_148-25_Traffic_Signal___ITS_Equipment_Installation__Affirmation.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically an Executive Order 2022-02D addressing restrictions on services performed by Russian companies or institutions. The form is completed by WSP USA Inc., located in Columbus, Ohio, and is designed to affirm the contractor's compliance with state procurement regulations, particularly concerning the performance of contract services within the United States.

The form specifies that WSP USA Inc. will perform all contract services at 2 Mianova Place, Suite 450, in Columbus, OH 43215, with no subcontractors listed. The document emphasizes the contractor's commitment to not perform any services outside the United States and to immediately disclose any changes in service locations. The form is part of a broader regulatory framework prohibiting state agencies from purchasing offshore services, in line with Executive Order 2019-12D, and requires the contractor to agree to potential contract termination if they do not comply with the specified restrictions.