ATTACHMENT 5 - CONTRACTOR CERTIFICATION.docx

DOCX document 16 KB Posted

Attached to
Rx Reverse Distribution Federal contract opportunity
Solicitation number
36C25622Q0508
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

About this file

This document contains a contractor certification for a solicitation by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. The solicitation is for Rx reverse distribution services. Under the certification, any contractor or subcontractor would need to comply with immigration laws regarding foreign national workers providing services to VA patients, and cannot knowingly employ illegal aliens or foreign nationals in violation of their visa status. Failure to comply with these terms could result in termination of the contract. The signature and date on the certification would confirm the contractor's agreement to these conditions.

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Other files for this federal contract opportunity

Other files attached to Rx Reverse Distribution, newest first.
File Type Posted
36C25622Q0508 0001.pdf PDF
Revised Statement of Work.docx DOCX document
ATTACHMENT 1 - HINDS COUNTY MS WD 15 5153 REV 16.pdf PDF
ATTACHMENT 4 - PAST PERFORMACE QUESTIONAIRE.docx DOCX document
ATTACHMENT 3 - LIST OF PAST PERFORMANCE REFERENCES.docx DOCX document
ATTACHMENT 2- QUALITY ASSURAMCE sURVEILLANCE PLAN.docx DOCX document
ATTACHMENT 6 - NOTIFICATION OF COMPLIANCE WITH INSURANCE REQUIREMENTS.docx DOCX document
36C25622Q0508.pdf PDF

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Text version

ATTACHMENT 5 – CONTRACTOR CERTIFICATION

36C256-22-Q-0508

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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