D.2 Immigration Certification.docx

DOCX document 23 KB Posted

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Q201--New Braunfels, TX Community Based Outpatient Clinic (CBOC) Services
Solicitation number
36C25721R0043_1
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About this file

This document contains a contractor certification form required for a federal contract opportunity with the Department of Veterans Affairs. The contractor certification form requires the contractor to comply with immigration laws and regulations enforced by the Department of Homeland Security and Department of Labor regarding non-immigrant foreign nationals working under the contract. It also mandates use of E-Verify and prohibits employment of illegal aliens. The contractor must obtain a similar certification from any subcontractors.

The related federal contract opportunity is a solicitation from the Department of Veterans Affairs Veterans Health Administration for primary care services at community based outpatient clinics in New Braunfels and Seguin, Texas. The solicitation number and opportunity details are provided.

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D.2 36C25721R0043

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.

File details come from the government source that posted it. Updated .