DrugFreeAff.pdf

This is a Drug Free Workplace Conformance Affidavit required by the State of West Virginia under West Virginia Code 21-1D-5. The affidavit serves as a mandatory compliance document that must be submitted with all bids to state and local contract opportunities in West Virginia. The form requires a company employee to attest under oath that their employer maintains a written drug-free workplace policy in compliance with West Virginia Code 21-1D. The affidavit must be notarized and includes fields for the employee's printed name, signature, title, company name, date, and the notary public's commission expiration date. Failure to submit this affidavit with a bid results in automatic disqualification of the bid submission.

The affidavit represents a prerequisite compliance requirement rather than a pricing or service-related document. There are no pricing terms, set-asides, funding amounts, or contract renewal options contained within this form. The document is administrative in nature and applies uniformly to all vendors seeking to do business with West Virginia state and local government entities. The form was last revised on August 1, 2015, and vendors must ensure that the affidavit is properly completed, signed, and notarized before submission with any bid to maintain eligibility for contract consideration.