1-2025-04-28_15.42_TINY_SCANNER.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving the Ohio Department of Transportation (ODOT). The form is completed by Joey's Towing and Recovery, with their principal business location at 367 Arco Dr in Toledo, Ohio 43607. The document is specifically tied to Executive Order 2022-02D, which places restrictions on services performed by Russian companies or institutions.

The form confirms that the contractor will not perform any services under the contract outside of the United States, nor will they use data located outside the United States. The contractor agrees to complete Exhibit II, a Contractor/Subcontractor Affirmation and Disclosure Form, and affirms that no services will be performed in Russia. The document indicates that the contractor's services will be performed at the same address as their principal business location (367 Arco Dr, Toledo, OH 43607), and they acknowledge ODOT's right to terminate the contract or recover funds if the contractor violates the terms related to Russian service restrictions.