IHS IEE Representation Form DELL.pdf
PDF 130 KB Posted
- Attached to
- 75H70525Q00016, DELL PERIPHIAL EQ Federal contract opportunity
- Solicitation number
- 75H70525Q00016
About this file
This document is an Indian Health Service (IHS) Buy Indian Act Indian Economic Enterprise (IEE) Representation Form for a Dell Computers solicitation. The form is for solicitation number 75H70525Q00016, dated 5/19/2025, which involves Dell peripheral equipment and is a 100% Indian Economic Enterprise small business set-aside opportunity. The solicitation requires potential offerors to self-certify their status as an Indian Economic Enterprise, meeting specific ownership and eligibility requirements throughout the solicitation, award, and contract performance periods.
The representation form outlines critical compliance requirements, including maintaining 51% Indian ownership, being registered in the System of Award Management (SAM), and providing immediate notification to the Contracting Officer if eligibility status changes. Quote packages are due by 08:00 CT on Tuesday, June 10, 2025, and must include a completed bid schedule and signed IEE certification. False or misleading information can result in legal penalties under 18 U.S.C. 1001 and other applicable federal statutes. The opportunity is issued by the Department of Health and Human Services Indian Health Service, specifically the Division of Acquisition Policy located in Rockville, MD.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 00001 Amendment 75H70525Q00016 QA.pdf | ||
| 75H70525Q00016 RFQ.pdf |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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: 5/19/2025 |
| DUNSnumber: |
| BusinessName: |
| NameOfTribalEntity: |
| OwnerName: |
| PrintName: |
| SOLICITATION_NUMBER: 75H70525Q00016 |
| PROJECT_TITLE: DELL COMPUTERS |
| DoesNot: 0 |
| Does: Off |
File details come from the government source that posted it. Updated .