2-signed_aff_disc.pdf

This document is an Affirmation and Disclosure Form related to an Ohio state contract, specifically involving Streps Western Star of Ohio, located at 1770 Wapak Fisher Rd in Wapakoneta, Ohio. The form addresses requirements under Executive Order 2022-02D, which prohibits state agencies from purchasing services performed by Russian companies or institutions in response to ongoing geopolitical tensions.

The form requires the contractor to disclose the locations where services will be performed and where state data will be located, with the current contractor indicating their principal business location in Wapakoneta, Ohio. The document emphasizes that the contractor agrees to complete the attached Exhibit II and affirms that no services will be performed in Russia. The form also mandates that the contractor must notify the state immediately of any changes in service locations before, during, or after contract execution, with potential contract termination if services are performed outside the United States without proper waiver.