Office Chairs and Tables

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 Criteria: The form requires the offeror to represent whether they meet the definition of an "Indian Economic Enterprise" with "Indian Ownership" under the Buy Indian Act. The enterprise must meet this definition at the time of offer, contract award, and throughout the contract performance period.
• Required Information: Offerors must provide:
  • Name of Federally Recognized Tribal Entity
  • Name of the 51% owner of IEE Firm
  • Business Name
  • DUNS Number
  • Certifying Signature
  • Print Name
• Legal Consequences: The form warns that 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 to 3731 and 18 U.S.C. 287.
• Additional Requirements: Successful offerors must also be registered with the System of Award Management (SAM).

This form is critical for any bidder seeking to qualify for contracts under the Buy Indian Act. Bidders must accurately complete and submit this representation to self-certify their eligibility. Failure to meet the definition or provide accurate information can lead to disqualification or penalties. Contracting Officers may require further documentation to verify eligibility.

Solicitation / RFP / RFQ

This solicitation is for the procurement of new tables and chairs for the Crownpoint Healthcare Facility. The existing furniture is showing signs of wear and tear, causing infection control issues. The procurement also includes data ports to manage wires and electrical outlets.

• Furniture:

  • 22 Exec High Back Leather Chairs (Charcoal grey bonded leather)
  • 4 Big & tall executive chairs (Brown vinyl/black base)
  • 32 Flip flop tables (72x34) with Sterling ash (6), carbon mesh (10), and mahogany (16) finishes.
  • 16 Bonded leather high black chairs with black bonded leather/black frame
  • 10 Stack chairs with arms (Navy blue poly/black frame)

• Accessories:

  • 32 Power/Data ports (black plastic and metal)

• General Requirements:

  • Vendor must provide make, model, and colors for all items.
  • Vendor must provide warranty information.
  • No back stock allowed; all items must be provided at one time.
  • Vendor must provide shipping information with tracking numbers.

• Solicitation Number: 75H71026Q00088

• Issue Date: 02/25/2026

• Offer Due Date: 03/05/2026 0800 MS

• Delivery: 30 Days After Award

• NAICS Code: 337214

• Size Standard: 1100

• Offers will be evaluated based on Lowest Price Technically Acceptable.

• Proposals must be submitted by the Offer Due Date.

• The document indicates this acquisition is a set-aside, with checkboxes for Small Business, HUBZone Small Business, Service-Disabled Veteran-Owned Small Business, Women-Owned Small Business, and Economically Disadvantaged Women-Owned Small Business. Specific set-aside status is not explicitly stated in the provided pages.

• The contract is subject to an electronic payment process via the Department of Treasury's Invoice Processing Platform (IPP).

• Various Federal Acquisition Regulation (FAR) and Department of Health and Human Services Acquisition Regulation (HHSAR) clauses are incorporated by reference.

Solicitation / RFP / RFQ

This is a combined synopsis/solicitation for commercial products or services, issued as a Request for Quotes (RFQ) under Solicitation no. IHS1522559. The government is procuring office furniture.

The following items are requested:

• Executive High Back Bonded Leather Office Chair (22 each, Charcoal Gray)
• Big & Tall Executive Chair - 400 lb. capacity (4 each, Brown Vinyl)
• 72x24 Flip Top Table w/mod (6 each, Sterling Ash)
• 72x24 Flip Top Table w/mod (10 each, Carbon Mesh)
• Bonded Leather High Back Chair (16 each, Black)
• Stack Chair with Arm rest (10 each, Navy Blue)
• Power/Data Port (32 each, Black)
• 72x24 Flip Top Table w/mod (16 each, Mahogany)

This acquisition is an Indian-owned, Small-Business, Economic Enterprise (ISBEE) set aside. The contract type, period of performance, and estimated value are not specified in this document.

• Quotes are requested. A separate written solicitation will not be issued.
• The evaluation factor is Lowest Price Technically Acceptable (LPTA).
• The provision at 52.212-1, Instructions to Offerors – Commercial Products and Commercial Services (NOV 2025) (DEVIATION), applies.
• The provision at 52.212-2, Evaluation – Commercial Products and Commercial Services (NOV 2025) (DEVIATION), applies.
• Key deadlines are not specified in this document.

This acquisition is set aside for Indian-owned, Small-Business, Economic Enterprises (ISBEE).

This solicitation incorporates numerous Federal Acquisition Regulation (FAR) and Department of Health and Human Services Acquisition Regulation (HHSAR) provisions and clauses by reference. Full text can be accessed at www.acquisition.gov and www.acquisition.gov/hhsar. Bidders are cautioned to review all incorporated provisions and clauses, as some may require completion and submission with the offer.

Form / Attachment / Pricing Sheet

This document is the "Indian Health Service Buy Indian Act Indian Economic Enterprise Representation Form." It is used by offerors to self-certify that they meet the definition of an "Indian Economic Enterprise" (IEE) in accordance with the Buy Indian Act (25 U.S.C. 47). This self-certification is required in response to Sources Sought Notices, Requests for Information (RFIs), or Solicitations.

• Eligibility Requirement: Offerors must meet the definition of an IEE throughout the solicitation response period, contract award, and the entire contract performance period.
• Notification: Contractors must immediately notify the Contracting Officer if they no longer meet eligibility requirements.
• Documentation: Contracting Officers may require documentation of eligibility before awarding Buy Indian Act set-aside or sole source contracts.
• Registration: Successful Offerors must be registered with the System of Award Management (SAM).
• Penalties: False or misleading information is punishable under federal law.
• Representation: Offerors must indicate whether they represent that their offer does or does not meet the definition of an IEE with "Indian Ownership."
• Required Information: The form requires the Offeror to provide:
  • Name of Federally Recognized Tribal Entity (if applicable)
  • Name of the 51% owner of IEE Firm
  • Business Name
  • Certifying Signature
  • UEI Number
  • Print Name

This form is critical for bidders responding to opportunities that are set aside or sole-sourced under the Buy Indian Act. Bidders must accurately complete and submit this form to self-certify their eligibility as an Indian Economic Enterprise. Failure to meet the criteria or accurately complete the form may impact their ability to be considered for or awarded the contract.