097a-23_STS_Affirmation.pdf

This document is an Affirmation and Disclosure Form (Invitation No. 097a-23) for a contract involving the State of Ohio. The contractor is located at 2911 Westfield Road in Gulf Breeze, Florida, with primary service performance location at 5676 Westbourne Avenue in Columbus, Ohio. The form addresses compliance with Executive Order 2022-02D, which prohibits expenditure of public funds on services performed by Russian companies or institutions in the context of state contracting.

The form details the contractor's principal business location, service performance location, and state data storage location, all of which are in Florida or Ohio. No subcontractors are listed on the document. The contractor, represented by Sheila R. Knowles (President), affirms understanding of the prohibition on purchasing services from Russian companies and agrees to immediate disclosure of any changes in contract service locations or execution. The document is dated 1/27/2023 and appears to be part of a broader state procurement process with specific restrictions related to international service providers.