Atch 4 Immigration Certification.docx

Contractor Certification of Compliance with the Immigration and Nationality Act of 1952

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 knowingly employ, contract or subcontract with an illegal alien, foreign national 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.

If the Contractor fails to comply with any requirements outlined in the preceding its Agency regulations, the Department of Veterans Affairs may, at its discretion, 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, and Customs Enforcement and the U S Department of Labor, shall be prohibited 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 agreement 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.