Attachment D3 - Immigration Certification.pdf
PDF 100 KB Posted
- Attached to
- HCHV CERS – Ft. Wayne – NIHCS Federal contract opportunity
- Solicitation number
- 36C25024Q0010
About this file
This document is an immigration certification form required for a federal contract opportunity with the Department of Veterans Affairs. The contractor must certify compliance with immigration laws enforced by Homeland Security, Immigration and Customs Enforcement, and the Department of Labor regarding nonimmigrant foreign nationals working under the contract. Specifically, the contractor agrees not to knowingly employ or subcontract with illegal aliens or foreign nationals in violation of their visa status. The contractor is also required to comply with E-Verify requirements in Federal Acquisition Regulations. Failure to comply with these immigration requirements may result in termination of the contract for breach. Additionally, the solicitation number is 36C25024Q0010 for HCHV CERS - Ft. Wayne - NIHCS services through the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10. The contractor must obtain a similar certification from any subcontractors.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment D1 - QASP.pdf | ||
| Attachment D2 - VAAR 852.209-70 Organizational Conflicts of Interest (OCT 2020).pdf | ||
| Attachment D4 - Contractor Rules of Behavior.pdf | ||
| 36C25024Q0010 - RFQ - HCHV CERS - Ft. Wayne - NIHCS.pdf | ||
| Attachment D5 - WD 2015-4781 Rev 22.pdf |
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Text version
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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