1-ITB_076A-26_Affirmation_and_Disclosure_Signature.pdf

The document is an Affirmation and Disclosure Form related to a state contract, specifically completed by Bay Pointe Technology located at 1035 Medina Rd, STE 200 in Medina, OH 44256. The form addresses compliance with Executive Order 2022-02D, which prohibits state agencies from purchasing services from Russian companies or institutions, and requires contractors to disclose their business locations and service performance details.

The form indicates that Bay Pointe Technology will not perform any services in Russia and affirms compliance with restrictions on offshore services. The document requires the contractor to provide detailed information about their principal business location, potential subcontractors, and locations where services and state data will be performed or stored. By signing, the company (represented by Sheryl L. Wilson, COO) acknowledges that the state retains the right to immediately terminate the contract if there are any unauthorized changes in service locations or performance outside the United States.