ARFQ DCR27 12 Drug Free Affidavit.pdf

This is a Drug Free Workplace Conformance Affidavit required by the State of West Virginia for the Resident Haircuts contract opportunity at Eastern Regional Jail & Corrections. The affidavit, form WV-73, requires an authorized employee of the bidding company to attest under oath that their organization maintains a written drug-free workplace policy in compliance with West Virginia Code 21-1D-5. The document must be notarized and includes fields for the employee's printed name, signature, title, company name, and date of execution, as well as the notary public's information and commission expiration date.

This affidavit serves as a mandatory compliance documentation requirement for contractors bidding on state and local contracts in West Virginia. The submission of a properly executed and notarized drug-free workplace conformance affidavit is a prerequisite for bid consideration and demonstrates the contractor's commitment to maintaining workplace safety standards as mandated by state law. Bidders must ensure the form is completed in full, signed by an authorized company representative, and notarized before submission with their bid package.