D.2 IMMIGRATION CERTIFICATION.pdf

PDF 93 KB Posted

Attached to
Q509--Onsite Dialysis Service Federal contract opportunity
Solicitation number
36C26323Q0304
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 23

About this file

This document contains an immigration certification form and information on a federal contract opportunity for onsite dialysis services. The immigration certification form requires contractors to comply with immigration laws and verify employee work eligibility using E-Verify.

The federal contract opportunity is a solicitation from the Department of Veterans Affairs seeking offers for onsite hemodialysis and peritoneal services to support the Central Iowa VA Hospital. The base period of performance is one year from July 14, 2023 to July 13, 2024, with four one-year option periods. The procurement will result in a firm fixed-price contract award. Offerors must be registered in SAM and submit documentation as required by FAR 52.212-2 by May 31, 2023 to be considered for the lowest-price technically acceptable award. Questions are due by May 24. The services are required to support veterans in Des Moines, Iowa.

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Other files for this federal contract opportunity

Other files attached to Q509--Onsite Dialysis Service, newest first.
File Type Posted
1 QUALITY ASSURANCE SUREVEILLANCE PLAN.pdf PDF
36C26323Q0304 0002_1.docx DOCX document
36C26323Q0304 0002.pdf PDF
Questions and Answers 36C26323Q0304 Des Moines Onsite Dialysis.docx DOCX document
36C26323Q0304 0001_1.docx DOCX document
36C26323Q0304 0001.pdf PDF
D.6 Code of Conduct VA Central Iowa MCP 39.pdf PDF
36C26323Q0304.pdf PDF
D.5 DIRECTIVE 1761 SUPPLY CHAIN MANAGEMENT OPERATIONS.pdf PDF
D.3 ORGANIZATION CONFLICT OF INTEREST.pdf PDF
D.1 QUALITY ASSURANCE SUREVEILLANCE PLAN.pdf PDF
36C26323Q0304_1.docx DOCX document
D.4 WAGE DETERMINATION POLK COUNTY IOWA 2015-4979 REV19.pdf PDF
Show all 13

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Text version

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 .