SS Attachment 4 Sources Sought IEE Self-Performance Worksheet.docx

DOCX document 23 KB Posted

Attached to
HHC Qtrs Construction Federal contract opportunity
Solicitation number
SS75H70123R00040
Issued by
Department of Health and Human Services Indian Health Service

About this file

This document contains an Indian Economic Enterprise Self-Performance Worksheet and details of a related federal contract opportunity for construction of quarters in Polacca, AZ. Prime contractors and subcontractors that self-certify as Indian Economic Enterprises or Indian Economic Small Business Enterprises must complete the worksheet, listing the work activities and percentages they will self-perform versus subcontract. The worksheet also requires signatories to affirm Indian ownership and control percentages meet regulatory definitions. The related sources sought notice is from the Indian Health Service for construction of quarters, seeking potential vendors to identify themselves as capable of performing the work.

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Attachment 2. Indian Economic Enterprise Self-Performance Worksheet SS75H70123R00040 Sources Sought for HHC Quarters Construction, Polacca, AZ 86042

IEE REPRESENTATION SELF-PERFORMED CALCULATION SHEET

Prospective Offerors that self-certify as an Indian Economic Enterprise (IEEs) and Indian Economic Small Business Enterprises (ISBEEs) are required to meet the definition of an Indian Economic Enterprise (HHSAR 326.601). The full definition of an IEE and an ISBEE are provided on page 2.

IEEs/ISBEEs shall list the work activities below that they are self-performing along with the remaining percentages of work proposed with each subcontractors’ SBA concern status in the table below. Percentages of proposed work shall come to a sum equal to 100%.

List of Proposed Prime Contractor and Subcontractors, their work activities and value:

Prime Contractor/Subcontractor/ Tribal Entity
Concern Status

(i.e., IEE/ISBEE, SB, 8(a), SDB, SDVOSB, HUBZone, etc.)

Work Activities
Percentage of Work Proposed (%)

Signed at submission of Sources Sought notice:

Name: ___________________________________ Title: ______________________________________ Signature: _________________________________ Date: ______________________________________

Definitions (HHSAR 326.601):

Indian Economic Enterprise (IEE) means any business activity owned by one or more Indians or Indian Tribes that is established for the purpose of profit provided that: The combined Indian or Indian Tribe ownership must constitute not less than 51 percent of the enterprise; the Indians or Indian Tribes must, together, receive at least a majority of the earnings from the contract; and the management and daily business operations of an enterprise must be controlled by one or more individuals who are Indians. To ensure actual control over the enterprise, the individuals must possess requisite management or technical capabilities directly related to the primary industry in which the enterprise conducts business. The enterprise must meet these requirements throughout the following time periods:

(1) At the time an offer is made in response to a written solicitation;

(2) At the time of the contract award; and

(3) During the full term of the contract.

Indian Small Business Economic Enterprise (ISBEE) means an IEE that is also a small business concern established in accordance with the criteria and size standards of 13 CFR part 121.

File details come from the government source that posted it. Updated .