ATTACHMENT C CONTRACTOR CERTIFICATION.docx
DOCX document 17 KB Posted
- Attached to
- Medication Dispensing Cabinets service agreement
- Solicitation number
- 36C25626Q1299
About this file
This is a Contractor Certification document required for solicitation 36C25626Q1299, a Medication Dispensing Cabinets service agreement issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. The certification mandates that contractors comply with all provisions of 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 contract or subcontract.
The contractor certifies that it shall not knowingly employ, contract, or subcontract with illegal aliens or foreign nationals whose immigration status is in violation of the terms and conditions of their U.S. admission. Failure to comply with these requirements may result in the prohibition of non-compliant foreign nationals from working at the contractor's place of business servicing Department of Veterans Affairs patient referrals and may constitute grounds for contract termination for breach. Contractors are required to obtain similar certifications from their subcontractors. The certification form requires the contractor's signature, date, typed name and title, and company name, with a notice that false or fraudulent certification may subject the maker to prosecution under 18 U.S.C. Section 1001.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36C25627P0028_1.pdf | ||
| S06-36C25626Q1299 0001.pdf | ||
| 36C25626Q1299_1.pdf | ||
| ATTACHMENT D NOTIFICATION OF COMPLIANCE WITH INSURANCE REQUIREMENTS.docx | DOCX document | |
| ATTACHMENT E QASP.docx | DOCX document | |
| ATTACHMENT A LIST OF PAST PERFORMANCE REFERENCES.docx | DOCX document | |
| Attachment B Past Performance Questionaire fillable.pdf | ||
| ATTACHMENT F JA_OVER_SAT revised_Redacted.pdf |
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ATTACHMENT C - CONTRACTOR CERTIFICATION
36C25626Q1299
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.
File details come from the government source that posted it. Updated .