1-Affirmation___Disclosure.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving Innovative Municipal Products (US) Inc, located in Glenmont, NY. The form is associated with Executive Order 2022-02 and pertains to restrictions on services performed by Russian companies or institutions. The contract appears to be with the Ohio Department of Transportation (ODOT) and includes provisions about performing services outside the United States.

The contract specifies that all services will be performed at 454 River Road in Glenmont, NY 12077. The document emphasizes compliance with Executive Order 2022-02, which prohibits the purchase of services from Russian companies or institutions. The contractor, represented by Chad Bauder (Vice President of Planning & Development), agrees to complete an attached Exhibit II and affirms that no services under this contract will be performed in Russia. The form is signed and dated September 25, 2025, and requires original signature as part of the contract documentation.