Attachment-J.-Mercury-Affidavit.D7Plumb32SB.pdf
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- Solicitation number
- BPM057888
- Issued by
- Carroll County, Maryland
About this file
This is a Mercury Affidavit attachment to an Invitation for Bids (IFB) issued by the State of Maryland Department of Transportation, State Highway Administration (MDOT SHA) for plumbing maintenance and repair services under contract D7PLUMB32SB. The contract requires bidders to meet specific minimum qualifications including maintaining a current State of Maryland Master Plumbers License, demonstrating a minimum of five years of commercial plumbing business experience, and maintaining an available workforce of at least two State of Maryland licensed journeyman technicians with minimum five years of commercial plumbing experience. Bidders must provide documentation of all licenses and commercial experience prior to contract award. Additionally, bidders may employ plumbers' helpers or apprentices as needed and approved by the Contract Manager or Authorized Representatives.
Bidders are required to submit three business references with their bids as part of "Attachment L Reference Checks," documenting firms for which they provided similar commercial plumbing services within the preceding 24 months. References will be verified prior to award, and negative responses may result in bid disqualification. This affidavit serves as documentation of the bidder's compliance with these minimum qualification requirements.
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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
File details come from the government source that posted it. Updated .