D.4 IMMIGRATION AND NATIONALITY ACT - ATTACHED.docx

DOCX document 41 KB Posted

Attached to
Q201-- VASDHS Primary Care El Centro CBOC Federal contract opportunity
Solicitation number
36C26225R0004_1
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 22

About this file

This document is a Contractor Certification regarding the Immigration and Nationality Act. The Contractor certifies that they will comply with all legal provisions of the Immigration and Nationality Act, including requirements to not knowingly employ, contract, or subcontract with any illegal aliens or foreign nationals in violation of their status. The Contractor must also comply with E-Verify requirements. Failure to comply may result in the foreign national being prohibited from working on the contract or lead to contract termination. The Contractor agrees to obtain similar certifications from its subcontractors. This certification is related to Federal Contract Opportunity 36C26225R0004_1, a request for proposals to establish and operate a Community-Based Outpatient Clinic (CBOC) in El Centro, California, issued by the Department of Veterans Affairs Veterans Health Administration, Veterans Integrated Service Network 22.

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RFP 36C26225R0004 - Amendment 0003 - CBOC Services - El Centro - VASDHS.pdf PDF
RFP 36C26225R0004 - Amendment 0002 - CBOC Services - El Centro - VASDHS.pdf PDF
RFP 36C26225R0004 - Amendment 0001 - CBOC Services - El Centro - VASDHS.pdf PDF
D.5 ORGANIZATIONAL CONFLICTS OF INTEREST OCT 2020 - ATTACHED.docx DOCX document
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D.15 f. SUICIDE BEHAVIOR AND OVERSODE REPORT - ATTACHED.pdf PDF
RFP 36C26225R0004 - CBOC Services - El Centro - VASDHS.pdf PDF
D.3 WAGE DETERMINATION - ATTACHED.docx DOCX document
D.15 e. SUICIDE PREVENTION SAFETY PLAN TEMPLATE FAQ - ATTACHED.pdf PDF
D.6 RULES OF BEHAVIOR - ATTACHED.pdf PDF
D.7 VHA HANDBOOK 1106.1 - ATTACHED.pdf PDF
D.8 MCM 11-99 - VASDHS POLICY AND PROCEDURES AND TJC STANDARDS FOR ANY CRITICAL RESULTS OR URGENT RESULTS - ATTACHED.docx DOCX document
D.11 MCM 11-27 - MEDICATION RECONCILIATION PER VASDHS - ATTACHED.docx DOCX document
D.12 MCM 119-20 - ANTICOAGULATION THERAPY MANAGEMENT - ATTACHED.docx DOCX document
D.15 a. DEPARMENT OF VETERANS AFFAIRS - VA - Suicide Prevention Safety Plan and Suicide Behavior and Overdose Report - SBOR - Templates.pdf PDF
D.15 b. SUICIDE PREVENTION SAFETY PLAN - ATTACHED.pdf PDF
D.15 c. PATIENT SAFETY PLAN SPANISH - ATTACHED.pdf PDF
D.17 VHA HIM Health Record Documentation Program Guide Version 1.1 - ATTACHED.pdf PDF
D.18 VA OFFICE OF INFORMATION AND TECHNOLOGY STANDARDS AND CRITERIA - ATTACHED.pdf PDF
D.1 REFERENCE CONTRACT WORKSHEET - ATTACHED.docx DOCX document
D.2 QUALITY ASSURANCE SURVEILLANCE PLAN QASP - ATTACHED.docx DOCX document
D.9 MCM 113-03 - INFORMATION CONCERNING THE LABORATORY TESTS - ATTACHED.docx DOCX document
D.10 MCM 113-02 - WAIVED TESTING TEST SYSTEMSINSTRUMENTS - QUALITY CONTROL - REAGENT INFORMATION - ATTACHED.docx DOCX document
D.13 VASDHS REPRODUCTIVE WORKFLOW - ATTACHED.pdf PDF
D.15 d. SUICIDE BEHAVIOR AND OVERDOSE REPORT -SBOR- FREQUENTLY ASKED QUESTIONS - ATTACHED.pdf PDF
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D.4 IMMIGRATION AND NATIONALITY ACT - 36C26225R0004

D. 4 IMMIGRATION AND NATIONALITY ACT

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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