IEE Representation Form SS-2024-PHX-046.pdf
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- Solicitation number
- SS-2024-PHX-046
About this file
This document is a Sources Sought Notice for a federal contract opportunity from the Indian Health Service (IHS) for the procurement of two Stryker Neptune 3 Rover and one Neptune S Rover medical equipment units.
The notice indicates that this acquisition will be set aside exclusively for Indian Economic Enterprises (IEE) or Indian Small Business Economic Enterprises (ISBEE) under the Buy Indian Act. Interested vendors must self-certify their eligibility on the designated IHS Indian Economic Enterprise Representation form and identify the Federally Recognized Indian Tribe or Alaska Native Corporation upon which they rely for their IEE status. Vendors must also be registered in the System for Award Management (SAM). The NAICS code for this requirement is 339112 Surgical & Medical Instrument Manufacturing, with a size standard of 500 employees. Responses to the Sources Sought notice are due by August 2, 2024 at 5:00 PM EST. The government will use the responses to determine if there is a reasonable expectation of obtaining offers from two or more IEE/ISBEEs to support a set-aside acquisition.
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Other files
| File | Type | Posted |
|---|---|---|
| Neptune S SPECS.pdf | ||
| Neptune 3 Rover SPECS.pdf |
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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
Unique Entity Identifier (UEI) Number
| DUNSnumber: |
| BusinessName: |
| NameOfTribalEntity: |
| OwnerName: |
| PrintName: |
| SOLICITATION_NUMBER: SS-2024-PHX-046 |
| PROJECT_TITLE: Brand Name Stryker Neptune 3 Rover and Neptune S Rover Units |
| DoesNot: 0 |
| Does: Off |
| Date1_af_date: 07/22/2024 |
File details come from the government source that posted it. Updated .