Affirmation_and_Disclosure__26_.pdf
PDF 316 KB Posted
- Attached to
- Competitive Selection OH|DOT11726-7
- Contract number
- DOT11726-7
- Issued by
- Ohio
About this file
This document is an Affirmation and Disclosure Form completed by SAF, Inc., a contractor based in Akron, Ohio, for a contract with the Ohio Department of Transportation (ODOT). The form addresses compliance with Executive Order 2022-02D, which prohibits state agencies from purchasing services from Russian companies or institutions, and expands upon a previous executive order restricting offshore services.
The contractor affirms that all services will be performed within the United States, specifically at 130 E. Voris Street, STE A in Akron, Ohio. Subcontractors are yet to be determined, but will also be located within the State of Ohio. The form requires disclosure of the contractor's business location, service performance locations, and data storage locations, with the contractor committing to notify the state of any changes. The document is signed by the company president and dated September 15, 2025, and serves as a legal commitment to comply with state procurement regulations regarding service locations and data management.
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Other files
| File | Type | Posted |
|---|---|---|
| 117-26.pdf | ||
| Signature.pdf | ||
| 117-26_Pricing_2025-08-14_-_Ike.xlsx | XLSX spreadsheet | |
| FOR_INFORMATION_ONLY_COI-SAF_INC_2025.pdf |
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Text version
AFFIRMATION AND DISCLOSURE FORM
By the signature affixed hereto, the Contractor affirms and understands that if awarded a contract, both the Contractor and any of its subcontractors shall perform no services requested under this Contract outside of the United States, not allow State data to be sent, taken, accessed, tested, maintained, backed-up, stored or made available remotely(located) outside of the United States unless a duly signed waiver from the State has been attained.
The Contractor shall provide all the name(s) and location(s) where services under this Contract will be performed and where data is located in the spaces provided below or by attachment. Failure to provide this information may result in no award. If the Contractor will not be using subcontractors, indicate “Not Applicable” in the appropriate spaces.
EXPENDITURE OF PUBLIC FUNDS ON SERVICES PERFORMED BY RUSSIAN COMPANIES OR INSTITUTIONS.
The Contractor affirms to have read and understands Executive Order 2022-02D and shall abide by those requirements in the performance of this Contract. Pursuant to this Executive Order, all state agencies are prohibited from the purchase of services from Russian companies or institutions. This prohibition is in addition to and expands upon Executive Order 2019-12D which generally precludes the purchase of offshore services by the State of Ohio. Notwithstanding any other terms of this Contract, ODOT reserves the right to recover any funds paid for services the Contractor performs in Russia in violation of this Executive Order. ODOT does not waive any other rights and remedies provided to ODOT in this Contract.
The Contractor agrees to complete the attached Exhibit II, Contractor/Subcontractor Affirmation and Disclosure Form, to abide with Executive Order 2022-02D, which is incorporated and becomes a part of this Contract, affirming no services of the Contractor or its subcontractors under this Contract will be performed in Russia.
1. Principal location of business of Contractor:
(Address) (City, State, Zip)
Name/Principal location of business of subcontractor(s):
(Name) (Address, City, State, Zip)
2. Location where services will be performed by Contractor:
Name/Location where services will be performed by subcontractor(s):
3. Location where state data will be located, by Contractor:
Ike Typewritten text 130 E. Voris Street, STE A Akron, Ohio 44311
Ike Typewritten text To be determined
Ike Typewritten text To be determined
Ike Typewritten text 130 E. Voris Street, STE A Akron, OH 44311
Ike Typewritten text to be determined State of Ohio
Ike Typewritten text TBD State of Ohio
Ike Typewritten text 130 E. Voris Street, STE A Akron, Ohio 44311
Melissa Typewritten text
TBD
Melissa
TBD
Melissa
TBD
Melissa Typewritten text
TBD
Melissa
TBD
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