AFFIRMATION_020525_101G.pdf

This document is an Affirmation and Disclosure Form for SC Construction and Materials, LLC, located at 800 Nathan Denton Rd. in Slaman, OH 45679. The form is related to a state contract, specifically addressing restrictions on services performed by Russian companies or institutions, in compliance with an Executive Order prohibiting state agencies from purchasing services from Russian companies or institutions.

The contractor indicates that services will be performed at various locations, with the primary business address and state data location being the same Ohio address. No subcontractors are listed, and the document affirms that no services will be performed in Russia. The form is part of a contract with the state, likely with the Ohio Department of Transportation (ODOT), and requires an original signature to certify compliance with the specified restrictions on service provision and state data handling.