AFFIRMATION_AND_DISCLOSURE.pdf

This document is an Affirmation and Disclosure Form related to a state contract, specifically involving the State of Ohio and Madex Construction Co. The form outlines compliance requirements with Executive Order 2022-0D, which prohibits state agencies from purchasing offshore services from Russian institutions. The contractor's principal business location is at 8300 Bessemer Ave in Cleveland, Ohio, and services will be performed at various locations within Ohio.

The form indicates that no subcontractors are currently involved (marked as N/A), and the contractor affirms that services will be performed within the United States. The document serves as a certification that the contractor understands and will abide by state restrictions on offshore services, particularly those related to Russian service providers. The form was signed by a representative of Madex Construction Co on 10-21-22, indicating the company's commitment to compliance with the specified executive order and state contract requirements.