DrugFreeAffidavit.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 document requires an authorized company employee to attest under oath that their employer maintains a written drug-free workplace policy and plan in compliance with West Virginia Code 21-1D. The affidavit must be notarized and include the employee's printed name, signature, title, company name, date, and the notary public's commission expiration date. Failure to include the completed and notarized affidavit with a bid submission results in automatic disqualification of that bid.

The affidavit contains no pricing terms, funding information, or contract award details, as it functions solely as a compliance verification document. There are no set-asides, incumbent preferences, or renewal options associated with this form. The document requires execution by a sworn employee of the bidding company and authentication by a notary public, with the form revision dated August 1, 2015. This affidavit applies uniformly to all bidders participating in West Virginia state and local contract opportunities and represents a prerequisite condition for bid consideration rather than a substantive contract element.