Affirmation_and_disclosure_form__13_.pdf

This document is an Affirmation and Disclosure Form executed by Southwestern Equipment Co., located at 10874 E. Pike Rd. in Cambridge, OH 43725, in compliance with Executive Order 2022-02D related to Ohio Department of Transportation (ODOT) contract requirements. The form specifically addresses restrictions on expenditure of public funds on services performed by Russian companies or institutions, affirming the contractor's compliance with procurement regulations and geographical service restrictions.

The form indicates that Southwestern Equipment Co. will not be using subcontractors and has no services to be performed in Russia. The document requires the contractor to disclose any changes in business location, service performance sites, or data storage locations throughout the contract duration, with ODOT retaining the right to terminate the contract if services are shifted outside the United States. No specific contract value, goods, or services are detailed in this form, which appears to be a standard compliance document for state contracting processes focused on geopolitical procurement restrictions.