Sources Sought:Whiteriver Service Unit Steam Sterilizer, Reverse Osmosis, Washer Equipment Preventive Maintenance

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.

• Self-Certification: Offerors must certify whether they meet the definition of an "Indian Economic Enterprise" with "Indian Ownership."
• Eligibility Period: The enterprise must meet the definition throughout the offer period, at the time of contract award, and during the full 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.
• Registration: Successful Offerors must be registered with the System of Award Management (SAM).
• Penalties: False or misleading information is subject to legal penalties.
• Required Fields: 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
  • DUNS Number
  • Certifying Signature
  • Print Name

This form is critical for bidders who intend to claim status as an "Indian Economic Enterprise" to be eligible for certain contract awards under the Buy Indian Act. Bidders must accurately complete and submit this form to self-certify their eligibility and understand the ongoing requirements and potential penalties associated with this designation.

Other / Unclassified

This document is a Sources Sought Notice issued by the Indian Health Service (IHS) for Whiteriver Service Unit. It seeks market research to determine compliance with the Buy Indian Act and to make a set-aside determination for the procurement of Steam Sterilizer, Reverse Osmosis, and Washer Equipment Preventive Maintenance services.

• Purpose: This notice is for market research only and is NOT a Request for Quote (RFQ) or Request for Proposal (RFP).
• Requirement: The contractor shall provide preventive maintenance for Steam Sterilizer, Reverse Osmosis, and Washer Equipment.
• Buy Indian Act: The IHS will give priority to Indian Economic Enterprises (IEE) and Indian Small Business Economic Enterprises (ISBEE) for this procurement.
• Response Requirements: Interested firms must provide specific company information, including name, point of contact, DUNS/UEI number, Tax ID, business category (IEE or ISBEE), a capability statement, and manufacturer authorization documentation (Attachment 2: Gray Market Prevention Language).
• Eligibility: Firms must indicate their qualification as an IEE or ISBEE and provide supporting documentation. Registration in SAM is required.
• Key Dates: The response date is April 7, 2026, at 1300 Local Time.
• Restrictions: Only new OEM medical supplies, equipment, and services contracts for maintenance will be accepted. Gray market or remanufactured items are not acceptable. Vendors must be authorized distributors or resellers.