IEE_Representation_Form.pdf

This is an Indian Affairs Indian Economic Enterprise Representation Form used for federal contracting purposes under the Buy Indian Act.

The form serves as a self-certification document that allows offerors to represent their status as Indian Economic Enterprises (IEEs) in response to federal solicitations. The form requires completion at three critical points: when submitting an offer in response to a written solicitation, at the time of contract award, and throughout the full term of the contract. Offerors must provide specific information including the name of the federally recognized tribal entity, the name of the 51% (or greater) owner of the IEE firm, the legal business name, unique entity ID (UEI), and certifying signature with printed name. The form emphasizes that completion constitutes self-certification that the offeror meets the IEE definition established in the Department of Interior Acquisition Regulation (DIAR) Part 1480. Contracting officers retain the right to request additional documentation or eligibility verification at any point during the acquisition lifecycle. The form includes warnings that false or misleading information submitted during offer consideration violates 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.