1-Affirmation_and_Disclosure_Form_126-26.pdf

This is an Affirmation and Disclosure Form related to a contract involving Shur-Tite Products, Inc., with primary locations in Garfield Heights, OH and Gainesville, TX. The document references Executive Order 2022-02D concerning restrictions on Russian companies or institutions, and appears to be part of a state contract process. The contractor (Shur-Tite Products, Inc.) is affirming compliance with state requirements regarding service locations, data management, and prohibitions on offshore services.

The form specifies the principal business location at 5718 Transportation Blvd in Garfield Heights, OH, with service performance locations at 1920 N Weaver St in Gainesville, TX. Shur-Tite Products, Inc. is listed as both the primary contractor and the sole subcontractor, with an agreement to disclose any changes in service locations before, during, and after contract execution. The document is signed by a Sales Coordinator on 9/18/2025 and requires the contractor to comply with state regulations regarding service performance and data handling, particularly in the context of restrictions on Russian-related services.