2-ODOT_-_Affirmation_And_Disclosure_Form.pdf

This document is an Affirmation and Disclosure Form related to a contract with the Ohio Department of Transportation (ODOT), completed by Generator Systems LLC. The form affirms compliance with Executive Order 2022-02D, which prohibits state agencies from purchasing offshore services and requires disclosure of business locations and service performance sites. The contractor indicates its principal business location is at 2246 Port Centre in Medina, Ohio, and services will be performed at various ODOT locations within Ohio.

The form specifies that no subcontractors will be used (marked as "N/A"), and the contractor agrees to abide by state regulations regarding public funds and service performance. The document does not provide specific details about the goods or services being contracted, pricing terms, or contract value. The form is signed by Justin R. Komoewski, Contract Sales Manager, on 5/1/25, and serves as a mandatory disclosure and affirmation document for contractors seeking to perform work for the state of Ohio, emphasizing transparency about business operations and service locations.