Attachment-Mercury-Affidavit-.pdf
PDF 91 KB Posted
- Attached to
- Network Refresh CISCO (FY26)
- Solicitation number
- BPM056281
- Issued by
- Maryland
About this file
This is a Mercury Affidavit attachment for the State of Maryland related to a Network Refresh CISCO (FY26) procurement opportunity designated as a Small Business Reserve (SBR) competition limited to Master Contractors. The affidavit requires the authorized representative of a bidding business to declare under penalty of perjury whether the product(s) being offered contain mercury. If mercury is present, the affiant must provide a detailed description of the product or product component containing mercury and specify the exact amount of mercury contained within it, including the unit of measure. The document must be submitted with the bid or proposal to the Procurement Officer.
The affidavit acknowledges that it may be distributed to the State of Maryland, its counties and subdivisions, other states, and the federal government. Bidders are advised that the affidavit is subject to applicable criminal and civil laws of the United States and the State of Maryland, and that any misrepresentation or violation of obligations detailed in the affidavit, contract, or related documents may result in legal consequences. This secondary competition is limited to Master Contractors currently holding an award under the Hardware and Associated Equipment and Services 2012 contract (No. 060B2490022), with current contractors eligible to submit a Letter of Authorization with their bid for consideration.
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Text version
Revised 9/2021
ATTACHMENT K– MERCURY AFFIDAVIT
Agency Control Number: OTHS-OTHS-26-068-H
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 .