FAR_Reps_Certs-ConfirmationStatement.docx

DOCX document 16 KB Posted

Attached to
6515-- BRAND NAME ONLY RFQ- Stryker Sponge Counter (SURGICOUNT+)
Solicitation number
36C24923Q0476
Issued by

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This document is an offeror confirmation statement for a solicitation from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 9. The solicitation, numbered 36C24923Q0476, is for 6515 brand name only Stryker Sponge Counter (SURGICOUNT+) medical devices. Offerors must verify their representations and certifications in the System for Award Management are current, accurate, and applicable to the referenced North American Industry Classification System codes. Offerors must identify any paragraphs from (c) through (v) of the provision that are completed for this solicitation. Changes to representations or certifications are incorporated only for this solicitation.

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OFFEROR CONFIRMATION STATEMENT

52.212-3 Offeror Representations and Certifications-Commercial Items. (FAR Reps & Cert)

(b) (1) Annual Representations and Certifications. Any changes provided by the Offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications in SAM

(2) The offeror has completed the annual representations and certifications electronically in SAM accessed through http://www.sam.gov. After reviewing SAM information, the Offeror verifies by submission of this offer that the representations and certifications currently posted electronically at https://www.acquisition.gov/far/part-52#FAR_52_212_3, Offeror Representations and Certifications-Commercial Products and Commercial Services, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard(s) applicable to the NAICS code(s) referenced for this solicitation), at the time this offer is submitted and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ______________.

[Offeror to identify the applicable paragraphs at (c) through (v) of this provision that the offeror has completed for the purposes of this solicitation only, if any.

These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.]

OFFEROR’s CERTIFICATION: _________________________________________________________________________ Name / Title / Signature / Date

If the offeror’s online FAR Reps & Cert document is older than 12 months or the information in paragraphs (c) through (v) is inaccurate or missing, the offeror must provide the correct and updated response to those given provisions; otherwise, offeror will not meet responsibility requirements and any offer or proposal submitted may be disregarded and not awarded.

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