WV73 Drug Free Affidavit.pdf

This is a Drug Free Workplace Conformance Affidavit required by the State of West Virginia in accordance with West Virginia Code 21-1D-5 for a shower remodel project involving conversion to a seamless wall system. The affidavit serves as a mandatory compliance document that must be submitted with all bids for this contract opportunity. The form requires an authorized company employee to attest under oath that their employer maintains a valid written drug-free workplace policy in compliance with West Virginia Code 21-1D. Failure to include the completed and notarized affidavit with a bid submission will result in automatic disqualification of that bid.

The affidavit must be completed by a company representative, notarized by a notary public, and submitted as part of the bid package. The document requires identification of the employee's company, confirmation of the drug-free workplace policy compliance, the employee's title, the company name, and the date of execution. The affidavit is effective as of August 2013 (revision WV-73) and represents a non-negotiable prerequisite for bid consideration in West Virginia state and local contracting processes.