WV73 Drug Free Affidavit.pdf

This is a Drug Free Workplace Conformance Affidavit form required by the State of West Virginia for the Transitional Living Facility HVAC Replacement contract opportunity. The affidavit serves as a mandatory compliance document under West Virginia Code 21-1D-5, requiring bidders to certify that their company maintains a valid written drug free workplace policy in accordance with West Virginia Code 21-1D. The form must be completed by an employee of the bidding company, notarized, and submitted with the bid proposal to demonstrate conformance with state drug free workplace requirements.

Submission of this affidavit with the bid is a mandatory requirement for bid eligibility. Failure to include the completed and notarized affidavit will result in automatic disqualification of the bid. The form requires the employee to swear under penalty of perjury that the company maintains compliance with the specified West Virginia Code provisions regarding drug free workplace policies. The affidavit must be signed by the employee, include the employee's title and company name, be dated, and bear the official seal and signature of a notary public with an active commission.