D.1 Attachment 1 - Immigration and Nationality Act Requirement.pdf

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Attached to
Q522--Interventional Radiology Services - MPLS 12-01-2026 - 11-30-2027 1
Solicitation number
36C26326R0044
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About this file

This document is a contractor certification form required for Department of Veterans Affairs contracts. The contractor must certify compliance with the Immigration and Nationality Act of 1952, as amended, and all related laws and regulations enforced by Homeland Security, Immigration and Customs Enforcement, and the U.S. Department of Labor concerning non-immigrant foreign nationals working on the contract.

The contractor is prohibited from knowingly employing, contracting, or subcontracting with illegal aliens or foreign nationals whose status is in violation of U.S. admission terms and conditions. The contractor must comply with all E-Verify requirements consistent with Executive Order 12989 and applicable Federal Acquisition Regulations. Failure to comply may result in the Department of Veterans Affairs prohibiting the non-compliant foreign national from working at any location servicing VA patient referrals and may form the basis for contract termination for breach. The contractor must obtain a similar certification from all subcontractors. The form requires signature, date, printed name, title, and company name from an authorized representative. False or fraudulent certification may result in prosecution under 18 U.S.C. 1001.

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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: ____________________________________________

Printed Name: ___________________________________

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.

D.1 Attachment 1 - Immigration and Nationality Act Requirement

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