The Indian Health Service (IHS) Buy Indian Act Indian Economic Enterprise Representation Form is a self-certification document for offerors responding to solicitations, sources sought, or RFIs. It verifies that an enterprise meets the definition of an “Indian Economic Enterprise” (IEE) as per HHSAR 326.601, aligning with 25 U.S.C. 47. The enterprise must maintain IEE status throughout the offer, award, and contract performance periods, notifying the Contracting Officer immediately if eligibility changes. Individual Contracting Officers may request supporting documentation, and awards are subject to protest regarding eligibility. Successful offerors must also register with the System for Award Management (SAM). Submitting false information is punishable under 18 U.S.C. 1001, and false claims during performance are subject to penalties under 31 U.S.C. 3729-3731 and 18 U.S.C. 287. The form requires the offeror to represent whether they meet the IEE definition with Indian Ownership, including spaces for the 51% owner's name, certifying signature, printed name, federally recognized tribal entity name, business name, and DUNS Number.

The provided document, a Pricing Schedule for Nonpersonal Services, outlines the cost structure for contracting nonpersonal services for the NNMC. It details a single line item for "Nonpersonal Services" at an estimated 160 hours per month, requiring a unit price from the contractor. The schedule specifies that the quoted "All-Inclusive Regular/Overtime hourly rate" must cover all labor, fringe benefits, transportation, per diem, supervision, housing, all other necessary expenses, and all applicable federal, state, and local taxes, including special pay for holiday or overtime. It also clarifies that the stated hours are estimates only, and the government's failure to order services in those quantities will not be grounds for price adjustment. Contractors are required to provide their signature, date, and UEI number.

This government Request for Proposal (RFP) solicits non-personal health care services for two Inpatient Pediatrics Nurses at the Northern Navajo Medical Center in Shiprock, NM. The contract includes a base period from January 1, 2026, to June 30, 2026, and four one-year option periods, extending services until June 30, 2028. The acquisition is a 100% ISBEE (Indian Small Business Economic Enterprise) set-aside under NAICS code 561320 with a size standard of $34 million. Key requirements include compliance with various FAR and HHSAR clauses, medical liability insurance of $1,000,000 per occurrence and $3,000,000 in aggregate, and electronic submission of invoices via IPP. Contractors must adhere to limitations on subcontracting, employee background checks, and specific Indian Health Service regulations, including child protection policies. The document emphasizes the non-personal nature of the services, contractor indemnification, and strict adherence to government regulations, including the REAL ID Act for facility access.