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 that must be submitted with all bids to state and local contract opportunities in West Virginia. The form requires an authorized 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 signed by both the company representative and a notary public. Failure to include this completed affidavit with a bid submission will result in automatic disqualification of that bid.

The affidavit contains no pricing terms, set-asides, or funding information as it is purely a compliance and conformance document. There are no incumbent preferences, renewal options, or contract term specifications outlined in this form. The document functions solely as a verification mechanism to ensure that bidding organizations meet the state's drug free workplace requirements prior to contract award. This affidavit requirement applies uniformly across all state and local contract opportunities in West Virginia and represents a non-negotiable prerequisite for bid acceptance.