ATTACHMENT J - CERTIFICATION OF RECALL OR SAFETY ISSUES - NX EQ HEMODYNAMIC MONITOR.doc
DOC document 31 KB Posted
- Attached to
- 6515--NX EQ Hemodynamic Monitor
- Solicitation number
- 36C10X26R0048
About this file
This is an attachment containing certification requirements for quoters responding to a solicitation for NX EQ Hemodynamic Monitor equipment. The Department of Veterans Affairs Strategic Acquisition Center Frederick is procuring this medical equipment through solicitation number 36C10X26R0048 as a single-award Requirements contract for the Veterans Health Administration Equipment Life Cycle Management Program. The certification document serves as a template that all quoters must complete and submit with their proposals.
Quoters are required to certify through an authorized company representative that the NX EQ Hemodynamic Monitor being quoted has no outstanding recalls, no known safety issues, complies with all relevant medical equipment regulations and standards, and has undergone thorough compliance checks for safety and performance standards. The form requires completion of company information including the Company Unique Entity Identifier (UEI), authorized representative details (name, title, signature, and date), and includes a statement that false or misleading information may result in disqualification from the solicitation process and other legal penalties. This certification must be signed by an authorized representative and submitted as part of the complete quote response.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C10X26R0048_2.docx | DOCX document | |
| SF30 36C10X26R0048 0002.pdf | ||
| 36C10X26R0048 Vendor Questions.pdf | ||
| 36C10X26R0048 0001 SF30.pdf | ||
| 36C10X26R0048_1.docx | DOCX document | |
| 36C10X26R0048.docx | DOCX document | |
| APPENDIX C - NX EQ HEMODYNAMIC MONITORS.docx | DOCX document | |
| ATTACHMENT F - PAST PERFORMANCE REFERENCES - NX EQ HEMODYNAMIC MONITOR.pdf | ||
| ATTACHMENT D-SOLICITATION PROVISIONS-NX EQ HEMODYNAMIC MONITOR.docx | DOCX document | |
| ATTACHMENT E - QUARTERLY SALES REPORT - NX EQ HEMODYNAMIC MONITOR.xlsx | XLSX spreadsheet | |
| ATTACHMENT C - CONTRACT CLAUSES - NX EQ HEMODYNAMIC MONITOR.docx | DOCX document | |
| ATTACHMENT B - CONTRACT ADMINISTRATION - NX EQ HEMODYNAMIC MONITOR.docx | DOCX document | |
| ATTACHMENT G - PAST PERFORMANCE QUESTIONAIRE - NX EQ HEMODYNAMIC MONITOR.docx | DOCX document | |
| ATTACHMENT H - RFQ QUESTIONS - NX EQ HEMODYNAMIC MONITOR.xlsx | XLSX spreadsheet | |
| ATTACHMENT A - PRICE COST SCHEDULE - NX EQ HEMODYNAMIC MONITOR.xlsx | XLSX spreadsheet |
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Text version
Attachment J Certification of Recall or Safety Issues Instructions to Quoters:
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 quote.
Certification of No Outstanding Recalls or Safety Issues Solicitation Number: 36C10X26R0048 Requirement for: NX EQ Hemodynamic Monitor
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 .