1-affirmation_disclosure_odot_1.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving the Ohio Department of Transportation (ODOT) and Zimmer Tractor. The form addresses compliance with Executive Order 2022-02D, which restricts services performed by Russian companies or institutions. Zimmer Tractor, located at 461 Breaden Dr in Monroe, Ohio 40050, is providing services under this contract and affirming that no services will be performed in Russia.

The form indicates that Zimmer Tractor will perform services at their primary business location in Monroe, Ohio, with all state data to be located at the same address. The contractor agrees to complete the attached Exhibit II, Contractor/Subcontractor Affirmation and Disclosure Form, and acknowledges the prohibition on purchasing services from Russian companies or institutions. Brian Petri, the Municipal Territory Manager, signed the document on 5/19/2025, affirming compliance with the specified executive order and the contract's terms regarding service locations and data handling.