KHC Quarters Weed Control Service

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 HHSAR 326.601, in response to a Sources Sought Notice, Request for Information (RFI), or Solicitation.

• Eligibility Requirements: The enterprise must meet the IEE definition at the time of offer, contract award, and throughout the contract performance period. Notification to the Contracting Officer is required if eligibility is lost.
• Representation: Offerors must indicate whether they meet the definition of an "Indian Economic Enterprise" with "Indian Ownership" under the Buy Indian Act.
• Required Information: The form requires the Offeror to provide:
  • Name of Federally Recognized Tribal Entity (if applicable)
  • Name of the 51% owner of the IEE Firm
  • Business Name
  • DUNS Number
  • Certifying Signature and Print Name

This form is critical for any bidder seeking to be considered for opportunities under the Buy Indian Act. It requires self-certification of eligibility and must be completed accurately. Failure to meet the IEE definition or providing false information can lead to penalties and ineligibility. Offerors may also need to provide documentation of eligibility upon request and must be registered in the System of Award Management (SAM).

Solicitation / RFP / RFQ

This solicitation is for "One Time Chemical Treatment" services for weed control at the Kayenta Health Center Quarters. The services are needed to prevent weed overgrowth, which can create safety hazards and attract pests. The contract is set aside for an Indian-Owned Small Business Economic Enterprise (ISBEE).

• Provide reliable weed control services.

• Apply one-time chemical treatment around two housing sites (New Housing: 15 acres, Old Housing: 5 acres) during Spring or Summer months.

• Retreat as needed if weed growth reoccurs.

• Vendor is responsible for obtaining water from an outside source.

• Provide Safety Data Sheets (SDS) for all products used.

• Contractor personnel must be accompanied by KSU Housing Support Staff.

• Access to premises is required during normal business hours (Monday-Friday, 8:00 am to 5:00 pm) for treatment application.

• After each service, provide a copy of services rendered to the Contracting Officer.

• Period of Performance: April 1, 2026, to December 31, 2026 (Base Year), with four option years extending through December 31, 2030.

• Contract Type: Not explicitly stated, but includes line items for Base Year and Option Years.

• Offer Due Date: April 6, 2026, 10:00 AM ET.

• Evaluation Factors: Cost/Price, Past Performance, Technical Capability, and Personnel Qualifications.

• Submission Instructions: Proposals must be submitted by the offer due date. Payment requests must be submitted through www.ipp.gov.

• This acquisition is set aside exclusively for Indian-Owned Small Business Economic Enterprises (ISBEE).

• The contract is subject to electronic payment processes via the Department of Treasury.

• Federal Acquisition Regulation (FAR) clauses 52.212-1, 52.212-3, and 52.212-5 are incorporated by reference and attached.

• A Statement of Work (Attachment A) and Wage Determination (Attachment B) are included.

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.

• Eligibility Requirements: The enterprise must meet the definition of an "Indian Economic Enterprise" at the time of offer, contract award, and throughout the contract performance period.
• Notification Requirement: Contractors must immediately notify the Contracting Officer if they no longer meet eligibility requirements.
• Documentation: Contracting Officers may require documentation of eligibility, and awards may be subject to protest.
• Registration: Successful offerors must be registered with the System of Award Management (SAM).
• Penalties: False or misleading information is a violation of law and punishable under 18 U.S.C. 1001 and 31 U.S.C. 3729-3731, 18 U.S.C. 287.
• Representation Section: Offerors must indicate whether they 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 bidders who intend to claim status as an "Indian Economic Enterprise" to be eligible for certain contract set-asides or sole-source awards under the Buy Indian Act. Bidders must accurately complete and submit this form, ensuring they meet all stated eligibility criteria and understand the legal implications of false representations.