Affirmation_and_Disclosure__5_.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving Ohio Traffic and Lighting Solutions, Inc. as the contractor. The form is associated with Executive Order 2022-02D, which prohibits state agencies from purchasing services from Russian companies or institutions. The contractor affirms compliance with this order and provides details about their business location in Columbus, Ohio.

The form does not specify the exact goods or services being contracted, but it outlines the contractor's commitment to not performing any services in Russia and to disclose all locations where contract services will be performed. The principal business location and service location are both listed as 2688 Sawbury Blvd in Columbus, OH 43235. No subcontractors are listed, and the document is signed by the company president on 11/14/2024, indicating this is a current or upcoming contract with state procurement guidelines.