ARFQ DEP2200000044 Drug-Free Affidavit.pdf

This is a Drug-Free Workplace Conformance Affidavit required by the State of West Virginia under West Virginia Code 21-1D-5. The document serves as a sworn statement in which an employee of a bidding company attests that the company maintains a written drug-free workplace policy in compliance with West Virginia Code 21-1D. The affidavit must be completed by an authorized employee, include the company name and employee's printed name and title, and be notarized with the notary's signature, seal, commission expiration date, and county information. The form establishes compliance requirements for contractors bidding on West Virginia state and local contracts.

The affidavit is executed under penalty of perjury and requires notarization before submission. This document appears to be a mandatory requirement for contract bidders in West Virginia and must be completed using the WV-73 form approved as of April 30, 2020. No specific pricing, award dates, contract terms, or renewal options are addressed in this compliance document, as its purpose is solely to verify that a bidding company maintains and complies with applicable drug-free workplace policies as a prerequisite to contract eligibility.