Drug Free Affidavit.docx
DOCX document 978 KB Posted
- Attached to
- CAREER SUCCESS COURSE AND SUMMIT/EXPO
- Solicitation number
- 5400018851
- Issued by
- South Carolina
About this file
This is a Drug-Free Workplace Affidavit required by the South Carolina Vocational Rehabilitation Department (SCVRD) for the Career Success Course and Summit/Expo contract opportunity. The affidavit certifies vendor compliance with the Drug-Free Workplace Act under Section 44-107-10 et seq. of the South Carolina Code of Laws. Vendors must complete and sign the affidavit form, providing their business name, address, phone, fax, FEIN/SSN, and signature. The completed affidavit must be returned to SCVRD Procurement Services at 1410 Boston Avenue, West Columbia, SC 29170, either by phone (803-896-7556) or fax (803-896-6538), directed to attention of Felicia W. Johnson, Commissioner.
This affidavit requirement applies to any resulting contract valued at $50,000 or more. Failure to furnish the signed affidavit will result in contract delay. The document serves as a mandatory compliance certification that vendors maintain drug-free workplace policies in accordance with South Carolina state law. SCVRD, which operates under the mission of preparing and assisting eligible South Carolinians with disabilities to achieve and maintain competitive employment, requires this documentation as part of its procurement process for all qualifying contracts.
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Other files
| File | Type | Posted |
|---|---|---|
| Confidentiality Agreement.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 .