Drug Free Affidavit.pdf

PDF 12 KB Posted

Attached to
On Call HVAC Services - ISVH - Lewiston
Solicitation number
23
Issued by
Madison County, Idaho

About this file

The provided document is a Contractor's Affidavit Concerning Alcohol and Drug-Free Workplace, required for a state construction contract in Idaho. The affidavit certifies that the contractor, whose name is redacted, provides a drug-free workplace program that complies with the provisions of the Idaho Code, Title 72, Chapter 17, and will maintain such a program throughout the life of the state construction contract. The contractor also certifies that it will subcontract work only to subcontractors meeting the requirements of Idaho Code, Section 72-1717(1)(a).

The related state and local contract opportunity is for On Call HVAC Services for the Idaho State Veterans Home (ISVH) in Lewiston, Idaho, located in Nez Perce County. No further details about the contract, such as quantities, response dates, or term, are provided in the given information.

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Text version

Rev. 12/07/05

CONTRACTOR’S AFFIDAVIT

CONCERNING ALCOHOL AND DRUG-FREE WORKPLACE

STATE OF

COUNTY OF

Pursuant to the Idaho Code, Section 72-1717, I, the undersigned, being duly sworn, depose and certify that _____________________________________ is in compliance with the provisions of Idaho Code section 72- 1717; that _______________________________________ provides a drug-free workplace program that complies with the provisions of Idaho Code, title 72, chapter 17 and will maintain such program throughout the life of a state construction contract and that ___________________________________ shall subcontract work only to subcontractors meeting the requirements of Idaho Code, section 72-1717(1)(a).

Name of Contractor

Address

City and State

By:

(Signature)

Subscribed and sworn to before me this ___________________ day of _________________, ______.

Commission expires:

NOTARY PUBLIC, residing at

CONTRACTOR’S AFFIDAVIT
CONCERNING ALCOHOL AND DRUG-FREE WORKPLACE

File details come from the government source that posted it. Updated .