ATTH G CONTRACTOR CERTIFICATION.docx
DOCX document 16 KB Posted
- Attached to
- V225--AMBULANCE SERVICES
- Solicitation number
- 36C25621Q1754
About this file
This document outlines requirements for non-emergent ambulance and wheelchair transport services. The Department of Veterans Affairs, Network Contracting Office 16 is seeking open market proposals from businesses to provide these services for the Gulf Coast Veterans Health Care Systems Mobile Outpatient Clinic located at 4444 Demetropolis Road, Mobile, AL 36619. The solicitation number is 36C25621Q1754 and is set aside as open and unrestricted for businesses with a NAICS code of 621910 and size standard of $16.5 million or less. Interested parties must be registered in SAM.gov to be considered for award. No pricing or response deadline details are provided in this pre-solicitation notice, which serves to notify interested parties of an upcoming solicitation.
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Other files
| File | Type | Posted |
|---|---|---|
| ATTH B NOTIFICATION OF COMPLIANCE WITH INS REQ.docx | DOCX document | |
| ATTH A WD 2015-4605 Mobile AL R12 06-24-2021.pdf | ||
| 36C25621Q1754.docx | DOCX document | |
| ATTH E PAST PERFORMANCE QUESTIONNAIRE.docx | DOCX document | |
| ATTH F GSA Fed Spec Star of Life Ambulance.pdf | ||
| ATTH D LIST OF PAST PERF REF.docx | DOCX document | |
| ATTH C QUALITY ASSURANCE SURVEILLANCE PLAN QASP.docx | DOCX document |
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Text version
ATTACHMENT G – CONTRACTOR CERTIFICATION
36C25621Q1754
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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