This document is a Sources Sought Submittal Questionnaire designed for firms interested in federal, state, tribal, or other government projects. It collects essential company information, including name, website, address, SAM UEI, and point of contact. Firms must indicate their intent to submit a proposal and specify their business type (e.g., Native American-owned, SBA certified 8(a), SDVOSB, WOSB, Small Business), with IEE firms requiring additional documentation. The questionnaire also requests single and aggregate bonding capacities. A critical component is the submission of experience, requiring details for at least two but no more than five similar projects completed within the last six years. For each project, firms must provide the project name/number, prime or subcontractor status, construction dates, contract value, location, completion date, scope description, and agency point of contact for reference. This questionnaire helps government agencies assess potential contractors for upcoming solicitations.
The Indian Health Service (IHS) requires offerors to self-certify as an "Indian Economic Enterprise" (IEE) under the Buy Indian Act (25 U.S.C. 47) for solicitations, sources sought, RFIs, and resulting contracts. This status must be maintained at the time of offer, contract award, and throughout the contract performance period. Any change in eligibility requires immediate written notification to the Contracting Officer. While self-certification is primary, Contracting Officers may request documentation for eligibility, and awards can be protested. Successful offerors must also be registered with the System for Award Management (SAM). False or misleading information carries severe penalties under 18 U.S.C. 1001 for misrepresentation and 31 U.S.C. 3729-3731 and 18 U.S.C. 287 for false claims. The form requires the offeror to represent whether they meet the IEE definition, along with signatures from the 51% owner, the certifying individual, the federally recognized tribal entity, the business name, and the DUNS Number.