1-doc03953720250513113051.pdf

This document is an Affirmation and Disclosure Form for a contract involving Linkel Company LLC, located in Batesville, Indiana, and the Ohio Department of Transportation (ODOT). The form is associated with Executive Order 2022-020 and relates to restrictions on services performed by Russian companies or institutions. The contractor affirms compliance with the order and agrees to complete the attached Exhibit II, Contractor/Subcontractor Affirmation and Disclosure Form.

The contractor will perform services at various work locations in Ohio, with the principal business address at 1081 Morris Road in Batesville, IN 47020. The document emphasizes that no services will be performed in Russia, and the contractor agrees to disclose any changes in location of services before, during, and after contract execution. The form is signed by Tom Linkel, a member of Linkel Company LLC, on 5/13/25, and is part of a potential contract with the state, incorporating requirements related to the prohibition of purchasing services from Russian companies or institutions.