Attachment-J.-Mercury-Affidavit.pdf
PDF 68 KB Posted
- Solicitation number
- BPM059381
- Issued by
- Prince George's County, Maryland
About this file
This is a Mercury Affidavit document related to contract opportunity FC0003803 for CIENA Equipment procurement by the Maryland Department of Homeland Security in Landover. The affidavit serves as a certification document supporting the equipment acquisition process. The document functions as a formal declaration regarding mercury content or compliance with mercury-related regulations applicable to the CIENA equipment being procured under this contract. As an affidavit, it represents a sworn statement certifying specific conditions or compliance status relevant to the equipment specifications and regulatory requirements governing the procurement.
The Mercury Affidavit provides assurance to the procuring agency regarding environmental compliance and hazardous material considerations in the equipment being supplied. This type of certification is typically required in government contracts to ensure that procured equipment meets federal and state environmental standards, particularly concerning restricted or controlled substances. The affidavit would be submitted by the vendor as part of their bid package or as a pre-award requirement to demonstrate compliance with applicable regulations before contract award and performance.
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Other files
| File | Type | Posted |
|---|---|---|
| FC0003803 PORFP for Ciena.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 .