1-OH_Affirmation_and_Disclosure_form_for_Attenuators_06-23-25.pdf

This document is an Affirmation and Disclosure Form for a state contract, specifically related to Executive Order 2022-02D regarding restrictions on services performed by Russian companies. The form is completed by Lightle Enterprises of Ohio, LLC, located in Frankfort, OH, and is associated with an Ohio state contract. The document adheres to Ohio's requirements prohibiting state agencies from purchasing offshore services from Russian companies, in compliance with the referenced Executive Order 2019-12D.

The contractor's primary business location is 22 E. Springfield St. in Frankfort, OH 45628, with services to be performed at 60 North Fork Ln., also in Frankfort, OH 45628. No subcontractors are being utilized for this contract, as indicated by "Not Applicable" entries. The form confirms that the contractor will not perform any services in Russia and agrees to complete the attached Exhibit II to the Executive Order 2022-02D contract. The document was signed by David R. Lightle, a member of the company, on 06/23/2025, affirming compliance with the state's contractual requirements and restrictions.