S02 - Attachment D.2 Contractor Certification.pdf
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- Solicitation number
- 36C24826Q1057
About this file
This is a Contractor Certification form required for RFQ# 36C24826Q1057 for 3D Imaging and Case Planning Services at Malcom Randall VAMC, NF/SG VA Healthcare System. The certification addresses compliance with the Immigration and Nationality Act of 1952, As Amended, and related immigration laws enforced by Homeland Security, Immigration and Customs Enforcement, and the U.S. Department of Labor.
The contractor must certify that it will not knowingly employ, contract, or subcontract with illegal aliens or foreign national non-immigrants who are in violation of their immigration status due to failure to maintain or comply with the terms and conditions of their U.S. admission. The contractor is required to comply with all E-Verify requirements consistent with Executive Order 12989 and applicable Federal Acquisition Regulations. If the contractor fails to comply with these requirements, the Department of Veterans Affairs may prohibit the non-compliant foreign national from working at locations servicing Department of Veterans Affairs patient referrals, and such failure shall form the basis for contract termination for breach. The contractor must obtain similar certifications from all subcontractors. The certification requires signature, date, typed name and title, and company name, with a warning that false or fraudulent certification may subject the maker to prosecution under 18 U.S.C. Section 1001.
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Attachment D.2
RFQ# 36C24826Q1057
3D Imaging and Case Planning Services Malcom Randall VAMC, NF/SG VA Healthcare System
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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