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36C24221R0013 0001.docx DOCX document
Attachment 1 - Ward Stock and last 12 months of orders.pdf PDF
S02 - SOLICITATION ATTACHMENT - D.22 Medication Reconciliation MCPM 11-146.pdf PDF
S02 - SOLICITATION ATTACHMENT - D.23 Communicating Test Results to Providers and Patients. June2016.pdf PDF
S02 - SOLICITATION ATTACHMENT - D.13 Current Performance Measures and Method of Extractions.pdf PDF
S02 - SOLICITATION ATTACHMENT - D.5 KEY PERSONNEL LIST.docx DOCX document
S02 - SOLICITATION ATTACHMENT - D.7 TELEHEALTH OPERATIONS MANUAL - CLINIC BASED.pdf PDF
S02 - SOLICITATION ATTACHMENT - D.18 RIGHTS AND RESPONSIBILITIES OF VA PATIENTS AND RESIDENTS OF COMMUNITY LIVING CENTERS (CLC).pdf PDF
D.34 - Medications for Tompkins County CBOC.pdf PDF
S02 - SOLICITATION ATTACHMENT - D.25 IMAGING - REPORT OF IMAGING TEST RESULTS.pdf PDF
D.4 - Organizational Conflicts of Interest.docx DOCX document
S02 - SOLICITATION ATTACHMENT - D.10 Suicider risk assessment, intervention, and documentation.pdf PDF
S02 - SOLICITATION ATTACHMENT - D.12 Tracking and care coordination.pdf PDF
S02 - SOLICITATION ATTACHMENT - D.20 Ancillary Laboratory Testing Guidelines.pdf PDF
S02 - SOLICITATION ATTACHMENT - D.9 Pathology and laboratory medicine supply list.pdf PDF
D.2 - Past Performance Reference Information.docx DOCX document
D.32 - Physician Qualification Standard.pdf PDF
S02 - SOLICITATION ATTACHMENT - D.26 VHA Directive 1108.16, Anticoagulation Therapy Management.pdf PDF
S02 - SOLICITATION ATTACHMENT - D.16 PRE-TREATMENT AND TRANSPORTATION OF SOILED CRITICAL AND SEMI-CRITICAL REUSEABLE MEDICAL EQUIPMENT - UPDATED.pdf PDF
D.27 Patient Demographics.pdf PDF
S02 - SOLICITATION ATTACHMENT - D.17 24VA19 Patient Medical Records-VA.pdf PDF
S02 - SOLICITATION ATTACHMENT - D.14 EOC ASSESSMENT AND COMPLIANCE ROUNDING PROCESS GUIDE.pdf PDF
36C24221R0013_1.docx DOCX document
D.29 - VETERANS ENROLLED BY ZIP CODE.pdf PDF
S02 - SOLICITATION ATTACHMENT - D.28 Home Telehealth Operations Manual.pdf PDF
S02 - SOLICITATION ATTACHMENT - D.31 BVAC No Show and Cancel by Patient.pdf PDF
S02 - SOLICITATION ATTACHMENT - D.21 ANTICOAGULATON CLINIC POLICIES AND PROCEDURES MCPM 11-06.pdf PDF
D.30 Davis Bacon - Tompkins County.pdf PDF
S02 - SOLICITATION ATTACHMENT - D.11 VHA DIRECTIVE 1003.4, VHA PATIENT ADVOCACY.pdf PDF
S02 - SOLICITATION ATTACHMENT - D.19 20-03 Ordering Laboratory Tests Phlebotomy and Specimen Collection.pdf PDF
S02 - SOLICITATION ATTACHMENT - D.8 RULES OF BEHAVIOR.pdf PDF
S02 - SOLICITATION ATTACHMENT - D.24 LABORATORY SERVICES MANUAL.pdf PDF
S02 - SOLICITATION ATTACHMENT - D.15 PRE-TREATMENT AND TRANSPORTATION OF SOILED CRITICAL AND SEMI-CRITICAL REUSEABLE MEDICAL EQUIPMENT.pdf PDF
D.6 - Wage Determination 2015-4153 Revision 12.pdf PDF
D33 - Veteran Population by Zip Code (Census).pdf PDF
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36C24221R0013

D.3 CONTRACTOR CERTIFICATION - IMMIGRATION AND NATIONALITY ACT OF 1952

IMPORTANT: A completed copy of this certification must be included with your proposal response in order to be considered responsive.

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.

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