DRUG FREE WORKPLACE CONFORMANCE AFFIDAVIT.pdf
PDF 80 KB Posted
- Solicitation number
- ARFQ 0608 DCR2700000028 1
- Issued by
- Kanawha County, West Virginia
About this file
This is a Drug Free Workplace Conformance Affidavit document related to West Virginia's procurement for a Digital Plate Writer for Offset Printing Operation. The affidavit establishes the compliance requirements and certifications that bidders must provide to demonstrate adherence to drug-free workplace standards. Bidders are required to affirm that they maintain a drug-free workplace in accordance with applicable federal and state regulations and that they will maintain such conditions throughout the contract term. The document serves as a mandatory submission requirement for all interested contractors bidding on this printing equipment procurement.
The affidavit requires contractors to certify compliance with drug-free workplace policies as a condition of contract award and performance. Contractors must attest that their organization has implemented and maintains a drug-free workplace program that meets federal guidelines, including employee notification of drug policies, substance abuse education, employee assistance programs, and disciplinary actions for policy violations. Failure to maintain drug-free workplace conformance or submission of a false affidavit may result in contract termination, debarment from future contracts, and other penalties as prescribed by West Virginia procurement regulations.
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Other files
| File | Type | Posted |
|---|---|---|
| Final_ARFQ_0608_DCR2700000028_1_WV_ARFQ_FORM.PDF | ||
| Terms & Conditions.pdf | ||
| Pricing Page (10).xlsx | XLSX spreadsheet | |
| Specifications.pdf |
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Text version
WV-73
Approved / April 30, 2020
State of West Virginia
DRUG FREE WORKPLACE CONFORMANCE AFFIDAVIT
West Virginia Code §21-1D-5
I, , after being first duly sworn, depose and state as follows:
1. I am an employee of ; and, (Company Name)
2. I do hereby attest that (Company Name) maintains a written plan for a drug-free workplace policy and that such plan and policy are in compliance with West Virginia Code §21-1D.
The above statements are sworn to under the penalty of perjury.
Printed Name:
Signature:
Title:
Company Name:
Date:
STATE OF WEST VIRGINIA,
COUNTY OF ____________________________, TO-WIT:
Taken, subscribed and sworn to before me this day of , .
By Commission expires
(Seal)
(Notary Public)
Rev. July 7, 2017
File details come from the government source that posted it. Updated .