WV73 Drug Free Affidavit.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 must be completed and submitted with all bids to ensure compliance with state drug-free workplace provisions. The document requires an authorized employee of the bidding company to attest under oath that the company maintains a valid written drug free workplace policy in compliance with West Virginia Code 21-1D. The affidavit must be notarized and include the employee's signature, title, company name, date, and the notary public's certification with commission expiration date. Failure to include the completed and notarized affidavit with the bid submission will result in automatic disqualification of the bid.

This affidavit serves as a mandatory compliance document rather than a pricing or contractual terms document. There are no pricing terms, set-asides, or funding information contained in this form. The document functions solely as a certification mechanism to verify that bidding companies have established and maintain drug-free workplace policies as required by West Virginia state law. All prospective contractors must submit this affidavit with their bids; submission is not optional and represents a prerequisite for bid acceptance.