Affirmation_and_Disclosure_Form_170-25_Murphy_Tractor.pdf

This document is an Affirmation and Disclosure Form related to Executive Order 2022-02D, which addresses expenditure of public funds on services performed by Russian companies or institutions. The form is completed by Murphy Tractor & Equipment Co., located at 2121 Walcutt Road in Columbus, OH 43228, for a contract with a state government. The document pertains to restrictions on services performed in Russia and requires disclosure of business locations and potential subcontractors.

The form indicates that Murphy Tractor & Equipment Co. has multiple locations across Ohio available to perform services, including sites in Columbus, Lima, Vandalia, Brunswick, Canton, Poland, Jackson, Cambridge, Painesville, Cincinnati, and Rosford. The company affirms it will not perform any part of the contract in Russia and provides a list of its Ohio locations where services can be performed. The document is signed by the Region Vice President and dated June 5, 2024, and is part of a compliance effort related to restrictions on doing business with Russian entities under the specified executive order.