2-ORMCA_Affirmation___Disclosure_Form_ITB_305-26.pdf

This document is an Affirmation and Disclosure Form for a state contract, specifically related to the Ohio Department of Transportation (ODOT) and involving the Ohio Ready Mixed Concrete Association. The form addresses compliance with Executive Order 2022-02D regarding restrictions on services performed by Russian companies or institutions, particularly in light of the ongoing geopolitical situation. The form requires the contractor to disclose key information about their business location, service performance sites, and data storage locations.

The contractor, Ohio Ready Mixed Concrete Association, indicates that services will be performed at 2600 Corporate Exchange Dr., #165 in Columbus, OH 43231, with no subcontractors involved. The document emphasizes that no services will be performed outside the United States, and the contractor agrees to immediately notify the state of any changes in service locations. The form is signed by the organization's President & Executive Director on May 13, 2025, and serves as a legally binding affirmation of the contractor's commitment to comply with state procurement regulations and restrictions on international service provision.