1-Affirmation___Disclosure_4-11-25.pdf

This document is an Affirmation and Disclosure Form for a contract with Precision Laser & Instrument, Inc., located at 85 11th Street in Ambridge, PA 15003. The form relates to Executive Order 2022-02D, which prohibits expenditure of public funds on services performed by Russian companies or institutions. The contractor affirms compliance with this order and agrees to complete the attached Exhibit II, which confirms no services will be performed in Russia.

The contractor indicates that services will be performed for "Various (Equipment Sales Only)" with no subcontractors involved. The form stipulates that the contractor must disclose any changes in service locations to the State and acknowledges the State's right to immediately terminate the contract if such changes occur. The document is signed by the company president on 4-11-2025, confirming the company's commitment to the specified terms and conditions of the contract, with a focus on equipment sales and strict adherence to the executive order regarding Russian service providers.