1-scan_20250407133452.pdf

This document is an Affirmation and Disclosure Form for Strawser Construction Inc./DBA Terry Asphalt Materials Inc., located at 1392 Dublin Rd. in Columbus, Ohio 43215. The form is associated with an Executive Order 2022-02D related to the expenditure of public funds and services potentially performed by Russian companies or institutions, with implications for state agencies and their contract requirements.

The form indicates that Strawser Construction has no subcontractors and will perform services at their primary business location in Columbus, Ohio. The document emphasizes compliance with Executive Order restrictions on offshore services and requires the contractor to disclose any changes in service locations before, during, and after contract execution. The form is signed by an individual in the Technical Sales & Business Development role on 4/7/2025, affirming the company's commitment to the contract's terms and conditions, including potential limitations on performing services outside the United States.