1-Affirmation___Disclosure_Form.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically addressing compliance with Executive Order 2022-02D. The contractor, Wreckers Towing, is located at 140 Stolle Ave in Sidney, Ohio 45365. The form requires disclosure of business locations, service performance sites, and state data locations, with the company affirming its commitment to not perform services in Russia or use Russian companies/institutions.

The form emphasizes compliance with specific executive orders prohibiting state agencies from purchasing services from Russian companies and restricting offshore service procurement. Wreckers Towing has completed this form to confirm that all contract services will be performed within the United States, specifically at their Sidney, Ohio address. The document was signed by the company's CFO on 2/24/2025, certifying that no services will be conducted in Russia and that the company understands its obligation to immediately disclose any changes in service locations or contract terms to the state.