The document outlines the requirements for self-certifying as an “Indian Economic Enterprise” under the Buy Indian Act, in relation to a solicitation from the Indian Health Service. Offerors must affirm their eligibility as Indian-owned businesses at the time of submission, contract award, and throughout the contract period. Should an enterprise no longer meet these criteria during the contract, it must notify the Contracting Officer. Additionally, successful Offerors are required to register with the System of Award Management (SAM). False information may result in violations of federal law, with serious repercussions. The representation section serves as a declaration of compliance by the Offeror, requiring the name of the firm’s owner and relevant business details, including a DUNS number. This form emphasizes the importance of maintaining eligibility for federal contracts set aside for Indian Economic Enterprises, thereby promoting economic development within Indian communities. The structure includes sections for certification, Offeror representation, and necessary business information, maintaining a formal tone appropriate for federal contracting processes.