SELF CERT BUY INDIAN ACT.pdf

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Attached to
Non-Lethal Security Guard Services YSU22052 Federal contract opportunity
Solicitation number
75H71322Q00013
Issued by
Department of Health and Human Services Indian Health Service

About this file

This document includes a self-certification form for Indian firms under the Buy Indian Act and a sources sought notice for non-lethal security guard services. The self-certification form allows firms to represent that they meet the definition of an "Indian firm" with "Indian ownership" under the Buy Indian Act in response to solicitations and contracts.

The sources sought notice is being conducted by the Yakima Service Unit of the Indian Health Service for non-lethal security guard services located in Toppenish, Washington. Responses are requested by April 12, 2022 to obtain information about availability and capabilities of qualified native small businesses. The notice seeks the business name, point of contact, DUNS and NAICS codes, business size, ownership type, and valid VAR certification level. The information collected may be used to determine potential set asides for the non-lethal security guard services requirement under solicitation number 75H71322Q00013. The tentative performance period is from May 1, 2022 through April 31, 2023.

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Text version

DEPARTMENT OF HEALTH & HUMAN SERVICES

Indian Health Service

Division of Acquisition Policy (DAP) 5600 Fishers Lane

Rockville, MD 20857

INDIAN HEALTH SERVICE

BUY INDIAN ACT

INDIAN FIRM REPRESENTATION FORM

SOLICIATION NUMBER: _________________________________________________

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 Firm” (HHSAR 326.602) with “Indian Ownership” (HHSAR 326.603), in response to this solicitation and resultant contract.

The enterprise must meet the definition of “Indian Firm” 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 DUN and Bradstreet (D&B) and 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 Firm” with “Indian Ownership” under the authority of the Buy Indian Act.

Business Name Certifying Signature

DUNS Number Print Name

SOLICITATION NUMBER:
PROJECT TITLE:
DATE:
Business Name:
DUNS Number:
Print Name:

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