247-26_Affirmation_Page.pdf

The document is an Affirmation and Disclosure Form related to a state contract, specifically for H.Y.O. Inc. dba Penguin, located at 2550 W 5th Ave in Columbus, OH 43204. The form addresses compliance with Executive Order 2022-02D regarding restrictions on expenditure of public funds on services performed by Russian companies or institutions, and outlines the contractor's affirmation of performance location and data handling.

The contractor affirms that all services will be performed at the Columbus, OH address, with no subcontractors listed. The form emphasizes compliance with prohibitions on purchasing offshore services from Russian entities, and requires disclosure of any changes in service locations before or after contract execution. The document is part of a contractual requirement to abide by Executive Order 2022-02D, with the contractor acknowledging the state's right to terminate the contract if these conditions are not met.