039-25_Rest_Area_Furniture_-_Affirmation_and_Disclosure_-_KING__2_.pdf

This document is an Affirmation and Disclosure Form for King Business Interiors, a contractor related to a state contract, specifically addressing requirements under Executive Order 2022-02D. The form involves King Business Interiors, located at 1400 Goodale Blvd STE 102 in Columbus, OH 43212, with a subcontractor named Complete Office Installation from Grove City, OH. The document is dated January 16, 2024 and is designed to affirm compliance with state procurement regulations, particularly those prohibiting services or purchases from Russian companies or institutions.

The form confirms that King Business Interiors will perform contract services at their Columbus, OH location, with state data to be located at the same address. The contractor acknowledges restrictions on expenditure of public funds on services performed by Russian companies, as outlined in Executive Order 2019-12D. The document serves as an official affirmation that the contractor and its subcontractors are not Russian entities and will not perform services in Russia, thereby aligning with state procurement guidelines and restrictions related to international service providers.