affirmation_10_24.pdf

This document is an Affirmation and Disclosure Form for Alta Equipment Company, located in Oakwood Village, Ohio, relating to a state contract with potential service locations in Ohio. The form addresses compliance with Executive Order 2022-02D, specifically concerning restrictions on services involving Russian companies or institutions. The primary contractor is Alta Equipment Company, with one listed subcontractor, Midwest Mine Services, also located in Ohio.

The document outlines the contractor's commitment to not perform services in Russia and to comply with state procurement restrictions regarding Russian companies. The primary service locations are 181 Oak Leaf Oval in Oakwood Village, Ohio, with Midwest Mine Services located at 5050 Nike Drive in Hillard, Ohio. The form requires disclosure of business locations, service performance locations, and state data storage locations, with Alta Equipment Company designated as the primary contractor. The document is signed by Donald B. D'Onofrio in the role of Governmental Segment Manager, with a signature date of 10/07/2024.