1-Affrimation_and_Disclosure_Form_6.9.2025.pdf

This document is an Affirmation and Disclosure Form related to an Executive Order 2022-02D contract, specifically addressing restrictions on services performed in Russia. The form is submitted by Selling International, located at 5320 Fremont Pike, Story Ridge, OH 43463. The contractor is affirming compliance with state and Ohio Department of Transportation (ODOT) requirements regarding public fund expenditures and restrictions on offshore services.

The form details the primary business location, subcontractor information, and locations where services will be performed, all of which are consistently listed as 5320 Fremont Pike in Story Ridge, OH 43463. The document indicates that the contractor agrees to complete the attached Exhibit II, Contractor/Subcontractor Affirmation and Disclosure Form, and affirms no services will be performed in Russia. The form is signed by an agent named Nic Ellsworth on 6.9.2025, certifying the company's understanding and compliance with the specified executive order and contract requirements.