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 serves as a mandatory compliance document for bidders on state and local contract opportunities within West Virginia. The document requires an employee of the bidding company to attest under oath that their organization maintains a valid written drug-free workplace policy in compliance with West Virginia Code 21-1D. The affidavit must be notarized and submitted with all bids to satisfy state statutory requirements. Failure to include the completed and notarized affidavit with a bid submission will result in automatic disqualification of that bid.

The affidavit contains specific form fields that must be completed, including the employee's name, company name, title, date of execution, and notary information. The document requires the affiant to swear under penalty of perjury regarding their company's drug-free workplace policy compliance. This is a standalone compliance instrument rather than a pricing or service specification document; no pricing terms, set-asides, incumbents, or funding information are contained within this form. The requirement applies uniformly to all bidders seeking state and local contracts in West Virginia and reflects the state's commitment to maintaining drug-free workplaces among its contractors.