1-_Affirmation___Disclosure__Affirmation_and_Disclosure.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving Ohio Traffic and Lighting Solutions, LLC, located at 2688 Sunbury Blvd in Columbus, OH 43235. The form addresses compliance with Executive Order 2022-02D regarding restrictions on services performed by Russian companies or institutions, and requires the contractor to affirm that no part of their contract services will be performed in Russia.

The form confirms that the contractor's principal business location and service performance location are both at the Columbus, OH address, with no subcontractors listed as applicable. The document was signed on 4/30/05 by the company's president, and it emphasizes the contractor's obligation to disclose any changes in service locations to the state and acknowledges that the state can terminate the contract if services are performed outside the United States without proper authorization.