1-Affirmation_and_Disclosure_Form.pdf

The document is an Affirmation and Disclosure Form for Altoz, Inc., a contractor based in Greenbush, Minnesota, related to a state contract governed by Executive Order 2019-12D. The form outlines the contractor's commitments and locations for service performance, with primary business and service locations in Greenbush, MN and Red Lake Falls, MN. The contract appears to involve restrictions on public funds expenditure, particularly concerning services performed by Russian companies or institutions, and requires detailed disclosure of business and service locations.

The form indicates that Altoz, Inc. will perform services under this contract, with additional details referencing an attached sheet about an "Altoz Dealer in Ohio". While specific service details are not fully elaborated in this document, the contractor is required to comply with state agency prohibitions on purchasing offshore services, particularly those involving Russian entities. The contract seems to have provisions for location transparency, potential subcontractor involvement, and strict adherence to state data handling and service performance requirements, with the potential for contract termination if these conditions are not met.