Attachment 14 CONTRACTOR CERTIFICATION.docx

DOCX document 21 KB Posted

Attached to
V225--Ground Ambulance
Solicitation number
36C25626Q0347
Issued by

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This is a contractor certification attachment required as part of solicitation 36C25626Q0347 for ground ambulance services at the Department of Veterans Affairs. The certification mandates that contractors comply with all provisions of the Immigration and Nationality Act of 1952 and related regulations enforced by Homeland Security, Immigration and Customs Enforcement, and the U.S. Department of Labor. Contractors must certify that they will not knowingly employ, contract, or subcontract with illegal aliens or foreign nationals whose immigration status is in violation or non-compliant with their terms of admission to the United States while performing services for the Department of Veterans Affairs.

The certification establishes that failure to comply with immigration requirements may result in the VA's discretionary prohibition of non-compliant foreign nationals from working at the contractor's facility servicing VA patient referrals, and such non-compliance constitutes grounds for contract termination for breach. Contractors are required to obtain similar certifications from all subcontractors. The document requires signature, date, typed name and title, and company name from an authorized representative. As a federal certification, false or fraudulent statements are subject to prosecution under 18 U.S.C. Section 1001.

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ATTACHMENT 14 – CONTRACTOR CERTIFICATION

36C25626Q0347

CONTRACTOR CERTIFICATION

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.

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.

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