Affirmation_and_Disclosure__6_.pdf

This document is an Affirmation and Disclosure Form related to a state contract for services, specifically addressing restrictions on expenditure of public funds by Russian companies or institutions. The form is associated with an Executive Order and pertains to a contract with the State of Ohio, with the contractor located at 3100 E. 45th Street, Suite 428 in Cleveland, Ohio 44127.

The form emphasizes compliance with Executive Order 2019-12D, which prohibits state agencies from purchasing services from Russian companies or institutions. The contractor affirms that no services under this contract will be performed in Russia, and all work will be conducted from their Cleveland, Ohio location. The document requires disclosure of the principal business location, service performance location, and state data storage location, all of which are the same address. The form is signed by the CEO and dated 4/1/2024, indicating the contractor's commitment to adhering to the state's requirements regarding offshore service restrictions.