Drug Free Affidavit.pdf

PDF 190 KB Posted

Attached to
Equipment Division Shop Roof Replacement 70259029
Solicitation number
CRFQ-0803-DOT2500000066-3
Issued by
Tucker County, West Virginia

About this file

The document consists of two forms from the State of West Virginia Purchasing Division related to drug-free workplace requirements: a Certified Drug-Free Workplace Report Coversheel (WV-72) and a Drug Free Workplace Conformance Affidavit (WV-73). These forms are mandatory for contractors doing business with the state, requiring vendors to provide documentation demonstrating compliance with West Virginia Code §21-1D-5 and §21-1D-7b regarding drug-free workplace policies.

The forms require vendors to submit detailed information about their drug-free workplace practices, including education and training services, drug testing procedures, and laboratory certifications. Vendors must report the average number of employees involved in public improvement construction, drug test results across categories like pre-employment, reasonable suspicion, post-accident, and random testing. For contracts over $25,000, the report must be mailed to the West Virginia Purchasing Division in Charleston, while smaller contracts can be submitted to the public authority issuing the contract. The documentation must be completed at least annually or upon project completion, with all statements sworn under penalty of perjury.

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