D3 Contractor Certification.pdf
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- Solicitation number
- 36C25624Q14651
About this file
This is a Contractor Certification form (RFQ 36C25625Q0157-2) required by the Department of Veterans Affairs (VA) related to immigration compliance requirements for contractors providing services for VA patient referrals.
The certification requires contractors to comply with the Immigration and Nationality Act of 1952 and related regulations enforced by Homeland Security, Immigration and Customs Enforcement, and the U.S. Department of Labor. Contractors must certify they will not knowingly employ or subcontract with illegal aliens or non-immigrant foreign nationals who have violated their immigration status. Non-compliance can result in the VA prohibiting non-compliant foreign nationals from working at contractor facilities serving VA patients and may lead to contract termination. The contractor must obtain similar certifications from subcontractors, and false certifications are subject to prosecution under 18 U.S.C. 1001.
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Text version
RFQ 36C25625Q0157-2
CONTRACTOR CERTIFICATION
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. 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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