Affirmation_and_Disclosure_20250505_RJSENG_signed.pdf

This document is an Affirmation and Disclosure Form related to an ODOT (Ohio Department of Transportation) contract, completed by RJS Engineering LLC, a company located in Westborough, MA. The form addresses requirements under Executive Order 2022-022, specifically focusing on restrictions regarding services performed by Russian companies or institutions in the context of state contracts.

The contractor, RJS Engineering LLC, has specified its principal business location as 21 Linda Street in Westborough, MA, with service performance location at 1323 West Blee Rd. in Springfield, OH 45502. The document affirms that the company will not use subcontractors for services in this contract and will not perform any contract work in Russia. The form includes provisions prohibiting the purchase of services from Russian companies or institutions, with the contractor agreeing to complete an attached Exhibit II and abide by the Executive Order's requirements. The document is signed by the company president on 5/5/2025, indicating compliance with state contract protocols and disclosure obligations.