1-Affirmation_and_Disclosure__3_.docx.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving the Ohio Department of Transportation (ODOT). The contractor is the Ohio Aggregates & Industrial Minerals Association, located at 746 Morrison Rd. in Gahanna, Ohio. The form addresses compliance with Executive Order 2022-02D, which prohibits expenditure of public funds on services performed by Russian companies or institutions, and requires disclosure of service locations and potential changes in service performance locations.

The contract involves services to be performed within ODOT Districts in Ohio, with the contractor's primary business location and state data location both situated at 746 Morrison Rd. in Gahanna, Ohio. There are no subcontractors listed for this contract, and the document emphasizes that no services will be performed in Russia. The form is signed by Patrick A. Jacomet, Executive Director/Secretary, with an execution date of March 6, 2025. The document serves as an affirmation of compliance with state regulations regarding service performance locations and restrictions on engaging with Russian entities.