2-Affirmation_and_Disclosure_Form-Fyda_FTL_Cincy-7-17-25.pdf

This document is an Affirmation and Disclosure Form related to Executive Order 2022-02D, which prohibits state agencies from purchasing services from Russian companies or institutions. The form is completed by Fyda Freightliner Cincinnati, Inc., located at 1 Freightliner Dr. in Cincinnati, OH 45241. The document is specifically tied to Ohio's Department of Transportation (ODOT) and addresses restrictions on service performance in Russia following the issuance of Executive Order 2019-12D.

The form requires the contractor to disclose the principal location of business, any subcontractors, and potential locations where services will be performed. The contractor agrees to complete an attached Exhibit II, Contractor/Subcontractor Affirmation and Disclosure Form, which becomes part of the contract. The form emphasizes that no services will be performed in Russia, and the contractor must immediately notify the State of any changes in service locations. The document was signed by the General Manager on 7-17-25, affirming compliance with the executive order's requirements regarding offshore services and state procurement restrictions.