Drug Free Affidavit.pdf

This is a Drug Free Workplace Conformance Affidavit required by the State of West Virginia under West Virginia Code 21-1D-5, applicable to the Mineral Resource Building Core Lab Renovation Phase II project at West Virginia University's Evansdale Campus in Morgantown. The affidavit must be completed by an employee of the bidding or contracting company and attests that the company maintains a written drug-free workplace policy in compliance with West Virginia Code 21-1D. The document requires the employee's printed name, signature, title, and the company name, along with the date of execution. The affidavit must be notarized before a notary public, with the notary providing their printed name, title, commission expiration date, and the county where the oath is administered.

No specific pricing terms, set-asides, incumbency information, funding sources, or project costs are detailed in this affidavit document. The affidavit serves as a compliance certification requirement for contractors bidding on or executing work related to the renovation project and does not contain substantive contract terms, schedules, or financial provisions. Contractors must submit this completed and notarized form as part of their bid or contract documentation to demonstrate adherence to West Virginia's drug-free workplace requirements.