Affirmation_and_Disclosure__16_.pdf
PDF 75 KB Posted
- Attached to
- Competitive Selection OH|DOT01826-1
- Contract number
- DOT01826-1
- Issued by
- Ohio
About this file
This document is an Affirmation and Disclosure Form for Cargill, Incorporated - Salt, Road Safety, located in North Olmsted, Ohio. The form is associated with an Executive Order 2022-02D and relates to services to be performed under a state contract, with specific provisions regarding the performance of services inside or outside the United States and restrictions on expenditures involving Russian companies or institutions.
The contractor (Cargill) indicates that services will be performed at various sites listed on the bid and Cargill stock sites, with no specific state data location noted. The document emphasizes the contractor's obligation to disclose any changes in service locations before, during, and after contract execution, with the state retaining the right to immediately terminate the contract unless a waiver is obtained. The form was signed by a Customer Care Representative on 5/21/2025, affirming the company's understanding and compliance with the contract's terms, particularly regarding the geographical constraints on service performance.
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Other files
| File | Type | Posted |
|---|---|---|
| AWARDED_Contract_Pricing_018-26.xlsx | XLSX spreadsheet | |
| 018-26_Pricing__05_12_25__ADDENDUM__1__1_.xls | XLS spreadsheet | |
| FY26_Salt_Map.pdf | ||
| 018-26.pdf | ||
| Cargill_Signature.pdf |
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Text version
Name/Location(s) where state data will be located by subcontractor(s):
(Address, City, State, Zip)(Name)
(Name) (Address, City, State, Zip)
(Name) (Address, City, State, Zip)
Contractor also affirms, understands and agrees that Contractor and its subcontractors are under a duty to disclose to the State any change or shift in location of services performed by Contractor or its subcontractors before, during and after execution of any contract with the State. Contractor agrees it shall so notify the State immediately of any such change or shift in location of its services. The State has the right to immediately terminate the contract, unless a duly signed waiver from the State has been attained by the Contractor to perform the services outside the United States.
On behalf of the Contractor, I acknowledge that I am duly authorized to execute this Affirmation and Disclosure Form and have read and understand that this form is a part of any Contract that Contractor may enter into with the State and is incorporated therein.
(AN ORIGINAL SIGNATURE IS REQUIRED)
Company Name: Cargill, Incorporated- Salt, Road Safety
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Print Name: -'-H=a=ile.o...y._E=I""so""n"'-- _
Title: CustomerCare Representative
Date: 5/21/2025
File details come from the government source that posted it. Updated .