Mercury Affidavit.pdf
PDF 74 KB Posted
- Attached to
- Dell Monitors
- Solicitation number
- BPM043979
- Issued by
- Maryland
About this file
The document is a Mercury Affidavit related to a state and local contract opportunity in Maryland for the purchase of Dell monitors. The affidavit requires the authorized representative of the business to affirm whether the products offered contain mercury and provide details on the amount of mercury present. The affidavit also acknowledges that it may be distributed to various state and federal government entities and is subject to applicable laws. The contract opportunity is for the purchase of monitors to support additional staff and partially refresh end-of-life monitors.
The pricing terms, set-asides, incumbent information, funding requirements, and other salient details are not provided in the given documents. The affidavit focuses solely on the disclosure of mercury content in the products offered.
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Other files
| File | Type | Posted |
|---|---|---|
| PORFP E20P4600033 - Dell Monitors.docx | DOCX document | |
| Contract Affidavit.pdf |
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Text version
MERCURY AFFIDAVIT
AUTHORIZED REPRESENTATIVE THEREBY AFFIRM THAT:
I am the _________________ (Title) and the duly authorized representative of _______________________ (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.
(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 bid or 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
File details come from the government source that posted it. Updated .