2-ODOT_044-26_AFFIRMATION.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically addressing requirements under the Executive Order 2022-02D. The form is completed by RRT Truck Welders Inc., located at 1650 E. Waterloo Rd in Akron, OH 44206. The document pertains to the Ohio Department of Transportation (ODOT) and addresses restrictions on services performed by Russian companies or institutions, in compliance with specific executive orders.

The form indicates that the contractor will perform services at their primary business location in Akron, OH, with no subcontractors involved. The contractor affirms that no services will be performed outside the United States, and no state data will be located or processed by Russian companies or institutions. The document requires the contractor to immediately disclose any changes in service location and acknowledges that the state may terminate the contract if such changes occur without proper notification and waiver. The form was signed on 10-01-25 by Daniel Ralich in the role of Mgr., representing RRT Truck Welders Inc.