2-Affirmation_and_Disclosure.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving ODOT (Ohio Department of Transportation) and Fyda Freightliner Columbus, Inc., located in West Jefferson, Ohio. The form addresses compliance with Executive Order 2022-02D, which pertains to restrictions on expenditure of public funds on services performed by Russian companies or institutions. The contractor (Fyda Freightliner Columbus, Inc.) is affirming their principal business location is at 2700 NE Plain City - Georgesville Rd in West Jefferson, OH.

The form requires the contractor to confirm that no services under this contract will be performed in Russia, and the company agrees to abide by the executive order's requirements. The document serves as a formal declaration of the contractor's compliance with state regulations regarding service performance and subcontractor involvement, with specific emphasis on prohibiting any direct or indirect engagement with Russian companies. The form was signed on 10/1/2025 by an authorized representative with the title of G.M., indicating the company's commitment to transparency and adherence to the state's procurement guidelines.