ATTACHMENT H - CERTIFICATION OF RECALL OR SAFETY ISSUES_NX EQ Monitor Video Medical.docx

This is a certification form (Attachment H) that offerors must complete and submit as part of their proposal response to a federal solicitation for NX EQ Monitor Video Medical equipment. The form requires the offeror's company to certify under penalty of law that the medical equipment being quoted has no outstanding recalls, no known safety issues, complies with all relevant medical equipment regulations and standards, and has been thoroughly checked for compliance with applicable safety and performance standards. The certification must be completed in its entirety, signed by an authorized company representative with their printed name, title, and date, and submitted with the proposal in response to Solicitation Number 36C10G26R0018 issued by the Department of Veterans Affairs Strategic Acquisition Center Frederick.

The form includes a warning that any false or misleading information provided in the certification may result in disqualification from the solicitation process and other penalties permitted by law. Offerors must provide their Company Unique Entity Identifier (UEI) on the form. This certification is a mandatory compliance document required for the acquisition of new OEM NX EQ Image-Guided Surgical Navigation Systems, with delivery on an FOB Destination basis to locations and dates to be specified in individual orders issued under the resulting contract.