IHS IEE Representation Form DELL.pdf
PDF 141 KB Posted
- Attached to
- DELL Computers for the CLSU Federal contract opportunity
- Solicitation number
- 75H70524Q00024
About this file
This document is an Indian Economic Enterprise (IEE) Representation Form related to a federal contract opportunity for DELL Computers for the Cass Lake Service Unit (CLSU).
The solicitation is a 100% Buy Indian and Small Business set-aside with a two-tiered evaluation process. The first tier will consider proposals from Native-owned IEE or ISBEE vendors, and if no qualified proposals are received, the second tier will evaluate proposals from other small businesses. The requirement is for the purchase of 90 DELL OptiPlex computers, 10 DELL High End Desktop computers, 10 DELL Precision 3581 Laptops, 80 DELL P2222H Monitors, and 100 PIV Card Keyboards. A 5-year support and keep your hard drive service is included. Delivery is required within 60 days of award to the Cass Lake Hospital in Minnesota. Proposals are due by 6 May 2024 at 1:00 PM CST and should be emailed to the Contracting Officer, Mary Simon.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 75H770524Q00024 0001.pdf | ||
| Salient List 3 Monitors.pdf | ||
| Salient List 4 High End Computers.pdf | ||
| 75H70524Q00024 DELL.docx | DOCX document | |
| Salient List 5 High End Computer Specifications.pdf | ||
| Salient List 2 Laptops.pdf | ||
| Salient List 1 OptiPlex.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: 04/23/2024 |
| DUNSnumber: |
| BusinessName: |
| NameOfTribalEntity: |
| OwnerName: |
| PrintName: |
| SOLICITATION_NUMBER: 75H70524Q00024 |
| PROJECT_TITLE: DELL COMPUTERS |
| DoesNot: 0 |
| Does: Off |
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