Attachment D.2 Immigration Certification.pdf
PDF 95 KB Posted
- Attached to
- Q201--NEW Dyersburg CBOC Services
- Solicitation number
- 36C24925R0056
About this file
This document is a Contractor Certification form for the Immigration and Nationality Act of 1952, as amended, specifically for solicitation 36C24925R0056 related to the Dyersburg Community-Based Outpatient Clinic (CBOC). The certification requires the contractor to comply with legal provisions concerning non-immigrant foreign nationals working under the contract, including strict requirements around employment eligibility and immigration status verification.
The document mandates that contractors shall not knowingly employ illegal aliens or foreign nationals in violation of their immigration status while performing services for the Department of Veterans Affairs. Contractors must comply with E-Verify requirements and Executive Order 12989. Failure to meet these requirements can result in prohibiting specified workers from working at the contractor's location and potentially terminating the contract for breach. The form includes a warning that making a false certification may subject the maker to prosecution under 18 U.S.C. 1001.
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Attachment D.2 - 36C24925R0056 Dyersburg CBOC
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.
File details come from the government source that posted it. Updated .