1-AFFIRMATION_AND_DISCLOSURE_FORM.pdf

The document is an Affirmation and Disclosure Form associated with a state contract, specifically involving Nescon, LLC, located at 4638 E Ingram St in Mesa, Arizona 85205. The form relates to Executive Order 2022-020, which prohibits the expenditure of public funds on services performed by Russian companies or institutions. The form is designed to ensure compliance with state regulations regarding contract performance outside of the United States.

The contract involves Nescon, LLC as the primary contractor, with Nescon, LLC also listed as the sole subcontractor, performing services at the same Mesa, Arizona address. The document indicates that all services and state data will be located and managed at this single location. The form affirms that the contractor will not perform services in Russia and agrees to complete the attached Exhibit II, Contractor/Subcontractor Affirmation and Disclosure Form. The document is signed by Daniel Clemons, Sales Manager, with a date of 5/27/2025, suggesting this is a current or near-future contract arrangement.