Representation_Form.pdf
PDF 227 KB Posted
- Attached to
- Choctaw Agency Mowing Equipment and Attachments
- Solicitation number
- 140A1523R0006
About this file
This document is a representation form for Indian-owned economic enterprises seeking federal contracts under Solicitation 140A1523R0006 from the Department of the Interior Bureau of Indian Affairs Eastern Region. The solicitation is for mowing equipment and attachments for the Choctaw Agency. Offerors must self-certify that they meet the definition of an Indian-owned economic enterprise as defined in the regulations throughout the period from offer submission to full contract performance. Any false claims are punishable by law. The representation form requires the business name, unique entity identifier, certifying signature and printed name of the authorized representative.
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| File | Type | Posted |
|---|---|---|
| Sol_140A1523R0006_Amd_0001.pdf | ||
| Sol_140A1523R0006.pdf |
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Text version
UNITED STATES
DEPARTMENT OF THE INTERIOR
Indian Owned Economic Enterprise Representation
(FEB 2021)
Solicitation/Contract No.:
Project No./Project Title:
Date:
In accordance with 1452.280-4, INDIAN ECONOMIC ENTERPRISE REPRESENTATION, the signature below constitutes self-certification that the offeror meets the definition of “Indian Owned Economic Enterprise”, as defined in 1480.201, in response to the solicitation and resultant contract, in accordance with 25 USC 47 the Buy-Indian Act. The enterprise must meet the definition of “Indian-Owned Economic Enterprise” throughout the following time periods: (1) At the time an offer is made in response to a solicitation; (2) At the time of contract award; and (3) During the full term of the contract performance period. At any point during these time periods, if the contractor no longer meets the eligibility requirements, the contractor must provide immediate written notification to the Contracting Officer.
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
1452.280-4 INDIAN ECONOMIC ENTERPRISE REPRESENTATION (FEB 2021)
Prescription: 1480.801(a) Insert the following provision in each written solicitation for supplies, services, A-E, or construction.
Provision: The offeror represents as part of its offer that it does, does not meet the definition of Indian economic enterprise as defined in 1480.201.
(End of provision)
(Business Name) (Certifying Signature)
(Unique Entity Identifier - UEI) (Print Name)
| SolicitationContract No: 140A1523R0006 |
| Project NoProject Title: Choctaw Agency Mowing Equipment and Attachments |
| Date: 09/05/2023 |
| Business Name: |
| DUNS No: |
| Print Name: |
| does: Off |
| doesnot: Off |
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