2-351-26_Retroreflectometers__Affirmation_and_Dis.pdf

This document is an Affirmation and Disclosure Form for a contract involving RetroTekUSA Inc., located in Dover, Delaware, and the Ohio Department of Transportation (ODOT). The form addresses compliance with Executive Order 2019-12D regarding the expenditure of public funds on services performed by Russian companies or institutions, specifically prohibiting such expenditures. The contract requires the contractor to disclose the location of business, services, and data storage, with services to be performed at the relevant ODOT department/district in Ohio.

The document does not specify the exact goods or services under contract, but it appears to be related to retroreflectometers, as suggested by the filename. The contractor agrees to complete an attached Exhibit II, affirming no services will be performed in Russia. The form mandates immediate disclosure of any changes in service location or subcontractor information. The document is signed by the company president, dated May 20th, 2025, and serves as a required affirmation for entering into a contract with the state of Ohio, ensuring transparency and compliance with state procurement regulations.