WV73 Drug Free Affidavit (1).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 for bidders on state and local contract opportunities in West Virginia. Bidders must submit a completed and notarized affidavit with their bid demonstrating that their company maintains a valid written drug free workplace policy in compliance with West Virginia Code 21-1D. The affidavit requires an employee of the bidding company to swear under penalty of perjury that the company has established and maintains such a policy. Failure to include the completed affidavit with a bid submission results in automatic disqualification of that bid.

The affidavit form requires completion of standard information including the employee's name and title, company name, date of execution, and notarization by a commissioned notary public with an active commission. No pricing information, set-asides, funding sources, or contract terms are specified in this document, as it functions solely as a compliance verification tool and qualification requirement for bid eligibility.