IHS IEE Representation Form_Jan 2022_508 Compliant 04.24.pdf
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- Solicitation number
- 1508028
About this file
This document is an Indian Health Service (IHS) Buy Indian Act Indian Economic Enterprise (IEE) Representation Form for a Sources Sought Notice related to fire alarm inspection and monitoring services. The form enables Indian Economic Enterprises to self-certify their eligibility for contract opportunities under the Buy Indian Act, which requires preference be given to Indian-owned businesses. The associated Sources Sought Notice is for the Gallup Service Unit's Tohatchi Health Center, seeking capabilities for fire alarm inspection and monitoring services from 05/01/2024 to 04/31/2028, with the applicable NAICS code 922160 (Fire Protection).
Respondents must submit a capabilities package by Monday, March 14, 2025 at 10:00 a.m. MST, including confirmation of Buy-Indian set-aside status, proposed NAICS code, IEE status documentation, firm size and socio-economic program participation, intention to submit a quote, Unique Entity ID (UEI), and evidence of similar work experience from the past five years. The government will use the submitted information to determine the acquisition strategy, which may include Indian-owned enterprise set-asides, small business set-asides, or other socio-economic set-asides. The point of contact is Ken Parrish, Purchasing Agent, reachable at 505-726-8895 or Ken.Parrish@ihs.gov.
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Other files
| File | Type | Posted |
|---|---|---|
| THC SOW Fire Alarm System Monitoring and Inspection Services Sources Sought SOW.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 ID (UEI)
ATTACHMENT - IEE Representation
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