896A-24_DOCUMENT.pdf

This document is an Affirmation and Disclosure Form for a state contract, specifically involving JEM Industrial Myint as the contractor. The principal location of business and service performance location is listed as 6205 McClain Rd, Wapakoneta, OH 45895. The form addresses compliance with Executive Order 2022-02D, which prohibits expenditure of public funds on services performed by Russian companies or institutions in response to ongoing geopolitical tensions.

The form requires the contractor to affirm no services will be performed in Russia and acknowledges potential contract termination if Russian-related services are discovered. The document is dated 12-23-23 and was signed by the CEO, Jorge E. Moheyer. While specific contract details are not fully elaborated in this form, it represents a critical compliance document ensuring state contract adherence to current executive orders regarding international service restrictions, particularly those related to Russian engagement.