1-1_-_ODOT_Affirmation___Disclosure_-_Stoops_Freightliner.pdf

This document is an Affirmation and Disclosure Form from Stoops Freightliner - Quality Trailer, located in Dayton, Ohio, pertaining to a contract with the Ohio Department of Transportation (ODOT). The form addresses requirements related to Executive Order 2022-02D, which prohibits state agencies from purchasing services from Russian companies or institutions due to the ongoing conflict in Ukraine. The form requires the contractor to disclose locations of business, service performance, and state data storage.

The contractor indicates that all services will be performed at 7800 Center Point 70 Blvd in Dayton, Ohio, and no subcontractors will be utilized for this contract. The document emphasizes the contractor's obligation to immediately notify the state of any changes in service locations and affirms compliance with restrictions on engaging with Russian companies. The form is signed by Gary Schmaltz, a Sales Representative, on 6-10-2025, and serves as a critical component of the contract documentation, requiring an original signature to validate the contractor's commitments and disclosures.