IHS IEE Representation Form_IHS1496335.pdf
PDF 130 KB Posted
- Attached to
- Sources Sought: Optometry Equipment-various manufacturers for IHS locations in the Great Plains Area
- Solicitation number
- IHS1496335
About this file
This document is a Sources Sought Notice for the Indian Health Service (IHS), Great Plains Area Office, seeking optometry and ophthalmology equipment for various clinics in the Great Plains Area. The notice invites Indian Small Business Economic Enterprises (ISBEEs) and Indian Economic Enterprises (IEEs) to submit capability statements that demonstrate their qualifications and ability to provide the required equipment, which includes items such as acuity systems, slit lamps, binocular indirect ophthalmoscopes, and autorefractors. The applicable NAICS code is 339113 with a small business size standard of 750 employees. The IHS will give priority to ISBEE set-asides for this requirement, and a single award may be made. Interested parties must submit their responses by August 21, 2024, and provide information such as company details, business status, and a capability statement. The IHS will use the responses to determine the appropriate acquisition strategy.
View the file
On GovTribe
Work with this file
- 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: 8.14.2024 |
| DUNSnumber: |
| BusinessName: |
| NameOfTribalEntity: |
| OwnerName: |
| PrintName: |
| SOLICITATION_NUMBER: IHS1496335 |
| PROJECT_TITLE: Optometry/Opthamology Equipment-Ft Yates, Ft Thompson, Wagner |
| DoesNot: 0 |
| Does: Off |
File details come from the government source that posted it. Updated .