D.4 - Contractor Certification Immigration and Nationality Act of 1952 -As Amended.pdf
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- Solicitation number
- 36C26224R0118
About this file
This is a contractor certification form requiring compliance with the Immigration and Nationality Act of 1952 for a VA healthcare services contract. The certification mandates that contractors and subcontractors must comply with all legal provisions regarding non-immigrant foreign nationals working under the contract, including E-Verify requirements and Executive Order 12989.
The form requires contractors to certify they will not knowingly employ illegal aliens or foreign nationals violating their immigration status while providing services for VA patient referrals. Non-compliance may result in prohibited work access and contract termination. The document includes spaces for signature, date, typed name/title, and company name, with a warning that false certification may result in prosecution under 18 U.S.C. 1001. This certification relates to a solicitation for primary care and mental health services at a Community-Based Outpatient Clinic in Alamogordo, New Mexico for the New Mexico VA Health Care System.
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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 .