2-Affirmation_and_Disclosure_Form_7-15-2025_1.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving TSI Western Star as the contractor. The primary location of business is 385 South Bailey Road in North Jackson, Ohio 44451. The form addresses compliance with Executive Order 2022-02D, which prohibits state agencies from purchasing services from Russian companies or institutions, and expands upon a previous executive order from 2019-12D.

The document outlines the contractor's commitment to performing services exclusively within the United States, with all business and service locations specified as 385 South Bailey Road in North Jackson, Ohio. The contractor affirms that no services will be performed outside the United States, and state data will be located at the same address. The form includes provisions for disclosing any changes in service locations or subcontractors, and requires immediate notification to the state of any such modifications. The document is signed by Luke Morgan in the capacity of Sales Manager, with a signature date of 7/15/2025.