2-Affirmation_and_Disclosure_Completed___Signed_Round_2.pdf

This document is an Affirmation and Disclosure Form from Underground Utilities Inc., located in Monroeville, OH 44847, related to a state contract subject to Executive Order 2022-02D. The form addresses restrictions on services performed by Russian companies or institutions, specifically prohibiting state agencies from purchasing services from Russian entities. The contractor affirms compliance with this executive order and agrees to disclose any changes in service locations or performance details.

The form requires the contractor to provide its primary business location, which is 416 W Monroe Street in Monroeville, OH 44847, and confirms that no services under this contract will be performed in Russia. The document includes provisions that prohibit the contractor and its subcontractors from performing services outside the United States unless explicitly approved. The form is signed by John A. Bores, Vice President, on 11/20/2025, and represents the contractor's commitment to adhere to the specified governmental requirements regarding service performance and location.