D.3 - Attachment 3 - CONTRACTOR CERTIFICATION.pdf
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- Solicitation number
- 36C26326R0031
About this file
This is a contractor certification form required by the Department of Veterans Affairs regarding compliance with immigration and nationality laws. The contractor must certify compliance 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. The certification specifically applies to non-immigrant foreign nationals working under contract or subcontract while providing services to Department of Veterans Affairs patient referrals.
The contractor is prohibited from knowingly employing, contracting, or subcontracting with illegal aliens or foreign nationals whose immigration status is in violation due to failure to maintain or comply with admission terms and conditions. The contractor must comply with all E-Verify requirements consistent with Executive Order 12989 and related amendments, as well as applicable Federal Acquisition Regulations. Non-compliance with these requirements may result in the Department of Veterans Affairs requiring the removal of the non-compliant foreign national from the contractor's place of business and may serve as grounds for contract termination for breach. The contractor must obtain similar certification from its subcontractors. The form requires signature, date, typed name and title, and company name, with a warning that false certification may result in prosecution under 18 U.S.C. 1001.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26326R0031_1.docx | DOCX document | |
| D.2 - Attachment 2 - ORGANIZATIONAL CONFLICTS OF INTEREST.pdf | ||
| 36C26326R0031.pdf | ||
| D.4 - Attachment 4 - CONTRACTOR RULES OF BEHAVIOR.pdf | ||
| D.1 QASP VISN PHARMACY.pdf |
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Text version
D.3 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.
D.3 - Attachment 3 - Contractor Certification
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