1-aff_disc_odot_098-26_vmc__6.25.25.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving the Ohio Department of Transportation (ODOT). The form is executed by Valley Motor City Inc., and pertains to compliance with Executive Order 2022-02D regarding restrictions on services from Russian companies or institutions. The document details the contractor's principal business location at 4100 State Rd. in Cuyahoga Falls, OH 44223, and includes provisions about data handling, service locations, and subcontractor information.

The form affirms that the contractor will perform services at the specified location and will not utilize subcontractors located in Russia. It explicitly states compliance with Executive Order 2019-12D, which prohibits state agencies from purchasing offshore services. The contractor agrees to immediately notify the state of any changes in service locations and understands that failure to provide required information may result in contract non-award. The document was signed by the company's controller on 6/25/25, and requires an original signature as part of any potential contract with the state, emphasizing transparency and compliance with state procurement regulations.