WV73 Drug Free Affidavit.pdf

This is a Drug Free Workplace Conformance Affidavit required by the State of West Virginia for a Transitional Living Facility HVAC Replacement contract opportunity. The affidavit, mandated under West Virginia Code 21-1D-5, serves as a compliance document that bidders must submit with their bids to demonstrate adherence to state drug-free workplace requirements. The form requires a company employee to attest under oath that the bidding 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, and date of attestation, along with the notary public's certification and seal.

Submission of this affidavit with the bid is mandatory for compliance with West Virginia Code provisions. Failure to include the completed and notarized affidavit with the bid submission will result in automatic disqualification of the bid. The form establishes a clear prerequisite for bid eligibility and ensures that all contractors working on state and local contracts maintain drug-free workplace standards as required by state law.