062-26_Affirmation.pdf

The document is an Affirmation and Disclosure Form related to an Ohio Department of Transportation (ODOT) contract, specifically addressing compliance with Executive Order 2022-02D. The form is completed by Savolina Ready Mix, Inc., located in Sandusky, Ohio, and affirms the company's commitment to not perform services outside the United States, particularly in Russia, in accordance with state procurement guidelines.

The form details the contractor's principal business location and service performance location as 9 Oakdale Ave in Sandusky, Ohio. It explicitly confirms the contractor's understanding and agreement to abide by restrictions on purchasing services from Russian companies or institutions, as outlined in the executive order. The document requires disclosure of any subcontractors (none are listed in this instance) and mandates immediate notification to the state of any changes in service location. The form was signed by the company's president on 3-25-25, representing the contractor's formal commitment to these terms and conditions.