S02 - SOLICITATION ATTACHMENT - D.3 CONTRACTOR CERTIFICATION - IMMIGRATION AND NATIONALITY ACT OF 1952.docx

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Q201--CBOC IN WATERTOWN, NY IN JEFFERSON COUNTY
Solicitation number
36C24219R0090
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This document contains a solicitation for a multi-specialty Community Based Outpatient Clinic in Watertown, New York. The solicitation seeks a contractor to provide primary care, mental health care, and two or more specialty services on-site to veterans residing in Jefferson County, New York. Additional specialty services may be offered via referral or telehealth. The solicitation is issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 2. Respondents must complete and include the Contractor Certification form, which ensures compliance with immigration laws and E-Verify requirements. Failure to comply with the certification may result in prohibition from working on the contract or termination for breach. Subcontractors must also provide the certification.

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D.3 CONTRACTOR CERTIFICATION - IMMIGRATION AND NATIONALITY ACT OF 1952

IMPORTANT: A completed copy of this certification must be included with your proposal response in order to be considered responsive.

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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