1-2025-04-19_11-59.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically for the Ohio Department of Transportation (ODOT) under Executive Order 2022-02D. The form is completed by Bates Garage & Towing, LLC, located at 928 St. Rt. 58 in Ashland, OH 44805. The document addresses requirements for performing services and handling state data, with a particular focus on restrictions regarding Russian companies or institutions.

The form indicates that the contractor will perform services at their primary business location in Ashland, OH, and has affirmed that no subcontractors will be used for this contract. The document emphasizes compliance with Executive Order 2022-02D, which prohibits the purchase of services from Russian companies or institutions. The contractor agrees to complete the attached Exhibit II, Contractor/Subcontractor Affirmation and Disclosure Form, and confirms that no services will be performed in Russia. The form was signed by the owner, Travis C. Bates, on 4/19/25, acknowledging the terms and conditions of the contract.