Affirmation_and_Disclosure__1_.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically addressing requirements under Executive Order 2022-02D concerning the expenditure of public funds on services performed by Russian companies or institutions. The form is completed by Ohio Machinery Co., with a principal business location at 3993 E. Royalton Rd. in Broadview Heights, OH 44147-2929. The document is part of a contract governed by Ohio state agencies and subject to restrictions on offshore services and purchases in response to geopolitical circumstances.

The form indicates no subcontractors will be used for this contract, and all state data will be located at the contractor's primary business address. The contractor affirms they will not perform any services in Russia and agrees to immediately disclose any changes in service locations. The document is dated 1/13/2025 and was signed by the company's Controller, indicating compliance with state procurement regulations and executive orders regarding service delivery and data management.