S02 D.6 Contractor Certification - Immigration and Nationality Act - 05-28-2026.docx

DOCX document 28 KB Posted

Attached to
Q505--Locum Gastroenterology (GI) Physician Services MSO-2026-COM-0017
Solicitation number
36C25726Q0159
Issued by

About this file

This is a Contractor Certification form required under the Immigration and Nationality Act for RFQ 36C25726Q0159, a Department of Veterans Affairs solicitation for Locum Gastroenterology (GI) Physician Services. The certification mandates that contractors comply with all Immigration and Nationality Act provisions, including regulations enforced by Homeland Security, Immigration and Customs Enforcement, and the U.S. Department of Labor, particularly regarding non-immigrant foreign nationals providing services to VA patient referrals. Contractors must not knowingly employ, contract with, or subcontract with illegal aliens or foreign nationals in violation of their immigration status and must comply with E-Verify requirements consistent with Executive Order 12989 and applicable Federal Acquisition Regulations.

The certification establishes that failure to comply with these requirements may result in the VA prohibiting non-compliant foreign nationals from working at the contractor's place of business or locations where services are provided to VA-referred veterans, and such violations constitute grounds for contract termination for breach. Contractors are required to obtain similar certifications from their subcontractors. The form requires the contractor's authorized representative to sign and date the certification, which carries legal weight under 18 U.S.C. § 1001, making false certifications subject to criminal prosecution.

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36C25726Q0159 0004.docx DOCX document
S02 36C25726Q0159 - Locum GI Physician Services - Unrestricted Insufficient Small Businesses.docx DOCX document
36C25726Q0159 0003.docx DOCX document
S02 D.3 Fillable Schedule of Services - Locum GI Physician Services - 05-28-2026.xlsx XLSX spreadsheet
S02 D.8 VHA Bookable Hour and Appointment Length Standards Memorandum - 05-28-2026.pdf PDF
S02 D.5 Contractor Rules of Behavior - 05-28-2026.docx DOCX document
S02 D.7 Organizational Conflicts of Interest - 05-28-2026.docx DOCX document
S02 D.4 Past Performance Questionnaire Worksheet - Locum GI Physician Services - 05-28-2026.docx DOCX document
S02 D.1 Quality Assurance Surveillance Plan - Locum GI Physician Services - 05-28-2026.docx DOCX document
36C25726Q0159 0002.docx DOCX document
36C25726Q0159 0001.docx DOCX document
S02 D.5 Contractor Rules of Behavior.docx DOCX document
S02 D.8 VHA Bookable Hour and Appointment Length Standards Memorandum.pdf PDF
S02 D.4 Past Performance Questionnaire Worksheet - Locum GI Physician Services.docx DOCX document
S02 D.7 Organizational Conflicts of Interest.docx DOCX document
S02 D.1 Quality Assurance Surveillance Plan - Locum GI Physician Services.docx DOCX document
36C25726Q0159_1.docx DOCX document
S02 D.3 Fillable Schedule of Services - Locum GI Physician Services.xlsx XLSX spreadsheet
S02 D.6 Contractor Certification - Immigration and Nationality Act.docx DOCX document
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Contractor Certification – Immigration and Nationality Act – Locum GI Physician Services – RFQ 36C25726Q0159

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 .