About this file

This document is a Contractor Certification of Compliance form required for federal contracts with the Department of Veterans Affairs (VA). The certification requires contractors to comply with all provisions of the Immigration and Nationality Act of 1952, as amended, and related laws and regulations enforced by Homeland Security, Immigration and Customs Enforcement, and the U.S. Department of Labor. Contractors must not knowingly employ, contract, or subcontract with illegal aliens or foreign nationals whose non-immigrant status is in violation of their admission terms and conditions while providing services to VA patient referrals.

Contractors are required to comply with all E-Verify requirements consistent with Executive Order 12989 and related amendments, as well as applicable Federal Acquisition Regulations. If a contractor fails to comply with these requirements, the VA may prohibit non-compliant foreign nationals from working at the contractor's place of business servicing VA patient referrals and may terminate the contract for breach. The contractor must obtain similar certifications from all subcontractors. The certification form includes signature blocks for the contractor representative and includes a warning that false or fraudulent certifications may result in prosecution under 18 U.S.C. Section 1001.

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CONTRACTOR CERTIFICATION OF COMPLIANCE WITH THE IMMIGRATION

AND NATIONALITY ACT OF 1952.

1. 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.

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. 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.

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 agrees to obtain a similar certification from its subcontractors.

Signature: ____________________________________________

Date: ____________________________________________

Typed Name and Title: ___________________________________

Company Name: ______________________________________

5. 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 .