Q00B3600058 Mercury Affidavit.pdf

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Attached to
Q00B3600058 - 24 HID Global Livescan Systems
Solicitation number
BPM035231
Issued by
Maryland

About this file

This document is a Mercury Affidavit related to a state and local contract opportunity in Maryland for 24 HID Global full cabinet Livescan systems with Palm print, Touch print Duplex card printer, Signature pads and Digital mug photo camera. The affidavit requires the authorized representative of the business submitting a bid or proposal to indicate whether the offered product(s) contain mercury and, if so, to describe the product or component and provide the amount of mercury. The affidavit also acknowledges that it may be distributed to various government entities and is subject to applicable laws.

The contract opportunity is for the replacement of aging DPP Criminal and Applicant Livescan systems in the state of Maryland. No specific response dates, award dates, or contract term are provided in the information given. Pricing terms, set asides, incumbents, funding requirements and sources are also not detailed in this document.

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Text version

HARDWARE 2012 - 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.

howardmx Highlight

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

Hardware 2012 - Mercury Affidavit

File details come from the government source that posted it. Updated .