ATTACHMENT D.6 - CONTRACTOR CERTIFICATION OF IMMIGRATION.docx
DOCX document 20 KB Posted
- Solicitation number
- 36C24926Q0154
About this file
This is a contractor certification form required as part of a solicitation for onsite mobile lithotripsy services at the James H. Quillen VA Medical Center under solicitation number 36C24926Q0154. The certification document establishes compliance requirements for contractors regarding immigration and employment eligibility under the Immigration and Nationality Act of 1952, as amended, and related federal laws enforced by Homeland Security, Immigration and Customs Enforcement, and the U.S. Department of Labor.
The contractor must certify that it will not knowingly employ, contract, or subcontract with illegal aliens or foreign nationals whose immigration status is in violation or non-compliant with the terms of their U.S. admission. Contractors are required to comply with E-Verify requirements consistent with Executive Order 12989 and applicable Federal Acquisition Regulations. Failure to comply may result in the removal of non-compliant foreign nationals from the contractor's workplace servicing VA patient referrals and may constitute grounds for contract termination for breach. Contractors must obtain similar certifications from any subcontractors. The form requires the contractor's authorized representative to sign and date the certification, acknowledging that false or fraudulent statements may result in criminal prosecution under 18 U.S.C. Section 1001.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C24926Q0154 0001.pdf | ||
| ATTACHMENT D.5 - SCHEDULE OF SERVICES.docx | DOCX document | |
| ATTACHMENT D.4 - CONTRACTOR RULES OF BEHAVIOR.docx | DOCX document | |
| ATTACHMENT D.1 - PERFORMANCE WORK STATEMENT FINAL.docx | DOCX document | |
| S02-36C24926Q0154-Mobile Lithotripsy-RFQ.pdf | ||
| ATTACHMENT D.3 - ORGANIZATIONAL CONFLICTS OF INTEREST.docx | DOCX document | |
| ATTACHMENT D.2 - QUALITY ASSURANCE SURVEILLANCE PLAN.docx | DOCX document |
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36C24926Q0154 – Onsite Mobile Lithotripsy Services – James H. Quillen VA Medical Center
D.6 CONTRACTOR CERTIFICATION: IMMIGRATION AND NATIONALITY ACT OF 1952, AS AMENDED
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
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