2-Affirmation_and_Disclosure_signed.pdf

This document is an Affirmation and Disclosure Form related to Executive Order 2022-02D, which addresses restrictions on state agencies' procurement of services from Russian companies. The form is completed by FIVA Freightelner Columbus, Inc., a company located at 2700 NE Main City Georgeville Rd in West Jefferson, OH 43162. The document is designed to ensure compliance with state procurement regulations regarding services performed outside the United States, specifically addressing potential engagements involving Russian companies or services.

The form requires the contractor to disclose the principal location of business, locations where services will be performed, and where state data will be located. The contractor affirms that they will not perform services outside the United States and agrees to immediately notify the state of any changes in service locations before, during, or after contract execution. The document is signed by Neil Tyler, VP of Business Development, on 2-11-25, and incorporates the contractor's commitment to abide by the executive order's restrictions on offshore services and potential purchase of services from Russian companies or institutions.