Affirmation_and_Disclosure_Final.pdf

PDF 3 MB Posted

Attached to
Competitive Selection OH|DOT101G26-18
Contract number
DOT101G26-18
Issued by
Ohio

About this file

This document is an Affirmation and Disclosure Form related to an Executive Order 2022-02D compliance document, completed by Jeff Construction, Inc., a contractor based in Greenville, OH 45331. The form addresses requirements for performing services and handling state data, with specific attention to restrictions on services performed by Russian companies or institutions in response to current geopolitical sanctions.

The contractor indicates services will be performed across various locations in Ohio, with the principal business location at 3009 Childrens Home Brad Rd. in Greenville. The document affirms the contractor's commitment to not utilize Russian companies or institutions for contract services, in alignment with the stated Executive Order. The form was signed by the company president on 2-6-2025, and it serves as a formal acknowledgment of the contractor's understanding and compliance with specific state and federal guidelines regarding service performance and data management.

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Other files

File Type Posted
Signature__4___1___002_.pdf PDF
101G-26_Pricing_Page__02_10_25__Rev1_FINAL_2____UPDATED_.xlsx XLSX spreadsheet
101G-26.pdf PDF

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