Affirmation_and_Disclosure_Filled_by_889GS071724Guardrailbid.pdf

This document is an Affirmation and Disclosure Form for a contract with the Ohio Department of Transportation (ODOT), completed by 889 Global Solutions, Ltd. The form addresses compliance with Executive Order 2022-02D, specifically focusing on restrictions related to services performed by Russian companies or institutions. The primary contractor is located at 1943 W. 5th Ave in Columbus, OH 43212, with Firelands Supply Company identified as a subcontractor located at 18 South Norwalk Road West, Norwalk, OH 44857.

The document indicates that the contractor affirms no services under this contract will be performed in Russia, and the company agrees to complete the attached Exhibit II, Contractor/Subcontractor Affirmation and Disclosure Form. The location for performing services is the same as the principal business address in Columbus, OH. The form is signed by Kaifu Clark, the Controller, on July 17, 2024, and includes provisions about potential contract termination if the contractor fails to disclose changes in service locations or subcontractors. No specific details about the goods or services are provided in this disclosure form beyond the general compliance with the executive order.