MercuryAffidavit (003).pdf
PDF 76 KB Posted
- Attached to
- J02P4600011 - Motorla XPR3500E
- Solicitation number
- BPM039694
- Issued by
- Maryland
About this file
The document is an Affidavit related to the presence of mercury in products offered under the State of Maryland contract J02P4600011 - Motorola XPR3500E. This contract is managed by the Maryland Department of Transportation's OTMO ITS Division to distribute and maintain two-way portable radios used for critical communication on the Maryland First Public Safety Radio Network. The affidavit requires vendors to disclose if their offered products contain mercury and provide details on the amount. Vendors must acknowledge that this affidavit may be distributed to various government entities and is subject to applicable laws.
The contract is for the replacement of obsolete and unsupported radios currently in use. No other details about the pricing, set-asides, incumbents, funding sources, or contract term are provided in the given materials.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| J02P4600011- Motorola XPR 3500E Addendum.pdf | ||
| J02P4600011- Motorola XPR 3500E Addendum2.pdf | ||
| J02P4600011 - Motorola XPR 3500E Bid Form.xlsx | XLSX spreadsheet | |
| J02P4600011- Motorola XPR 3500E PORFP.docx | DOCX document | |
| NO BID FORM.pdf |
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Text version
ATTACHMENT H – 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.
________________ By ___________________________ Date Signature
Print Name: _____________________________________ Authorized Representative and Affiant
ATTACHMENT H – Mercury Affidavit
File details come from the government source that posted it. Updated .