ATTACHMENT H - CERTIFICATION OF RECALL OR SAFETY ISSUES_NX EQ Image-Guided Surgical Navigation System.docx
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- Solicitation number
- 36C10G26R0009
About this file
This file is a Certification of Recall or Safety Issues form that must be completed and submitted by offerors responding to Solicitation Number 36C10G26R0009 for NX EQ Image-Guided Surgical Navigation Systems issued by the Department of Veterans Affairs. The form requires offerors to certify that the medical equipment being quoted has no outstanding recalls, known safety issues, and complies with all relevant regulations and standards for medical equipment. The certification must be signed by an authorized representative of the company and submitted with the proposal.
The form includes specific fields for the Company Unique Entity Identifier (UEI), authorized representative information (name, title, signature, and date), and contains a statement that false or misleading information may result in disqualification from the solicitation process and other legal penalties. This is a required attachment that must accompany all proposals for the acquisition of new OEM Image-Guided Surgical Navigation Systems under this commercial product solicitation.
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Attachment H 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: 36C10G26R0009 Requirement for: NX EQ Image-Guided Surgical Navigation 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 quoted 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 .