Attachment D.3 - Contractor Certification of Immigration.pdf

PDF 163 KB Posted

Attached to
Q201--Holly Springs CBOC Services Federal contract opportunity
Solicitation number
36C24924R0063
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 9

About this file

This is a contractor certification form (Attachment D.3) related to compliance with the Immigration and Nationality Act of 1952 for a Department of Veterans Affairs (VA) contract for Community Based Outpatient Clinic Services in Holly Springs, Mississippi.

The certification requires contractors to comply with immigration laws and regulations enforced by Homeland Security, Immigration and Customs Enforcement, and the U.S. Department of Labor regarding non-immigrant foreign nationals working under the contract. Contractor employees must be either U.S. citizens, U.S. nationals, or lawful permanent residents with an Alien Registration Receipt Card Form I-151. The contractor cannot knowingly employ illegal aliens or foreign nationals who violate their immigration status. Non-compliance may result in the prohibition of non-compliant workers from VA service locations and potential contract termination. The contractor must obtain similar certifications from all subcontractors.

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Other files for this federal contract opportunity

Other files attached to Q201--Holly Springs CBOC Services, newest first.
File Type Posted
Attachment D.15 - Annual Vaccine and Medication History.xlsx XLSX spreadsheet
Attachment D.9 - SCA WD 2015-5127 Rev 27.pdf PDF
36C24924R0063 A00009.docx DOCX document
Attachment D.14 - Past Performance Survey - CS Updated.docx DOCX document
Revised PWS Holly Springs.docx DOCX document
36C24924R0063 A00008.docx DOCX document
Vac-Med Est - Holly Springs.xlsx XLSX spreadsheet
Revised Price Schedule - Holly Springs.docx DOCX document
36C24924R0063 A00007.docx DOCX document
QA Part III.docx DOCX document
Revised Price Schedule.docx DOCX document
36C24924R0063 A00006.docx DOCX document
36C24924R0063 A00005.docx DOCX document
36C24924R0063 A00004.docx DOCX document
Attachment D.8 - CFM- CBOC Prototype Design.pdf PDF
Attachment D.14 - Past Performance Survey - Updated.docx DOCX document
Attachment D.8b - OIT Design Guide templates.pdf PDF
36C24924R0063 A00003.docx DOCX document
36C24924R0063 A00002.docx DOCX document
36C24924R0063 A00001.docx DOCX document
Attachment D.7 - BI Security Package Instructions and Documents.pdf PDF
Solicitation No. 36C24924R0063.pdf PDF
Attachment D.13 - PACT Space Module Design Guide.pdf PDF
Attachment D.8a - OIT-InfrastrucStdTelecomSpaces.pdf PDF
Attachment D.9 - DOL WD 2015-5127 Rev 21 Dated 12-27-22 and DBA AR20220018 dated 1-6-23.pdf PDF
Attachment D.12 - VA_National_Formulary_JAN_2023.xlsx XLSX spreadsheet
Attachment D.10 - Reserved.docx DOCX document
Attachment D.9 SCA - WD 2015-5127.pdf PDF
Attachment D.6 - Deliverables-Reports Table.pdf PDF
Attachment D.2 - Contractor Organizational Conflict of Interest.pdf PDF
Attachment D.1 - Quality Assurance Surveillance Plan.docx DOCX document
Attachment D.14 - Past Performance Survey.docx DOCX document
Attachment D.11 - Subcontracting Goals and Plan Template.docx DOCX document
Attachment D.5 - IB10-441_enrollment_priority_groups.pdf PDF
Attachment D.4 - Contractor Rules of Behavior.pdf PDF
Show all 35

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Text version

Attachment D.3 Contractor Certification

CONTRACTOR CERTIFICATION: IMMIGRATION AND NATIONALITY ACT OF 1952, AS

AMENDED

1. The Contractor must certify 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;

1.1. Citizenship-related requirements. Each affected contractor employee as described in paragraph shall be:

A United States (U.S.) citizen; or A national of the United States (see 8 U.S.C. 1408); or An alien lawfully admitted into the United States for permanent residence as evidenced by an Alien Registration Receipt Card Form I–151.

2. 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.

3. 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.

4. The Contractor must obtain a similar certification from its sub Contractors.

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 .