S02 - Attachment D3 - Contractor Certification for Immigrattion.pdf

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Attached to
Q301--Board-Certified Diagnostic Medical Physicist Services for Richard L. Roudebush, VAMC in Indianapolis, IN
Solicitation number
36C25026Q0156
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About this file

This is a contractor certification form for compliance with the Immigration and Nationality Act of 1952, as amended, required for contracts involving services to the Department of Veterans Affairs.

The certification requires contractors to comply with all legal provisions of the Immigration and Nationality Act and related laws enforced by Homeland Security, Immigration and Customs Enforcement, and the U.S. Department of Labor. Contractors must not knowingly employ, contract with, or subcontract with illegal aliens or foreign nationals whose immigration status is in violation. Contractors are required to comply with all E-Verify requirements consistent with Executive Order 12989 and applicable Federal Acquisition Regulations. Contractors must obtain similar certifications from their subcontractors. Non-compliance may result in prohibition of the non-compliant foreign national from working at any location where the contractor provides services to Department of Veterans Affairs patient referrals, and serves as grounds for contract termination for breach. The certification form requires signature, date, typed name and title, and company name. False or fraudulent certification subjects the maker to prosecution under 18 U.S.C. 1001.

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ATTACHMENT D3 - CONTRACTOR CERTIFICATION for IMMIGRATION AND NATIONALITY ACT

a. 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.

b. 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.

c. 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.

d. The Contractor agrees to obtain a similar certification from its subcontractors.

Signature: _______________________________________________

Date: ___________________________________________________

Typed Name and Title: _____________________________________

Company Name: __________________________________________

e. 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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