BPA - Institutional Cleaning, Disinfecting, and Odor Control Products - KHC

Form / Attachment / Pricing Sheet

This document is the "Indian Health Service Buy Indian Act Indian Economic Enterprise Representation Form." It serves as a self-certification for offerors to confirm they meet the definition of an "Indian Economic Enterprise" as required by the Buy Indian Act. This form is to be submitted in response to a Sources Sought Notice, Request for Information (RFI), or Solicitation.

• Solicitation/Sources Sought/RFI #: Field to enter the relevant identifier.
• Project Title: Field to enter the project's title.
• Date: Field to enter the date.
• Representation: Offerors must indicate whether they represent that their business "does" or "does not" meet the definition of an "Indian Economic Enterprise" with "Indian Ownership" under the Buy Indian Act.
• Name of Federally Recognized Tribal Entity: Field for the name of the tribal entity, if applicable.
• Name of the 51% owner of IEE Firm: Field for the name of the principal owner.
• Business Name: Field for the Offeror's business name.
• DUNS Number: Field for the Offeror's Data Universal Numbering System (DUNS) number.
• Certifying Signature: Field for the signature of the authorized representative.
• Print Name: Field for the printed name of the signatory.

Bidders must complete and submit this form to self-certify their eligibility as an "Indian Economic Enterprise" if required by the solicitation. Failure to meet the definition of an "Indian Economic Enterprise" throughout the solicitation, award, and performance periods can lead to disqualification or penalties. The form also requires information about the business, its ownership, and tribal affiliation, which may be relevant for set-aside considerations under the Buy Indian Act.

Form / Attachment / Pricing Sheet

This document is a supply list for the Housekeeping Department, indicating items to be ordered on an as-needed basis.

• #60231400: BUCKEYE ECO 23 NEUTRAL DISINFECTANT (REFILL FOR ECO PRO DISPENSER)
• #60411400: BUCKEYE ECO ODOR ELIMINATOR (REFILL FOR ECO PRO DISPENSER)
• #60121400: BUCKEYE ECO E12 GLASS CLEANER (REFILL FOR ECO PRO DISPENSER)

This list provides specific product codes and descriptions for cleaning supplies required by the Housekeeping Department. Bidders may use this information to understand the types of products and their associated identifiers that may be part of future solicitations or orders.

Solicitation / RFP / RFQ

This document outlines the contract terms and conditions, including Federal Acquisition Regulation (FAR) clauses, applicable to the procurement of commercial products and commercial services. It details the evaluation factors for offers, submission requirements, and other relevant provisions.

• Offers must demonstrate the ability to fully meet all technical requirements without substitutions.

• Pricing must align with the technical approach and include a brief explanation and any discounts.

• A price breakdown using Attachment A (Potential Supply Listing) is required.

• Offerors must clearly state their ability to meet the required delivery terms (FOB Destination or FOB Origin) and explain how delivery issues will be addressed.

• The contract will be awarded to the responsible Offeror whose offer is most advantageous to the Government, considering price and other factors.

• Evaluation of options will be based on the total price for all options added to the basic requirement. Unbalanced option prices may lead to an unacceptable offer.

• Evaluation factors are: Technical Capability, Price, and Delivery Schedule, evaluated in that order.

• Offers will be evaluated based on the order of these factors.

• A written notice of award will result in a binding contract.

• Various FAR clauses related to small business concerns, set-asides (including HUBZone, Service-Disabled Veteran-Owned, Economically Disadvantaged Women-Owned, and Women-Owned Small Businesses), and Indian Economic Enterprises are included.

• Specific clauses address Buy American-Supplies, Trade Agreements, and preference for U.S.-flag commercial vessels.

• The document incorporates numerous FAR clauses by reference, which bidders can access electronically or upon request.

• It also includes Department of Health and Human Services Acquisition Regulation (HHSAR) clauses and local Indian Health Service terms.

• Attachment A provides a supply list for the Housekeeping Department, to be ordered on an as-needed basis.

• Attachment B is the Indian Health Service Buy Indian Act Indian Economic Enterprise Representation Form.

Form / Attachment / Pricing Sheet

This document is the Indian Health Service (IHS) Buy Indian Act Indian Economic Enterprise (IEE) Representation Form. It serves as a self-certification for offerors to confirm they meet the definition of an "Indian Economic Enterprise" as defined by the Buy Indian Act and HHSAR 326.601. This form is required in response to Sources Sought Notices, Requests for Information (RFI), or Solicitations leading to a contract.

• Eligibility Criteria: The enterprise must meet the IEE definition at the time of offer, contract award, and throughout the contract performance period. Failure to meet these requirements necessitates immediate written notification to the Contracting Officer.
• Documentation: Contracting Officers may request documentation of eligibility for Buy Indian Act set-aside or sole source contracts. Awards are subject to protest if eligibility is questioned.
• Registration: Successful Offerors must be registered with the System of Award Management (SAM).
• Penalties: Submission of false or misleading information is a violation of law, punishable under 18 U.S.C. 1001, and false claims are subject to penalties under 31 U.S.C. 3729-3731 and 18 U.S.C. 287.
• Representation Section: Offerors must indicate whether they do or do not meet the definition of an "Indian Economic Enterprise" with "Indian Ownership."
• Required Fields: Name of Federally Recognized Tribal Entity, Name of the 51% owner of IEE Firm, Business Name, DUNS Number, Certifying Signature, and Print Name.

This form is critical for any bidder seeking to qualify for Buy Indian Act preferences or set-asides. Bidders must accurately complete this form to self-certify their eligibility and understand the ongoing requirements and potential penalties associated with misrepresentation. It directly impacts proposal preparation and eligibility for specific contract awards.