Cover letter - Agency Authorization.pdf

FCC ID: YSGCRTDSOR1844

Cover Letter(s)

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FCCID_3083222

Livanova Health innovation that matters To: Curtis—Straus LLC Certification Department — TCB/FCB 527 Great Road Littleton, MA 01460 Authority to Act as Agent On our behalf, | appoint LCIE located at 33 avenue du General Leclerc 92260 FONTENAY AUX ROSES, FRANCE to act as our agent in the preparation of this application for equipment certification. 1 certify that submitted documents properly describe the device or system for which equipmentcertification is sought For instances where our authorized agent signs the application for certification on our behalf, 1 acknowledge that all responsibility for complying with the terms and conditions for certification, still resides with SORIN CRM SAS— Parc d‘affaires NOVEOS 4, Avenue Réaumur 92140 CLAMART Cedex — FRANCE. Certification Number ECC ID : YSGCRTDSOR1844 SonR CRT—D 1844 Model Number(s) Date 09/May/2016 Agency Agreement Expiration Date 09/May/2017 Company Name SORIN CRM SAS Parc d‘affaires NOVEOS Company Address 4, Avenue Réaumur 92140 CLAMART Cedex FRANCE Mr Chatura PATHIRAGE Name and Title of Regulatory affairs Engineer Person Signing E—mail: chatura.Pathirage@livanova.com Contact Info Phone : +33 1 46 01 33 58 (Phone and Email) Signature é% Z—*~ Sorin CRM sas, T +33 (0) 146 013 333 1 a wholly—owned subsidiary of LivaNova PLC www.livanova.com Parc d‘affaires NOVEOS 4, avenue Réaumur 92140 Clamart — France


Document Created: 2019-10-15 12:46:01
Document Modified: 2019-10-15 12:46:01
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