Attachment 2 - Contractor Certification of Immigration.pdf
PDF 82 KB Posted
- Solicitation number
- 36C24924Q0172
About this file
This document contains a contractor certification form required for a Department of Veterans Affairs contract providing intraoperative neuromonitoring services. The contractor must certify compliance with immigration laws and ensure any subcontractors obtain a similar certification. The contractor agrees not to knowingly employ or contract with illegal aliens or foreign nationals in violation of their visa status. Failure to comply may result in prohibiting individuals from working on the contract or termination for breach. The related federal contract opportunity is solicitation number 36C24924Q0172 for intraoperative neuromonitoring services in support of the Tennessee Valley Healthcare System, to be awarded by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 9.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C24924Q0172 0002.docx | DOCX document | |
| 36C24924Q0172 0001.docx | DOCX document | |
| 36C24924Q0172.docx | DOCX document | |
| Attachment 5 - WDOL 2015-4647 R24 12.26.23.pdf | ||
| Attachment 3 - Organizational Conflict of Interest.pdf | ||
| Attachment 4 - List of Key Personnel.pdf | ||
| Attachment 1 - QASP - ION.pdf |
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D.2 Attachment 2 – Contractor Certification of Immigration
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.
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