IHS IEE Form-HCLMSS.pdf
PDF 192 KB Posted
- Solicitation number
- IHS-25-SS-HCLMSS
About this file
This document is an Indian Economic Enterprise (IEE) Representation Form for a Sources Sought Notice issued by the Indian Health Service (IHS) for Healthcare Leadership and Management Support Services. The sources sought notice is seeking small businesses, including Indian Economic Enterprises (IEE) and Indian Small Business Economic Enterprises (ISBEE), capable of providing comprehensive healthcare facility support services across four primary task areas: Facility Support, Facility Governance and Governing Body Support, System-Wide Programmatic/Analytical/Policy Support, and Credentialing Support.
The solicitation (IHS-25-SS-HCLMSS) requires interested parties to submit capability statements no larger than 20 pages by 4:00 PM Eastern Time on March 29th, 2025, to Christopher.McGucken@ihs.gov. The scope involves supporting IHS facilities in maintaining accreditation, addressing quality of care challenges, providing leadership mentoring, conducting medical quality reviews, supporting governance processes, and creating system-wide programs for patient safety, infection control, and credentialing. The contract aims to proactively support IHS facilities serving approximately 2.56 million American Indians and Alaska Natives across 24 hospitals, 51 ambulatory health care centers, and 13 Youth Regional Treatment Centers.
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| File | Type | Posted |
|---|---|---|
| IHS-25-SS-HCLMSS.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
DUNS Number
| DATE: |
| DUNSnumber: |
| BusinessName: |
| NameOfTribalEntity: |
| OwnerName: |
| PrintName: |
| SOLICITATION_NUMBER: IHS-25-SS-HCLMSS |
| PROJECT_TITLE: Healthcare Leadership and Management Support Services |
| DoesNot: 0 |
| Does: Off |
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