Attachment D.1 - CONTRACTOR CERTIFICATION IMMIGRATION AND NATIONALITY ACT OF 1952 AS AMENDED.pdf

Optional Form PDF 233 KB Posted

Attached to
Q525--On-Call Urology Physician Services | Orlando
Solicitation number
36C24824Q0708
Issued by

About this file

The provided document is a Contractor Certification related to the Immigration and Nationality Act of 1952, as amended. It requires the contractor to comply with all legal provisions and requirements enforced by Homeland Security, Immigration and Customs Enforcement, and the U.S. Department of Labor regarding the employment of non-immigrant foreign nationals while providing services to the Department of Veterans Affairs. The contractor must not knowingly employ, contract, or subcontract with any illegal aliens or foreign nationals in violation of their status. The contractor must also comply with all "E-Verify" requirements consistent with Executive Order 12989 and applicable Federal Acquisition Regulations. Failure to comply may result in the termination of the contract.

The related federal contract opportunity is a Request for Quote (RFQ) for On-Call Urology Physician Services in Orlando, solicitation number 36C24824Q0708, issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8.

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CONTRACTOR CERTIFICATION: IMMIGRATION AND NATIONALITY ACT OF 1952, AS

AMENDED

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; foreign national non-immigrant 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. Additionally, the Contractor is required to comply with all “E-Verify” requirements consistent with “Executive Order 12989” and any related pertinent Amendments, as well as applicable Federal Acquisition Regulations.

If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or 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: ____________________________________________

Typed 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.

Attachment D.1 CONTRACTOR CERTIFICATION IMMIGRATION AND NATIONALITY ACT OF 1952 AS

AMENDED

RFQ# 36C24824Q0708

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