March 17, 2025. Vendors must be registered in the System for Award Management (SAM) and will be required to use the Invoice Processing Platform (IPP) for electronic invoicing. The equipment is expected to be delivered to the Tucson Area Indian Health Service 4-6 weeks after award. All future solicitation information and amendments will be distributed solely through SAM.gov, and interested parties are responsible for monitoring the site for updates.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 75H71425Q00006 Amend 0001.pdf | ||
| Price Schedule Revised.docx | DOCX document | |
| Price Schedule.docx | DOCX document | |
| Instructions to Offerors.docx | DOCX document | |
| Cisco Network Switch Brand Name Justification.pdf | ||
| Terms and Conditions New 3725.docx | DOCX document | |
| 75H71425Q00006 SF1449.pdf | ||
| 4. SOW_Network Switch_FY2025 03525.docx | DOCX document |
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Text version
DEPARTMENT OF HEALTH & HUMAN SERVICES
Indian Health Service
Office of Management Services Division of Acquisition Policy (DAP)
5600 Fishers Lane Rockville, MD 20857
INDIAN HEALTH SERVICE
BUY INDIAN ACT
INDIAN ECONOMIC ENTERPRISE
REPRESENTATION FORM
SOLICITATION/SOURCES SOUGHT/RFI #: _________________________________________________
PROJECT TITLE: ________________________________________________________
DATE: ___________________________________________________________________
In accordance with 25 U.S.C. 47 the Buy Indian Act, the signature below constitutes self-certification that the Offeror meets the definition of an “Indian Economic Enterprise” (HHSAR 326.601) in response to this Sources Sought Notice, Request for Information (RFI) or Solicitation and resultant contract.
The enterprise must meet the definition of “Indian Economic Enterprise” throughout the following time periods:
(1) At the time an offer is made in response to this solicitation;
(2) At the time of contract award; and
(3) During the full term of the contract performance period. At any point during these periods, if the Contractor no longer meets the eligibility requirements, the contractor must provide immediate written notification to the Contracting Officer.
Individual Contracting Officers may require documentation of eligibility before awarding a set-aside or sole source contracts under the Buy Indian Act and awards may be subject to protest if the eligibility of the successful Offeror is in question. In addition to the self-certification requirements, successful Offerors must also be registered with the System of Award Management (SAM).
Any false or misleading information submitted by an enterprise when submitting an offer in consideration of an award set-aside under the authority of the Buy Indian Act is a violation of the law and 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.
REPRESENTATION
The Offeror represents as part of its offer that it does _____, does not _____ meet the definition of an “Indian Economic Enterprise” with “Indian Ownership” under the authority of the Buy Indian Act.
Name of the 51% owner of IEE Firm
Certifying Signature
Print Name
Name of Federally Recognized Tribal Entity
Business Name
UEI SAM Number
| DATE: |
| DUNSnumber: |
| BusinessName: |
| NameOfTribalEntity: |
| OwnerName: |
| PrintName: |
| SOLICITATION_NUMBER: 75H71425Q00006 |
| PROJECT_TITLE: Purchase of Cisco Network Switch |
| DoesNot: 0 |
| Does: Off |
File details come from the government source that posted it. Updated .