1-Signed_Affirmation_and_Disclosure_Form_With_Copy_of_Liability_Insurance_SUNRUSH_CONSTRUCTION.pdf

The document is an Affirmation and Disclosure Form for a state contract involving Sunrush Construction Co., Inc., located in Chillicothe, Ohio, and the State of Ohio Transportation Office of Contract Sales. The form addresses compliance with Executive Order 2022-02D, which prohibits the purchase of services from Russian companies or institutions. Two subcontractors are listed: SMR Concrete and R.E. Carroll & Sons Excavation, both located in Chillicothe, Ohio.

The contract involves services to be performed at 1988 Western Avenue in Chillicothe, Ohio, with state data to be located at the same address. The document includes a Certificate of Liability Insurance from Cincinnati Insurance Co., providing commercial general liability, automobile liability, and umbrella liability coverage. The insurance policies are effective from 01/01/2025 to 01/01/2026, with various coverage limits including $1,000,000 per occurrence for general liability and $2,000,000 aggregate for umbrella liability. The form emphasizes the contractor's commitment to not perform services in Russia and to disclose any changes in subcontractor locations or services.