00 45 48 Drug-Free Affidavit.pdf
PDF 115 KB Posted
- Attached to
- Vaults 60, 87 & ET Structural Repair and Grating Replacement State and local contract opportunity
- Solicitation number
- 3930
- Issued by
- Knox County, Tennessee
About this file
This document is a Drug-Free Workplace Affidavit related to a construction project for Vaults 60, 87 & ET Structural Repair and Grating Replacement, issued by KUB (Knoxville Utilities Board) with a control number 3930. The affidavit is a formal document to be completed by a bidding entity that employs at least five employees, certifying compliance with Tennessee Code Ann. §50-9-113 regarding drug-free workplace programs. The project involves structural repair and grating replacement, with the document revised on 05/01/23.
The affidavit requires the bidding entity's representative to swear under oath that they have an active drug-free workplace program that meets the standards of Title 50, Chapter 9 of the Tennessee Code. The document must be signed, dated, and notarized, with the affiant providing their name, title, and principal office, and affirming personal knowledge of the drug-free workplace program's existence at the time of bid submission. This document is a standard compliance requirement for businesses seeking to bid on the construction project, ensuring workplace safety and adherence to state regulations.
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Text version
Vaults 60, 87 & ET Structural Repair and Grating Replacement
3930 DRUG-FREE WORKPLACE AFFIDAVIT
REVISED 05/01/23 00 45 48 - 1
DOCUMENT 00 45 48
DRUG-FREE WORKPLACE AFFIDAVIT
STATE OF ______________
COUNTY OF _____________
Comes the affiant after having first been duly sworn and testifies as follows:
1. My name is _______________________________. I hold the principal office of
_______________________ for _________________________________________________.
(Name of Principal Office) (Name of Bidding Entity)
2. _____________________________ has submitted a Bid to Owner for the construction of the (Name of Bidding Entity)
Work Entitled: Vaults 60, 87 & ET Structural Repair and Grating Replacement, Control Number: 3930.
3. ____________________________ employs no less than five (5) employees.
(Name of Bidding Entity)
4. In accordance with Tenn. Code Ann. §50-9-113, this is to certify that
_________________________________ has in effect at the time of its submission of a Bid to perform the (Name of Bidding Entity) construction of the Work identified above, a drug-free workplace program that complies with Title 50, Chapter 9 of the Tennessee Code.
5. This affidavit is made on personal knowledge.
Further the affiant saith not this _______ day of _________________________, 20___.
Title:________________________________
Subscribed and sworn to before me this _____ day of __________________________, 20___.
My Commission Expires:__________________________
END OF DOCUMENT
File details come from the government source that posted it. Updated .