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Atch E - IEE Representation Form.pdf

Posted: March 2, 2026 • Type: .pdf • Size: 0.22MB
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Overview

Summary
This Indian Economic Enterprise Representation Form is issued by the Department of Health & Human Services, specifically the Indian Health Service (IHS). It serves as a self-certification tool for Offerors responding to a Sources Sought Notice, Request for Information (RFI), or Solicitation under the Buy Indian Act.

The form requires Offerors to affirm their status as an "Indian Economic Enterprise" as defined by HHSAR 326.601, which must be maintained at three critical points: when submitting an offer, at contract award, and throughout the contract performance period. Should the Offeror's eligibility change at any point during these periods, they are obligated to notify the Contracting Officer immediately.

The document emphasizes the importance of accurate representation and compliance with federal regulations. It outlines that any false or misleading information provided can lead to legal repercussions under various U.S. Codes, including 18 U.S.C. 1001 and 31 U.S.C. 3729-3731.

Additionally, successful Offerors must be registered in the System of Award Management (SAM) and may need to provide documentation to verify their eligibility for set-aside or sole source contracts under the Buy Indian Act. The form also includes sections for identifying the federally recognized tribal entity and details about ownership of the Indian Economic Enterprise, ensuring transparency and accountability in the contracting process.

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