7-Attachment 2 Drug and Alcohol Affidavit.pdf
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- Attached to
- Managed Internal Broadband Services (MIBS)
- Solicitation number
- FF-26-34201-2039
- 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) located in Meridian, Idaho. The affidavit is a standardized form requiring contractors and vendors to certify compliance with Idaho Code Section 72-1717 regarding drug-free workplace requirements. The form is designed for contractors to affirm that they maintain a drug-free workplace program that adheres to state regulations and will continue to do so throughout the duration of a state construction contract.
The affidavit requires the contractor to attest that they will only subcontract work to subcontractors meeting specific legal requirements related to drug-free workplace standards. The document must be completed with the contractor's name, address, and contact information, and requires a notarized signature to validate the sworn statement. While no specific contract details or monetary values are included in this document, it serves as a mandatory compliance document for vendors seeking to work with the West Ada School District on construction or service-related contracts.
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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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