1-Peak_Affirmation___Disclosure_1.pdf

This document is an Affirmation and Disclosure Form related to a contract involving Peak Electric Inc., located in Toledo, Ohio, and the Ohio Department of Transportation (ODOT). The form addresses compliance with Executive Order 2022-02D, which specifically prohibits the expenditure of public funds on services performed by Russian companies or institutions. The document requires the contractor to disclose its principal business location, service performance locations, and any potential use of subcontractors.

The form emphasizes restrictions on services connected to Russia, with ODOT reserving the right to recover funds paid for services performed in Russia in violation of the executive order. Peak Electric Inc. is affirming that no services under this contract will be performed in Russia, and the company is obligated to immediately notify the state of any changes in business location or service performance locations. The document is signed by the company president and dated for 7-11-2025, indicating this is part of a current or upcoming contract with the state of Ohio.