Affirmation_and_Disclosure_-_Complete_-_Signed.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically addressing requirements for service performance and data handling. The primary contractor is JCB, Inc., located in Pooler, Georgia, with several subcontractors including Buck & Knobby JCB, Burns JCB, Company Wrench, and American Equipment Services, all located in various Ohio cities. The form is associated with Executive Order 2022-02D, which prohibits state agencies from purchasing offshore services and imposes restrictions on expenditures involving Russian companies or institutions.

The contract involves services to be performed primarily in Ohio and Georgia, with all locations specified for business operations, service performance, and data storage. The document emphasizes strict guidelines about not allowing state data to be sent outside the United States without a signed waiver, and requires disclosure of any changes in service locations before, during, and after contract execution. The form is signed by the Government Products and Sales Manager, dated 1/22/2025, and appears to be part of a broader state contracting process that ensures compliance with specific governmental procurement regulations and geographic service limitations.