ATTACHMENT F_CERTIFICATION OF RECALL OR SAFETY ISSUES.docx
DOCX document 23 KB Posted
- Solicitation number
- 36C10G25R0046
About this file
This document is a Certification of Recall or Safety Issues form for a VA medical equipment solicitation (Solicitation Number: 36C10G25R0046) for the GE MUSE Data Management System. The certification requires an authorized company representative to affirm that the proposed medical equipment: has no outstanding recalls, no known safety issues, complies with relevant regulations and standards, and has been thoroughly checked for safety and performance standards. By signing the form, the company acknowledges that providing false or misleading information could result in disqualification and potential legal penalties.
The related federal contract opportunity is a sole-source Firm Fixed Price award to TrillaMed, LLC, a Service-Disabled Veteran-Owned Small Business, for procuring a VA-wide Requirements Contract for the GE MUSE Electrocardiographs (ECG) Data Management System. The system is critical for VA healthcare, as 170+ VHA facilities currently use GE MUSE to store and analyze millions of veteran ECG records, with cardiologists relying on the system's ability to track cardiovascular conditions through comprehensive historical data and specialized comparison tools.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36C10G25R0046 0001.docx | DOCX document | |
| RFP 36C10G25R0046_GE MUSE ECG Data Management System.pdf | ||
| ATTACHMENT E_JUSTIFICATION AND APPROVAL FOR OTHER THAN FULL AND OPEN COMPETITION.pdf | ||
| ATTACHMENT I_DRAFT BUSINESS ASSOCIATE AGREEMENT.docx | DOCX document | |
| ATTACHMENT B_PRODUCT DESCRIPTION.docx | DOCX document | |
| ATTACHMENT G_PAST PERFORMANCE REFERENCES.docx | DOCX document | |
| ATTACHMENT C_CONTRACT SECURITY HANDBOOK 6500_6_APPENDIX C.pdf | ||
| ATTACHMENT A_ QUARTERLY SALES REPORTING TOOL.xlsx | XLSX spreadsheet | |
| 36C10G25R0046.docx | DOCX document | |
| ATTACHMENT H_PAST PERFORMANCE QUESTIONNAIRE.docx | DOCX document | |
| ATTACHMENT D_PRICE COST SCHEDULE.xlsx | XLSX spreadsheet |
Show all 11
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment F Certification of Recall or Safety Issues Instructions to Offerors:
1. Complete all fields in the certification form.
2. Ensure that the form is signed by an authorized representative of the company.
3. Submit the completed form along with your proposal.
Certification of No Outstanding Recalls or Safety Issues Solicitation Number: 36C10G25R0046 Requirement for: GE MUSE Data Management System
Company Unique Entity Identifier (UEI): __________________________________________
Certification:
By signing below, I, the undersigned, certify on behalf of the company identified by the UEI above, the medical equipment proposed in response to the above-referenced solicitation:
1. Does not have any outstanding recalls.
2. Does not have any known safety issues.
3. Complies with all relevant regulations and standards for medical equipment.
4. Has been thoroughly checked for compliance with safety and performance standards.
I understand that any false or misleading information provided in this certification may result in disqualification from the solicitation process and other penalties as permitted by law.
Authorized Representative:
Name: __________________________________________ Title: __________________________________________ Signature: __________________________________________ Date: __________________________________________
File details come from the government source that posted it. Updated .