_Affirmation_and_Disclosure_Document__Affirmation_and_Disclosure_Lunsford_Group_LLC.pdf

This document is an Affirmation and Disclosure Form for Lunsford Group LLC, a company located in Norwalk, Ohio, pertaining to a state contract. The form addresses compliance with Executive Order 2022-02D, which prohibits state agencies from purchasing services from Russian companies or institutions. The document is prepared for submission to the state, specifically addressing potential services to be performed outside the United States, with all listed locations being in Norwalk, Ohio.

The document includes a Certificate of Ohio Workers' Compensation and a Certificate of Liability Insurance, indicating Lunsford Group LLC is registered to perform work with coverage from 07/01/2024 to 07/01/2025. The liability insurance provides commercial general liability coverage with limits of $1,000,000 per occurrence, $2,000,000 aggregate, and additional automobile and umbrella liability policies. No specific goods or services are detailed in the document, but it appears to be a standard compliance and insurance verification form for a state or local government contract, with the primary purpose of affirming the company's eligibility and insurance status.