1-AFFIRMATION___DISCLOSURE.pdf

PDF 575 KB Posted

Attached to
Competitive Selection OH|DOT05525-3
Contract number
DOT05525-3
Issued by
Ohio

About this file

This document is an Affirmation and Disclosure Form related to a state contract, specifically for Beaverdam Fleet Services Inc., located at 424 E Main St in Beaverdam, OH 45808. The form addresses compliance with Executive Order 2022-02D, which pertains to restrictions on services performed by Russian companies or institutions. The contractor affirms that all services will be performed within the United States, specifically in Beaverdam, Ohio, and that no services will be conducted in Russia.

The document requires the contractor to disclose their principal business location, subcontractors, and locations where services and state data will be performed. No specific details about the goods or services are provided in this form, which appears to be a standard compliance document focused on ensuring the contractor is not utilizing Russian companies or services in violation of the executive order. The form requires an original signature and was signed by Joseph Seeling, Owner & President, with a future dated of 04 28 2025, indicating this is part of a contract preparation or renewal process.

View the file

Other files

File Type Posted
055-25.pdf PDF
Signature__4___1___002_.pdf PDF
1-055pricing.xlsx XLSX spreadsheet

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

ANN-Desktop Typewriter

424 E MAIN ST

ANN-Desktop Typewriter

BEAVERDAM OH 45808

ANN-Desktop Typewriter

BEAVERDAM FLEET SERVICES INC

ANN-Desktop Typewriter

424 E MAIN ST - BEAVERDAM OH 45808

ANN-Desktop Typewriter

424 E MAIN ST

ANN-Desktop Typewriter

BEAVERDAM OH 45808

ANN-Desktop Typewriter

BEAVERDAM FLEET SERVICES INC

ANN-Desktop Typewriter

424 E MAIN ST - BEAVERDAM OH 45808

ANN-Desktop Typewriter N/A

ANN-Desktop Typewriter N/A

ANN-Desktop Typewriter N/A

ANN-Desktop Typewriter N/A

ANN-Desktop Typewriter

424 E MAIN ST

ANN-Desktop

BEAVERDAM OH 45808

ANN-Desktop

BEAVERDAM FLEET SERVICES INC

ANN-Desktop Typewriter

424 E MAIN ST BEAVERDAM OH 45808

ANN-Desktop Typewriter N/A

ANN-Desktop Typewriter N/A

ANN-Desktop Typewriter N/A

ANN-Desktop Typewriter N/A

ANN-Desktop Typewriter

BEAVERDAM FLEET SERVICES INC

ANN-Desktop Joe's Signature

ANN-Desktop Typewriter

JOSEPH SEELING

ANN-Desktop Typewriter

OWNER & PRESIDENT

ANN-Desktop

04 28 2025

File details come from the government source that posted it. Updated .