Attachment A.docx
DOCX document 981 KB Posted
- Attached to
- PRE-ETS AUTISM SERVICES WITH ASD
- Solicitation number
- 5400026507
- Issued by
- Lexington County, South Carolina
About this file
This is an affidavit document from the South Carolina Vocational Rehabilitation Department (SCVRD) Procurement Services related to a Pre-ETS Autism Services with ASD contract opportunity. The affidavit certifies vendor compliance with the Drug-Free Workplace Act, Section 44-107-10 et seq. of the South Carolina Code of Laws. The affidavit requirement applies to any resultant contract valued at $50,000 or more. Vendors must complete the form by providing their name, address, phone, fax, FEIN/SSN, and authorized signature. The completed affidavit must be returned to SCVRD Procurement Services at 1410 Boston Avenue, West Columbia, SC 29170 (phone: 803-896-7556; fax: 803-896-6538). Failure to furnish the affidavit will result in contract delay.
No pricing terms, set asides, incumbents, funding amounts, or other financial details are specified in this affidavit document. The document serves solely as a compliance requirement confirming the vendor's commitment to maintaining a drug-free workplace as mandated by South Carolina state law for contracts meeting the minimum threshold.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment C.pdf | ||
| Attachment B.pdf | ||
| Solcitation.pdf | ||
| Award Extension.pdf | ||
| Amendment 1.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
AFFIDAVIT
I certify to comply with the Drug-Free Workplace Act, Section 44-107-10.et.seq. of the South Carolina Code of Laws to provide a drug-free workplace (note: this clause applies to any resultant contract of $50,000 or more). The State of South Carolina has amended Title 44, Code of Laws of South Carolina, 1976, relating to health, by adding Chapter 107, so as to enact the Drug-Free Workplace Act.
Vendor: _______________________________________________________________________
Address: _______________________________________________________________________
Phone: _____________________ Fax___________________
FEIN/SSN: _____________________
Signature: ________________________________________
FAILURE TO FURNISH THE AFFIDAVIT WILL RESULT IN DELAY OF THE CONTRACT
THIS PAGE MUST BE SIGNED AND RETURNED TO:
South Carolina Vocational Rehabilitation Department Procurement Services 1410 Boston Avenue West Columbia SC 29170
Phone: 803-896-7556 Fax: 803-896-6538
Felicia W. Johnson, Commissioner
The South Carolina Vocational Rehabilitation Department prepares and assists eligible South Carolinians with disabilities to achieve and maintain competitive employment State Office ▪ 1410 Boston Avenue ▪ P.O. Box 15 ▪ West Columbia, South Carolina 29170-0015 ▪ scvrd.net 803-896-6500 (Office) ▪ 803-896-6553 (TTY) ▪ 800-832-7526 (Toll free) ▪ 803-896-6558 (Fax) ▪ info@scvrd.net image8.png image9.png image1.png image2.png image3.png image4.png image5.png image6.png image7.png
File details come from the government source that posted it. Updated .