ATTACHMENT H – Mercury Affidavit.pdf

74 KB Posted

Attached to
D80B3600017 Network Switches PORFP
Solicitation number
BPM039521
Issued by
Maryland

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The provided document is an Attachment H - Mercury Affidavit, which is a requirement for a procurement opportunity issued by the State of Maryland. The affidavit requires the authorized representative of a business to affirm whether the product(s) offered contain mercury, and if so, to describe the product(s) and provide the amount of mercury. The affidavit acknowledges that it may be distributed to various government entities, and that the contents are subject to applicable laws.

The related state and local contract opportunity is for Network Switches PORFP (Purchase Order Request for Proposal) issued by the Maryland Insurance Administration (MIA). The MIA's existing enterprise network switches have reached end-of-life and need to be replaced to ensure VPN, VOIP, and network services for the agency. The new switches will allow the MIA to build a segmented network with access control lists (ACLs).

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Other files

File Type Posted
D80B3600017 - Scope of Work.pdf PDF
PORFP D80B3600017 - Parts Spreadsheet.pdf PDF
D80B3600017 - Addendum #1.pdf PDF
MBE Attachment D-1A_ MBE Utilization and Fair Solicitation Affidavit & MBE Participation Schedule.pdf PDF
D80B3600017-No-Bid-Feedback-Form.pdf PDF
PORFP D80B3600017.pdf PDF

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ATTACHMENT H – Mercury Affidavit

MERCURY AFFIDAVIT

AUTHORIZED REPRESENTATIVE THEREBY AFFIRM THAT:

I am the _________________ (Title) and the duly authorized representative of _______________________ (Business). I possess the legal authority to make this affidavit on behalf of myself and the business for which I am acting.

MERCURY CONTENT INFORMATION:

[ ] The product(s) offered do not contain mercury.

OR

[ ] The product(s) offered do contain mercury.

(1) Describe the product or product component that contains mercury.

(2) Provide the amount of mercury that is contained in the product or product component. Indicate the unit of measure being used.

I ACKNOWLEDGE THAT this affidavit is to be furnished to the procurement officer and may be distributed to units of (1) the State of Maryland; (2) counties or other subdivisions of the State of Maryland; (3) other states; and (4) the federal government. I further acknowledge that this Affidavit is subject to applicable laws of the United States and the State of Maryland, both criminal and civil, and that nothing in this affidavit or any contract resulting from the submission of this bid or proposal shall be construed to supersede, amend, modify, or waive, on behalf of the State of Maryland, or any unit of the State of Maryland having jurisdiction, the exercise of any statutory right or remedy conferred by the Constitution and the laws of Maryland with respect to any misrepresentation made or any violation of the obligations, terms and covenants undertaken by the above business with respect to (1) this affidavit, (2) the contract, and (3) other affidavits comprising part of the contract.

I DO SOLEMNLY DECLARE AND AFFIRM UNDER THE PENALTIES OF PERJURY

THAT THE CONTENTS OF THIS AFFIDAVIT ARE TRUE AND CORRECT TO THE

BEST OF MY KNOWLEDGE, INFORMATION, AND BELIEF.

________________ By ___________________________ Date Signature

Print Name: _____________________________________ Authorized Representative and Affiant

File details come from the government source that posted it. Updated .