1-CLEVER_AFFIRMATION_AND_DISCLOSURE_FORM_055-25.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving Clever Towing LLC as the contractor. The form references the State of Ohio and is connected to an Executive Order 2022-02D addressing restrictions on services performed by Russian companies or institutions. The primary location of business for Clever Towing LLC is 1590 Pershing Road in Zanesville, Ohio 43701, with a subcontractor also located at 1619 Pershing Road in the same city.

The form outlines the contractor's commitment to not use Russian companies or institutions in performing contract services, in compliance with state procurement guidelines. The document requires disclosure of business locations where services will be performed and where state data will be located. The form is signed by the owner, indicating agreement to immediately notify the state of any changes in service locations or contract conditions. While specific contract details are not fully elaborated in this form, it serves as a critical compliance document ensuring transparency and adherence to state procurement regulations, particularly regarding potential restrictions on offshore service providers.