Affirmation_and_Disclosure.pdf

This document is an Affirmation and Disclosure Form related to an Executive Order 2022-02D contract, involving a contractor located at 825 Estra Pkwy in Plain City, OH 43064. The form addresses restrictions on expenditure of public funds for services performed by Russian companies, in compliance with Ohio state agency procurement guidelines. The document is specifically tied to state contracts and ensures compliance with prohibitions on offshore services and purchases from Russian entities.

The contractor affirms that services will be performed at the same location as their principal business address (Plain City, OH 43064), and that state data will also be located at this address. No subcontractors are listed on the form. The document is signed by an individual named Neil Locy on 12-12-23, and it is part of a broader contractual agreement that incorporates an attached Exhibit II, which further details contractor and subcontractor affirmations. The form emphasizes compliance with state procurement regulations and restrictions on international service delivery, particularly in relation to services involving Russian companies.