1-State_of_OH_ITB_101L-26_Affirmation_and_Disclosure_Document_Crafco__Inc_1.pdf

This document is an Affirmation and Disclosure Form for a contract involving Grafco, Inc., based in Chandler, Arizona, in connection with the State of Ohio (ODOT). The form addresses compliance with Executive Order 2022-02D, specifically concerning restrictions on services performed by Russian companies or institutions. The contractor affirms its commitment to not perform services outside the United States and to disclose locations where services and state data will be handled.

The contract involves services to be performed at 4361 State Road in Peninsula, Ohio, with the contractor's principal business location at 6166 West Detroit Street in Chandler, Arizona. No subcontractors are listed on the form. The document emphasizes the contractor's agreement to abide by Executive Order 2022-02D, which prohibits the purchase of services from Russian companies or institutions, and reserves ODOT's right to recover funds for any services performed in violation of this order. The form is signed by the Vice President, with an execution date of 4/8/2025, and requires original signature as part of the contract documentation.