1-ODOT_068-26_Chain_Link__Right_of_Way__and_Snow_Fence_AFFIRMATION.pdf

This document is an Affirmation and Disclosure Form from Lake Erie Construction Co., located in Norwalk, Ohio, related to a state contract. The form specifically addresses compliance with Executive Order 2019-12D, which prohibits state agencies from purchasing services from Russian companies or institutions. The document requires the contractor to affirm and disclose details about their business locations, service performance locations, and state data storage locations.

The form does not provide specific details about the contracted goods or services. However, it stipulates that the contractor agrees to complete the attached Exhibit II, which confirms that no services will be performed in Russia. The contractor must immediately notify the state of any changes in service locations and agrees that failure to do so could result in contract termination. The document is signed by the company's president on 10.16.2025, affirming compliance with the state's requirements regarding service locations and data handling.