Drug Free Workplace Affidavit ARFQ DEP2100000062 Buffalo Creek (Slone) Portals.pdf

This is a Drug Free Workplace Conformance Affidavit form (WV-73) issued by the State of West Virginia in compliance with West Virginia Code 21-1D-5. The form serves as an attestation document for employees of companies bidding on or performing work for state contracts. The affidavit requires the signatory, identified as an employee of the bidding company, to certify under penalty of perjury that their employer maintains a written drug-free workplace policy in compliance with West Virginia Code 21-1D. The document must be notarized before a notary public, with the notary recording their commission expiration date and jurisdiction. The form is associated with contract opportunity ARFQ DEP2100000062 for Buffalo Creek (Slone) Portals.

This affidavit is a mandatory compliance document rather than a pricing or service specification document. Companies submitting bids for this West Virginia state contract are required to complete and submit the executed form as part of their proposal package. The form was approved and issued on April 30, 2020, with the most recent revision dated July 7, 2017. Submission of this affidavit confirms the bidding company's adherence to state drug-free workplace requirements and serves as a precondition for contract eligibility and award consideration.