4-Attachment 2 Drug and Alcohol Affidavit.pdf
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- Attached to
- Network Switch Licensing
- Solicitation number
- FF-F-26-34202-2039
- Issued by
- Ada County, Idaho
About this file
This document is a Drug and Alcohol Affidavit from West Ada School District (Joint School District #2) in Meridian, Idaho, which requires contractors and vendors to certify compliance with Idaho Code Section 72-1717 regarding drug-free workplace standards. The affidavit is a mandatory form for contractors working on state construction contracts, requiring them to provide and maintain a drug-free workplace program that adheres to Idaho Code, Title 72, Chapter 17.
The affidavit obligates the contractor to ensure their drug-free workplace program remains in effect throughout the contract's duration and mandates that they only subcontract work to subcontractors meeting the specific requirements outlined in Idaho Code, section 72-1717(1)(a). The document is designed to be completed, signed, and notarized, with spaces provided for the contractor's name, address, city and state, and requires a sworn statement before a notary public, thereby creating a legally binding commitment to maintaining a safe and drug-free work environment.
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Text version
1303 E. Central Drive, Meridian, ID 83642 ● Phone: 208-855-4500 ● Fax: 208-350-5962
Joint School District #2
Attachment 2 Drug and Alcohol Affidavit
1303 E. Central Drive, Meridian, ID 83642 ● Phone: 208-855-4500 ● Fax: 208-350-5962
CONTRACTOR/VENDOR AFFIDAVIT
CONCERNING ALCOHOL AND DRUG-FREE WORKPLACE
STATE OF _______________________
COUNTY OF _____________________
Pursuant to the Idaho Code, Section 72-1717, I, the undersigned, being duly sworn, depose and certify that ______________________________ is in compliance with the provisions of Idaho Code section 72-1717; that _____________________________________ provides a drug-free workplace program that complies with the provisions of Idaho Code, title 72, chapter 17 and will maintain such program throughout the life of a state construction contract and that ________________________________ shall subcontract work only to subcontractors meeting the requirements of Idaho Code, section 72-1717(1)(a).
Name of Contractor
Address
City and State
By: _________________________________
(Signature)
Subscribed and sworn to before me this _________________ day of
Commission expires:
NOTARY PUBLIC, residing at
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