1-Affirmation_and_Disclosure_-_SIGNED.pdf

This document is an Affirmation and Disclosure Form for Jack Doheny Companies, Inc., pertaining to a state contract that involves compliance with Executive Order 2022-02D. The primary contractor is located at 777 Doheny Drive in Northville, Michigan, with service locations in Cincinnati and Twinsburg, Ohio. The form specifically addresses restrictions on performing services in Russia and requires disclosure of business locations and service performance sites.

The contract involves services to be performed at 377 Cavett Avenue and 1860 Summit Commerce Park in Cincinnati, Ohio, with state data to be located at the same address. The document emphasizes compliance with prohibitions on purchasing services from Russian companies or institutions, as outlined in the Executive Order. No subcontractors are listed, and the form is signed by Mick Gerber, Vice President of Electric Utility, with a signature date of June 9, 2025. The form is part of a broader contractual agreement and requires full transparency regarding service locations and potential changes in service performance sites.