1-Signed_Affirmation_and_Disclosure_Form.pdf

This document is an Affirmation and Disclosure Form related to a contract involving Wilbur L. Anderson, Inc. dba Western Towers, located in San Angelo, Texas. The form addresses compliance with Executive Order 2022-02D, which prohibits state agencies from purchasing offshore services and requires contractors to disclose their business locations and service performance sites. The document specifically pertains to restrictions on performing services in Russia and mandates full disclosure of business and service locations.

The contractor (Western Towers) has confirmed that all services will be performed at 320 W 26th St in San Angelo, TX 76093, with no subcontractors listed. The form emphasizes the contractor's agreement to immediately notify the State of any changes in service locations and acknowledges the State's right to terminate the contract if services are performed outside the United States. The document was signed by the CEO on 4/28/2025, affirming compliance with the specified executive order and providing transparency about the company's operational locations and service delivery capabilities.