Attachment-J.-Mercury-Affidavit.pdf
PDF 68 KB Posted
- Solicitation number
- BPM055752
- Issued by
- Baltimore City, Maryland
About this file
This is a Mercury Affidavit file related to contract opportunity FC0001953 for CIENA AMR On-Net services at the Maryland Department of Public Safety and Correctional Services (DPSCS) facility located at 926 Greenmount Avenue in Baltimore, Maryland. The affidavit serves as a compliance documentation requirement for the procurement process, confirming adherence to mercury-related environmental and health regulations. The document establishes that the contractor or service provider has met applicable state and federal requirements regarding mercury content, emissions, and disposal standards for equipment and materials that may be utilized in the telecommunications and network infrastructure project at the correctional facility.
The affidavit functions as a binding attestation of environmental compliance and regulatory adherence specific to Maryland's restrictions on mercury use and handling. This documentation is typically required to ensure that all equipment, components, and services provided under the contract meet current environmental protection standards and do not contain prohibited levels of mercury or mercury-containing substances. The affidavit requirement protects the state agency from liability and ensures that the project aligns with Maryland's environmental regulations and the facility's operational standards.
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Other files
| File | Type | Posted |
|---|---|---|
| FC0001953 PORFP for CIENA.pdf | ||
| Redacted BOM.docx | DOCX document |
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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 .