1-AFFIRMATION_AND_DISCLOSURE_FORM.pdf

This document is an Affirmation and Disclosure Form for a contract with the State of Ohio, specifically involving Miami Valley Power Equipment located in Waynesville, OH. The form addresses requirements related to Executive Order 2022-02D, which prohibits state agencies from purchasing services from Russian companies or institutions. The contractor affirms compliance with these restrictions and agrees to provide information about service locations and data storage.

The document indicates that the contractor's principal business location is 914 Corwin Ave. in Waynesville, OH 45068, and all services will be performed at this same address. There are no subcontractors listed, and the company has committed to not performing any services outside of the United States without proper authorization. The form was signed by Bethany Scheppegrell, General Manager/Co-Owner, on 05/20/25, representing Miami Valley Power Equipment's agreement to the contract's terms and conditions regarding service performance and data management.