ATTACHMENT D.3 -CONTRACTOR CERTIFICATION IMMIGRATION.pdf
PDF 103 KB Posted
- Attached to
- General Surgeon Per Procedure Fayetteville, AR
- Solicitation number
- 36C25624Q0187
About this file
This document is a contractor certification form required for a federal contract opportunity with the Department of Veterans Affairs. The contractor certification form requires the contractor to comply with all legal provisions of the Immigration and Nationality Act and related laws enforced by the Department of Homeland Security, Immigration and Customs Enforcement, and the Department of Labor as they relate to non-immigrant foreign nationals working under the contract. Specifically, the contractor agrees not to knowingly employ, contract with, or subcontract with any illegal aliens or foreign nationals who are in violation of their admission status while performing services for veterans referred by the Department of Veterans Affairs. Failure to comply with these requirements could result in termination of the contract for breach. The related federal contract opportunity is solicitation number 36C25624Q0187 for general surgeon per procedure services in Fayetteville, Arkansas, issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25624Q0187 .pdf | ||
| ATTACHMENT D.5 Fee Schedule .xlsx | XLSX spreadsheet | |
| ATTACHMENT D.2 - CONTRACTOR KEY PERSONNEL AND COI.pdf | ||
| ATTACHMENT D.1 QASP.pdf | ||
| ATTACHMENT D.4 - EXPERIENCE REFERENCE CONTRACT WORKSHEET.pdf |
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ATTACHMENT D.3
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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