DRUG FREE AFFIDAVIT - ARFQ DEP2000000051.pdf

This is a Drug Free Workplace Conformance Affidavit required by the State of West Virginia pursuant to West Virginia Code 21-1D-5. The document serves as a sworn statement wherein an employee of a company attests that their employer maintains a written drug-free workplace policy in compliance with West Virginia Code 21-1D. The affidavit must be completed by a company employee, notarized, and submitted as part of state and local contract opportunity requirements. The form requires identification of the employee, company name, employee title, and the notary public's commission information, with the affidavit sworn under penalty of perjury.

This conformance affidavit is a mandatory compliance document rather than a pricing or service-delivery instrument. No pricing terms, contract awards, renewal options, or funding information are contained within this form. The affidavit functions as a prerequisite certification that prospective contractors must provide to demonstrate their organization's adherence to federal and state drug-free workplace requirements as a condition of eligibility for state contract awards.