ATTACHMENT 2 - CONTRACTOR CERTIFICATION IMMIGRATION AND NATIONALITY ACT OF 1952 AS AMENDED.pdf

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Attached to
Q522-- Mobile CT Lung Cancer Screening
Solicitation number
36C24924R0075_0003
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This is a contractor certification form that serves as Attachment 2 to RFQ No. 36C24924R0075 for Mobile CT Lung Cancer Screening Services at James H. Quillen and Lexington VAMC CBOCs. The certification requires contractors to comply with the Immigration and Nationality Act of 1952 (as amended) and related regulations enforced by Homeland Security, Immigration and Customs Enforcement, and the U.S. Department of Labor regarding non-immigrant foreign nationals working under the contract.

The document mandates that contractors cannot knowingly employ illegal aliens or foreign nationals who have violated their immigration status while performing services for the Department of Veterans Affairs. Contractors must comply with E-Verify requirements under Executive Order 12989 and applicable FAR regulations. Failure to comply may result in the prohibition of non-compliant foreign nationals from working on VA patient referral services and could lead to contract termination. The certification must be signed by the contractor, who must also obtain similar certifications from subcontractors, with false certifications subject to prosecution under 18 U.S.C. 1001.

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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.

RFQ NO. 36C24924R0075

ATTACHMENT 2 - CONTRACTOR CERTIFICATION: IMMIGRATION AND NATIONALITY ACT

OF 1952, AS AMENDED

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