Affirm_and_Disclosure_Form_ODOT_Bid.pdf

This document is an Affirmation and Disclosure Form related to the Ohio Department of Transportation (ODOT) Executive Order 2022-02D, which addresses restrictions on services performed by Russian companies or institutions. The form is completed by a contractor located at 1601 Plum Street in Steubenville, Ohio, and is designed to affirm compliance with state procurement regulations regarding offshore services and Russian business interactions.

The form indicates that the contractor will perform services in Steubenville, Ohio, and has agreed to complete an attached Exhibit II that becomes part of the contract. The document emphasizes prohibitions on purchasing offshore services from Russian entities under the Executive Order, with specific reference to ODOT's requirements. No subcontractors are listed, and the form was signed by the company's President/Founder on 3/28/24, certifying the contractor's understanding and agreement to abide by the specified contractual and regulatory conditions.