100-26_Affirmation_and_Disclosure_The_Olen_Corporation.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically executed by The Olen Corporation located at 4755 South High Street in Columbus, Ohio 43207. The form is aligned with Executive Order 2022-02D and pertains to restrictions on services performed by Russian companies or institutions, and outlines compliance requirements for state agencies under Executive Order 2019-12D.

The form confirms that The Olen Corporation will perform all contract services at its primary business location in Columbus, Ohio, and affirms that no services will be performed in Russia. The company has indicated "Not Applicable" for all subcontractor sections, suggesting it will be the sole provider of services. The document is signed by the company's President, Ken Holland, with an execution date of 02/25/2025, and serves as a formal disclosure of the contractor's location, service performance details, and commitment to comply with state contract regulations.