D.6 Immigration and Nationality.pdf

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Q509--Onsite Emergency Department Physician Services - Jackson - TBD
Solicitation number
36C25623R0009
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This document contains a contractor certification for immigration and nationality requirements and a sources sought notice for onsite emergency department physician services. The contractor certification requires compliance with immigration laws including using E-Verify and prohibits knowingly employing illegal aliens. The sources sought notice requests capability statements from firms able to provide qualified emergency physicians 24/7 at the G.V. Montgomery VA Medical Center in Jackson, MS. Responses are due by March 3, 2023 and should include company information, socioeconomic status, capability statement addressing staffing and experience, and estimated pricing. The opportunity is with VA Network Contracting Office 16 to identify potential vendors, including SDVOSBs and VOSBs, for a future solicitation.

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Other files

File Type Posted
D.8 PAST PERFORMANCE QUESTIONNAIRE.rtf RTF text file
D.7 PAST PERFORMANCE REFERENCES.docx DOCX document
36C25623R0009 0004.docx DOCX document
36C25623R0009_v2.docx DOCX document
D.12 SMALL BUSINESS SUBCONTRACTING PLAN-CERTIFICATION.pdf PDF
D.11 INFORMATION SECURITY RULES OF BEHAVIOR.pdf PDF
D.13 SUBCONTRACTING PLAN MODEL.docx DOCX document
36C25623R0009 0003.pdf PDF
36C25623R0009 0002.docx DOCX document
36C25623R0009 0001.docx DOCX document
D.1 Quality Assurance Surveillance Plan (QASP)KT signed.pdf PDF
D.7 PAST PERFORMANCE REFERENCES.docx DOCX document
D.2 SAM.gov User Guide.pdf PDF
D.5 Organizational Conflict of Interest.docx DOCX document
D.4 Medical Staff Bylaws Rules and Regulations Jackson VAMC 3.30.21 (1).pdf PDF
D.9 INFORMATION SECURITY RULES OF BEHAVIOR.pdf PDF
D.8 PAST PERFORMANCE QUESTIONNAIRE.rtf RTF text file
D.10 FREQUENTLY ASKED QUESTIONS.docx DOCX document
D.3 E-verify Job Aid.pdf PDF
36C25623R0009_Final.docx DOCX document
36C25623R0009_2.docx DOCX document
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Text version

ATTACHMENT D.6 – CONTRACTOR CERTIFICATION: IMMIGRATION AND

NATIONALITY OF ACT OF 1952

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.

File details come from the government source that posted it. Updated .