1-Signed_A_and_D_Form.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving Alamo Group Texas LLC located in Seguin, TX. The form addresses compliance with Executive Order 2022-02D, which prohibits the expenditure of public funds on services performed by Russian companies or institutions. The document is associated with the Ohio Department of Transportation (ODOT) and outlines the contractor's commitments regarding service locations, data handling, and adherence to state regulations.

The contractor, Alamo Group Texas LLC, indicates that no subcontractors will be used and no services will be performed outside of their primary business location at 1502 East Walnut St. in Seguin, TX. The form confirms that no state data will be collected, and the company affirms compliance with restrictions on performing services in Russia. The document is signed by the company's President, Keith Forcinito, with an execution date of 3/25/2025, and serves as a critical compliance document for potential contract award with the state.