2-Affirmation_and_Disclosure_Form.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically addressing compliance with Executive Order 2022-02D regarding services performed by Russian companies or institutions. The form is completed by A.B.H. Equipment Company, located at 7171 E Pleasant Valley Road in Independence, OH, with Environmental Products Group listed as a subcontractor at 6033 Shepherd Drive in Lakeland, OH. The document is designed to affirm the contractor's understanding of restrictions on performing services outside the United States and to disclose locations where contract services will be performed.

The form indicates that the contractor agrees to complete an attached Exhibit II, Contractor/Subcontractor Affirmation and Disclosure Form, which is incorporated into the contract with Executive Order 2022-02D. The primary location of business and service performance is in Independence, OH, with state data also to be located at the same address. The document emphasizes compliance with prohibitions on purchasing offshore services by state agencies, as outlined in the referenced Executive Order. The contractor acknowledges the obligation to disclose any changes in service locations and understands that the state retains the right to immediately terminate the contract if these provisions are not met.