Attachment-J.-Mercury-Affidavit__1_ (1).pdf
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- Solicitation number
- BPM058037
- Issued by
- Baltimore City, Maryland
About this file
This is a Mercury Affidavit attachment for the State of Maryland's re-solicitation for janitorial services at the Edward F. Borgerding District Court/Multi-Service Center in Baltimore City. The affidavit requires the authorized representative of a bidding business to certify under penalty of perjury whether the products offered contain mercury. Bidders must indicate whether their products are mercury-free or, if mercury is present, provide detailed documentation identifying the specific product or component containing mercury and the exact amount of mercury by unit of measure. The affidavit acknowledges that the document will be provided to the procurement officer and may be distributed to Maryland state units, counties, other states, and the federal government.
The affidavit is binding under applicable United States and Maryland law, both criminal and civil, and does not supersede any statutory rights or remedies of the State of Maryland regarding misrepresentation or violations of contract obligations. Bidders must submit this signed and dated affidavit with their bid or proposal. The contract covers janitorial services for a three-year term with two additional one-year renewal options, with the effective date of this affidavit set for July 2024.
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Text version
Attachment J – Mercury Affidavit Effective Date: July 2024
Attachment J. Mercury Affidavit
AUTHORIZED REPRESENTATIVE THEREBY AFFIRM THAT:
I, _______________________________ (name of affiant) am the _______________________________ (title) and the duly authorized representative of _______________________________ (name of the 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.
� In an attachment to this Mercury Affidavit:
(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 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
SUBMIT THIS AFFIDAVIT WITH BID/PROPOSAL
Attachment K. Mercury Affidavit
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