1-Affirmation_and_Disclosure_-_Signed_-_4-24-25.pdf

This document is an Affirmation and Disclosure Form from Robertson Construction Services, LLC, located in Heath, Ohio, related to a contract with the Ohio Department of Transportation (ODOT). The form addresses compliance with Executive Order 2022-02D, which prohibits the expenditure of public funds on services performed by Russian companies or institutions in response to the 2019-12D Executive Order. The contractor affirms that no services under this contract will be performed in Russia and that they will disclose any changes in service locations.

The form requires the contractor to specify their principal business location, which is 1801 Thornwood Drive in Heath, Ohio. Currently, no subcontractors are identified, with all fields marked as "TBD" (To Be Determined). The document emphasizes the contractor's obligation to notify the state immediately of any changes in service location and to terminate the contract if services are to be performed outside the United States without a signed waiver. The form is signed by the company's president, Christian H. Robertson, on April 24, 2025, and is intended to be incorporated as part of any future contract with the state.