D.4 IMMIGRAT CERT.pdf
PDF 93 KB Posted
- Attached to
- Q401--HEMODIALYSIS, Wichita, KS
- Solicitation number
- 36C25525Q0419_2
About this file
This document is a Contractor Certification form for the Immigration and Nationality Act of 1952, as amended, specifically for a Department of Veterans Affairs contract. The certification requires contractors to comply with immigration laws and regulations when employing non-immigrant foreign nationals, particularly for services related to VA patient referrals. Key requirements include not knowingly employing illegal aliens or foreign nationals in violation of their immigration status, adhering to E-Verify requirements, and obtaining similar certifications from subcontractors.
The document outlines potential consequences for non-compliance, including prohibition of non-compliant workers from working at VA-related sites and potential contract termination for breach. The certification is associated with the VA Hemodialysis Services solicitation for Wichita, KS (Solicitation Number 36C25525Q0419_2), and includes a warning that making false or fraudulent certification may result in prosecution under 18 U.S.C. 1001. The form provides space for contractor signature, date, name, title, and company information to formally attest to immigration law compliance.
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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.
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