194-24_Affirmation___Disclosure_Form_signed.pdf

This document is an Affirmation and Disclosure Form for a contract involving Aerospace Holding Corporation, located at 1453 Youngstown-Kingsville Road in Vienna, Ohio. The form is associated with Executive Order 2022-02D, which relates to restrictions on services performed in or for Russian companies or institutions. The primary locations of business and service performance include Vienna, Ohio, with two subcontractors listed: Municipal Emergency Services/Warren Fire Department (located at 6880 Tod Ave SW, Warren, Ohio) and Mahan Welding (located at 1779 Phelps Rd, Bristolville, Ohio).

The document indicates this is a contract that prohibits the performance of services for Russian companies or institutions, with the contractor affirming no services will be performed in Russia. The form serves as a disclosure and affirmation mechanism for the contractor and its subcontractors, ensuring compliance with state procurement guidelines. No specific details about the precise goods or services, pricing terms, or contract value are explicitly outlined in this form, which appears to be a standard compliance document focused on geographical and institutional service restrictions.