1-Affirmation_and_Disclosure_Cargill_5.28.25.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically focusing on compliance with Executive Order 2022-02D regarding services performed by contractors. The form is completed by Cargill Incorporated Salt, Road Safety, with their principal business location at 24950 Country Club BLVD, STE 450 in North Olmsted, OH 44070. The document addresses restrictions on expenditure of public funds on services performed by Russian companies or institutions, in alignment with state agency procurement guidelines.

The form indicates that no subcontractors are currently involved, and no services will be performed outside the United States. The contractor affirms compliance with Executive Order 2019-12D, which prohibits state agencies from purchasing offshore services from Russian entities. The document serves as a formal disclosure and affirmation by the contractor, signed by a District Manager, with an execution date of 5/28/2025. While specific contract details are not fully elaborated in this form, it represents a critical compliance document for state contracting procedures, ensuring transparency and adherence to current executive orders regarding international service procurement.