Drug Free Workplace Affidavit - ARFQ DCR24-80.pdf

This is a Drug Free Workplace Conformance Affidavit form required by the State of West Virginia under West Virginia Code 21-1D-5, applicable to state and local contract opportunity ARFQ DCR24-80. The form serves as an attestation that a bidding company maintains a written drug-free workplace policy in compliance with West Virginia Code 21-1D. The affidavit must be completed and sworn before a notary public by an employee of the contracting company, with the employee providing their printed name, signature, title, and the company name. The form requires notarization, including the notary public's printed name, title, date, commission expiration date, and seal.

This affidavit is a mandatory compliance document that bidders must submit as part of their proposal submission. The form does not contain pricing information, set-aside provisions, incumbent contractor details, or contract term specifications, as it functions solely as a certification of the bidder's adherence to West Virginia's drug-free workplace requirements. Submission of this completed and notarized form demonstrates the contractor's commitment to maintaining a drug-free workplace policy as a condition of contract eligibility.