1-AFFIRMATION__KINGSVILLE___2_.pdf

This document is an Affirmation and Disclosure Form for Montrose CDJR, a contractor located at 6119 Lake St in Kingsville, OH 44048. The form involves contract services in Ohio, specifically in Kingsville and Akron, with two listed subcontractors: Montrose CDJR and Drivers Direct. The document is signed by Derek Powers, Fleet Manager, and dated 6/25/2025, indicating compliance with state contract requirements regarding offshore services, data location, and institutional disclosures.

The services will be performed at two primary locations: 6119 Lake St and 3960 Medina Rd in Kingsville and Akron, Ohio. State data will be located at these same addresses, with Montrose CDJR listed as a potential data storage subcontractor. The form requires the contractor to disclose any changes in service locations or data storage before, during, and after contract execution, with the state retaining the right to terminate the contract if services are performed outside the United States. The document appears to be a standard state contract compliance form ensuring transparency in service and data management.