2-Affirmation_and_Disclosure_signed.pdf

This document is an Affirmation and Disclosure Form related to Executive Order 2022-02D, which addresses restrictions on services performed by Russian companies or in Russia. The form involves FHWA Freightliner Columbus, Inc., located at 2700 NE Main City Georgesville Rd in West Jefferson, OH 43162. The document is specifically designed to ensure compliance with state requirements regarding service performance locations and potential restrictions on work performed in Russia.

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. It explicitly prohibits the contractor and its subcontractors from performing services outside the United States or in Russia, in alignment with the Executive Order. The document was signed on 2-11-25 by Neil Tyler, VP of Business Development, who affirmed the company's understanding of the contract's terms, including the obligation to immediately notify the state of any changes in service locations and the potential for contract termination if services are performed outside the authorized regions.