1-835-26_Affirmation_and_Disclosure_Form_1.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically addressing requirements under Executive Order 2022-02D. The contractor is Enterprise Business Solutions, located in Columbus, Ohio, with a principal business address of 1491 Plains Plaza SE-699. The form pertains to compliance with state regulations regarding services performed and potential restrictions on Russian companies or institutions.

The document indicates that services will be performed at 440 N Old State Rd in Delaware, Ohio 43815, with no subcontractors listed. The form emphasizes the contractor's commitment to not perform any services outside the United States without explicit state approval, and underscores prohibitions on engaging with Russian companies or institutions as outlined in the executive order. The form was signed by the President/CEO on April 14, 2025, and serves as a mandatory disclosure and affirmation document to be incorporated into any potential state contract.