Drug Free Workplace Affidavit ARFQ DEP1900000015.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 opportunities. The form serves as a sworn attestation by an employee of a contracting company that the organization maintains a written drug-free workplace policy in compliance with West Virginia Code 21-1D. The affidavit must be completed by an authorized company representative, notarized, and submitted as part of the contract bidding or compliance documentation process. The form requires the deponent to identify themselves, their company affiliation, their title, and the company name, with the affidavit sworn under penalty of perjury before a notary public.

The affidavit is a compliance document with no associated pricing terms, set-asides, or contract amounts. It is a mandatory requirement for contractors seeking to do business with the State of West Virginia, demonstrating organizational commitment to maintaining a drug-free workplace as mandated by state law. Completion and notarization of this form is prerequisite to contract award and does not involve competitive pricing, incumbent considerations, or renewal options.