IEE_Representation_Form.pdf
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- Solicitation number
- 140A0426Q0008
About this file
This is a self-certification form for Indian Owned Economic Enterprise representation issued by the United States Department of the Interior in July 2013.
The form requires offerers to self-certify whether they meet the definition of "Indian Owned Economic Enterprise" as defined in 1480.201 under the authority of 25 USC 47, the Buy-Indian Act. Contractors must maintain eligibility status throughout three critical periods: at the time of offer submission, at the time of contract award, and during the full term of contract performance. Any loss of eligibility during these periods requires immediate written notification to the Contracting Officer. The form includes a checkbox provision allowing offerers to indicate whether they do or do not meet the Indian economic enterprise definition. Signatory fields require the business name, certifying signature, SAM UEI number, and printed name. The form warns that false or misleading information submitted in consideration of an award set-aside under the Buy-Indian Act violates federal law and is punishable under 18 U.S.C. 1001, with false claims during contract performance subject to penalties under 31 U.S.C. 3729-3731 and 18 U.S.C. 287.
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| File | Type | Posted |
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| SOW_Propane.pdf | ||
| Sol_140A0426Q0008.pdf |
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Text version
UNITED STATES
DEPARTMENT OF THE INTERIOR
Solicitation/Contract No.:
Indian Owned Economic Enterprise
Representation
{July 2013)
Project No./Project Title:
Date:
In accordance with 1452.280-4, INDIAN ECONOMIC ENTERPRISE REPRESENTATION, the signature below constitutes self-certification that the offerer meets the definition of "Indian Owned Economic Enterprise", as defined in 1480.201, in response to the solicitation and resultant contract, in accordance with 25 USC 47 the Buy-Indian Act. The enterprise must meet the definition of "Indian-Owned Economic Enterprise" throughout the following time periods: (1) At the time an offer is made in response to a solicitation; (2) At the time of contract award; and (3) During the full term of the contract performance period. At any point during these time periods, if the contractor no longer meets the eligibility requirements, the contractor must provide immediate written notification to the Contracting Officer.
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
1452.280-4 INDIAN ECONOMIC ENTERPRISE REPRESENTATION (JUL 2013)
Prescription: 1480.801{a)
Provision:
Insert the following provision in each written solicitation for supplies, services, or covered construction.
The offerer represents as part of its offer that it D does, D does not meet the definition of Indian economic enterprise as defined in 1480.201.
{End of provision)
(Business Name} (Certifying Signature}
(SAM UEI No.} (Print Name}
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