2-Affirmation_and_Disclosure_Form-Fyda_FTL_Cincinnati-10-1-25.pdf

This is an Affirmation and Disclosure Form related to a state contract, completed by Fyda Freightliner Cincinnati, Inc., located in Cincinnati, OH. The document specifically addresses compliance with Executive Order 2022-022, which prohibits expenditure of public funds on services performed by Russian companies or institutions. The form requires the contractor to disclose their principal business location, service performance locations, and state data storage locations.

The document emphasizes that the contractor agrees to abide by restrictions on purchasing offshore services from Russian entities, as outlined in Executive Order 2019-12D. The contractor affirms that no services under this contract will be performed in Russia, and they understand the potential consequences of non-compliance, including immediate contract termination. The form was signed by a representative of Fyda Freightliner Cincinnati, Inc. on 10-1-23, indicating their commitment to these terms and their authorization to enter into the contract with the state.