Affirmation_and_Disclosure__33_.pdf

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)

(Name) (Address, City, State, Zip)

2. Location where services will be performed by Contractor:

(Address) (City, State, Zip)

Name/Location where services will be performed by subcontractor(s):

(Name) (Address, City, State, Zip)

(Name) (Address, City, State, Zip)

3. Location where state data will be located, by Contractor:

(Address) (City, State, Zip)

Trang Constrcution Co.

21 E State Street Columbus, OH 43215

TBD OH

21 E State St Suite 200 Columbus, OH43215

Name/Location(s) where state data will be located by subcontractor(s):

(Name) (Address, City, State, Zip)

(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: _____________________________

Signature: __________________________________

Print Name: ________________________________

Title: ______________________________________

Date: ______________________________________

Trang Construction Co.

Hau Trang

President

10/08/2025

Veteran-friendly Business Enterprise Certification Letter

June 11, 2025

Hau Trang, President Trang Construction Co

21 E STATE ST, SUITE 200

COLUMBUS, OH 43215

CERTIFICATION NUMBER: VFBE - 202506-22196

Effective Dates: June 11, 2025 - June 11, 2027

Dear Hau Trang:

The Ohio Department of Development, Minority Business Development Division (MBDD) has reviewed your business's application to obtain certification as a Veteran-friendly Business Enterprise (VFBE) in Ohio. The Ohio Department of Development, Minority Business Development Division is pleased to inform you that Trang Construction Co has been certified by MBDD as a VFBE Business Enterprise.

The Ohio Department of Development, Minority Business Development Division has determined that Trang Construction Co satisfactorily meets the requirements set forth in Section 123:5-1-16 of the Ohio Administrative Code as is required for participation in the VFBE program. This certification letter shall serve as the State's official certification to this effect.

Re-certification Note: one month prior to the expiration date of this certification, your business is required to submit a completed Re-certification Application for MBDD's review relative to the Trang Construction Co eligibility for continued participation in the VFBE program.

If you need any assistance or have questions about the VFBE program, please contact the

Business Certification and Compliance Unit at 614-466-8380.

Sincerely, Monica L. Womack Chief