Attachment-K.–Mercury Affidavit.pdf
PDF 68 KB Posted
- Attached to
- HVAC Preventive Maintenance Frederick
- Solicitation number
- BPM057982
- Issued by
- Frederick County, Forestville CDP, Maryland
About this file
This is a Mercury Affidavit document related to an HVAC Preventive Maintenance contract opportunity with the Maryland School for the Deaf. The affidavit pertains to a one-year contract beginning September 1st, 2026 and concluding June 30th, 2027, with two optional one-year renewal extensions available. The affidavit serves as a compliance certification requiring contractors to affirm their adherence to mercury-related regulations and environmental standards applicable to HVAC systems and refrigerants used in heating, ventilation, and air conditioning equipment that may contain mercury or mercury-containing components.
This document functions as a mandatory certification form that bidders must complete and submit as part of their proposal package. The affidavit ensures compliance with applicable federal and state environmental protection regulations governing the handling, use, and disposal of mercury and mercury-containing substances in HVAC equipment and materials. Contractors must certify their understanding and commitment to proper mercury management practices throughout the contract term, including during maintenance activities, equipment replacement, and waste disposal procedures associated with the Frederick campus HVAC preventive maintenance services.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .