WV73 Drug Free Affidavit.pdf

This is a Drug Free Workplace Conformance Affidavit required by the State of West Virginia for a construction paving project. The affidavit is a mandatory compliance document that must be submitted with all bids in response to West Virginia Code 21-1D-5. The form 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 completed with the employee's name, title, company name, and date, then notarized by a qualified notary public before submission. Failure to include this completed and notarized affidavit with the bid submission will result in automatic disqualification of the bid.

The affidavit serves as a prerequisite eligibility requirement rather than a pricing or contractual term document. There are no pricing terms, set-asides, or funding information contained within this form. The document is standardized across West Virginia state and local contract opportunities and was revised in August 2013. Bidders must ensure compliance with this requirement during the bid preparation and submission process to maintain bid eligibility for any state or local construction projects in West Virginia.