SELF CERT BUY INDIAN ACT.pdf
PDF 46 KB Posted
- Attached to
- DELL SERVERS, POWEREDGE R660 RACK SERVER
- Solicitation number
- 75H71325Q00035
About this file
This document is an Indian Firm Representation Form for a Buy Indian Act solicitation by the Indian Health Service (IHS). The solicitation (Number 75H71325Q00035) is for two Dell PowerEdge R660 Rack Servers to be delivered to the Portland Area Office in Portland, Oregon. The procurement is set aside exclusively for Indian Small Business Economic Enterprises (ISBEE) under a two-tier cascading set-aside approach, with the primary opportunity reserved for Indian-owned firms and a secondary option for other small business concerns if insufficient competition exists.
Key requirements include submitting a quote with firm fixed pricing, estimated delivery date, completed Indian Small Business Economic Enterprise Representation Form, UEID and CAGE code numbers, payment terms, vendor contact information, and guaranteed inside delivery details. Vendors must be registered in the System for Award Management (SAM) and have an active UEI number. Quotes are due by 12:00 pm PST on 07/31/2025, with questions accepted until 12:00 pm PST on 07/29/2025. The solicitation specifies brand new, manufacturer-certified equipment with delivery terms of FOB destination and payment processed through the Invoice Processing Platform (IPP).
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Other files
| File | Type | Posted |
|---|---|---|
| A04 SPECIFICATION.pdf | ||
| A14 BRAND NAME JUSTIFICATION FOR SAM POSTING_Redacted.pdf |
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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: 75H71325Q00035 |
| PROJECT TITLE: DELL SERVERS, POWEREDGE R660 RACK SERVER |
| DATE: |
| Business Name: |
| DUNS Number: |
| Print Name: |
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