090-24_affirmation_and_disclosure.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically addressing requirements under Executive Order 2022-02D. The form is completed by Bain Enterprises, located at 4060 Allen Rd. in Stow, OH 44224. The document pertains to compliance with regulations regarding services performed, particularly focusing on restrictions related to Russian companies or institutions.

The contractor affirms that no services will be performed in Russia, and the company agrees to comply with Executive Order 2022-02D, which prohibits state agencies from purchasing services from Russian companies or institutions. The location for performing services is listed as "Same as Above" (referring to the company's address), and no subcontractors are noted on the form. The document emphasizes the contractor's commitment to not engage in any services in Russia and acknowledges the state's right to terminate the contract if such violations occur.