D.2 CONTRACTOR CERTIFICATION IMMIGRATION AND NATIONALITY ACT Medical Physicist Finger Lakes 36C24226Q0905.pdf
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- Solicitation number
- 36C24226Q0905
About this file
This is a contractor certification form required for federal contract solicitation 36C24226Q0905 with the Department of Veterans Affairs.
The certification requires contractors to comply with all provisions of the Immigration and Nationality Act of 1952, as amended, and related laws enforced by Homeland Security, Immigration and Customs Enforcement, and the U.S. Department of Labor. Contractors must ensure that all affected employees working on Department of Veterans Affairs patient referral services are either U.S. citizens, U.S. nationals, or aliens lawfully admitted for permanent residence (evidenced by Form I-151). Contractors are prohibited from knowingly employing, contracting with, or subcontracting with illegal aliens or foreign nationals in violation of their admission status. Non-compliance may result in the Department of Veterans Affairs prohibiting the foreign national from working at the contractor's place of business and may serve as grounds for contract termination for breach. Contractors must obtain similar certifications from all subcontractors. The certification must be signed by an authorized representative and include the date, typed name and title, and company name. False or fraudulent certification may result in prosecution under 18 U.S.C. Section 1001.
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Attachment #2, Solicitation 36C24226Q0905
D.2 Contractor Certification- Immigration and Nationality Act
The Contractor must certify 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;
Citizenship-related requirements: Each affected contractor employee as described in paragraph shall be:
A United States (U.S.) citizen; or A national of the United States (see 8 U.S.C. 1408); or An alien lawfully admitted into the United States for permanent residence as evidenced by an Alien Registration Receipt Card Form I–151.
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 must obtain a similar certification from its Subcontractors.
Signature: ____________________________________________
Date: ____________________________________________
Typed 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.
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