D.5 Contractor Certification for Immigration Nationality Act.pdf
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- Solicitation number
- 36C25027Q0001
About this file
This is a contractor certification template required for Department of Veterans Affairs (VA) contracts. The certification form mandates that contractors comply with all provisions of the Immigration and Nationality Act of 1952, as amended, and related regulations enforced by Homeland Security, Immigration and Customs Enforcement, and the U.S. Department of Labor. Contractors must not knowingly employ, contract, or subcontract with illegal aliens or foreign nationals whose nonimmigrant status is in violation of U.S. admission terms and conditions. Contractors are required to comply with all E-Verify requirements consistent with Executive Order 12989 and applicable Federal Acquisition Regulations.
The certification specifies that failure to comply with these requirements may result in the VA requiring prohibited foreign nationals be barred from working at contractor facilities servicing VA patient referrals, and such non-compliance may form the basis for contract termination for breach. Contractors must obtain similar certifications from their subcontractors. The form requires authorized signature, date, typed name and title, and company name. The certification carries legal weight under 18 U.S.C. 1001, as false, fictitious, or fraudulent certifications may subject the signatory to criminal prosecution.
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| File | Type | Posted |
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| 36C25027Q0001 0001.docx | DOCX document | |
| D.6 BAA Template.doc | DOC document | |
| D.3 Organizational Conflicts of Interest.pdf | ||
| 36C25027Q0001.docx | DOCX document | |
| D.4 Contractor Rules of Behavior.pdf | ||
| D.2 Wage Determination 20215-4721 Rev 28.pdf | ||
| D.1 Quality Assurance Surveillance Plan.pdf |
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Text version
Attachment D.5
CONTRACTOR CERTIFICATION OF COMPLIANCE WITH THE IMMIGRATION AND
NATIONALITY ACT OF 1952.
1. 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;
2. 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.
3. 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.
4. The Contractor agrees to obtain a similar certification from its subcontractors.
Signature: ____________________________________________
Date: ___________________________________________________
Typed Name and Title: _______________________________________
Company Name: ______________________________________
5. 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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