09162025_AFFIRMATION_AND_DISCLOSURE_FORM_-_CG_Group.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving ODOT (Ohio Department of Transportation) and CG Group, LLC, located in Walton Hills, Ohio. The form addresses restrictions on service performance, particularly highlighting prohibitions on using Russian companies or institutions for services under Executive Order 2022-02D, which stems from broader restrictions outlined in Executive Order 2019-12D regarding offshore services.

The contract details indicate that services will be performed with the primary business location at 7307 Young Drive, Suite E in Walton Hills, OH, with the specific location for service performance currently marked as "TBD" (To Be Determined). The document emphasizes that the contractor cannot perform services outside the United States without a signed waiver, and must immediately disclose any changes in service location to the state. The form is signed by the company's president on 09-16-2025, suggesting a contract or potential contract period starting on or around that date, with CG Group, LLC committing to compliance with state regulations and disclosure requirements.