D.20 Contractor Certification - Immigration and Nationality Act.docx

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The VA North Texas Health Care system requires community based Outpatient clinic (CBOC))
Solicitation number
36C25726R0018
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This is a contractor certification form required for compliance with the Immigration and Nationality Act of 1952 in connection with RFP 36C25726R0018 for the VA North Texas Health Care System. The certification obligates the contractor to comply with all provisions of the Immigration and Nationality Act and related regulations enforced by Homeland Security, Immigration and Customs Enforcement, and the U.S. Department of Labor as they pertain to non-immigrant foreign nationals working under the contract while providing services to Department of Veterans Affairs patient referrals. The contractor must not knowingly employ, contract, or subcontract with illegal aliens or foreign nationals whose visa status is in violation or who have failed to maintain compliance with the terms and conditions of their U.S. admission.

The contractor is required to comply fully with E-Verify requirements consistent with Executive Order 12989 and applicable Federal Acquisition Regulations. Failure to comply with these requirements may result in the Department of Veterans Affairs prohibiting the non-compliant foreign national from working at the contractor's facility servicing VA patient referrals and may constitute grounds for contract termination for breach. The contractor must obtain a similar certification from all subcontractors. The form requires the contractor's authorized representative to provide signature, date, typed name and title, and company name, and includes a warning that false or fraudulent certification may result in prosecution under 18 U.S.C. Section 1001.

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Text version

D.19 Contractor Certification – Immigration and Nationality Act – Sherman COBC – RFP 36C25726R0018

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 .