IHS IEE Rep Form Area Wide ADA Compliant Interpretation Services.pdf
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This is an Indian Economic Enterprise Representation Form issued by the Indian Health Service (IHS), Department of Health & Human Services, for solicitation BEMAREA regarding ADA Compliant Interpretation Services for BEM AO, dated February 4, 2026.
The form serves as a self-certification document for offerors to declare whether they meet the definition of an "Indian Economic Enterprise" (IEE) under the Buy Indian Act (25 U.S.C. 47) and HHSAR 326.601. Offerors must maintain IEE status at three critical points: when submitting an offer, at contract award, and throughout the entire contract performance period. The enterprise must be at least 51% owned by a member of a Federally Recognized Tribal Entity. Any contractor that loses eligibility during contract performance must immediately notify the Contracting Officer. Successful offerors must be registered with the System of Award Management (SAM) in addition to completing this self-certification. The form requires submission of the Federally Recognized Tribal Entity name, business name, DUNS number, the 51% owner's name, a certifying signature, and the printed name of the signatory. False or misleading information submitted with an offer is subject to penalties under 18 U.S.C. 1001, and false claims during contract performance are subject to penalties under 31 U.S.C. 3729-3731 and 18 U.S.C. 287. Contracting Officers may require documentation of eligibility before awarding contracts and awards may be subject to protest if the offeror's eligibility is questioned.
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Other files
| File | Type | Posted |
|---|---|---|
| PERFORMANCE WORK STATEMENT INTERPRETING SVC.docx | DOCX document | |
| Sources Sought ADA Compliant Interpretation Services Bemidji Area Wide.pdf |
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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 #: BEMAREA
ADA Compliant Interpretation Services for BEM AOPROJECT TITLE:
DATE: 02/4/2026
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: |
| PROJECT_TITLE: |
| DoesNot: 0 |
| Does: Off |
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