_100-26_Aggregate__Affirmation_and_Disclosure_-_GMI_Paulding_Stone.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically addressing requirements under Executive Order 2022-02D concerning the performance of services by Russian companies or institutions. The form is completed by Gerten Materials, Inc., with a principal business location at 11435 County Road 180 in Paulding, OH 45879. The document is designed to ensure compliance with state procurement regulations and disclose potential interactions with Russian entities in the context of a state contract.

The form indicates that Gerten Materials, Inc. has a subcontractor, GNI - Paulding Stone, and affirms that no services will be performed in Russia. The document is part of a contract that prohibits the expenditure of public funds on services performed by Russian companies or institutions, in line with Executive Order 2022-02D. The form requires disclosure of business locations, service performance locations, and state data storage locations. The signatory, Andy Rhegley in the role of Ohio Aggregate Sales, signed the document on 2-10-2025, confirming understanding and compliance with the specified contractual and executive order requirements.