S02 D.5 Contractor Certification Immigration and Nationality Act.docx
DOCX document 27 KB Posted
- Attached to
- 36C25725Q0072 Virtual Pharmacy Service
- Solicitation number
- 36C25725Q0072_2
About this file
This is a contractor certification form requiring compliance with the Immigration and Nationality Act of 1952 for a Department of Veterans Affairs (VA) Virtual Pharmacy Service opportunity. The certification requires contractors to comply with all legal provisions related to non-immigrant foreign nationals working under contract or subcontract while providing services for VA patient referrals.
The contractor must not knowingly employ illegal aliens or foreign nationals who violate their immigration status, and must comply with E-Verify requirements per Executive Order 12989. Non-compliance may result in prohibition of non-compliant foreign nationals from working on VA patient referrals and possible contract termination. The form requires the contractor's signature, date, typed name and title, and company name, with similar certifications required from subcontractors.
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Other files
| File | Type | Posted |
|---|---|---|
| S02 D.2 Background Investigation.docx | DOCX document | |
| S02 D.2.2 Contractor Request Form – Foreign National.pdf | ||
| S02 D.3 Experience Worksheet 36C25725Q0072.docx | DOCX document | |
| S02 RFQ 36C25725Q0072_1 Final.pdf | ||
| S02 D.2.5 Self Certification of Continuous Service Form.pdf | ||
| S02 D.2.4 OF306 Declaration for Federal Employment.pdf | ||
| S02 D.6 Organizational Conflicts of Interest.docx | DOCX document | |
| S02 D.4 Contractor Rules of Behavior.docx | DOCX document | |
| S02 D.2.1 WMC Contractor Request US Citizens Only.pdf | ||
| S02 D.2.3 WMC Fingerprint Request Form 2.pdf | ||
| S02 D.1 QASP PLAN After Hours Pharmacy.docx | DOCX document | |
| 36C25725Q0072_2.docx | DOCX document |
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Text version
36C25725Q0072
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 .