Affirmation_and_Disclosure__1_.pdf

This document is an Affirmation and Disclosure Form for a state contract, specifically related to the Ohio Department of Transportation (ODOT). The primary contractor is Montage Enterprises, located in Blairstown, NJ, with two subcontractors: Steinke Tractor from Eaton, OH and Vernon Dell Tractor from Liverpool, OH. The form addresses compliance with Executive Order 2022-02D, which prohibits state agencies from purchasing offshore services and requires disclosure of service locations.

The document does not specify the exact goods or services under contract, but it outlines the contractor's obligations to disclose service locations and affirm that no services will be performed in Russia. The contractors have provided their principal business locations and the locations where services will be performed, primarily in Ohio. The form emphasizes the contractor's duty to notify the state of any changes in service locations and acknowledges that the state can immediately terminate the contract if service locations shift outside the United States.