Attachment-J.-Mercury-Affidavit.pdf
PDF 68 KB Posted
- Solicitation number
- BPM057117
- Issued by
- Howard County, Maryland
About this file
This is a Mercury Affidavit supporting the state of Maryland's procurement for CIENA On-Net Equipment for the Department of Health Services (DHS) facility located at 350 High Street, referenced as contract opportunity FC0002515. The affidavit addresses environmental compliance and material composition requirements related to the supply and installation of telecommunications or networking equipment at the specified location.
The affidavit certifies compliance with mercury content restrictions and environmental regulations applicable to the procurement. The document serves as a supplier attestation regarding the absence of mercury in the equipment being provided or confirms that any mercury content falls within acceptable regulatory limits. This certification is a standard requirement in Maryland state procurements to ensure compliance with environmental protection standards and to support the state's commitment to reducing hazardous material exposure in facilities, particularly those housing sensitive operations such as health services.
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Other files
| File | Type | Posted |
|---|---|---|
| REDACTED_BOM_FC0002515.pdf | ||
| FC0002515_PORFP_for_CIENA_-_DoIT__AMR__On-Net_for_DHS-KN306-350_High_St.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 .