Attachment A.docx
DOCX document 979 KB Posted
- Attached to
- SCVRD COURSE & SUMMIT EXPO
- Solicitation number
- 5400020540
- Issued by
- South Carolina
About this file
This is a Drug-Free Workplace Act Affidavit form required by the South Carolina Vocational Rehabilitation Department (SCVRD) for the SCVRD Course & Summit Expo contract opportunity. The affidavit certifies vendor compliance with Section 44-107-10 et seq. of the South Carolina Code of Laws, which mandates the provision of a drug-free workplace. This requirement applies to any resulting contract valued at $50,000 or more. The completed and signed affidavit must be submitted to the SCVRD Procurement Services office located at 1410 Boston Avenue, West Columbia, SC 29170, either by phone (803-896-7556) or fax (803-896-6538), attention Felicia W. Johnson, Commissioner. Failure to furnish the affidavit will result in delay of contract execution.
The affidavit requires vendors to provide standard identifying information, including company name, address, phone, fax, FEIN or SSN, and an authorized signature. No pricing, set-asides, incumbents, or other financial terms are addressed in this document, as it serves solely as a compliance certification tool. The SCVRD, which prepares and assists eligible South Carolinians with disabilities to achieve and maintain competitive employment, uses this form as a prerequisite to contract award for eligible opportunities meeting the minimum contract value threshold.
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment 1.docx | DOCX document | |
| Amendment 2.docx | DOCX document | |
| Attachment B.pdf | ||
| Solicitation.docx | DOCX document |
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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 .