S02 ATTACHMENT 4 CONTRACTOR CERTIFICATION.docx
DOCX document 16 KB Posted
- Attached to
- J065--Medical and Dental Air Panel
- Solicitation number
- 36C25624Q0236
About this file
This document is a contractor certification for solicitation 36C256-24-Q-0164 from the Department of Veterans Affairs. The contractor certifies that it will comply with immigration laws regarding foreign national employees working under the contract to provide services to VA patients. The contractor agrees to obtain similar certifications from any subcontractors. The certification concerns matters under the jurisdiction of the United States and making false statements could result in prosecution.
The related solicitation is for medical and dental air panels under opportunity 36C25624Q0236 from the VA Veterans Health Administration VISN 16. The solicitation requests pricing and responses by the specified response date, with award of the contract to occur on a subsequent date. The set-aside or terms of pricing are not specified.
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Other files
| File | Type | Posted |
|---|---|---|
| S02 ATTACHMENT 1 Harrison County MS WD 2015-5147 R21 dtd 07-12-2023.pdf | ||
| 36C25624Q0236.docx | DOCX document | |
| S02 ATTACHMENT 3 PAST PERFORMACE QUESTIONAIRE.docx | DOCX document | |
| S02 ATTACHMENT 2 LIST OF PAST PERFORMANCE REFERENCES.docx | DOCX document |
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ATTACHMENT 4 – CONTRACTOR CERTIFICATION
36C256-24-Q-0164
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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