1-Affirmation_and_Disclosure_Form.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 Russian companies or institutions. The form is completed by Hydratech Engineered Products, LLC, located at 10448 Chester Rd in Cincinnati, OH 45215, and pertains to contract work to be performed in Ohio.

The form outlines the contractor's commitment to not perform services in Russia and to abide by the prohibitions set forth in the Executive Order. The contractor affirms that all services will be performed in Ohio, with state data to be located within the state. The document requires detailed disclosure of business locations, service performance locations, and includes provisions for notifying the state of any changes in service locations. The form is part of a broader compliance mechanism to ensure state contracts do not inadvertently support Russian business entities in light of geopolitical tensions.