111-25_AFFIRMATION_Trustpoint..pdf
PDF 740 KB Posted
- Attached to
- Competitive Selection OH|DOT111A25-6
- Contract number
- DOT111A25-6
- Issued by
- Ohio
About this file
This document is an Affirmation and Disclosure Form from Trustpoint Systems, located at 19415 Deerfield Ave., Suite 204 in Lansdowne, VA 20176. The form is related to a state contract, specifically addressing compliance with Executive Order 2022-02D, which prohibits state agencies from purchasing services from Russian companies or institutions. The document requires the contractor to affirm that no services will be performed outside the United States and that no state data will be accessed or stored remotely outside the United States without a signed waiver.
The form confirms that all services for this contract will be performed at the company's primary business location in Lansdowne, VA. No subcontractors are listed, and the document indicates that all state data will be located at the same address. The form is signed by Joseph A. Koshuta, General Manager of Trustpoint Systems, on 12/30/2024, affirming the company's commitment to comply with the state's requirements regarding service location and data management. While specific contract details are not provided in this document, it serves as a compliance and disclosure statement for a state-level contract.
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Other files
| File | Type | Posted |
|---|---|---|
| ODOT_Co-Op_Program_Information.pdf | ||
| ODOT_Terms___Conditions_with_excel_pricing.pdf | ||
| 111Pricing__2025_.xlsx | XLSX spreadsheet | |
| 111Spec__2025___002_.pdf |
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Text version
AFFIRMATION AND DISCLOSURE FORM
By the signature affixed hereto, the Contractor affirms and understands that if awarded a contract, both the Contractor and any of its subcontractors shall perform no services requested under this Contract outside of the United States, not allow State data to be sent, taken, accessed, tested, maintained, backed-up, stored or made available remotely(located) outside of the United States unless a duly signed waiver from the State has been attained.
The Contractor shall provide all the name(s) and location(s) where services under this Contract will be performed and where data is located in the spaces provided below or by attachment. Failure to provide this information may result in no award. If the Contractor will not be using subcontractors, indicate “Not Applicable” in the appropriate spaces.
EXPENDITURE OF PUBLIC FUNDS ON SERVICES PERFORMED BY RUSSIAN COMPANIES OR INSTITUTIONS.
The Contractor affirms to have read and understands Executive Order 2022-02D and shall abide by those requirements in the performance of this Contract. Pursuant to this Executive Order, all state agencies are prohibited from the purchase of services from Russian companies or institutions. This prohibition is in addition to and expands upon Executive Order 2019-12D which generally precludes the purchase of offshore services by the State of Ohio. Notwithstanding any other terms of this Contract, ODOT reserves the right to recover any funds paid for services the Contractor performs in Russia in violation of this Executive Order. ODOT does not waive any other rights and remedies provided to ODOT in this Contract.
The Contractor agrees to complete the attached Exhibit II, Contractor/Subcontractor Affirmation and Disclosure Form, to abide with Executive Order 2022-02D, which is incorporated and becomes a part of this Contract, affirming no services of the Contractor or its subcontractors under this Contract will be performed in Russia.
1. Principal location of business of Contractor:
(Address) (City, State, Zip)
Name/Principal location of business of subcontractor(s):
(Name) (Address, City, State, Zip)
(Name) (Address, City, State, Zip)
2. Location where services will be performed by Contractor:
(Address) (City, State, Zip)
Name/Location where services will be performed by subcontractor(s):
(Name) (Address, City, State, Zip)
(Name) (Address, City, State, Zip)
3. Location where state data will be located, by Contractor:
(Address) (City, State, Zip)
19415 Deerfield Ave., Suite 204 Lansdowne, VA 20176
19415 Deerfield Ave., Suite 204 Lansdowne, VA 20176
Lansdowne, VA 2017619415 Deerfield Ave., Suite 204
File details come from the government source that posted it. Updated .