Attachment K - Mercury Affidavit.pdf
PDF 110 KB Posted
- Attached to
- J05P7600013 - Motorola Radios
- Solicitation number
- BPM058825
- Issued by
- Maryland
About this file
This is a Mercury Affidavit document related to a Motorola Radios procurement (J05P7600013) for the State of Maryland under Statewide Blanket Purchase Order (BPO) #060B7400088 - Radio Communication 2018. The affidavit serves as a compliance document addressing mercury content in products being procured through this secondary competition Purchase Order Request for Proposal (PORFP). This procurement is limited to Master Contractors who have been previously awarded contracts under the referenced BPO and are being directly solicited for this secondary competition. The affidavit requirement ensures that vendors comply with Maryland's environmental and product safety regulations regarding mercury-containing products.
The Mercury Affidavit functions as a certification document that vendors must complete and submit as part of their bid response. By executing this affidavit, contractors attest to their compliance with applicable mercury regulations and certify the mercury content status of the Motorola radios being offered. This documentation requirement is part of Maryland's procurement standards to ensure environmental compliance and product safety. All responses to this PORFP must include this executed affidavit as a condition of bid acceptance from eligible Master Contractors under the Radio Communication 2018 BPO.
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Text version
ATTACHMENT K – MERCURY AFFIDAVIT
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 PROPOSAL
ATTACHMENT K – MERCURY AFFIDAVIT
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