Affirmation_and_Disclosure__24_.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving A-1 Tree Care located in Hillsboro, Ohio. The form addresses compliance with Executive Order 2022-02D, which prohibits state agencies from purchasing offshore services from Russia and requires contractors to disclose their business locations and data storage sites. The document is prepared for potential contract work within the state of Ohio, with the contractor affirming that no services will be performed in Russia.

The contractor, A-1 Tree Care, has identified its principal business location as 8961 Patton Rd in Hillsboro, Ohio, with services to be performed within Ohio. The state data will be located at 5530 Swamp Rd in Winchester, Ohio. The form requires the contractor to disclose any potential changes in service locations before, during, and after contract execution, with the state retaining the right to terminate the contract if services shift outside the United States. The document is signed by Randy Bramos, the Administrator, with an execution date of 08/29/2025, and is part of a larger contractual agreement with the state.