SOURCES SOUGHT NOTICE: Supplies for Vitros XT3400 System and XT7600 Integrated System,

The Indian Health Service (IHS) Buy Indian Act Indian Economic Enterprise Representation Form is a mandatory self-certification document for offerors responding to solicitations, sources sought notices, or RFIs under the Buy Indian Act (25 U.S.C. 47). This form requires offerors to affirm their status as an “Indian Economic Enterprise” (IEE) as defined by HHSAR 326.601, throughout the offer, award, and contract performance periods. Failure to maintain IEE eligibility necessitates immediate written notification to the Contracting Officer. The document warns that false or misleading 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. In addition to self-certification, successful offerors must be registered with the System for Award Management (SAM). The form includes a representation section for offerors to indicate whether they meet the IEE definition, requiring the name of the 51% owner, certifying signature, printed name, name of the Federally Recognized Tribal Entity, business name, and DUNS number.