1-185-26_Affirmation_and_Disclosure_Form.pdf

This document is an Affirmation and Disclosure Form for Bluffton Aeration Services, Inc., primarily involving the Ohio Department of Transportation (ODOT). The form addresses compliance with Executive Order 2022-02D, which specifically prohibits the expenditure of public funds on services performed by Russian companies or institutions in response to the ongoing geopolitical situation. The contractor's principal business location is listed as 9485 Shifferly Road in Bluffton, Ohio 45817, and services are to be performed throughout Ohio as needed.

The contract appears to be an indefinite delivery vehicle where the contractor will provide services across Ohio, with no specific subcontractors identified. The document emphasizes strict adherence to restrictions on Russian business involvement, with ODOT reserving the right to terminate the contract if violations occur. The form was signed by Missy Ray, the Office Manager, on 6-11-25, and incorporates provisions for immediate contract termination if the contractor fails to disclose changes in business location or service performance venues. No specific pricing, service details, or contract value are explicitly outlined in this disclosure document.