Attachment-J.-Mercury-Affidavit.pdf
PDF 68 KB Posted
- Attached to
- FC0002375 Pure Storage for DR NAS Replacement
- Solicitation number
- BPM056613
- Issued by
- Maryland
About this file
This is a Mercury Affidavit document for the State of Maryland related to contract opportunity FC0002375 for Pure Storage for DR NAS Replacement. The affidavit serves as a mandatory submission requirement with bid and proposal documents, requiring an authorized representative of the bidding business to certify under penalty of perjury whether products offered contain mercury. The document is effective as of July 2024 and applies to all proposed products or product components being submitted as part of the bid response.
The affidavit requires bidders to declare either that products contain no mercury or, if mercury is present, to provide detailed information including a description of the specific product or component containing mercury and the exact amount of mercury present with specified units of measure. The affiant acknowledges that the completed affidavit will be furnished to the Maryland procurement officer and may be distributed to Maryland state units, counties, subdivisions, other states, and the federal government. Submission of this affidavit subjects the bidding business to applicable criminal and civil laws of the United States and Maryland, with the understanding that any misrepresentation or violation of obligations regarding mercury content or contract terms may result in legal action and does not waive Maryland's statutory rights or remedies.
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Other files
| File | Type | Posted |
|---|---|---|
| Redacted_BOM.pdf | ||
| FC0002375_PORFP_for_Pure_Storage_Hardware.pdf |
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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 .