019-25_Affirmation_and_Disclosure___1_.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically addressing compliance with Executive Order 2022-02D regarding services performed by Russian companies or institutions. The form is completed by Brain Enterprises, with its principal business location at 4650 Allen Rd in Stow, OH 44224. The document requires the contractor to affirm that no services will be performed in Russia and that the company abides by the restrictions outlined in the executive order.

The form stipulates that the contractor agrees to complete an attached Exhibit II, Contractor/Subcontractor Affirmation and Disclosure Form, in compliance with Executive Order 2022-02D. The document emphasizes that no services under this contract will be performed in Russia, and the contractor must disclose any changes in service locations to the state. The form also highlights prohibitions on expenditure of public funds on services performed by Russian companies, in line with the executive order's requirements for state agencies and contract procurement.