ATTACHMENT 4 CONTRACTOR CERTIFICATION.docx
DOCX document 16 KB Posted
- Attached to
- J073--Kitchen Appliance Maintenance Services Federal contract opportunity
- Solicitation number
- 36C25623Q1602
About this file
This document is a contractor certification form required for solicitation number 36C256-23-Q-1602 for kitchen appliance maintenance services. The contractor must certify compliance with immigration laws and ensure any subcontractors obtain a similar certification. The services are for the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. Contractors may not knowingly employ or subcontract with illegal aliens or foreign nationals in violation of their visa status and failure to comply may result in prohibition from working on the contract or grounds for termination. The signature and information is required to perform work referring Department of Veterans Affairs patients.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| ATTACHMENT 3 PAST PERFORMACE QUESTIONAIRE.docx | DOCX document | |
| ATTACHMENT 2 LIST OF PAST PERFORMANCE REFERENCES.docx | DOCX document | |
| ATTACHMENT 1 HARRISON COUNTY MS WD 2015-5147 Rev 21 dated 07-12-2023.pdf | ||
| 36C25623Q1602.docx | DOCX document |
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Text version
ATTACHMENT 4 – CONTRACTOR CERTIFICATION
36C256-23-Q-1602
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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