1-SM_AaD.pdf
PDF 432 KB Posted
- Attached to
- Competitive Selection OH|DOT101L26-10
- Contract number
- DOT101L26-10
- Issued by
- Ohio
About this file
This document is an Affirmation and Disclosure Form related to a state contract, specifically addressing requirements under Executive Order 2022-02D concerning Russian companies and institutions. The form is completed by Sealmaster Mfg of Penna LLC, located at 4551 W State St in Hillsville, PA 16132. The contractor affirms that no services will be performed outside the United States and that the company has no operations in Russia.
The service location is specified as 430 N Meridian Rd in Youngstown, OH 44509, with state data to be located at the company's principal business address in Hillsville, PA. The document emphasizes compliance with Executive Order 2019-12D, which prohibits state agencies from purchasing offshore services from Russian companies. No subcontractors are listed as applicable, and the form was signed by a manager on 04-08-2025, affirming the company's commitment to not performing any contract services in Russia and understanding the potential for contract termination if such violations occur.
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