mercury_affidavit.pdf
PDF 32 KB Posted
- Attached to
- PORFP J05P7600012 - Dell Pro Max Slim Desktop
- Solicitation number
- BPM059200
- Issued by
- Baltimore County, Maryland
About this file
This is a Mercury Affidavit form required by the State of Maryland for the Desktop, Laptop and Tablet 2015 Statewide Blanket Purchase Order (BPO 060B5400007). The affidavit serves as a compliance document for vendors bidding on desktop, laptop, and tablet products under this procurement framework. The form requires an authorized representative of the bidding business to certify under penalty of perjury whether the products offered contain mercury, and if so, to identify the specific product components and quantify the amount of mercury present with appropriate units of measure. The affidavit applies to a secondary competition Purchase Order Request for Proposal (PORFP J05P7600012) for Dell Pro Max Slim Desktop computers, which is restricted to master contractors previously awarded contracts under the referenced BPO.
The affidavit is subject to all applicable federal and state laws of Maryland and serves as a legally binding document that may be distributed to State of Maryland units, county subdivisions, other states, and federal government entities. Bidders acknowledge that misrepresentation or violation of the affidavit's terms may result in criminal and civil penalties, and the State of Maryland reserves all statutory rights and remedies related to any false statements or breach of contract obligations. This documentation requirement ensures compliance with mercury content regulations and maintains transparency regarding product composition across the procurement process.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CCTV_machines_spec_sheet.xlsx | XLSX spreadsheet | |
| Updated PORFP CCTV Dell Pro Max Desktop Complete 10-13-2026.docx | DOCX document | |
| Signed PORFP Addendum (Dell PRO MAX Desktop).pdf |
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Text version
DESKTOP, LAPTOP AND TABLET 2015 - Mercury Affidavit
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.
Date
By: ___________________________ Signature
Print Name: _____________________________________ Authorized Representative and Affiant
Desktop, laptop and tablet 2015 - Mercury Affidavit
File details come from the government source that posted it. Updated .