ATTACHMENT J_CERTIFICATION OF RECALL OR SAFETY ISSUES_PAPR_04012025.docx
DOCX document 22 KB Posted
- Attached to
- 6515--NX EQ Powered Air Purifying Respirators
- Solicitation number
- 36C10G25Q0059
About this file
This document is a Certification of Recall or Safety Issues form for a federal solicitation (36C10G25Q0059) for Powered Air Purifying Respirators (PAPRs). The certification requires companies to verify that their medical equipment: 1) has no outstanding recalls, 2) has no known safety issues, 3) complies with all relevant regulations and standards, and 4) has been thoroughly checked for safety and performance standards. Companies must complete all fields, have an authorized representative sign the form, and submit it with their quote. The form warns that false or misleading information may result in disqualification from the solicitation process and potential legal penalties.
The associated solicitation is a 100% Service-Disabled Veteran Owned Small Business set-aside for the Veterans Health Administration, seeking to purchase PAPRs for VA Medical Centers nationwide. The contract will be a single Requirements contract with a 12-month base period and four 12-month option periods. Quotes are to be submitted through SAM.gov, with strict submission deadlines. The procurement follows FAR guidelines, has a NAICS code of 339113 with a business size standard of 800 employees, and will result in Firm-Fixed Price orders specifying delivery locations, dates, and quantities.
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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: 36C10G25Q0059 Requirement for: Powered Air Purifying Respirators
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 .