Affirmation__2_.pdf

PDF 862 KB Posted

Attached to
Competitive Selection OH|DOT86524-1
Contract number
DOT86524-1
Issued by
Ohio

About this file

This document is an Affirmation and Disclosure Form related to a state contract, specifically addressing compliance with various civil rights and non-discrimination statutes. The form appears to be associated with the Ohio Department of Transportation (ODOT) and involves restrictions on services performed by Russian companies or in Russia, as outlined in Executive Order 2022-02D. The contractor's principal place of business is located in Toledo, Ohio.

The form outlines the contractor's commitments regarding service locations, data handling, and compliance with federal and state non-discrimination regulations. The document emphasizes that no services will be performed outside the United States without prior authorization, and the contractor must disclose any subcontractors or changes in service locations. The form was signed by Matthew Zimmerman, Vice President, on 12/8/2023, affirming the company's understanding and agreement to abide by the specified terms and conditions of the contract with the state of Ohio.

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Other files

File Type Posted
865-24.pdf PDF
ODOT865-24_Addendum_pricing.xls XLS spreadsheet
Signature__46___1_.pdf PDF

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