1-AFFIRMATION_AND_DISCLOSURE.pdf

This document is an Affirmation and Disclosure Form for Peterson Highlight Safety, Inc., a contractor based in Columbus, Ohio, related to a state contract with the Ohio Department of Transportation (ODOT). The form specifically addresses compliance with Executive Order 2022-02D, which prohibits expenditure of public funds on services performed by Russian companies or institutions. The contractor affirms its principal business location is at 950 Dublin Rd in Columbus, OH, with services to be performed at 3270 Scioto Darby Executive G in Hilliard, OH.

The document indicates no subcontractors will be used for this contract, and the contractor agrees to abide by the executive order's requirements regarding services related to Russia. The form requires disclosure of business locations, service performance locations, and state data storage locations, all of which are within Ohio. The contractor signed the document on 6/18/25, with the company president executing the form, affirming their commitment to not perform any services in Russia and to comply with state contract requirements.