S06_IMIGRATION_COMPLIANCE_FORM.pdf

PROJECT # 646‐16‐109, "REPLACE KITCHEN AHU"

SOLICITATION: 36C24419B0005

COMPLETE AND INCLUDE WITH BID

CONTRACTOR IMMIGRATION COMPLIANCE CERTIFICATION

The Contractor certifies that the Contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the Contractor while providing services to Department of Veterans Affairs patient referrals;

While performing services for the Department of Veterans Affairs, the Contractor shall not knowingly employ, contract or subcontract with an illegal alien; a foreign national non-immigrant who is not authorized to work in the United States or who is in violation their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the United States.

Federal Contractors who have been awarded (VA) contracts are required to use the “E-Verify” system to check and verify the legal status of workers to see if they are legally eligible to work in the United States.

If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or (consider revising with “this Agency’s”) its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor, shall be prohibited from working at the Contractor’s place of business that services Department of Veterans Affairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach.

The Contractor agrees to obtain a similar certification from its Subcontractors.

Signature:

Date:

Printed Name and Title:

Company Name:

This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001.